Menene Lacunar Cire?
Rashin ciwo na lacunar shine annobar da aka lalacewa ta hanyar rufe wani ƙananan reshe na babban jirgi . Saboda yadda hanyoyin jini ke raba a cikin kwakwalwa, shagunan lacunar yakan faru a yankunan da ke da nesa daga kwakwalwa, inda yawancin ƙananan rassan jini suke samuwa. Kamar yadda yawancin ƙwaƙwalwar kwakwalwa ke aiwatar da ƙwararren ƙwayoyin kwakwalwa, ƙididdigar bayyanar cututtukan da aka ba da lacunar yawanci suna fada a cikin ɗaya daga cikin nau'o'in alamun da aka sani da lalacewa a wadannan yankunan.
Sun hada da wadannan:
Rashin Harshen Moto
Mutuwar fashewar motar ita ce mafi yawan irin ciwon daji na lacunar, yana lissafin fiye da kashi 50% na dukkan lokuta. Doctors yi amfani da kalmar fasaha "tsabtaccen motar hemiparesis" don bayyana tsabtaccen motar motar. Kalmar hemiparesis na nufin rauni a gefe daya na jiki.
Mai kyau motsa jiki na motsa jiki yawanci ya ƙunshi sassa na kwakwalwa:
Duk waɗannan wurare sun ƙunshi zaruttun da ke haɗa "kwakwalwa na kwakwalwa" inda sashin tsarin jin dadi ya kasance inda umarni ya fara samarda motsi (tafiya, tattake kafarka) na farko. Wadannan sassan tsarin tausayi suna kunna tsokoki a jikin jiki don motsawa. A mafi yawancin lokuta, sakamakon ciwowar annoba a wadannan yankunan yana nuna rashin yiwuwar cewa mai tsallewa zai iya motsa hannun katako na katako idan an yanke igiya wanda ya haɗa ta zuwa hannunsa. A cikin wannan misali, jaririn yana wakiltar kwakwalwa na kwakwalwa, yayin da ƙirar da ta ba da damar ƙwaƙwalwar motsi don motsa jikin jikin marionette ya wakilci yankunan da aka shafe a cikin motsaccen motar motar motsi.
Kwayoyin cututtukan kwayoyin tsabta na Lacunar
Rikici na motar motsa jiki yana haifar da rauni a cikin fuska, hannu da kafa a gefe daya na jiki. Rashin gazawar yana iya kasancewa cikin kowane ɓangarorin nan kadai, ko a hade tare da ɗaya daga cikin biyu. Yawanci, mai tsabta motar motsa jiki yana haifar da haɗuwa da rauni da ƙafa, kare fuska, ko haɗuwa da hannu, kafa, da fuska.
Duk da haka, bayyanar cututtuka na iya faruwa a cikin ɗayan waɗannan sassa kadai.
A takaice dai, a tsabtace motar motsa jiki babu asarar jin dadi a ko'ina a cikin jiki, kuma babu wata kalma ko kalma bayyanar cututtuka.
Sanarwar Sanarwar Sanarwar Lacunar
Kamar yadda sunansu ya nuna, alamar tsabtace jiki mai tsabtace jiki shine cututtuka inda kawai alamun cututtuka sune abubuwa masu ban sha'awa, irin su numfashi ko sababbin ra'ayi game da ciwo, zafin jiki ko matsa lamba (duba ƙasa). Mafi rinjaye mafi yawan tsarkakakkun lakabin lacunar na yau da kullum yana shafar kwakwalwar da ake kira thalamus, wani yanki wanda ke da alaka sosai wajen tafiyar da hankulan daga jiki. Sanarwar da ta shafi fasikanci mai tsabta ta jiki ya hada da touch, zafi, zafin jiki, matsa lamba, hangen nesa, ji, da dandano.
Kwayoyin cututtuka na tsabta mai tsabta Lacunar cushe
Yawancin lokuta na tsabtace ƙwayoyin lacinsu na ƙwayoyin cuta suna haifar da ɓoyewa ko rashin jin dadin jiki a fuska, hannu, kafa da ƙari, amma a gefe ɗaya na jiki. A lokuta da yawa, duk da haka, sassa daban daban kamar yatsun hannu, ƙafar, ko baki a gefe ɗaya suna da alamar rarrabu. Wani nau'i mai tsabta ta hanyar tsabtace jiki mai laushi shine ake kira Dejerine Roussy, ko Ciwo na Ciwo na Kwayar Ciki .
Sensorimotor Lacunar Stroke
Irin wannan ciwo na cizon sauro ya haifar da haɗuwa da jirgin ruwa wanda ke samar da magungunan thalamus da na kwakwalwa na ciki.
Kwayoyin cututtuka na Sensorimotor Lacunar Stroke
Domin duka irin wannan fashewar da ke cikin kwakwalwar da ke cikin kwakwalwa, alamunsa sun haɗa da hasara na asali (lalacewar thalamus) da kuma hemiparesis ko hemiplegia (lalacewa cikin ciki). Dukkanin mawuyacin hali da motsawar motsa jiki suna ji a gefe ɗaya na jiki.
Muddin daji
Irin wannan bugun jini ne mafi yawancin lalacewa saboda rashin jinin jini zuwa ɗaya daga cikin wadannan yankunan kwakwalwa:
Magungunan cututtukan cututtuka masu tsari
Lacunar bugun jini a wasu sassan wadannan wurare, wanda zai iya haifar da alamar motsi mai tsabta ta lacunar, zai iya haifar da wulakanci da rauni a hannu ko kafa a gefe daya na jiki.
Yawanci, labbling (ataxia) yana da alamun da ya fi damuwa fiye da rauni a hannun hannu ko kafa. Ba'a taɓa yawan fuska ba.
Dysarthria Clumsy-Hand Syndrome
Ta hanyar ma'anar, ciwo na suturar ƙuƙwalwa a ciki shine haɗuwa da bayyanar cututtuka da lalacewa ta lacunar ke shafi ɓangaren da ke ciki na ciki na ciki. A lokuttan gaskiya na wannan ciwo, mutane suna shan wahala daga dysarthria (maganganun magana) da kuma hannun m.
Hanyoyin cututtuka na ciwon ƙwayar cutar ta nakasassu na nakasassu
Kamar yadda sunan yana nuna, wani abu mai ban mamaki na wannan ciwo shine cututtukan maganganun da ake kira dysarthria. A mafi yawancin, dysarthria za a iya bayyana azabar wahalar furtawa ko yin maganganu saboda rashin daidaitattun ƙungiyoyi na tsokoki a cikin murhun murya, wanda aka sani da larynx, harshe, da sauran tsokoki a bakin.
Baya ga cututtuka, masu fama da wannan ciwo suna kokafi game da ƙyamawar hannuwan hannu a gefe ɗaya na jiki. Yawancin lokaci abin da aka shafi yana da ƙarfin hali, amma mutane suna fama da wahala tare da motsa jiki mai kyau irin su rubutu, ɗaure takalma, ko wasa piano.
Source:
JP Mohr, Dennis W. Choi, James C. Grotta, Bryce Weir, Phillip A. Wolf Stroke: Pathophysiology, Masarufi, da Gurasar Churchill Livingstone; 4th edition (2004)
Edited by Heidi Moawad MD