Waa maxay Dhibaatada Lacunar?
Cudurka Lacunar waa stroke oo ay sababto maqnaashaha laanta yar ee xididdada dhiigga ee weyn . Maadada habka dhiiggu u kala qaybsan yahay maskaxda, stroke dhuunta ayaa u muuqda in ay ka dhacaan meelo ku yaal meel ka baxsan maskaxda, halkaas oo badan oo ka mid ah laanta yar ee dhiiga dhiiga. Meelaha ugu badan ee maskaxdu ay qabtaan hawlo xaddidan oo maskaxeed, uruurinta calaamadaha qallafsan ee loo yaqaan 'dhuunta' ayaa sida caadiga ah ku dhacda mid ka mid ah qaybaha calaamadaha loo yaqaano inay waxyeelo ka soo gaarto meelahaas.
Waxay ka mid yihiin kuwan soo socda:
Stroke Motor Strokes
Istaroogga mashiinka wadnaha ayaa ah nooca ugu badan ee cirridka loo yaqaan 'lacunar', taasoo ka dhigan in ka badan 50% dhammaan kiisaska. Dhakhaatiirtu waxay isticmaalaan ereyga farsamada "haayar-dhiska macquulka ah" si loo sharaxo istaraatiijka saafiga ah. Ereyga "hemiparesis" waxaa loola jeedaa daciifnimo dhinaca dhinac jirka ah.
Cirbadaha fuuq-gacmeedku badanaa waxay ku lug leeyihiin qaybaha soo socda ee maskaxda:
Dhammaan goobahaas waxaa ku jira faybar kuwaas oo ku xirma "koontada maskaxda" aagga nidaamka dareenka ah halkaas oo amarrada loo bilaabo dhaqdhaqaaqa tabarruca ah (socodka, lugahaaga) marka hore. Meelahaas ka mid ah nidaamka dareenka waxay u dhaqdhaqaaqaan muruqyada jirka oo dhan si ay u guuraan. Kiisaska intooda badan, natiijada stroke ee goobahaasi waxay la jaanqaadaan awood la'aanta in ardaygu uu u guuri lahaa gacanta alwaaxda maroonetka ah haddii xarigga ku xiran yahay xajintiisa. Tusaale ahaan, dharku wuxuu u taagan yahay kortex maskaxeed, halka xadhigga u oggolaanaya inuu dharka u oggolaado inuu u dhaqaaqo qaybta jirka ee marionette oo ah meelaha ay saameeyeen miyir-beelka saafiga ah.
Calaamadaha Neefsashada Awoodda Lacunar
Istaroogga mashiinka wadnaha ayaa keena daciifnimo qayb ahaan ama dhammeystiran wajiga, gacanta iyo lugta dhinac dhinac ah oo jirka ah. Hoos-u-dhaca wuxuu ku jiri karaa qaybahan oo keliya, ama marka la isku daro labada kale. Badanaa, istaraatiijiyda saafiga ah ee macquulka ah waxay keenaan isku-dhafka iyo garashada laf-dhabarka, kor u qaadashada wejiga, ama isku-dhafka gacmaha, lugta, iyo daciifnimada wajiga.
Si kastaba ha noqotee, calaamaduhu waxay sidoo kale ku dhici karaan mid kasta oo ka mid ah qaybahan.
Qeexidda, kufsiga muraayada saafiga ah ma jiro wax lumis ah oo ka yimaada meel kasta oo jirka ka mid ah, iyo astaamaha muuqaalka ama hadalka.
Cadaadiska Lacunar Dareemka ah
Sida magacoodu yahay, dareenka saafiga ah ee saafiga ah waa stroke oo calaamadaha kaliya ay yihiin cillado aan caadi ahayn, sida kabuubyo ama dareemid aan caadi ahayn oo xanuunka, heerkulka ama cadaadiska (hoos fiiri). Qaar badan oo ka mid ah dareenka saafiga ah ee maskaxda ayaa saameeya aagga maskaxda oo la yiraahdo "Thalamus", oo ah goob si weyn ugu lug leh dareenka jirka oo dhan. Saacadaha ay saameeyeen dareenka saafiga ah ee saafiga ah waxaa ka mid ah taabashada, xanuunka, heerkulka, cadaadiska, aragga, maqalka, dhadhanka.
Calaamadaha Cudurka Dabeecadda ee Dareemka Dhiigga
Kiisaska intooda badan ee maskaxda dareenka saafiga ah waxay soo baxaan maqnaansho ama aan caadi ahayn ee wajiga, gacanta, lugta iyo bogga, laakiin kaliya hal dhinac oo jirka ah. Xaalado badan, si kastaba ha ahaatee, qaybaha jidhka ee kala duwan sida faraha, cagta, ama afka hal dhinac ayaa saameyn ku leh gooni-goosashada. Nooca caadiga ah ee dareenka saafiga ah ee saafiga ah waxaa loo yaqaan ' Dejerine Roussy,' ama 'Central Pain Syndrome' .
Sensorimotor Lacunar Stroke
Nooca nooca cilladda sambabada ah ee cilladda sambabada wuxuu ka yimaadaa xakameynta weel kaasi oo bixiya khariidadda iyo koofiyadaha gudaha ee ku dhow.
Astaamaha Astaamaha Sensorimotor Lacunar Stroke
Sababtoo ah labadaba dareenka iyo maskaxda maskaxda ayaa saameeya noocyadan istaroogga, astaamaha ay ka mid yihiin luminta dareenka (dhaawaca cilada thalamus) iyo hemiparesis ama hemiplegia (waxyeelo u gaar ah gudaha capsule). Labada dareenka iyo miyir-beelka ayaa la dareemayaa dhinaca jirka.
Ataxic Hemiparesis
Noocyada istaroogga ayaa badanaa sabab u ah la'aanta dhiig socodka mid ka mid ah meelaha soo socda ee maskaxda:
Calaamadaha Hemiparesis Ataxic
Lakunar wuxuu ku dhacaa qaybo ka mid ah meelahaas, taas oo keeni karta calaamadaha saafiga ah ee saafiga ah, waxay keeni karaan walaac iyo daciifnimo xagga gacanta ama lugta dhinac dhinac ah.
Caadi ahaan, xanuunka (ataxia) waa calaamad aad u dhib badan marka loo eego daciifnimada gacanta ama lugta saameysa. Wejigu badanaa kuma lug laha.
Dysarthria Clumsy-Hand Syndrome
Sida qeexidda, dysarthria clumsy-hand syndrome waa isku-dhafka astaamaha uu keeno in uu ku dhaco dhiig-yare oo saameeya qaybta dambe ee kaabsoolka gudaha. Xaaladaha dhabta ah ee cilladan, dadka waxay ku dhacaan labadaba dysarthria (dhibaatada hadalka) iyo gacmo furan.
Calaamadaha cudurka Dysarthria Clumsy-Hand Syndrome
Sida magacu tilmaamayo, mawduuc caan ah oo ka mid ah cilladani waa xanuunka hadalka oo la yiraahdo dysarthria. Qeybta ugu badan, dysarthria waxaa lagu qeexi karaa inay dhib tahay in la sheego ama sameysid erayo sababtoo ah dhaqdhaqaaqyo aan ku filnayn muruqyada codka, oo sidoo kale loo yaqaanno larynx, carrabka, iyo muruqyada kale ee afka.
Marka laga reebo dysarthria, dadka qaba cilladkan ayaa ka cabanaya isku-dhafka gacmaha ee dhinaca dhinac ah ee jirka. Caadi ahaan gacanta ay saameysay ayaa leh awood caadi ah, laakiin dadku waxay ka cabanayaan inay ku adagtahay dhaqdhaqaaqa wanaagsan sida qorista, xirashada shoelace, ama ciyaarta piano.
Xigasho:
JP Mohr, Dennis W. Choi, James C. Grotta, Bryce Weir, Phillip A. Wolf Stroke: Pathophysiology, Diagnosis, iyo Maamulka Churchill Livingstone; Tilmaamaha 4aad (2004)
Waxaa qoray Heidi Moawad MD