Indwara ya Parsonage-Turner ni iki? Ese ujya ugira ububabare butunguranye mu rutugu rwawe no mu kuboko kwawe?

Ese wigeze ubyuka mu gitondo, cyangwa igihe icyo ari cyo cyose cy'umunsi, ukumva ububabare bukabije mu rutugu rwawe, hamwe no kubura ibinure no gucika intege mu kuboko kwawe? Ibi bishobora kuba byaramaze iminsi cyangwa ibyumweru bike, hanyuma imitsi yawe itangira gucika intege buhoro buhoro. Niba warigeze kugira ikibazo nk'iki, ni ngombwa cyane kumenya iki kibazo cyitwa Parsonage-Turner Syndrome, tugiye kuvugaho uyu munsi.

Mu by'ukuri se, Parsonage-Turner Syndrome ni iki?

Mu magambo make, Parsonage-Turner Syndrome , rimwe na rimwe yitwa Brachial Neuritis , ni indwara ifata uturemangingo tw’imitsi. Ikibaho ni uko uhita ubona ububabare butunguranye, budasanzwe, kandi bukomeye mu rutugu rwawe no hejuru y’ukuboko. Ubu bubabare bushobora kumara iminsi cyangwa ibyumweru. Ni bwo ikibazo nyacyo gitangira. Uko ububabare bugenda bugabanuka, utangira kumva intege nke cyangwa ibinure mu mitsi y’urutugu rwawe, ukuboko, ukuboko, cyangwa intoki. Ubu burwayi bushobora kumara amezi menshi. Tekereza kuri ibi, hari urusobe rw’imitsi iva mu mugongo mu ijosi ryawe, ikanyura mu ijosi ryawe, ikanyura mu kwaha, ikamanuka mu maboko yawe. Ibyo ni byo twita brachial plexus . Ni nk’uburyo bw’insinga z’amashanyarazi. Parsonage-Turner syndrome ni indwara aho brachial plexus yangirika. Igira ingaruka ku mitsi iyobora ingendo n’imitsi yayo. Ibi nibyo bitera intege nke z’imitsi. PTS ni indwara idasanzwe . Niyo mpamvu abaganga rimwe na rimwe bayivanga na radiculopathy yo mu mugongo , indwara itera imitsi ikandagira mu ijosi, cyangwa spondylosis yo mu mugongo , ikaba ari indwara ikunze kugaragara cyane. Ibimenyetso birasa cyane. Yiswe Parsonage-Turner ikomoka ku baganga babiri b'inzobere mu by'imitsi bo mu Bwongereza, Maurice Parsonage na John Turner, basobanuye iyi ndwara bwa mbere mu 1948. Iyi ndwara yitwa andi mazina menshi:

• Indwara y'imitsi yo mu bwonko
• Indwara y'imitsi yo mu bwonko (brachial plexus neuritis)
• Indwara y'ubwonko mu gice cy'imbere cy'umutima (brachial plexus neuropathy)
• Idiopathic brachial plexus neuropathy
• Amyotrophy y'imitsi

Ni izihe ntambwe z'iki kibazo?

Muri rusange hari ibyiciro bitatu by'ingenzi bya Parsonage-Turner syndrome. Reka turebe ibyo ari byo. 1. Icyiciro cya mbere (igihe cy'ububabare bukabije):Ubu bubabare butunguranye kandi bukomeye cyane bukabije cyane . Akenshi, bufata urutugu rumwe. Ubu bubabare bushobora kumara iminsi mike kugeza ku byumweru bike. Muri rusange bivugwa ko uko ubu bubabare bumara igihe kirekire, ari na ko buzamara igihe kirekire kugira ngo bukire. 2. Icyiciro cya kabiri: Nyuma y'uko ubu bubabare bugabanutse buhoro buhoro, uzatangira kumva intege nke mu mitsi yawe. Cyane cyane imitsi ikikije urutugu rwawe n'ukuboko biracika intege. Ibi rimwe na rimwe bishobora gutuma imitsi itakaza imbaraga, cyangwa icika intege . Iki cyiciro cya kabiri gikunze kumara hagati y'amezi 6 na 18. Ariko kuri bamwe gishobora kumara igihe kirekire kurushaho. 3. Icyiciro cya gatatu: Nyuma y'igihe runaka, imitsi yawe yongera kugira imbaraga igatangira gukora neza. Iki ni cyo cyiciro cyo gukira.

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, indwara ya Parsonage-Turner (brachial neuritis) ni indwara idakunze kugaragara . Bivugwa ko abantu bagera kuri batatu gusa mu bihumbi ijana barwara iyi ndwara buri mwaka. Ishobora kugaragara ku muntu uwo ari we wese w’imyaka iyo ari yo yose. Ariko, igaragara cyane ku bagabo . Impuzandengo y’imyaka iyi ndwara ni nk’imyaka 41.

Ni ibihe bimenyetso by'indwara ya Parsonage-Turner?

Ibimenyetso bibiri by'ingenzi by'iyi ndwara ni ububabare butunguranye ndetse n'intege nke z'imitsi . Ibi bishobora kugira ingaruka kuri ibi bice byawe:

• Urutugu
• Ukuboko ko hejuru (igice cyo hejuru cy'ukuboko)
• Agahanga (igice cyo hagati cy'ukuboko)
• Ikiganza (ikiganza n'intoki)

Akenshi, hafi 80% by'igihe, ifata ukuboko kumwe gusa (unelateral). Akenshi igira ingaruka ku kuboko/uruhande ukoresha cyane. Ariko hafi 20% by'ibihe, ishobora kugira ingaruka ku maboko yombi (unelateral). Ni gake cyane, igira ingaruka ku gice cyo hasi cy'umubiri n'amaguru. Akenshi, ububabare buhita butangira. Bumera nk'ububabare bukabije, budashobora kwihanganira , cyane cyane nijoro. Ubu bubabare bukomeye bushobora kumara amasaha make kugeza ku byumweru bine. Nyuma y'uko ubu bubabare bushize, imitsi yo ku kuboko kwawe yangiritse itangira gucika intege. Ushobora kumva intege nke z'imitsi mu rutugu rwawe cyangwa ku kuboko ko hejuru. Ariko ishobora no kugira ingaruka ku kuboko no ku kuboko kwawe. Hari igihe intege nke zishobora kugira ingaruka ku mitsi yo mu gituza cyawe cyangwa diaphragm (imitsi itandukanya igituza cyawe n'inda yawe). Iyo imitsi icitse intege, uko igihe kigenda gihita, imitsi iracika intege. Ubukana bw'ibi bimenyetso bushobora gutandukana cyane bitewe n'umuntu ku wundi. Ibi biterwa nuko imitsi iterwa na PTS itandukanye bitewe n'umuntu ku wundi. Hashobora kubaho ibindi bimenyetso byinshi:

• Mu kuboko kwagize ikibazoIbibazo byo kuruhuka mu mutwe.
• Kumva utari ubyifuza mu kiganza, bizwi nka paresthesia , cyangwa ibinure. Ibi bishobora kumva nk'aho urimo gushyuha, gukubita, cyangwa gushya.
• Gucika kw'urutugu rw'igice .
• Uburyo budasanzwe bwo kugenda mu ngingo zafashwe.
• Indwara yitwa scapula ifite amababa (aho icyuma cy'urutugu kigaragara inyuma, nk'ibaba).
• Kugabanya imitsi cyangwa imitsi yo ku kuboko kwafashwe.
• Amaboko atukura, umuhengeri, cyangwa afite ibara bitewe no kugabanuka kw'amaraso atembera neza.
• Kubyimba amaboko .
• Kugorwa no guhumeka (dyspnea) . Ibi ni gake cyane.

Kuki indwara ya Parsonage-Turner ibaho?

Mu by’ukuri, abashakashatsi ntibaramenya impamvu nyayo ya Parsonage-Turner syndrome. Batekereza ko ingaruka idasanzwe y’ubudahangarwa bw’umubiri wacu, yitwa igisubizo gishingiye ku budahangarwa bw’umubiri, ari yo mpamvu nyamukuru. Hari ibitekerezo bibiri kuri ibi. 1. Ubwandu bwa virusi, bagiteri, cyangwa parasites bugira ingaruka zitaziguye ku gice cy’ubwonko bwawe, bigatera ibimenyetso. 2. Iyo ubudahangarwa bwawe burwanya izi bagiteri, virusi, cyangwa antigens , byangiza igice cy’ubwonko bwawe nk’ingaruka mbi. Akenshi, impamvu nyamukuru y’iyi ndwara ni ubwandu bwa virusi buherutse. Indwara zikurikira za virusi zagaragaye ko zishobora kuba zirimo:

• Virusi ya Coxsackie B: Ibi bishobora gutera indwara zitandukanye, harimo umusonga , indwara zo mu gifu, myocarditis (kubyimba imitsi y'umutima), meningitis idakira (ubwoko bw'indwara zo mu bwonko), encephalitis (kubyimba ubwonko), na hepatitis iterwa na virusi (kubyimba umwijima).
• VIH (Virusi itera SIDA (virusi itera ubudahangarwa bw'umubiri w'umuntu) .
• Indwara ya gatanu (parvovirus B19) .
• Ibicurane .
• Indwara y'ibicurane (variola major na minor) .

Hari igihe abaganga badashobora kubona impamvu runaka. Ni gake cyane, Parsonage-Turner syndrome iba indwara iterwa n'uturemangingo/ikwirakwizwa .Bishobora kandi guterwa na amyotrophy y'imitsi yo mu bwonko ikomoka ku ruhererekane.

Ni ibihe bintu bishobora gutera iyi ndwara?

Abashakashatsi bemeza ko indwara zimwe na zimwe zishobora kongera ibyago byo kurwara indwara ya Parsonage-Turner. Dore zimwe muri zo:

• Kubagwa vuba aha cyangwa gusinziriza .
• Indwara z'imitsi ihuza imiterere y'umubiri, urugero nk'indwara ya Ehlers-Danlos .
• Indwara ziterwa n'ubwiyongere bw'umubiri, nka lupus (systemic lupus erythematosus - SLE) , temporal arteritis , na polyarteritis nodosa .
• Imvune yo ku rutugu iteye inkeke .
• Imyitozo ngororamubiri ikomeye igabanya amagufwa.
• Kubona inkingo/inkingo (ibi ni gake cyane, ariko hari raporo zimwe na zimwe zagiye zitangwa).
• Gutwita no kubyara .
• Kwakira ubuvuzi bushingiye ku mirasire .
• Gutobora umugongo (lumbar puncture) , bivuze gufata amazi mu mugongo.
• Gutera irangi ritandukanye mu isuzuma ry'ishusho.

Ni gute indwara ya Parsonage-Turner ipimwa?

Iyo ugiye kwa muganga, bazakubaza ibimenyetso byawe n'amateka y'uburwayi bwawe. Hanyuma bazagukorera isuzuma ry'umubiri. Bazasuzuma imbaraga, imbaraga, n'uko imitsi y'amaboko yawe yumva. Ushobora kandi koherezwa kwa muganga w'indwara z'imitsi . Niba muganga wawe atekereza ko ufite Parsonage-Turner syndrome, bashobora kukugira inama yo gupima EMG (electromyography) . Ibi bikoreshwa mu gusuzuma ubuzima n'imikorere y'imitsi yawe y'amagufwa n'imitsi iyiyobora. Byongeye kandi, ibizamini bikurikira bishobora gukorwa kugira ngo byemezwe indwara cyangwa se hakamenyekana izindi ndwara:

• Isuzuma rya MRI (imaging resonance imaging magnetic) .
• Ikizamini cya Ultrasound cy'imitsi .
• Isuzuma rya CT (computer tomography) .

Ni ubuhe buryo bwo kuvura ibi?

Mu by'ukuri, nta buryo bwihariye bwo kuvura PTS cyangwa kuyivura . Akenshi, igenda yishira ubwayo uko igihe kigenda gihita. Ariko, ni ngombwa gusuzuma iyo ndwara hakiri kare.Iyo utangiye kuvurwa bigufasha kugenzura ibimenyetso byawe, imiterere y'indwara yawe ishobora kuba nziza cyane. Muganga wawe azakugira inama yo kuvura indwara zitandukanye kugira ngo agufashe guhangana n'ibimenyetso byawe. Ushobora kandi koherezwa mu itsinda ry'inzobere kugira ngo bategure gahunda yo kuvura. Iri tsinda rishobora kuba rigizwe na:

• Abaganga b'ibanze (PCPs)
• Abaganga b'amagufwa
• Abaganga b'indwara z'imitsi
• Inzobere mu ndwara z'imitsi n'imitsi
• Abavuzi b'umubiri

Uburyo bwo kuvura butangwa mu gihe cy'ububabare bukabije bushobora kuba bukubiyemo:

• Imiti igabanya ububabare, urugero nka NSAIDs (imiti igabanya ububabare idakoresha steroide) ishobora kugurwa muri farumasi.
• Imiti igabanya ubukana bw'ibinure (corticosteroids) ikoreshwa mu kanwa .
• Irinde gukoresha ukuboko cyane, cyangwa uhagarike ukuboko ukoresheje agakoresho gatuma amaguru ahagarara neza.
• Gukangura imitsi ikoresha amashanyarazi hakoreshejwe amashanyarazi (TENS) ni uburyo bwo kuvura imitsi ikoresha amashanyarazi.
• Gukoresha acupuncture .

Nyuma y'uko igihe cy'ububabare bukabije kirangiye, muganga wawe ashobora kukugira inama y'ubu buryo bwo kuvura:

• Ubuvuzi bw'umubiri: Umuvuzi w'umubiri azakwigisha imyitozo yo kunanura no gukomeza imitsi kugira ngo agufashe kongera kugenzura imitsi n'ingingo byangiritse.
• Imiti igabanya ububabare: Iyi ni imiti ikoreshwa by'umwihariko mu kuvura ububabare bw'imitsi. Urugero, harimo gabapentin , carbamazepine, na amitriptyline .

Mu bihe bikomeye cyane, niba nta kindi kigabanya ibimenyetso byawe, muganga wawe ashobora kukugira inama yo kubagwa . Ubu buryo bushobora kuba burimo guterwa imitsi cyangwa guterwa imitsi .

Ese ibi bishobora kwirindwa ko bitabaho?

Kubera ko abashakashatsi bataramenya impamvu nyayo ya PTS, nta kintu na kimwe wakora kugira ngo uyirinde. Ariko, kubera ko virusi zimwe na zimwe zishobora kuyitera, kuguma mu buzima buzira umuze bishobora kugabanya ibyago byo kuyirwara.

Ni iki giteganyijwe kuri iyi ndwara?

Uko uburwayi bwa PTS buhagaze bishobora gutandukana bitewe n'umuntu ku giti cye.Hari abantu bagira PTS rimwe gusa bagakira neza mu gace kabasiwe. Abandi bashobora kugira intege nke n'ububabare buhoraho. Hari n'abantu bashobora kugira PTS inshuro zirenze imwe (isubiramo). Hari ibintu bimwe na bimwe bishobora kugabanya amahirwe yo gukira :

• Ububabare bumara amezi atatu kandi imitsi ntikira.
• Niba PTS yaragize ingaruka ku gice cyo hasi cy'umubiri/inda yawe.
• Iyo impamvu ari indwara ikomoka ku murage , muri bene iyo mimerere, uburwayi bushobora kugaruka cyane.

Dukurikije ubushakashatsi bumwe, 89% by'abarwayi ba PTS bavuwe ibimenyetso no kuvurwa n'imiti mu myaka itatu. Muri abo, abagera kuri 75% barakize mu myaka ibiri, naho 36% barakize mu mwaka wa mbere. Ubushakashatsi buherutse gukorwa bwerekana ko abantu benshi bashobora gukomeza kugira ububabare n'ibibazo bimwe na bimwe by'imikorere y'umubiri. Ariko, gukira burundu birashoboka , nubwo bishobora gufata imyaka umunani.

Ni ryari ngomba kujya kwa muganga?

Ni ingenzi cyane gusuzuma Parsonage-Turner syndrome hakiri kare kandi neza . Niba ufite ububabare, cyane cyane niba butunguranye kandi bukomeye , menya neza ko wagiye kwa muganga.

Ni ibihe bibazo ugomba kubaza muganga?

Niba ushaka kumenya byinshi kuri iyi ndwara, ushobora kubaza muganga wawe ibibazo nk'ibi:

• Kuki nagize indwara ya Parsonage-Turner?
• Ni ubwoko ki bw'inzobere ngomba kubonana na bo?
• Ni ubuhe bwoko bw'imiti igabanya ububabare usaba?
• Nkwiye kwiyitaho nte mu rugo?
• Utekereza ko nzakira vuba gute?
• Ni ubuhe bwoko bw'ubuvuzi usaba?
• Namenya nte niba iyi ndwara ya PTS igenda irushaho kuba nziza cyangwa irushaho kuba mbi?

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Ububabare bukabije butunguranye bushobora gutera ubwoba. Ni bwo buryo umubiri wawe ukubwira uti "Hari ikibazo." Niyo mpamvu ari ngombwa kujya kwa muganga vuba bishoboka. Hari uburyo bwinshi bwo kuvura bushobora gufasha mu kugabanya ibimenyetso bya Parsonage-Turner syndrome (PTS) ndetse no kwihutisha gukira. Niba ufite ikibazo icyo ari cyo cyose kuri PTS, ntutinye kubaza muganga wawe. Barahari kugira ngo bagufashe. Wibuke ko utari wenyine, hari abandi bantu banyura muri ibi, kandi hari abaganga bashobora kugufasha .