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He aha maoli ka Parsonage-Turner Syndrome?
I ka ʻōlelo maʻalahi, ʻo ka Parsonage-Turner Syndrome , i kapa ʻia ʻo Brachial Neuritis , he ʻano ia e pili ana i ka ʻōnaehana nerve. ʻO ka mea e hana ʻia, ʻo ia ka loaʻa koke ʻana o kahi ʻeha nui , hiki ʻole ke noʻonoʻo ʻia ma kou poʻohiwi a me ka lima o luna. Hiki i kēia ʻeha ke mau no nā lā a i nā pule. ʻO ia ka manawa e hoʻomaka ai ka pilikia maoli. I ka emi ʻana o ka ʻeha, hoʻomaka ʻoe e manaʻo i ka nāwaliwali a i ʻole ka mae ʻana i nā ʻiʻo o kou poʻohiwi, lima, lima mua, a i ʻole nā manamana lima. Hiki i kēia nāwaliwali ke mau no nā mahina. E noʻonoʻo e pili ana iā ia, aia kahi pūnaewele o nā aʻalolo e holo ana mai ka iwi kuamoʻo ma kou ʻāʻī, ma o kou ʻāʻī, ma o kou mau armpits, a i lalo o kou mau lima. ʻO ia ka mea a mākou e kapa nei ʻo ka brachial plexus . Ua like ia me kahi ʻōnaehana o nā uea uila. ʻO ka Parsonage-Turner syndrome kahi ʻano i hōʻino ʻia ai ka brachial plexus. Hoʻopilikia kūikawā ia i nā aʻalolo motor e kāohi ana i ka neʻe ʻana a me kā lākou axons . ʻO kēia ke kumu o ka nāwaliwali o nā ʻiʻo. He ʻano laha ʻole ka PTS. ʻO ia ke kumu e huikau ai nā kauka i kekahi manawa me ka radiculopathy cervical , kahi kūlana e hoʻoulu ai i ke kaomi ʻana o ke aʻalolo i ka ʻāʻī, a i ʻole ka spondylosis cervical , he kūlana maʻamau loa ia. Ua like loa nā hōʻailona. Ua kapa ʻia ʻo Parsonage-Turner ma hope o ʻelua mau neurologists Pelekane, ʻo Maurice Parsonage lāua ʻo John Turner, nāna i wehewehe mua i ke kūlana i ka makahiki 1948. Ua kapa ʻia kēia e kekahi mau inoa ʻē aʻe:- ʻO ka neuritis brachial
- ʻO ka neuritis o ka plexus brachial
- ʻO ka neuropathy plexus brachial
- ʻO ka neuropathy brachial plexus idiopathic
- ʻAmyotrophy neuralgic
He aha nā pae o kēia maʻi?
ʻEkolu mau pae nui o ka maʻi Parsonage-Turner. E nānā kākou i ko lākou ʻano. 1. Pae mua (pae ʻeha koʻikoʻi):He ʻeha koke kēia, he ʻeha nui loa i hiki ʻole ke noʻonoʻo ʻia . ʻO ka hapa pinepine, hoʻopilikia ia i kekahi poʻohiwi. Hiki i kēia ʻeha ke mau mai kekahi mau lā a i kekahi mau pule. Ua ʻōlelo nui ʻia ʻo ka lōʻihi o kēia wā ʻeha, ʻo ka lōʻihi o ka manawa e ho'ōla ai. 2. Ka lua o ka pae: Ma hope o ka emi mālie ʻana o ka ʻeha, e hoʻomaka ʻoe e manaʻo i ka nāwaliwali o kou mau ʻiʻo. ʻOi loa aku nā ʻiʻo a puni kou poʻohiwi a me kou lima e lilo i nāwaliwali. I kekahi manawa hiki i kēia ke alakaʻi i ka nalo ʻana o nā ʻiʻo, a i ʻole ka atrophy . ʻO kēia ka lua o ka pae maʻamau e mau ana ma waena o 6 a me 18 mau mahina. Akā no kekahi poʻe hiki ke lōʻihi aʻe. 3. Ka lua o ka pae: Ma hope o kekahi manawa, hoʻi hou kou mau ʻiʻo i ka ikaika a hoʻomaka e hana maʻamau. ʻO kēia ka pae ho'ōla.
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Check Availability →Pehea ka maʻamau o kēia ʻano?
ʻO ka ʻoiaʻiʻo, he maʻi laha ʻole ka maʻi Parsonage-Turner (brachial neuritis). Ua ʻōlelo ʻia he ʻekolu wale nō kānaka mai loko mai o hoʻokahi haneli tausani e loaʻa i kēia maʻi i kēlā me kēia makahiki. Hiki iā ia ke ulu i loko o kekahi o kēlā me kēia makahiki. Eia nō naʻe, ʻike ʻia e ulu iki aʻe i loko o nā kāne . ʻO ka awelika o ka makahiki o ka hoʻomaka ʻana o kēia maʻi ma kahi o 41 mau makahiki.He aha nā hōʻailona o ka Parsonage-Turner syndrome?
ʻO nā hōʻailona nui ʻelua o kēia ʻano, ʻo ia ka ʻeha koke a me ka nāwaliwali o nā ʻiʻo ma hope . Hiki i kēia mau mea ke hoʻopilikia i kēia mau wahi o kou:- Poʻohiwi
- Lima luna (ʻaoʻao o luna o ka lima)
- Lae (ʻāpana waena o ka lima)
- Lima a me nā manamana lima)
- Ma ka lima i hoʻopilikia ʻiaNā pilikia me nā reflexes.
- Nā manaʻo ʻē ma ka lima, i ʻike ʻia ʻo paresthesia , a i ʻole ka numbness. Hiki i kēia ke manaʻo e like me ka ʻoni ʻana, ka ʻū ʻana, a i ʻole ke kuni ʻana.
- Ka hemo hapa ʻana o ka poʻohiwi .
- Ka laulā maʻamau o ka neʻe ʻana o nā hono i hoʻopilikia ʻia.
- ʻO ke ʻano i kapa ʻia ʻo winged scapula (kahi e puka ai ka lau poʻohiwi i hope, e like me ka ʻēheu).
- Ka pōkole ʻana o nā ʻiʻo a i ʻole nā ʻoʻo ma ka lima i hoʻopilikia ʻia.
- Nā lima ʻulaʻula, poni, a ʻeleʻele paha ma muli o ka emi ʻana o ke kahe koko .
- Ka pehu ʻana o nā lima .
- Paʻakikī ka hanu ʻana (dyspnea) . He mea kākaʻikahi loa kēia.
No ke aha e kū ai ka maʻi Parsonage-Turner?
ʻO kaʻoiaʻiʻo, ʻaʻole ʻike nā kānaka noiʻi i ke kumu pololei o ka maʻi Parsonage-Turner. Manaʻo lākou ʻo kahi hopena maʻamau ʻole o ka ʻōnaehana pale o ko mākou kino, i kapa ʻia he pane pale, ke kumu nui. Aia ʻelua mau manaʻo e pili ana i kēia. 1. Hoʻopilikia pololei kahi maʻi viral, bacteria, a parasitic paha i kāu brachial plexus, e hana ana i nā hōʻailona. 2. Ke hakakā kāu ʻōnaehana pale i kēia mau bacteria, virus, a i ʻole antigens , hōʻino ia i kāu brachial plexus ma ke ʻano he hopena ʻaoʻao. ʻO ka hapa pinepine, ʻo ke kumu nui o kēia kūlana he maʻi viral hou. Ua ʻike ʻia nā maʻi viral ma lalo nei ʻo ia ka mea i pili loa:- ʻO ka maʻi Coxsackie B: Hiki i kēia ke hana i kekahi mau kūlana, me ka pneumonia , ka maʻi gastrointestinal, myocarditis (ka mumū o ka ʻiʻo puʻuwai), aseptic meningitis (kahi ʻano maʻi lolo), encephalitis (ka mumū o ka lolo), a me ka hepatitis viral (ka mumū o ke akepaʻa).
- HIV (Human Immunodeficiency Virus) .
- ʻO ka maʻi ʻelima (parvovirus B19) .
- Nā ʻūpā .
- ʻO ka maʻi puʻupuʻu (variola nui a me ka variola liʻiliʻi) .
He aha nā kumu pilikia e kōkua ai i kēia kūlana?
Manaʻo nā kānaka noiʻi e hiki i kekahi mau kūlana olakino a me nā kūlana ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i ka maʻi Parsonage-Turner. Eia kekahi o lākou:- ʻO ke ʻoki kino a me/a i ʻole ka anesthesia i hala koke iho nei.
- ʻO nā maʻi pili pili, no ka laʻana, nā kūlana e like me ka Ehlers-Danlos syndrome .
- Nā maʻi autoimmune, e like me lupus (systemic lupus erythematosus - SLE) , temporal arteritis , a me polyarteritis nodosa .
- He ʻeha poʻohiwi koʻikoʻi .
- Hoʻoikaika kino ikaika e hoʻoluhi ai i nā poʻohiwi.
- Ke loaʻa ʻana o nā lāʻau pale/immunizations (he mea kākaʻikahi loa kēia, akā ua loaʻa kekahi mau hōʻike).
- Ka hāpai ʻana a me ka hānau ʻana .
- Ke loaʻa nei i ka radiation therapy .
- ʻO ke kī ʻana o ka lumbar (spinal tap) , ʻo ia hoʻi ka lawe ʻana i ke wai mai ka iwi kuamoʻo.
- Ke hoʻokomo ʻana i ka dye ʻokoʻa no kahi hoʻāʻo kiʻi.
Pehea e ʻike ʻia ai ka maʻi Parsonage-Turner?
Ke ʻike ʻoe i ke kauka, e nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila e hana lākou i kahi hoʻokolokolo kino. E nānā lākou i ka ikaika, nā reflexes, a me ke ʻano o nā ʻiʻo o kou lima. Hiki ke kuhikuhi ʻia ʻoe i kahi neurologist . Inā manaʻo kāu kauka he Parsonage-Turner syndrome kou, hiki iā lākou ke paipai i kahi hoʻokolohua EMG (electromyography) . Hoʻohana ʻia kēia e loiloi i ke olakino a me ka hana o kou mau ʻiʻo iwi a me nā aʻalolo e kāohi ana iā lākou. Eia kekahi, hiki ke hana ʻia nā hoʻokolohua kiʻi e hiki mai ana e hōʻoia i ka hōʻailona a i ʻole e kāpae i nā kūlana ʻē aʻe:- ʻO ke kiʻi MRI (magnetic resonance imaging) .
- Hoʻāʻo ultrasound o ke aʻalolo .
- ʻO ke kiʻi CT (computered tomography) .
He aha nā lāʻau lapaʻau no kēia?
ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau kūikawā no ka PTS. ʻO ka hapa nui o ka manawa, e nalo wale ia i ka hala ʻana o ka manawa. Eia nō naʻe, he mea nui e ʻike mua i ke kūlana.Inā hoʻomaka ʻoe i ka lāʻau lapaʻau e kōkua ai i ka kaohi ʻana i kāu mau hōʻailona, hiki ke hoʻomaikaʻi nui ʻia kāu prognosis. E paipai kāu kauka i nā ʻano lāʻau lapaʻau like ʻole e kōkua i ka hoʻokele ʻana i kāu mau hōʻailona. Hiki ke kuhikuhi ʻia ʻoe i kahi hui o nā loea e hoʻomohala i kahi hoʻolālā lapaʻau. Hiki i kēia hui ke komo pū me:- Nā kauka mālama mua (PCP)
- Nā kauka orthopedist
- Nā kauka lolo
- Nā loea maʻi neuromuscular
- Nā mea hoʻōla kino
- ʻO nā lāʻau hoʻopau ʻeha, no ka laʻana NSAID (nā lāʻau anti-inflammatory non-steroidal) hiki ke kūʻai ʻia ma ka hale kūʻai lāʻau lapaʻau.
- Nā corticosteroids waha .
- E hōʻalo i ka hoʻohana nui ʻana i ka lima, a i ʻole e hoʻopaʻa i ka lima me ka hoʻohana ʻana i kahi mea hoʻopaʻa poʻohiwi.
- ʻO ka hoʻoulu ʻana o ke aʻalolo uila Transcutaneous (TENS) kahi lāʻau lapaʻau e hoʻoulu ai i nā aʻalolo uila.
- ʻAkipikipi .
- Hoʻōla kino: E aʻo aku kekahi mea hoʻōla kino iā ʻoe i nā hoʻomaʻamaʻa hoʻolōʻihi a me ka hoʻoikaika ʻana e kōkua iā ʻoe e hoʻihoʻi i ka mana o nā ʻiʻo a me nā hono i hoʻopilikia ʻia.
- Co-analgesics: ʻO kēia nā lāʻau lapaʻau i hoʻohana kūikawā ʻia e mālama i ka ʻeha o ke aʻalolo. ʻO nā laʻana e komo pū me ka gabapentin , carbamazepine, a me ka amitriptyline .
Hiki ke pale ʻia kēia mai ka hana ʻana?
ʻOiai ʻaʻole ʻike nā kānaka noiʻi i ke kumu pololei o PTS, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku ai. Eia nō naʻe, ʻoiai hiki i kekahi mau maʻi ke hoʻoulu iā ia, ʻo ka noho olakino e like me ka hiki ke kōkua i ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana.He aha ka wānana no kēia kūlana?
Hiki ke ʻokoʻa ke ʻano o ka hoʻōla ʻana mai ka PTS mai ke kanaka a ke kanaka.Hoʻokahi wale nō ka ʻike ʻana o kekahi poʻe i ka PTS a hoʻōla piha mai ka wahi i hoʻopilikia ʻia. Hiki i kekahi poʻe ke loaʻa ka nāwaliwali a me ka ʻeha mau. Hiki i kekahi poʻe ke ʻike i ka PTS ma mua o hoʻokahi manawa (recurrence). Aia kekahi mau mea e hōʻemi ai i ka hiki ke hoʻōla :- Ke mau nei ka ʻeha no ʻekolu mahina a ʻaʻole hoʻi e ola hou nā ʻiʻo.
- Inā ua hoʻopilikia ka PTS i kou kino/ʻōpū haʻahaʻa .
- Inā he maʻi hoʻoilina ke kumu, kiʻekiʻe loa ke ʻano o ka hoʻi hou ʻana o ka maʻi i ia mau hihia.
Āhea wau e ʻike ai i ke kauka?
He mea nui loa ka ʻike mua ʻana i ka maʻi Parsonage-Turner a me ka pololei . Inā loaʻa iā ʻoe ka ʻeha, ʻoiai inā koke a koʻikoʻi , e ʻike pono i ke kauka.He aha nā nīnau āu e nīnau ai i ke kauka?
Inā makemake ʻoe e ʻike hou aʻe e pili ana i kēia maʻi, hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau e like me kēia:- No ke aha i loaʻa ai iaʻu ka maʻi Parsonage-Turner?
- He aha ke ʻano o nā loea e pono iaʻu e ʻike?
- He aha ke ʻano o nā lāʻau ʻeha hōʻeha āu e ʻōlelo nei?
- Pehea lā wau e mālama ai iaʻu iho ma ka home?
- Pehea kou manaʻo e wikiwiki ai koʻu ola ʻana?
- He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
- Pehea e ʻike ai au inā e hoʻomaikaʻi a ʻino aʻe paha kēia kūlana PTS?
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
Hiki i ka ʻeha koke a koʻikoʻi ke lilo i mea weliweli. ʻO ke ʻano ia o kou kino e haʻi aku ai iā ʻoe, "Ua hewa kekahi mea." ʻO ia ke kumu he mea nui e ʻike koke i ke kauka. Nui nā lāʻau lapaʻau e hiki ke kōkua i ka hoʻokele ʻana i nā hōʻailona o ka Parsonage-Turner syndrome (PTS) a hiki ke wikiwiki i kou hoʻōla ʻana. Inā he mau nīnau kāu e pili ana i ka PTS, mai makaʻu e nīnau i kāu kauka. Aia lākou ma laila e kōkua iā ʻoe. E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi, aia kekahi poʻe ʻē aʻe e hele nei i kēia, a aia nā kauka e hiki ke kōkua .
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