Yala tuma dɔw la, dimi bɛ kɛ i la walima dimi bɛ kɛ i cɛmancɛ kɔnɔna na wa? Yala taama ka gɛlɛn dɔɔni, kɛrɛnkɛrɛnnenya la n’i bɛ i sen kɔrɔta wa? Mɔgɔ caman b’a miiri ko nin ye farikolojidɛsɛ nɔgɔman dɔrɔn de ye, nka laala a sababu ye nɛrɛ kɛrɛnkɛrɛnnen dɔ ye an farikolo la. Bi an bɛ kuma nɛrɛ dɔ kan min tɛ dɔn kosɛbɛ, nka a nafa ka bon kosɛbɛ min nafa ka bon kosɛbɛ an senw lamagacogo n’u dusukunnataw la. O ye Obturator Nerve ye.
Obturator Nerve ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, Obturator Nerve ye nɛrɛba ye min bɛ dusukunnata (dusukunnata) ni lamaga (lamaga) di i cɛmancɛ kɔnɔna fan fɛ. O ye an farikolo ka farikolo yɔrɔ dɔ ye min bɛ wele ko PNS. O cogoya in de bɛ dɛmɛ ka cikanw ta ka bɔ an hakili la ka taa farikolo tɔ la.
O nɛrɛmugu in bɛ daminɛ nɛrɛmugu kulu dɔ la min bɛ an kɔ duguma. Furakɛcogo la, an b’o wele ko ``kɔkolo-yɔrɔ``. O nɛrɛmugu kulu in bɛ dusukunnata ni lamaga di an senw sanfɛla ni duguma yɔrɔw ma, ka fara an senw kan. O la nin Obturator Nerve in fana bɛ daminɛ o nɛrɛmugu kulu la ka taa yɔrɔ jan an ka kɔkolo la ka taa se cɛya kɔnɔna na.
O nɛrɛmuguma in baara kunbabaw ye jumɛnw ye?
O nɛrɛmugu in bɛ baara kunbaba fla Kɛ an cɛmancɛ kɔnɔna na. U bɛ lamaga-lamagaliw Kɔrɔsi (motor functions) ani ka dusukunnataw Di (sensory functions). An k’a lajɛ ninnu ye mun ye.
| Baara suguya | Taabolo min bɛ Kɛ |
|---|---|
| Lamaga-lamagaliw kɔlɔsili (Motor Functions) . |
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| Sensory Baarakɛcogo |
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O nɛrɛmuguma bɛ taama cogo di an farikolo la?
Obturator Nerve sira ka gɛlɛn dɔɔnin, nka an k’a nɔgɔya.
1. Daminɛ : O bɛ daminɛ ni ``kɔkolo-yɔrɔ'' ye, o min bɛ sɔrɔ nɛrɛmuguma juw fɛ minnu bɛ bɔ kɔkolow la (L2, L3, L4) an kɔ duguma.
2. Sira : O nɛrɛmuguma in bɛ sɔrɔ ka jigin ka tɛmɛ psoas farikolo fɛ an kɔ duguma. O kɔ, an ka cɛya kɔnɔ, a bɛ tɛmɛ joli siraba dɔ kɔfɛ min bɛ wele ko kɔkolo-yɔrɔ.
3. Ka don cɛya la : A laban na, obturator kanal bɛ don an ka cɛya sanfɛla la ka tɛmɛ da fitini dɔ fɛ cɛya la.
A selen kɔ cɛya la, o nɛrɛmuguma bɛ tila ka kɛ bolo belebele saba ye. Olu ye ɲɛfɛla bolo, farilabolo ani kɔfɛbolo ye. O bolo kelen-kelen bɛɛ bɛ cikanw Lase farikolo ni fari suguya caman ma cɛya kɔnɔna na.
Obturator Nerve bɛ se ka tiɲɛ cogo di?
Ni nin farikolojidɛsɛ in tiɲɛna (obturateur nerve injury), aw bɛ se ka dimi, ka sɔgɔsɔgɔ, walima ka kirinni sɔrɔ aw kɔkolo walima aw cɛmancɛ la. Aw bɛ se ka barikantanya fana ye ni aw bɛ aw sen kɔrɔta ka taa kɔnɔna na. O sababu damadɔ bɛ se ka kɛ.
| Tiɲɛni sababu | Ɲɛfɔli nɔgɔman |
|---|---|
| Nɛrɛmuguma banaw (Obturator neuropathy) . | A bɛ se ka sɔrɔ sɛgɛn ni sɛgɛnbaliya fɛ waati tɛmɛnen kɔfɛ walima nɛrɛmuguma sɔgɔsɔgɔli fɛ kasaara la. |
| Ɲɛgɛnɛsiraw (hernie obsturateur). | Kɔnɔbara la farikolo yɔrɔw bɛ bɔ da la, nɛrɛ bɛ tɛmɛ min fɛ (obturator canal), ka nɛrɛmugu digidigi. |
| Nɛrɛmuguma minɛni | Degun bɛ kɛ nɛrɛmuguma kan ka a sababu kɛ a lamini yɔrɔw fununi ye. O bɛ se ka kɛ kɔnɔmaya waati walima bana dɔw la i n’a fɔ kɔnɔbara basigilen. |
| Basɔgɔsɔgɔninjɛ (pelvic trauma). | Ni den wolola, walima ni mobili kasaara don, kɔnɔna joli bɛ se ka kɛ sababu ye ka nɛrɛmuguma degun. |
| Tumu walima kansɛri | Tumu minnu bɛ bɔ farikolo yɔrɔw la i n’a fɔ sugunɛbaralabana ni kɔnɔbara basigilen, olu bɛ se ka degun bila farikolojidɛsɛ la. |
| Spor joginw | A bɛ se ka kɛ farikoloɲɛnajɛw la minnu bɛ kɛ ni senkɔni caman ye, i n’a fɔ ntolatan, walima farikoloɲɛnajɛ minnu bɛ kɛ sababu ye ka sigi waati jan kɔnɔ, i n’a fɔ nɛgɛso boli walima so boli. |
Min nafa ka bon kosɛbɛ, o ye ko an senkɔni ye yɔrɔ ye, farikolo yɔrɔ nafama caman, joli siraw ani nɛrɛmuguma bɛ yɔrɔ fitinin dɔ la. O la, farati fitini bɛ o nɛrɛmuguma ninnu tiɲɛni na opereli dɔw walima den jiginni waati. Nka dɔgɔtɔrɔw b’u janto o la kosɛbɛ.
Taamasiɲɛ jumɛnw ka kan ka kɛ sababu ye ka aw bila ka taa dɔgɔtɔrɔso la?
Ni nin taamasiɲɛ ninnu dɔ walima u caman bɛ aw la, a nafa ka bon kosɛbɛ ka taa dɔgɔtɔrɔso la walasa ka laadilikan sɔrɔ ka sɔrɔ aw ma aw janto u la.
- Dimi min bɛ kɛ tuma bɛɛ kɔkolo yɔrɔ la.
- Dimi walima dimi min bɛ boli ka jigin cɛya kɔnɔna na.
- Ɲɛgɛnɛsiraw bɛ kɛ kɔkolo yɔrɔ la, i n’a fɔ wuluw bɛ boli ka yaala .
- Senw bɛ kirin.
- Farikolo minnu bɛ cɛya kɔnɔna na, olu fanga dɔgɔyali .
- Claudication ye farikolodimi ye min bɛ kɛ baara kɛtuma na, a bɛ ban ni aw ye lafiɲɛ.
- Kɔnɔbara kɔnɔna na, a bɛ sɔgɔsɔgɔ .
- Dimi bɛ bonya ni aw bɛ sen lamaga ka bɔ fan dɔ la ka taa fan wɛrɛ fɛ.
O furakɛcogo jumɛnw bɛ yen? Obturator Nerve Block ye mun ye?
Ni aw taara dɔgɔtɔrɔso la, a bɛna aw sɛgɛsɛgɛ, ni a mago bɛ a la, a bɛna aw bila ka taa sɛgɛsɛgɛliw kɛ i n’a fɔ sɛgɛsɛgɛli, walasa ka a sababu tigitigi dɔn. Furakɛli bɛna bɔ tiɲɛni sababu la.
Tuma dɔw la, dɔgɔtɔrɔw bɛ fura dɔ kɛ min bɛ wele ko Obturator Nerve Block. N’an y’a fɔ cogo nɔgɔman na, a bɛ i n’a fɔ i bɛ sɔgɔsɔgɔfura min sɔrɔ sani i ka ɲin bɔ. Yan, dɔgɔtɔrɔ bɛ fura dɔ pikiri min bɛ Obturator Nerve (Nerve Obturateur) sɔgɔsɔgɔ waati dɔɔni, walima ka a sɔgɔsɔgɔ. O bɛ kɛ kunba damadɔw de kama:
- Aw bɛ dimi mada sani aw ka kɔkili walima gɛnɛgɛnɛ opereli.
- Aw bɛ senw wulicogo dabila aw yɛrɛ sago la opereli senfɛ i n’a fɔ sugunɛbaralabana kansɛri.
- Aw bɛ kɔdimi walima cɛya dimi lajɔ min tɛ furakɛli wɛrɛw jaabi.
- Aw bɛ bana dɔw furakɛ i n’a fɔ sɔgɔsɔgɔninjɛ, o ye farikolo gɛlɛya kojugu ye cɛya kɔnɔna fan fɛ.
A ka ca a la, an tɛ miiri hali Obturator Nerve la fo ni fɛn dɔ ma ɲɛ a la ani ka dimi walima dusu tiɲɛ. O ye ko ye min tɛ kojugu ye. Nka aw hakili to a la ko nin dusukasi suguw ka ca. Fɛn min ka fisa, o ye ka a sababu tigitigi ɲini ani ka fura ɲuman sɔrɔ. O kɔ, aw bɛ se ka kɛnɛya sɔrɔ tuguni.
Take-Home cikan
- Obturator Nerve ye nɛrɛ ye min nafa ka bon walasa ka lamaga ni dusukunnataw sɔrɔ i cɛmancɛ kɔnɔna fan fɛ.
- Aw kana aw ɲɛmajɔ abada dimi basigilen, a gɛlɛyali, walima a fanga dɔgɔyali kan cɛmancɛ walima kɔkolo kɔnɔna na.
- Nin taamasiɲɛ ninnu bɛ se ka sɔrɔ kasaara fɛ, farikolojidɛsɛ dɔ, walima furakɛli bana wɛrɛ fɛ.
- Ni nin taamasiɲɛ ninnu dɔ bɛ aw la, aw bɛ taa dɔgɔtɔrɔso la joona walasa ka bana sɛgɛsɛgɛli ni a furakɛcogo ɲuman sɔrɔ. Furakɛli joona bɛ se ka aw dɛmɛ ka kɛnɛya joona.
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