Koj puas muaj mob xub pwg thiab mob caj npab tam sim ntawd? Qhov no yuav yog Parsonage-Turner Syndrome

Koj puas tau muaj mob hnyav heev hauv koj lub xub pwg? Tom qab ob peb hnub, tej zaum ob peb lub lis piam, qhov mob ploj mus me ntsis, tab sis tom qab ntawd koj txhais caj npab xav tias loog thiab tsis muaj zog? Tom qab ntawd peb yuav tham txog qee yam uas yuav tseem ceeb rau koj. Qhov no yog ib qho mob tsis tshua muaj uas ua rau ntau tus neeg ntshai. Peb hu nws ua Parsonage-Turner Syndrome. Hnub no, peb yuav tham txog nws hauv txoj kev yooj yim uas koj tuaj yeem nkag siab.

Hais yooj yim xwb, Parsonage-Turner Syndrome (PTS) yog dab tsi?

Parsonage-Turner Syndrome (PTS), kuj qee zaum hu ua "brachial neuritis", yog ib qho mob uas cuam tshuam rau lub paj hlwb. Nws yog tus yam ntxwv los ntawm kev mob sai sai, hnyav ntawm koj lub xub pwg nyom thiab sab caj npab sab saud uas zoo li tshwm sim sai sai thiab tsis muaj laj thawj pom tseeb. Qhov mob no tuaj yeem kav ntev li ntau hnub mus rau ntau lub lis piam. Tom qab ntawd lwm yam teeb meem pib. Thaum qhov mob ploj mus, cov leeg ntawm koj lub xub pwg nyom, caj npab, caj npab, lossis tes pib qaug zog. Qhov tsis muaj zog no tuaj yeem kav ntev li ntau lub hlis, lossis txawm tias ntau xyoo.

Xav txog tias peb muaj ib lub network ntawm cov hlab ntsha uas khiav ntawm peb lub caj dab los ntawm peb lub qhov tso quav mus rau peb txhais tes. Ib yam li lub switchboard tseem ceeb hauv peb lub tsev muaj cov xov hlau khiav mus rau txhua chav, lub network ntawm cov hlab ntsha no kuj xa cov cim mus rau txhua qhov ntawm peb txhais tes. Peb hu lub network ntawm cov hlab ntsha no ua '(brachial plexus)'. Hauv Parsonage-Turner Syndrome, lub network '(brachial plexus)' ntawm cov hlab ntsha no raug puas tsuaj. Tshwj xeeb tshaj yog cov hlab ntsha uas tswj kev txav mus los raug puas tsuaj tshaj plaws. Yog vim li cas, tom qab qhov mob, muaj kev xav ntawm loog thiab tsis muaj zog hauv caj npab.

Vim tias qhov mob no tsis tshua muaj, cov kws kho mob qee zaum yuav tsis meej pem nrog lwm yam mob uas tshwm sim. Piv txwv li, nws tuaj yeem kuaj mob tsis raug raws li cervical radiculopathy lossis cervical spondylosis, vim tias cov tsos mob zoo sib xws.

Muaj peb theem ntawm tus kab mob no.

Feem ntau tus mob no yuav tshwm sim ua peb theem. Tsis yog txhua tus neeg yuav muaj tus mob no, tab sis qhov no yog tus qauv uas feem ntau cov neeg pom.

Theem 1: Theem Mob Hnyav

Nov yog theem thawj zaug. Tam sim ntawd, mob hnyav pib, feem ntau yog mob rau ib sab xub pwg. Qhov mob no tuaj yeem kav ntev li ob peb hnub mus txog ob peb lub lis piam. Feem ntau hais tias lub sijhawm mob no ntev npaum li cas, nws yuav siv sijhawm ntev npaum li ntawd kom rov zoo.

Theem 2: Cov leeg tsis muaj zog

Tom qab qhov mob maj mam ploj mus, theem ob yuav pib. Qhov no yog qhov uas cov leeg nqaij ntawm lub xub pwg nyom thiab caj npab pib qaug zog. Nws ua rau nyuaj rau tsa caj npab lossis tsa cov khoom hnyav. Raws li lub sijhawm dhau mus, cov leeg nqaij yuav lwj vim tsis siv. Theem no tuaj yeem kav ntev li rau txog 18 lub hlis, qee zaum ntev dua.

Theem 3: Kev Rov Zoo

Nov yog theem rov zoo. Tom qab ib pliag, koj cov leeg yuav maj mam rov qab muaj zog. Koj txhais tes yuav maj mam rov qab ua haujlwm li qub.

Tus mob no feem ntau tshwm sim li cas?

Kab mob Parsonage-Turner yog ib yam mob uas tsis tshua muaj . Raws li cov ntaub ntawv txheeb cais, tsuas muaj li peb tus neeg ntawm txhua ib puas txhiab tus neeg muaj tus kab mob no txhua xyoo. Yog li ntawd, tsis tas yuav txhawj txog nws txhua zaus koj lub xub pwg mob.

Txawm hais tias nws tuaj yeem tshwm sim rau txhua lub hnub nyoog, nws yog qhov tshwm sim ntau dua rau cov txiv neej . Nws feem ntau pom muaj nyob ib puag ncig hnub nyoog 40-45.

Cov tsos mob yog dab tsi tiag?

Ob qho tsos mob tseem ceeb yog mob sai sai thiab hnyav ua raws li cov leeg nqaij tsis muaj zog. Cov tsos mob no tuaj yeem cuam tshuam rau txhua qhov chaw ntawm koj lub xub pwg nyom, caj npab sab saud, caj npab, lossis tes.

Cia peb saib seb cov tsos mob feem ntau tshwm sim li cas.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas qhov no thiaj tshwm sim?

Yog hais qhov tseeb, cov kws tshawb fawb tseem tsis tau paub qhov ua rau qhov no tshwm sim . Tab sis lub tswv yim tseem ceeb yog tias nws yog los ntawm kev tiv thaiv kab mob tsis zoo hauv peb lub cev.

Hais yooj yim xwb, thaum ib yam kab mob, xws li tus kab mob lossis cov kab mob me me, nkag mus rau hauv peb lub cev, peb lub cev tiv thaiv kab mob yuav tawm tsam nws. Tab sis qee zaum, thaum lub sijhawm sib ntaus sib tua no, peb lub cev tiv thaiv kab mob ua yuam kev thiab hloov chaw tawm tsam ib feem ntawm peb lub cev noj qab haus huv, uas yog lub paj hlwb "brachial plexus". Thaum ntawd cov paj hlwb no raug puas tsuaj thiab cov tsos mob tshwm sim.

Feem ntau, qhov mob no yog ua ntej muaj kev kis tus kab mob tshiab. Piv txwv li:

• Kab mob Coxsackie B
• HIV (Tus kab mob tiv thaiv kab mob ntawm tib neeg)
• Kab mob thib tsib (parvovirus B19)
• Kab mob qog

Tiamsis qee zaum nws tuaj yeem tshwm sim yam tsis muaj laj thawj pom tseeb. Tsis tshua muaj, nws kuj tuaj yeem tshwm sim los ntawm ib qho mob caj ces hu ua hereditary neuralgic amyotrophy.

Cov yam uas ua rau muaj kev pheej hmoo ntawm tus mob no

Tau pom tias qee yam xwm txheej lossis mob nkeeg yuav ua rau muaj kev pheej hmoo ntawm kev mob Parsonage-Turner Syndrome me ntsis.

• Kev phais mob tsis ntev los no lossis kev siv tshuaj loog
• Cov kab mob ntawm cov nqaij sib txuas - piv txwv li Ehlers-Danlos syndrome
• Cov mob autoimmune - piv txwv li lupus
• Muaj xwm txheej rau lub xub pwg nyom
• Cov kev tawm dag zog uas ua rau lub xub pwg nyom ntau
• Qee hom tshuaj tiv thaiv kab mob
• Cev xeeb tub thiab yug menyuam
• Kev kho mob hluav taws xob
• Kev kuaj mob ntawm lub duav

Tus kws kho mob nrhiav tau qhov no li cas?

Yog koj muaj cov tsos mob no, koj yuav tsum mus ntsib koj tus kws kho mob ua ntej. Nws yuav nug koj txog koj cov tsos mob thiab koj keeb kwm kev kho mob. Tom qab ntawd, lawv yuav kuaj koj lub cev kom paub koj cov leeg tes, kev xav, thiab kev xav rov qab. Lawv yuav xa koj mus rau tus kws kho mob hlwb, tus kws kho mob uas tshwj xeeb hauv cov teeb meem ntawm cov hlab ntsha.

Yuav kom paub tseeb tias qhov no puas yog Parsonage-Turner Syndrome, koj tus kws kho mob yuav pom zoo kom ua qhov kev kuaj tshwj xeeb hu ua electromyography (EMG).

Tsis tas li ntawd xwb, tej kev kuaj duab xws li cov no yuav raug ua los txiav txim seb puas muaj lwm yam mob thiab paub meej tias muaj mob dab tsi:

• Kev kuaj mob MRI (Magnetic Resonance Imaging)
• Kev kuaj mob ultrasound ntawm cov hlab ntsha
• Ib daim duab CT (Computed Tomography)

Puas muaj kev kho mob? Yuav ua li cas tau?

Tseem tsis tau muaj kev kho mob lossis kev kho kom zoo rau qhov no. Qhov zoo tshaj plaws yog tias qhov mob no feem ntau yuav ploj mus raws sijhawm. Txawm li cas los xij, kev kuaj mob thaum ntxov thiab kev kho mob txhawb nqa kom tswj tau cov tsos mob tuaj yeem ua rau cov txheej txheem kho sai dua thiab ua tiav cov txiaj ntsig zoo dua.

Koj tus kws kho mob yuav pom zoo ntau yam kev kho mob los tswj koj cov tsos mob.

Thaum lub sijhawm mob hnyav

• Cov Tshuaj Tua Kab Mob: Cov khoom zoo li cov tshuaj tua kab mob uas feem ntau siv (NSAIDs).
• Cov Tshuaj Corticosteroids Hauv Qhov Ncauj: Ib hom tshuaj uas muab los tswj kev o ntawm cov hlab ntsha thiab kev ua haujlwm ntawm lub cev tiv thaiv kab mob.
• Kev Tiv Thaiv Tes: Muab koj txhais caj npab so, tej zaum siv ib yam dab tsi zoo li lub xub pwg stabilizer.
• TENS (Transcutaneous Electrical Nerve Stimulation): Ib txoj kev tswj qhov mob los ntawm kev xa cov teeb liab hluav taws xob me me los ntawm daim tawv nqaij.
• Kev siv koob txhaj tshuaj: Qee tus neeg kuj pom tias qhov no yuav pab tau rau kev txo qhov mob.

Tom qab qhov mob ploj mus

• Kev Kho Mob Lub Cev: Qhov no tseem ceeb heev . Tus kws kho mob lub cev yuav qhia koj cov kev tawm dag zog thiab kev ncab koj lub cev kom pab txhawb cov leeg nqaij uas puas lawm, tiv thaiv cov pob qij txha kom tsis txhob nruj, thiab rov qab ua haujlwm tau zoo hauv koj txhais tes.
• Cov tshuaj tshwj xeeb rau mob hlab ntsha: Qee tus neeg yuav muaj mob zoo ib yam li mob hlab ntsha o, txawm tias qhov mob tau ploj mus lawm los xij. Hauv cov xwm txheej zoo li no, koj tus kws kho mob yuav sau ntawv kom noj cov tshuaj tshwj xeeb xws li gabapentin, carbamazepine, lossis amitriptyline.

Hauv cov mob hnyav heev, thaum tsis muaj lwm yam kev kho mob zoo, yuav xav txog kev phais (txiav cov hlab ntsha lossis hloov cov leeg). Txawm li cas los xij, qhov no tsis tshua muaj.

Yav tom ntej yuav zoo li cas nrog qhov xwm txheej no? (Kev kwv yees)

Tus mob no yuav tshwm sim li cas los ntawm ib tus neeg mus rau ib tus neeg. Rau qee tus neeg, nws tsuas tshwm sim ib zaug xwb hauv lawv lub neej thiab lawv rov zoo tag nrho. Rau lwm tus, lawv yuav tseem muaj qee qhov qaug zog lossis mob. Rau qee tus neeg me me, nws tuaj yeem rov tshwm sim dua.

Raws li kev tshawb fawb, kwv yees li 89% ntawm cov neeg uas tswj tau lawv cov tsos mob thiab tau txais kev kho mob lub cev kom zoo yuav zoo tag nrho hauv peb xyoos. Ntawm cov neeg ntawd, 75% yuav zoo li qub hauv ob xyoos, thiab 36% yuav zoo li qub hauv thawj xyoo.