Ofuna obulumi obw’amaanyi mu bibegabega n’okuziyira emikono mu bwangu? Kino kiyinza okuba nga kya Parsonage-Turner Syndrome

Obadde obulumi mu kibegabega kyo mu bwangu obutagumiikiriza? Oluvannyuma lw’ennaku ntono, mpozzi wiiki ntono, obulumi bukendeera katono, naye olwo omukono gwo ne guwulira nga guzibye era nga munafu? Olwo tugenda kwogera ku kintu ekiyinza okuba ekikulu gy’oli. Eno embeera etatera kulabika ng’etiisa abantu bangi. Tukiyita obulwadde bwa Parsonage-Turner Syndrome. Leero, tugenda kukyogerako mu ngeri ennyangu gy’osobola okutegeera.

Mu ngeri ennyangu, obulwadde bwa Parsonage-Turner Syndrome (PTS) kye ki?

Obulwadde bwa Parsonage-Turner Syndrome (PTS), era oluusi obuyitibwa ``brachial neuritis'', mbeera ekwata ku nkola y'obusimu. Kimanyiddwa ng’obulumi obw’amangu, obw’amaanyi mu kibegabega kyo n’omukono ogwa waggulu nga bulabika nga bujja mu bwangu era awatali nsonga. Obulumi buno busobola okumala ennaku okutuuka ku wiiki. Olwo ebizibu ebirala ne bitandika. Obulumi bwe bukendeera, ebinywa mu kibegabega kyo, mu mukono gwo, mu mukono gwo oba mu mukono gwo bitandika okunafuwa. Obunafu buno buyinza okumala emyezi, oba n’emyaka.

Teebereza nti tulina omukutu gw’obusimu ogukulukuta okuva mu bulago bwaffe okuyita mu bisambi okutuuka mu mikono gyaffe. Nga switchboard enkulu mu nnyumba yaffe bw’erina waya eziddukira mu buli kisenge, omukutu guno ogw’obusimu nagwo guweereza obubaka mu buli kitundu ky’emikono gyaffe. Omukutu guno ogw’obusimu tuguyita `(brachial plexus)`. Mu bulwadde bwa Parsonage-Turner Syndrome, omukutu guno ogwa `(brachial plexus)` ogw’obusimu gwonoonese. Naddala obusimu obufuga entambula bwe businga okwonooneka. Eno y’ensonga lwaki, oluvannyuma lw’obulumi, wabaawo okuwulira okuziyira n’okunafuwa mu mikono.

Olw’okuba embeera eno tetera kubaawo, abasawo oluusi basobola okugitabula n’embeera endala ezitera okubeerawo. Okugeza, kiyinza okuzuulibwa obubi nti obulwadde bwa cervical radiculopathy oba cervical spondylosis, kubanga obubonero bufaanagana.

Obulwadde buno bulina emitendera esatu.

Embeera eno etera okukula mu mitendera esatu. Si buli muntu nti ajja kukifuna bw’ati, naye guno gwe mutindo abantu abasinga gwe balaba.

Omutendera 1: Omutendera gw’obulumi obw’amaanyi

Guno gwe mutendera ogusooka. Amangu ago, obulumi obw’amaanyi butandika, emirundi mingi mu kibegabega ekimu. Obulumi buno busobola okumala ennaku ntono okutuuka ku wiiki ntono. Okutwalira awamu kigambibwa nti ekiseera kino eky’obulumi gye kikoma okumala ebbanga eddene, gye kikoma okutwala ekiseera ekiwanvu okuwona mu bujjuvu.

Omutendera 2: Okunafuwa kw’ebinywa

Oluvannyuma lw’obulumi okukka mpolampola, omutendera ogw’okubiri gutandika. Wano ebinywa mu kibegabega n’omukono we bitandikira okunafuwa. Kifuuka kizibu okusitula omukono oba okusitula ebintu ebizito. Ekiseera bwe kigenda kiyitawo, ebinywa biyinza okukendeera olw’obutakozesebwa. Omutendera guno guyinza okumala emyezi mukaaga okutuuka ku 18, oluusi n’okusingawo.

Omutendera 3: Okudda engulu

Guno gwe mutendera gw’okudda engulu. Oluvannyuma lw’akaseera, ebinywa byo bijja kutandika mpola okuddamu amaanyi. Omukono gwo gujja kudda mu nkola ya bulijjo mpolampola.

Embeera eno ya bulijjo etya?

Parsonage-Turner Syndrome mu butuufu mbeera etali ya bulijjo nnyo . Okusinziira ku bibalo, abantu nga basatu bokka ku buli nkumi kikumi be bafuna obulwadde buno buli mwaka. Kale tekyetaagisa kweraliikirira buli kibegabega lwe kikuluma.

Wadde nga kiyinza okukula ku myaka gyonna, kisinga kubeera mu basajja . Kitera okulabibwa ku myaka nga 40-45.

Bubonero ki ddala?

Obubonero obukulu obubiri bwe bulumwa obw’amangu, obw’amaanyi nga buddirirwa ebinywa okunafuwa. Obubonero buno busobola okukwata wonna mu kibegabega kyo, ku mukono gwo ogwa waggulu, mu mukono gwo oba mu ngalo.

Ka tulabe engeri obubonero gye butera okulabika.

Lwaki kino kigenda mu maaso? Kiki ekivaako kino?

Mu butuufu, abanoonyereza n’okutuusa kati tebannaba kuzuula kituufu ekivaako kino. Naye endowooza enkulu eri nti kiva ku kuddamu okutali kwa bulijjo okutambulizibwa abaserikale b’omubiri mu mubiri gwaffe.

Mu ngeri ennyangu, obuwuka, gamba ng’akawuka oba obuwuka, bwe buyingira mu mubiri gwaffe, abaserikale b’omubiri baffe babulwanyisa. Naye oluusi, mu lutalo luno, abaserikale baffe abaserikale bakola ensobi era mu kifo ky’ekyo ne balumba ekitundu ekiramu eky’omubiri gwaffe, kwe kugamba, omukutu gw’obusimu ogwa ``brachial plexus``. Wano obusimu buno we bwonoonebwa obubonero ne bulabika.

Ebiseera ebisinga, embeera eno ekulemberwa okukwatibwa akawuka gye buvuddeko. Okugeza nga:

• Akawuka ka Coxsackie B
• Akawuka ka siriimu (Human Immunodeficiency Virus) .
• Obulwadde obw’okutaano (parvovirus B19) .
• Obulwadde bwa Mumps

Naye oluusi kiyinza okukula awatali nsonga. Tekitera nnyo, era kiyinza okuva ku mbeera y’obuzaale eyitibwa hereditary neuralgic amyotrophy.

Ensonga ezongera obulabe bw’embeera eno

Kizuuliddwa nti ebintu ebimu oba embeera z’obujjanjabi ziyinza okwongera katono ku bulabe bw’okulwala obulwadde bwa Parsonage-Turner Syndrome.

• Okulongoosebwa oba okubudamya gye buvuddeko
• Endwadde z’ebitundu ebiyunga - e.g. Obulwadde bwa Ehlers-Danlos
• Embeera z’abaserikale b’omubiri - e.g. lupus
• Akabenje okutuuka ku kibegabega
• Dduyiro assa akazito akanene ku bibegabega
• Ebika by’eddagala erigema ebimu
• Okufuna embuto n’okuzaala
• Obujjanjabi bw’amasannyalaze (radiation therapy).
• Okukebera okuboola ekifuba

Omusawo kino akizuula atya?

Bw’oba ​​olina obubonero buno, olina okusooka okulaba omusawo. Ajja kukubuuza ku bubonero bwo n’ebyafaayo byo eby’obujjanjabi. Oluvannyuma, bajja kukukebera omubiri okukebera ebinywa by’omukono gwo, engeri gy’owuliramu, n’engeri gy’owuliramu. Kirabika bajja kukusindika ew’omusawo w’obusimu, omusawo mukugu mu bizibu by’obusimu.

Okukakasa oba kino kya Parsonage-Turner Syndrome, omusawo ayinza okukuwa amagezi okukeberebwa okw’enjawulo okuyitibwa electromyography (EMG).

Okugatta ku ekyo, okukebera ebifaananyi nga kuno kuyinza okukolebwa okuggyawo embeera endala n’okukakasa nti ekizuuliddwa:

• Sikaani ya MRI (Magnetic Resonance Imaging) mu ngeri ey’ekikugu
• Okukebera obusimu (nerve ultrasound).
• Sikaani ya CT (Computed Tomography).

Waliwo obujjanjabi? Kiki ekiyinza okukolebwa?

Tewali bujjanjabi oba ddagala lyonna eriwonya kino n’okutuusa kati. Ekisinga obulungi embeera eno etera okugonjoola ku bwayo oluvannyuma lw’ekiseera. Wabula okuzuula amangu obulwadde n’obujjanjabi obuwagira okufuga obubonero kiyinza okwanguya enkola y’okuwona n’okufuna ebirungi.

Omusawo ajja kukuwa amagezi ku bujjanjabi obw’enjawulo okusobola okuddukanya obubonero bwo.

Mu kiseera ky’omutendera ogw’amangu

• Eddagala eriweweeza ku bulumi: Ebintu ng’eddagala eriweweeza ku bulumi erya bulijjo (NSAIDs).
• Oral Corticosteroids: Kika ky’eddagala eriweebwa okufuga okuzimba kw’obusimu n’emirimu gy’abaserikale b’omubiri.
• Okuziyiza omukono: Omukono gwo guwummule, era oyinza okusabibwa okukozesa ekintu ng’ekintu ekinyweza ebibegabega.
• TENS (Transcutaneous Electrical Nerve Stimulation): Enkola y’okufuga obulumi ng’osindika obubaka obutono obw’amasannyalaze okuyita mu lususu.
• Acupuncture: Abantu abamu nabo bafuna okukendeeza ku bulumi okuva mu kino.

Oluvannyuma lw’obulumi okukka

• Obujjanjabi bw’Omubiri: Kino kikulu nnyo . Omusawo ajja kukuyigiriza dduyiro n’okugolola okuyamba okunyweza ebinywa ebyonooneddwa, okukuuma ennyondo obutakaluba, n’okuddamu okukola mu ngalo.
• Eddagala ery’enjawulo eriwonya obulumi bw’obusimu: Abantu abamu bayinza okufuna obulumi obufaananako n’okuzimba obusimu, wadde ng’obulumi bukendedde. Mu mbeera ng’ezo, omusawo ayinza okukuwa eddagala ery’enjawulo nga gabapentin, carbamazepine oba amitriptyline.

Mu mbeera enzibu ennyo, nga tewali bujjanjabi bulala bukola, okulongoosa (okusiba obusimu oba okukyusa emisuwa) kuyinza okulowoozebwako. Kyokka kino tekitera kubaawo nnyo.

Ebiseera eby’omu maaso binaabeera bitya n’embeera eno? (Okuteebereza)

Enkola y’embeera eno eyinza okwawukana okusinziira ku muntu. Abantu abamu, kibeerawo omulundi gumu gwokka mu bulamu bwabwe ne batereera ddala. Ku balala, bayinza okweyongera okuba n’obunafu oba obulumi ku ddaala eritali limu. Ku bantu abatono, kiyinza okuddamu.

Okusinziira ku kunoonyereza, abantu nga 89% abaddukanya obubonero bwabwe ne bafuna obujjanjabi obutuufu obw’omubiri bajja kuwona mu bujjuvu mu myaka esatu. Ku abo, 75% bajja kuwona mu myaka ebiri, ate 36% bajja kudda engulu mu mwaka ogusooka.