So woasusuw sɛnea yebetumi ahome a yennyae bere a yɛda no ho pɛn? Anaasɛ sɛnea yɛn koma bɔ kɔ soro bere a yetu mmirika no, nanso afei ɛsan ba sɛnea na ɛte kan bere a yɛregye yɛn ahome no? Ɔbran ketewaa bi wɔ yɛn amemene mu, nanso ɔwɔ tumi kɛse a odi nneɛma a ɛho hia sen biara a ɛkɔ so wɔ yɛn nipadua mu no pii so, a yennim mpo. Ɛno na yɛrebɛka ho asɛm nnɛ. Ne din de Medulla Oblongata .
Dɛn ne Medulla Oblongata yi?
Sɛ yɛbɛka no tiawa a, medulla oblongata yɛ w’amemene no fã bi . Fa yɛn amemene no sɛ adwumakuw kɛse bi adwumayɛbea ti. Yɛn akyi berɛmo te sɛ ɔkwan kɛse a ɛde nsɛm fi saa adwumayɛbea ti no mu kɔ ɔman no mu nyinaa. Medulla oblongata ne nhyiam titiriw, anaasɛ beae titiriw a wɔhwɛ nneɛma so , a ɛka saa adwumayɛbea ti no ne ɔkwan kɛse no bom. Enti, yebetumi afrɛ no nhyiam a ɛho hia yiye wɔ yɛn ntini ahorow mu.
Te sɛ beae a ɛwɔ no, adwuma a ɛyɛ nso ho hia yiye. Nokwarem no, ɛyɛ nea ɔyɛ nnwuma pii a ɛho hia na ama yɛatumi atra ase wɔ kokoam no.
Dɛn ne dwumadi atitiriw a medulla no yɛ?
Ɛwom sɛ medulla no sua de, nanso adwuma a ɛyɛ no nyɛ ketewaa. Ɛyɛ adwuma te sɛ yɛn nipadua no "automatic pilot system." Ma yɛnhwɛ nneɛma atitiriw a ɛyɛ no bi.
| Dwumadie | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Koma, mogya a ɛkɔ nipadua no mu, ne ɔhome a wodi so | Wɔhwɛ wo koma bɔ, wo mogya mmoroso, ne sɛnea wohome no so wɔ ha. Ɛnsɛ sɛ wususuw sɛ, "Koma, bɔ mprempren." Ne nyinaa yɛ automatically efisɛ medulla no. |
| Afoforo a wɔde di dwuma wɔ ɔkwan a ɛyɛ adwuma ankasa so | Ɛdi nneɛma pii a yɛyɛ a yennim no so. Sɛ nhwɛso no, ɔfe, ɔfe, ɔmene, ɔfe, ne kari a wɔkari pɛ. Ɛyɛ ahyɛde a ɛde ma no na ɛma yɛfefe bere a yɛakɔhyɛ aduan mu kakra no, na ɛyɛ ahyɛde a ɛma yɛfefe bere a mfutuma ketewaa bi akɔ yɛn hwene mu no. |
| Sɛ́ obi bɛyɛ ntini a ɛma nipadua no yɛ adwuma | Ntini mu nsɛnkyerɛnne dodow no ara a ɛkɔ amemene no mu na efi hɔ ba no fa saa medulla yi mu. Ntini atitiriw 12 a ɛwɔ yɛn tirim no mu no, 4 ne saa medulla yi wɔ abusuabɔ tẽẽ. |
| Crossover Point a Wɔde Wɔn Ho Hyehyɛ Mu | Eyi yɛ ade a ɛyɛ nwonwa yiye. Ntini dodow no ara a ɛhwɛ yɛn nipadua no kankyee so no twa fi ɔfã biako kɔ ɔfã foforo (crisscross) wɔ ɔmantam bi a wɔfrɛ no "pyramids" a ɛwɔ medulla no mu. Ɛno nti na sɛ yɛn amemene no benkum sɛe (sɛ nhwɛso no, esiane ɔyare a ɛma obi hwe ase nti) a, yɛn nipadua no fã nifa no hwere ahoɔden. Na sɛ amemene no nifa sɛe a, yɛn nipadua no benkum so tumi hwere. Beae titiriw a saa twa yi ba ne medulla. |
Cranial Nerves (Special Nerves) a ɛne medulla no di nkitaho
Ntini atitiriw abien abien na ɛwɔ yɛn ti nhwi mu. Yɛfrɛ eyinom ti nhwi ntini ahorow . Saa abien yi mu anan fa medulla no mu. Momma yɛnhwɛ nea wɔyɛ ne nea wɔn dwumadi yɛ.
| Ntini a Ɛma Titiriw (CN) . | Adwuma a ɛyɛ |
|---|---|
| CN IX (ntini a ɛto so 9) . | Eyi ka nneɛma pii a ɛwɔ yɛn anom ho. Nneɛma te sɛ nnompe a ɛma nnompe no yɛ adwuma, te dɛ na yɛde ka yɛn ho wɔ ano no mu, ne gag reflex a ɛma yɛyɛ gag bere a biribi akɔhyɛ yɛn menewam no so. Saa ntini yi nso bɔ yɛn ho ban. |
| CN X (ntini a ɛto so 10 - Vagus Ntini) . | Eyi yɛ ntini soronko koraa, super nerve. Yɛsan frɛ no Vagus Nerve . Ɛne akwaa atitiriw pii wɔ abusuabɔ fi kɔn mu kosi dwensɔtwaa mu. Ɛde nsɛnkyerɛnne kɔ nneɛma pii a yensusuw ho (autonomic functions), te sɛ yɛn koma bɔ ne yɛn dwensɔtwaa mu. Ɛsan nso de nsɛnkyerɛnne kɔ ntini ahorow a ɛboa yɛn ma yɛmene na yɛkasa. |
| CN XI (ntini a ɛto so 11) . | Saa ntini yi na ɛhwɛ ntini a ɛwɔ wo kɔn ne wo mmati mu no so. Ɛboa wo ma wodan wo ti fi ɔfã biako kɔ ɔfã foforo na woma wo mmati so. |
| CN XII (ntini a ɛto so 12) . | Saa ntini yi na ɛhwɛ ntini ahorow a ɛboa yɛn ma yɛtwe yɛn tɛkrɛma no so, enti yentumi nkasa anaasɛ yɛnmene a saa ntini yi nka ho. |
Beae bɛn na medulla no wɔ, sɛnea ɛte, ne ne kɛse?
Ɛhe na medulla no wɔ?
Medulla no wɔ yɛn amemene no ase pɛɛ. Ne titiriw no, ɛwɔ baabi a amemene no fa ɔkwan kɛse a wɔabue (foramen magnum) a ɛwɔ yɛn ti nhwi ase no so ne akyi berɛmo no di nkitaho. Wɔ n’atifi pɛɛ no, amemene no fã foforo a wɔfrɛ no pons wɔ hɔ .
Sɛnea ɛte ne ne kɛse
Eyi taa yɛ nea ɛte sɛ funnel, anaa tube. Ɛtrɛw wɔ soro na ɛyɛ teateaa kakra kɔ fam.
Nea ɛyɛ nwonwa no, ɛmfa ho sɛ ɛyɛ nnwuma a ɛho hia pii no, medulla oblongata no sua koraa. Ne tenten yɛ sɛntimita 3 pɛ (bɛyɛ nsateakwaa 1.1) . Ɛne sɛ, esua sen yɛn nansoaa kɛse no atifi nkwaa tenten!
Ne mu duru nso sua koraa. Sɛ wɔkyekyem pɛpɛɛpɛ a, medulla no mu duru bɛyɛ 0.5% wɔ ɔpanyin amemene mu duru mu.
Dɛn ne nyarewa a ɛka medulla oblongata no?
Sɛ ɔfã ketewa yi sɛe a, ebetumi anya nkɛntɛnso kɛse. Aduruyɛ mu tebea atitiriw pii wɔ hɔ a ebetumi aka medulla no.
- Akisikuru: Akisikuru betumi aba bere a mogya ntini bi a ɛde mogya kɔ medulla no mu no siw anaasɛ ɛpae no. Eyi ne tebea a abu so na emu yɛ den sen biara a ɛka medulla no.
- Amemene mu Apirakuru a Ɛyɛ Hu: Sɛ wobɔ wo ti denneennen wɔ akwanhyia mu a, amemene no nso betumi asɛe de aka amemene no ho.
- Kokoram:Amemene mu akisikuru betumi de ɔhaw ahorow aba denam medulla no a ɛbɛmia anaasɛ enyin bɛn no so.
- Aneurysms: Mogya ntini a ɛwɔ amemene no mu no yɛ mmerɛw na ɛbɔ te sɛ balloon, na ebetumi apaapae na asɛe medulla no.
- Bio nso, ntini mu tebea horow a ɛntaa nsi te sɛ Multiple System Atrophy nso betumi aka medulla no dwumadi.
Edin titiriw a wɔde frɛ akisikuru a ɛfa medulla ho
Nnuruyɛfo de din soronko mpo kyerɛkyerɛ akisikuru a ɛka medulla no afã horow.
- Wallenberg Syndrome: Akisikuru tebea a ɛtaa ba a mogya a ɛkɔ medulla no akyi ɔfasu no mu no sɛe.
- Dejerine Syndrome: Tebea a mogya a ɛnkɔ medulla no mfinimfini fã a entumi nyɛ adwuma yiye na ɛde ba.
Nsɛnkyerɛnne a ebetumi afi ɔhaw bi a ɛwɔ medulla no ho mu aba
Sɛ ɔhaw bi wɔ medulla no ho a, mpɛn pii no, sɛnkyerɛnne ahorow no te sɛ nea ɛwɔ ɔyare a ɛma obi hwe ase no. Nanso nea ɛyɛ soronko ne sɛ sɛnkyerɛnne ahorow bi betumi ada adi wɔ nipadua no fã biako na sɛnkyerɛnne afoforo nso betumi ada adi wɔ nipadua no fã foforo. Ɛte saa esiane ntini ahorow a ɛtwam a yɛadi kan aka ho asɛm no nti.
Nsɛnkyerɛnne titiriw a wobetumi ahu ne:
- Akisikuru ho sɛnkyerɛnne a ɛtaa ba (s.e., anim fã biako a ɛbɛhwe ase, nsa bi a ɛyɛ mmerɛw, kasa a ɛyɛ den).
- Kari a wɔhwere, ataxia .
- Tiyɛ , akisikuru ne ɔfe.
- Ɛyɛ den sɛ ɔbɛmene (Dysphagia) .
- Ɛnne a ɛyɛ den anaasɛ ɛsakra (Dysphonia).
- Ɔhyew anaa ɛyaw a wɔhwere wɔ anim anaa nipadua no fã bi.
- Aniwa a ɛkeka ne ho a wontumi nni so (Nystagmus) .
- Anim anaa nipadua no afã horow a ɛyɛ obubuafo .
- Anisoadehu mu haw ahorow.
Sɛ wo anaa obi a wunim no nya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa mpofirim a, ɛho hia sɛ wokɔ ayaresabea Ayaresa a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara . Efisɛ wɔ tebea te sɛ akisikuru mu no, bere yɛ ade titiriw.
Wobɛyɛ dɛn ahwɛ sɛnea medulla no akwahosan te?
Sɛ oduruyɛfo bi susuw sɛ ɔhaw bi wɔ medulla no ho a, wɔyɛ nhwehwɛmu pii de si so dua.
- CT scan (Computerized Tomography scan): Sɛ wɔde ahoɔhare twa amemene no mfonini de hwɛ sɛ biribi wɔ hɔ, te sɛ mogya a ɛretu anaa.
- MRI scan (Magnetic Resonance Imaging): Sɛnea ɛbɛyɛ a wobenya amemene no mu ntini ho mfonini a emu da hɔ yiye na ɛkɔ akyiri. Eyi ho hia yiye ma akisikuru tebea horow a wobehu.
- Mogya mu nhwehwɛmu: Sɛnea ɛbɛyɛ a wɔbɛhwɛ sɛ ebia aduruyɛ mu tebea afoforo wɔ hɔ anaa.
- Akyi berɛmo mu Tap:Sɛ wɔbɛhwɛ nsu a atwa akyi berɛmo no ho ahyia no mu ahwɛ sɛ ebia ɔyare no ho sɛnkyerɛnne bi wɔ hɔ anaa.
Yɛbɛyɛ dɛn ahwɛ yɛn medulla no so?
Nneɛma pii wɔ hɔ a yebetumi ayɛ de ahwɛ ɔbran ketewa yi. Eyinom ye ma yɛn akwahosan nyinaa ankasa.
1. Di aduan a ɛkari pɛ: Aduannuru a enni mu, titiriw vitamin B12, betumi aka amemene no akwahosan. Enti di aduan pa a nhaban momono, nhabannuru, ne nnuaba ka ho.
2. Kɔ so yɛ nnam, kura mu duru a ɛfata: Ɔhaw ahorow a ɛba mogya a ɛkɔ nipadua no mu ne koma no mu no ka amemene no tẽẽ. Akisikuru yɛ eyi ho nhwɛso pa. Enti, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya akisikuru no so denam apɔw-mu-teɛteɛ a wobɛyɛ da biara da ne wo mu duru a wobɛhwɛ so no so. Nyarewa te sɛ mogya mmoroso ne asikreyare a wobedi so nso ho hia yiye.
3. Hyɛ ahobammɔ nneɛma: Sɛ wote moto so a, hyɛ dade kyɛw bere nyinaa . Sɛ wode wo ho hyɛ agumadi anaa dwumadi afoforo a ebetumi ama woapira wo ti mu a, fa ahobammɔ nneɛma a ɛfata di dwuma. Ɛho hia paa sɛ wɔbɔ amemene ne akyi berɛmo ho ban fi ti a wopirapira ho.
Afei ebia woate sɛnea medulla oblongata ketewaa yi ho hia ma yɛn asetra no ase. Ɛyɛ beae titiriw a ɛde ntini mu nsɛnkyerɛnne kɔ yɛn nipadua mu, ne afiri a ɛma yɛn asetra kɔ so yɛ adwuma no nso. Enti, yɛn amemene ne yɛn ntini nyinaa a yɛbɛhwɛ so no ne ɔkwan a eye sen biara a yɛbɛfa so abɔ ɔbran ketewa yi ho ban.
Nkrasɛm a Wɔde Kɔ Fie
- Medulla Oblongata yɛ yɛn amemene no fã ketewaa bi a ɛho hia na ama yɛatumi akura nkwa mu.
- Medulla no na ɛhwɛ nneɛma a ɛyɛ adwuma ankasa te sɛ yɛn home, koma bɔ, ne yɛn mogya mmoroso so.
- Eyi ne beae titiriw a ntini a ɛtwam no ba, na ɛma yɛn amemene no benkum di yɛn nipadua no fã nifa so, na yɛn amemene no fã nifa di yɛn nipadua no benkum so.
- Medulla a ɛsɛe no yɛ tebea a emu yɛ den, na ɔyare a ɛma obi hwe ase yɛ tebea atitiriw a ɛka no no mu biako.
- Sɛ wunya akisikuru ho sɛnkyerɛnne mpofirim (anim a ɛyɛ mmerɛw, ɛyɛ mmerɛw, ɛyɛ den sɛ wobɛkasa) a, kɔ ayaresabea Emergency Treatment Unit (ETU) ntɛm ara.
- Asetra pa (aduan a ɛkari pɛ, apɔw-mu-teɛteɛ) ne ahobammɔ a wonya fi ti a opira ho betumi aboa ma medulla oblongata no akwahosan atra hɔ.











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