Ngaba ukhe waneentlungu ezinganyamezelekiyo egxalabeni lakho ngequbuliso? Emva kweentsuku ezimbalwa, mhlawumbi iiveki ezimbalwa, iintlungu ziyaphela kancinci, kodwa emva koko ingalo yakho iziva ingakhululekanga kwaye ibuthathaka? Emva koko siza kuthetha ngento enokuba ibalulekile kuwe. Esi sisifo esingaqhelekanga esoyikisa abantu abaninzi. Sisibiza ngokuba yiParsonage-Turner Syndrome. Namhlanje, siza kuthetha ngaso ngendlela elula onokuyiqonda.
Ngamafutshane, yintoni iParsonage-Turner Syndrome (PTS)?
I-Parsonage-Turner Syndrome (PTS), ngamanye amaxesha ebizwa ngokuba yi-"brachial neuritis", yimeko echaphazela inkqubo yemithambo-luvo. Ibonakaliswa yintlungu ekhawulezileyo, enzima egxalabeni lakho nakwingalo engasentla ebonakala ngathi ivela ngequbuliso ngaphandle kwesizathu esicacileyo. Le ntlungu inokuhlala iintsuku ukuya kwiiveki. Emva koko ezinye iingxaki ziyaqala. Njengoko intlungu iphela, izihlunu egxalabeni lakho, engalweni, engalweni, okanye esandleni ziqala ukuba buthathaka. Obu buthathaka bunokuhlala iinyanga, okanye iminyaka.
Khawuthelekelele ukuba sinothungelwano lweemithambo-luvo oluhamba ukusuka entanyeni yethu ludlula emakhwapheni ethu luye ezingalweni zethu. Njengokuba i-switchboard ephambili endlwini yethu ineengcingo eziya kwigumbi ngalinye, olu thungelwano lweemithambo-luvo luthumela imiqondiso kuyo yonke indawo yeengalo zethu. Sibiza olu thungelwano lweemithambo-luvo ngokuthi `(brachial plexus)`. Kwi-Parsonage-Turner Syndrome, olu thungelwano lweemithambo-luvo `(brachial plexus)` lonakele. Ingakumbi iimithambo-luvo ezilawula intshukumo zonakele kakhulu. Yiyo loo nto, emva kwentlungu, kukho imvakalelo yokuba ndindisholo kunye nobuthathaka kwiingalo.
Ngenxa yokuba le meko ingaqhelekanga, oogqirha ngamanye amaxesha banokuyibhidanisa nezinye iimeko eziqhelekileyo. Umzekelo, ingachongwa gwenxa njenge-cervical radiculopathy okanye i-cervical spondylosis, njengoko iimpawu zifana.
Kukho amanqanaba amathathu esi sifo.
Le meko idla ngokukhula ngamanqanaba amathathu. Asinguye wonke umntu oza kuba nayo ngolu hlobo, kodwa le yindlela abantu abaninzi abayibona ngayo.
Inqanaba loku-1: Isigaba seNhlungu ebukhali
Eli linqanaba lokuqala. Ngequbuliso, kuqala intlungu ebukhali, rhoqo egxalabeni elinye. Le ntlungu inokuhlala iintsuku ezimbalwa ukuya kwiiveki ezimbalwa. Ngokuqhelekileyo kuthiwa okukhona eli xesha libuhlungu lihlala ixesha elide, kokukhona kuya kuthatha ixesha elide ukuchacha ngokupheleleyo.
Inqanaba lesi-2: Ubuthathaka bemisipha
Emva kokuba intlungu iphele kancinci kancinci, inqanaba lesibini liqala. Kulapho izihlunu egxalabeni nasengalo ziqala khona ukuba buthathaka. Kuba nzima ukuphakamisa ingalo okanye ukuphakamisa izinto ezinzima. Ekuhambeni kwexesha, izihlunu zinokuphelelwa ngamandla ngenxa yokungasetyenziswa. Eli nqanaba linokuhlala ukusuka kwiinyanga ezintandathu ukuya kwezili-18, ngamanye amaxesha ixesha elide.
Inqanaba lesi-3: Ukuchacha
Eli linqanaba lokuchacha. Emva kwexesha elithile, izihlunu zakho ziya kuqala kancinci kancinci ukufumana amandla. Isandla sakho siya kubuyela kancinci kancinci ekusebenzeni okuqhelekileyo.
Ixhaphake kangakanani le meko?
I-Parsonage-Turner Syndrome yimeko engaqhelekanga kakhulu . Ngokwezibalo, ngabantu abathathu kuphela kwikhulu lamawaka abafumana esi sifo minyaka le. Ngoko ke akukho mfuneko yokukhathazeka ngaso ngalo lonke ixesha igxalaba lakho libuhlungu.
Nangona inokukhula nakweyiphi na iminyaka, ixhaphake kakhulu kumadoda . Idla ngokubonakala malunga neminyaka engama-40-45.
Zithini kanye kanye iimpawu?
Iimpawu ezimbini eziphambili ziintlungu ezikhawulezileyo neziqatha ezilandelwa kubuthathaka bemisipha. Ezi mpawu zinokuchaphazela naphi na egxalabeni lakho, engalweni engentla, engalweni, okanye esandleni.
Into ebalulekileyo kukuba kwiimeko ezimalunga nama-80%, ichaphazela ingalo enye kuphela (engalweni enye). Kwaye yingalo oyisebenzisa kakhulu (ingalo elawulayo). Kwinani elincinci labantu, malunga nama-20%, inokuchaphazela zombini iingalo.
Makhe sijonge indlela iimpawu ezidla ngokubonakala ngayo.
| Uphawu | Inkcazo |
|---|---|
| Intlungu ebuhlungu ngequbuliso | Intlungu ebukhali nenganyamezelekiyo, njengokuhlaba ngemela. Le ntlungu inokuba nkulu kakhulu ebusuku. Le ntlungu inzima inokuhlala iiyure ezimbalwa ukuya kwiiveki ezine. |
| Ubuthathaka bemisipha | Emva kokuba intlungu iphelile, amandla engalweni ayaphela. Oku kuvame ukuvakala egxalabeni nakwingalo engentla. Ngamanye amaxesha izihlunu zesifuba okanye i-diaphragm nazo zinokuchaphazeleka. |
| Ezinye iimpawu | Ukongeza kwezi mpawu ziphambili, ezinye izinto zinokubonwa.
|
Kutheni oku kusenzeka? Yintoni isizathu sale nto?
Inyaniso kukuba, abaphandi abakafumani unobangela ochanekileyo woku. Kodwa ingcamango ephambili kukuba kubangelwa yimpendulo engaqhelekanga ebangelwa ngamajoni omzimba emzimbeni wethu.
Ngamafutshane, xa intsholongwane, efana nentsholongwane okanye intsholongwane, ingena emzimbeni wethu, inkqubo yethu yokuzikhusela komzimba iyayilwa nayo. Kodwa ngamanye amaxesha, ngeli xesha lokulwa, inkqubo yethu yokuzikhusela yomzimba yenza impazamo kwaye endaweni yoko ihlasele inxalenye esempilweni yomzimba wethu, oko kukuthi inethiwekhi yemithambo-luvo ethi "brachial plexus". Kulapho ke le mithambo-luvo yonakele khona kwaye kuvela iimpawu.
Rhoqo, le meko ilandelwa lusulelo lwentsholongwane olusandula ukwenzeka. Umzekelo:
- Intsholongwane yeCoxsackie B
- I-HIV (iNtsholongwane yokungakhuseleki komzimba womntu)
- Isifo sesihlanu (i-parvovirus B19)
- Iingqukuva
Kodwa ngamanye amaxesha inokukhula ngaphandle kwesizathu esicacileyo. Kunqabile kakhulu, inokubangelwa sisifo semfuza esibizwa ngokuba yi-hereditary neuralgic amyotrophy.
Izinto ezonyusa umngcipheko wale meko
Kufunyaniswe ukuba iziganeko ezithile okanye iimeko zonyango zinokunyusa kancinci umngcipheko wokuba neParsonage-Turner Syndrome.
- Utyando lwakutshanje okanye i-anesthesia
- Izifo zezicubu ezidityanisiweyo - umz. i-Ehlers-Danlos syndrome
- Iimeko zokuzikhusela komzimba - umz. i-lupus
- Ingozi egxalabeni
- Ukuzilolonga okubeka uxinzelelo olukhulu emagxeni
- Ezinye iintlobo zezitofu zokugonya
- Ukukhulelwa kunye nokuzala
- Unyango ngemitha
- Uvavanyo lokubhoboza i-Lumbar
Ugqirha uyifumana njani le nto?
Ukuba unale mpawu, kufuneka uqale ubonane nogqirha wakho. Uza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Emva koko, baza kwenza uvavanyo lomzimba ukujonga izihlunu zesandla sakho, imvakalelo, kunye nokusabela komzimba. Basenokukuthumela kwingcali ye-neurologist, ugqirha ogxile kwiingxaki zemithambo-luvo.
Ukuqinisekisa ukuba le yiParsonage-Turner Syndrome, ugqirha wakho unokucebisa uvavanyo olukhethekileyo olubizwa ngokuba yi-electromyography (EMG).
Uvavanyo lwe-EMG luvavanyo oluthumela imiqondiso yombane emincinci kakhulu kwimisipha yakho nakwimithambo-luvo eyilawulayo ukuze ibone ukuba loo mithambo-luvo kunye nemisipha zisebenza kakuhle kangakanani. Oku kunokunceda ekuqinisekiseni ukuba kukho nawuphi na umonakalo kwimithambo-luvo kwaye apho umonakalo ukhoyo.
Ukongeza, iimvavanyo zomfanekiso ezinje ngezi zinokwenziwa ukuze kuthintelwe ezinye iimeko kwaye kuqinisekiswe ukuxilongwa:
- Iskeni se-MRI (Magnetic Resonance Imaging)
- Uvavanyo lwe-ultrasound yemithambo-luvo
- Iskeni se-CT (Computed Tomography)
Ingaba kukho unyango? Yintoni enokwenziwa?
Akukho nyango okanye unyango oluthile loku okwangoku. Eyona nto ilungileyo kukuba le meko idla ngokuziphelela ngokwayo ngokuhamba kwexesha. Nangona kunjalo, ukuxilongwa kwangoko kunye nonyango oluxhasayo lokulawula iimpawu kunokukhawulezisa inkqubo yokuphiliswa kwaye kufumane iziphumo ezingcono.
Ugqirha wakho uza kucebisa iindlela ezahlukeneyo zonyango ukulawula iimpawu zakho.
Ngexesha lesigaba esibuhlungu kakhulu
- Izinto ezibulala iintlungu: Izinto ezifana nee-painkillers eziqhelekileyo (ii-NSAIDs).
- IiCorticosteroids zomlomo: Uhlobo lwamayeza anikwa ukulawula ukudumba kwemithambo-luvo kunye nomsebenzi wenkqubo yomzimba yokuzikhusela.
- Ukuthintela ingalo: Phumla ingalo yakho, mhlawumbi usebenzisa into efana nokuqinisa amagxa.
- I-TENS (iTranscutaneous Electrical Nerve Stimulation): Indlela yokulawula iintlungu ngokuthumela imiqondiso emincinci yombane eluswini.
- Unyango lwe-Acupuncture: Abanye abantu bafumana isiqabu kwiintlungu ngenxa yoku.
Emva kokuba intlungu iphelile
- Unyango Lomzimba: Oku kubaluleke kakhulu . Ingcali yonyango lomzimba iya kukufundisa imithambo kunye nokuzolula ukuze incede ekuqiniseni izihlunu ezonakeleyo, ithintele amalungu ukuba angaqini, kwaye ibuyisele ukusebenza kwesandla sakho.
- Amayeza akhethekileyo eentlungu zemithambo-luvo: Abanye abantu banokufumana iintlungu ezifana nokudumba kwemithambo-luvo, nangona iintlungu ziphelile. Kwiimeko ezinjalo, ugqirha wakho unokukunika amayeza akhethekileyo afana ne-gabapentin, i-carbamazepine, okanye i-amitriptyline.
Kwiimeko ezinzima kakhulu, xa kungekho nyango lusebenzayo, kunokuthathwa ingqalelo kutyando (ukufakelwa kwemithambo-luvo okanye ukudluliselwa kwemisipha). Nangona kunjalo, oku kunqabile kakhulu.
Liza kuba njani ikamva ngale meko? (Ingqikelelo)
Indlela esihamba ngayo esi sifo inokwahluka kumntu nomntu. Kwabanye abantu, kwenzeka kube kanye ebomini babo baze baphile ngokupheleleyo. Kwabanye, banokuqhubeka nokuba nobuthathaka okanye iintlungu ezithile. Kwabanye abantu abambalwa, sinokuphinda sibuye.
Ngokophando, malunga ne-89% yabantu abalawula iimpawu zabo baze bafumane unyango olufanelekileyo lomzimba baya kuphola ngokupheleleyo kwiminyaka emithathu. Kubo, i-75% iya kuphola kwiminyaka emibini, kwaye i-36% iya kuphola kunyaka wokuqala.
Oko kuthetha ukuba, nangona kuthatha ixesha ukuchacha koku, uninzi lwabantu luyachacha. Eyona nto ibalulekileyo kukuba nomonde nokulandela imiyalelo kagqirha ngexesha lonyango.
Umyalezo Wokuya Ekhaya
- I-Parsonage-Turner Syndrome (PTS) yimeko engaqhelekanga yemithambo-luvo ebangela iintlungu eziqatha ngequbuliso egxalabeni nasengalweni, kulandele ubuthathaka bemisipha.
- Nangona unobangela ochanekileyo woku ungekafunyanwa, kukholelwa ukuba ubangelwa kukungasebenzi kakuhle kwenkqubo yomzimba yokuzikhusela.
- Ukuba ngequbuliso uva iintlungu ezinkulu egxalabeni, musa ukuzityeshela kwaye ubone ugqirha ngoko nangoko. Ukuxilongwa ngokukhawuleza kubaluleke kakhulu.
- Nangona kungekho nyango lucacileyo loku, iimpawu zinokulawulwa ngonyango oluxhasayo olufana nolawulo lweentlungu kunye nonyango lomzimba.
- Kungathatha ixesha ukuphiliswa. Kungathatha iinyanga ukuya kwiminyaka. Ngoko ke kubalulekile ukuba nomonde kwaye ube nethemba malunga nonyango lwakho. Uninzi lwabantu luyaphola ngokupheleleyo ekuhambeni kwexesha.
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