I kɔnɔna duguma bɛ dimi tuma bɛɛ wa? A bɛ se ka kɛ Pudendal Neuralgia (Fari fasaw dimi) ye wa?

I b'a ye tuma dɔw la i kɔnɔna duguma, i cɛya yɔrɔ ani i bɔda lamini na, dimi juguba bɛ i la wa? Dimi min bɛ i fari dimi, ka fari faran, walima ka kɛ i n'a fɔ i fari bɛ manamanafaga? Kɛrɛnkɛrɛnnenya la, i sigilen tɛmɛsira la, o dimi bɛ juguya wa? N'o bɛ i la, bi an bɛna kuma Pudendal Neuralgia (Fari fasaw dimi) ko la. A nafa ka bon i ka dɔnniya sɔrɔ o bana in kan. A tɛ sɔrɔ mɔgɔ caman na, nka n'a bɛ mɔgɔ min na, a bɛ tɔɔrɔ juguba lase o tigi ma.

Pudendal Neuralgia (Fari fasaw dimi) ye mun ye?

K'a fɔ cogo nɔgɔman na, Pudendal Neuralgia ye dimi ye min bɛ sɔrɔ Pudendal fasa (Pudendal nerve) degunnen walima a joginlen kɔfɛ. O fasa in bɛ kɔnɔna duguma fasa baw dɔ ye, min bɛ kɛ cause ye ka dimi juguba lase i cɛya yɔrɔ ani kɔnɔna duguma lamini na. Dimi in bɛ kɛ i n'a fɔ mɔgɔ bɛ i sɔgɔ ni muru ye, walima tasuma bɛ i farikolo la, walima kuran bɛ i minɛ. O dimi in bɛ se ka lase i jukɔrɔ yɔrɔ, i cɛya yɔrɔ lamini (perineum), ani i cɛya yɔrɔ yɛrɛ ma. I sigilen tɛmɛsira la, dimi in bɛ juguya kosɛbɛ.

Pudendal fasa (Pudendal nerve) bɛ yɔrɔ juman?

Miiri k'a filɛ, Pudendal fasa bɛ daminɛ i kɔnɔna duguma kɔfɛ (pelvis), k'a ta o yɔrɔ la ka taga i sen fila cɛ yɔrɔ bɛɛ la, ka don sogo ni fari bɛɛ la o yɔrɔ lamini na. K'a fɔ cogo wɛrɛ la, n'i bɛ nɛgɛso bo, i fari yɔrɔ minnu bɛ nɛgɛso sigilan sɔgɔ, o yɔrɔ bɛɛ bɛ se ka tɔɔrɔ n'o fasa in joginna. O fasa in de bɛ i cɛya yɔrɔ ani i bɔda lamini yɛrɛmajigin ni a lamagacogo kunbɛn. O kɔfɛ, n'i bɛ sugu kɛ walima n'i bɛ bɔgɔtɔ bɔ, sogo minnu bɛ o baara kunbɛn (sphincter muscles), o fasa in de bɛ olu fana ɲɛnabɔ.

Pudendal fasa ka baara ye mun ye?

O fasa in bɛ fari laramaw (sensations) nafamaba dɔw lase i kuncilamugu ma. O ye:

• Maga laramaw (Touch)
• Nisɔndiya laramaw (Sexual pleasure)
• Dimi laramaw (Pain)
• Suma ni funteni laramaw (Temperature)

O laramaw bɛ bɔ yɔrɔ minnu na, olu ye:

• Cɛw fɛ: Cɛya yɔrɔ ni kɔlɔnin (penis and scrotum)
• Musow fɛ: Musoya yɔrɔ (vagina), musoya da (labia) ani a kɛnɛma yɔrɔ (vulva)
• U fila bɛɛ fɛ: Bɔda ani cɛya/musoya yɔrɔ cɛ yɔrɔ (perineum)
• Bɔda siraw (anal canal and anus)
• Sugu sira (urethra - sugu bɛ bɔ sira min fɛ)

N'an bɛ kuma o bana in sɔrɔcogo kan, k'a fɔ tiɲɛ na, Pudendal Neuralgia ye bana ye min tɛ sɔrɔ mɔgɔ caman na (rare condition). Nka a bɛ se ka sɔrɔ mɔgɔ bɛɛ la. A ka c'a la, a bɛ sɔrɔ mɔgɔkɔrɔbaw la minnu si bɛ san 19 kɔfɛ.

Pudendal fasaba joginna, a taamasiyɛnw ye jumaw ye?

Bana in taamasiyɛn fɔlɔ ani a jugumanba ye dimi ye. Pudendal fasa bɛ yɔrɔ minnu ɲɛnabɔ, o yɔrɔ bɛɛ bɛ se ka dimi sɔrɔ. I bɛ se ka dimi in sɔrɔ musoya kɛnɛma yɔrɔ (clitoris), musoya da (labia), musoya yɔrɔ kɔnɔna (vagina), cɛya yɔrɔ (penis), kɔlɔnin (scrotum), bɔda (anus) walima bɔda sira (rectum) la.

Mɔgɔ dɔw bɛ dimi in ɲɛfɔ cogo min na, o ye nin ye:

• A bɛ kɛ i n'a fɔ mɔgɔ bɛ i sɔgɔ ni muru ye, walima a bɛ faran, walima tasuma bɛ i la.
• I fari bɛ manamanafaga, walima a bɛ kɛ i n'a fɔ nɔɔni bɛ i farikolo la, walima i fari laramaw bɛ tunun.
• Wula fɛ, su bɛ kɛ tuma min na dimi bɛ juguya, sɔgɔma fɛ a bɛ dɔgɔya dɔɔni.
• Dimi juguyacogo bɛ yɛlɛma tuma ni tuma (don dɔw la a ka juguyaba, don dɔw la a bɛ dɔgɔya).
• I sigilen tɛmɛsira la, dimi in bɛ juguya kosɛbɛ. N'i jɔlen bɛ walima n'i dafalen bɛ, a bɛ dɔgɔya dɔɔni.

Miiri k'a filɛ, dɔgɔkunnin dɔ kɔnɔ, Fanta kɔnɔna duguma dimi daminɛna. A tagara dɔgɔtɔrɔso caman na, nka u ma se ka bana bɛrɛ dɔn. A ka dimi tun bɛ juguya kosɛbɛ n'a sigilen bɛ a ka baara kɛyɔrɔ la. Don dɔw la dimi tun bɛ juguya fɔ a bɛ kasi. A laban na, dɔgɔtɔrɔba dɔ y'a sɛgɛsɛgɛ k'a dɔn ko a ka bana in ye Pudendal Neuralgia ye.

Dimi in kɔfɛ, taamasiyɛn wɛrɛw bɛ se ka sɔrɔ:

• I fari laramaw bɛ caya fɔ n'i bɛ fini don, o yɛrɛ bɛ i dimi.
• Bɔda lamini bɛ kɛ i n'a fɔ a fununen bɛ, i n'a fɔ fɛn dɔ bɛ i bɔda kɔnɔ.
• A bɛ kɛ i la joona ko i bɛ wuli ka taga sugu kɛ.
• N'i bɛ bɔgɔtɔ bɔ, dimi bɛ i minɛ.
• N'i bɛ cɛya/musoya ɲɔgɔnyɛ kɛ, dimi bɛ i minɛ.
• A bɛ gɛlɛya i ma ka nisɔndiya danba sɔrɔ.
• Cɛw fɛ, u cɛya yɔrɔ tɛ jɔ (Erectile dysfunction).
• Sen, senkuru ani jukɔrɔ yɔrɔ bɛ manamanafaga, walima a bɛ sumaya, walima laramaw bɛ tunun.

Mun de bɛ Pudendal Neuralgia bana lase mɔgɔ ma?

Pudendal fasa bɛ se ka jogin walima ka degun (compression) sogo ni fari minnu b'a lamini o de fɛ. Sabu minnu bɛ se ka o lase, olu dɔw ye nin ye:

• Baara minnu bɛ degunba lase kɔnɔna duguma ma tuma bɛɛ. Misali la, nɛgɛso boli, girinya ta, so boli, walima nɔgɔ gɛlɛya (chronic constipation) min bɛ tɔɔrɔba lase kɔnɔna duguma ma.
• Ka sigi yɔrɔ kelen na waati jan.
• Kɔnɔna duguma sogow ni fari fasa wɛrɛw bɛ se ka Pudendal fasa sama k'a jogin.
• Dɔgɔtɔrɔyabaaraw kɔfɛ, misali la cɛya yɔrɔ dɔgɔtɔrɔyabaara (Prostatectomy).
• Kɔnɔna duguma kulu kari.
• Den wolo waati joginniw.
• Bana walima fari dimi wɛrɛw.
• Kansɛri tɛ min ye, fɛn dɔ bɛ se ka bɔ fari la k'a degun.
• Diabɛti (Diabetes Mellitus) walima fasa bana wɛrɛw (Neuropathy).

Dɔgɔtɔrɔw bɛ Pudendal Neuralgia bana dɔn cogo di?

Dɔgɔtɔrɔw bɛ bana in dɔn fari sɛgɛsɛgɛli fɛ ani sɛgɛsɛgɛli wɛrɛw fɛ. Fɔlɔ, u bɛna i ɲininga i ka taamasiyɛnw ni i ka dimi yɔrɔw la. A ka c'a la, dɔgɔtɔrɔw bɛ ɲini ka bana wɛrɛw minnu bɛ dimi kelen-kelen lase, o bɛɛ bɔ a la fɔlɔ.

Sɛgɛsɛgɛli minnu bɛ kɛ o la, olu dɔw ye nin ye:

• Bɔda walima musoya yɔrɔ sɛgɛsɛgɛli (Vaginal or rectal exam): Dɔgɔtɔrɔ bɛ a bolokoni don gansi la k'a don i bɔda walima i musoya yɔrɔ la k'a digi Pudendal fasa kan k'a filɛ n'a bɛ dimi lase.
• MRI (Magnetic Resonance Imaging): Nin ye jaya taabolo gɛlɛn dɔ ye. O bɛ Pudendal fasa ani a lamini yɔrɔw jaya ta ka gɛlɛyaw ɲini k'u dɔn.
• EMG (Electromyography): Nin na, dɔgɔtɔrɔw bɛ masin dɔgɔman dɔ kɛ ka kuran dɔɔnin lase Pudendal fasa ma, k'a filɛ n'a bɛ baara kɛ cogo min na ani n'a bɛ kuran in jaabi.
• Fasa dabilalan (Nerve blockers): Dɔgɔtɔrɔw bɛ dimi fura pikiri kɛ i kɔnɔna duguma la k'a lajɛ ni Pudendal fasa dimi bɛ dɔgɔya. Ni dimi dɔgɔyara, o b'a yira ko dimi bɛ bɔ Pudendal fasa de la.

Pudendal Neuralgia bana bɛ furakɛ cogo di?

Furakɛli bɛ kɛ farikolo ɲɛnabɔli (Physical therapy), furaw, ɲɛnamaya cogoya yɛlɛmali, walima yɛrɛ dɔgɔtɔrɔyabaara fɛ. Walasa ka taamasiyɛnw dɔgɔya joona, dɔgɔtɔrɔw bɛ se ka furakɛli sira kelen walima u caman kɛ ɲɔgɔn fɛ.

Farikolo ɲɛnabɔli (Physical Therapy)

Farikolo ɲɛnabɔla bɛ se ka i degi ka farikolo ɲɛnabɔli kɛ min bɛ Pudendal fasa lamini sogow yɛrɛmajigin. A bɛ se ka masin dɔ (TENS - Transcutaneous Electrical Nerve Stimulation) kɛ fana ka fasa dimi dɔgɔya.

Ɲɛnamaya cogoya yɛlɛmali

Kɛwalew dɔw bɛ se ka Pudendal fasa dimi juguya. O kɛwalew dabila walima u yɛlɛmali bɛ se ka dɛmɛn kɛ. Misali dɔw:

• Ka sigi yɔrɔ kelen na waati jan.
• Nɛgɛso boli.
• Girinya ta ka jɔ i senkuruw kan (squat).
• So boli.
• N'i bɛ nɔgɔ gɛlɛya sɔrɔ, i bɛ i yɛrɛ digi kosɛbɛ n'i bɛ bɔgɔtɔ bɔ.

N'i bɛ sigi, a ka ɲi i ka sigilan fiyɛnman kɛ min cɛmancɛ bɛ fɔgɔ (donut pillow) walima U-cogo sigilan. O bɛ degun dɔgɔya kɔnɔna duguma sogow ni perineum kan. N'i bɛ nɔgɔ gɛlɛya sɔrɔ tuma bɛɛ, dumuni kɛ min kɔnɔ bimbɛn caman bɛ (fiber), walima ka nɔgɔ nɔgɔyalan fura (stool softener) ta. O bɛ dɛmɛ k'i bɔgɔtɔ bɔ nɔgɔya la, k'i yɛrɛ digi bali.

Furaw (Medications)

Mɔgɔ dɔw bɛ dimi furaw (painkillers) walima steroid furaw ta ka dimi dɔgɔya. Pudendal Neuralgia furakɛli la, fura kɛrɛnkɛrɛnnen dɔw bɛ di:

• Dimi dɔgɔyalan furaw.
• Fasa nɔgɔyalan walima kirikiri bana furaw, i n'a fɔ Gabapentin.
• Yɔrɔ kelen suma furaw pikiri (local anesthetics) walima Corticosteroids pikiri ka funeni dɔgɔya.
• Depression furaw i n'a fɔ Amitriptyline.
• Botox pikiri ka Pudendal fasa lamini sogow yɛrɛmajigin.

Dɔgɔtɔrɔyabaara (Surgery)

Dɔgɔtɔrɔyabaara bɛ kɛ fura laban de ye. Pudendal nerve decompression ye dɔgɔtɔrɔyabaara ye min bɛ sogow ni fari wɛrɛw bɔ Pudendal fasa kan k'a nɔgɔya. Dɔgɔtɔrɔw bɛ farikolo fara i jukɔrɔ (gluteal muscles) walima perineum la walasa ka se Pudendal fasa ma. O kɔfɛ, a bɛ se ka kalo caman walima san caman ta ka kɛnɛya sɔrɔ sani dimi ka bɛn. A tɛ kɛnɛya sɔrɔ joona joona.

Pudendal Neuralgia ɲɛnamaya bɛ kɛ cogo di?

Fasa dimi waati jan bɛ se ka nɔ juguba to i ka don o don ɲɛnamaya la. A bɛ se ka nɔ to i ka jɛɲɔgɔnya la, i ka baara la, ani i ka kɛnɛya la. N'i bɛ kɔnɔna duguma dimi sɔrɔ, cɛya/musoya gɛlɛyaw, sugu walima bɔgɔtɔ bɔ gɛlɛyaw, walima n'i bɛ miiri juguw sɔrɔ (depressive thoughts), i ka ɲi ka taga dɔgɔtɔrɔso la joona. U bɛ se k'i dɛmɛ k'i ka dimi dɔgɔya, ani k'a dɔn ni dimi sabu ye Pudendal fasa ye.

Tumajuman de ne ka ɲi ka dɔgɔtɔrɔ ye?

N'i bɛ kɔnɔna duguma walima cɛya yɔrɔ dimi sɔrɔ, taga dɔgɔtɔrɔso la joona. (Ni dɛmɛ joona mako bɛ, i bɛ se ka telefɔni kɛ nɔmɔrɔ 112 ma walasa ka ambulansi wele). N'i ma furakɛli sɔrɔ, i ka dimi bɛ se ka juguya k'i kɛlɛ i ka don o don baara la. I ka ɲi ka i ɲɛ jɔ taamasiyɛn ninnu kan:

• Kɔnɔna duguma, jukɔrɔ, walima cɛya yɔrɔ la, i n'a fɔ nɔɔni bɛ i farikolo la (pins and needles).
• A bɛ kɛ i n'a fɔ fɛn dɔ bɛ i bɔda kɔnɔ.
• N'i bɛ sugu kɛ, dimi bɛ i minɛ, walima i bɛ wuli joona joona ka taga sugu kɛ.
• Cɛya/musoya baara gɛlɛyaw.

N'i bɛ kɔnɔna duguma dimi waati jan sɔrɔ, ani i b'a miiri ko a bɛ se ka kɛ Pudendal Neuralgia ye, dɔn ko i kelen tɛ. Bana in bɛ mɔgɔ degun, nka dɔgɔtɔrɔw bɛ se k'i dɛmɛ. Kuma i ka dɔgɔtɔrɔ fɛ i ka taamasiyɛnw kan. O la, a bɛna furakɛli sira ɲuman sugandi i fɛ. Aw y'a to aw hakili la, ni aw y'a ɲini ka furakɛli sɔrɔ, aw bɛ se ka dimi dɔgɔya ka kɛnɛya sɔrɔ.

Dɔnniya laban (Take-Home Message)

• Pudendal Neuralgia ye kɔnɔna duguma dimi juguba ye min bɛ sɔrɔ Pudendal fasa jogin kɔfɛ.
• Dimi juguyali i sigilen tɛmɛsira la ye taamasiyɛn fɔlɔ ye.
• A bɛ lase tuma bɛɛ degun, dɔgɔtɔrɔyabaara, walima den wolo joginniw fɛ.
• Ni taamasiyɛnw bɛ i la, taga dɔgɔtɔrɔso la joona.
• Farikolo ɲɛnabɔli, furaw, ɲɛnamaya cogoya yɛlɛmali, ani dɔgɔtɔrɔyabaara bɛ se ka taamasiyɛnw dɔgɔya.
• Hali n'a kɛnɛya bɛɛ tɛ se ka sɔrɔ, i bɛ se ka dɛmɛ sɔrɔ ka dimi dɔgɔya ka ɲɛnamaya kɛnɛman kɛ.

Frequently Asked Questions (FAQ) - Ɲiningali minnu bɛ kɛ tuma bɛɛ