Neiroanatomia - Dak.indd

klinikuri neiroanatomia
centraluri arxis areSi. Tu paTologiur procesSi CaerTo gverdiTi
rqa, viTardeba vegetaciur-trofikuli moSlilobani. iSviaTia wina
rqis dazianeba, rac iwvevs atrofiul parezs; kidev ufro iSviaTia Te-
Tri nivTierebis dazianeba. mag., Tu dazianda ukana larebi, klinikurad
viTardeba ataqsia, kunT-saxsrovani mgrZnobelobis moSlis gamo. aRsaniSnavia,
rom siringomieluri procesi vrceldeba zurgis tvinis ara
mxolod siganeze (ramdenime segmentis areSi), aramed sigrZezec (simetriulad
an asimetriulad). yvelaze xSirad ziandeba kisris qveda da
gulmkerdis zeda segmentebi, rac klinikurad gamovlindeba tkiviliT,
paresTeziiT, dizesTeziiT; tkivilisa da temperaturis mgrZnobelobis
moSliT xelebSi, beWebSi, kisersa da gulmkerdis zeda naxevarSi
(`qurTuki”).
zeda mamoZravebeli neironebis dazianebisas, kunTebis zogierTi
jgufi ufro metad ziandeba. Tavis tvinis naxevarsferos iSemiuri insultis
dros, romelic saZile arteriis okluziis Sedegad viTardeba,
avadmyofs uviTardeba dekortikaciuli poza, romelic xasiaTdeba
majisa da idayvis saxsris moxriTa da koW-wvivisa da muxlis saxsris
gaSliT (gasworebiT, gaWimviT). Sua tvinis dazianebis dros poza igivea,
mxolod idayvis saxsari gaSlilia (decerebruli poza). rogorc
Cans, am dros ziandeba sxva mamoZravebeli gzebic (eqstrapiramiduli),
romelic kortiko-spinaluri (piramiduli) sistemis gareTaa. kortiko-spinaluri
gzis `sufTa~ dazianebis Sedegad upiratesad aRiniSneba
kidurebis distaluri nawilebis zusti moZraobebis gaZneleba.
avtonomiuri (visceruli nervuli sistema)
ganxiluli gamtari gzebi miekuTvneba somatur motorul da somatur
sensorul sistemebs. somaturi mamoZravebeli boWkoebi anerveben
ConCxis ganivzolian kunTebs. somaturi mgrZnobiare boWkoebi
upiratesad axdenen kanis, kunTebisa da qsovilebis (Sinagan organoTa
garda) inervacias. `viscera~ niSnavs gulis kunTs, gluv kunTs (rogoric
nawlavSia) da jirkvlebs. visceruli (avtonomiuri) mamoZravebeli
birTvebi ganTavsebulia zurgis tvinis ruxi nivTierebis somatur-sensorul
da motorul ubnebs Soris. modiT ase CavTvaloT, rom avtonomiuri
sistema Sedgeba visceruli sensoruli da visceruli motoruli
komponentebisagan (sur. 19).
simpaTikur da parasimpaTikur avtonomiur boWkoebs Soris qimiur da
funqciur gansxvavebas ganvixilavT me-6 TavSi. axla mxolod aRvniSnoT,
rom simpaTikuri mamoZravebeli boWkoebis sinafsi SedarebiT axlos
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