Yu dɔn gɛt pen we yu nɔ ebul fɔ bia na yu sholda wantɛm wantɛm? Afta sɔm dez, sɔntɛm sɔm wiks, di pen kin stɔp smɔl, bɔt afta dat yu an kin fil lɛk se i nɔ gɛt bɛtɛ trɛnk ɛn i kin wik? Dɔn wi go tɔk bɔt sɔntin we go impɔtant to yu. Dis na wan sik wae nɔr kin bɔrku ɛn wae kin mek bɔrku pipul frayd. Wi kin kɔl am Parsonage-Turner Syndrome. Tide, wi go tɔk bɔt am simpul wan we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Parsonage-Turner Syndrome (PTS)?
Parsonage-Turner Syndrome (PTS), we dεn kin kכl bak sכmtεm ``brachial neuritis'', na wan kכndyushכn we de involv di nεv sεstem. I kin bi se yu kin fil pen wantɛm wantɛm na yu sholda ɛn ɔp an we kin tan lɛk se i kin kam wantɛm wantɛm ɛn fɔ no rizin. Dis pen kin te fɔ sɔm dez to sɔm wiks. Dɔn di ɔda prɔblɛm dɛn kin bigin. As di pen de stɔp, di mɔsul dɛn na yu sholda, yu an, yu fɔs an, ɔ yu an kin bigin fɔ wik. Dis wikɛd tin kin las fɔ sɔm mɔnt, ɔ ivin fɔ lɔng lɔng tɛm.
Imajin se wi gɛt wan nɛtwɔk we gɛt nerv dɛn we de kɔmɔt na wi nɛk tru wi armpit te to wi an dɛn. Jɔs lɛk aw di men swichbɔd na wi os gɛt waya dɛn we de rɔn go na ɔl di rum dɛn, dis nɛtwɔk we gɛt nerv dɛn kin sɛn signal bak to ɔl di pat dɛn na wi an. wi kכl dis nεtwכk fכ nεv dεm di `(brachial plexus)`. insay Parsonage-Turner Syndrome, dis `(brachial plexus)` nεtwכk fכ di nεv dεm de pwεl. Ɛspɛshali di nɛv dɛn we de kɔntrol di muvmɛnt kin pwɛl mɔ. Na dat mek, afta di pen, yu kin fil lɛk se yu an dɛn kin swɛla ɛn wik.
Bikɔs dis sik nɔ kin bɔku, sɔntɛnde dɔktɔ dɛn kin kɔnfyus am wit ɔda kɔmɔn sik dɛn. fכ egzampl, dεn kin misdiagnose am as sεvikal radikulopathy כ sεvikal spondylosis, biכs di simptom dεm na di sem.
Tri stej de fɔ dis sik.
Dis kכndyushכn kin de insay tri stej dεm. Nɔto ɔlman go gɛt am dis kayn we, bɔt dis na di patɛn we bɔku pipul dɛn kin si.
Stej 1: Akyu Pen Faz
Dis na di fɔs stej. Wantɛm wantɛm, wan shap pen kin bigin, bɔku tɛm na wan sholda. Dis pen kin te fɔ sɔm dez to sɔm wiks. Dɛn kin se di mɔ dis tɛm we de mek pɔsin fil pen, na di mɔ i go tek fɔ mek i wɛl ɔl.
Stej 2: Di mɔsul dɛn we wik
Afta di pen dɔn smɔl smɔl, di sɛkɔn stej kin bigin. Dis na di say we di mɔsul dɛn na di sholda ɛn an kin bigin fɔ wik. I kin at fɔ es di an ɔ fɔ es ebi ebi tin dɛn. As tɛm de go, di mɔsul dɛn kin atrofi bikɔs dɛn nɔ yuz am. Dis stej kin las frɔm siks to 18 mɔnt, sɔm tɛm dɛn kin te pas dat.
Stej 3: Fɔ wɛl
Dis na di tɛm we pɔsin kin wɛl. Afta sɔm tɛm, yu mɔsul dɛn go bigin fɔ gɛt trɛnk bak smɔl smɔl. Yu an go kam bak smɔl smɔl to di we aw i bin de wok.
Aw dis sik kin kɔmɔn?
Parsonage-Turner Syndrome na rili wan sik wae nɔr kin bɔrku . Statistikin sho se na lɛk tri pipul dɛn nɔmɔ pan ɛvri ɔndrɛd tawzin pipul dɛn kin gɛt dis sik ɛvri ia. So nid nɔ de fɔ wɔri bɔt am ɛvri tɛm we yu sholda de at.
Pan ɔl we i kin gɛt ɛni ej, i kin apin mɔ pan man dɛn . Dɛn kin si am arawnd di ej 40-45.
Wetin rili na di sayn dɛn we de sho se pɔsin gɛt dis sik?
Di tu men sayn dɛm na we yu kin fil pen wantɛm wantɛm ɛn we kin fala yu mɔsul dɛn we wik. Dɛn sayn ya kin afɛkt ɛni say na yu sholda, ɔp an, fɔs an, ɔ yu an.
di imכtant tin na dat, insay lεk 80% pan di kes dεm, i de afekt כnli wan an (yunilateral). Ɛn bɔku tɛm na di an we yu de yuz pas ɔl (dominant an). Na smɔl nɔmba pipul dɛm, lɛk 20%, i kin afɛkt ɔl tu di an dɛm.
Lɛ wi luk aw di sayn dɛm kin apin.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Wantɛm wantɛm, bad bad pen | Wan shap pen we pɔsin nɔ go ebul fɔ bia, lɛk we pɔsin de chuk naif. Dis pen kin tranga mɔ na nɛt. Dis bad bad pen kin te fɔ sɔm awa to lɛk 4 wiks. |
| Di mɔsul dɛn we wik | Afta di pen dɔn stɔp, di trɛnk we de na di an kin lɔs. Dis kin fil mɔ na di sholda ɛn di ɔp an. Sɔntɛnde, di mɔsul dɛn na di chɛst ɔ di dayafragm kin afɛkt bak. |
| Ɔda tin dɛn we de apin | Apat frɔm dɛn men tin ya, yu kin si ɔda tin dɛn.
|
Wetin mek dis de apin? Wetin na di rizin fɔ dis?
Fɔ tɔk tru, di wan dɛn we de stɔdi bɔt dis nɔ stil no wetin mek dis apin. Bɔt di men aidia na dat i kin kam bikɔs ɔf wan abnɔmal imyun-mɛdiet rispɔns na wi bɔdi.
Fɔ tɔk am simpul wan, we wan jem lɛk vayrɔs ɔ baktri kam insay wi bɔdi, wi imyun sistɛm kin fɛt am. bכt sכmtεm, insay dis fכt, wi imyun sistεm de mek mistek εn insted i de atak wan hεlty pat pan wi כwn bכdi, dat na di ``brachial plexus`` nεv nεtwכk. Na da tɛm de dɛn nerv ya kin pwɛl ɛn di sayn dɛn kin sho.
Bɔrku tɛm, dis sik kin kam bifo wan vayral infɛkshɔn we dɛn jɔs dɔn gɛt. Fɔ ɛgzampul:
- Coxsackie B vayrɔs we dɛn kɔl Coxsackie B
- HIV (Human Imyunodefisiɛns Vayrɔs) .
- Fayv sik (parvovirus B19) .
- Mumps we de mek pɔsin gɛt bɔdi
Bɔt sɔntɛnde i kin kam fɔ no rizin. Na sכm tεm, i kin kכz bak bay wan jεnεtik kכndyushכn we dεn kכl hεridita nyuraljik amyotrofi.
Factor wae kin mek yu gɛt dis sik
Dɛn dɔn si se sɔm tin wae kin apun ɔr kin gɛt dis sik kin mek pɔrsin gɛt dis sik smɔl.
- Ɔpreshɔn ɔ anestezi we dɛn jɔs du
- Kכnektiv tisu sik dεm - fכ egzampl. Ehlers-Danlos sindrom we gɛt di sik
- כtoimyun kכndishכn dεm - fכ egzampl. lupus we dɛn kɔl lupus
- Wan aksidɛnt we apin to di sholda
- Ɛksesaiz we de put bɔku strɛs pan di sholda dɛn
- Sɔm kayn vaysin dɛn
- Bɛlɛ ɛn bɔn pikin
- Redyushɔn tɛrapi
- Lumbar pankshכn tεst
Aw dɔktɔ kin fɛn dis?
If yu gɛt dɛn sik ya, yu fɔ go to yu dɔktɔ fɔs. I go aks yu bɔt yu sik ɛn yu mɛdikal histri. Dɔn, dɛn go du wan ɛgzam fɔ yu an fɔ chɛk yu an mɔsul dɛn, aw yu de fil, ɛn aw yu de fil. I go mɔs bi se dɛn go sɛn yu to dɔktɔ we de mɛn yu nyuro, we na dɔktɔ we spɛshal pan prɔblɛm dɛn we gɛt fɔ du wit yu nerv.
Fɔ no if dis na Parsonage-Turner Syndrome, yu dɔktɔ kin tɛl yu fɔ du spɛshal tɛst we dɛn kɔl ilɛktromayografi (EMG).
EMG tεst na tεst we de sεnd sכm sכm sכm ilektrikal signal dεm to yu mכsul dεm εn di nεv dεm we de kכntro dεm fכ si aw dεn nεv εn mכsul dεm de wok fayn fayn wan. Dis kin ɛp fɔ no if ɛni nerve damej ɛn usay di damej de.
Apat frɔm dat, dɛn kin du imej tɛst lɛk dɛn wan ya fɔ pul ɔda tin dɛn we de apin ɛn fɔ kɔnfirm di diagnosis:
- MRI (Magnetik Rizɔnans Imej) skan
- Nɛv ɔltrasɔund tɛst
- CT (Kɔmpyuta Tomografi) skan
Yu tink se tritmɛnt de? Wetin dɛn kin du?
No patikyula tritmɛnt ɔ mɛrɛsin nɔr de fɔ dis yet. Di bɛst tin na dat dis sik kin sɔlv fɔ insɛf as tɛm de go. Bɔt if yu no di sik kwik kwik wan ɛn sɔpɔt tritmɛnt fɔ kɔntrol di sik kin mek di sik go kwik ɛn gɛt bɛtɛ rizɔlt.
Yu dɔktɔ go tɛl yu difrɛn tritmɛnt dɛn fɔ mek yu ebul fɔ kɔntrol di sik dɛn we yu gɛt.
Durin di akyu faz
- Di tin dɛn we de mek pɔsin fil pen: Tin dɛn lɛk kɔmɔn tin dɛn we de mek pɔsin fil pen (NSAID).
- Ɔral Kɔtikosterɔyd: Na wan kayn mɛrɛsin we dɛn kin gi fɔ kɔntrol di inflamɛns na di nɛv dɛm ɛn di wok we di imyun sistɛm de du.
- Arm immobilization: Gi yu an rɛst, sɔntɛm yu kin yuz sɔntin lɛk sholda stabiliza.
- TƐNS (Transcutaneous Electrical Nerve Stimulation): Na we fɔ kɔntrol di pen bay we dɛn de sɛn smɔl smɔl ilɛktrik signal dɛn tru di skin.
- Akupankcha: Sɔm pipul dɛn kin gɛt pen rilif bak frɔm dis.
Afta di pen dɔn stɔp
- Fizik Tɛrapi: Dis rili impɔtant . Wan dɔktɔ we de mɛn yu bɔdi go tich yu fɔ du ɛksɛsayz ɛn fɔ strɛch fɔ ɛp fɔ mek di mɔsul dɛn we dɔn pwɛl strɔng, fɔ mek yu jɔyn dɛn nɔ stif, ɛn fɔ mek yu an wok bak.
- Spɛshal mɛrɛsin fɔ mek dɛn gɛt pen na dɛn nerve: Sɔm pipul dɛn kin gɛt pen we fiba di nerve inflammation, pan ɔl we di pen dɔn stɔp. If na so i bi, yu dɔktɔ kin gi yu spɛshal mɛrɛsin lɛk gabapentin, carbamazepine, ɔ amitriptyline.
Insay kes dɛm we rili siriɔs, we nɔ ɔda tritmɛnt nɔ de wok, dɛn kin tink bɔt ɔpreshɔn (nɛv graftin ɔ tɛndon transfa). Bɔt, dis nɔ kin apin so ɔltɛm.
Wetin go apin tumara bambay wit dis situeshɔn? (Prɔgnosis) .
Aw dis sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Fɔ sɔm pipul dɛn, na wan tɛm nɔmɔ i kin apin na dɛn layf ɛn dɛn kin wɛl ɔltogɛda. Fɔ ɔda pipul dɛn, dɛn kin kɔntinyu fɔ gɛt sɔm kayn wikɛdnɛs ɔ pen. Fɔ smɔl pipul dɛn, i kin kam bak.
Akɔdin to risach, lɛk 89% pan di pipul dɛm wae de manej dɛn sik ɛn gɛt di rayt fyzikal tritmɛnt go wɛl ɔlsay insay tri ia. Fɔ dɛn wan ya, 75% go wɛl insay tu ia, ɛn 36% go wɛl insay di fɔs ia.
Dat min se, pan ɔl we i kin tek tɛm fɔ mek dɛn wɛl frɔm dis, bɔku pipul dɛn kin wɛl. Di tin we impɔtant pas ɔl na fɔ peshɛnt ɛn fala wetin di dɔktɔ tɛl yu fɔ du we yu de trit yu.
Mɛsej we dɛn kin kɛr go na os
- Parsonage-Turner Syndrome (PTS) na wan sik we nɔ kin apin so ɔltɛm we kin mek pɔsin fil pen wantɛm wantɛm na di sholda ɛn an, dɔn di mɔsul dɛn kin wik.
- Pan ɔl we dɛn nɔ dɔn fɛn di rayt tin we kin mek dis apin, dɛn biliv se na bikɔs di imyun sistɛm nɔ de wok fayn.
- If yu gɛt siriɔs pen na yu sholda wantɛm wantɛm, nɔ ignore am ɛn go to dɔktɔ wantɛm wantɛm. Fɔ no di sik kwik kwik wan rili impɔtant.
- Pan ɔl we nɔr patikyula mɛrɛsin nɔr de fɔ dis, dɛn kin ebul fɔ kɔntrol di sayn dɛm wit sɔpɔt tritmɛnt lɛk pen mɛnejɛmɛnt ɛn fyzikal tritmɛnt.
- I kin tek tɛm fɔ mek i wɛl. I kin tek sɔm mɔnt to ia. So i impɔtant fɔ peshɛnt ɛn tink gud wan bɔt yu tritmɛnt. Bɔrku pipul dɛn kin wɛl bak ɔltɛm as tɛm de go.
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