Neiroanatomia - Dak.indd
Neiroanatomia - Dak.indd
Neiroanatomia - Dak.indd
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klinikuri neiroanatomia<br />
xuTi mamoZravebeli nervi (sur. 23-24)<br />
Tvalis kaklis mamoZravebeli nervi (n. oculomotorius, mesame wyvili<br />
kranialuri nervi) wminda motorul funqcias asrulebs. misi birTvi<br />
moTavsebulia tvinis fexis saxuravSi, silviis wyalsadenis maxloblad,<br />
rux nivTierebaSi, zeda oTxgorakis doneze. Tvalis mamoZravebeli<br />
nervis birTvis aqsonebi Semouvlis wiTel birTvs da gadajvaredinebis<br />
gareSe, antero-lateralurad gamodis didi tvinis fuZeze, tarinis<br />
fexTaSua fosoSi. zogierTi boWko urTierTgadaikveTeba, Tumca,<br />
klinikuri TvalsazrisiT, amis ugulebelyofa SeiZleba.<br />
mesame wyvil nervs aqvs sami saxis birTvi: 1) ori gverdiTi anu mTavari<br />
birTvi, romelic moTavsebulia silviis wyalsadenTan, Sua xazis<br />
orive mxares; 2) kenti perlis birTvi (mdebareobs mTavar birTvTa Soris);<br />
3) wyvili iakuboviC-vestfal-edingeris birTvi (Tavsdeba perlis<br />
birTvis zemoT da gareT). vestfal-edingeris birTvi, romelic viscerul-motorul<br />
funqcias asrulebs, SuaxazTan gacilebiT axlos mdebareobs,<br />
vidre savaraudo iyo.<br />
Tvalis mamoZravebeli nervis mTavar birTvSi zeda quTuTos amwevi<br />
kunTis, Tvalis zeda swori kunTis, qveda iribi kunTis, SigniTa<br />
swori kunTis da qveda swori kunTis centrebia. es kunTebi Rebuloben<br />
ormxriv inervacias Tanamosaxele da mopirdapire Tvalis kaklis mamoZravebeli<br />
nervis birTvebidan. perlis birTvidan gamosuli aqsonebi miemarTebian<br />
Tvalis mamoZravebeli nervis boWkoebTan erTad; Semdeg,<br />
wamwamovani nervebis (nn. ciliare) saxiT, gaivlian wamwamovan kvanZs da anerveben<br />
akomodaciis kunTs (m.ciliaris), romelic asrulebs akomodaciis<br />
funqcias. vestfal-edingeris birTvidan gamosuli aqsonebi gaivlian<br />
Tvalis mamoZravebel nervSi, Tvalis kaklis ukan scildebian mas, Sedian<br />
wamwamovan kvanZSi da masSi bolovdebian. wamwamovani kvanZidan<br />
dawyebuli mokle wamwamovani nervebi anerveben gugis Semaviwroebel<br />
kunTs (m.spincter pupillae) da akomodaciis kunTs. Tvalis mamoZravebel<br />
nervs mRvimovan sinusTan uerTdeba SigniTa saZile arteriis wnulidan<br />
gamomavali simpaTikuri boWkoebi. amgvarad, Tvalis mamoZravebeli<br />
nervi anervebs Tvalis zeda, qveda da SigniTa swor kunTebs, quTuTos<br />
amwev da qveda irib kunTs, gugis Semaviwroebel da Tvalis akomodaciis<br />
kunTebs. Tvalis mamoZravebeli nervis birTvebi Rebuloben qerqul im-<br />
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