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ืฉื•ืง ืกืคื™ื ืœื™
ื™ื›ื•ืœ ืœื”ืžืฉืš 3 ื—ื•ื“ืฉื™ื, ื‘ืฉื•ืง ืื™ืŸ ืจืคืœืงืกื™ื ืžืชื—ืช ืœืคืœืก ื”ืคื’ื™ืขื”, ื™ื›ื•ืœ ืœื’ืจื•ื ืœื”ื•ืจื“ืช ืœื—ืฅ ื“ื ื•ื‘ืจื™ื“ืงืจืื™ื”
ื–ืงืคื” ืจืคืœืงืกื•ืจื™ืช
ืžืชืจื—ืฉืช ื‘ืขืงื‘ื•ืช ืžื’ืข ื™ืฉื™ืจ ืขื ืื™ื‘ืจื™ ื”ืžื™ืŸ. ื–ืงืคื” ื›ื–ืืช ืื™ื ื” ืจืฆื•ื ื™ืช ื•ื™ื›ื•ืœื” ืœื”ืชืจื—ืฉ ืœืœื ืžื—ืฉื‘ื•ืช ืžื™ื ื™ื•ืช. ื”ืขืฆื‘ื™ื ืฉืื—ืจืื™ื ืขืœ ื”ื–ืงืคื” ื”ืจืคืœืงืกื•ืจื™ืช ืžืžื•ืงืžื™ื ื‘ืกื’ืžื ื˜ื™ื ืกืงืจืœื™ื™ื S2-S4 ื‘
ื–ืงืคื” ืคืกื™ื›ื•ื’ื ื™ืช , ืžื” ื–ื” , ื•ืžื™ ืžื”ื ืคื’ืขื™ื ื›ื ืจืื” ื›ืŸ ื™ื•ื›ืœ ืœื”ื’ื™ืข ืœื–ืงืคื”
ืื™ื‘ืจ ื”ืžื™ืŸ ืžื–ื“ืงืฃ ืœืื—ืจ ืขื•ืจืจื•ืช ืชื ืื™ ื”ื›ืจื—ื™ ืœืงื™ื•ื ื–ืงืคื” ืžื•ืกื’ ื–ื” ื”ื•ื ืฉืœืžื•ืช ื”ืžืกืœื•ืœื™ื ื”ืžื—ื‘ืจื™ื ืคื’ื™ืขื•ืช ื—ื•ื˜ ื”ืฉื“ืจื” ืžืขืœ ื’ื•ื‘ื” D10 ื ืคื’ืขืช ื”ื–ืงืคื” ื”ืคืกื™ื›ื•ื’ื ื™ืช
ืžื” ืžืฉืžืขื•ืช ืฉืœ ื”ืžื•ืฉื’ poikilotherm
ื˜ืค ื”ื’ื•ืฃ ืฉื•ื•ื” ืœื˜ืค ื”ืกื‘ื™ื‘ื”, ืœืขื™ืชื™ื ื–ื• ืคื’ื™ืขื” ื‘ื ื—"ืฉ ื•ื™ืฉ ืกื›ื ื” ืฉืœ ื—ื•ื ื™ืชืจ ื›ื™ ื”ื’ื•ืฃ ืœื ืžืงืจืจ ืืช ืขืฆืžื•
ืžื”ื• plissit
ืžื•ื“ืœ ืคื ื™ื” ื‘ื ื•ืฉื ืžื™ื ื™: ื‘ืงืฉืช ืื™ืฉื•ืจ ืœืฉื•ื—ื—, ืžื™ื“ืข ืžื™ื ืžืœื™ ื•ืขืฆื” ืœืžื™ ืœืคื ื•ืช
ื˜ื˜ืจืคืœื’ื™ื”
ื’ืคื™ื™ื ืขืœื™ื•ื ื•ืช ื•ืชื—ืชื•ื ื•ืช
ืคืจืคืœื’ื™ื”
ืžืขื•ืจื‘ 2 ื’ืคื™ื™ื ืชื—ืชื ื•ืช
ืกืคื–ื
ืžื•ืคื™ืข ื‘ื“ื› ืื—ืจื™ ืฉื•ืง ืกืคื ืืœื™, ืขืœื™ื” ื‘ื˜ื•ื ื•ืก ื”ืฉืจืจื™ื ื™ื›ื•ืœื” ืœื’ืจื•ื ื–ื™ื”ื•ื ื‘ื“ืจื›ื™ ื”ืฉืชืŸ, ืืคืฉืจ ืœืœืžื•ื“ ืœื”ืขื–ืจ ื‘ืกืคื–ื ืœืฆื•ืจืš ืชืคืงื•ื“, ื”ืกืคื–ื ื’ื•ืจืžืช ืœื›ืื‘
UMN upper motor neuron
ืž ืื•ืคื™ื™ืŸ ื‘ืจืคืœืงืกื™ื ืขืจื™ื (ืกืคืกื˜ื™ื•ืช)L1 ืคื’ื™ืขื” ืžืœืžืขืœื” ืขื“
LMN lower motor neuren
ื•ืžื˜ื”L1 ืžืื•ืคื™ื™ืŸ ืœืœื ืจืคืœืงืกื™ื-ืจืคื™ื•ืŸ . ืคื’ื™ืขื” ื‘ื ื•ื™ืจื•ื ื™ื ื”ื—ืœ ืž
ืžื”ื• heterrotopic ossificaton
ื™ืฉ ื‘ื ื™ื™ืช ืขืฆื ืžื—ื•ืฅ ืœืฉืœื“, ,ืœืจื•ื‘ ื™ืจืš ื•ื‘ื‘ืจืš,ืงื•ืจื” ื‘20% ื‘ืคื’ื™ืขื•ืช ื ื—"ืฉ ื’ื•ืจื ืœื™ืจื™ื“ื” ื‘ื˜ื•ื•ื—ื™ ืชื ื•ืขื” ,ื›ืื‘ ื•ื ืคื™ื—ื•ืช
ืžื”ื• conus medullaris
L1-2 ืงืฆื” ื”ื—ื•ื˜ ื”ืฆืจ ืฉืœ ื”ืฉื“ืจื” ื‘ืจืžื”
ืžื”ื• central cord syndrom
ื™ืฉื•ืจ ื™ืชืจ ืฉืœ ื”ืฆื•ื•ืืจ ื”ื™ืคืจ ืืงืกื˜ื ืฆื™ื”, ืคื’ื™ืขื” ื™ื•ืชืจ ื‘ื’ืคื™ื™ื ื”ืขืœื™ื•ื ื•ืช,ืงื•ืฉื™ ื‘ื”ื‘ืฉื” ื•ืื›ื™ืœื”, ืืš ื™ื›ื•ืœื™ื ืœืœื›ืช
?ืžื”ื• cauda equina
ืžืชื—ืœืฃ ื”ืžื‘ื ื” ืžืฆืจ ื•ื“ื—ื•ืก ืœืžื‘ื ื” ืฉืœ ืขืฆื‘ื™ื ื ื•ืคืœื™ื L1-2 ื–ื ื‘ ืกื•ืก , ืžืชื—ืช ืœ
Brown Sequard syndrom ืžื”ื•
ื›ืชื•ืฆืื” ืžื—ื‘ืœื” ืื• ื’ื™ื“ื•ืœ, ื ื’ืจื ื ื–ืง ืจืง ืœืฆื“ ืื—ื“ ืฉืœ ื—ื•ื˜ ื”ืฉื“ืจื”, ื‘ืฆื“ ืฉื ื™ื–ื•ืง ื™ืฉ ืื•ื‘ื“ืŸ ืคื•ื ืงืฆื™ื•ืช ืžื•ื˜ืจื™ื•ืช, ื‘ืฆื“ ื”ืฉื ื™ ืื•ื‘ื“ืŸ ื›ืื‘ ื•ื˜ืคืจื˜ื•ืจื” ื”ืกื™ื›ื•ื™ ืœื—ื–ื•ืจ ืœืชืคืงื•ื“ ื”ื•ื ื’ื“ื•ืœ
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