He aha te Parsonage-Turner Syndrome? Ka pāngia koe e te mamae ohorere i tō pakihiwi me te ngoikore o tō ringa?

Kua oho ake koe i te ata, i tētahi wā rānei o te rā, ā, ka pāngia e te mamae nui i tō pakihiwi, me te ngoikore me te koretake o tō ringa? Tērā pea kua roa tēnei e pāngia ana mō ētahi rā, wiki rānei, kātahi ka tīmata te ngoikore haere o ō uaua. Mena kua pāngia koe e tētahi wheako ōrite, he mea nui kia mōhio koe ki tēnei mate e kiia nei ko te Parsonage-Turner Syndrome, ka kōrerohia e tātou i tēnei rā.

He aha rawa te Parsonage-Turner Syndrome?

Ki te kī ngāwari, ko te Parsonage-Turner Syndrome , e kiia ana ko te Brachial Neuritis , he āhuatanga e pā ana ki te pūnaha io. Ko te mea ka tupu, ka pāngia koe e te mamae ohorere, kāore e taea te whakaaro, te mamae nui i tō pakihiwi me tō ringa o runga. Ka roa pea tēnei mamae mō ngā rā ki ngā wiki. Koinei te wā ka tīmata ai te raruraru tūturu. I te memeha haere o te mamae, ka tīmata koe ki te rongo i te ngoikore, te korekore rānei i roto i ngā uaua o tō pakihiwi, ringa, ringaringa, maihao rānei. Ka roa pea tēnei ngoikore mō ngā marama. Whakaarohia, he whatunga io e rere ana mai i te tuaiwi i tō kaki, mā roto i tō kaki, mā roto i ō kēkē, ā, heke iho i ō ringaringa. Koinei te mea e kiia nei e mātou ko te brachial plexus . He rite ki te pūnaha waea hiko. Ko te Parsonage-Turner syndrome he āhuatanga e pakaru ai te brachial plexus. Ka pā motuhake ki ngā io nekeneke e whakahaere ana i te nekehanga me ō rātou axons . Koinei te take e ngoikore ai te uaua. He āhuatanga onge te PTS. Koia te take e pōhēhē ai ngā tākuta i ētahi wā ki te radiculopathy cervical , he mate e pēhia ai ngā io i te kaki, te cervical spondylosis rānei, he mate tino noa. He tino ōrite ngā tohu. I tapaina ko Parsonage-Turner i muri i ngā tākuta roro Piritana e rua, a Maurice Parsonage rāua ko John Turner, nā rāua i whakaahua tuatahi te mate i te tau 1948. He maha atu anō ngā ingoa e huaina ana mō tēnei mate:

• Te neuritis o te roro
• Te neuritis o te plexus brachial
• Te neuropathy o te plexus brachial
• Te neuropathy o te plexus brachial idiopathic
• Te amyotrophy neuralgic

He aha ngā wāhanga o tēnei āhuatanga?

E toru ngā wāhanga matua o te mate Parsonage-Turner. Kia tirohia tātou he aha ēnei. 1. Te wāhanga tuatahi (te wāhanga mamae nui):He mamae ohorere tēnei, he mamae nui, kāore e taea te whakaaro . I te nuinga o te 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 wāhanga mamae, ka roa ake te wā e ora ai. 2. Wāhanga tuarua: I muri i te memeha haere o te mamae, ka tīmata koe ki te rongo i te ngoikore o ō uaua. Ina koa ko ngā uaua huri noa i tō pakihiwi me tō ringa ka ngoikore. I ētahi wā ka arahi tēnei ki te ngoikore o te uaua, te ngoikore rānei. Ko te tikanga ka roa tēnei wāhanga tuarua i waenga i te 6 me te 18 marama. Engari mō ētahi tāngata ka roa ake pea. 3. Wāhanga tuatoru: I muri i ētahi wā, ka hoki mai te kaha o ō uaua, ka tīmata te mahi noa. Koinei te wāhanga whakaora.

He pēhea te noa o tēnei āhuatanga?

Ina hoki, he tino onge te mate Parsonage-Turner (brachial neuritis). E kiia ana e toru noa iho ngā tāngata i roto i te kotahi rau mano ka pāngia e tēnei mate i ia tau. Ka taea te pāngia e te tangata o ngā tau katoa. Heoi, he nui ake te kitea i roto i ngā tāne . Ko te tau toharite o te tīmatanga o tēnei mate he 41 tau te pakeke.

He aha ngā tohu o te mate Parsonage-Turner?

Ko ngā tohu matua e rua o tēnei mate ko te mamae ohorere me te ngoikore o ngā uaua i muri mai . Ka pā pea ēnei ki ēnei wāhanga o tō tinana:

• pakihiwi
• Te ringa o runga (te wāhanga o runga o te ringa)
• Rae (te wāhanga waenga o te ringa)
• Ringa (ringa me ngā maihao)

I te nuinga o te wā, tata ki te 80% o te wā, ka pā ki te ringa kotahi anake (kotahi te taha). I te nuinga o te wā ka pā ki te ringa/taha e whakamahia ana e koe. Engari i roto i te 20% o ngā take, ka pā ki ngā ringa e rua (rua te taha). He tino onge, ka pā ki te tinana o raro me ngā waewae. I te nuinga o te wā, ka puta ohorere te mamae. He rite ki te mamae koi, kāore e taea te manawanui , inā koa i te pō. Ka roa pea tēnei mamae nui mai i ētahi hāora ki te whā wiki. I muri i te ngaronga o te mamae, ka tīmata te ngoikore o ngā uaua o tō ringa e pāngia ana. Tērā pea ka rongo koe i te ngoikore o ngā uaua i tō pakihiwi, i tō ringa o runga rānei. Engari ka pā anō hoki ki tō ringaringa me tō ringaringa. I ētahi wā, ka pā te ngoikore ki ngā uaua o tō uma, ki tō diaphragm rānei (te uaua e wehe ana i tō uma mai i tō puku). Ina ngoikore ngā uaua, i roto i te wā, ka memeha haere ngā kiko uaua. Ka rerekē te kaha o ēnei tohu i ia tangata ki ia tangata. Nā te mea he rerekē ngā io e pāngia ana e te PTS i ia tangata ki ia tangata. Tērā pea he maha atu ngā tohu:

• I roto i te ringa e pāngia anaNgā raruraru ki ngā whakaata.
• He kare ā-roto rerekē o te ringa, e mōhiotia ana ko te paresthesia , te ngoikore rānei. Ka rite tēnei ki te ngau, te werowero, te wera rānei.
• Te nekehanga hapa o te pakihiwi .
• Te whānuitanga nekehanga rerekē o ngā hononga e pāngia ana.
• He āhuatanga e kiia nei ko te scapula parirau (e pupū whakamuri ana te mata o te pakihiwi, pērā i te parirau).
• Te whakapoto i ngā uaua, i ngā uaua rānei o te ringa e pāngia ana.
• Ringa whero, papura, kiri māwhero rānei nā te ngoikore o te rere o te toto .
• Te pupuhi o ngā ringaringa .
• Te uaua ki te manawa (dyspnea) . He tino onge tēnei.

He aha te take ka puta ai te mate Parsonage-Turner?

Ina hoki, kāore anō kia mōhiotia e ngā kairangahau te tino take o te mate Parsonage-Turner. Ki tā rātou whakaaro ko te tauhohenga rerekē o te pūnaha ārai mate o tō tātou tinana, e kiia nei ko te tauhohenga ārai mate, te tino take. E rua ngā ariā mō tēnei. 1. Ka pā tika te mate huaketo, kitakita, pirinoa rānei ki tō plexus brachial, ka puta ai ngā tohu. 2. Ina whawhai tō pūnaha ārai mate ki ēnei kitakita, huaketo, antigen rānei, ka kino tō plexus brachial hei pānga taha. I te nuinga o te wā, ko te tino take o tēnei mate he mate huaketo hou. Kua tautuhia ngā mate huaketo e whai ake nei ko ngā mea tino pea ka uru atu:

• Te huaketo Coxsackie B: Ka taea e tēnei te whakaputa i ētahi āhuatanga, tae atu ki te niumōnia , te mate puku, te myocarditis (mumura o te uaua o te ngākau), te meningitis aseptic (he momo mate roro), te encephalitis (mumura o te roro), me te hepatitis viral (mumura o te ate).
• HIV (Huaketo Ārai Mate Tangata) .
• Te mate tuarima (parvovirus B19) .
• Ngā mate pūkahukahu .
• Te rewharewha (variola nui me te variola iti) .

I ētahi wā, kāore e kitea e ngā tākuta tētahi take motuhake. He tino onge, he mate ira/tuku iho te mate Parsonage-Turner.Ka taea hoki te puta mai i te amyotrophy neuralgic ira tuku iho.

He aha ngā āhuatanga mōrearea e whai wāhi ana ki tēnei āhuatanga?

E whakapono ana ngā kairangahau ka piki ake pea te tūponotanga o te whakawhanake i te mate Parsonage-Turner i roto i ētahi āhuatanga hauora me ngā āhuatanga. Anei ētahi o aua āhuatanga:

• Te pokanga tata nei me/ranei te rongoā whakamoe .
• Hei tauira, ko ngā mate hononga-kikokiko, ko ngā āhuatanga pēnei i te mate Ehlers-Danlos .
• Ngā mate pūnaha ārai mate, pērā i te lupus (systemic lupus erythematosus - SLE) , te temporal arteritis , me te polyarteritis nodosa .
• He whara pakihiwi .
• He whakakori tinana kaha e whakauaua ana i ngā pakihiwi.
• Te whiwhi kano ārai mate/whakatō kano ārai mate (he tino onge tēnei, engari kua puta ētahi pūrongo).
• Te haputanga me te whānautanga .
• Te whiwhi i te rongoā irahiko .
• Te poka i te tuaiwi (te tango wai mai i te tuaiwi) .
• Te werohanga i te tae rerekē mō te whakamātautau whakaahua.

Me pēhea te tautuhi i te mate Parsonage-Turner?

Ina kite koe i tētahi tākuta, ka pātai atu rātou ki a koe mō ō tohu me tō hītori hauora. Kātahi ka tirotirohia e rātou te tinana. Ka tirohia e rātou te kaha, ngā urupare, me te kare o ngā uaua o tō ringa. Tērā pea ka tukuna koe ki tētahi tākuta roro . Mena ka whakaaro tō tākuta he mate Parsonage-Turner tōu, ka tūtohu pea rātou i tētahi whakamātautau EMG (electromyography) . Ka whakamahia tēnei hei aromatawai i te hauora me te mahi a ō uaua angaanga me ngā io e whakahaere ana i a rātou. Hei tāpiri, ka taea te mahi i ngā whakamātautau whakaahua e whai ake nei hei whakaū i te mate, hei whakakore rānei i ētahi atu āhuatanga:

• Matawai MRI (whakaahua aukume) .
• Whakamātautau ultrasound o ngā io .
• Matawai CT (tomography rorohiko) .

He aha ngā maimoatanga mō tēnei?

Ki te pono, kāore he maimoatanga motuhake, he rongoā rānei mō te PTS. I te nuinga o te wā, ka memeha noa iho i roto i te wā. Heoi, he mea nui kia tātaritanga wawetia te mate.Ki te tīmata koe i tētahi maimoatanga hei āwhina i te whakahaere i ō tohumate, ka tino pai ake tō āhua. Ka tūtohu tō tākuta i ētahi momo maimoatanga hei āwhina i te whakahaere i ō tohumate. Tērā pea ka tukuna koe ki tētahi rōpū tohunga hei whakawhanake i tētahi mahere maimoatanga. Kei roto pea i tēnei rōpū:

• Ngā rata tiaki tuatahi (PCP)
• Ngā tohunga wheua
• Ngā tohunga roro
• Ngā tohunga mate io-uaua
• Ngā kaiwhakaora tinana

Ko ngā maimoatanga e hoatu ana i te wā o te mamae nui ka uru atu ki:

• Ngā rongoā mamae, hei tauira ko ngā NSAID (ngā rongoā anti-inflammatory kore-steroidal) ka taea te hoko mai i te whare rongoā.
• Ngā rongoā corticosteroid ā-waha .
• Kaua e whakamahi nui rawa i te ringa, kaua hoki e whakaū i te ringa mā te whakamahi i tētahi mea tautoko pakihiwi.
• Ko te whakaoho hiko ā-kiri (TENS) he rongoā whakaoho hiko mō ngā uaua.
• Te rongoā wero ngira .

Kia mutu te wā mamae nui, ka tūtohu pea tō tākuta i ēnei maimoatanga:

• Whakaora tinana: Ka ako te kaiwhakaora tinana i a koe ki ngā mahi totoro me te whakapakari tinana hei āwhina i a koe ki te whakahoki mai i te mana whakahaere o ngā uaua me ngā hononga e pāngia ana.
• Ngā rongoā tāpiri-whakamamae: Ko ēnei ngā rongoā e whakamahia ana hei rongoā i te mamae o ngā io. Ko ētahi tauira ko te gabapentin , te carbamazepine, me te amitriptyline .

I ngā wā tino kino, ki te kore he mea hei whakaora i ō tohumate, ka tūtohu pea tō tākuta kia pokanga . Kei roto pea i ēnei tikanga te tāmi io , te whakawhiti uaua rānei.

Ka taea te ārai i tēnei mea kei tupu?

I te mea kāore anō ngā kairangahau kia mōhio ki te tino pūtake o te PTS, kāore rawa he mea e taea e koe te mahi hei ārai. Heoi, i te mea ka taea e ētahi huaketo te whakaoho i tēnei mate, mā te noho hauora tonu ka āwhina i te whakaiti i tō tupono ki te pangia e tēnei mate.

He aha te matapae mō tēnei āhuatanga?

Ka rerekē te tirohanga mō te whakaoranga mai i te PTS i ia tangata, i ia tangata.Kotahi noa te wā ka pāngia ētahi e te PTS, ā, ka ora katoa i te wāhi e pāngia ana. Ko ētahi atu pea ka pāngia tonutia e te ngoikore me te mamae. Ko ētahi pea ka pāngia e te PTS neke atu i te kotahi (ka hoki anō). Tērā ētahi āhuatanga ka whakaiti i te tūponotanga o te ora :

• E toru marama te roa o te mamae , ā, kāore ngā uaua e ora.
• Mena kua pāngia tō raro tinana/puku e te PTS.
• Mena he mate tuku iho te take, he tino teitei te auau o te hokinga mai o te mate i roto i ēnei momo take.

E ai ki tētahi rangahau, 89% o ngā tūroro PTS i whiwhi i te whakahaere tohumate me te whakaora tinana i ora i roto i ngā tau e toru. I roto i ēnei, tata ki te 75% i ora i roto i ngā tau e rua, ā, 36% i ora i roto i te tau tuatahi. E whakaatu ana ngā rangahau hou he maha ngā tāngata ka pāngia tonu e te mamae me ētahi raruraru mahi. Heoi, ka taea te whakaora katoa i te kaha , ahakoa ka roa pea ki te waru tau.

Āhea ahau me toro atu ki te tākuta?

He mea tino nui kia wawe te tautuhi i te mate Parsonage-Turner me te tika . Mena ka pāngia koe e te mamae, ina koa ka ohorere, ka kaha hoki , me toro atu ki te tākuta.

He aha ngā pātai me pātai atu koe ki te tākuta?

Mena kei te hiahia koe ki te mōhio atu mō tēnei mate, ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:

• He aha ahau i pāngia ai e te mate Parsonage-Turner?
• He aha te momo tohunga me toro atu ahau?
• He aha te momo rongoā whakamamae mamae e taunaki ana koe?
• Me pēhea taku tiaki i ahau anō i te kāinga?
• Ki tō whakaaro, kia pēhea te tere o taku ora ake?
• He aha te momo maimoatanga e taunaki ana koe?
• Me pēhea taku mōhio kei te pai haere, kei te kino haere rānei tēnei āhua PTS?

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mea whakamataku te mamae ohorere, te mamae nui. Koinei te huarahi a tō tinana ki te kī atu ki a koe, "Kei te hē tetahi mea." Koia te mea nui kia kite wawe koe i te tākuta. He maha ngā maimoatanga hei āwhina i te whakahaere i ngā tohu o te mate Parsonage-Turner (PTS) me te tere ake pea i tō whakaoranga. Mena he pātai āu mō te PTS, kaua e wehi ki te pātai ki tō tākuta. Kei reira rātou hei āwhina i a koe. Kia mahara ehara i te mea ko koe anake, kei reira ētahi atu tāngata e pāngia ana e tēnei, ā, kei reira anō ngā tākuta hei āwhina .