Chii chinonzi Parsonage-Turner Syndrome? Unonzwa kurwadziwa kamwe kamwe pafudzi rako uye kusanzwa simba muruoko rwako here?

Wakambomuka mangwanani here, kana chero nguva yezuva, wobva wangoerekana wanzwa kurwadziwa kwakanyanya panzvimbo yemapfudzi ako, pamwe chete nekushaya simba uye kusasimba kweruoko rwako? Izvi zvinogona kunge zvakaitika kwemazuva mashoma kana mavhiki, uye tsandanyama dzako dzakatanga kupera simba zvishoma nezvishoma. Kana wakambosangana nedambudziko rakafanana naro, zvakakosha kuti uzive nezvechirwere ichi chinonzi Parsonage-Turner Syndrome, chatiri kuzotaura nezvacho nhasi.

Chii chinonzi Parsonage-Turner Syndrome?

Zvichitaurwa zviri nyore, Parsonage-Turner Syndrome , dzimwe nguva inonzi Brachial Neuritis , chirwere chinosanganisira sisitimu yetsinga. Chinoitika ndechekuti unongoerekana wanzwa kurwadziwa kwakakomba, kusingafungidzike, uye kwakanyanya mufudzi rako neruoko rwepamusoro. Kurwadziwa uku kunogona kugara kwemazuva kusvika kumavhiki. Ndipo panotanga dambudziko chairo. Sezvo kurwadziwa kwacho kuchiderera, unotanga kunzwa kushaya simba kana kusanzwa simba mutsandanyama dzefudzi rako, ruoko, ruoko, kana minwe. Kushaya simba uku kunogona kugara kwemwedzi yakawanda. Funga nezvazvo, kune network yetsinga dzinobva kumusana mumutsipa wako, kuburikidza nemutsipa wako, kuburikidza nemahapwa ako, uye pasi pemaoko ako. Ndizvo zvatinodaidza kuti brachial plexus . Zvakafanana nehurongwa hwewaya dzemagetsi. Parsonage-Turner syndrome chirwere umo brachial plexus inokuvadzwa. Inonyanya kukanganisa tsinga dzemagetsi dzinodzora kufamba uye axons dzadzo. Izvi ndizvo zvinokonzera kushaya simba kwetsandanyama. PTS chirwere chisingawanzoitiki . Ndosaka vanachiremba dzimwe nguva vachiisanganisa ne cervical radiculopathy , chirwere chinokonzera kumanikidzwa kwetsinga mumutsipa, kana cervical spondylosis , inova chirwere chinowanzoitika. Zviratidzo zvacho zvakafanana zvikuru. Inonzi Parsonage-Turner kubva kunyanzvi mbiri dzepfungwa dzekuBritain, Maurice Parsonage naJohn Turner, avo vakatanga kutsanangura chirwere ichi muna 1948. Izvi zvinodanwa nemamwe mazita akati wandei:

• Brachial neuritis
• Brachial plexus neuritis
• Kurwadziwa kwetsinga dzemu ...
• Idiopathic brachial plexus neuropathy
• Amyotrophy yetsinga dzemuzongoza

Matanho echirwere ichi ndeapi?

Kazhinji pane matanho makuru matatu eParsonage-Turner syndrome. Ngationei kuti ndeapi. 1. Danho rekutanga (danho rekurwadziwa kwakanyanya):Uku kurwadziwa kwakakomba kamwe kamwe, kwakakomba zvisingafungidzike . Kazhinji, kunokanganisa pfudzi rimwe chete. Kurwadziwa uku kunogona kugara kubva pamazuva mashoma kusvika kumavhiki mashoma. Kazhinji zvinonzi kana chikamu ichi chekurwadziwa chikagara kwenguva refu, zvinotora nguva yakareba kuti chipore. 2. Danho rechipiri: Mushure mekunge kurwadziwa kwapera zvishoma nezvishoma, unotanga kunzwa kushaya simba mumhasuru dzako. Kunyanya tsandanyama dzakatenderedza pfudzi rako neruoko zvinova zvisina simba. Izvi dzimwe nguva zvinogona kutungamira mukurasikirwa kwetsandanyama, kana kudonha kwetsandanyama . Danho rechipiri iri rinowanzogara pakati pemwedzi 6 ne18. Asi kune vamwe vanhu rinogona kugara kwenguva yakareba. 3. Danho rechitatu: Mushure mechinguva, tsandanyama dzako dzinowana simba uye dzinotanga kushanda zvakanaka. Iri ndiro danho rekuporesa.

Dambudziko iri rakajairika zvakadii?

Kutaura zvazviri, chirwere cheParsonage-Turner (brachial neuritis) chirwere chisingawanzoitiki . Zvinonzi vanhu vatatu chete pazviuru zana vanowana chirwere ichi gore rega rega. Chinogona kuitika kune chero ani zvake wezera ripi zvaro. Zvisinei, chinoonekwa zvakanyanya muvarume . Avhareji yezera rekutanga kwechirwere ichi imakore angangoita makumi mana nerimwe.

Ndezvipi zviratidzo zveParsonage-Turner syndrome?

Zviratidzo zvikuru zviviri zvechirwere ichi kurwadziwa kamwe kamwe uye kushaya simba kwetsandanyama . Izvi zvinogona kukanganisa nzvimbo idzi:

• Mafudzi
• Ruoko rwepamusoro (chikamu chepamusoro cheruoko)
• Huma (chikamu chepakati cheruoko)
• Ruoko (ruoko neminwe)

Kazhinji, inenge 80% yenguva, inobata ruoko rumwe chete (rumwe rutivi). Kazhinji inobata ruoko/rutivi rwaunoshandisa zvakanyanya. Asi muzviitiko zvinenge 20%, inogona kukanganisa maoko ese (aviri). Kashoma, inokanganisa dumbu rezasi nemakumbo. Kazhinji, kurwadziwa kunouya kamwe kamwe. Kunonzwa sekurwadziwa kwakakomba, kusingatsungiririki , kunyanya husiku. Kurwadziwa uku kwakanyanya kunogona kugara kubva pamaawa mashoma kusvika kumavhiki mana. Mushure mekunge kurwadziwa kwapera, tsandanyama dziri muruoko rwako rwakakanganiswa dzinotanga kupera simba. Ungangonzwa kushaya simba kwetsandanyama mufudzi rako kana ruoko rwepamusoro. Asi zvinogonawo kukanganisa ruoko rwako neruoko. Dzimwe nguva, kushaya simba kunogona kukanganisa tsandanyama dziri muchipfuva chako kana diaphragm (tsandanyama inoparadzanisa chipfuva chako nedumbu rako). Kana tsandanyama dzikashaya simba, nekufamba kwenguva, tsandanyama dzinopera simba. Kuoma kwezviratidzo izvi kunogona kusiyana zvakanyanya kubva pamunhu kusvika pamunhu. Izvi zvinodaro nekuti tsinga dzinokanganiswa nePTS dzinosiyana kubva pamunhu kusvika pamunhu. Panogona kunge paine zvimwe zviratidzo:

• Muruoko rwakabatwaMatambudziko ne reflexes.
• Kunzwa kusina kujairika muruoko, kunozivikanwa se paresthesia , kana kuti kusanzwa. Izvi zvinogona kunzwa sekukwenya, kuruma, kana kupisa.
• Kubviswa kwepafudzi zvishoma .
• Kufamba kwakasiyana-siyana mumapfundo akabatwa.
• Chirwere chinonzi mapapiro escapula (apo banga repafudzi rinobuda rakadzokera kumashure, sebapiro).
• Kupfupika kwetsandanyama kana marunda ari muruoko rwakabatwa.
• Maoko matsvuku, epepuru, kana kuti ane madonda nekuda kwekudzikira kweropa .
• Kuzvimba kwemaoko .
• Kutadza kufema zvakanaka (dyspnea) . Izvi hazviwanzoitiki.

Sei chirwere cheParsonage-Turner chichiitika?

Kutaura zvazviri, vaongorori havasati vaziva chikonzero chaicho cheParsonage-Turner syndrome. Vanofunga kuti kuita zvisina kujairika kwemuviri wedu, kunonzi immune -mediated response, ndicho chikonzero chikuru. Pane dzidziso mbiri pamusoro peizvi. 1. Utachiona hwehutachiona, hwebhakitiriya, kana hweparasite hunokanganisa zvakananga brachial plexus yako, zvichikonzera zviratidzo. 2. Kana immune system yako ichirwisa mabhakitiriya aya, mavhairasi, kana maantigen , inokuvadza brachial plexus yako semhedzisiro. Kazhinji, chikonzero chikuru chechirwere ichi hutachiona hwechangobva kuitika. Zvirwere zvinotevera zvehutachiona zvakaonekwa sezvingangove zvakabatanidzwa:

• Utachiona hweCoxsackie B: Izvi zvinogona kukonzera zvirwere zvakasiyana-siyana, zvinosanganisira pneumonia , chirwere chemudumbu, myocarditis (kuzvimba kwetsandanyama yemwoyo), aseptic meningitis (rudzi rwehutachiona hweuropi), encephalitis (kuzvimba kweuropi), uye hepatitis yehutachiona (kuzvimba kwechiropa).
• HIV (Human Immunodeficiency Virus) .
• Chirwere chechishanu (parvovirus B19) .
• Matumbu .
• Nhomba (variola major neminor) .

Dzimwe nguva, vanachiremba havakwanise kuwana chikonzero chaicho. Kashoma, Parsonage-Turner syndrome chirwere chinokonzerwa nemajini/nhaka .Inogonawo kukonzerwa nekugara nhaka kwetsinga dzeropa (neuralgic amyotrophy).

Ndezvipi zvinhu zvinokonzera njodzi zvinokonzera chirwere ichi?

Vaongorori vanotenda kuti mamwe mamiriro ezvinhu ehutano anogona kuwedzera njodzi yako yekubatwa neParsonage-Turner syndrome. Heano mamwe acho:

• Kuvhiyiwa kwakaitwa nguva pfupi yadarika uye/kana kuti ane anesthesia .
• Zvirwere zve connective tishu, semuenzaniso, zvirwere zvakaita seEhlers-Danlos syndrome .
• Zvirwere zve autoimmune, zvakaita se lupus (systemic lupus erythematosus - SLE) , temporal arteritis , uye polyarteritis nodosa .
• Kukuvara kwepafudzi kunorwadza .
• Kurovedza muviri kwakasimba kunoremadza mapendekete.
• Kuwana majekiseni/majekiseni ekudzivirira chirwere (izvi hazviwanzoitiki, asi kwave nemimwe mishumo).
• Kubata pamuviri nekubereka mwana .
• Kugamuchira kurapwa nemwaranzi .
• Kuboorwa kwemusana (lumbar puncture) , zvinoreva kutora mvura kubva kumusana.
• Kubaya dhayi rekuenzanisa pakuongorora mifananidzo.

Parsonage-Turner syndrome inoonekwa sei?

Kana ukaona chiremba, vachakubvunza nezvezviratidzo zvako uye nhoroondo yezvekurapa. Vachabva vaita bvunzo yemuviri. Vachaongorora simba, mafungiro, uye manzwiro etsandanyama dzeruoko rwako. Unogona zvakare kutumirwa kuna chiremba wetsinga . Kana chiremba wako achifunga kuti une Parsonage-Turner syndrome, vanogona kukurudzira bvunzo yeEMG (electromyography) . Izvi zvinoshandiswa kuongorora hutano nekushanda kwetsandanyama dzako dzemapfupa netsinga dzinodzidzora. Pamusoro pezvo, bvunzo dzinotevera dzinogona kuitwa kusimbisa kuongororwa kana kubvisa zvimwe zvirwere:

• MRI (magnetic resonance imaging) scan .
• Kuongororwa kwe ultrasound yemitsipa .
• Kuongororwa kweCT (computed tomography) .

Ndezvipi zvinorapwa izvi?

Kutaura chokwadi, hapana mushonga chaiwo wePTS. Kazhinji, inonyangarika yoga nekufamba kwenguva. Zvisinei, zvakakosha kuongorora chirwere ichi nekukurumidza.Kana ukatanga kurapwa kunobatsira kudzora zviratidzo zvako, fungidziro yako inogona kuvandudzwa zvikuru. Chiremba wako anokurudzira nzira dzakasiyana-siyana dzekurapa kuti dzibatsire kudzora zviratidzo zvako. Unogona zvakare kutumirwa kuchikwata chenyanzvi kuti vagadzire hurongwa hwekurapa. Chikwata ichi chinogona kusanganisira:

• Vanachiremba vekutanga (PCPs)
• Vanachiremba vemapfupa
• Vanachiremba vetsinga
• Nyanzvi dzezvirwere zvetsinga dzemutsinga
• Varapi vemuviri

Kurapa kunoitwa panguva yekurwadziwa kwakanyanya kunogona kusanganisira:

• Mishonga inouraya marwadzo, semuenzaniso NSAIDs (mishonga isingashandise steroidal inorwisa kuzvimba) inogona kutengwa kuchitoro chemishonga.
• Mishonga inotorwa nemuromo inonzi corticosteroids .
• Dzivisa kushandisa ruoko zvakanyanya, kana kuti isaita kuti ruoko rusashande uchishandisa chinosimbisa fudzi.
• Kukurudzira tsinga dzemagetsi kuburikidza ne transcutaneous electrical nerve (TENS) inzira yekurapa tsinga dzemagetsi.
• Kubata maacupuncture .

Mushure mekunge nguva yekurwadziwa kwakanyanya yapera, chiremba wako angangokurudzira kurapwa uku:

• Kurapa kwemuviri: Nyanzvi yekurovedza muviri ichakudzidzisa maekisesaizi ekutambanudza nekusimbisa muviri kuti ikubatsire kudzora tsandanyama nemapfundo akakuvara.
• Mishonga inorwisa marwadzo: Iyi mishonga inoshandiswa kurapa marwadzo etsinga. Mienzaniso inosanganisira gabapentin , carbamazepine, uye amitriptyline .

Muzviitiko zvakakomba, kana pasina chimwe chinobvisa zviratidzo zvako, chiremba wako anogona kukurudzira kuvhiyiwa . Maitiro aya anogona kusanganisira kuisirwa tsinga kana kutamiswa kwetsinga .

Izvi zvinogona kudzivirirwa kuti zvisaitike here?

Sezvo vaongorori vasati vaziva chikonzero chaicho chePTS, hapana chaunogona kuita kuti uidzivirire. Zvisinei, sezvo mamwe mavhairasi anogona kuikonzera, kuramba uine hutano hwakanaka kunogona kubatsira kuderedza njodzi yako yekuibata.

Chii chiri kufanotaura nezvechirwere ichi?

Maonero ekupora kubva kuPTS anogona kusiyana kubva pamunhu kusvika pamunhu.Vamwe vanhu vanowana PTS kamwe chete uye vanopora zvizere kubva panzvimbo yakakanganiswa. Vamwe vanogona kunge vaine kushaya simba uye kurwadziwa kunoramba kuripo. Vamwe vanhu vanogonawo kuwana PTS kanopfuura kamwe chete (kudzoka). Pane zvimwe zvinhu zvinogona kuderedza mukana wekupora :

• Marwadzo acho anoramba aripo kwemwedzi mitatu uye tsandanyama hadzipore.
• Kana PTS yakakanganisa dumbu/dumbu rako repazasi .
• Kana chikonzero chiri chenhaka yekuzvarwa nayo , kazhinji chirwere ichi chinodzoka zvakanyanya muzviitiko zvakadaro.

Sekureva kweimwe ongororo, 89% yevarwere vePTS vakarapwa zviratidzo uye vakarapwa nemuviri mukati memakore matatu. Pavanhu ivavo, vanenge 75% vakapora mukati memakore maviri, uye 36% vakapora mukati megore rekutanga. Ongororo dzichangoburwa dzinoratidza kuti vanhu vazhinji vanogona kuramba vachirwadziwa uye vaine mamwe matambudziko ekushanda. Zvisinei, kupora kwakazara kunogoneka , kunyangwe zvichitora makore masere.

Ndinofanira kuona chiremba rini?

Zvakakosha zvikuru kuona chirwere cheParsonage-Turner nekukurumidza uye nemazvo . Kana uine marwadzo, kunyanya kana akangoerekana aitika uye akakomba , iva nechokwadi chekuona chiremba.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Kana uchida kuziva zvakawanda nezvechirwere ichi, unogona kubvunza chiremba wako mibvunzo yakaita seiyi:

• Sei ndakatanga chirwere cheParsonage-Turner?
• Ndinofanira kuona nyanzvi dzerudzii?
• Ndeapi marudzi emishonga inoderedza marwadzo auri kukurudzira?
• Ndinofanira kuzvitarisira sei kumba?
• Unofunga kuti ndichapora nekukurumidza sei?
• Munokurudzira rudzii rwekurapwa?
• Ndingaziva sei kana chirwere ichi chePTS chiri kuvandudzika kana kuipa?

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Kurwadziwa kwakanyanya kamwe kamwe kunogona kuva chinhu chinotyisa. Ndiyo nzira yemuviri wako yekukuudza kuti, "Pane chakaipa." Ndosaka zvichikosha kuona chiremba nekukurumidza. Kune nzira dzakawanda dzekurapa dzinogona kubatsira kudzora zviratidzo zveParsonage-Turner syndrome (PTS) uye pamwe nekukurumidzisa kupora kwako. Kana uine mibvunzo nezvePTS, usatya kubvunza chiremba wako. Varipo kuti vakubatsire. Yeuka kuti hausi wega, kune vamwe vanhu vari kupfuura neizvi, uye kune vanachiremba vanogona kukubatsira .