BULLARY PALALIC
BULLAR PARALICH - clinical syndrome of the medulla oblongata, characterized by a disorder of swallowing (dysphagia), speech (dysarthria), phonation (dysphonia) and atrophy of the muscles of the tongue. When the paralysis is affected, the motor nuclei of the glossopharyngeal, vagus and sublingual nerves or their roots; It arises in brain tumors, cerebral thrombosis, syringobulbia, amyotrophic lateral sclerosis, etc. Patients are choked with food, liquid food gets through the nasopharynx into the nose, often food particles or saliva enter the larynx and trachea, there may be abnormalities in the respiratory function and Cardiac activity.
Treatment is directed to the underlying disease and is performed in a hospital. If it is necessary to urgently transport the patient, it is carried out only in an ambulance accompanied by a doctor or a nurse. Patients need rest, organizing proper feeding of liquid food in small portions. When eating, the patient should be in the semi-sitting position. Patients need careful care of the oral cavity. With the development of a respiratory disorder, the lung is ventilated.
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