Parsonage-Turner Syndrome ye mun ye? Yala dimi barikama bɛ i kamankun na ani i bolo bɛ kirin wa?

Yala i delila ka kunun sɔgɔma, walima tile waati o waati, ka dimi gɛlɛn dɔ barika sɔrɔ i kamankun yɔrɔ la, ka fara i bolokɔni sɔgɔsɔgɔninjɛ ni barikantanya kan wa? O bɛ se ka kɛ tile damadɔ walima dɔgɔkun damadɔ kɔnɔ, o kɔfɛ, aw farikolo yɔrɔw y’a daminɛ ka fanga dɔgɔya dɔɔni dɔɔni. Ni aw fana ye o ɲɔgɔn sɔrɔ, a nafa ka bon kosɛbɛ aw ka aw janto nin bana in na min bɛ wele ko Parsonage-Turner Syndrome, an bɛna kuma min kan bi.

Parsonage-Turner Syndrome ye mun ye tigitigi?

N’an y’a fɔ cogo nɔgɔman na, Parsonage-Turner Syndrome , n’a bɛ fɔ a ma tuma dɔw la ko Brachial Neuritis , o ye bana ye min bɛ tali kɛ farikolo yɔrɔw la. Min bɛ kɛ, o ye ko i bɛ dimi barikama sɔrɔ i kamankun ni i bolokɔni sanfɛla la, i tɛ se ka miiri min na. O dimi bɛ se ka mɛn tile caman fo dɔgɔkun caman. O waati de la gɛlɛya lakika bɛ daminɛ. Ni dimi bɛ nɔgɔya, aw bɛ a daminɛ ka barikantanya walima ka sɔgɔsɔgɔ aw kamankun, aw bolokɔni, aw bolokɔniw walima aw bolokɔniw fasaw la. O barikantanya bɛ se ka mɛn kalo caman kɔnɔ. Aw ye miiri a la, nɛrɛmuguma dɔ bɛ yen min bɛ bɔ kɔkolo la aw kɔ la, ka tɛmɛ aw kɔ fɛ, ka tɛmɛ aw kɔkiliw fɛ, ka jigin aw bolokɔniw fɛ. An bɛ o de wele ko brachial plexus . A bɛ i n’a fɔ kuran siraw ka sigida. Parsonage-Turner syndrome ye bana ye min na bolokɔnincinin bɛ tiɲɛ. a bɛ nɔ bila kɛrɛnkɛrɛnnenya la farikoloɲɛnajɛw la minnu bɛ lamagacogo n' u ka sɔgɔsɔgɔninjɛw kɔlɔsi . O de bɛ kɛ sababu ye ka farikolo fanga dɔgɔya. PTS ye bana ye min man teli ka sɔrɔ . O de kama dɔgɔtɔrɔw b’a ɲagami tuma dɔw la ni kɔnɔbara basigilen ye , bana min bɛ kɛ sababu ye ka nɛrɛmuguma bila kɔ la, walima kɔnɔbara basigilen , o ye bana ye min ka teli ka kɛ. A taamasiɲɛw bɛ ɲɔgɔn bɔ kosɛbɛ. A tɔgɔ dara ko Parsonage-Turner tubabukan na, n’o ye tubabu hakililabaarakɛla fila ye, n’olu ye Maurice Parsonage ani John Turner ye, olu minnu ye nin bana in ɲɛfɔ fɔlɔ san 1948. O bɛ wele ni tɔgɔ damadɔ wɛrɛw ye:

• Brachial neuritis (boloci) min bɛ wele ko brachial neuritis
• Brachial plexus neuritis (boloci min bɛ kɛ ni bolokɔfɛfɛn) ye
• Brachial plexus neuropathy (bolocibana min bɛ wele ko brachial plexus neuropathy).
• Brachial plexus neuropathie idiopathique (banakisɛfagalan min bɛ wele ko brachial plexus neuropathie idiopathique).
• Amyotrophie neuronale (banakisɛfagalanw) bɛ sɔrɔ

Nin bana in taabolo ye jumɛnw ye?

A ka ca a la, Parsonage-Turner ka bana taamasiɲɛba saba bɛ yen. An k’a lajɛ u ye min ye. 1. Taabolo fɔlɔ (dimi jugumanba):Nin ye dimi barikama ye, dimi jugumanba min ka jugu fo mɔgɔ tɛ se ka miiri . A ka ca a la, a bɛ kɛ kamankun kelen na. Nin dimi in bɛ se ka mɛn ka bɔ tile damadɔ la ka se dɔgɔkun damadɔ ma. A ka ca a la, a bɛ fɔ ko ni o dimi waati bɛ mɛn, a bɛ mɛn ka kɛnɛya. 2. Taabolo filanan : Dimi bannen kɔ dɔɔni dɔɔni, aw bɛna a daminɛ ka barikantanya ye aw farikolo la. Kɛrɛnkɛrɛnnenya la, farikolo minnu bɛ i kamankun ni i bolokɔni lamini, olu bɛ fanga dɔgɔya. O bɛ se ka kɛ sababu ye tuma dɔw la farikolo yɔrɔw tiɲɛni, walima farikolojidɛsɛ . A ka ca a la, nin taabolo filanan in bɛ kɛ kalo 6 ni kalo 18 cɛ. Nka mɔgɔ dɔw fɛ a bɛ se ka mɛn ka tɛmɛ o kan yɛrɛ. 3. Taabolo sabanan : Waati dɔ tɛmɛnen kɔfɛ, aw farikolo bɛ fanga sɔrɔ kokura ani ka daminɛ ka baara kɛ ka ɲɛ. Nin ye kɛnɛyali taabolo ye.

Nin bana in ka ca cogo di?

Tiɲɛ na, Parsonage-Turner syndrome (brachial neuritis) ye bana ye min man teli ka kɛ . A fɔra ko mɔgɔ saba ɲɔgɔn dɔrɔn de bɛ nin bana in sɔrɔ san o san mɔgɔ ba kɛmɛ na. A bɛ se ka sɔrɔ mɔgɔ o mɔgɔ la, a si hakɛ mana kɛ min o min ye. Nka, a bɛ ye ka caya dɔɔni cɛw la . Nin bana in daminɛ si hakɛ bɛ se san 41 ɲɔgɔn ma.

Parsonage-Turner ka bana taamasiɲɛw ye jumɛnw ye?

nin bana in taamasiɲɛba fila ye dimi barikama ye ani farikolo fanga dɔgɔyali kɔfɛ . Olu bɛ se ka nɔ bila aw ka yɔrɔ ninnu na:

• Kamakun
• Bolo sanfɛla (bolo sanfɛla) .
• Foroko (bolo cɛmancɛ yɔrɔ) .
• Bolo (bolo ni bolokɔnincininw) .

A ka ca a la, waati 80% ɲɔgɔn, a bɛ bolo kelen dɔrɔn de minɛ (yɔrɔ kelen). A ka ca a la, a bɛ nɔ bila bolokɔni/kɛrɛ la i bɛ baara kɛ ni min ye kosɛbɛ. Nka 20% ɲɔgɔn na, a bɛ se ka bolokɔni fila bɛɛ minɛ (bilateral). A man teli kosɛbɛ, a bɛ nɔ bila kɔkolo duguma ni senw na. A ka ca a la, dimi bɛ barika sɔrɔ. A bɛ kɛ i n’a fɔ dimi gɛlɛn, min tɛ se ka muɲu , kɛrɛnkɛrɛnnenya la su fɛ. Nin dimi jugumanba in bɛ se ka kɛ lɛri damadɔ fo dɔgɔkun naani. Dimi bannen kɔ, aw bolokɔni min bananen don, o fasaw bɛ daminɛ ka fanga dɔgɔya. A ka ca a la, aw bɛna a ye ko farikolo fanga dɔgɔyara aw kamankun na walima aw bolokɔni sanfɛla la. Nka a bɛ se ka nɔ bila i bolokɔni ni i bolo fana na. Tuma dɔw la, o barikantanya bɛ se ka nɔ bila aw disi walima aw disi la (fasa min bɛ aw disi ni aw kɔnɔbara faranfasi). Ni farikolo fanga dɔgɔyara, waati tɛmɛnen kɔfɛ, farikolo yɔrɔw bɛ tiɲɛ. Nin taamasiɲɛ ninnu juguya bɛ se ka ɲɔgɔn ta kosɛbɛ mɔgɔ ni mɔgɔ cɛ. O bɛ kɛ barisa PTS bɛ farikolojidɛsɛ minnu sɔrɔ, olu tɛ kelen ye mɔgɔ ni mɔgɔ cɛ. A taamasiɲɛ damadɔ wɛrɛw bɛ se ka kɛ:

• Bolo min bananen donGɛlɛya minnu bɛ sɔrɔ reflexes (reflexes) la.
• Dusukunnataw tɛ kɛ bolo la, minnu bɛ wele ko paresthesia , walima sɔgɔsɔgɔninjɛ. O bɛ se ka kɛ i n’a fɔ sɔgɔsɔgɔninjɛ, sɔgɔsɔgɔninjɛ walima jeninida.
• kamankun yɔrɔ dɔw bɔli .
• Lamaga-lamagali yɔrɔ min tɛ cogo la kolotugudaw la minnu bananen don.
• Bana min bɛ wele ko wingged scapula (o la, kamankun bɛ bɔ kɔfɛ, i n’a fɔ wulu).
• Bolo min bananen don, o fasaw walima a senkɔniw surunyali.
• Bolo bilenman, bulama walima nɔgɔlen don ka a sababu kɛ joli bolicogo dɔgɔyali ye .
• Bolo fununi .
• Ninakilidegun (ninakilidegun) . O ka dɔgɔ kosɛbɛ.

Mun na Parsonage-Turner ka bana bɛ sɔrɔ?

Tiɲɛ na, ɲininikɛlaw ma Parsonage-Turner ka bana sababu tigitigi dɔn hali bi. U b’a miiri ko an farikolo farikolo tangacogo ka wale kɛcogo jugu min bɛ wele ko farikolo tangalanw ka jaabi, o de ye o sababuba ye. Miiriya fila bɛ o ko la. 1. Banakisɛ, banakisɛ walima paraziti banakisɛ bɛ i bolokɔnincinin minɛ k’a ɲɛsin i ma, o bɛ taamasiɲɛw lase i ma. 2. Ni aw farikolo tangalanw ye nin banakisɛw, banakisɛw walima antigènes ninnu kɛlɛ , o bɛ aw bolokɔni tiɲɛ i n’a fɔ kɔlɔlɔ. A ka ca a la, nin bana in sababuba ye banakisɛ ye min sɔrɔla kɔsa in na . Nin banakisɛ ninnu de jirala ko u ka teli ka kɛ u la:

• Coxsackie B banakisɛ : O bɛ se ka bana caman lase mɔgɔ ma, i n’a fɔ sɔgɔsɔgɔninjɛ , kɔnɔbara basigilen, dusukun tantanni (dusukun farikolo fununi), ɲɛgɛnɛsiralabanaw (sugunɛbilenni suguya dɔ), kunsɛmɛnasumaya (sugunɛbilenni), ani sugunɛbilenni banakisɛ fɛ (sugunɛbilenni).
• Sidabanakisɛ (Hadamadenw ka farikolo tangalanw) .
• Bana duurunan (parvovirus B19) .
• Mumps ( sɔgɔsɔgɔninjɛ .
• Sɔgɔsɔgɔninjɛ (variola major ani minor) .

Tuma dɔw la, dɔgɔtɔrɔw tɛ se ka sababu kɛrɛnkɛrɛnnen dɔ sɔrɔ. A man teli kosɛbɛ, Parsonage-Turner ka bana ye bana ye min bɛ sɔrɔ jamu/ciyɛn fɛ .A bɛ se ka sɔrɔ fana ni amiyotrophi neuralgique héritage ye.

Farati jumɛnw bɛ nin bana in bila mɔgɔ la?

Ɲininikɛlaw dalen b’a la ko furakɛli cogoya dɔw ni ko dɔw bɛ se ka dɔ fara i ka farati kan ka Parsonage-Turner syndrome sɔrɔ. U dɔw filɛ nin ye:

• Opereli ni/walima anestezi min kɛra kɔsa in na .
• Ɲɛgɛnɛsiraw ka banaw, misali la, bana minnu bɛ i n’a fɔ Ehlers-Danlos syndrome .
• Bana minnu bɛ sɔrɔ farikolo tangalanw fɛ, i n’a fɔ lupus (lupus érythématose systémique - SLE) , joli siraw sɔgɔsɔgɔninjɛ , ani joli sira camanbana nodosa .
• Jogin min bɛ kɛ kamankun na min bɛ mɔgɔ tɔɔrɔ .
• Farikoloɲɛnajɛ jugumanba min bɛ kamankunw degun.
• Boloci/bolociw sɔrɔli (o man ca kosɛbɛ, nka kunnafoni dɔw bɔra).
• kɔnɔmaya ni den sɔrɔli .
• Ka furakɛli kɛ ni fiɲɛ ye .
• Kɔnɔbara basigilen (spinal tap) , o kɔrɔ ye ka ji ta kɔkolo la.
• Ka pikiri kɛ ni danfaralan ye walasa ka ja sɛgɛsɛgɛli kɛ.

Parsonage-Turner ka bana bɛ sɔrɔ cogo di?

Ni aw taara dɔgɔtɔrɔso la, u bɛna aw ɲininka aw ka bana taamasiɲɛw ni aw ka furakɛli tariku la. O kɔfɛ, u bɛna farikolo sɛgɛsɛgɛli kɛ. U bɛna aw bolokɔni fasaw fanga, u kɛcogo ani u dusukunnataw lajɛ. aw bɛ se ka bila fana hakililabaarakɛla dɔ fɛ . Ni dɔgɔtɔrɔ hakili la ko Parsonage-Turner syndrome bɛ aw la, u bɛ se ka EMG (électromyography) sɛgɛsɛgɛli fɔ aw ye. O bɛ kɛ ka aw kolotugudaw kɛnɛya ni u baara jateminɛ ani farikolojidɛsɛ minnu bɛ u mara. Ka fara o kan, nin ja sɛgɛsɛgɛli ninnu bɛ se ka kɛ walasa ka bana sɛgɛsɛgɛli dafa walima ka bana wɛrɛw bɔ kɛnɛ kan:

• MRI (resonance magnétique) sɛgɛsɛgɛli .
• Nɛrɛw ka ultrasound sɛgɛsɛgɛli .
• CT (tomography informatique) sɛgɛsɛgɛli .

O furakɛcogo jumɛnw bɛ yen?

Ni an bɛ se ka tiɲɛ fɔ, furakɛli walima fura kɛrɛnkɛrɛnnen tɛ PTS la. A ka ca a la, a bɛna ban a yɛrɛ ma waati tɛmɛnen kɔfɛ. Nka, a nafa ka bon ka bana in sɛgɛsɛgɛ joona.Ni aw ye furakɛli daminɛ min bɛ aw dɛmɛ ka aw ka bana taamasiɲɛw kunbɛn, aw ka ɲɛnamaya ɲɛfɔcogo bɛ se ka ɲɛ kosɛbɛ. Aw ka dɔgɔtɔrɔ bɛna fura suguya caman fɔ aw ye walasa ka aw dɛmɛ ka aw ka bana taamasiɲɛw kunbɛn. Aw bɛ se ka bila fana dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw ka kulu dɔ fɛ walasa ka furakɛli bolodacogo dɔ labɛn. Nin ekipu in bɛ se ka kɛ ninnu ye:

• Dɔgɔtɔrɔ minnu bɛ furakɛli fɔlɔ kɛ (PCP) .
• Ɲɛgɛnɛsiraw furakɛbagaw
• Hakilila-dɔgɔtɔrɔsow
• Farikoloɲɛnajɛ bana kɛrɛnkɛrɛnnenw
• Farikoloɲɛnajɛ furakɛlikɛlaw

Furakɛli minnu bɛ kɛ dimi jugumanba waati la, olu bɛ se ka kɛ ninnu ye:

• Dimimadafura, misali la AINE (Fura minnu tɛ stɛroyi ye) minnu bɛ se ka san furakɛliso la.
• Kɔritikositɛri minnu bɛ ta da la .
• Aw kana bolokɔni kɛ kojugu, walima aw bɛ bolokɔni lamaga ni kamankun sabatilikɛlan ye.
• Kuran ni farikolojidɛsɛ furakɛli (TENS) ye kuran sɔgɔsɔgɔninjɛ furakɛli ye.
• Akupunkɔrɔ ( akupunkɔrɔ ) .

Dimi jugumanba waati bannen kɔfɛ, a ka ca a la dɔgɔtɔrɔ bɛna nin furakɛli ninnu fɔ:

• Farikoloɲɛnajɛ : Farikoloɲɛnajɛla bɛna aw kalan farikoloɲɛnajɛw la minnu bɛ aw senw kɔrɔta ani ka u fanga bonya walasa ka aw dɛmɛ ka farikolo ni kolotugudaw minɛ kokura.
• Dimimadafura minnu bɛ kɛ ɲɔgɔn fɛ : Olu ye furaw ye minnu bɛ kɛ kɛrɛnkɛrɛnnenya la ka farikolojidɛsɛ furakɛ. Misaliw ye gabapentin , karibamazepini ani amitiripitilini ye .

Ni bana jugumanba don, ni foyi wɛrɛ tɛ aw ka bana taamasiɲɛw lajɔ, dɔgɔtɔrɔ bɛ se ka opereli fɔ aw ye . o wale ninnu bɛ se ka kɛ nɛrɛmuguma walima sɔgɔsɔgɔninjɛ jiginni ye .

Yala o bɛ se ka bali ka kɛ wa?

Ikomi ɲininikɛlaw tɛ PTS sababu tigitigi dɔn hali bi, tiɲɛ na, foyi tɛ yen i bɛ se ka min kɛ walasa k’a bali. Nka, ikomi banakisɛ dɔw bɛ se ka a bila mɔgɔ la, ka to kɛnɛya la, o bɛ se ka dɔ bɔ a sɔrɔli la.

Nin bana in ɲɛfɔli ye mun ye?

PTS ka kɛnɛyako jateminɛ bɛ se ka kɛ fɛn wɛrɛ ye mɔgɔ ni mɔgɔ cɛ.Mɔgɔ dɔw bɛ PTS sɔrɔ siɲɛ kelen dɔrɔn, wa u bɛ kɛnɛya pewu ka bɔ yɔrɔ la min bananen don. Dɔ wɛrɛw fana bɛ se ka kɛ ni barikantanya ni dimi ye min bɛ to sen na. Mɔgɔ dɔw fana bɛ se ka PTS sɔrɔ ka tɛmɛ siɲɛ kelen kan (a seginni). Fɛn dɔw bɛ yen minnu bɛ se ka dɔ bɔ kɛnɛyako la :

• Dimi bɛ to kalo saba kɔnɔ, fasaw tɛ kɛnɛya.
• Ni PTS ye nɔ bila aw farikolo duguma/kɔnɔbara la .
• Ni a sababu ye ciyɛntabana ye , bana in seginni teli ka bon kosɛbɛ o ko suguw la.

Ka kɛɲɛ ni sɛgɛsɛgɛli dɔ ye, PTS banabagatɔ 89% minnu ye bana taamasiɲɛw furakɛli ni farikoloɲɛnajɛ furakɛli kɛ, olu kɛnɛyara san saba kɔnɔ. Olu la, 75% ɲɔgɔn kɛnɛyara san fila kɔnɔ, 36% kɛnɛyara san fɔlɔ kɔnɔ. Kɔsa in na, sɛgɛsɛgɛliw y’a jira ko mɔgɔ caman bɛ se ka to ka dimi ni baarakɛcogo gɛlɛya dɔw sɔrɔ. Nka, fanga seginni dafalen bɛ se ka kɛ , hali ni a bɛ se ka san 8 kɛ.

Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la?

A nafa ka bon kosɛbɛ ka Parsonage-Turner ka bana sɛgɛsɛgɛ joona ani ka ɲɛ . Ni dimi bɛ aw la, kɛrɛnkɛrɛnnenya la ni a barika banna ka a juguya , aw ye aw jija ka taa dɔgɔtɔrɔso la.

Aw ka kan ka ɲininkali jumɛnw kɛ dɔgɔtɔrɔ la?

Ni aw b’a fɛ ka kunnafoni caman sɔrɔ nin bana in kan, aw bɛ se ka ɲininkaliw kɛ aw ka dɔgɔtɔrɔ la i n’a fɔ ninnu:

• Mun na Parsonage-Turner ka bana ye ne minɛ?
• Ne ka kan ka dɔgɔtɔrɔ kɛrɛnkɛrɛnnen sugu jumɛnw ye?
• Aw bɛ dimimadafura suguya jumɛnw fɔ?
• Ne ka kan ka n yɛrɛ ladon cogo di so kɔnɔ?
• E fɛ, ne bɛna kɛnɛya joona cogo di?
• Aw bɛ furakɛli sugu jumɛn fɔ?
• Ne bɛ se k’a dɔn cogo di ni nin PTS bana in bɛ ka ɲɛ walima ni a bɛ ka juguya?

A laban na, fɛn minnu ka kan ka to an hakili la (Take-Home Message) .

Dimi barikama, jugumanba bɛ se ka kɛ siranfɛn ye. O ye i farikolo ka cogo ye k'a fɔ i ye ko "Fɛn dɔ ma ɲɛ." O de kama a nafa ka bon ka taa dɔgɔtɔrɔso la joona. Furakɛli caman bɛ yen minnu bɛ se ka dɛmɛ don ka Parsonage-Turner syndrome (PTS) taamasiɲɛw kunbɛn ani ka se ka aw ka kɛnɛya teliya. Ni ɲininkali dɔw bɛ aw fɛ PTS ko la, aw kana siran ka dɔgɔtɔrɔ ɲininka. U bɛ yen ka i dɛmɛ. Aw ye aw hakili to a la ko aw kelen tɛ, mɔgɔ wɛrɛw bɛ nin ko in na, ani dɔgɔtɔrɔ dɔw bɛ yen minnu bɛ se ka dɛmɛ don .