Plexopathy Brachial

ʻO Brachial plexopathy kahi ʻano o ke neuropathy ākea. Kū ia ke loaʻa ka hōʻino i ka plexus brachial. ʻO kēia kahi ma kēlā me kēia ʻāpana o ka ʻāʻī kahi o nā aʻa nerve mai ka iwi kuamoo i hoʻokaʻawale ʻia i nā aʻa o kēlā me kēia lima.

ʻO ka hōʻino i kēia mau ʻalalā nā hopena o ka ʻeha, hoʻemi i ka neʻe ʻana, a i ʻole hoʻemi ʻia ka manaʻo i ka lima a me ka poʻohiwi.

ʻO ka hōʻino ʻana i ka plexus brachial ka mea maʻamau mai ka ʻeha pololei i ke aʻalolo, ke kīloi ʻana i nā ʻeha (me nā trauma hānau), kaomi mai nā tumors ma ia wahi (ʻo ia hoʻi mai nā tumors lung), a i ʻole nā ​​ʻino i hopena ʻia mai ka radiation radiation.

Pili pū paha ka hana pono ʻole brachial plexus me:

• Nā kīnā hānau e hoʻokau i ka ʻāʻī o ka ʻāʻī
• Hōʻike i nā lāʻau make, nā kemika, a i ʻole nā ​​lāʻau
• General anesthesia, hoʻohana ʻia ma ke kaha ʻana
• Nā kūlana hoʻāla, e like me nā mea ma muli o ka maʻi virus a i ʻole ke ʻano pale pilikino

I kekahi mau hihia, ʻaʻole hiki ke ʻike ʻia kahi kumu.

Pākuʻi ʻia paha nā ʻōuli:

• Pōpō o ka poʻohiwi, lima a lima paha
• ʻEha poʻohiwi
• ʻO ka ʻūlū ʻana, ke puhi ʻana, ka ʻeha a i ʻole nā ​​sensations maʻamau (hilinaʻi ka wahi i ka wahi i hōʻeha ʻia)
• Ka nāwaliwali o ka poʻohiwi, ka lima, ka lima a i ʻole ka lima o ka lima

Hiki i kahi hoʻokolohua o ka lima, ka lima a me ka pulima e hōʻike i kahi pilikia me nā aʻa o ka plexus brachial. Pākuʻi ʻia paha nā ʻōuli:

• Deformity o ka lima a lima paha
• Ka paʻakikī e hoʻoneʻe i ka poʻohiwi, ka lima, ka lima, a me nā manamana lima
• Nā reflexes lima i hoʻopau ʻia
• Lilo i nā mākala
• Nāwaliwali o ka lima e ʻōwili ana

Hiki paha i kahi mōʻaukala kikoʻī ke kōkua i ka hoʻoholo ʻana i ke kumu o ka plexopathy brachial. He mea nui ka makahiki a me ka moekolohe, no ka mea, ʻoi aku ka pilikia o kekahi mau pilikia brachial plexus i kekahi mau hui. ʻO kahi laʻana, loaʻa pinepine nā kāne ʻōpio i nā maʻi ʻōpala a post-viral brachial plexus i kapa ʻia ʻo Parsonage-Turner Syndrome.

Hiki ke hana ʻia nā hoʻāʻo e hōʻike i kēia ʻano.

• Nā hoʻāʻo koko
• Pākuʻi x-ray
• Electromyography (EMG) e nānā i nā mākala a me nā aʻalolo e kaohi i nā mākala
• MRI o ke poʻo, ka ʻāʻī, a me ka poʻohiwi
• Hoʻomaʻamaʻa lawelawe e nānā i ka wikiwiki o nā neʻe uila e neʻe ma waena o kahi aʻalolo
• ʻO ke biopsy nerve e nānā i kahi ʻāʻī o ke aʻalolo ma lalo o ka microscope (makemake ʻole ʻia)
• Kukuna ultrasound

Hoʻopaʻa ʻia ka mālama ʻana i ka hoʻoponopono ʻana i ke kumu kumu a ʻae iā ʻoe e hoʻohana i kou lima a me kou lima e like me ka hiki. I kekahi mau hihia, ʻaʻohe pono e pono ai a ʻoi aku ka maikaʻi o ka pilikia ma ona iho.

Hoʻopili nā koho lapaʻau i kekahi o kēia mau mea:

• Nā lāʻau e kāohi i ka ʻeha
• Hoʻoikaika kino e kōkua i ka mālama ʻana i ka ikaika o ka mākala.
• Nā kūpeʻe, nā splints, a i ʻole nā ​​hāmeʻa ʻē aʻe e kōkua iā ʻoe e hoʻohana i kou lima
• Paukū nerve, kahi i hoʻopili ʻia i ka lāʻau i loko o ka wahi kokoke i nā aʻalolo e hoʻemi ai i ka ʻeha
• Ke ʻoki kino e hoʻoponopono i nā aʻalolo a wehe paha i kahi mea e kaomi ana i nā aʻalolo

ʻO ka hoʻomaʻamaʻa hana a ʻōlelo aʻoaʻo paha e hōʻike ai i nā loli i kahi hana e pono ai.

Hiki i nā kūlana olakino e like me ka maʻi kō a me nā maʻi puʻupaʻa ke hōʻino i nā aʻalolo. I kēia mau hihia, kuhikuhi ʻia ka lāʻau lapaʻau ma ke ʻano olakino kumu.

Hiki ke ola maikaʻi inā ʻike ʻia ke kumu a mālama maikaʻi ʻia. I kekahi mau hihia, aia kekahi hapa a i ʻole ka nalowale o ka neʻe a i ʻole ke ʻano. ʻEhaʻeha paha ke ʻeha o ke aʻa a lōʻihi paha ka lōʻihi.

Komo pū nā pilikia:

• Deformity o ka lima a me ka lima, akahai a paʻakikī, hiki ke alakaʻi i nā ʻaelike
• Pālua a paʻa piha paha
• ʻO ka nalowale hapa a piha paha o ka sensation i ka lima, ka lima, a i ʻole nā ​​manamana lima
• ʻO ka hōʻeha hou a ʻike ʻole paha i ka lima a i ʻole ka lima ma muli o ka hoʻoliʻiliʻi o ka sensation

Kāhea i kāu mea mālama ola inā ʻike ʻoe i ka ʻeha, numbness, tingling, a nāwaliwali paha i ka poʻohiwi, lima, a lima paha.

Neuropathy - brachial plexus; Hana pono ʻole ʻo Brachial plexus; Parsonage-Turner maʻi pale; ʻO Pancoast Syndrome

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

ʻO Chad DA, MP MP ʻo Bowley. Nā maʻi o nā aʻa aʻa a me nā plexuse. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 106.

Waldman SD. Cervicothoracic interspinous bursitis. I: Waldman SD, hoʻoponopono. Nā Atlas o Uncommon Pain Syndromes. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 23.