Neiroanatomia - Dak.indd
Neiroanatomia - Dak.indd
Neiroanatomia - Dak.indd
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
klinikuri mimoxilva<br />
kiTxva: romeli zogadi principiT vxelmZRvanelobT imis dasadgenad,<br />
romel doneze mdebareobs dazianeba – Tavis tvinis qerqi, SigniTa<br />
kafsula, naTxemi, bazaluri birTvebi, tvinis Rero, zurgis tvini<br />
Tu periferiuli nervi?<br />
pasuxi: naTxemisa da bazaluri birTvebis dazianeba aisaxeba motorul<br />
darRvevebSi. naTxemis disfunqcia gamiznuli moZraobebis arakoordinirebuli<br />
SesrulebiT xasiaT deba, xolo bazaluri birTvebis<br />
dazianebis dros aRiniSneba uazro, aragamiznuli, mou lodneli moZraobebi.<br />
Tavis tvinis qerqisa da SigniTa kafsulis dazianeba kontralateralur<br />
sensorul da motorul darRvevebs iwvevs. rTulia Tavis tvinis<br />
qerqisa da SigniTa kafsulis dazianebis diferencireba. Tu gamoxatulia<br />
maRali donis disfunqcia, konkretulad, agnozia an apraqsia, unda<br />
vifiqroT Tavis tvinis qerqis dazianebaze.<br />
tvinis Rerosa da zurgis tvinis unilateraluri dazianeba ifsilateralur<br />
da kontralateralur darRvevebs iwvevs; zurgis tvinis<br />
unilateraluri dazianeba iwvevs parezsa da proprioceptuli SegrZnebis<br />
moSlas ifsilateralurad, xolo tkivilisa da temperaturis SegrZnebis<br />
moSlas – kontralateralurad, dazianebis donis qvemoT. tvinis<br />
Reros unilateraluri dazianebis dros SeiniSneba zeda motoruli<br />
neironis kontralateraluri dambla, proprioceptuli, tkivilisa da<br />
temperaturis SegrZnebis moSla kontralateralurad, Tavis qvemod,<br />
xolo ifsilateralurad, Tavis tvinis nervebis funqciebis moSla.<br />
Tavis tvinis nervebis dazianeba mianiSnebs imaze, rom paTologiuri<br />
procesi kefis didi xvrelis zeviTaa. kiduris gaswvriv radikularuli<br />
anu fesvobrivi tkivili mianiSnebs, rom dazianebis ubani kefis didi<br />
xvrelis qveviTaa, Tumca aqve aRvniSnavT, rom msgavsi tkivili SesaZloa<br />
sxva, ufro periferiuli, problemis drosac gamovlindes meoradi an<br />
gverdiTi movlenis saxiT; erT mxares (unilateralurad) Tavis tvinis<br />
nervebis funqciebis moSla da meore mxares (kontralateralurad) kidurebis<br />
mgrZnobiare an motoruli funqciebis moSla amtkicebs, rom<br />
dazianeba tvinis Reros doneze mdebareobs da ara tvinis qerqSi da SigniTa<br />
kafsulaSi.<br />
143
Change language