Parsonage-Turner Syndrome hi eng nge ni? I kekawr ipteah na nghal vat a, i kut chu a na nghal em?

Zing lamah emaw, ni khat chhunga engtik lai pawhin i tho a, i kekawr bul velah natna nasa tak i nei nghal em, chubakah i kut chu i rilru a na leh chak lohna i nei tawh em? Hei hi ni engemaw zat emaw, kar engemaw zat emaw a awm tawh mai thei a, chutah chuan i taksa ruhte chu zawi zawiin a chak lo tan ta a ni. Hetiang chiah hian i tawng tawh a nih chuan he natna Parsonage-Turner Syndrome an tih hi hriat a pawimawh hle a, vawiinah hian kan sawi dawn a ni.

Parsonage-Turner Syndrome hi eng nge ni tak tak?

A awlsam zawngin, Parsonage-Turner Syndrome , a then chuan Brachial Neuritis , an tih hi nervous system nena inzawm natna a ni. Thil thleng chu i kephah leh i kut chunglam ah natna nasa tak, ngaihtuah phak loh, na tak i tawng nghal mai thin. He natna hi ni tam tak atanga kar tam tak chhung a awm thei. Chutah chuan buaina tak tak chu a intan ta a ni. Natna a reh deuh deuh chuan i ke ruh, i kut, i kut hmawr, a nih loh leh i kut zungtang ruhte chu chak lohna emaw, rilru hahna emaw i nei ṭan a ni. He chak lohna hi thla tam tak chhung a daih thei a ni. Ngaihtuah teh, i kawr chhungah ruhro atanga i kawr kal tlangin, i kutphah kal tlangin, i kut hnuai lam thlengin nerve network a awm a. Chu chu brachial plexus kan tih chu a ni. Electrical wire system ang mai a ni. Parsonage-Turner syndrome hi brachial plexus tihchhiatna a ni. A bik takin movement control tu motor nerve leh an axons te a nghawng a ni . Hei hi taksa ruh chak lohna thlentu a ni. PTS hi a awm lo hle . Chuvangin doctor-te chuan a chang chuan cervical radiculopathy , kawr chhunga nerve compression thlentu natna, emaw, cervical spondylosis , natna tlanglawn tak nen an inzawm tir fo thin. A natna lan chhuah dan pawh a inang hle. British neurologist pahnih, Maurice Parsonage leh John Turner te hming chawiin Parsonage-Turner an vuah a, kum 1948 khan he natna hi an sawi hmasa ber a, hei hi hming dang engemaw zatin an ko bawk:

• Brachial neuritis a awm bawk
• Brachial plexus neuritis a awm bawk
• Brachial plexus neuropathy a awm a, a rilru a hah hle
• A rilru a buai em em a, a rilru a hah em em bawk a
• Neuralgic amyotrophy a awm bawk

Hetiang dinhmun hi eng stage nge ni?

Parsonage-Turner syndrome hi a tlangpuiin stage lian pathum a awm a. Eng nge an nih i en ang u. 1. A hmasa ber (acute pain phase): .Hei hi natna khirh tak, ngaihtuah phak loh khawpa na tak a ni . A tam zawkah chuan kekawr pakhat a nghawng thin. He natna hi ni engemaw zat atanga kar tlemte thleng a awm thei. A tlangpuiin he natna phase hi a rei poh leh a dam rei zawk dawn niin an sawi. 2. Second stage: Natna a reh zauh zauh hnuah i taksa ruh (muscle)-ah chak lohna i nei tan ang. A bik takin i ke leh i kut vel a thau te chu a chak lo hle. Hei hian a châng chuan taksa ruh a tichhe thei a, a nih loh leh atrophy . He second stage hi thla 6 leh 18 inkar a ni tlangpui. Mahse mi thenkhat tan chuan a rei zawk thei bawk. 3. Third stage: Hun engemaw chen hnuah i taksa ruhte chu chakna an nei leh a, a pangngaiin an thawk tan ta a ni. Hei hi damna stage a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan Parsonage-Turner syndrome (brachial neuritis) hi a awm lo hle a ni. Kum tin mi sang za zinga mi pathum vel chauhvin he natna hi an vei niin an sawi. Kum eng pawhah a lo thang lian thei. Mahse, mipaah ​​chuan tlem chuan hmuh tur a tam zawk . He natna vei tan kum zat chu kum 41 vel a ni.

Parsonage-Turner syndrome natna lan chhuah dan chu engte nge ni?

Hetiang natna lan chhuahna lian ber pahnih chu natna nghal mai leh a hnu lama taksa ruh chak lohna hi a ni . Chûngte chuan i thil tihte hi a nghawng thei a ni:

• Koki
• Upper arm (kut chunglam) 1.1.
• Hmai (kut lai tak) .
• Kut (kut leh kut zungtang) .

A tam zawkah chuan 80% velin kut pakhat (unilateral) chauh a nghawng thin. I hman ber arm/side a nghawng tlangpui. Mahse 20% velin kut pahnih (bilateral) a nghawng thei. A tlem hle a, a ke hnuai lam leh ke ruh a nghawng thin. A tam zawkah chuan natna chu a lo thleng thut thin. It feels like a sharp, unbearable pain , a bik takin zan lamah. He natna nasa tak hi darkar tlemte atanga kar li thleng a awm thei. Natna a reh hnuah i kut natna vei taksa ruhte chu a chak lo tan ta a ni. I kekawrte emaw, i kut chunglam emaw-ah taksa ruh chak lohna i nei ngei ang. Mahse i kut hmawr leh kut pawh a nghawng thei bawk. A châng chuan, chak lohna hian i rilru emaw, diaphragm (i rilru leh i pum inthenna ruh) a nghawng thei a ni. Muscle a chak loh chuan hun kal zelah muscle tissue a atrophie thin. Heng symptoms nasat dan hi mi hrang hrangah a inang lo thei hle. Hei hi a chhan chu PTS-in a nghawng nerve hi mi hrang hrangah a inang lo vang. Symptom dang engemaw zat a awm thei bawk:

• Kut natnaah chuanReflexes lama harsatna awm thei.
• Kut chhunga hriatna pangngai lo, paresthesia , a nih loh leh rilru hahna tia hriat. Hei hi tickling, prickling, emaw burning sensation ang maiin a awm thei.
• A ke ruh (partial shoulder dislocation) a awm .
• A natna ruh (joint)-ah hian range of motion danglam tak a awm .
• Winged scapula (a shoulder blade chu hnunglam hawia chhuak, wing ang maia awm) an tih dinhmun.
• Kut natna hmuna ruh emaw, ruh (tendon) emaw a tawi.
• Thisen kal chak lohna avanga kut sen, sen hring, emaw, blotchy emaw .
• Kut a hring chhuak .
• Thâwk harsa (dyspnea) . Hei hi a tlem hle.

Engvangin nge Parsonage-Turner syndrome hi a lo awm?

Dik tak chuan zirchiangtute chuan Parsonage-Turner syndrome awm chhan dik tak hi an la hre lo. Kan taksa immune system-a thil tih dan pangngai lo, immune -mediated response an tih chu a chhan ber niin an ngai. Hemi chungchangah hian theory pahnih a awm a. 1. Viral, bacterial, parasitic infection hian i brachial plexus chu direct-in a nghawng a, symptoms a thlen thin. 2. I immune system hian heng bacteria, virus, antigens te hi a do hian side effect angin i brachial plexus a tichhia a ni. A tam zawkah chuan he natna thlentu ber chu tun hnaia virus infection vang a ni . A hnuaia virus natna te hi a kaihhnawih tam ber nia hriat a ni.

• Coxsackie B virus : Hei hian natna engemaw zat a thlen thei a, chung zingah chuan pneumonia , chaw kawng natna, myocarditis (thinlung ruh natna), aseptic meningitis (thluak natna chi khat), encephalitis (thluak natna), leh viral hepatitis (thinlung natna) te pawh a tel.
• HIV (Mihring Immunodeficiency Virus) .
• Natna pangana (parvovirus B19) .
• Mumps a awm .
• Smallpox (variola lian leh tenau) .

A châng chuan, doctor-te chuan a chhan chiang tak an hmu thei lo. A tlem hle a, Parsonage-Turner syndrome hi genetic/inherited condition a ni.Hei hi hereditary neuralgic amyotrophy vang pawh a ni thei bawk.

Hetiang dinhmun thlentu risk factors te hi engte nge ni?

Zirchiangtute chuan damdawi lam dinhmun leh dinhmun thenkhat chuan Parsonage-Turner syndrome vei theihna a tipung thei niin an ngai. Chung zinga ṭhenkhat chu hetiang hi a ni:

• Tun hnaia operation leh/ emaw anesthesia .
• Connective tissue natna, entirnan, Ehlers-Danlos syndrome ang chi natna .
• Autoimmune natna, lupus (systemic lupus erythematosus - SLE) , temporal arteritis , leh polyarteritis nodosa te hi a ni.
• A ke ruh hliam na tak a ni .
• Exercise nasa tak , kekawrte ti na thei.
• Vaccine/immunization lak (hei hi a tlem hle a, mahse report engemaw zat a awm tawh).
• Naupai leh nau neih lai .
• Radiation therapy dawngtu te .
• Lumbar puncture (spinal tap) , chu chu ruh atanga tui lak tihna a ni.
• Imaging test atan contrast dye inject a ni.

Engtin nge Parsonage-Turner syndrome hi hriat theih?

Doctor i hmuh hunah i symptoms leh medical history te an zawt ang che. Chumi hnuah taksa enfiahna an nei leh ang. I kut ruh chakna, reflexes leh sensation te an enfiah ang. Neurologist hnenah pawh refer theih i ni bawk . I doctor chuan Parsonage-Turner syndrome i nei nia a hriat chuan EMG (electromyography) test neih a rawt mai thei. Hei hi i ruh ruh leh a thununtu nerve te hriselna leh hnathawh dan tehna atan hman a ni. Chu bakah, a hnuaia imaging test te hi a diagnosis finfiah nan emaw, condition dang tihbo nan emaw tih theih a ni bawk:

• MRI (magnetic resonance imaging) hmanga tihchhuah a ni .
• Nerve ultrasound hmanga enfiah a ni .
• CT (computed tomography) hmanga tih a ni .

Hei hi eng enkawlna nge ni?

Dik tak chuan PTS hi enkawlna leh damdawi bik a awm lo . A tam zawkah chuan hun kal zelah a mah chauhin a bo vek ang. Mahse, a natna hi hriat hmasak a pawimawh.I symptoms control thei tur treatment i tan chuan i prognosis chu nasa takin a ti tha thei a ni. I doctor chuan i natna lan chhuah dan tur enkawl dan tur chi hrang hrang a rawn rawt ang che. Enkawlna tur ruahmanna siam turin specialist team-ah pawh refer i ni thei bawk. He team hian:

• Primary care doctor (PCP) te chuan an enkawl tha hle.
• Orthopedist te pawh an awm
• Neurologist te an ni
• Neuromuscular disease lama mithiamte an ni
• Taksa lam thiamte

Acute pain phase chhunga enkawlna pek danah chuan:

• Painkillers, entirnan NSAIDs (non-steroidal anti-inflammatory drugs) damdawi dawr atanga lei theih.
• Corticosteroid ei tur a ni .
• Arm hman tam lutuk loh tur, a nih loh leh shoulder stabilizer hmangin kut kha immobilize tur a ni.
• Transcutaneous electrical nerve stimulation (TENS) hi electrical nerve stimulation hmanga enkawl a ni.
• Acupuncture hmanga tih a ni .

Acute pain phase a zawh hnuah i doctor chuan heng enkawlnate hi a rawn rawt ngei ang:

• Physical therapy : Physical therapist chuan stretching leh strengthening exercise a zirtir ang che, chu chuan a natna taksa leh ruhkawrte chu a thunun leh theih nan a pui ang che.
• Co-analgesics: Heng damdawi hi nerve natna enkawlna atana hman bik a ni. Entirnan , gabapentin , carbamazepine, leh amitriptyline te hi a ni.

Thil na tak takah chuan, thil dangin i natna lan chhuahna a tiziaawm lo a nih chuan, i doctor chuan operation neih a rawt thei ang . Heng tih dan tur hi nerve grafting emaw tendon transfer emaw pawh a ni thei .

Hei hi a thlen loh nan a veng thei ang em?

Researcher-te hian PTS awm chhan dik tak an la hriat loh avangin, a venna tur hian engmah tih theih a awm lo tak zet a ni. Mahse, virus thenkhatin a tichhuak thei a, a hrisel thei ang bera awm hian i vei theihna tur a ti tlem thei a ni.

Hetiang dinhmun hi eng prognosis nge ni?

PTS atanga dam leh theihna tur thlirna hi mi hrang hrangah a inang lo thei.Mi thenkhat chuan PTS hi vawi khat chauh an nei a, a natna hmun atang hian an dam kim vek thin. Mi dangte chuan chak lohna leh hrehawmna chhunzawm zel an nei thei bawk. Mi thenkhat chuan PTS hi vawi khat aia tam (recurrence) an nei thei bawk. Dam leh theihna ti tlem thei thil engemaw zat a awm :

• Thla thum chhung a na a, taksa ruhte pawh a dam lo.
• PTS hian i torso/abdomen hnuai lam a nghawng a nih chuan .
• If the cause is a hereditary condition , chutiang hunah chuan natna lo lang leh duhna chu a sang hle.

Zirna pakhatah chuan PTS vei, symptom management leh physical therapy dawng zinga 89% chu kum thum chhungin an dam leh a ni. Chumi zinga 75% vel chu kum hnih chhungin an dam leh a, 36% chu kum khatna chhungin an dam leh bawk. Tun hnaia zirchianna hrang hrangah chuan mi tam takin natna an nei chhunzawm zel thei a, hnathawhna lama harsatna engemaw zat an nei thei bawk. Mahse, full recovery is possible , kum riat thleng pawh a la ngai thei.

Engtikah nge Doctor ka hmuh ang?

Parsonage-Turner syndrome hi a hma leh dik taka hriat chian a pawimawh hle . Natna i neih chuan, a bik takin a rang leh na tak a nih chuan , doctor pan ngei ngei tur a ni.

Doctor hnenah eng zawhna nge i zawh tur?

Hetiang dinhmun hi i hriat belh duh chuan i doctor hnenah hetiang zawhna hi i zawt thei ang:

• Engvangin nge Parsonage-Turner syndrome hi ka neih?
• Eng ang specialist nge ka hmuh ang?
• Eng ang painkiller nge i rawt?
• In lamah engtin nge ka in enkawl ang?
• Engtiang chiahin nge ka dam thuai i rin?
• Eng ang enkawlna nge i rawt?
• Engtin nge he PTS dinhmun hi a tha chho zel nge a chhe zel tih ka hriat theih ang?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Vawikhatmah, natna nasa tak chu thil hlauhawm tak a ni thei. I taksain "Eng emaw a dik lo" a tih dan che a ni. Chuvang chuan a rang thei ang bera Doctor hmuh a pawimawh. Parsonage-Turner syndrome (PTS) symptoms enkawltu tur leh i damna ti chak thei tur enkawlna tam tak a awm. PTS chungchanga zawhna i neih chuan i doctor zawh hreh suh. I tanpui turin an awm reng a ni. Nangmah chauh i ni lo tih hre reng la, hetiang tawk mek midang an awm a, doctor pui theitu pawh an awm bawk .