Wetin na di sik we dɛn kɔl Parsonage-Turner Syndrome? Yu kin fil pen wantɛm wantɛm na yu sholda ɛn yu an kin swɛ?

Yu dɔn ɛva wek na mɔnin, ɔ ɛni tɛm pan di de, ɛn wantɛm wantɛm yu fil shap pen na yu sholda eria, wit yu an we yu nɔ gɛt bɛtɛ trɛnk ɛn wik? Dis kin dɔn de fɔ sɔm dez ɔ wik, dɔn yu mɔsul dɛn bigin fɔ wik smɔl smɔl. If yu dɔn gɛt dis kayn tin, i rili impɔtant fɔ no bɔt dis sik we dɛn kɔl Parsonage-Turner Syndrome, we wi go tɔk bɔt tide.

Wetin rili na Parsonage-Turner Syndrome?

Fɔ tɔk am simpul wan, Parsonage-Turner Syndrome , we sɔm pipul dɛn kin kɔl Brachial Neuritis , na wan sik we gɛt fɔ du wit di nervɔs sistɛm. Wetin kin apin na dat, yu kin gɛt bad bad pen wantɛm wantɛm na yu sholda ɛn ɔp an. Dis pen kin te fɔ sɔm dez to sɔm wiks. Na da tɛm de di rial prɔblɛm kin bigin. As di pen de stɔp, yu kin bigin fɔ fil wik ɔ yu kin fil lɛk se yu gɛt mɔsul dɛn na yu sholda, yu an, yu fɔs an, ɔ yu finga dɛn. Dis wikɛd tin kin las fɔ sɔm mɔnt. Tink bɔt am, wan nɛtwɔk de we gɛt nerv dɛn we de kɔmɔt na di spayna na yu nɛk, pas na yu nɛk, pas na yu armpit, ɛn go dɔŋ yu an dɛn. Na dat wi kin kɔl di brachial plexus . I tan lɛk wan sistɛm we gɛt ilɛktrik waya. Parsonage-Turner syndrome na wan kכndyushכn we di brachial plexus de pwεl. i de afekt spεshal wan di mכtal nεv dεm we de kכntro di muvmεnt εn dεn aksכn dεm . Dis na wetin kin mek di mɔsul dɛn wik. PTS na wan sik we nɔ kin apin so ɔltɛm . Na dat mek sɔntɛnde dɔktɔ dɛn kin kɔnfyus am wit sɛvikal radikulopathy , we na wan sik we kin mek di nɛv dɛn kɔmpreshɔn na di nɛk, ɔ sɛvikal spondylosis , we na wan sik we kin rili apin. De sayn dɛm kin rili fiba. Dɛn gi am di nem Parsonage-Turner afta tu British nyurolɔjis dɛm, Maurice Parsonage ɛn John Turner, we bin fɔs tɔk bɔt dis sik insay 1948. Dɛn kɔl dis wit sɔm ɔda nem dɛm:

• Brachial nyuraytis we de na di bɔdi
• Brachial pleksus nyuraytis
• Brachial plexus nyuropati we pɔsin kin gɛt
• Idiopatik brachial pleksus nyuropati
• Nyuraljik amyotrofi

Wetin na di stej dɛm fɔ dis sik?

Jɛnɛral wan, tri men stej dɛm de fɔ Parsonage-Turner syndrome. Lɛ wi si wetin dɛn bi. 1. Fɔs stej (akyu pen faz): .Dis na pen we kin kam wantɛm wantɛm ɛn we kin rili bad we pɔsin nɔ go ebul fɔ imajin . Bɔku tɛm, i kin afɛkt wan sholda. Dis pen kin te fɔ sɔm dez to sɔm wiks. Dɛn kin se di mɔ dis pen faz de te, na di mɔ i go tek fɔ wɛl. 2. Sɛkɔn stej: Afta di pen dɔn smɔl smɔl, yu go bigin fɔ fil wik na yu mɔsul dɛm. Ɛspɛshali di mɔsul dɛn we de rawnd yu sholda ɛn yu an kin wik. Sɔntɛnde dis kin mek di mɔsul dɛn west, ɔ atrofi . dis sεkכn stej kin te bitwin 6 εn 18 mכnt. Bɔt fɔ sɔm pipul dɛn i kin las fɔ lɔng tɛm pas dat. 3. Tɔd stej: Afta sɔm tɛm, yu mɔsul dɛn kin gɛt trɛnk bak ɛn bigin fɔ wok nɔmal wan. Dis na di stej we pɔsin kin mɛn.

Aw dis sik kin kɔmɔn?

Infakt, Parsonage-Turner syndrome (brachial neuritis) na wan sik we nɔ kin apin so ɔltɛm . Dɛn se na lɛk tri pipul dɛn nɔmɔ pan wan ɔndrɛd tawzin pipul dɛn kin gɛt dis sik ɛvri ia. I kin divɛlɔp pan ɛnibɔdi we ol ɛni ej. Bɔt dɛn kin si se i kin divɛlɔp smɔl mɔ pan man dɛn . Di avrej ej fɔ bigin dis sik na lɛk 41 ia.

Wetin na di sayn dɛm wae de sho se yu gɛt Parsonage-Turner syndrome?

Di tu men sayn dɛm fɔ dis sik na we pɔsin kin fil pen wantɛm wantɛm ɛn we di mɔsul dɛn kin wik afta dat . Dɛn tin ya kin afɛkt dɛn say ya na yu:

• Sholda
• Ɔpa an (ɔpa pat pan di an) .
• Fɔrɛst (midul pat pan di an) .
• An (an ɛn finga dɛn) .

כlsay na di tεm, lεk 80% pan di tεm, i kin afekt כnli wan an (yunilateral). I kin afɛkt di an/sayd we yu de yuz mɔ. bכt insay lεk 20% pan di kes dεm, i kin afekt di tu an dεm (baylatarכl). Na sכm tεm, i kin afekt di lכw trכnk εn di leg dεm. Bɔku tɛm, di pen kin kam wantɛm wantɛm. I kin tan lɛk shap pen we pɔsin nɔ ebul fɔ bia , mɔ na nɛt. Dis bad bad pen kin te fɔ sɔm awa to 4 wik. Afta di pen dɔn go, di mɔsul dɛn na yu an we dɔn afɛkt kin bigin fɔ wik. Yu go mɔs fil se yu mɔsul dɛn wik na yu sholda ɔ yu ɔp an. Bɔt i kin afɛkt yu fɔs an ɛn yu an bak. Sɔntɛnde, di wik kin afɛkt di mɔsul dɛm na yu chɛst ɔ dayafragm (di mɔsul we de sheb yu chɛst frɔm yu bɛlɛ). we di mכsul dεm wik, as tεm de go, di mכsul dεm de atrofi. Aw dis sik kin tranga kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Dis na bikɔs di nɛv dɛm we PTS kin afɛkt kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Ɔda sayn dɛn kin bi:

• Na di an we di sik afɛktPrɔblɛm dɛn wit riflɛks.
• Nɔrmal sɛns na di an, we dɛn kɔl paresthesia , ɔ swɛt. Dis kin fil lɛk se yu de tik, yu de prɛk, ɔ yu de bɔn.
• Pat pan di sholda dɛn kin kɔmɔt .
• abnכmal rεnj fכ muvmεnt na di jכint dεm we dεn afekt.
• wan kכndyushכn we dεn k כl wingged scapula (we di sכlda bled de kכmכt bak, lεk wing).
• di sכt we di mכsul dεm כ di tεndon dεm na di an we dεn afekt.
• Rɛd, pepul, ɔ blɔk an dɛn bikɔs di blɔd nɔ de go fayn .
• Di an dɛn we de swel .
• I nɔ izi fɔ blo (dyspnea) . Dis nɔ kin apin so ɔltɛm.

Wetin mek di sik we dɛn kɔl Parsonage-Turner syndrome kin apin?

Infakt, di wan dɛn we de stɔdi bɔt dis stil nɔ no di rayt tin we kin mek pɔsin gɛt dis sik we dɛn kɔl Parsonage-Turner syndrome. Dɛn tink se wan abnɔmal riakshɔn na wi bɔdi in imyun sistɛm, we dɛn kɔl imyun -mɛdiet rispɔns, na in na di men tin we kin mek wi gɛt dis sik. Tu tiori dɛn de bɔt dis. 1. Vayral, baktri, ɔ parasayt infɛkshɔn kin afɛkt yu brachial plexus dairekt wan, we kin mek yu gɛt sɔm sayn dɛn. 2. We yu imyun sistɛm de fɛt dɛn baktri, vayrɔs, ɔ antijen ya , i de pwɛl yu brachial plexus as sayd ɛfɛkt. Bɔrku tɛm, di men tin wae kin mek dis sik na wan vayral infɛkshɔn we dɛn jɔs dɔn gɛt . Dɛn dɔn no se dɛn vayral sik ya kin gɛt fɔ du wit dis:

• Coxsackie B virus : Dis kin mek yu gɛt sɔm tin dɛn, lɛk nyumonia , sik na di bɛlɛ, mayokadaytis (inflameshɔn na di at mɔsul), aseptik mɛningaytis (wan kayn infɛkshɔn na di bren), ɛnsɛfalaytis (inflameshɔn na di bren), ɛn vayral ɛpatitis (inflameshɔn na di liva).
• HIV (Human Imyunodefisiɛns Vayrɔs) .
• Fayv sik (parvovirus B19) .
• Mumps we de mek pɔsin gɛt bɔdi .
• Smɔl pɔks (variola major ɛn minor) .

Sɔntɛnde, dɔktɔ dɛn nɔ kin ebul fɔ fɛn wan patikyula kɔz. Na sכm tεm, Parsonage-Turner syndrome na wan jεnεtik/inhεrit kכndyushכn.i kin kכz bak bay hεridita nyuraljik amyotrofi.

Wetin na de risk factor wae kin mek dis sik?

Risach pipul dɛm biliv se sɔm kayn mɛrɛsin ɛn tin dɛm kin mek yu gɛt mɔr risk fɔ gɛt Parsonage-Turner syndrome. Na sɔm pan dɛn:

• Di ɔpreshɔn we dɛn jɔs du ɛn/ɔ anestezi .
• Fɔ ɛgzampul, sik dɛn we kin mek pɔsin gɛt kɔnektiv tisu, sik dɛn lɛk Ehlers-Danlos syndrome .
• כtoimyun sik dεm, lεk lupus (systemic lupus erythematosus - SLE) , tεmporal atεraytis , εn polyarteritis nodosa .
• Wan bad bad injuri na in sholda .
• Intɛns ɛksɛsayz we de mek di sholda dɛn strɛs.
• Fɔ gɛt vaysin/immunayzeshɔn (dis nɔ kin apin so ɔltɛm, bɔt sɔm ripɔt dɔn de).
• Bɛlɛ ɛn bɔn pikin .
• Fɔ gɛt redyushɔn tɛrapi .
• lכmba pankshכn (spinal tap) , we min fכ tek wata frכm di spayna.
• Injekt kɔntrast day fɔ wan imej tɛst.

Aw dɛn kin no se pɔsin gɛt di sik we dɛn kɔl Parsonage-Turner syndrome?

We yu go to dɔktɔ, dɛn go aks yu bɔt yu sik ɛn mɛrɛsin histri. Dɔn dɛn go du wan ɛgzam fɔ dɛn bɔdi. Dɛn go chɛk di trɛnk, di riflɛs, ɛn di sɛns we yu an mɔsul dɛn gɛt. Dɛn kin sɛn yu bak to dɔktɔ we de mɛn yu nyuro . If yu dɔktɔ tink se yu gɛt Parsonage-Turner syndrome, dɛn kin se yu fɔ du EMG (electromyography) tɛst. Dɛn kin yuz dis fɔ no aw yu skel mɔsul dɛn gɛt wɛlbɔdi ɛn aw dɛn de wok ɛn di nerv dɛn we de kɔntrol dɛn. Apat frɔm dat, dɛn kin du dɛn imej tɛst ya fɔ kɔnfirm di diagnosis ɔ fɔ pul ɔda kɔndishɔn dɛn:

• MRI (magnɛtik rɛsɔnans imej) skan .
• Nɛv ɔltrasɔund tɛst .
• CT (kɔmpyuta tomografi) skan .

Wetin na di tritmɛnt dɛm fɔ dis?

Fɔ tɔk tru, no patikyula tritmɛnt ɔ mɛrɛsin nɔ de fɔ PTS. Bɔku tɛm, i go go fɔ insɛf as tɛm de go. Bɔt i impɔtant fɔ no di sik kwik kwik wan.If yu bigin tritmɛnt wae de ɛp fɔ kɔntrol yu sik, yu prɔgnosis kin bɛtɛ pasmak. Yu dɔktɔ go tɛl yu fɔ du difrɛn tritmɛnt fɔ ɛp fɔ kɔntrol yu sik dɛn. Dɛn kin sɛn yu bak to wan tim we gɛt spɛshal pipul dɛn fɔ mek dɛn mek wan tritmɛnt plan. Dis tim kin gɛt:

• Praymari kia dɔktɔ dɛn (PCP) .
• Ɔtopɛdist dɛn
• Di wan dɛn we de stɔdi bɔt nyurolɔji
• Nyuromɔskular sik spɛshal pipul dɛn
• Di wan dɛn we de mɛn pipul dɛn we gɛt bɔdi

Di tritmɛnt dɛm we dɛn kin gi di tɛm we di akyu pen faz kin bi:

• Di mɛrɛsin dɛn we de mek pɔsin fil pen, fɔ ɛgzampul NSAID (non-steroidal anti-inflammatory drugs) we yu kin bay na di famasi.
• Kɔtikosterɔyd dɛn we dɛn kin tek bay mɔt .
• Nɔ yuz di an tumɔs, ɔ mek di an nɔ muv bay we yu yuz sɔlda stebyulayza.
• Transkutan ilektrikal nεv stimulashכn (TENS) na ilektrikal nεv stimulashכn tεrapi.
• Akupankcha we dɛn kin du .

Afta di akyu pen faz dɔn, yu dɔktɔ go mɔs tɛl yu fɔ du dɛn tritmɛnt ya:

• Fizik tritmɛnt : Fizik tritmɛnt go tich yu fɔ strɛch ɛn fɔ mek yu gɛt trɛnk fɔ ɛp yu fɔ kɔntrol di mɔsul ɛn jɔyn dɛn we dɔn afɛkt bak.
• Co-analgesic: Dis na mɛrɛsin wae dɛn kin yuse spɛshal fɔ trit pen na di nerve. Sɔm ɛgzampul dɛn na gabapentin , carbamazepine, ɛn amitriptyline .

If yu sik bad bad wan, if natin nɔ de we de mek yu nɔ gɛt di sik, yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn . dis prosidur dεm kin inklud nerve grafting כ tεndon transfכm .

Yu tink se dɛn go ebul fɔ mek dis nɔ apin?

Bikɔs di wan dɛn we de stɔdi bɔt dis stil nɔ no di rayt tin we kin mek pɔsin gɛt PTS, natin nɔ de we yu go rili du fɔ mek i nɔ apin. Bɔt bikɔs sɔm vayrɔs dɛn kin mek i kam, if yu gɛt wɛlbɔdi as yu ebul, dat kin ɛp fɔ mek yu nɔ gɛt am.

Wetin na di prɔgnosis fɔ dis kɔndishɔn?

De luk fɔ wɛl bɔdi frɔm PTS kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin.Sɔm pipul dɛn kin gɛt PTS wan tɛm nɔmɔ ɛn dɛn kin wɛl ɔlsay frɔm di say we di sik afɛkt. Ɔda pipul dɛn kin kɔntinyu fɔ wik ɛn fil pen. Sɔm pipul dɛn kin gɛt PTS bak pas wan tɛm (we kin kam bak). Sɔm tin dɛn de we kin mek i nɔ izi fɔ mek i wɛl :

• Di pen kin de fɔ tri mɔnt ɛn di mɔsul dɛn nɔ kin kam bak.
• If PTS dɔn afɛkt yu lɔwa torso/abdomen .
• If di kɔz na wan sik we pɔsin kin gɛt frɔm in mama ɛn papa , di chans fɔ mek di sik kam bak kin rili bɔku pan dɛn kayn tin ya.

Akɔdin to wan stɔdi, 89% pan di PTS pasɛnt dɛm we bin gɛt symptom management ɛn fizik tɛrapi bin wɛl insay tri ia. Fɔ dɛn wan ya, lɛk 75% bin wɛl insay tu ia, ɛn 36% bin wɛl insay di fɔs ia. Stɔdi wae dɛn dɔn du dis biɛn tɛm dɔn sho se bɔrku pipul kin kɔntinyu fɔ gɛt pen ɛn sɔm prɔblɛm wit dɛn woke. Bɔt i pɔsibul fɔ mek yu gɛt trɛnk bak ful wan , pan ɔl we i kin tek et ia.

Ustɛm a fɔ go to dɔktɔ?

I rili impɔtant fɔ no di sik we dɛn kɔl Parsonage-Turner syndrome kwik ɛn kɔrɛkt wan . If yu gɛt pen, mɔ if i kin kam wantɛm wantɛm ɛn i kin rili bad , mek shɔ se yu go to dɔktɔ.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

If yu want fɔ no mɔ bɔt dis sik, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin mek a bin gɛt di sik we dɛn kɔl Parsonage-Turner syndrome?
• Us kayn spɛshal pipul dɛn a fɔ si?
• Us kayn mɛrɛsin yu kin yuz fɔ mɛn pen?
• Aw a fɔ kia fɔ misɛf na os?
• Aw kwik yu tink se a go wɛl?
• Us kayn tritmɛnt yu kin advays?
• Aw a go no if dis PTS kɔndishɔn de bɛtɛ ɔr de wɔs?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Wantɛm, bad bad pen kin bi sɔntin we de mek pɔsin fred. Na yu bɔdi in we fɔ tɛl yu se, "Sɔmtin nɔ rayt." Na dat mek i impɔtant fɔ go to dɔktɔ kwik kwik wan. Bɔrku tritmɛnt de wae kin ɛp fɔ kɔntrol di sayn dɛm wae de sho se yu gɛt Parsonage-Turner syndrome (PTS) ɛn kin mek yu wɛl kwik kwik wan. If yu gɛt ɛni kwɛstyɔn bɔt PTS, nɔ fred fɔ aks yu dɔktɔ. Dɛn de de fɔ ɛp yu. Mɛmba se nɔto yu wangren de, ɔda pipul dɛn de we de go tru dis, ɛn dɔktɔ dɛn de we go ɛp .