Neurological matsayi. Neurologic jarrabawa

The mutum juyayi tsarin tabbatar da tsari na gabobin da kyallen takarda, da kuma inganta harkokin da karbuwa da kwayoyin zuwa wasu yanayi. Yana dogara a kan shi aiki jiki a general, kuma mutum hulda da yanayi. Kowane likita da matukar muhimmanci don su iya sanin ko za a neurological matsayi haƙuri. Mene ne shi da kuma yadda yake da nazari, magana game da shi kara.

Me yana da muhimmanci domin sanin halin

Da farko, a lokacin da ake rubutu da wani haƙuri da likita ya kamata kula da hali, da kuma halayen janar shafi tunanin mutum yanayin. Musamman idan haƙuri aka shigar da shi a rauni ko gaggawa kula sa kusa. Likita zai ƙayyade, na farko, a kwakwalwa jihar, saboda wannan dogara sun fi mayar a kan sanya far a nan gaba. Yana nazari akan neurological matsayi na haƙuri, likita damar kansa rubũta lura da cewa za ta inganta kwakwalwa aiki da kuma kara da chances na wani tabbatacce sakamako.

pupillary dauki ga haske bai isa ba don saita wurin neurological matsayi. A halin yanzu, a makirci da cewa bincika kwakwalwa, fara daga wasu neurological bayyanar cututtuka. Saita matsayi za a iya juya a cikin wani na musamman bincike cibiyar. Mun gaba la'akari da yadda za a kafa da matsayi.

Primary haƙuri binciken

Babban sharadin dace bincike na neurological matsayi - shi ne ikon da likita kwatanta bayyanar cututtuka da kuma alamun da wasu yankunan na juyayi tsarin.

A general jarrabawa, likita yana nuna proactive da kuma gano wadannan:

• kafa haƙuri data: sunan, wanda ke rike da post.
• sauraron haƙuri gunaguni.
• domin tantance ko akwai Fainting, ko seizures.
• gunaguni da m ciwon kai da kuma abin da bã su da hali, inda aka located, don gano abin da ya haddasa zafi, wanda ya hade da bayyanar cututtuka.
• kana bukatar ka sani a abin da oda tasowa zafi ko hari, shi ne wani stimulant.
• don gano abin da magani aka za'ayi a baya, abin da kwayoyi suna amfani da kuma yadda za a yi aiki a kan haƙuri.

Har ila yau, rubutu na neurological matsayi zai hada da wani jinsi, cututtuka, musamman a cikin perinatal lokaci , har ma sai, akwai wasu hereditary cututtuka na juyayi tsarin.

Overall haƙuri jarrabawa

Don shigar da neurological matsayi, shi ne zama dole ba ne kawai domin yin tambayoyi da haƙuri, amma kuma nazarin da shi. Don yin wannan, da mãsu haƙuri ya zama su kwashe zuwa ga tufafi.

Sa'an nan kimanta yanayin da fata, da launi. Don auna yanayin jiki. Lura gaban scars, burbushi na injections. Wajibi ne a tantance abin da irin haƙuri: astenik, hypersthenics, normastenik. Shin, akwai wani kiba ko wuce kima thinness.

Next, gudanar da wani gani dubawa da kuma palpation na shugaban. Bikin da siffar, fasali da kuma gaban abrasions. Wajibi ne a kula da hatiminsa, m raunuka. Gwada boko arteries, don kimanta hãlãyensu. Don tantance eyeballs da secretions daga hanci da kunnuwa, idan sun kasance samuwa.

Jarrabawa na mahaifa kashin baya da kuma laka

A jarrabawa, kula da wuyansa matsayi da kuma motsi na kai da wuya. Thyroid, carotid arteries, Lymph nodes yayi nazari, palpating. A carotid jijiya da kuma subclavian bincika bayar wa auscultation. Ƙayyade da sautin na wuyansa idan Lhermitte alama ne. Bugu da ari jarrabawa aka yi cikin kirji da ciki.

Very muhimmanci sosai jarrabawa na kashin baya. Kula da daban-daban na kashin baya deformity, ba wani kimanta na da motsi na da vertebrae, da mãsu haƙuri karkatar a daban-daban kwatance, ƙayyade mataki na tashin hankali a cikin tsokoki da kuma jin zafi, da kuma yanayin da lumbar vertebrae.

Brain aiki da dubawa na aikin da girman kwanyar jijiyoyi

Yana da matukar muhimmanci a cikin binciken na neurological matsayi tantance kwakwalwa aiki. Wajibi ne a rarrabe warwarewarsu pathologies a aikin. Don yin wannan, kana bukatar ka kimanta da wadannan sharudda:

• sani.
• ikon kewaya.
• gano yadda ci gaban da hankali, memory.
• sanin yadda mutum a tuntube, abin da jawabin nasa;
• sani ko haƙuri ne iya bi da jerin.
• duba ko akwai alamun agnosia.

Description na neurologic matsayi ba zai iya kewaye da bincike na da girman kwanyar jijiyoyi. Akwai kawai 12 nau'i-nau'i.

Kowane daga cikinsu shi ne alhakin da wani aiki. A azanci shine jijiyoyi (1, 2, 8 nau'i-nau'i) ne alhakin ji na ƙwarai daga fata fuska, idanu, baki, nasopharynx. Motor 3, 4, 6, 7, 11, 12 nau'i-nau'i alhakin da motsi na da eyeballs, da fuska tsokoki, da harshe, palate, kuma maƙogwaro. Gauraye 5, 9, 10 nau'i-nau'i daga jijiyoyi alhakin mota da azanci shine aiki. Wannan ne da trigeminal jijiya, glossopharyngeal da vagus jijiyoyi.

Akwai musamman gwaje-gwaje, ta hanyar abin da duba aiki girman kwanyar jijiyoyi.

Evaluation na mota aiki da kuma numfashinsa

Yana da muhimmanci a tantance aiki na tsokoki. Wajibi ne a bincika maraƙi tsokoki da kafada abin ɗamara, ƙayyade sautin da fasali na tsoka ƙanƙancewa kamar yadda tsoka ci gaba.

A wannan yanayin, a yawan gwaje-gwaje domin tantance motor mayar da martani, don gano neurological matsayi. Misali: A supine matsayi da haƙuri kiwata gwiwa, a lokacin da shi wajibi ne don tsayar da motsi na da ƙafa. Muscle rauni daga cikin ƙananan wata gabar jiki ne m da lankwasawa da gwiwa kuma ta tsawo na da babban yatsa. A wani a tsaye matsayi da idanunsa tam rufe da haƙuri da aka tambayi tãyar da su da hannuwa, dabino up. Tsoka ƙarfi za a iya bari da tambayar da haƙuri ga tafiya a kan dugadugansa, kuma yatsun kafa.

Neurologic jarrabawa ba zai iya yi ba tare da kimantawa a haƙuri daidaituwa. Gait kiyasta ya haƙuri daidaituwa, motor ayyuka. Kamar wancan amfani da kyau gwajin: haƙuri yana bukatar a taba tip na hanci da tip yatsa tare da mafi daidaituwa.

All ayyuka ya kamata a yi sauri. Idan wannan zai girgiza hannun ko ba bugawa da manufa - wannan shi ne wani anomaly.

Rate reflexes kamar yadda ya cancanta. Sun kasu kashi zurfin agara kuma regressive.

A jeri na bangaren na reflexes ko hanawa nuna lalacewar na jijiya tushen ko da na gefe jijiyoyi. Daga baya, da ziyartar bincike cibiyar, shi za a iya tabbatar da gudanar da instrumental jarrabawa.

Ƙima kimantawa da kuma kima daga cikin autonomic juyayi tsarin

Azanci shine kimanta, figuring fitar da wadannan facts:

• idan akwai zafi.
• yanayin zafi.
• wuri da tsawon.
• abin da cututtuka bi da zafi da kuma abin da ta ayyuka raunana.
• ayyuka da cewa ba Yunƙurin zuwa bouts na zafi.

A wannan gwajin da aka za'ayi domin sanin ji na ƙwarai. Duba muhimmancin zama dole a tsakaitã maki hagu da dama. Ga wani zurfi jarrabawa na tantance jihar da zurfi da kuma surface rabe.

Ƙimar na autonomic ayyuka yi partially a lokacin tambaya na haƙuri, a kan tushen da ya gunaguni. Domin yin zurfi da bincike na da autonomic tsarin, shi aikin da wadannan matakai:

• Jini da aka auna a cikin supine matsayi, bayan minti 3 tsaye.
• auna zuciya rate.
• Gwaje-gwaje da za'ayi tare da zurfin numfashi.
• gudanar da wani gwaji kan reactivity tare da matsa lamba a cikin eyeballs.
• palpates fata fassara sweating, aidin za a iya amfani idan ya cancanta.
• a take hakkin urination tausa ciki, idan ya cancanta, gudanar da wani instrumental jarrabawa.

haƙuri nazari a coma

Yana da yafi wuya a tantance neurological matsayi na haƙuri, idan ya kasance a cikin wani comatose jihar. Wajibi ne a kula da wadannan dalilai: domin tantance wasan kwaikwayon na numfashi tsarin da jini wurare dabam dabam, domin sanin zurfin da coma, da kuma dalilin da samun a cikin irin wannan jiha, bincika haƙuri ga wani raunin da ya faru, duba da numfashinsa.

Duk da ayyuka na likita ya kamata a dauka wajen ceto haƙuri da rayuwa, don haka a lokacin da kimantawa neurological matsayi a hade gudanar da ayyuka da cewa magance rai-barazanar yanayi. A irin haka shi ne mafi alhẽri aika da mãsu haƙuri ga ilimin tsarin jijiyoyi Center. Akwai za su gudanar da wani cikakken jarrabawa.

A neurological matsayi na yaro

Feature kimantawa neurological matsayi na yaro shi ne cewa ya ba zai iya yin wasu gwaje-gwaje da kuma amsa tambayoyi. Amma likita zai iya yi dace kima, lura da hali na yaro, bisa ga uwarsa, da kuma ta dace da gwaje-gwaje domin motsi da kuma numfashinsa.

Hankali ya kamata a biya zuwa fasali na wata gabar jiki, kwanyar siffar da kuma size, launin fata. Yana da muhimmanci a tantance m reflex dauki. Lokacin da suka samu a can, da kuma yadda aka bayyana, kamar yadda wadannan halayen da ake halin da ci gaba da kuma yanayin yaro. A cikin hali na sabawa daga na kullum a kayyade yaro ta neurological matsayi shi iya mai da kara jarrabawa a ilimin tsarin jijiyoyi cibiyar.

A juyayi tsarin shi ne babban umurni cibiyar a cikin jikin ta aiki ya dogara da mutum yanayin, don haka wajibi ne a dauki dukkan matakan da suka dace don kula da al'ada aiki.