Neiroanatomia - Dak.indd

klinikuri neiroanatomia
me-8 are (Sublis meore xveulis ukana nawili) – misi dazianeba iwvevs
mopirdapire mxares Tavisa da Tvalebis moZraobis gaZnelebas.
motoruli areebis rostralurad mdebare Sublis wilis qerqi
ganagebs rTul qceviT aqtebs da misi dazianebis Sedegad avadmyofi
kargavs inteleqts, abstraqtuli azrovnebis unars; is xdeba utaqto,
upasuxismgeblo; metyvelebs vulgarulad da moqmedebs takimasxaris
msgavsad.
brodmanis 44-e da 45-e are (brokas metyvelebis are) – misi dazianebis
dros viTardeba motoruli afazia (mxolod dominanti hemisferos
Sesabamisi funqciuri aris dazianebis dros). avadmyofma icis, risi
Tqma surs, magram metyvelebs nela, upiratesad, arsebiTi saxelebisa
da windebulebis gareSe.
me-3, me-2 da pirveli funqciuri areebis dazianeba iwvevs Sexebis,
proprioceptuli mgrZnobelobis kontralateralur daqveiTebas.
meoradi somatosensoruli aris dazianebis dros tkivilis SegrZnebac
qveiTdeba (sur. 52).
41-e da 42-e areebi (smenis funqciuri are): smenis gamtari gzebis bilateraluri
inervaciis gamo, unilateraluri dazianeba smenaze mniSvnelovan
gavlenas ar axdens.
22-e are (vernikes are) – dominanti hemisferos 22-e are iwvevs smeniT
afazias. avadmyofs esmis, Tumca ver aRiqvams. metyvelebs, magram
Secdomebs uSvebs, radgan sakuTari sityvebis mniSvneloba ar esmis.
40-e are (ganapira xveuli) – dominanti hemisferos Sesabamisi aris
dazianeba taqtilur da proprioceptul agnozias da sxva mraval problemas
iwvevs. mag., avadmyofi ver arCevs marjvenas da marcxenas, uZneldeba
sakuTari sxeulis warmodgena; viTardeba apraqsia.
39-e are (kuTxis xveuli) – dominanti hemisferos dazianeba aleqsiasa
da agrafias iwvevs (Sesabamisad, kiTxvisa da weris unaris dakargva).
me-17, me-18 da me-19 areebis sruli dazianeba kontralateralurad
mxedvelobis velis gamovardnas iwvevs. calke me-18 da me-19 areebis dazianeba
sibrmaves ar iwvevs, Tumca obieqtebis cnoba da identificireba
sakmaod garTulebulia (mxedvelobiTi agnozia).
fiqroben, rom siCumis are (sur. 52) inaxavs mxedvelobiT da smeniT
informacias, rac sizmrebSi da halucinaciebSi aisaxeba. aseve fiqroben,
rom epilefsiuri Setevebi dasabams am ubnidan iRebs; `deJa vius
fenomenic~ am aresTan asocirdeba.
meinertis bazaluri birTvi mdebareobs Sublis wilis fuZeze,
mxedvelobis jvare dinis lateralurad. birTvis degeneracia iwvevs
alchaimeris daavadebas – SeZenili gonebasustoba, demencia.
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