Neiroanatomia - Dak.indd
Neiroanatomia - Dak.indd
Neiroanatomia - Dak.indd
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klinikuri neiroanatomia<br />
nusiT – conus medullaris. konusis mwvervalidan qveviT miemarTeba dasasruli<br />
Zafi fi lum terminale. welis umetesi da gava-kudusunis segmentebidan<br />
gamosuli fesvebi (L2-S5) agrZeleben gzas xerxemlis arxSi. lumbosarkalur<br />
fesvTa erToblioba, dasasrul ZafTan erTad, qmnis raSis<br />
kuds – cauda equina.<br />
Tavis tvinis hemisferoebi gayofilia erTmaneTisagan didi tvinis<br />
gaswvrivi napraliT fi ssure longitudinalis cerebri. marjvena da marcxena hemisferoebi<br />
SeerTebulia erTmaneTTan didi TeTri SesarTaviT anu kor-<br />
Ziani sxeuliT – corpus callosum, romelic Sedgeba komisuruli boWkoebisagan<br />
da akavSirebs erTmaneTTan hemisferoebis marjvena da marcxena<br />
simetriul ubnebs.<br />
adamianis umaRlesi fsiqikuri funqciebi asimetriulad aris<br />
ganawilebuli hemisferoebs Soris. tradiciulad damkvidrda azri,<br />
rom adamianis inteleqtualur da fsiqikur moqmedebaSi wamyvan rols<br />
asrulebs marcxena hemisfero. klinikuri gamokvlevebis Tanaxmad,<br />
marcxena hemisferos dazianebisas qveiTdeba metyvelebis (afazia),<br />
kiTxvis (aleqsia), weris (agrafia) da maTematikuri angariSis (akalkulia)<br />
unari. pacientebs, romlebsac dazianebuli aqvT marjvena hemisfero,<br />
aReniSnebaT topografiuli azrovnebis moSla – ar SeuZliaT martivi<br />
geometriuli figurebis daxazva, sivrcis swori aRqma. amgvarad,<br />
garemoSi orientirebis, sivrcisa da sxeulis aRqmis unari damokidebulia<br />
marjvena hemisferos normalur funqcionirebaze. aRsaniSnavia,<br />
rom musikaluri mexsiereba qveiTdeba safeTqlis marjvena wilis dazianebis<br />
Sedegad, marcxena hemisferos analogiuri dazianebisas ki ar<br />
icvleba.<br />
TiToeuli hemisfero dayofilia wilebad. maT Soris mTavaria: Sublis<br />
wili – lobus frontalis, Txemis wili – lobus parietalis, safeTqlis wili –<br />
lobus temporalis, kefis wili – lobus occipitalis (sur. 4.). Tavis tvinis Rarebi<br />
– sulci da xveulebi – gyri aris hemisferoebis samive (medialur, lateralur<br />
da qveda) zedapirze. Sublis wili gamijnulia safeTqlis wilisagan<br />
gverdiTi RariT sulcus lateralis, romelic Rrma da ganieria (silviis<br />
naprali); Sublis wilsa da Txemis wils Soris sazRvari centraluri<br />
Raria sulcus centralis (rolandos Rari).<br />
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