Cabanga nje ukube ubuhleli lapho nje, bese ngokuzumayo, ngaphandle kwesizathu esibonakalayo, uzwa ubuhlungu obungabekezeleleki ehlombe lakho. Ngezinye izikhathi lobu buhlungu buqala ehlombe bese buyehla engalweni. Ngisho noma ubuhlungu buphela ngemva kwezinsuku ezimbalwa, ingalo izizwa indikindiki futhi ibuthakathaka. Lolu uphawu oluyinhloko lwesimo esingavamile esibizwa ngokuthi i-Parsonage-Turner Syndrome, esikhuluma ngaso namuhla. Ngokuvamile sithinta uhlangothi olulodwa lomzimba.
Iyini i-Passanage-Turner Syndrome (PTS)?
Kalula nje, kuyisifo sesimiso sezinzwa, ukuphazamiseka kwezinzwa. Udokotela wakho angase asebenzise amanye amagama kuso. Isibonelo, bangase bakubize ngokuthi 'i-brachial neuritis' noma 'i-neurologic amyotrophy'.
Kulesi sifo, kukhona umonakalo kunethiwekhi yezinzwa emzimbeni wethu obizwa ngokuthi 'i-brachial plexus'. Manje ungase uzibuze ukuthi iyini le plexus ye-brachial. Okusho ukuthi, iqoqo lezinzwa ezigijima kusukela emhlane wethu zidlule entanyeni yethu, kusukela emakhwapheni ethu ziye ezingalweni zethu. Le nethiwekhi yezinzwa ilawula ukunyakaza kanye nemizwa yamahlombe nezingalo zethu. Ngakho-ke uma lokhu kulimele, ubuhlungu kanye nobuthakathaka okukhulunywe ngabo ekuqaleni kwenzeka.
Yini ebangela lesi simo?
Eqinisweni, ngisho nodokotela abakakwazi ukuthola imbangela ethile yalokhu okwamanje. Esikhathini esiningi, lesi simo senzeka ngaphandle kokutholwa kwesizathu. Kodwa-ke, kutholakale ukuthi lezi zimpawu zingavela ngemva kwezehlakalo ezithile. Ake sibone ukuthi ziyini.
| Izimbangela ezingaba khona | Incazelo elula |
|---|---|
| Ukutheleleka ngegciwane noma amagciwane | Kungavela ngemva kokutheleleka okuvamile, njengomkhuhlane noma umkhuhlane. Abanye abantu abake bangenwa yi-COVID-19 nabo kubikwe ukuthi banalesi simo. |
| Ukuhlinzwa | Kukhona ithuba lokuthi kwenzeke ngemva kwanoma yiluphi uhlobo lokuhlinzwa. |
| Ukubeletha ingane | Lokhu kungenzeka kwabanye besifazane ngisho nangemva kokubeletha. |
| Ukuhlolwa kwezokwelapha | Ngemva kwezinto ezifana nokuthinta umgogodla. |
| Ezinye izizathu | Ukuvivinya umzimba okunzima, ukulimala, amangqamuzana omdlavuza, izimo zokuzivikela komzimba, kanye nokugoma (okungavamile kakhulu). |
Ingabe kukhona ukuxhumana phakathi kwemithi yokugoma ne-PTS?
Lena inkinga evamile kubantu abaningi. Kube nemibiko yenani elincane labantu abathola lesi simo ngemuva kokuthola imijovo yomkhuhlane kanye ne-COVID-19. Isibonelo, inhlangano yezempilo yaseFrance ibike ukuthi inani elincane labantu abathola imijovo ye-Pfizer noma ye-Moderna babene-PTS.
Kodwa kufanele uqonde ukuthi lokhu kuyinto engavamile kakhulu . Akukabonakali ngokucacile ukuthi umuthi wokugoma ubangela i-PTS. Isivikelo esinikezwa ngokuthola umuthi wokugoma sidlula kakhulu le ngozi engavamile kakhulu.
Ziyini izimpawu zalokhu?
Izimpawu ze-PTS zingahluka kumuntu nomuntu. Indawo yobuhlungu , ubukhulu bayo, nokuthi ubuthakathaka buhlala isikhathi esingakanani kuyahlukahluka kumuntu nomuntu.
Ngokuvamile kuqala ngobuhlungu obungazelelwe, obukhulu ehlombe nasengalweni engenhla. Ubuhlungu bungaba ukugwaza, ukusha, isicanucanu , noma ubukhali. Ubuhlungu bungahlala amahora, izinsuku, noma ngisho namasonto. Buya bukhula uma unyakaza. Ngemva kwesikhathi esithile, ubuhlungu obukhulu buyaphela, futhi ubuthakathaka bemisipha buqala ukubonakala. Ungase uzizwe sengathi ingalo yakho iyaphela, futhi ungase ungakwazi ukuphakamisa lutho.
| Izimpawu eziyinhloko | Ezinye izimpawu ezingaba khona |
|---|---|
| Ubuhlungu obukhulu, obungazelelwe behlombe/ingalo | Ihlombe elikhumukile kancane |
| Ubuthakathaka bemisipha kanye nokuqeda ubuhlungu | Ukushwabana/ukuncipha (ukuwohloka) kwemisipha ethintekile |
| Ukunciphisa ukusabela | Ubunzima bokuphefumula (okungavamile kakhulu) |
| Ukulahlekelwa umuzwa engalweni/ehlombe | Ukujuluka okungavamile |
| Isikhumba esibomvu, esinsomi, noma esinamabala ezandleni kanye nokuvuvukala |
Udokotela uhlonza kanjani lokhu?
Uma ubika lezi zimpawu, udokotela wakho uzoqala akuhlole ngokucophelela, ikakhulukazi ehlola amandla, ukusabela, kanye nomuzwa wemisipha yakho yamahlombe nengalo. Ngemuva kwalokho, bangase bakucele ukuthi kwenziwe izivivinyo ezimbalwa ukuqinisekisa ukuxilongwa.
- Izifundo Zokuqhutshwa Kwezinzwa: Lokhu kuhlola ukuthi imiyalezo ihamba kahle kangakanani kwenye yezinzwa zakho iye ebuchosheni.
- I-Electromyography (EMG): Lokhu kuhilela ukufaka inalithi encane kakhulu emisipheni bese kulinganiswa umsebenzi wayo kagesi. Lokhu kunganikeza umbono omuhle ngempilo yemisipha kanye nezinzwa eziyilawulayo.
- I-MRI scan: Lokhu ukuhlolwa okungenabuhlungu okusebenzisa omaginethi namagagasi omsakazo ukwenza izithombe ezicacile zengaphakathi lomzimba wakho, ikakhulukazi imizwa nemisipha.
- I-X-ray : Lokhu kusetshenziselwa kakhulu ukuhlola isimo samathambo. Lokhu kusiza ekunqumeni ukuthi ubuhlungu bubangelwa yini esinye isizathu.
Yiziphi izindlela zokwelapha lokhu?
Uma udokotela wakho eqinisekisa ukuthi unalesi simo, kufanele usebenzisane naye ukuze ulawule izimpawu zakho. Umgomo oyinhloko ukunciphisa ubuhlungu nokubuyisela amandla emisipha.
Okulandelayo kungasetshenziswa njengokwelashwa:
- Ama-Painkiller: Udokotela uzokunikeza imithi yokulawula ubuhlungu obukhulu ezigabeni zokuqala.
- Ukwelashwa Komzimba Nokusebenza: Lokhu kubaluleke kakhulu . Lokhu kwelashwa kubalulekile ukubuyisela amandla emisipha kanye nobubanzi bokunyakaza esandleni.
- Ukwelashwa kwe-TENS: Lokhu kusebenzisa ama-pulse kagesi ane-voltage ephansi ukuzama ukuqeda ubuhlungu bemizwa.
- Ukucindezela okubandayo noma okushisayo: Ukusebenzisa amaphakethe abandayo noma ama-heat pad endaweni ebuhlungu kunganikeza impumuzo ethile.
- Ukuhlinzwa: Akuvamile kakhulu, uma inzwa icindezelwe noma yonakele, ukuhlinzwa kungadingeka.
Ingabe lesi simo sizophulukiswa ngokuphelele?
Abantu abaningi bangalulama ngokwelashwa. Kodwa kuthatha isikhathi. Kungathatha iminyaka emi-2 kuya kwemi-3 ukuthola amandla nokusebenza ngokugcwele esandleni. Ngakho-ke, kubaluleke kakhulu ukuba nesineke ngokwelashwa . Ukwelashwa esikhungweni sokuvuselela kungaqeda ngokushesha izimpawu. Ngokumangazayo, abanye abantu bayalulama ngaphandle kokwelashwa.
Lesi sifo asibulali. Kodwa-ke, uma singelashwa kahle, singaholela ohlotsheni oluthile lokukhubazeka. Ngakho-ke, kubaluleke kakhulu ukulandela iseluleko sezokwelapha.
Umlayezo Wokuya Nawe Ekhaya
- I-Passanage-Turner syndrome (PTS) ukuqala ngokuzumayo kobuhlungu obukhulu ehlombe nasengalweni, kulandelwe ubuthakathaka bemisipha.
- Imbangela eqondile yalokhu ayikaziwa, kodwa kungenzeka ngemva kwezinto ezifana nokutheleleka kanye nokuhlinzwa.
- Lesi yisimo esingavamile kakhulu futhi asisongeli impilo.
- Uma unalezi zimpawu, kubalulekile ukubona udokotela ngokushesha bese uthola ukuxilongwa okufanele.
- Ukwelashwa okufana nokwelashwa ngokomzimba kungasiza, kodwa kuthatha isikhathi, ngakho-ke kudingeka ubekezele.
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