Yu de fil pen ɔ yu de fil lɛk yu nɛk, yu sholda, ɔ yu an? Yu tink se na di sik we dɛn kɔl Thoracic Outlet Syndrome (TOS)?

Sɔntɛnde yu kin fil pen ɔr yu nɔr kin fil fayn we kin bigin na yu nɛk ɛn yu sholda ɛn go dɔŋ yu an? Sɔntɛm dis pen kin wɔs we yu es yu an ɔp. I kin rili vɛks we yu es sɔntin we ebi ɔ du ɛvride wok. Pan ɔl we bɔku pipul dɛn kin tink se dis na nɔmal nɛk pen ɔr sprein, e kin bi bikɔs ɔf wan sik wae wi nɔr kin tɔk bɔt bɔrku, bɔt kin afɛkt bɔrku pipul dɛm. Tide, lɛ wi tɔk bɔt thoracic outlet syndrome , ɔ TOS lɛk aw dɔktɔ dɛn kin kɔl am.

Fɔ tɔk am simpul wan, wetin na di Thoracic Outlet Syndrome (TOS)?

Imajin, wan rili smɔl ples de bitwin wi nɛk ɛn di ɔpa chɛst, spɛshal wan dɔŋ di kɔlabon ɛn ɔp di fɔs rib. Dis spes na wetin wi kin kɔl di `Toracic Outlet`. tru dis sכmכl spεs, di men nεv dεm εn bכdi vεsεl dεm ( bכdi vεsεl dεm εn vein dεm) we de go na wi an dεm de pas. I tan lɛk se bɔku motoka dɛn de go dɔŋ wan smɔl rod.

Naw imajin, wetin go apin if dis smɔl ples smɔl ɔ tayt fɔ sɔm rizin? Di nɛv ɛn blɔd vesel dɛn we de rɔn na da rod de kin bigin fɔ swɛt ɛn blok. Di kɔmbayn simptom dɛm lɛk pen, swel, ɛn swɛla we de kam wit da swɛt de na wetin wi kɔl Thoracic Outlet Syndrome (TOS) .

Men kayn TOS de?

Yes, dεn sheb TOS to tri men tכp dεm dipכnt pan wetin de mek dis pen. E fayn fɔ no dis, bikɔs di tritmɛnt kin difrɛn difrɛn wan fɔ di kayn.

Wetin na di sayn dɛm fɔ TOS?

Dɛn kin fil di sayn dɛm mɔ na yu an ɛn yu an. Sɔm sayn dɛm kin difrɛn smɔl fɔ di kayn sik.

• Nek, sholda, ɔ an pen : Dis na di men sayn. Di pen kin bɔku we yu es yu an ɔp.
• Yu nɔ de fil fayn ɛn yu de swɛt: Yu kin fil dis kayn we aw yu de fil, mɔ na yu finga ɛn yu an dɛn.
• An wikɛd: I nɔ kin izi fɔ es wet ɔ ol sɔntin tranga wan.
• di an we de swεla : yu kin si dis spεshal wan na di venus tכp.
• Di an in kɔlɔ kin chenj: Di an kin tɔn blu, rɛd, ɔ pale. Dis de sho se di blɔd nɔ de go fayn.
• Kol palm: Di palm na di an we di sik afɛkt kin kol pas di ɔda an.
• Wan lump we de mek yu fil pen nia di kolabon : Yu kin ebul fɔ fil dis yusɛf.
• Mɔsul Atrofi: If di prɛshɔn kɔntinyu fɔ lɔng tɛm, sɔm pan di mɔsul dɛn na di an, mɔ di mɔsul dɛn we de na di big fut, kin smɔl ɛn i kin tan lɛk se dɛn dɔn smɔl. Dɛn kin kɔl dis bak ``Gilliatt-Sumner han''.
• wik puls na di an: insay di atεrial tכp, di puls na di an we afekt kin wik כ nכ de we dεn palpat am.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt TOS?

Sɔntɛm bɔku rizin dɛn de fɔ dis.

• Injury: Nek injury lek whiplash frɔm motoka aksidɛnt, ɔ injury lɛk brok kolabon kin mek ska tisu ɛn swel fɔ mek di ples smɔl mɔ.
• We yu nɔ de tinap fayn: Dis na tin we rili impɔtant. We yu de hunch ɔltɛm ɛn yu sholda dɛn de hunch fɔ go bifo (espɛshali we yu de bifo kɔmpyuta ɔ de luk yu fon), yu kɔlabɔn kin drɔp smɔl, ɛn i kin pinch di nerv ɛn blɔd vesel dɛn. Wik shɔlda mɔsul dɛn bak na in kin mek dis apin.
• Ripit muvmɛnt (Rɛpit strɛs):Dis risk kin pasmak fɔ pipul dɛm wae de muv ɔltɛm wae gɛt fɔ du wit fɔ es dɛn an. Fɔ ɛgzampul, pipul dɛn we de swim, di wan dɛn we de ple spɔt lɛk baysbɔl, pipul dɛn we de peint, ɛn di wan dɛn we de wok na faktri.
• di abnכmaliti dεm we dεn bכn wit: sכm pipul dεn kin bכn wit εkstra rib (sεvikal rib) na dεn nεk. Dis kin mek di ples smɔl bak.
• Fat: As di bɔdi de wet de go ɔp, di prɛshɔn we de pan di kɔlabɔn ɛn di mɔsul dɛn we de rawnd de go ɔp. Dis na tin bak we kin mek pɔsin snor.
• Bεlε: We di bεlε de, di bכdi in jכint dεm kin lכs. Wit dis looseness, di kola bon kin muv en mek i sprain.
• Ɔda tin dɛn we kin mek yu gɛt dis sik: Sɔmtɛm, yu kin gɛt tumbu na yu chɛst ɔ yu an, yu kin strɛs pasmak, ɛn yu at pwɛl bak.

Aw dɔktɔ kin fɛn dis?

We yu go to dɔktɔ, i go aks yu ditayli kwɛstyɔn fɔs bɔt di sayn dɛn we yu gɛt ɛn afta dat i go chɛk yu bɔdi.

Sɔntɛnde i nɔ kin izi fɔ no di kayn nyurojɛnik bikɔs dɛn kin kɔnfyus in simptom dɛn wit ɔda tin dɛn we kin mek pɔsin nɔ fil fayn ɛn fil pen na di an, lɛk di kapal tanɛl sindrom, at at sik na di nɛk ɛn bak, ɛn ɔda nerve kɔmpreshɔn. So, di dɔktɔ fɔ tink bɔt ɔl dɛn tin ya fɔ no di rayt rizin.

כltu, di simptom dεm fכ di venus εn atεrial tכp dεm (swεla, di kכla) de klia εn dεn kin no am kwik.

Dɛn kin yuz dɛn tɛst ya fɔ kɔnfirm di diagnosis:

• Test fɔ no usay yu de: Di dɔktɔ go muv yu an ɛn ed to difrɛn pozishɔn fɔ si if yu sik dɛn de wɔs ɔr de wɔs.
• Scalene muscle block: Na wan anestetik injεkshכn insay wan mכsul na di nεk. Dɛn kin du dis fɔ si if di pen dɔn go. If di pen dɔn go, i go mɔs bi se di prɔblɛm de.
• Imej tɛst: Ɛks-ray, CT skan, ɔ MRI kin chɛk fɔ si if i gɛt prɔblɛm wit di pikin we dɛn bɔn, lɛk ɛkstra rib. Ɔltrasɔund kin chɛk fɔ si if di blɔd vesel dɛn dɔn blok.
• Nɛv tɛst: Dɛn tin ya kin ɛp fɔ pul ɔda nyurolɔjik kɔndishɔn dɛn.
• Blɔd sakulayshɔn tɛst: X-ray tɛst we yu kin yuz spɛshal day, lɛk arteriogram ɔ venogram, kin no kɔrɛkt wan se blɔd dɔn klɔt ɔ di blɔd vesel dɛn dɔn pwɛl.

Wetin na di tritmɛnt dɛm fɔ TOS?

Di tritmɛnt opshɔn dɛn dipen pan di kayn TOS we yu gɛt.

Fɔ Nyurojɛnik TOS:

Dis kayn we we kɔmɔn pas ɔl nɔ kin nid ɔpreshɔn.

• Fizik tritmɛnt: Dis na di tritmɛnt we impɔtant pas ɔl.Na ya, dɛn go tich yu ɛksesaiz dɛn we de mek di mɔsul dɛn na yu nɛk ɛn yu sholda dɛn strɔng ɛn strɛch. Dɛn go ɛp yu bak fɔ kɔrɛkt di we aw yu de tinap. Bɔku pipul dɛn kin si se dis kin rili bɛnifit dɛn.
• Mεdikeshכn: dεn kin gi yu pen kil lεk `Ibuprofen` כ `Naproxen` (dכkta dεn kin kכl dεn tin ya bak `NSAIDS`) εn mכsul rilaksant fכ ridyus pen εn swεla.
• Botox Injection: If yu injekt Botox injection insay wan mכsul we de na di bכs pat na di nεk, i kin rilaks di εria εn ridyus di pen. Di ifekt dεm kin las fכ lεk 3 mכnt.

Fɔ Venɔs ɛn Atrial TOS:

Bɔku tɛm, dɛn tu kayn dɛn ya kin nid ɔpreshɔn.

• Fɔs, if blɔd klɔt, dɛn kin trit am.
• Dɔn, dɛn kin du wan ɔpreshɔn we dɛn kɔl thoracic outlet decompression. Insay dis prosidur, di ɔspitul kin opin di ples usay di kɔmpreshɔn de. Dis kin min fɔ pul di ɛkstra rib dɛn, ɔda tisu dɛn, ɔ wan pat pan di mɔsul we de mek di kɔmpreshɔn. Dɛn kin mek bak di blɔd vesel dɛn we dɔn pwɛl.

Tin dɛn we yu kin du na os

If yu du dɛn tin ya wit tritmɛnt, dat go mek yu fil fayn mɔ ɛn mɔ.

• Mek yu gɛt wɛlbɔdi wet.
• Yu fɔ mɛmba di we aw yu de tinap. Praktis fɔ kip yu bak stret na yu wokples ɛn na os.
• Nɔ kɛr ebi ebi bag dɛn na yu sholda.
• We yu de wok, tek shɔt briŋ ɔltɛm, grap, ɛn strɛch.
• Put wan ɔt pad pan di mɔsul dɛn we de at. Gɛt wan masaj.
• Du ɛksɛsayz fɔ rilaks fɔ mek yu nɔ strɛs.

Wetin kin apin if dɛn nɔ trit TOS?

I rili impɔtant fɔ trit TOS kwik kwik wan. If nɔto dat, siriɔs prɔblɛm dɛn kin apin, lɛk:

• Pen ɛn swel we de kɔntinyu fɔ de na di an
• Di nerv dɛn we de pwɛl ɔltɛm
• di kכndishכn dεm lεk ischemic כlsa כ gangrene na di finga dεm bikoz fכ di bכdi fכ fכlכ fayn
• Blɔd we de klɔt. if blɔd klɔt brok ɛn blok wan blɔd vesel na di lכng, dεn kכl am ``pulmonary embolism.`` Dis na rili siriכs, layf de pan denja imejensi.