Kodi mwadzidzidzi mumamva kupweteka kwambiri kwa phewa ndi dzanzi la mkono? Izi zitha kukhala Parsonage-Turner Syndrome

Kodi mwadzidzidzi mwakhala ndi ululu wosapiririka paphewa panu? Patatha masiku angapo, mwina milungu ingapo, ululuwo umachepa pang'ono, koma kenako mkono wanu umamva dzanzi komanso wofooka? Kenako tikambirana za chinthu chomwe chingakhale chofunikira kwa inu. Uwu ndi matenda osowa omwe amawopsa anthu ambiri. Timatcha Parsonage-Turner Syndrome. Lero, tikambirana za izi m'njira yosavuta yomwe mungamvetse.

Mwachidule, kodi Parsonage-Turner Syndrome (PTS) ndi chiyani?

Matenda a Parsonage-Turner (PTS), omwe nthawi zina amatchedwanso "brachial neuritis", ndi matenda okhudza dongosolo la mitsempha. Amadziwika ndi ululu woopsa komanso wodzidzimutsa paphewa lanu ndi mkono wapamwamba womwe umawoneka kuti umabwera mwadzidzidzi komanso popanda chifukwa chomveka. Ululuwu ukhoza kukhalapo kwa masiku mpaka milungu. Kenako mavuto ena amayamba. Ululuwo ukachepa, minofu ya paphewa lanu, mkono, mkono, kapena dzanja lanu imayamba kufooka. Kufooka kumeneku kumatha kukhalapo kwa miyezi ingapo, kapena zaka.

Tangoganizani kuti tili ndi netiweki ya mitsempha yomwe imayenda kuchokera pakhosi pathu kudzera m'khwapa mwathu kupita m'manja mwathu. Monga momwe switchboard yayikulu m'nyumba mwathu ilili ndi mawaya opita kuchipinda chilichonse, netiweki ya mitsempha iyi imatumizanso zizindikiro ku gawo lililonse la manja athu. Timatcha netiweki ya mitsempha iyi kuti `(brachial plexus)`. Mu Parsonage-Turner Syndrome, netiweki iyi ya mitsempha ya `(brachial plexus)` imawonongeka. Makamaka mitsempha yomwe imalamulira kuyenda imawonongeka kwambiri. Ndicho chifukwa chake, pambuyo pa ululu, pamakhala kumva dzanzi ndi kufooka m'manja.

Popeza vutoli silichitika kawirikawiri, madokotala nthawi zina amatha kulisokoneza ndi matenda ena ofala. Mwachitsanzo, likhoza kuonedwa molakwika ngati cervical radiculopathy kapena cervical spondylosis, chifukwa zizindikiro zake ndi zofanana.

Pali magawo atatu a matendawa.

Vutoli nthawi zambiri limayamba m'magawo atatu. Si aliyense amene amakhala nalo motere, koma iyi ndi njira yomwe anthu ambiri amaona.

Gawo 1: Gawo Lopweteka Kwambiri

Iyi ndi gawo loyamba. Mwadzidzidzi, ululu waukulu umayamba, nthawi zambiri paphewa limodzi. Ululu uwu ukhoza kukhalapo kuyambira masiku angapo mpaka milungu ingapo. Kawirikawiri amati nthawi yopwetekayi ikatenga nthawi yayitali, zimatenga nthawi yayitali kuti munthu achire bwino.

Gawo 2: Kufooka kwa minofu

Ululu ukachepa pang'onopang'ono, gawo lachiwiri limayamba. Apa ndi pomwe minofu ya phewa ndi mkono imayamba kufooka. Zimakhala zovuta kukweza mkono kapena kunyamula zinthu zolemera. Pakapita nthawi, minofu imatha kufooka chifukwa chosagwiritsidwa ntchito. Gawoli limatha kukhala miyezi isanu ndi umodzi mpaka 18, nthawi zina nthawi yayitali.

Gawo 3: Kuchira

Iyi ndi nthawi yochira. Patapita kanthawi, minofu yanu imayamba kuchira pang'onopang'ono. Dzanja lanu lidzayambiranso kugwira ntchito bwino pang'onopang'ono.

Kodi vutoli ndi lofala bwanji?

Matenda a Parsonage-Turner ndi vuto losowa kwambiri . Malinga ndi ziwerengero, anthu atatu okha pa anthu 100,000 aliwonse ndi omwe amadwala matendawa chaka chilichonse. Choncho palibe chifukwa chodera nkhawa nthawi iliyonse phewa lanu likapweteka.

Ngakhale kuti imatha kufalikira pa msinkhu uliwonse, imapezeka kwambiri mwa amuna . Nthawi zambiri imapezeka pafupifupi zaka 40-45.

Kodi zizindikiro zake ndi ziti kwenikweni?

Zizindikiro ziwiri zazikulu ndi ululu wadzidzidzi komanso woopsa womwe umatsatiridwa ndi kufooka kwa minofu. Zizindikirozi zimatha kukhudza chilichonse m'phewa lanu, pamwamba pa mkono, mkono, kapena dzanja.

Tiyeni tiwone momwe zizindikiro zimaonekera nthawi zambiri.

Chifukwa chiyani izi zikuchitika? Kodi chifukwa chake ndi chiyani?

Kunena zoona, ofufuza sanapezebe chomwe chimayambitsa izi. Koma lingaliro lalikulu ndilakuti zimachitika chifukwa cha kusakhazikika kwa chitetezo chamthupi m'thupi lathu.

Mwachidule, kachilombo kamene kamalowa m'thupi mwathu, chitetezo chathu chamthupi chimalimbana nacho. Koma nthawi zina, panthawiyi, chitetezo chathu chamthupi chimalakwitsa ndipo m'malo mwake chimaukira gawo lathanzi la thupi lathu, lomwe ndi netiweki ya mitsempha ya ``brachial plexus``. Pamenepo ndi pomwe mitsempha imeneyi imawonongeka ndipo zizindikiro zimawonekera.

Kawirikawiri, vutoli limayamba chifukwa cha kachilombo ka HIV komwe kangoyamba kumene. Mwachitsanzo:

• Kachilombo ka Coxsackie B
• Kachilombo ka HIV (kachilombo kochepetsa chitetezo cha mthupi mwa munthu)
• Matenda achisanu (parvovirus B19)
• Matumbo

Koma nthawi zina zimatha kuchitika popanda chifukwa chomveka. Nthawi zambiri, zimathanso kuchitika chifukwa cha matenda a majini otchedwa hereditary neuralgic amyotrophy.

Zinthu zomwe zimawonjezera chiopsezo cha vutoli

Zapezeka kuti zochitika zina kapena matenda enaake angawonjezere pang'ono chiopsezo chotenga Parsonage-Turner Syndrome.

• Opaleshoni yaposachedwa kapena mankhwala oletsa ululu
• Matenda a minofu yolumikizana - mwachitsanzo Ehlers-Danlos syndrome
• Matenda a autoimmune - mwachitsanzo lupus
• Ngozi paphewa
• Masewera olimbitsa thupi omwe amaika mapewa anu pamavuto ambiri
• Mitundu ina ya katemera
• Mimba ndi kubereka
• Chithandizo cha radiation
• Kuyesa kubowola kwa lumbar

Kodi dokotala amapeza bwanji izi?

Ngati muli ndi zizindikiro izi, choyamba muyenera kuonana ndi dokotala wanu. Iye adzakufunsani za zizindikiro zanu ndi mbiri yanu ya matenda. Kenako, adzakuyesani thupi kuti aone minofu ya dzanja lanu, momwe mumamvera, komanso momwe thupi lanu limagwirira ntchito. Mwina adzakutumizirani kwa katswiri wa mitsempha, dokotala yemwe ndi katswiri wa mavuto a mitsempha.

Kuti atsimikizire ngati iyi ndi Parsonage-Turner Syndrome, dokotala wanu angakulangizeni mayeso apadera otchedwa electromyography (EMG).

Kuphatikiza apo, mayeso ojambulira zithunzi ngati awa akhoza kuchitidwa kuti athetse matenda ena ndikutsimikizira matendawa:

• Kujambula kwa MRI (Maginito Resonance Imaging)
• Kuyesa kwa ultrasound ya mitsempha
• Kujambula kwa CT (Computed Tomography)

Kodi pali chithandizo? Kodi chingachitike n’chiyani?

Palibe chithandizo kapena mankhwala enieni a izi pakadali pano. Chabwino kwambiri ndichakuti vutoli nthawi zambiri limatha lokha pakapita nthawi. Komabe, kuzindikirika msanga ndi chithandizo chothandizira kuchepetsa zizindikiro kungathandize kuti machiritso ayambe msanga ndikupeza zotsatira zabwino.

Dokotala wanu adzakupatsani mankhwala osiyanasiyana kuti muchepetse zizindikiro zanu.

Pa nthawi yovuta kwambiri

• Mankhwala opha ululu: Zinthu monga mankhwala opha ululu wamba (NSAIDs).
• Mankhwala Oletsa Kutupa kwa Mitsempha: Mankhwala oletsa kutupa kwa mitsempha ndi ntchito ya chitetezo chamthupi.
• Kuletsa mkono kuyenda: Pumulani mkono wanu, ndipo mungapemphedwe kugwiritsa ntchito chinthu chonga cholimbitsa mapewa.
• TENS (Transcutaneous Electrical Nerve Stimulation): Njira yochepetsera ululu potumiza zizindikiro zazing'ono zamagetsi pakhungu.
• Kuchiza ndi Acupuncture: Anthu ena amapezanso mpumulo wa ululu chifukwa cha izi.

Ululu ukatha

• Kuchiza ndi Thupi: Izi ndizofunikira kwambiri . Katswiri wa physiotherapy adzakuphunzitsani masewera olimbitsa thupi ndi kutambasula kuti akuthandizeni kulimbitsa minofu yowonongeka, kuteteza mafupa kuti asaume, ndikubwezeretsa ntchito m'manja mwanu.
• Mankhwala apadera a ululu wa mitsempha: Anthu ena amatha kumva ululu wofanana ndi kutupa kwa mitsempha, ngakhale kuti ululuwo watha. Pazochitika zotere, dokotala wanu angakupatseni mankhwala apadera monga gabapentin, carbamazepine, kapena amitriptyline.

Pa milandu yoopsa kwambiri, pamene palibe chithandizo china chomwe chimagwira ntchito, opaleshoni (kulumikiza mitsempha kapena kusamutsa tendon) ingaganizidwe. Komabe, izi zimachitika kawirikawiri.

Kodi tsogolo lidzakhala lotani ndi vutoli? (Zomwe zidzachitike mtsogolo)

Matendawa amatha kusiyanasiyana malinga ndi munthu. Kwa anthu ena, zimachitika kamodzi kokha m'moyo wawo ndipo amachira kwathunthu. Kwa ena, angapitirize kukhala ndi kufooka kapena kupweteka pang'ono. Kwa anthu ochepa, matendawa amatha kubwereranso.

Malinga ndi kafukufuku, pafupifupi 89% ya anthu omwe amathetsa zizindikiro zawo ndikulandira chithandizo choyenera cha thupi adzachira mokwanira mkati mwa zaka zitatu. Mwa iwo, 75% adzachira mkati mwa zaka ziwiri, ndipo 36% adzachira mkati mwa chaka choyamba.