Ka pāngia koe e te mamae nui o te pakihiwi me te ngoikore o te ringa? Tērā pea ko te Parsonage-Turner Syndrome tēnei

Kua pāngia koe e te mamae ohorere i tō pakihiwi? I muri i ētahi rā, i ētahi wiki pea, ka iti haere te mamae, engari kātahi ka ngoikore, ka ngoikore tō ringa? Kātahi ka kōrero tātou mō tētahi mea nui pea ki a koe. He mate onge tēnei e mataku ana te tini o te tangata. Ka kiia e mātou ko te Parsonage-Turner Syndrome. I tēnei rā, ka kōrerohia e tātou i roto i tētahi huarahi māmā e mārama ai koe.

He aha te Parsonage-Turner Syndrome (PTS)?

Ko te Parsonage-Turner Syndrome (PTS), e kiia ana hoki ko te "brachial neuritis", he mate e pā ana ki te pūnaha io. Ko tōna āhua he mamae ohorere, he mamae nui i roto i tō pakihiwi me tō ringa o runga, e ahua puta ohorere ana, kāore he take e kitea ana. Ka roa pea tēnei mamae mō ngā rā ki ngā wiki. Kātahi ka tīmata ngā raruraru kē atu. I te memeha haere o te mamae, ka tīmata te ngoikore o ngā uaua o tō pakihiwi, o tō ringa, o tō ringaringa rānei. Ka roa pea tēnei ngoikore mō ngā marama, tae noa ki ngā tau.

Whakaarohia he whatunga io kei a tātou e rere ana mai i tō tātou kaki mā roto i ō tātou kēkē ki ō tātou ringa. Pērā i te papa whakawhiti matua o tō tātou whare he waea e rere ana ki ia rūma, ka tukuna hoki e tēnei whatunga io ngā tohu ki ia wāhanga o ō tātou ringa. Ka kiia e tātou tēnei whatunga io ko te `(brachial plexus)`. I roto i te Parsonage-Turner Syndrome, ka pakaru tēnei whatunga io `(brachial plexus)`. Ko ngā io e whakahaere ana i te nekehanga te mea tino pakaru. Koia te take, i muri i te mamae, ka puta he ahua ngoikore me te ngoikore o ngā ringa.

Nā te mea he onge tēnei mate, ka pōhēhē pea ngā tākuta i ētahi wā ki ētahi atu mate noa. Hei tauira, ka taea te hē te tautuhi he mate radiculopathy cervical, he mate cervical spondylosis rānei, nā te mea he rite tonu ngā tohu.

E toru ngā wāhanga o tēnei mate.

E toru ngā wāhanga o tēnei mate. Kāore e pāngia te katoa e tēnei mate, engari koinei te tauira e kitea ana e te nuinga o te tangata.

Wāhanga 1: Wāhanga Mamae Koi

Koinei te wāhanga tuatahi. Kātahi ka tīmata te mamae nui, he maha ngā wā ka pā ki te pakihiwi kotahi. Ka roa pea tēnei mamae mai i ētahi rā ki ētahi wiki. E kīia ana ko te roa o tēnei wā mamae, ka roa ake te wā e ora katoa ai.

Wāhanga 2: Te ngoikore o te uaua

Kia memeha haere te mamae, ka tīmata te wāhanga tuarua. Koinei te wāhi ka tīmata te ngoikore o ngā uaua o te pakihiwi me te ringa. Ka uaua te hiki i te ringa, te hiki rānei i ngā mea taumaha. I roto i te wā, ka memeha pea ngā uaua nā te kore e whakamahia. Ka roa pea tēnei wāhanga mai i te ono ki te 18 marama, i ētahi wā ka roa ake.

Wāhanga 3: Whakaora

Koinei te wāhanga whakaora. I muri i tētahi wā, ka tīmata mārire te hoki mai o ō uaua ki te kaha. Ka mārire hoki tō ringa ki te mahi noa.

He pēhea te noa o tēnei āhuatanga?

He tino onge te mate Parsonage-Turner. E ai ki ngā tatauranga, e toru noa iho ngā tāngata i roto i ia rau mano ka pāngia e tēnei mate i ia tau. Nō reira, kāore he take e manukanuka ai koe mō tēnei mate i ia wā ka mamae tō pakihiwi.

Ahakoa ka taea te whakawhanake i ngā tau katoa, he nui ake te kitea i roto i ngā tāne . E kitea ana i te nuinga o te wā i waenganui i te 40-45 tau te pakeke.

He aha tonu ngā tohu?

Ko ngā tohu matua e rua ko te mamae ohorere, te mamae nui, ā, muri iho ka ngoikore te uaua. Ka pāngia pea koe e ēnei tohu i ngā wāhi katoa o tō pakihiwi, o tō ringa o runga, o tō ringaringa, o tō ringaringa rānei.

Kia titiro tātou ki te whanaketanga o ngā tohu.

He aha tēnei e tupu nei? He aha te take o tēnei?

Ki te pono, kāore anō kia kitea e ngā kairangahau te tino take o tēnei. Engari ko te whakaaro matua he mea nā te urupare rerekē o te pūnaha ārai mate i roto i te tinana.

Hei whakarāpopototanga, ina uru mai he iroriki, pērā i te huaketo, i te huakita rānei, ki roto i tō tātou tinana, ka whawhai tō tātou pūnaha ārai mate ki a ia. Engari i ētahi wā, i roto i tēnei pakanga, ka hē tō tātou pūnaha ārai mate, ā, ka whakaeke i tētahi wāhanga hauora o tō tātou tinana, arā, te whatunga io "brachial plexus". Koinā te wā ka pakaru ēnei io, ka puta ngā tohu.

He maha ngā wā, ka pā mai he mate huaketo hou i mua i tēnei āhuatanga. Hei tauira:

• huaketo Coxsackie B
• HIV (Huaketo Ārai Mate Tangata)
• Te mate tuarima (parvovirus B19)
• Ngā matepukupuku

Engari i ētahi wā ka puta ake, kāore he take e kitea ana. He tino onge, ka puta mai hoki i tētahi āhuatanga ira e kiia nei ko te hereditary neuralgic amyotrophy.

Ngā āhuatanga e whakanui ake ai i te mōrearea o tēnei āhuatanga

Kua kitea ko ētahi huihuinga, ko ētahi āhuatanga hauora rānei ka paku whakanui ake i te mōrearea o te whakawhanake i te Parsonage-Turner Syndrome.

• Te pokanga tata nei, te rongoā whakamoe rānei
• Ngā mate hononga o te kiko - hei tauira, te mate Ehlers-Danlos
• Ngā mate pūnaha ārai mate - hei tauira, te lupus
• He aituā ki te pakihiwi
• Ngā mahi whakakori tinana e whakararuraru ana i ngā pokohiwi
• Ētahi momo kano ārai mate
• Te haputanga me te whānautanga
• Te rongoā irahiko
• Whakamātautau pokanga lumbar

Me pēhea te kitenga a te tākuta i tēnei?

Mena kei a koe ēnei tohu, me toro atu koe ki tō tākuta i te tuatahi. Ka pātai atu ia ki a koe mō ō tohu me tō hītori hauora. Kātahi ka whakahaerehia he whakamātautau tinana hei tirotiro i ngā uaua o tō ringaringa, ō kare ā-roto, me ō urupare. Tērā pea ka tukuna koe e ia ki tētahi tākuta roro, he tākuta e tohunga ana ki ngā raruraru io.

Hei whakaū mēnā he Parsonage-Turner Syndrome tēnei, ka tūtohu pea tō tākuta i tētahi whakamātautau motuhake e kiia nei ko te electromyography (EMG).

Hei tāpiritanga, ka taea te whakahaere i ngā whakamātautau whakaahua pēnei i ēnei hei whakakore i ētahi atu āhuatanga me te whakaū i te mate:

• Matawai MRI (Whakaahua Āhua Aukume)
• Whakamātautau ultrasound io
• Matawai CT (Tomography Rorohiko)

He rongoā kei reira? He aha ngā mea ka taea te mahi?

Kāore anō kia kitea he rongoā motuhake mō tēnei. Ko te mea pai rawa atu, ka memeha haere tēnei mate i roto i te wā. Heoi anō, mā te tātaritanga wawe me te maimoatanga tautoko hei whakahaere i ngā tohu ka tere ake te whakaora, ā, ka pai ake ngā hua.

Ka tūtohu tō tākuta i ngā momo maimoatanga hei whakahaere i ō tohumate.

I te wā o te wā whakapeka

• Ngā rongoā whakamamae: Ngā mea pēnei i ngā rongoā whakamamae noa (NSAID).
• Corticosteroids ā-Waha: He momo rongoā e hoatu ana hei whakahaere i te mumura o ngā io me te mahi a te pūnaha ārai mate.
• Te aukati i te ringa: Whakangāwaritia tō ringa, ā, ka tonoa pea koe ki te whakamahi i tētahi mea pēnei i te whakaū pakihiwi.
• TENS (Whakaoho Hiko Whakawhiti-kiri): He tikanga hei whakahaere i te mamae mā te tuku tohu hiko iti mā roto i te kiri.
• Te wero ngira: Ka taea hoki e ētahi tāngata te whakamamae i te mamae mai i tēnei.

I muri i te memeha haere o te mamae

• Whakaora Tinana: He mea tino nui tēnei. Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana me ngā totoro tinana hei āwhina i te whakapakari i ngā uaua kua pakaru, te ārai i ngā hononga kia kaua e pakari, me te whakaora anō i te mahi a tō ringa.
• Ngā rongoā motuhake mō te mamae o ngā io: Tērā pea ka pāngia ētahi tāngata e te mamae e rite ana ki te mumura o ngā io, ahakoa kua memeha te mamae. I roto i ēnei āhuatanga, ka tohua pea e tō tākuta he rongoā motuhake pērā i te gabapentin, te carbamazepine, te amitriptyline rānei.

I ngā wā tino kino, ina kore he maimoatanga kē atu e whai hua, ka whakaarohia pea te pokanga (te tāpiri io, te whakawhiti uaua rānei). Heoi, he tino onge tēnei.

He aha te āhua o te heke mai me tēnei āhuatanga? (Te Matapae)

Ka rerekē pea te ahunga whakamua o tēnei āhuatanga i ia tangata, i ia tangata. Mō ētahi tāngata, kotahi noa te wā ka pā mai ai tēnei āhuatanga i roto i ō rātou oranga, ā, ka ora katoa rātou. Mō ētahi atu, ka mau tonu pea te ngoikore, te mamae rānei. Mō ētahi tāngata torutoru, ka hoki anō pea.

E ai ki ngā rangahau, tata ki te 89% o te hunga e whakahaere ana i ō rātou tohumate, ā, e whiwhi ana i te rongoā tinana tika, ka ora katoa i roto i ngā tau e toru. O ēnei, 75% ka ora i roto i ngā tau e rua, ā, 36% ka ora i roto i te tau tuatahi.