Obulwadde bwa Parsonage-Turner Syndrome kye ki? Ofuna obulumi obw’amangu mu kibegabega n’okuzirika mu mukono?

Wali ozuukuse ku makya, oba mu kiseera kyonna eky’olunaku, n’owulira obulumi obw’amaanyi mu kitundu ky’ebibegabega byo, awamu n’okuziyira n’okunafuwa mu mukono gwo? Kino kiyinza okuba nga kyamala ennaku oba wiiki ntono, olwo ebinywa byo ne bitandika okunafuwa mpola. Bw’oba ​​ofunye ekintu ekifaananako bwe kityo, kikulu nnyo okumanya embeera eno eyitibwa Parsonage-Turner Syndrome, gye tugenda okwogerako leero.

Ddala Obulwadde bwa Parsonage-Turner Syndrome kye ki?

Mu ngeri ennyangu, obulwadde bwa Parsonage-Turner Syndrome , oluusi obuyitibwa Brachial Neuritis , mbeera ekwata ku busimu. Ekibaawo, ofuna obulumi obw’amangu, obutalowoozebwako, obw’amaanyi mu kibegabega kyo n’omukono ogwa waggulu. Obulumi buno busobola okumala ennaku okutuuka ku wiiki. Wano ekizibu ekituufu we kitandikira. Obulumi bwe bukendeera, otandika okuwulira obunafu oba okuziyira mu binywa by’ekibegabega, omukono, omukono ogw’omu maaso oba engalo. Obunafu buno busobola okumala emyezi. Lowooza ku kino, waliwo omukutu gw’obusimu ogukulukuta okuva ku mugongo mu bulago bwo, okuyita mu bulago bwo, okuyita mu nnyindo zo, ne wansi mu mikono gyo. Ekyo kye tuyita ekitundu ekiyitibwa brachial plexus . Kiringa enkola ya waya z’amasannyalaze. Obulwadde bwa Parsonage-Turner syndrome mbeera nga ekitundu ky’omubiri ekiyitibwa brachial plexus kyonoonese. Kikosa nnyo obusimu bw'omubiri obufuga entambula n'obusimu bwabwo . Kino kye kivaako ebinywa okunafuwa. PTS mbeera etali ya bulijjo . Y’ensonga lwaki abasawo oluusi babutabula n’obulwadde bwa cervical radiculopathy , embeera ereeta okunyigirizibwa kw’obusimu mu bulago, oba cervical spondylosis , embeera etera ennyo. Obubonero bufaanagana nnyo. Kituumiddwa Parsonage-Turner erinnya ly’abakugu babiri ab’obusimu mu Bungereza, Maurice Parsonage ne John Turner, abaasooka okunnyonnyola embeera eno mu 1948. Kino kiyitibwa amannya amalala agawerako:

• Obulwadde bw’obusimu obuyitibwa Brachial neuritis
• Obulwadde bw’obusimu obuyitibwa Brachial plexus neuritis
• Obulwadde bw’obusimu obuyitibwa Brachial plexus neuropathy
• Obulwadde bw’obusimu obuyitibwa idiopathic brachial plexus neuropathy
• Obusimu obuyitibwa neuralgic amyotrophy

Emitendera ki egy’embeera eno?

Okutwalira awamu waliwo emitendera esatu emikulu egy’obulwadde bwa Parsonage-Turner. Ka tulabe kye bali. 1. Omutendera ogusooka (omutendera gw’obulumi obw’amaanyi):Buno bulumi bwa mangu, obw’amaanyi era nga bwa maanyi nnyo mu ngeri etayinza kulowoozebwako . Ebiseera ebisinga, bukosa ekibegabega ekimu. Obulumi buno busobola okumala ennaku ntono okutuuka ku wiiki ntono. Okutwalira awamu kigambibwa nti omutendera guno ogw’obulumi gye gukoma okuwangaala, gye gukoma okutwala ekiseera ekiwanvu okuwona. 2. Omutendera ogwokubiri: Oluvannyuma lw’obulumi okukka mpolampola, ojja kutandika okuwulira obunafu mu binywa byo. Naddala ebinywa ebyetoolodde ekibegabega n’omukono biba binafuye. Kino oluusi kiyinza okuvaako ebinywa okukendeera oba okukendeera . Omutendera guno ogw’okubiri gutera okumala wakati w’emyezi 6 ne 18. Naye eri abantu abamu kiyinza okuwangaala n’okusingawo. 3. Omutendera ogw’okusatu: Oluvannyuma lw’ekiseera, ebinywa byo biddamu amaanyi ne bitandika okukola obulungi. Guno gwe mutendera gw’okuwona.

Embeera eno ya bulijjo etya?

Mu butuufu, obulwadde bwa Parsonage-Turner syndrome (brachial neuritis) mbeera etali ya bulijjo nnyo . Kigambibwa nti abantu nga basatu bokka ku mitwalo kikumi be bafuna obulwadde buno buli mwaka. Kiyinza okukula mu muntu yenna ow’emyaka gyonna. Kyokka, kirabibwa nga kisingako katono mu basajja . Emyaka gya wakati egy’okutandika obulwadde buno giri nga 41.

Bubonero ki obulaga obulwadde bwa Parsonage-Turner syndrome?

Obubonero bubiri obukulu obulaga embeera eno kwe bulumi obw'amangu n'okunafuwa kw'ebinywa oluvannyuma . Bino bisobola okukosa ebitundu bino eby’olina:

• Amabegaabega
• Omukono ogwa waggulu (ekitundu eky’okungulu eky’omukono) .
• Ekyenyi (ekitundu eky’omukono wakati) .
• Omukono (omukono n’engalo) .

Ebiseera ebisinga, ebitundu nga 80%, kikwata omukono gumu gwokka (oludda olumu). Ebiseera ebisinga kikosa omukono/oludda lw’osinga okukozesa. Naye mu bitundu nga 20%, kiyinza okukosa emikono gyombi (bilateral). Tekitera nnyo, kikwata omugongo ogwa wansi n’amagulu. Ebiseera ebisinga, obulumi bujja mangu. Kiwulira ng’obulumi obw’amaanyi, obutagumiikiriza , naddala ekiro. Obulumi buno obw’amaanyi busobola okumala okuva ku ssaawa ntono okutuuka ku wiiki nnya. Oluvannyuma lw’obulumi okuggwaawo, ebinywa mu mukono gwo ogukosebwa bitandika okunafuwa. Ojja kusinga kuwulira obunafu bw’ebinywa mu kibegabega kyo oba mu mukono gwo ogwa waggulu. Naye era kiyinza okukosa omukono gwo ogw’omu maaso n’omukono gwo. Oluusi, obunafu buno buyinza okukosa ebinywa mu kifuba kyo oba mu diaphragm (ekinywa ekyawula ekifuba kyo ku lubuto lwo). Ebinywa bwe binafuwa, ekiseera bwe kigenda kiyitawo, ebitundu by’ebinywa bikendeera. Obuzibu bw’obubonero buno buyinza okwawukana nnyo okusinziira ku muntu. Kino kiri bwe kityo kubanga obusimu obukoseddwa PTS bwawukana okusinziira ku muntu. Wayinza okubaawo obubonero obulala obuwerako:

• Mu mukono ogukoseddwaEbizibu ku reflexes.
• Okuwulira okutali kwa bulijjo mu ngalo, okumanyiddwa nga paresthesia , oba okuzirika. Kino kiyinza okuwulira ng’okunyiga, okufumita oba okwokya.
• Okuseeseetula ekitundu ku kibegabega .
• Entambula etali ya bulijjo mu binywa ebikoseddwa.
• Embeera eyitibwa winged scapula (nga ekibegabega kifuluma emabega, ng’ekiwawaatiro).
• Okufunza ebinywa oba emisuwa mu mukono ogukoseddwa.
• Emikono emimyufu, egya kakobe oba egy’amabala olw’omusaayi okukendeera .
• Okuzimba kw'emikono .
• Obuzibu mu kussa (okusannyalala) . Kino tekitera kubaawo nnyo.

Lwaki obulwadde bwa Parsonage-Turner syndrome bubaawo?

Mu butuufu, abanoonyereza n’okutuusa kati tebamanyi kituufu ekivaako obulwadde bwa Parsonage-Turner syndrome. Balowooza nti enkola etali ya bulijjo ey’abaserikale b’omubiri gwaffe, eyitibwa immune -mediated response, y’esinga okuvaako. Waliwo endowooza bbiri ezikwata ku nsonga eno. 1. Obulwadde bw’akawuka, bakitiriya oba obuwuka bukwata butereevu ku kitundu kyo eky’omukono, ekivaako obubonero. 2. Abaserikale b’omubiri bo bwe balwanyisa obuwuka buno, akawuka, oba antigens , kyonoona ekitundu kyo eky’omukono ng’ekizibu. Ebiseera ebisinga, ekisinga okuvaako embeera eno kwe kukwatibwa akawuka gye buvuddeko . Endwadde zino wammanga ez’akawuka zizuuliddwa nga ze zisinga okukwatibwako:

• Coxsackie B virus : Kino kiyinza okuleeta embeera eziwerako, omuli pneumonia , obulwadde bw’omu lubuto, myocarditis (okuzimba ebinywa by’omutima), aseptic meningitis (ekika ky’obulwadde bw’obwongo), encephalitis (okuzimba obwongo), ne viral hepatitis (okuzimba ekibumba).
• Akawuka ka siriimu (Obulwadde bw’abaserikale b’omubiri mu bantu) .
• Obulwadde obw’okutaano (parvovirus B19) .
• Obulwadde bwa Mumps .
• Obulwadde bwa ssennyiga omukambwe (variola major ne minor) .

Oluusi, abasawo tebasobola kuzuula kivaako kituufu. Tekitera nnyo, obulwadde bwa Parsonage-Turner embeera ya buzaale/obusika .Era kiyinza okuva ku bulwadde bwa hereditary neuralgic amyotrophy.

Biki ebiyinza okuvaako embeera eno?

Abanoonyereza balowooza nti embeera n’embeera z’obujjanjabi ezimu ziyinza okwongera ku bulabe bw’okulwala obulwadde bwa Parsonage-Turner. Bino bye bimu ku byo:

• Okulongoosebwa okwakakolebwa ne/oba okubudamya .
• Endwadde z’ebitundu ebiyunga, okugeza, embeera nga Ehlers-Danlos syndrome .
• Endwadde z’abaserikale b’omubiri, gamba nga lupus (systemic lupus erythematosus - SLE) , emisuwa egy’omu kiseera , ne polyarteritis nodosa .
• Obuvune obw'amaanyi ku kibegabega .
• Dduyiro ow’amaanyi asika ebibegabega.
• Okufuna eddagala erigema/okugema (kino tekitera kubaawo nnyo, naye wabaddewo lipoota ezimu).
• Okufuna embuto n'okuzaala .
• Okufuna obujjanjabi obw'amasannyalaze .
• Lumbar puncture (spinal tap) , ekitegeeza okuggya amazzi mu mugongo.
• Okufuyira langi ey’enjawulo okusobola okukebera ebifaananyi.

Obulwadde bwa Parsonage-Turner syndrome buzuulibwa butya?

Bw’olaba omusawo, ajja kukubuuza ku bubonero bwo n’ebyafaayo by’obujjanjabi. Olwo bajja kukola okukebera omubiri. Bajja kukebera amaanyi, reflexes, n’okuwulira kw’ebinywa by’omukono gwo. Oyinza n'okusindikibwa ew'omusawo w'obusimu . Singa omusawo alowooza nti olina obulwadde bwa Parsonage-Turner syndrome, ayinza okukuwa amagezi okukeberebwa EMG (electromyography) . Kino kikozesebwa okwekenneenya obulamu n’enkola y’ebinywa byo eby’amagumba n’obusimu obubifuga. Okugatta ku ekyo, ebigezo bino wammanga eby’okukuba ebifaananyi biyinza okukolebwa okukakasa nti omuntu azuuliddwa oba okugaana embeera endala:

• Okukebera kwa MRI (okukuba ebifaananyi mu ngeri ya magineeti) .
• Okukebera obusimu mu ultrasound .
• CT (okukebera kompyuta) okukebera .

Bujjanjabi ki obukolebwa ku kino?

Mu butuufu, tewali bujjanjabi oba ddagala lyonna eriwonya PTS. Ebiseera ebisinga, kijja kugenda ku bwakyo okumala ekiseera. Kyokka kikulu okuzuula embeera eno nga bukyali.Singa otandika obujjanjabi obuyamba okufuga obubonero bwo, okuteebereza kwo kuyinza okulongooka ennyo. Omusawo ajja kukukuwa amagezi okukozesa obujjanjabi obw’enjawulo okuyamba okuddukanya obubonero bwo. Oyinza n’okusindikibwa mu ttiimu y’abakugu okukola enteekateeka y’obujjanjabi. Ttiimu eno eyinza okuli:

• Abasawo abasookerwako (PCPs) .
• Abasawo b’amagumba
• Abakugu mu by’obusimu
• Abakugu mu bulwadde bw’emisuwa
• Abasawo abajjanjaba omubiri

Obujjanjabi obuweebwa mu kiseera ky’obulumi obw’amaanyi buyinza okuli:

• Eddagala eriweweeza ku bulumi okugeza NSAIDs (eddagala eriziyiza okuzimba eritali lya steroid) eriyinza okugulibwa mu dduuka ly’eddagala.
• Eddagala eriyitibwa corticosteroids eriweebwa mu kamwa .
• Weewale okukozesa omukono ennyo, oba okuyimiriza omukono ng’okozesa ekyuma ekinyweza ebibegabega.
• Okusitula obusimu bw’amasannyalaze okuyita mu lususu (TENS) bujjanjabi obuyamba okusitula obusimu bw’amasannyalaze.
• Okukuba eddagala .

Oluvannyuma lw’omutendera gw’obulumi obw’amaanyi okuggwa, omusawo wo ajja kukuwa amagezi ku bujjanjabi buno:

• Obujjanjabi bw'omubiri : Omusawo ajja kukuyigiriza dduyiro w'okugolola n'okunyweza okukuyamba okuddamu okufuga ebinywa n'ennyondo ebikoseddwa.
• Eddagala eriweweeza ku bulumi: Lino ddagala erikozesebwa mu ngeri ey’enjawulo okujjanjaba obulumi bw’obusimu. Eby’okulabirako mulimu gabapentin , carbamazepine, ne amitriptyline .

Mu mbeera enzibu ennyo, bwe kiba nga tewali kintu kirala kikuwonya bubonero, omusawo ayinza okukuwa amagezi okulongoosebwa . Enkola zino ziyinza okuli okusimbuliza obusimu oba okukyusa emisuwa .

Kino kisobola okulemesebwa okubaawo?

Okuva abanoonyereza bwe bakyatamanyi kituufu ekivaako PTS, mu butuufu tewali ky’oyinza kukola kugiziyiza. Kyokka olw’okuba akawuka akamu kasobola okubuleeta, okusigala ng’oli mulamu bulungi nga bwe kisoboka kiyinza okuyamba okukendeeza ku bulabe bw’okubufuna.

Kiki ekitegeeza embeera eno?

Endowooza y‟okuwona PTS eyinza okwawukana okusinziira ku muntu.Abantu abamu bafuna PTS omulundi gumu gwokka era ne bawona mu bujjuvu okuva mu kitundu ekikoseddwa. Abalala bayinza okuba n’obunafu n’obulumi obutasalako. Abantu abamu era bayinza okufuna PTS emirundi egisukka mu gumu (okuddamu). Waliwo ebintu ebimu ebiyinza okukendeeza ku mikisa gy'okuwona :

• Obulumi buno bumala emyezi esatu era ebinywa tebitereera.
• Singa PTS ekosezza omubiri gwo ogwa wansi/olubuto .
• Singa ekivaako kiba mbeera ya nsikirano , omuze gw’obulwadde okuddamu guli waggulu nnyo mu mbeera ng’ezo.

Okusinziira ku kunoonyereza okumu, abalwadde ba PTS 89% abaafuna okujjanjaba obubonero n’okujjanjabibwa mu mubiri baawona mu myaka esatu. Ku abo, nga 75% baawona mu myaka ebiri, ate 36% ne bawona mu mwaka ogusooka. Okunoonyereza okwakakolebwa kulaga nti abantu bangi bayinza okweyongera okuba n’obulumi n’ebizibu ebimu eby’emirimu. Kyokka, okuddamu amaanyi mu bujjuvu kisoboka , wadde nga kiyinza okutwala emyaka munaana.

Ddi lwe nnina okulaba omusawo?

Kikulu nnyo okuzuula obulwadde bwa Parsonage-Turner syndrome nga bukyali era mu butuufu . Bw’oba ​​olina obulumi naddala nga buba bwa mangu ate nga bwa maanyi , kakasa nti olaba omusawo.

Bibuuzo ki by’osaanidde okubuuza omusawo?

Bw’oba ​​oyagala okumanya ebisingawo ku mbeera eno, osobola okubuuza omusawo ebibuuzo nga bino:

• Lwaki nnafuna obulwadde bwa Parsonage-Turner syndrome?
• Bakugu ba ngeri ki gye nnina okulaba?
• Eddagala eriweweeza ku bulumi lya kika ki ly’ogamba?
• Nsaanidde kwerabirira ntya awaka?
• Olowooza nja kuwona mangu ntya?
• Bujjanjabi bwa ngeri ki gy’oteesa?
• Ntegeera ntya oba embeera eno eya PTS egenda etereera oba egenda yeeyongera?

N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .

Obulumi obw’amangu, obw’amaanyi buyinza okuba ekintu ekitiisa. Y'engeri omubiri gwo gye gukugamba nti, "Waliwo ekikyamu." Eno y’ensonga lwaki kikulu okulaba omusawo amangu ddala nga bwe kisoboka. Waliwo obujjanjabi bungi obuyinza okuyamba okuddukanya obubonero bw’obulwadde bwa Parsonage-Turner syndrome (PTS) era nga kiyinzika okwanguya okuwona. Bw’oba ​​olina ekibuuzo kyonna ku PTS, totya kubuuza musawo wo. Baliwo okukuyamba. Jjukira nti si ggwe wekka, waliwo abantu abalala abayita mu kino, era waliwo abasawo abasobola okuyamba .