Yala i delila k’i yɛrɛ ɲininka cogo min na an ɲɛw bɛ wuli nɔgɔya la ni an bɛ jigin ɛrɛzɛnsun dɔ kan, ka dumuniw lajɛ tabali kan, walima ka fɛn dɔ kalan an ka telefɔni na wa? An bɛ o kow kɛ tuma bɛɛ, nka an tɛ miiri o kɛcogo kabakoma na, tiɲɛ tɛ? Tiɲɛ na, ‘nɛgɛ’ fitinin dɔ, nka min nafa ka bon kosɛbɛ, n’o bɛ bɔ an hakili la, n’o ye nɛrɛ ye, o b’an dɛmɛ o baara in na. Bi an bɛna kuma nin cɛfarin fitinin in kan, n’o ye trochléaire nerve ye.
Nin Trochléaire Nerve in ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, sɔgɔsɔgɔninjɛ ye nɛrɛ ye min bɛ taamasiɲɛw ta ka bɔ i kunkolo la ka taa i ɲɛ farikolo yɔrɔ kɛrɛnkɛrɛnnen dɔ la. Ni an y’a Fɔ k’a jɛya, o ye farikolo-ɲɛnajɛ-minɛn ye. O kɔrɔ ye ko a tɛ dusukunnataw Ta ka Taa kùnkolo la, nka a bɛ cikan Ta ka Bɔ kùnkolo la ka Taa yɔrɔ bɛnnen na ka Taa yɔrɔ min na. I n’a fɔ an ka so kɔnɔ kurunba bɛ bɔ switch (switch) la ka taa yeelen na cogo min na ka tɛmɛ nɛgɛ fɛ.
O nɛrɛba ninnu fila-fila 12 bɛ an kunkolo kɔnɔ. An bɛ o wele ko kunkolo-nɛrɛw. O nɛrɛw la naaninan ye sɔgɔsɔgɔninjɛ ye. O de y’a to a bɛ wele fana ko kunsɛmɛ naaninan , dɔgɔtɔrɔw b’a wele ko (CN IV) ni a surunyalen don. O nɛrɛ fila bɛ an bolo, kelen bɛ kɛ kininbolo ɲɛ na, tɔ kelen ye numanbolo ɲɛ ye. U fila bɛɛ ka baara ye kelen ye.
Mun de bɛ ka kɛ o nɛrɛmuguma in na tiɲɛ na?
Baara kunba kelen dɔrɔn de bɛ trochléaire nerve la. O ye ka taamasiɲɛw ci an ɲɛ sanfɛ farikolo yɔrɔ la min bɛ wele ko supérieur oblique muscle walasa ka lamaga. Nin nɛrɛmuguma ni nin farikolo yɔrɔ in bɛ baara kɛ ɲɔgɔn fɛ walasa k’a to an ka se ka:
- I ka duguma filɛ: Miiri k’a filɛ i ɲɛ bɛ duguma k’i to taama na nbɛda la, ka jigin ɛrɛzɛnsun dɔ kan, walima k’i ɲɛ jɔ i ka tasa la k’i to dumuni na. Nin fɛn fila faralen ɲɔgɔn kan, olu de b’a to i ɲɛw bɛ jigin tuma bɛɛ.
- Aw bɛ aw ɲɛw wuli ka taa kɔnɔna na: O fana bɛ aw dɛmɛ ka aw ɲɛw wuli ka taa kɔnɔna na.
- Aw bɛ ɲɛw wuli ka taa kɛnɛma: O fana bɛ kɛ sababu ye ka ɲɛw bɔ nugu la ka taa kɛnɛma.
‘trochlear’ tɔgɔ bɔra latigɛkan daɲɛ na min ye ‘trochleae’ ye, o kɔrɔ ye ko ‘pulley’. O bɛ kɛ barisa farikolo yɔrɔ min bɛ o nɛrɛmuguma in mara, sani a ka jɛ ɲɛ na, o bɛ tɛmɛ farikolo yɔrɔ dɔ fɛ min bɛ kɛ i n’a fɔ sɔgɔsɔgɔninjɛ. I n’a fɔ juru bɛ tɛmɛ jirisunba dɔ kan cogo min na ni a bɛ ji sama kɔlɔn kɔnɔ. O de kama ɲɛ lamagacogo bɛ se ka kunbɛn ka ɲɛ kosɛbɛ.
Nɛrɛ wɛrɛw bɛ yen minnu bɛ ɲɛw lamaga. A ka ɲi an hakili ka to olu fana na:
- Ɲɛkisɛ-taama-yɔrɔ (CN III) .
- Nɛrɛ min bɛ wele ko Abducens (CN VI) .
- Facial nerve (CN VII) - O bɛ dɛmɛ don kosɛbɛ ɲɛkisɛw datuguli la.
Nin nɛrɛmuguma in bɛ min an kunkolo kɔnɔ?
Hali n’o nɛrɛmuguma in bɛ farikolo kelen dɔrɔn de mara, taama min bɛ kɛ ka bɔ o farikolo sɔrɔli la ka taa o nɛrɛmuguma in na, o ka jan dɔɔnin. A bɛ iko taamakɛla min bɛ taama jan na. O taama in bɛ daminɛ an hakili la. Ka Bɔ yen, a bɛ Tɛmɛ jɔyɔrɔba naani fɛ fo ka Se ɲɛ ma.
1. Trochléaire nucléaire : Nin ye nɛrɛmuguma daminɛyɔrɔ ye. O kɔrɔ ye ko yɔrɔ min ka surun kosɛbɛ hakili la. A bɛ Sɔrɔ kùnkolo-yɔrɔ sanfɛla la.
2. Ambient cistern : O nɛrɛmuguma in bɛ tɛmɛ o kɔfɛ lakananifɛnw (meninges) kɛrɛfɛ minnu bɛ kunsɛmɛ lamini. O yɔrɔ in bɛ Weele ko nin.
3. Sinus cavernous : Nin ye yɔrɔ ye min bɛ i n’a fɔ bɔgɔdaga an kunkolo cɛmancɛ la. Nɛrɛ fana bɛ tɛmɛ o fɛ.
4. Yɛlɛma : A laban na, ɲɛ bɛ don jiribolo la, o ye kunkolo kolotuguda ye, ɲɛ bɛ yɔrɔ min na. O yɔrɔ de la nɛrɛmuguma bɛ ɲɔgɔn Jɛ n’a bɛ taa yɔrɔ min na, n’o ye farikolo yɔrɔ kɔrɔtalen ye.
Mun bɛ kɛ ni trochléaire nerve tiɲɛna?
Ni o nɛrɛmuguma tiɲɛna, a bɛ nɔ bila i ɲɛ lamagacogo ni i ka yeli la k’a ɲɛsin i yɛrɛ ma. Dɔgɔtɔrɔw b’o bana wele ko nɛrɛmuguma naaninan walima nɛrɛmuguma sɔgɔsɔgɔninjɛ. Nin bana in taamasiɲɛ caman bɛ yen minnu ka teli ka ye.
| Taamaʃyɛn | A ɲɛfɔra cogo nɔgɔman na |
|---|---|
| Yeli fila (Diplopie) . | O de ye a taamasiɲɛba ye. Fɛn fila yeli siɲɛ kelen. O bɛ se ka kɔlɔsi kɛrɛnkɛrɛnnenya la ni i bɛ duguma filɛ, ni i bɛ jigin eskala la, walima ni i bɛ gafe kalan. |
| Aw bɛ kunkolo kɔrɔta ka taa fan kelen fɛ | Walasa u kana yeli kɛ siɲɛ fila, mɔgɔ caman bɛ u kunkolo kɔrɔta ka taa ɲɛ min ma deli ka kɛ, k’a sɔrɔ u t’a dɔn. O b’a ɲini ka yelifɛn dɔw lasegin. Ni nin bana in bɛ den fitini na, a bɛ se ka kɛ i n’a fɔ kɔ gɛlɛn min bɛ wele ko torticollis . |
| Ɲɛw labɛncogo jugu (Strabismus) . | A bɛ i n’a fɔ ɲɛ kelen bɛ wuli ka taa fan wɛrɛ fɛ, sanni ɲɛ fila bɛɛ ka ɲɛsin fan kelen ma. O ni bana dɔ bɛ tali kɛ ɲɔgɔn na min bɛ wele ko strabisme. |
| Ɲɛda ka asimɛtiri | O bɛ ye ka caya mɔgɔw la minnu bangera ni nin bana in ye. A bɛ se ka kɛ i n’a fɔ ɲɛda cɛmancɛ yɔrɔ bonya dɔgɔyali (facial hypoplasia). |
Nin nɛrɛmuguma in tiɲɛni sababuw ye jumɛnw ye?
Trochléaire nerve bɛ sira jan sɔrɔ kungolo fɛ, o b’a to a ka teli ka jogin ka tɛmɛ kunsɛmɛ nɛrɛ tɔw kan, kɛrɛnkɛrɛnnenya la kunkolo joginni fɛ .
- Mobili kasaara (kɛrɛnkɛrɛnnenya la moto kasaara) .
- Spor i n’a fɔ bɔksi
- Bìn
Tuma dɔw la, a tɛ se ka miiri, hali ni gosili fitinin kɛra kunkolo la, o bɛ se ka o nɛrɛmuguma tiɲɛ.
Kun wɛrɛw bɛ yen minnu man teli ka kɛ:
- Joli siraw gɛlɛyaw, kɛrɛnkɛrɛnnenya la bana minnu bɛ sɔrɔ banaw fɛ i n’a fɔ sukarodunbana (microvascular disease) .
- Nɛrɛmuguma degun ka a sababu kɛ kunsɛmɛnasumaya ye min bɛ bonya nɛrɛmuguma kɛrɛfɛ.
- Dɔ farala kunkolo kɔnɔ tansiyɔn kan.
Den dɔw bɛ bange ni gɛlɛya ye nin nɛrɛmuguma in na. A bɛ fɔ a ma ko nɛrɛmuguma naaninan bangenen.
An bɛ se ka an farikolo yɔrɔw to kɛnɛya la cogo di?
An tɛ se ka fɛnw bali tiɲɛ na i n’a fɔ bangekɔlɔsi sababuw. Nka, an bɛ se ka caman kɛ ni an bɛ an yɛrɛ tanga kunkolo joginw ma ani ka an janto farikolo yɔrɔw kɛnɛya la caman na.
An ka kunkolo joginw bali!
- Aw ye aw ka so sigida kɛ yɔrɔ ye min tɛ mɔgɔ tɔɔrɔ: Ni denmisɛnnin dɔ bɛ aw ka so kɔnɔ, aw ye aw janto yɔrɔw la, u bɛ se ka bin yɔrɔ minnu na ka u kunkolo gosi. Ni mɔgɔkɔrɔba dɔ bɛ aw bolo, aw bɛ miiri kɛrɛnkɛrɛnnenya la yɔrɔw la, u bɛ se ka sɛgɛn ka bin yɔrɔ minnu na (misali la, sanuyaso).
- Lakanali cɛsirilanw ni kasɛtiw: Aw bɛ sigilan don tuma bɛɛ ni aw bɛ bolifɛn kɔnɔ. Aw bɛ denmisɛnw bila mobili sigilan ɲuman na. A wajibiyalen don ka kasɛti don min bɛ bɛn sariya latigɛlen ma ni i bɛ nɛgɛso walima moto boli.
- Lakanali ni farikoloɲɛnajɛ bɛ kɛ: Aw bɛ aw tangalan bɛnnenw don ni aw bɛ farikoloɲɛnajɛw kɛ minnu bɛ ɲɔgɔn sɔrɔ i n’a fɔ rugbi ani bɔksi.
Aw bɛ farikolojidɛsɛ to kɛnɛya la fɛn bɛɛ lajɛlen na
- Dumuni nafamaw : Witamini D ni witamini B12 walasa ka farikolo yɔrɔw kɛnɛyaA nafa ka bon kosɛbɛ. O la, aw bɛ dumuni minnu na (jɛgɛ, kɔnɔ, nɔnɔ, nakɔfɛnw) fara aw ka dumuni kan.
- Bana basigilenw kunbɛnni : Sukarodunbana ni tansiyɔn jiginni ye banaba fila ye minnu bɛ se ka farikolojidɛsɛ tiɲɛ. Ni nin bana ninnu bɛ aw la, aw bɛ dɔgɔtɔrɔ ka laadilikanw labato ka u kunbɛn ka ɲɛ.
- Sigarɛtimin dabila: Sigarɛtimin bɛ dɔ bɔ joli bɔli la farisogo la. O la sa, aw bɛ dɛmɛ ɲini walasa ka sigarɛtimin dabila.
- Aw bɛ aw farikolo girinya kɛnɛman mara: Ka girinya kɛnɛman mara min bɛ bɛn aw farikolo ma, o nafa ka bon kosɛbɛ kɛnɛya bɛɛ lajɛlen na.
- Aw bɛ dɔ bɔ degun na: Fɛn minnu bɛ i n’a fɔ hakilijakabɔ, taama ani yoga, olu bɛ se ka dɛmɛ don ka degunw dɔgɔya.
Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la?
An ye baro kɛ taamasiɲɛ minnu kan ka tɛmɛ, ni aw ye olu dɔ sɔrɔ, kɛrɛnkɛrɛnnenya la ni aw bɛ a ye ko aw bɛ fɛn fila ye ni aw bɛ aw ɲɛw jigin , walima ni aw ka kan ka aw kun kɔrɔta walasa ka a ye ka jɛya, aw kana a miiri dɔrɔn ko a tɛ baasi ye. Aw bɛ taa dɔgɔtɔrɔso la joona.
Aw ka dɔgɔtɔrɔ bɛna aw sɛgɛsɛgɛ, ni a mago bɛ a la, a bɛna aw bila ɲɛdɔnbaga walima hakililabaarakɛla dɔ fɛ. U bɛna sɛgɛsɛgɛliw kɛ minnu ka kan ka kɛ, ka a ɲɛfɔ aw ye fɛn min bɛ nin sababu la ani aw ka kan ka min kɛ.
Aw k’aw hakili to a la tuma bɛɛ ko hali an farikolo yɔrɔ fitininw jɔyɔrɔ ka bon kosɛbɛ. Trochléaire nerve fana tɛ bɔ o la. O la, a nafa ka bon kosɛbɛ k’an farikolo ladon ani k’an janto a bɛ taamasiɲɛ minnu di an ma.
Take-Home cikan
- Trochlear nerve ye kunsɛmɛnasumaya nafamaba ye min bɛ dɛmɛ ka an ɲɛw lamaga duguma ani kɛrɛ fɛ.
- Nin nɛrɛmuguma in tiɲɛni sababuba ye kunkolo joginw ye. O la sa, i kunkolo lakanani bila jɔyɔrɔ fɔlɔ la tuma bɛɛ.
- A taamasiɲɛ fɔlɔ ye yeli fila ye (diplopie) ni aw bɛ aw ɲɛw jigin walima ni aw ka kan ka kunkolo kɔrɔta walasa ka yeli jɛlen kɛ.
- Ni nin taamasiɲɛ ninnu dɔ bɛ aw la, aw kana aw ɲɛmajɔ a la, aw bɛ dɔgɔtɔrɔ ka laadilikan ɲini joona.
- Ni aw ye bana basigilenw i n’a fɔ sukarodunbana ni tansiyɔn jiginni kunbɛn ka ɲɛ, ka aw yɛrɛ tanga sigarɛtimin ma, ani ka tugu ɲɛnamaya kɛcogo ɲuman na, o bɛna aw dɛmɛ ka aw farikolo bɛɛ to kɛnɛya la.

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