Iyini i-Parsonage-Turner Syndrome? Ingabe uzwa ubuhlungu obungazelelwe ehlombe lakho kanye nokungazweli engalweni yakho?

Wake wavuka ekuseni, noma nganoma yisiphi isikhathi sosuku, wazizwa ubuhlungu obukhulu ehlombe lakho, kanye nokungazweli kanye nobuthakathaka engalweni yakho? Lokhu kungenzeka ukuthi bekuqhubeka izinsuku ezimbalwa noma amasonto, bese imisipha yakho iqala ukubuthaka kancane kancane. Uma uke waba nokuhlangenwe nakho okufanayo, kubaluleke kakhulu ukuqaphela lesi simo esibizwa ngokuthi i-Parsonage-Turner Syndrome, esizokhuluma ngaso namuhla.

Iyini ngempela i-Parsonage-Turner Syndrome?

Kalula nje, i-Parsonage-Turner Syndrome , ngezinye izikhathi ebizwa ngokuthi i-Brachial Neuritis , yisimo esihilela uhlelo lwezinzwa. Okwenzekayo ukuthi ngokuzumayo uzwa ubuhlungu obungazelelwe, obungacabangeki, obunzima ehlombe lakho nasengalweni yakho engaphezulu. Lobuhlungu bungahlala izinsuku kuya emavikini. Yilapho inkinga yangempela iqala khona. Njengoba ubuhlungu buphela, uqala ukuzwa ubuthakathaka noma ukungakhululeki emisipheni yehlombe lakho, ingalo, ingalo, noma iminwe. Lobu buthakathaka bungahlala izinyanga. Cabanga ngakho, kukhona inethiwekhi yezinzwa egijima kusukela emgogodleni entanyeni yakho, entanyeni yakho, emakhwapheni akho, futhi yehle ezingalweni zakho. Yilokho esikubiza ngokuthi i-brachial plexus . Kufana nohlelo lwezintambo zikagesi. I-Parsonage-Turner syndrome yisimo lapho i-brachial plexus yonakele khona. Ithinta ngqo izinzwa ezihambayo ezilawula ukunyakaza kanye nama-axon azo. Yilokhu okubangela ubuthakathaka bemisipha. I-PTS yisimo esingavamile . Yingakho odokotela ngezinye izikhathi beyididanisa ne -cervical radiculopathy , isimo esibangela ukucindezelwa kwemizwa entanyeni, noma i-cervical spondylosis , okuyisimo esivame kakhulu. Izimpawu zifana kakhulu. Ibizwa ngokuthi i-Parsonage-Turner ngemuva kodokotela ababili bezinzwa baseBrithani, uMaurice Parsonage noJohn Turner, abaqala ukuchaza lesi simo ngo-1948. Lokhu kubizwa ngamanye amagama amaningana:

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

Yiziphi izigaba zalesi simo?

Ngokuvamile kunezigaba ezintathu eziyinhloko ze-Parsonage-Turner syndrome. Ake sibone ukuthi ziyini. 1. Isigaba sokuqala (isigaba sobuhlungu obukhulu):Lokhu ubuhlungu obungazelelwe, obukhulu obungacabangeki . Ngokuvamile, buthinta ihlombe elilodwa. Lobuhlungu bungahlala kusukela ezinsukwini ezimbalwa kuya emavikini ambalwa. Ngokuvamile kuthiwa uma lesi sigaba sobuhlungu sihlala isikhathi eside, kuzothatha isikhathi eside ukuphola. 2. Isigaba sesibili: Ngemva kokuba ubuhlungu bunciphile kancane kancane, uzoqala ukuzwa ubuthakathaka emisipheni yakho. Ikakhulukazi imisipha ezungeze ihlombe lakho kanye nengalo iba buthakathaka. Lokhu ngezinye izikhathi kungaholela ekulahlekelweni yimisipha, noma ekuwohlokeni kwemisipha. Lesi sigaba sesibili sivame ukuhlala phakathi kwezinyanga eziyi-6 neziyi-18. Kodwa kwabanye abantu singahlala isikhathi eside nakakhulu. 3. Isigaba sesithathu: Ngemva kwesikhathi esithile, imisipha yakho ithola amandla futhi iqala ukusebenza ngendlela evamile. Lesi yisigaba sokuphola.

Sivame kangakanani lesi simo?

Eqinisweni, i-Parsonage-Turner syndrome (brachial neuritis) iyisimo esingavamile kakhulu . Kuthiwa cishe abantu abathathu kuphela kwabayizinkulungwane eziyikhulu abathola lesi sifo minyaka yonke. Singakhula kunoma ubani wanoma yimuphi ubudala. Kodwa-ke, sibonakala kakhulu emadodeni . Isilinganiso sobudala sokuqala kwalesi sifo siyiminyaka engaba ngu-41.

Ziyini izimpawu ze-Parsonage-Turner syndrome?

Izimpawu ezimbili eziyinhloko zalesi simo ubuhlungu obungazelelwe kanye nobuthakathaka bemisipha obulandelayo . Lokhu kungathinta lezi zindawo zomzimba wakho:

• Ihlombe
• Ingalo engenhla (ingxenye engenhla yesandla)
• Ibunzi (ingxenye ephakathi yesandla)
• Isandla (isandla neminwe)

Ngokuvamile, cishe u-80% wesikhathi, kuthinta ingalo eyodwa kuphela (eyayihlangothini elilodwa). Ngokuvamile kuthinta ingalo/uhlangothi olusebenzisa kakhulu. Kodwa cishe ku-20% wamacala, kungathinta izingalo zombili (ezihlangothini ezimbili). Akuvamile kakhulu, kuthinta umzimba ongaphansi kanye nemilenze. Esikhathini esiningi, ubuhlungu buvela ngokuzumayo. Kuzwakala njengobuhlungu obubukhali, obungabekezeleleki , ikakhulukazi ebusuku. Lobuhlungu obukhulu bungahlala amahora ambalwa kuya emavikini amane. Ngemva kokuba ubuhlungu buphelile, imisipha engalweni yakho ethintekile iqala ukuba buthaka. Cishe uzozwa ubuthakathaka bemisipha ehlombe lakho noma engalweni engenhla. Kodwa kungathinta nengalo yakho nesandla sakho. Ngezinye izikhathi, ubuthakathaka bungathinta imisipha esifubeni sakho noma i-diaphragm (umsipha ohlukanisa isifuba sakho nesisu sakho). Lapho imisipha iba buthaka, ngokuhamba kwesikhathi, izicubu zemisipha ziyawohloka. Ubunzima balezi zimpawu bungahluka kakhulu kumuntu nomuntu. Lokhu kungenxa yokuthi imizwa ethintekile yi-PTS iyahlukahluka kumuntu nomuntu. Kungase kube nezinye izimpawu eziningana:

• Esandleni esithintekileIzinkinga nge-reflexes.
• Imizwa engavamile esandleni, eyaziwa ngokuthi i-paresthesia , noma ukuba ndikindiki. Lokhu kungazwakala njengokukhafula, ukuhlaba, noma ukushisa.
• Ukuhlukana kwehlombe okuyingxenye .
• Ukunyakaza okungajwayelekile emalungeni athintekile.
• Isimo esibizwa ngokuthi i-winged scapula (lapho ihlombe liphuma khona emuva, njengephiko).
• Ukufinyezwa kwemisipha noma imisipha engalweni ethintekile.
• Izandla ezibomvu, ezinsomi, noma ezinamabala ngenxa yokuncipha kokujikeleza kwegazi .
• Ukuvuvukala kwezandla .
• Ubunzima bokuphefumula (ukuphelelwa umoya) . Lokhu akuvamile kakhulu.

Kungani kwenzeka i-Parsonage-Turner syndrome?

Eqinisweni, abacwaningi abakayazi imbangela eqondile ye-Parsonage-Turner syndrome. Bacabanga ukuthi ukusabela okungavamile kwesimiso somzimba wethu sokuzivikela, okubizwa ngokuthi impendulo eqondiswa amasosha omzimba, kuyimbangela eyinhloko. Kunemibono emibili ngalokhu. 1. Ukutheleleka ngegciwane, amagciwane, noma ama-parasitic kuthinta ngqo i-brachial plexus yakho, okubangela izimpawu. 2. Lapho isimiso sakho sokuzivikela silwa nalawa magciwane, amagciwane, noma ama-antigen , konakalisa i-brachial plexus yakho njengomphumela oseceleni. Ngokuvamile, imbangela eyinhloko yalesi simo ukutheleleka ngegciwane kwamuva. Izifo ezilandelayo ezibangelwa amagciwane ziye zatholakala njengezingase zihileleke kakhulu:

• Igciwane le-Coxsackie B: Lokhu kungabangela izimo eziningana, okuhlanganisa i-pneumonia , izifo zesisu, i-myocarditis (ukuvuvukala kwemisipha yenhliziyo), i-aseptic meningitis (uhlobo lokutheleleka kobuchopho), i-encephalitis (ukuvuvukala kobuchopho), kanye ne-viral hepatitis (ukuvuvukala kwesibindi).
• I-HIV (i-Human Immunodeficiency Virus) .
• Isifo sesihlanu (i-parvovirus B19) .
• Ama-mumps .
• I-Smallpox (i-variola enkulu neyincane) .

Ngezinye izikhathi, odokotela abakwazi ukuthola imbangela ethile. Akuvamile kakhulu ukuthi i-Parsonage-Turner syndrome ibe yisimo sofuzo/esizuzwe njengefa .Kungabangelwa futhi yi-neurological amyotrophy.

Yiziphi izici eziyingozi ezibangela lesi simo?

Abacwaningi bakholelwa ukuthi izimo ezithile zezokwelapha nezimo zingandisa ingozi yakho yokuthola i-Parsonage-Turner syndrome. Nazi ezinye zazo:

• Ukuhlinzwa kwakamuva kanye/noma ukubulala izinzwa .
• Izifo zezicubu ezixhumeneyo, isibonelo, izimo ezifana ne -Ehlers-Danlos syndrome .
• Izifo ezizenzakalelayo, njenge -lupus (systemic lupus erythematosus - SLE) , i-temporal arteritis , kanye ne-polyarteritis nodosa .
• Ukulimala kwehlombe okubuhlungu .
• Ukuzivocavoca okunamandla okucindezela amahlombe.
• Ukuthola imijovo/ukugoma (lokhu akuvamile kakhulu, kodwa kube nemibiko ethile).
• Ukukhulelwa nokubeletha .
• Ukuthola ukwelashwa ngemisebe .
• Ukubhoboza i-lumbar (umpompi womgogodla) , okusho ukuthatha uketshezi oluvela emgogodleni.
• Ukufaka idayi yokungafani kombala ukuze kuhlolwe izithombe.

I-Parsonage-Turner syndrome itholakala kanjani?

Uma ubona udokotela, bazokubuza ngezimpawu zakho kanye nomlando wezokwelapha. Bazobe sebekwenza ukuhlolwa ngokomzimba. Bazohlola amandla, ukusabela, kanye nomuzwa wemisipha yakho yengalo. Ungathunyelwa futhi kudokotela wezinzwa . Uma udokotela wakho ecabanga ukuthi une-Parsonage-Turner syndrome, bangase batuse ukuhlolwa kwe-EMG (electromyography) . Lokhu kusetshenziselwa ukuhlola impilo kanye nokusebenza kwemisipha yakho yamathambo kanye nemizwa eyilawulayo. Ngaphezu kwalokho, ukuhlolwa okulandelayo kwezithombe kungenziwa ukuqinisekisa ukuxilongwa noma ukuqeda ezinye izimo:

• I-MRI (i-magnetic resonance imaging) iskena .
• Ukuhlolwa kwe-ultrasound yemizwa .
• I-CT (i-computed tomography) scan .

Yiziphi izindlela zokwelapha lokhu?

Uma ngikhuluma iqiniso, akukho ukwelashwa noma ikhambi elithile le-PTS. Esikhathini esiningi, izophela yodwa ngokuhamba kwesikhathi. Kodwa-ke, kubalulekile ukuxilonga lesi simo kusenesikhathi.Uma uqala ukwelashwa okusiza ukulawula izimpawu zakho, ukubikezela kwakho kungathuthukiswa kakhulu. Udokotela wakho uzoncoma izindlela ezahlukene zokwelapha ukusiza ukulawula izimpawu zakho. Ungathunyelwa futhi eqenjini lochwepheshe ukuze bakhe uhlelo lokwelashwa. Leli thimba lingafaka:

• Odokotela bokunakekelwa okuyisisekelo (ama-PCP)
• Odokotela bamathambo
• Odokotela bezinzwa
• Ochwepheshe bezifo zemisipha
• Abelaphi bomzimba

Ukwelashwa okunikezwa ngesikhathi sesigaba sobuhlungu obukhulu kungafaka:

• Ama-painkiller, isibonelo ama-NSAID (imithi elwa nokuvuvukala engeyona i-steroidal) angathengwa ekhemisi.
• Ama-corticosteroids omlomo .
• Gwema ukusebenzisa ingalo kakhulu, noma uvimbele ingalo usebenzisa isiqinisi samahlombe.
• Ukukhuthazwa kwemizwa kagesi nge-Transcutaneous (TENS) kuyindlela yokwelapha yokukhuthazwa kwemizwa kagesi.
• Ukwelashwa nge-acupuncture .

Ngemva kokuphela kwesigaba sobuhlungu obukhulu, udokotela wakho cishe uzoncoma lezi zindlela zokwelapha:

• Ukwelashwa ngokomzimba: Udokotela wezokwelapha ngokomzimba uzokufundisa ukuvivinya umzimba nokuqinisa ukuze akusize uphinde ulawule imisipha namalunga athintekile.
• Ama-co-analgesics: Lena imithi esetshenziselwa ngqo ukwelapha ubuhlungu bemizwa. Izibonelo zifaka phakathi i-gabapentin , i-carbamazepine, kanye ne-amitriptyline .

Ezimweni ezimbi kakhulu, uma kungekho okunye okuqeda izimpawu zakho, udokotela wakho angase akuncome ukuhlinzwa . Lezi zinqubo zingase zihlanganise ukufakelwa kwemizwa noma ukudluliselwa kwemisipha .

Ingabe lokhu kungavinjelwa ukuthi kwenzeke?

Njengoba abacwaningi bengakayazi imbangela eqondile ye-PTS, akukho lutho ongakwenza ukuyivimbela. Kodwa-ke, njengoba amagciwane athile angayibangela, ukuhlala uphilile ngangokunokwenzeka kungasiza ekunciphiseni ingozi yakho yokuba nayo.

Iyini iphrojekthi yalesi simo?

Umbono wokululama kusuka ku-PTS ungahluka kumuntu nomuntu.Abanye abantu babhekana ne-PTS kanye kuphela futhi balulame ngokuphelele endaweni ethintekile. Abanye bangase babe nobuthakathaka obuqhubekayo nobuhlungu. Abanye abantu bangase babe ne-PTS izikhathi ezingaphezu kwesisodwa (ukuphindaphinda). Kunezici ezithile ezinganciphisa amathuba okululama :

• Ubuhlungu buqhubeka izinyanga ezintathu futhi imisipha ayilulami.
• Uma i-PTS ithinte isisu/isisu sakho esingezansi .
• Uma imbangela kuyisimo sofuzo , ukuthambekela kwalesi sifo sokuphinde sibuye kuphezulu kakhulu ezimweni ezinjalo.

Ngokusho kocwaningo olulodwa, ama-89% eziguli ze-PTS ezithole ukuphathwa kwezimpawu kanye nokwelashwa ngokomzimba alulame phakathi neminyaka emithathu. Kulabo, cishe ama-75% alulame phakathi neminyaka emibili, kanti ama-36% alulame phakathi nonyaka wokuqala. Izifundo zakamuva zibonisa ukuthi abantu abaningi bangase baqhubeke nokuba nobuhlungu kanye nezinkinga ezithile zokusebenza. Kodwa-ke, kungenzeka ukuthi amandla alulame ngokugcwele , yize kungathatha iminyaka eyisishiyagalombili.

Kufanele ngimbone nini udokotela?

Kubaluleke kakhulu ukuxilonga i-Parsonage-Turner syndrome kusenesikhathi nangokunembile . Uma uzwa ubuhlungu, ikakhulukazi uma buvele bube bukhulu futhi buzumayo , qiniseka ukuthi ubona udokotela.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma ufuna ukwazi okwengeziwe ngalesi simo, ungabuza udokotela wakho imibuzo efana nale:

• Kungani ngathola i-Parsonage-Turner syndrome?
• Hlobo luni lochwepheshe okufanele ngibabone?
• Hlobo luni lwemithi yobuhlungu oyincomayo?
• Ngingazinakekela kanjani ekhaya?
• Ucabanga ukuthi ngizolulama ngokushesha kangakanani?
• Hlobo luni lokwelashwa olunconywayo?
• Ngingazi kanjani ukuthi lesi simo se-PTS siya ngokuba ngcono noma siba sibi kakhulu?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ubuhlungu obukhulu obungazelelwe bungaba yinto eyesabekayo. Kuyindlela yomzimba wakho yokukutshela ukuthi, "Kukhona okungahambi kahle." Yingakho kubalulekile ukubona udokotela ngokushesha okukhulu. Kunezindlela eziningi zokwelapha ezingasiza ekuphatheni izimpawu ze-Parsonage-Turner syndrome (PTS) futhi mhlawumbe zisheshise ukululama kwakho. Uma unemibuzo mayelana ne-PTS, ungesabi ukubuza udokotela wakho. Bakhona ukukusiza. Khumbula ukuthi awuwedwa, bakhona abanye abantu abadlula kulokhu, futhi kukhona odokotela abangakusiza .