Parsonage-Turner Syndrome yog dab tsi? Koj puas muaj mob tam sim ntawd ntawm koj lub xub pwg thiab loog ntawm koj txhais caj npab?

Koj puas tau sawv thaum sawv ntxov, lossis thaum twg los tau ntawm ib hnub, thiab cia li hnov ​​mob heev rau ntawm koj lub xub pwg, nrog rau qhov tsis muaj zog thiab tsis muaj zog ntawm koj txhais caj npab? Qhov no tej zaum yuav tau tshwm sim rau ob peb hnub lossis ob peb lub lis piam, thiab tom qab ntawd koj cov leeg nqaij maj mam pib qaug zog. Yog tias koj tau muaj kev paub zoo sib xws, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog tus mob no hu ua Parsonage-Turner Syndrome, uas peb yuav tham txog hnub no.

Parsonage-Turner Syndrome yog dab tsi tiag?

Hais yooj yim xwb, Parsonage-Turner Syndrome , qee zaum hu ua Brachial Neuritis , yog ib qho mob uas cuam tshuam rau lub paj hlwb. Qhov tshwm sim yog tias koj cia li hnov ​​​​​​mob sai sai, tsis xav txog, mob hnyav hauv koj lub xub pwg nyom thiab sab caj npab sab saud. Qhov mob no tuaj yeem kav ntev li ntau hnub mus rau ntau lub lis piam. Thaum ntawd qhov teeb meem tiag tiag pib. Thaum qhov mob ploj mus, koj pib hnov ​​​​​​qhov tsis muaj zog lossis loog hauv cov leeg ntawm koj lub xub pwg nyom, caj npab, caj npab, lossis cov ntiv tes. Qhov tsis muaj zog no tuaj yeem kav ntev li ntau lub hlis. Xav txog nws, muaj ib lub network ntawm cov hlab ntsha uas khiav los ntawm tus txha nqaj qaum hauv koj lub caj dab, los ntawm koj lub caj dab, los ntawm koj lub caj dab, thiab nqis koj txhais tes. Qhov ntawd yog qhov peb hu ua brachial plexus . Nws zoo li ib lub kaw lus ntawm cov xov hluav taws xob. Parsonage-Turner syndrome yog ib qho mob uas brachial plexus raug puas tsuaj. Nws cuam tshuam rau cov hlab ntsha uas tswj kev txav mus los thiab lawv cov axons . Qhov no yog qhov ua rau cov leeg tsis muaj zog. PTS yog ib qho mob tsis tshua muaj . Yog vim li ntawd cov kws kho mob qee zaum thiaj li tsis nkag siab tias nws yog mob caj dab cervical radiculopathy , uas yog ib yam mob uas ua rau cov hlab ntsha hauv caj dab raug nias, lossis mob caj dab cervical spondylosis , uas yog ib yam mob uas pom ntau heev. Cov tsos mob zoo sib xws heev. Nws lub npe hu ua Parsonage-Turner tom qab ob tug kws kho mob hlwb Askiv, Maurice Parsonage thiab John Turner, uas tau piav qhia thawj zaug txog tus mob no hauv xyoo 1948. Qhov no raug hu los ntawm ntau lub npe ntxiv:

• Mob hlwb brachial
• Mob hlwb brachial plexus
• Kev kho mob ntawm cov hlab ntsha brachial plexus
• Idiopathic brachial plexus neuropathy
• Kev puas tsuaj ntawm cov hlab ntsha hauv lub hlwb (neuralgic amyotrophy)

Cov theem ntawm tus mob no yog dab tsi?

Feem ntau muaj peb theem tseem ceeb ntawm Parsonage-Turner syndrome. Cia peb saib seb lawv yog dab tsi. 1. Theem ib (theem mob hnyav):Qhov no yog ib qho mob sai sai, mob hnyav heev uas tsis xav txog . Feem ntau, nws cuam tshuam rau ib sab xub pwg. Qhov mob no tuaj yeem kav ntev li ob peb hnub mus rau ob peb lub lis piam. Feem ntau hais tias qhov mob no ntev npaum li cas, nws yuav siv sijhawm ntev dua los kho. 2. Theem Ob: Tom qab qhov mob maj mam ploj mus, koj yuav pib hnov ​​​​​​qhov tsis muaj zog hauv koj cov leeg. Tshwj xeeb tshaj yog cov leeg nyob ib puag ncig koj lub xub pwg thiab caj npab yuav tsis muaj zog. Qhov no qee zaum tuaj yeem ua rau cov leeg nqaij poob, lossis atrophy . Theem ob no feem ntau kav ntev li ntawm 6 thiab 18 lub hlis. Tab sis rau qee tus neeg nws tuaj yeem kav ntev dua. 3. Theem Peb: Tom qab ib ntus, koj cov leeg rov qab muaj zog thiab pib ua haujlwm li qub. Qhov no yog theem kho.

Tus mob no feem ntau tshwm sim li cas?

Qhov tseeb, Parsonage-Turner syndrome (brachial neuritis) yog ib qho mob tsis tshua muaj . Lawv hais tias tsuas muaj li peb tus neeg ntawm ib puas txhiab tus neeg muaj tus kab mob no txhua xyoo. Nws tuaj yeem tshwm sim rau txhua tus neeg txawm tias muaj hnub nyoog li cas los xij. Txawm li cas los xij, nws pom tias nws tshwm sim ntau dua me ntsis rau cov txiv neej . Lub hnub nyoog nruab nrab ntawm kev pib mob no yog li 41 xyoo.

Cov tsos mob ntawm Parsonage-Turner syndrome yog dab tsi?

Ob qho tsos mob tseem ceeb ntawm tus mob no yog mob tam sim ntawd thiab tom qab ntawd cov leeg nqaij tsis muaj zog . Cov no tuaj yeem cuam tshuam rau cov cheeb tsam no ntawm koj:

• Lub xub pwg nyom
• Sab caj npab sab saud (sab tes sab saud)
• Hauv pliaj (nruab nrab ntawm tes)
• Tes (tes thiab ntiv tes)

Feem ntau, kwv yees li 80% ntawm lub sijhawm, nws tsuas yog cuam tshuam rau ib sab caj npab (ib sab xwb). Feem ntau nws cuam tshuam rau sab caj npab/sab uas koj siv ntau tshaj plaws. Tab sis kwv yees li 20% ntawm cov neeg mob, nws tuaj yeem cuam tshuam rau ob sab caj npab (ob sab). Tsis tshua muaj, nws cuam tshuam rau lub cev qis thiab ceg. Feem ntau ntawm lub sijhawm, qhov mob tshwm sim sai sai. Nws zoo li mob ntse, tsis tuaj yeem ua tau , tshwj xeeb tshaj yog thaum hmo ntuj. Qhov mob hnyav no tuaj yeem kav ntev li ob peb teev mus rau plaub lub lis piam. Tom qab qhov mob ploj mus, cov leeg nqaij hauv koj sab caj npab uas raug mob pib qaug zog. Koj yuav xav tias cov leeg nqaij tsis muaj zog hauv koj lub xub pwg lossis sab caj npab sab saud. Tab sis nws kuj tuaj yeem cuam tshuam rau koj sab caj npab thiab tes. Qee zaum, qhov tsis muaj zog tuaj yeem cuam tshuam rau cov leeg nqaij hauv koj lub hauv siab lossis diaphragm (cov leeg nqaij uas cais koj lub hauv siab ntawm koj lub plab). Thaum cov leeg nqaij tsis muaj zog, dhau sijhawm, cov leeg nqaij atrophies. Qhov hnyav ntawm cov tsos mob no tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg. Qhov no yog vim tias cov hlab ntsha cuam tshuam los ntawm PTS sib txawv ntawm ib tus neeg mus rau ib tus neeg. Lwm cov tsos mob yuav suav nrog:

• Hauv tes uas raug mobTeeb meem nrog cov reflexes.
• Muaj tej yam txawv txav hauv tes, hu ua paresthesia , lossis loog tes. Qhov no yuav zoo li khaus, khaus, lossis kub hnyiab.
• Ib nrab ntawm lub xub pwg dislocation .
• Kev txav mus los tsis zoo hauv cov pob qij txha uas raug mob.
• Ib qho mob hu ua winged scapula (uas lub xub pwg nyom tawm mus rau tom qab, zoo li tis).
• Ua kom cov leeg nqaij lossis cov leeg ntawm sab caj npab uas raug mob luv dua.
• Tes liab, ntshav liab, lossis muaj pob vim yog cov ntshav tsis ncig zoo.
• Tes o .
• Ua pa nyuaj (ua tsis taus pa) . Qhov no tsis tshua muaj.

Vim li cas Parsonage-Turner syndrome thiaj tshwm sim?

Qhov tseeb, cov kws tshawb fawb tseem tsis tau paub qhov ua rau muaj tus kab mob Parsonage-Turner syndrome. Lawv xav tias qhov kev tiv thaiv tsis zoo ntawm peb lub cev tiv thaiv kab mob, hu ua kev tiv thaiv kab mob, yog qhov ua rau tseem ceeb. Muaj ob lub tswv yim txog qhov no. 1. Kev kis tus kab mob viral, bacterial, lossis parasitic cuam tshuam ncaj qha rau koj lub brachial plexus, ua rau muaj cov tsos mob. 2. Thaum koj lub cev tiv thaiv kab mob tawm tsam cov kab mob bacterial, viruses, lossis antigens no, nws ua rau koj lub brachial plexus puas tsuaj ua ib qho kev phiv. Feem ntau, qhov ua rau tseem ceeb ntawm tus mob no yog kev kis tus kab mob viral tsis ntev los no. Cov kab mob viral hauv qab no tau txheeb xyuas tias yuav muaj feem cuam tshuam:

• Tus kab mob Coxsackie B: Qhov no tuaj yeem ua rau muaj ntau yam mob, suav nrog mob ntsws , mob plab hnyuv, mob myocarditis (mob plawv), mob meningitis aseptic (ib hom kab mob hauv hlwb), mob encephalitis (mob hlwb), thiab mob siab viral (mob siab).
• HIV (Tus kab mob tiv thaiv kab mob ntawm tib neeg) .
• Kab mob thib tsib (parvovirus B19) .
• Kab mob qog .
• Kab mob qhua pias (variola loj thiab me) .

Qee zaum, cov kws kho mob tsis tuaj yeem nrhiav tau ib qho laj thawj tshwj xeeb. Tsis tshua muaj, Parsonage-Turner syndrome yog ib qho mob caj ces / mob uas tau txais los ntawm noob caj ces .Nws kuj tseem tuaj yeem tshwm sim los ntawm kev mob hlwb amyotrophy uas tau txais los ntawm noob caj noob ces.

Cov yam ua rau muaj tus mob no yog dab tsi?

Cov kws tshawb fawb ntseeg tias qee yam mob thiab tej yam xwm txheej yuav ua rau koj muaj feem yuav mob Parsonage-Turner syndrome ntau ntxiv. Nov yog qee yam ntawm lawv:

• Kev phais mob tsis ntev los no thiab/lossis kev siv tshuaj loog .
• Cov kab mob ntawm cov nqaij sib txuas, piv txwv li, cov mob xws li Ehlers-Danlos syndrome .
• Cov kab mob autoimmune, xws li lupus (systemic lupus erythematosus - SLE) , temporal arteritis , thiab polyarteritis nodosa .
• Kev raug mob ntawm lub xub pwg nyom .
• Kev tawm dag zog hnyav uas ua rau lub xub pwg nyom.
• Tau txais kev txhaj tshuaj tiv thaiv kab mob/kev txhaj tshuaj tiv thaiv kab mob (qhov no tsis tshua muaj, tab sis muaj qee cov lus ceeb toom).
• Cev xeeb tub thiab yug menyuam .
• Tau txais kev kho mob hluav taws xob .
• Kev xuas lub duav (txhaj koob txha caj qaum) , uas txhais tau tias haus dej ntawm tus txha caj qaum.
• Txhaj tshuaj xim sib txawv rau kev kuaj duab.

Yuav kuaj mob Parsonage-Turner syndrome li cas?

Thaum koj mus ntsib kws kho mob, lawv yuav nug koj txog koj cov tsos mob thiab keeb kwm kho mob. Tom qab ntawd lawv yuav kuaj lub cev. Lawv yuav kuaj xyuas lub zog, kev xav, thiab kev hnov ​​​​​​ntawm koj cov leeg caj npab. Koj kuj tseem yuav raug xa mus rau tus kws kho mob hlwb . Yog tias koj tus kws kho mob xav tias koj muaj Parsonage-Turner syndrome, lawv yuav pom zoo kom kuaj EMG (electromyography) . Qhov no yog siv los ntsuas kev noj qab haus huv thiab kev ua haujlwm ntawm koj cov leeg pob txha thiab cov hlab ntsha uas tswj lawv. Tsis tas li ntawd, cov kev kuaj duab hauv qab no yuav raug ua los lees paub qhov kev kuaj mob lossis tshem tawm lwm yam mob:

• Kev kuaj mob MRI (magnetic resonance imaging) .
• Kev kuaj mob ultrasound ntawm cov hlab ntsha .
• Kev luam theej duab CT (computed tomography) .

Cov kev kho mob rau qhov no yog dab tsi?

Yog hais qhov tseeb, tsis muaj kev kho mob tshwj xeeb lossis kho tau tus mob PTS. Feem ntau, nws yuav ploj mus nws tus kheej raws sijhawm. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum kuaj mob thaum ntxov.Yog koj pib kho mob uas pab tswj koj cov tsos mob, koj qhov kev kwv yees yuav zoo dua heev. Koj tus kws kho mob yuav pom zoo ntau yam kev kho mob los pab tswj koj cov tsos mob. Koj kuj tseem yuav raug xa mus rau ib pab pawg kws tshwj xeeb los tsim ib txoj kev npaj kho mob. Pab pawg no yuav suav nrog:

• Cov kws kho mob thawj zaug (PCPs)
• Cov kws kho pob txha
• Cov kws kho mob hlwb
• Cov kws kho mob tshwj xeeb txog kab mob ntawm cov hlab ntsha thiab cov leeg
• Cov kws kho lub cev

Cov kev kho mob uas tau muab thaum lub sijhawm mob hnyav yuav suav nrog:

• Cov tshuaj tua mob, piv txwv li NSAIDs (cov tshuaj uas tsis yog steroidal anti-inflammatory) uas tuaj yeem yuav tau ntawm lub tsev muag tshuaj.
• Cov tshuaj corticosteroids hauv qhov ncauj .
• Tsis txhob siv sab caj npab ntau dhau, lossis siv lub tshuab stabilizer rau lub xub pwg kom tsis txhob txav tau .
• Kev siv hluav taws xob los pab txhawb nqa cov hlab ntsha (TENS) yog kev kho mob siv hluav taws xob los pab txhawb cov hlab ntsha.
• Kev siv koob txhaj tshuaj .

Tom qab theem mob hnyav tas lawm, koj tus kws kho mob yuav pom zoo cov kev kho mob no:

• Kev Kho Mob Lub Cev: Tus kws kho mob lub cev yuav qhia koj txog kev ncab thiab ua kom koj lub cev muaj zog los pab koj rov qab tswj tau cov leeg thiab cov pob qij txha uas raug mob.
• Cov tshuaj co-analgesics: Cov no yog cov tshuaj uas siv tshwj xeeb los kho qhov mob ntawm cov hlab ntsha. Piv txwv li suav nrog gabapentin , carbamazepine, thiab amitriptyline .

Hauv cov mob hnyav heev, yog tias tsis muaj dab tsi pab txo koj cov tsos mob, koj tus kws kho mob yuav pom zoo kom phais . Cov txheej txheem no yuav suav nrog kev hloov hlab ntsha lossis kev hloov cov leeg .

Qhov no puas tiv thaiv tau kom tsis txhob tshwm sim?

Vim tias cov kws tshawb fawb tseem tsis tau paub qhov ua rau muaj PTS, yeej tsis muaj dab tsi koj ua tau los tiv thaiv nws. Txawm li cas los xij, vim tias qee cov kab mob tuaj yeem ua rau nws, kev noj qab haus huv kom zoo li sai tau tuaj yeem pab txo koj txoj kev pheej hmoo ntawm kev mob.

Qhov kev kwv yees rau tus mob no yog dab tsi?

Qhov kev cia siab rau kev rov zoo los ntawm PTS tuaj yeem txawv ntawm ib tus neeg mus rau ib tus neeg.Muaj ib txhia neeg uas muaj PTS ib zaug xwb thiab lawv yuav zoo tag nrho los ntawm thaj chaw uas raug mob. Lwm tus neeg yuav muaj qhov tsis muaj zog thiab mob tas mus li. Muaj ib txhia neeg kuj yuav muaj PTS ntau dua ib zaug (rov tshwm sim dua). Muaj qee yam uas yuav ua rau tsis zoo dua :

• Qhov mob mob mus txog peb lub hlis thiab cov leeg tsis rov zoo.
• Yog tias PTS tau cuam tshuam rau koj lub cev qis / plab .
• Yog tias qhov ua rau yog mob los ntawm noob caj ces , qhov feem ntau rau tus kab mob rov tshwm sim dua yog siab heev rau cov xwm txheej zoo li no.

Raws li ib txoj kev tshawb fawb, 89% ntawm cov neeg mob PTS uas tau txais kev tswj cov tsos mob thiab kev kho lub cev tau zoo hauv peb xyoos. Ntawm cov neeg ntawd, kwv yees li 75% tau zoo hauv ob xyoos, thiab 36% tau zoo hauv thawj xyoo. Cov kev tshawb fawb tsis ntev los no qhia tau tias ntau tus neeg yuav tseem muaj mob thiab qee qhov teeb meem kev ua haujlwm. Txawm li cas los xij, kev rov qab muaj zog tag nrho yog ua tau , txawm hais tias nws tuaj yeem siv sijhawm txog yim xyoo.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Nws yog ib qho tseem ceeb heev uas yuav tsum kuaj mob Parsonage-Turner syndrome thaum ntxov thiab raug . Yog tias koj muaj mob, tshwj xeeb tshaj yog tias nws mob sai thiab hnyav , nco ntsoov mus ntsib kws kho mob.

Koj yuav tsum nug tus kws kho mob li cas?

Yog koj xav paub ntxiv txog qhov mob no, koj tuaj yeem nug koj tus kws kho mob cov lus nug zoo li no:

• Vim li cas kuv thiaj muaj tus mob Parsonage-Turner syndrome?
• Kuv yuav tsum mus ntsib cov kws tshwj xeeb zoo li cas?
• Koj pom zoo kom siv hom tshuaj tua mob dab tsi?
• Kuv yuav tsum saib xyuas kuv tus kheej li cas hauv tsev?
• Koj xav tias kuv yuav zoo sai npaum li cas?
• Koj pom zoo kom siv hom kev kho mob twg?
• Kuv yuav paub li cas tias tus mob PTS no zoo dua lossis phem dua?

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Qhov mob sai sai thiab hnyav heev tuaj yeem ua rau ntshai heev. Nws yog koj lub cev txoj kev qhia rau koj tias, "Muaj qee yam tsis raug." Yog vim li cas nws thiaj li tseem ceeb kom mus ntsib kws kho mob sai li sai tau. Muaj ntau txoj kev kho mob uas tuaj yeem pab tswj cov tsos mob ntawm Parsonage-Turner syndrome (PTS) thiab tej zaum yuav ua rau koj rov zoo sai dua. Yog tias koj muaj lus nug txog PTS, tsis txhob ntshai nug koj tus kws kho mob. Lawv nyob ntawd los pab koj. Nco ntsoov tias koj tsis nyob ib leeg, muaj lwm tus neeg uas dhau los ntawm qhov no, thiab muaj cov kws kho mob uas tuaj yeem pab tau .