Kodi Parsonage-Turner Syndrome ndi chiyani? Kodi mumamva kupweteka mwadzidzidzi paphewa lanu ndi dzanzi m'dzanja lanu?

Kodi munadzukapo m'mawa, kapena nthawi iliyonse ya tsiku, ndipo mwadzidzidzi munamva kupweteka kwambiri m'dera la phewa lanu, limodzi ndi dzanzi ndi kufooka kwa mkono wanu? Izi mwina zakhala zikuchitika kwa masiku angapo kapena milungu ingapo, kenako minofu yanu inayamba kufooka pang'onopang'ono. Ngati mwakumanapo ndi vuto lofananalo, ndikofunikira kwambiri kudziwa za vuto ili lotchedwa Parsonage-Turner Syndrome, lomwe tikambirana lero.

Kodi Parsonage-Turner Syndrome ndi chiyani kwenikweni?

Mwachidule, Parsonage-Turner Syndrome , yomwe nthawi zina imatchedwa Brachial Neuritis , ndi matenda okhudza mitsempha. Chomwe chimachitika ndichakuti mwadzidzidzi mumamva kupweteka kwakukulu, kosayerekezeka, komanso kosayembekezereka paphewa lanu ndi mkono wapamwamba. Ululuwu ukhoza kukhala kwa masiku mpaka milungu. Pamenepo ndi pomwe vuto lenileni limayamba. Pamene ululuwo ukuchepa, mumayamba kumva kufooka kapena dzanzi m'minofu ya phewa lanu, mkono, mkono, kapena zala zanu. Kufooka kumeneku kumatha kukhala kwa miyezi ingapo. Taganizirani izi, pali netiweki ya mitsempha yomwe imayenda kuchokera kumsana m'khosi mwanu, kudzera m'khosi mwanu, kudzera m'khwapa mwanu, ndikutsika m'manja mwanu. Ndicho chomwe timatcha brachial plexus . Chili ngati dongosolo la mawaya amagetsi. Parsonage-Turner syndrome ndi vuto lomwe brachial plexus imawonongeka. Imakhudza makamaka mitsempha yoyendetsa yomwe imalamulira kuyenda ndi ma axon awo. Ichi ndi chomwe chimayambitsa kufooka kwa minofu. PTS ndi vuto losowa . Ndicho chifukwa chake madokotala nthawi zina amasokoneza vutoli ndi cervical radiculopathy , matenda omwe amachititsa kuti mitsempha igwire m'khosi, kapena cervical spondylosis , yomwe ndi vuto lofala kwambiri. Zizindikiro zake zimafanana kwambiri. Dzina lake ndi Parsonage-Turner potengera madokotala awiri a mitsempha aku Britain, Maurice Parsonage ndi John Turner, omwe adafotokoza koyamba za vutoli mu 1948. Izi zimatchedwa ndi mayina ena angapo:

• Matenda a mitsempha ya m'mitsempha ya m'mitsempha
• Matenda a brachial plexus neuritis
• Matenda a mitsempha ya brachial plexus
• Idiopathic brachial plexus neuropathy
• Amyotrophy ya mitsempha

Kodi magawo a vutoli ndi ati?

Kawirikawiri pali magawo atatu akuluakulu a Parsonage-Turner syndrome. Tiyeni tiwone zomwe zili. 1. Gawo loyamba (gawo la ululu waukulu):Uwu ndi ululu wodzidzimutsa komanso woopsa kwambiri womwe ndi woopsa kwambiri . Nthawi zambiri, umakhudza phewa limodzi. Ululuwu ukhoza kukhalapo kuyambira masiku angapo mpaka milungu ingapo. Kawirikawiri amati ululuwu ukatenga nthawi yayitali, umatenga nthawi yayitali kuti uchiritsidwe. 2. Gawo lachiwiri: Ululu ukatha pang'onopang'ono, mudzayamba kumva kufooka m'minofu yanu. Makamaka minofu yozungulira phewa lanu ndi mkono wanu imakhala yofooka. Izi nthawi zina zingayambitse kufooka kwa minofu, kapena kufooka . Gawo lachiwirili nthawi zambiri limakhala pakati pa miyezi 6 ndi 18. Koma kwa anthu ena limatha kukhalapo nthawi yayitali. 3. Gawo lachitatu: Patapita nthawi, minofu yanu imapezanso mphamvu ndikuyamba kugwira ntchito bwino. Iyi ndi gawo lochira.

Kodi vutoli ndi lofala bwanji?

Ndipotu, matenda a Parsonage-Turner (brachial neuritis) ndi vuto losowa kwambiri . Akuti anthu atatu okha mwa anthu 100,000 ndi omwe amadwala matendawa chaka chilichonse. Amatha kufalikira mwa aliyense wa msinkhu uliwonse. Komabe, amapezeka kwambiri mwa amuna . Avereji ya zaka zoyambira matendawa ndi pafupifupi zaka 41.

Kodi zizindikiro za Parsonage-Turner syndrome ndi ziti?

Zizindikiro ziwiri zazikulu za vutoli ndi kupweteka mwadzidzidzi komanso kufooka kwa minofu komwe kumachitika pambuyo pake . Izi zitha kukhudza madera awa:

• Phewa
• Dzanja lapamwamba (gawo lapamwamba la dzanja)
• Pamphumi (gawo lapakati la dzanja)
• Dzanja (dzanja ndi zala)

Kawirikawiri, pafupifupi 80% ya nthawi, imakhudza mkono umodzi wokha (unilateral). Nthawi zambiri imakhudza mkono/mbali yomwe mumagwiritsa ntchito kwambiri. Koma pafupifupi 20% ya milandu, imatha kukhudza manja onse awiri (awiri). Nthawi zambiri, imakhudza thunthu ndi miyendo ya m'munsi. Nthawi zambiri, ululu umabwera mwadzidzidzi. Umamveka ngati ululu wakuthwa, wosapiririka , makamaka usiku. Ululu waukuluwu ukhoza kukhala kwa maola angapo mpaka milungu inayi. Ululuwo ukatha, minofu ya mkono wanu wokhudzidwayo imayamba kufooka. Mwina mudzamva kufooka kwa minofu paphewa lanu kapena mkono wapamwamba. Koma ingakhudzenso mkono wanu ndi dzanja lanu. Nthawi zina, kufookako kungakhudze minofu pachifuwa chanu kapena diaphragm (minofu yomwe imalekanitsa chifuwa chanu ndi mimba yanu). Minofu ikafooka, pakapita nthawi, minofu imafooka. Kuopsa kwa zizindikirozi kumatha kusiyana kwambiri kuchokera kwa munthu ndi munthu. Izi zili choncho chifukwa mitsempha yomwe imakhudzidwa ndi PTS imasiyana kuchokera kwa munthu ndi munthu. Pakhoza kukhala zizindikiro zina zingapo:

• M'dzanja lomwe lakhudzidwaMavuto ndi ma reflexes.
• Kumva zachilendo m'dzanja, komwe kumadziwika kuti paresthesia , kapena dzanzi. Izi zimatha kumveka ngati kumva kunjenjemera, kupsa, kapena kutentha.
• Kusuntha kwa phewa pang'ono .
• Kuyenda kosazolowereka m'malo olumikizirana mafupa omwe akhudzidwa.
• Matenda otchedwa mapiko a scapula (momwe tsamba la phewa limatulukira chammbuyo, ngati phiko).
• Kufupika kwa minofu kapena minyewa ya mkono womwe wakhudzidwa.
• Manja ofiira, ofiirira, kapena odera nkhawa chifukwa cha kuchepa kwa magazi m'thupi .
• Kutupa kwa manja .
• Kuvuta kupuma (kupuma movutikira) . Izi zimachitika kawirikawiri.

Nchifukwa chiyani matenda a Parsonage-Turner amapezeka?

Ndipotu, ofufuza sakudziwabe chomwe chimayambitsa matenda a Parsonage-Turner. Amaganiza kuti vuto lalikulu la chitetezo cha mthupi mwathu, lotchedwa immune -mediated reaction, ndilo chifukwa chachikulu. Pali malingaliro awiri okhudza izi. 1. Matenda a kachilombo, bakiteriya, kapena parasitic amakhudza mwachindunji brachial plexus yanu, zomwe zimayambitsa zizindikiro. 2. Chitetezo cha mthupi lanu chikamenyana ndi mabakiteriya, mavairasi, kapena ma antigen awa, chimawononga brachial plexus yanu ngati zotsatira zoyipa. Nthawi zambiri, chifukwa chachikulu cha vutoli ndi kachilombo ka HIV komwe kangoyamba kumene. Matenda otsatirawa a mavairasi apezeka kuti ndi omwe angayambitse vutoli:

• Kachilombo ka Coxsackie B: Izi zingayambitse matenda angapo, kuphatikizapo chibayo , matenda am'mimba, myocarditis (kutupa kwa minofu ya mtima), aseptic meningitis (mtundu wa matenda a muubongo), encephalitis (kutupa kwa ubongo), ndi hepatitis ya kachilombo (kutupa kwa chiwindi).
• Kachilombo ka HIV (kachilombo kochepetsa chitetezo cha mthupi cha munthu) .
• Matenda achisanu (parvovirus B19) .
• Matumbo .
• Nkhumba ya nthomba (variola major ndi minor) .

Nthawi zina, madokotala sangapeze chifukwa chenicheni. Nthawi zambiri, Parsonage-Turner syndrome ndi matenda obadwa nawo/obadwa nawo .Zingayambitsidwenso ndi amyotrophy yobadwa nayo ya neuralgic.

Kodi ndi zinthu ziti zomwe zimayambitsa vutoli?

Ofufuza amakhulupirira kuti matenda ena ndi zochitika zina zingakulitse chiopsezo chanu chotenga matenda a Parsonage-Turner. Nazi zina mwa izo:

• Opaleshoni yaposachedwa ndi/kapena mankhwala oletsa ululu .
• Matenda a minofu yolumikizana, mwachitsanzo, matenda monga Ehlers-Danlos syndrome .
• Matenda a autoimmune, monga lupus (systemic lupus erythematosus - SLE) , temporal arteritis , ndi polyarteritis nodosa .
• Kuvulala kwa phewa koopsa .
• Kuchita masewera olimbitsa thupi mwamphamvu komwe kumavuta mapewa.
• Kulandira katemera/katemera (izi n’zosowa kwambiri, koma pakhala malipoti ena).
• Mimba ndi kubereka .
• Kulandira chithandizo cha radiation .
• Kuboola msana (kupopera msana) , zomwe zikutanthauza kutenga madzi kuchokera ku msana.
• Kuyika utoto wosiyanitsa pa mayeso ojambulira zithunzi.

Kodi matenda a Parsonage-Turner amawapeza bwanji?

Mukapita kwa dokotala, adzakufunsani za zizindikiro zanu ndi mbiri yanu yachipatala. Kenako adzakuyesani thupi. Adzayang'ana mphamvu, kusinthasintha, ndi momwe minofu ya mkono wanu imamvera. Muthanso kutumizidwa kwa katswiri wa mitsempha . Ngati dokotala wanu akuganiza kuti muli ndi Parsonage-Turner syndrome, angakulangizeni kuti muyese EMG (electromyography) . Izi zimagwiritsidwa ntchito poyesa thanzi ndi ntchito ya minofu yanu ya mafupa ndi mitsempha yomwe imayilamulira. Kuphatikiza apo, mayeso otsatirawa angachitike kuti atsimikizire matenda kapena kuchotsa matenda ena:

• Kujambula zithunzi za magnetic resonance (MRI) .
• Kuyesa kwa ultrasound ya mitsempha .
• Kujambula kwa CT (computed tomography) .

Kodi mankhwala ochizira izi ndi otani?

Kunena zoona, palibe mankhwala enieni kapena mankhwala a PTS. Nthawi zambiri, imatha yokha pakapita nthawi. Komabe, ndikofunikira kuzindikira vutoli msanga.Ngati muyamba chithandizo chomwe chimathandiza kuwongolera zizindikiro zanu, nthawi yoti matenda anu ayambe ingakhale yabwino kwambiri. Dokotala wanu angakulangizeni njira zosiyanasiyana zothandizira kuwongolera zizindikiro zanu. Muthanso kutumizidwa ku gulu la akatswiri kuti apange dongosolo la chithandizo. Gululi likhoza kuphatikizapo:

• Madokotala osamalira odwala oyambilira (PCPs)
• Madokotala a mafupa
• Akatswiri a za ubongo
• Akatswiri a matenda a mitsempha ndi minofu
• Akatswiri a zamaganizo

Mankhwala operekedwa panthawi ya ululu waukulu angaphatikizepo:

• Mankhwala ochepetsa ululu, mwachitsanzo NSAIDs (mankhwala oletsa kutupa omwe si a steroidal) omwe angagulidwe ku pharmacy.
• Mankhwala oletsa kupweteka m'kamwa otchedwa corticosteroids .
• Pewani kugwiritsa ntchito mkono mopitirira muyeso, kapena kuletsa mkono kuyenda pogwiritsa ntchito cholimbitsa mapewa.
• Kulimbikitsa mitsempha yamagetsi ya transcutaneous (TENS) ndi njira yothandizira mitsempha yamagetsi.
• Kuchiza ndi acupuncture .

Pambuyo pa nthawi ya ululu waukulu, dokotala wanu angakulangizeni njira izi:

• Kuchiza thupi: Katswiri wa zamaganizo adzakuphunzitsani kuchita masewera olimbitsa thupi otambasula ndi kulimbitsa minofu kuti akuthandizeni kulamulira minofu ndi mafupa omwe akhudzidwa.
• Mankhwala ochepetsa ululu: Awa ndi mankhwala omwe amagwiritsidwa ntchito makamaka pochiza ululu wa mitsempha. Zitsanzo zake ndi gabapentin , carbamazepine, ndi amitriptyline .

Pa milandu yoopsa kwambiri, ngati palibe china chilichonse chomwe chingachepetse zizindikiro zanu, dokotala wanu angakulangizeni opaleshoni . Njirazi zingaphatikizepo kulumikiza mitsempha kapena kusamutsa tendon .

Kodi izi zingalepheretsedwe kuchitika?

Popeza ofufuza sakudziwabe chomwe chimayambitsa PTS, palibe chomwe mungachite kuti mupewe. Komabe, popeza mavairasi ena amatha kuyambitsa matendawa, kukhala ndi thanzi labwino momwe mungathere kungathandize kuchepetsa chiopsezo chanu chotenga matendawa.

Kodi chiyembekezo cha matendawa ndi chiyani?

Chiyembekezo cha kuchira kuchokera ku PTS chingasiyane malinga ndi munthu aliyense.Anthu ena amakumana ndi PTS kamodzi kokha ndipo amachira kwathunthu kuchokera kudera lomwe lakhudzidwalo. Ena amatha kukhala ndi kufooka ndi kupweteka kosalekeza. Anthu ena amathanso kukhala ndi PTS kangapo (kubwerezabwereza). Pali zinthu zina zomwe zingachepetse mwayi wochira :

• Ululu umapitirira kwa miyezi itatu ndipo minofu siimachira.
• Ngati PTS yakhudza thupi/mimba yanu yapansi .
• Ngati chifukwa chake ndi cholowa , chizolowezi cha matendawa chimabweranso kwambiri pazochitika zotere.

Malinga ndi kafukufuku wina, 89% ya odwala a PTS omwe adalandira chithandizo cha zizindikiro ndi chithandizo cha thupi adachira mkati mwa zaka zitatu. Mwa iwo, pafupifupi 75% adachira mkati mwa zaka ziwiri, ndipo 36% adachira mkati mwa chaka choyamba. Kafukufuku waposachedwapa akuwonetsa kuti anthu ambiri angapitirize kukhala ndi ululu ndi mavuto ena a ntchito. Komabe, kuchira kwathunthu ndikotheka , ngakhale zingatenge zaka zisanu ndi zitatu.

Kodi ndiyenera kupita kwa dokotala liti?

Ndikofunikira kwambiri kuzindikira matenda a Parsonage-Turner msanga komanso molondola . Ngati muli ndi ululu, makamaka ngati wadzidzidzi komanso woopsa , onetsetsani kuti mwaonana ndi dokotala.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Ngati mukufuna kudziwa zambiri za vutoli, mutha kufunsa dokotala wanu mafunso monga awa:

• N’chifukwa chiyani ndinayamba matenda a Parsonage-Turner?
• Ndi akatswiri amtundu wanji omwe ndiyenera kuwaona?
• Kodi ndi mankhwala otani ochepetsa ululu omwe mumalimbikitsa?
• Kodi ndiyenera kudzisamalira bwanji kunyumba?
• Mukuganiza kuti ndidzachira msanga bwanji?
• Kodi mumalimbikitsa chithandizo chamtundu wanji?
• Kodi ndingadziwe bwanji ngati vuto la PTS likukulirakulira kapena kuipiraipira?

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kupweteka kwakukulu mwadzidzidzi kungakhale chinthu choopsa. Ndi njira ya thupi lanu yokuuzani kuti, "Pali vuto." Ndicho chifukwa chake ndikofunikira kupita kwa dokotala mwamsanga. Pali mankhwala ambiri omwe angathandize kuthana ndi zizindikiro za Parsonage-Turner syndrome (PTS) komanso mwina kukuthandizani kuti muchiritse msanga. Ngati muli ndi mafunso okhudza PTS, musaope kufunsa dokotala wanu. Alipo kuti akuthandizeni. Kumbukirani kuti simuli nokha, pali anthu ena omwe akudutsa mu izi, ndipo pali madokotala omwe angakuthandizeni .