Uke waba nobuhlungu obungabekezeleleki ehlombe lakho ngokuzumayo? Ngemva kwezinsuku ezimbalwa, mhlawumbe amasonto ambalwa, ubuhlungu buyaphela kancane, kodwa ingalo yakho izwa ingasasebenzi futhi ibuthakathaka? Ngemuva kwalokho sizokhuluma ngento engaba yinto ebalulekile kuwe. Lesi yisimo esingavamile esethusa abantu abaningi. Sisibiza ngokuthi i-Parsonage-Turner Syndrome. Namuhla, sizokhuluma ngaso ngendlela elula ongayiqonda.
Kalula nje, iyini i-Parsonage-Turner Syndrome (PTS)?
I-Parsonage-Turner Syndrome (PTS), ngezinye izikhathi ebizwa ngokuthi "i-brachial neuritis", yisimo esithinta uhlelo lwezinzwa. Sibonakala ngobuhlungu obungazelelwe, obukhulu ehlombe lakho nasengalweni engenhla obubonakala bufika ngokuzumayo nangaphandle kwesizathu esibonakalayo. Lobuhlungu bungahlala izinsuku kuya emavikini. Bese kuqala ezinye izinkinga. Njengoba ubuhlungu buphela, imisipha ehlombe lakho, engalweni, engalweni, noma esandleni iqala ukuba buthaka. Lobu buthakathaka bungahlala izinyanga, noma ngisho neminyaka.
Ake sithi sinenethiwekhi yezinzwa egijima kusukela entanyeni yethu idlula emakhwapheni ethu iye ezingalweni zethu. Njengoba nje i-switchboard enkulu endlini yethu inezintambo eziya kuwo wonke amakamelo, le nethiwekhi yezinzwa ithumela nezimpawu kuzo zonke izingxenye zezingalo zethu. Sibiza le nethiwekhi yezinzwa ngokuthi `(brachial plexus)`. Ku-Parsonage-Turner Syndrome, le nethiwekhi yezinzwa `(brachial plexus)` yonakele. Ikakhulukazi izinzwa ezilawula ukunyakaza zonakele kakhulu. Yingakho, ngemva kobuhlungu, kuba nomuzwa wokuba ndikindiki nobuthakathaka ezingalweni.
Ngenxa yokuthi lesi simo asivamile, odokotela ngezinye izikhathi bangasididanisa nezinye izimo ezivamile. Isibonelo, singahlonzwa kabi njenge-cervical radiculopathy noma i-cervical spondylosis, njengoba izimpawu zifana.
Kunezigaba ezintathu zalesi sifo.
Lesi simo sivame ukuvela ngezigaba ezintathu. Akuwona wonke umuntu ozoba naso ngale ndlela, kodwa lena yindlela abantu abaningi abayibona ngayo.
Isigaba 1: Isigaba Sobuhlungu Obukhulu
Lesi yisigaba sokuqala. Kungazelelwe, kuqala ubuhlungu obukhulu, ngokuvamile ehlombe elilodwa. Lobuhlungu bungahlala kusukela ezinsukwini ezimbalwa kuya emavikini ambalwa. Ngokuvamile kuthiwa uma lesi sikhathi esibuhlungu siqhubeka isikhathi eside, kuzothatha isikhathi eside ukululama ngokugcwele.
Isigaba 2: Ubuthakathaka bemisipha
Ngemva kokuba ubuhlungu bunciphile kancane kancane, isigaba sesibili siqala. Yilapho imisipha ehlombe nasengalweni iqala khona ukuba buthaka. Kuba nzima ukuphakamisa ingalo noma ukuphakamisa izinto ezisindayo. Ngokuhamba kwesikhathi, imisipha ingase iphele ngenxa yokungasetshenziswa. Lesi sigaba singahlala kusukela ezinyangeni eziyisithupha kuya kweziyi-18, ngezinye izikhathi isikhathi eside.
Isigaba 3: Ukululama
Lesi yisigaba sokululama. Ngemva kwesikhashana, imisipha yakho izoqala kancane kancane ukuthola amandla. Isandla sakho sizobuyela kancane kancane ekusebenzeni okuvamile.
Sivame kangakanani lesi simo?
I-Parsonage-Turner Syndrome empeleni iyisimo esingavamile kakhulu . Ngokwezibalo, cishe abantu abathathu kuphela kwabayizinkulungwane eziyikhulu abathola lesi sifo minyaka yonke. Ngakho-ke asikho isidingo sokukhathazeka ngaso sonke isikhathi lapho ihlombe lakho libuhlungu.
Nakuba ingakhula kunoma yimuphi ubudala, ivame kakhulu kwabesilisa . Ivame ukubonakala cishe eminyakeni engama-40-45.
Ziyini ngempela izimpawu?
Izimpawu ezimbili eziyinhloko ubuhlungu obungazelelwe, obukhulu obulandelwa ubuthakathaka bemisipha. Lezi zimpawu zingathinta noma yikuphi ehlombe lakho, engalweni engenhla, engalweni, noma esandleni.
Into ebalulekile ukuthi cishe ezimweni ezingama-80%, kuthinta ingalo eyodwa kuphela (engalweni eyodwa). Futhi yileyo ingalo oyisebenzisa kakhulu (ingalo ebusayo). Ebangeni elincane labantu, cishe ama-20%, kungathinta izingalo zombili.
Ake sibheke ukuthi izimpawu zivame ukuvela kanjani.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obungazelelwe, obukhulu | Ubuhlungu obubukhali, obungabekezeleleki, njengokugwazwa ngommese. Lobuhlungu bungaba bukhulu kakhulu ebusuku. Lobuhlungu obukhulu bungathatha amahora ambalwa kuya cishe emavikini amane. |
| Ubuthakathaka bemisipha | Ngemva kokuba ubuhlungu sebuphelile, amandla engalweni ayaphela. Lokhu kuvame ukuzwakala ehlombe nasengalweni engenhla. Ngezinye izikhathi imisipha yesifuba noma ye-diaphragm nayo ingathinteka. |
| Ezinye izici | Ngaphezu kwalezi zici eziyinhloko, ezinye izinto zingabonakala.
|
Kungani lokhu kwenzeka? Iyini imbangela yalokhu?
Uma ngikhuluma iqiniso, abacwaningi abakayitholi imbangela eqondile yalokhu. Kodwa umqondo oyinhloko ukuthi kubangelwa impendulo engavamile ebangelwa amasosha omzimba emzimbeni wethu.
Kalula nje, lapho igciwane, njengegciwane noma igciwane, lingena emzimbeni wethu, isimiso sethu sokuzivikela komzimba siyalilwa nalo. Kodwa ngezinye izikhathi, phakathi nalokhu kulwa, isimiso sethu sokuzivikela komzimba senza iphutha futhi esikhundleni salokho sihlasele ingxenye enempilo yomzimba wethu, okungukuthi inethiwekhi yezinzwa ethi "brachial plexus". Yilapho-ke le mizwa yonakele khona futhi kuvela izimpawu.
Ngokuvamile, lesi simo sandulelwa ukutheleleka ngegciwane kwakamuva. Isibonelo:
- Igciwane le-Coxsackie B
- I-HIV (igciwane le-Human Immunodeficiency Virus)
- Isifo sesihlanu (i-parvovirus B19)
- Ama-mumps
Kodwa ngezinye izikhathi kungavela ngaphandle kwesizathu esibonakalayo. Akuvamile kakhulu, kungabangelwa yisimo sofuzo esibizwa ngokuthi i-hereditary neuralgic amyotrophy.
Izinto ezandisa ingozi yalesi simo
Kutholakale ukuthi izenzakalo ezithile noma izimo zezokwelapha zingase zandise kancane ingozi yokuba ne-Parsonage-Turner Syndrome.
- Ukuhlinzwa kwakamuva noma i-anesthesia
- Izifo zezicubu ezixhumeneyo - isibonelo i-Ehlers-Danlos syndrome
- Izimo zokuzivikela komzimba - isib. i-lupus
- Ingozi ehlombe
- Ukuzivocavoca okufaka umthwalo omkhulu emahlombe
- Ezinye izinhlobo zemithi yokugoma
- Ukukhulelwa nokubeletha
- Ukwelashwa ngemisebe
- Ukuhlolwa kokubhoboza kwe-Lumbar
Udokotela ukuthola kanjani lokhu?
Uma unalezi zimpawu, kufanele uqale ubonane nodokotela wakho. Uzokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba ukuhlola imisipha yesandla sakho, imizwa, kanye nokusabela komzimba. Cishe bazokudlulisela kudokotela wezinzwa, udokotela ochwepheshe ezinkingeni zezinzwa.
Ukuze aqinisekise ukuthi lokhu kuyi-Parsonage-Turner Syndrome, udokotela wakho angase ancome ukuhlolwa okukhethekile okubizwa ngokuthi i-electromyography (EMG).
Ukuhlolwa kwe-EMG kuwukuhlolwa okuthumela izimpawu zikagesi ezincane kakhulu emisipheni yakho kanye nasezinzweni ezilawulayo ukuze kubonakale ukuthi lezo zinzwa nemisipha zisebenza kahle kangakanani. Lokhu kungasiza ekunqumeni ukuthi kukhona yini umonakalo wezinzwa nokuthi umonakalo uphi.
Ngaphezu kwalokho, ukuhlolwa kwezithombe ezinjengalezi kungenziwa ukuze kunqunywe ezinye izimo nokuqinisekisa ukuxilongwa:
- Isikeni se-MRI (Magnetic Resonance Imaging)
- Ukuhlolwa kwe-ultrasound yemizwa
- Ukuskena kwe-CT (Computed Tomography)
Ingabe kukhona ukwelashwa? Yini engenziwa?
Akukho ukwelashwa noma ikhambi eliqondile lalokhu okwamanje. Ingxenye engcono kakhulu ukuthi lesi simo sivame ukuxazululeka sodwa ngokuhamba kwesikhathi. Kodwa-ke, ukuxilongwa kusenesikhathi kanye nokwelashwa okusekelayo ukulawula izimpawu kungasheshisa inqubo yokuphulukisa futhi kutholakale imiphumela engcono.
Udokotela wakho uzoncoma izindlela ezahlukene zokwelapha ukuze aphathe izimpawu zakho.
Ngesikhathi sesigaba esibuhlungu
- Izibulali-zinhlungu: Izinto ezifana nemithi yokubulala izinhlungu evamile (ama-NSAID).
- Ama-Corticosteroids Omlomo: Uhlobo lomuthi onikezwa ukulawula ukuvuvukala kwemizwa kanye nomsebenzi wesimiso sokuzivikela komzimba.
- Ukuvimba ingalo: Phumula ingalo yakho, mhlawumbe usebenzisa into efana nokuqinisa amahlombe.
- I-TENS (Transcutaneous Electrical Nerve Stimulation): Indlela yokulawula ubuhlungu ngokuthumela izimpawu ezincane zikagesi esikhumbeni.
- Ukwelashwa nge-acupuncture: Abanye abantu bathola impumuzo ebuhlungwini ngalokhu.
Ngemva kokuba ubuhlungu buphelile
- Ukwelashwa Komzimba: Lokhu kubaluleke kakhulu . Udokotela wezokwelapha umzimba uzokufundisa ukuzivocavoca nokwelula ukuze asize ekuqiniseni imisipha eyonakele, avimbele amalunga ukuba aqine, futhi abuyisele ukusebenza kwesandla sakho.
- Imithi ekhethekile yobuhlungu bemizwa: Abanye abantu bangase babe nobuhlungu obufana nokuvuvukala kwemizwa, yize ubuhlungu sebuphelile. Ezimweni ezinjalo, udokotela wakho angase akunike imithi ekhethekile njenge-gabapentin, i-carbamazepine, noma i-amitriptyline.
Ezimweni ezimbi kakhulu, lapho kungekho okunye ukwelashwa okusebenzayo, kungase kucatshangelwe ukuhlinzwa (ukufakelwa kwezinzwa noma ukudluliselwa kwemisipha). Kodwa-ke, lokhu akuvamile kakhulu.
Ikusasa lizoba njani ngalesi simo? (Isibikezelo)
Indlela lesi simo esihamba ngayo ingahluka kumuntu nomuntu. Kwabanye abantu, kwenzeka kanye kuphela empilweni yabo futhi balulame ngokuphelele. Kwabanye, bangase baqhubeke nokuba nobuthakathaka noma ubuhlungu obuthile. Kwabanye abantu abambalwa, bungaphinde bubuye.
Ngokusho kocwaningo, cishe abantu abangu-89% abaphatha izimpawu zabo futhi bathola ukwelashwa okufanele ngokomzimba bazolulama ngokuphelele zingakapheli iminyaka emithathu. Kulabo, abangu-75% bazolulama zingakapheli iminyaka emibili, kanti abangu-36% bazolulama zingakapheli unyaka wokuqala.
Lokho kusho ukuthi, nakuba kuthatha isikhathi ukululama kulokhu, iningi labantu liyalulama. Into ebaluleke kakhulu ukubekezela nokulandela imiyalelo kadokotela ngesikhathi sokwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Parsonage-Turner Syndrome (PTS) yisimo esingavamile sezinzwa esibangela ubuhlungu obungazelelwe, obukhulu ehlombe nasengalweni, kulandelwe ubuthakathaka bemisipha.
- Nakuba imbangela eqondile yalokhu ingakatholakali, kukholakala ukuthi ibangelwa ukusebenza okungajwayelekile kwesimiso somzimba sokuzivikela.
- Uma uzwa ubuhlungu obukhulu ehlombe ngokuzumayo, ungabunaki futhi ubone udokotela ngokushesha. Ukuxilongwa okusheshayo kubaluleke kakhulu.
- Nakuba kungekho ikhambi eliqondile lalokhu, izimpawu zingalawulwa ngokwelashwa okusekelayo njengokuphathwa kobuhlungu kanye nokwelashwa ngokomzimba.
- Kungathatha isikhathi ukuphulukiswa. Kungathatha izinyanga kuya eminyakeni. Ngakho-ke kubalulekile ukuba nesineke futhi ube nombono omuhle ngokwelashwa kwakho. Iningi labantu liyalulama ngokugcwele ngokuhamba kwesikhathi.
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