Brlexial plexopathy

Brachial plexopathy o se ituaiga o peripheral neuropathy. E tupu pe a i ai le faʻaleagaina o le brachial plexus. Lenei o le vaega i itu taʻitasi o le ua o aʻa aʻa mai le ivitū maea vaevaeina i taitasi lima o neula.

Faʻaletonu i nei neula mafua ai le tiga, faʻaititia gaioiga, pe faʻaititia le faʻaititia o lagona i le lima ma le tauʻau.

Faʻaleagaina o le brachial plexus e masani lava mai le manuʻa tuusao i le neula, faʻalauteleina manuʻa (aofia ai ma le lavea tigaina), mamafa mai tumors i le eria (aemaise lava mai mama mama), poʻo faʻaleagaina e mafua mai i togafitiga faʻasolosolo.

Brachial plexus faʻaletonu mafai foi ona fesoʻotaʻi ma:

• Fanau fanau e mafua ai le mamafa i le ua vaega
• Faʻaalia i vailaʻau oona, vailaʻau, poʻo vailaʻau
• Vaʻaia lautele, faʻaaoga i taimi o taotoga
• Fula afaina, pei o na mafua mai i se siama poʻo immune system faʻafitauli

I nisi tulaga, leai se mafuaʻaga mafai ona faʻamaonia.

Faʻailoga e ono aofia ai:

• Gase le tauau, lima poʻo le lima
• Tiga tauau
• Tingling, mu, tiga, poʻo lagona le masani ai (nofoaga faʻamoemoe i le eria manuʻa)
• Vaivaiga o le tauʻau, lima, lima, poʻo tapulima

O se suʻega o le lima, lima ma le tapulima e mafai ona faʻaalia ai se faʻafitauli i neula o le brachial plexus. Faʻailoga mafai ona aofia ai:

• Faʻaleagaina le lima poʻo le lima
• Faigata ona faʻasolosolo le tauʻau, lima, lima poʻo tamailima
• Faʻaleagaina lima faʻaaogaina
• Faamaimauina maso
• Vaivaiga o lima fegasoloaʻi

O se auiliiliga o talafaʻasolopito ono fesoasoani e fuafua le mafuaʻaga o le brachial plexopathy. E taua tausaga ma feusuaiga, aua o nisi brachial plexus faʻafitauli e sili ona taatele i nisi vaega. Mo se faʻataʻitaʻiga, e masani ona maua e aliʻi talavou le faʻamaʻi poʻo le post-viral brachial plexus faʻamaʻi e taʻua o le Parsonage-Turner syndrome.

Suʻega e mafai ona faia e faʻamaonia ai lenei tulaga ono aofia ai:

• Tofotofoga toto
• Fatafata x-ray
• Electromyography (EMG) e siaki maso ma neula e faʻatonutonu maso
• MRI o le ulu, ua, ma tauʻau
• Faʻamalosiʻi le neura e siaki pe faʻapefea ona televave faʻailo eletise i totonu o neula
• Biopsy nerve e suʻesuʻe ai se fasi neura i lalo o le microscope (seasea manaʻomia)
• Ultrasound

Togafitiga e faʻasino i le faʻasaʻoina o le mafuaʻaga mafuaʻaga ma faʻatagaina oe e faʻaaoga lou lima ma lou lima i le tele e mafai ai. I nisi tulaga, e leai se togafitiga e manaʻomia ma o le faʻafitauli e sili atu le lelei na o ia lava.

Togafitiga filifiliga aofia ai nisi o nei:

• Vailaau e taofi ai tiga
• Togafitiga o le tino e fesoasoani ai e faʻatumauina le malosi o maso.
• Faʻamau, faʻapipiʻi, poʻo nisi masini e fesoasoani ia te oe e faʻaaoga ai lou lima
• Poloka neura, lea e tuiina vailaʻau i le eria latalata i neura e faʻaititia ai le tiga
• Taotoga e toe faaleleia ai neura pe aveʻese se mea o loʻo tipiina i neula

Galuega faʻapitoa poʻo se fautuaga e fautua ai ni suiga ile falefaigaluega atonu e manaʻomia.

O tulaga faʻafomaʻi e pei o le maʻisuka ma le maʻi fatu e mafai ona faʻaleagaina neura. I nei tulaga, togafitiga faʻatautaia foi i le mafuaʻaga tulaga faʻafomaʻi.

E mafai ona maua se faʻamalologa lelei pe a fai o le mafuaʻaga ua mautinoa ma ua lelei ona togafitia. I nisi tulaga, e i ai se vaega pe atoa leiloa o gaioiga poʻo lagona. E tiga le tiga o le neula ma ono umi se taimi.

Faʻafitauli e ono aofia ai:

• Deformity o le lima poʻo le lima, agamalu i ogaoga, lea e mafai ona taitai atu ai i contractures
• Paʻu pe faʻatoa maeʻa le pē o le lima
• Faʻamavae pe atoa le leiloa o lagona i le lima, lima, poʻo tamailima
• Faʻaauau pe le maitauina manua i le lima poʻo le lima ona o le faʻaitiitia lagona

Valaʻau i lau fomaʻi pe a oʻo ia oe le tiga, mageso, gagase, poʻo le vaivai i le tauʻau, lima, poʻo le lima.

Neuropathy - brachial plexus; Brachial plexus faʻaletonu; Parsonage-Turner syndrome; Syndrome Pancoast

• Nofoʻaga popolevale ma faiga lautele neula

Chad DA, MP o Bowley. Faʻaletonu o aʻa aʻa ma plexuses. I totonu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology i Fomaʻi Faʻataʻitaʻi. 7th ed. Filatelefia, PA: Elsevier; 2016: mata 106.

Waldman SD. Cervicothoracic interspinous bursitis. I le: Waldman SD, ed. Taualuga o le le masani ai tiga Paʻu. 4th ed. Filatelefia, PA: Elsevier; 2020: chap 23.