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Neiroanatomia - Dak.indd

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Tavi 4<br />

enisqveSa nervi (n. hypoglossus, meTormete wyvili) motorulia. igi<br />

srulad emorCileba wess. iwyeba enisqveSa nervis birTvidan, romelic<br />

mdebareobs mogrZo tvinis rombisebri fosos qveda nawilSi. am birTvidan<br />

gamosuli aqsonebiT Seqmnili kona gaivlis mogrZo tvins da<br />

gamodis fuZeze qveda olivasa da piramidas Soris, wina lateraluri<br />

Raris areSi (sur. 25). enisqveSa nervis anTebis dros klinikurad<br />

gamoxatulia enis naxevris kunTebis atrofia. ena asimetriulad mdebareobs<br />

piris RruSi. enis wveri miqceulia jansaRi naxevrisken. piris<br />

Rrudan gamoyofis dros enis wveri idrikeba daavadebuli mxarisaken.<br />

paTologiuri procesis lokalizacia mogrZo tvinSi, sadac piramidebis<br />

gzas gadaejvaredineba enisqveSa nervi, iwvevs qveda alternaciul<br />

hemiplegias, anu jeqsonis sindroms (paTologiuri procesis mxares<br />

enisqveSa nervis periferiuli damblaa da mopirdapire mxares – xelisa<br />

da fexis spazmuri dambla an parezi). enisqveSa nervis birTvebis<br />

ormxrivi dazianeba iwvevs enis srul damblas da anarTrias, ReWvisa<br />

da ylapvis gaZnelebas. ena atrofiulia, zedapiri danaoWebuli, enis<br />

kunTebSi gamoxatulia fibrilTa TrTolva, zogjer aRiniSneba piris<br />

irgvlivi kunTis parezi. mogrZo tvinidan gamosvlis Semdeg, enisqveSa<br />

nervi subdurulad Tavsdeba ena-xaxis, cTomil da damatebiT nervebTan<br />

erTad. amitom, SesaZlebelia am oTxi nervis calmxrivi da erTdrouli<br />

dazianeba, rac cnobilia verne-sikar-koles sindromis saxelwodebiT.<br />

Tavis qalas Rrudan gamosvlis Semdeg, enisqveSa nervis dazianeba, imis<br />

gamo, rom is axlosaa zurgis tvinis simpaTikur nervebTan, iwvevs horneris<br />

sindroms da zemoaRniSnuli oTxive nervis areSi mgrZnobelobisa<br />

da moZraobis ama Tu im xarisxiT moSlas. enisqveSa nervis iritacia<br />

iwvevs enis naxevris an mTeli enis spazms.<br />

sami mgrZnobiare nervi (sur. 22, 26, 52)<br />

ynosvis nervi (n. olfactorius, I wyvili) specifikuri mgrZnobiare<br />

nervia da ynosvis analizatoris periferiuli nawilia; mxedvelobis<br />

nervi (n.opticus, II wyvili) specifikuri mgrZnobiare nervia da optikuri<br />

analizatoris periferiuli nawilia. Tavis tvinis I da II wyvil<br />

nervebs ganvixilavT mogvianebiT.<br />

karibWe-lokokinas anu smena-wonasworobis nervi (n. vestibulocochlearis,<br />

merve wyvili) specifikuri mgrZnobelobis nervia, romelic<br />

Sedgeba ori fesvisagan: zemo fesvi – radix superior (wonasworobis, karib-<br />

71

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