Yintoni iParsonage-Turner Syndrome? Ngaba ukhe uzive iintlungu ezikhawulezileyo egxalabeni lakho kunye nokungaziva mnandi engalweni yakho?

Ngaba wakha wavuka kusasa, okanye nangaliphi na ixesha losuku, waza ngequbuliso waziva intlungu ebukhali egxalabeni lakho, kunye nokungakhululeki kunye nobuthathaka engalweni yakho? Oku kusenokwenzeka ukuba bekuqhubeka iintsuku okanye iiveki ezimbalwa, kwaye emva koko izihlunu zakho zaqala ukuba buthathaka kancinci. Ukuba ukhe waba namava afanayo, kubaluleke kakhulu ukuba uqaphele le meko ibizwa ngokuba yiParsonage-Turner Syndrome, esiza kuthetha ngayo namhlanje.

Yintoni kanye kanye iParsonage-Turner Syndrome?

Ngamafutshane, iParsonage-Turner Syndrome , ngamanye amaxesha ebizwa ngokuba yiBrachial Neuritis , yimeko echaphazela inkqubo yemithambo-luvo. Okwenzekayo kukuba ngequbuliso ufumana intlungu engalindelekanga, engenakucingelwa, eqatha egxalabeni lakho nakwingalo engentla. Le ntlungu inokuhlala iintsuku ukuya kwiiveki. Kulapho ke ingxaki yokwenyani iqala khona. Njengoko intlungu iphela, uqala ukuziva ubuthathaka okanye ukungakhululeki kwimisipha yegxala lakho, ingalo, ingalo, okanye iminwe. Lo buthathaka bunokuhlala iinyanga. Cinga ngayo, kukho inethiwekhi yemithambo-luvo ebaleka ukusuka kumqolo entanyeni yakho, entanyeni yakho, emakhwapheni akho, ize yehle ngeengalo zakho. Yiloo nto siyibiza ngokuba yi-brachial plexus . Ifana nenkqubo yeengcingo zombane. I-Parsonage-Turner syndrome yimeko apho i-brachial plexus yonakele khona. Ichaphazela ngokukodwa imithambo-luvo elawula intshukumo kunye nee-axons zayo. Yile nto ibangela ubuthathaka bemisipha. I-PTS yimeko engaqhelekanga . Yiyo loo nto oogqirha ngamanye amaxesha beyibhidanisa ne -cervical radiculopathy , imeko ebangela ukucinezelwa kwemithambo-luvo entanyeni, okanye i-cervical spondylosis , imeko eqhelekileyo kakhulu. Iimpawu ziyafana kakhulu. Ibizwa ngokuba yiParsonage-Turner emva kweengcali ezimbini ze-neurological zaseBritane, uMaurice Parsonage kunye noJohn Turner, abaqala ukuchaza le meko ngo-1948. Oku kubizwa ngamanye amagama aliqela:

• I-Brachial neuritis
• I-Brachial plexus neuritis
• I-brachial plexus neuropathy
• I-Idiopathic brachial plexus neuropathy
• I-amyotrophy ye-neuralgic

Ngawaphi amanqanaba ale meko?

Ngokwesiqhelo kukho amanqanaba amathathu aphambili e-Parsonage-Turner syndrome. Masibone ukuba zeziphi. 1. Inqanaba lokuqala (inqanaba lentlungu ebukhali):Le yintlungu eyenzeka ngequbuliso, enzima kakhulu, ebuhlungu ngendlela engenakucingelwa . Ihlala ichaphazela igxalaba elinye. Le ntlungu inokuhlala iintsuku ezimbalwa ukuya kwiiveki ezimbalwa. Ngokuqhelekileyo kuthiwa xa eli nqanaba lentlungu lihlala ixesha elide, kokukhona kuya kuthatha ixesha elide ukuphola. 2. Inqanaba lesibini: Emva kokuba intlungu iphelile kancinci kancinci, uya kuqala ukuziva ubuthathaka kwimisipha yakho. Ingakumbi izihlunu ezijikeleze igxalaba lakho kunye nengalo ziyaba buthathaka. Oku ngamanye amaxesha kunokukhokelela ekuphelelweni yimisipha, okanye ukuwohloka . Eli nqanaba lesibini lihlala phakathi kweenyanga ezi-6 nezili-18. Kodwa kwabanye abantu lihlala ixesha elide nangakumbi. 3. Inqanaba lesithathu: Emva kwexesha elithile, izihlunu zakho ziphinda zifumane amandla kwaye ziqale ukusebenza ngokuqhelekileyo. Eli linqanaba lokuphiliswa.

Ixhaphake kangakanani le meko?

Enyanisweni, i-Parsonage-Turner syndrome (brachial neuritis) yimeko engaqhelekanga kakhulu . Kuthiwa ngabantu abathathu kuphela kwikhulu lamawaka abanesifo minyaka le. Sinokukhula nakubani na wanoma yimuphi ubudala. Nangona kunjalo, sibonakala ngakumbi kumadoda . Ubudala obuqhelekileyo bokuqala kwesi sifo bumalunga neminyaka engama-41.

Ziziphi iimpawu ze-Parsonage-Turner syndrome?

Iimpawu ezimbini eziphambili zale meko ziintlungu ezikhawulezileyo kunye nobuthathaka bemisipha obulandelayo . Ezi zinokuchaphazela ezi ndawo zilandelayo:

• Igxalaba
• Ingalo ephezulu (inxalenye ephezulu yesandla)
• Ibunzi (inxalenye ephakathi yesandla)
• Isandla (isandla neminwe)

Amaxesha amaninzi, malunga ne-80% yexesha, ichaphazela ingalo enye kuphela (eyahlukileyo). Idla ngokuchaphazela ingalo/icala olisebenzisa kakhulu. Kodwa malunga ne-20% yamatyala, inokuchaphazela zombini iingalo (eyamacala amabini). Amaxesha amaninzi, ichaphazela umzimba ongezantsi kunye nemilenze. Amaxesha amaninzi, intlungu ivela ngequbuliso. Ivakala njengentlungu ebukhali, enganyamezelekiyo , ingakumbi ebusuku. Le ntlungu inzima inokuhlala iiyure ezimbalwa ukuya kwiiveki ezine. Emva kokuba intlungu iphelile, izihlunu ezingalweni yakho echaphazelekayo ziqala ukuba buthathaka. Kusenokwenzeka ukuba uzive ubuthathaka bezihlunu egxalabeni lakho okanye engalweni engentla. Kodwa inokuchaphazela ingalo yakho nesandla sakho. Ngamanye amaxesha, ubuthathaka bunokuchaphazela izihlunu esifubeni sakho okanye kwi-diaphragm (isihlunu esahlula isifuba sakho kwisisu sakho). Xa izihlunu ziba buthathaka, ngokuhamba kwexesha, izicubu zemisipha ziyaphela. Ubunzima bezi mpawu bunokwahluka kakhulu kumntu nomntu. Oku kungenxa yokuba imithambo-luvo echaphazeleka yi-PTS yahluka kumntu nomntu. Kunokubakho ezinye iimpawu ezininzi:

• Kwisandla esichaphazelekayoIingxaki nge-reflexes.
• Iimvakalelo ezingaqhelekanga esandleni, ezaziwa ngokuba yi-paresthesia , okanye i-numbness. Oku kunokuvakala ngathi kukukhafula, ukurhawuzelela, okanye ukutsha.
• Ukukhubeka kwegxalaba elincinane .
• Umgama ongaqhelekanga wokuhamba kwamalungu achaphazelekayo.
• Ingxaki ebizwa ngokuba yi-winged scapula (apho i-eyelashes iphuma ngasemva, njengephiko).
• Ukufinyezwa kwemisipha okanye imisipha engalweni echaphazelekayo.
• Izandla ezibomvu, ezimfusa, okanye ezinamabala ngenxa yokuncipha kokujikeleza kwegazi .
• Ukudumba kwezandla .
• Ubunzima bokuphefumla (ukuphelelwa ngamandla) . Oku kunqabile kakhulu.

Kutheni i-Parsonage-Turner syndrome isenzeka?

Enyanisweni, abaphandi abakayazi eyona nto ibangela iParsonage-Turner syndrome. Bacinga ukuba impendulo engaqhelekanga kwinkqubo yethu yokuzikhusela yomzimba, ebizwa ngokuba yimpendulo ebangelwa kukuzikhusela komzimba, yeyona nto iphambili. Kukho iingcamango ezimbini malunga noku. 1. Usulelo lwentsholongwane, ibhaktiriya, okanye iparasite luchaphazela ngqo i-brachial plexus yakho, nto leyo ebangela iimpawu. 2. Xa inkqubo yakho yokuzikhusela ilwa nezi bhaktiriya, iintsholongwane, okanye ii-antigens , yonakalisa i-brachial plexus yakho njengesiphumo esingesihle. Rhoqo, unobangela oyintloko wale meko lusulelo lwentsholongwane lwakutshanje. Ezi zifo zilandelayo zentsholongwane zichongiwe njengezona zinokwenzeka ukuba zibandakanyeke:

• Intsholongwane yeCoxsackie B: Oku kunokubangela iimeko ezahlukeneyo, kubandakanya i-pneumonia , isifo sesisu, i-myocarditis (ukudumba kwemisipha yentliziyo), i-aseptic meningitis (uhlobo losulelo lobuchopho), i-encephalitis (ukudumba kobuchopho), kunye ne-viral hepatitis (ukudumba kwesibindi).
• I-HIV (i-Human Immunodeficiency Virus) .
• Isifo sesihlanu (i-parvovirus B19) .
• Iingqukuva .
• Ingqakaqha (i-variola enkulu nencinci) .

Ngamanye amaxesha, oogqirha abakwazi ukufumana unobangela othile. Kunqabile kakhulu ukuba i-Parsonage-Turner syndrome ibe yimeko yemfuza/ezuzwe njengelifa .Inokubangelwa yi-neurological amyotrophy yelifa.

Ziziphi izinto ezibangela umngcipheko kule meko?

Abaphandi bakholelwa ukuba ezinye iimeko zonyango zinokunyusa umngcipheko wokuba ne-Parsonage-Turner syndrome. Nazi ezinye zazo:

• Utyando lwakutshanje kunye/okanye i-anesthesia .
• Izifo zezicubu ezidityanisiweyo, umzekelo, iimeko ezifana ne -Ehlers-Danlos syndrome .
• Izifo ezizikhusela ngokwazo emzimbeni, ezifana ne -lupus (systemic lupus erythematosus - SLE) , i-temporal arteritis , kunye ne -polyarteritis nodosa .
• Ukwenzakala egxalabeni okubuhlungu .
• Ukuzilolonga okunzulu okucinezela amahlombe.
• Ukufumana imijovo/ugonyo (oku kunqabile kakhulu, kodwa kukho iingxelo ezithile).
• Ukukhulelwa kunye nokuzala .
• Ukufumana unyango lwemitha .
• Ukubhoboza i-Lumbar (i-spinal tap) , oko kuthetha ukuthatha ulwelo oluvela kumqolo.
• Ukufaka idayi yomahluko kuvavanyo lomfanekiso.

Ifunyanwa njani iParsonage-Turner syndrome?

Xa ubona ugqirha, baza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Baza kwenza uvavanyo lomzimba. Baza kujonga amandla, ukusabela, kunye nokuziva kwemisipha yengalo yakho. Ungathunyelwa kwingcali ye-neurologist . Ukuba ugqirha wakho ucinga ukuba une-Parsonage-Turner syndrome, banokucebisa uvavanyo lwe-EMG (electromyography) . Olu vavanyo lusetyenziselwa ukuvavanya impilo kunye nokusebenza kwemisipha yakho yamathambo kunye nemithambo-luvo eyilawulayo. Ukongeza, uvavanyo olulandelayo lwemifanekiso lunokwenziwa ukuqinisekisa ukuxilongwa okanye ukuthintela ezinye iimeko:

• Iskeni se-MRI (magnetic resonance imaging) .
• Uvavanyo lwe-ultrasound yemithambo-luvo .
• Iskeni se-CT (computed tomography) .

Zithini iindlela zonyango zoku?

Inyaniso kukuba, akukho nyango okanye unyango oluthile lwe-PTS. Uninzi lwexesha, iyaphela yodwa ngokuhamba kwexesha. Nangona kunjalo, kubalulekile ukuyixilonga kwangethuba imeko.Ukuba uqala unyango olunceda ukulawula iimpawu zakho, ikamva lakho lingaphucuka kakhulu. Ugqirha wakho uya kucebisa iindlela ezahlukeneyo zonyango ukunceda ukulawula iimpawu zakho. Ungathunyelwa kwiqela leengcali ukuze uphuhlise isicwangciso sonyango. Eli qela lingabandakanya:

• Oogqirha bonyango oluphambili (ii-PCP)
• Iingcali zamathambo
• Iingcali ze-Neurology
• Iingcali zezifo ze-neuromuscular
• Iingcali zonyango lomzimba

Unyango olunikezelwa ngexesha lesigaba sentlungu ebukhali lungabandakanya:

• Iipilisi zokunciphisa iintlungu, umzekelo ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) ezinokuthengwa kwikhemesti.
• Ii-corticosteroids zomlomo .
• Kuphephe ukusebenzisa ingalo kakhulu, okanye ungayishukumisi ingalo usebenzisa isixhobo sokuqinisa amagxa.
• Ukuvuselelwa kwemithambo-luvo yombane edluliselwa ngesikhumba (i-TENS) lunyango lokuvuselela imithambo-luvo yombane.
• Unyango lwe-acupuncture .

Emva kokuba isigaba sentlungu esibuhlungu siphelile, ugqirha wakho unokucebisa olu nyango:

• Unyango lomzimba: Ingcali yonyango lomzimba iya kukufundisa umthambo wokuzolula nokuqinisa ukuze ikuncede uphinde ulawule izihlunu kunye namalungu achaphazelekileyo.
• I-co-analgesics: La ngamayeza asetyenziselwa ngokukodwa ukunyanga iintlungu zemithambo-luvo. Imizekelo ibandakanya i-gabapentin , i-carbamazepine, kunye ne -amitriptyline .

Kwiimeko ezinzima kakhulu, ukuba akukho nto inye inceda iimpawu zakho, ugqirha wakho unokucebisa utyando . Ezi nkqubo zingabandakanya ukufakelwa kwemithambo-luvo okanye ukudluliselwa kwemisipha .

Ngaba oku kungathintelwa ukuba kwenzeke?

Ekubeni abaphandi bengekayazi eyona nto ibangela i-PTS, akukho nto unokuyenza ukuyithintela. Nangona kunjalo, ekubeni iintsholongwane ezithile zinokubangela ukuba ibe yiyo, ukuhlala usempilweni kangangoko kunokwenzeka kunokunceda ukunciphisa umngcipheko wokuba nayo.

Ithini ingqikelelo yale meko?

Imbono yokuchacha emva kwe-PTS ingahluka kumntu nomntu.Abanye abantu bafumana i-PTS kube kanye kuphela baze baphile ngokupheleleyo kwindawo echaphazelekayo. Abanye banokuba nobuthathaka obuqhubekayo kunye nentlungu. Abanye abantu banokufumana i-PTS ngaphezu kwesihlandlo esinye (ukuphinda-phinda). Kukho izinto ezithile ezinokunciphisa amathuba okuchacha :

• Intlungu iyaqhubeka iinyanga ezintathu kwaye izihlunu aziphindi zibuyele esiqhelweni.
• Ukuba i-PTS ichaphazele umzimba wakho ongezantsi/isisu .
• Ukuba unobangela yimeko yelifa , utyekelo lokuba esi sifo siphinde sibuye luphezulu kakhulu kwiimeko ezinjalo.

Ngokutsho kolunye uphando, ama-89% ezigulane ze-PTS ezafumana ulawulo lweempawu kunye nonyango lomzimba zaphila kwiminyaka emithathu. Kubo, malunga nama-75% aphilile kwiminyaka emibini, kwaye ama-36% aphilile kunyaka wokuqala. Izifundo zakutshanje zibonisa ukuba abantu abaninzi banokuqhubeka beneentlungu kunye neengxaki ezithile zokusebenza. Nangona kunjalo, ukuchacha ngokupheleleyo kunokwenzeka , nangona kungathatha ukuya kuthi ga kwiminyaka esibhozo.

Ndifanele ndimbone nini ugqirha?

Kubaluleke kakhulu ukuxilonga i-Parsonage-Turner syndrome kwangethuba nangokuchanekileyo . Ukuba unentlungu, ingakumbi ukuba ivele ngequbuliso kwaye inzima , qiniseka ukuba ubona ugqirha.

Yeyiphi imibuzo omele uyibuze ugqirha?

Ukuba ufuna ukwazi okungakumbi ngale meko, ungabuza ugqirha wakho imibuzo efana nale:

• Kutheni ndibe nesifo seParsonage-Turner?
• Ngabaphi abantu abachwephesha endifanele ndibabone?
• Luhlobo luni lwezithomalalisi-ntlungu ozicebisayo?
• Ndingazinyamekela njani ekhaya?
• Ucinga ukuba ndiza kuphila ngokukhawuleza kangakanani?
• Luhlobo luni lonyango olucetyiswayo?
• Ndingazi njani ukuba le meko ye-PTS iya isiba ngcono okanye imbi?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Intlungu ebuhlungu ngequbuliso inokuba yinto eyoyikisayo. Yindlela yomzimba wakho yokukuxelela ukuba, "Kukho into engalunganga." Yiyo loo nto kubalulekile ukubona ugqirha ngokukhawuleza. Kukho unyango oluninzi olunokunceda ukulawula iimpawu ze-Parsonage-Turner syndrome (PTS) kwaye mhlawumbi lukhawulezise ukuchacha kwakho. Ukuba unemibuzo malunga ne-PTS, ungoyiki ukubuza ugqirha wakho. Bakho ukukunceda. Khumbula ukuba awuwedwa, kukho abanye abantu abadlula koku, kwaye kukho oogqirha abanokukunceda .