Ke ʻeha nei ʻoe ma kou ʻāpana pelvic? Hiki paha ke lilo i ke aʻalolo pudendal?

Ua lohe paha ʻoe i kahi mea i kapa ʻia ʻo 'Pudendal Nerve'? ʻAʻole paha. Akā, he aʻalolo koʻikoʻi loa ia i loko o ko kākou kino, ʻoi aku hoʻi ma ka ʻāpana pelvic. Ua like ia me kahi ʻelele huna e kāohi ana i nā manaʻo a me nā neʻe ʻana i loko o ko kākou kino haʻahaʻa. I kēia lā, e kamaʻilio mākou e pili ana i kēia aʻalolo kupaianaha ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.

He aha ke aʻalolo Pudendal?

I ka ʻōlelo maʻalahi, ʻo ke aʻalolo pudendal kahi aʻalolo nui i loko o kou wahi pelvic. Lawe kēia aʻalolo i ka ʻike motor a me ka sensory i a mai kou wahi genital. E noʻonoʻo i kēia aʻalolo e holo ana ma o kou mau ʻiʻo papahele pelvic a hiki i kou genitalia waho. Hana pū kēia mau ʻiʻo papahele pelvic ma ke ʻano he kākoʻo no ko mākou mau kino kūloko.

He aha ka hana a ke aʻalolo pudendal?

ʻAe, e nānā kākou i ke koʻikoʻi o kēia aʻalolo pudendal. He mea nui kēia no ka ʻike a me ka hana o kou wahi pelvic, ʻo ia hoʻi, nā wahi a puni nā genitals a me ka anus. No kāu ʻōnaehana nerve peripheral kēia aʻalolo. ʻO ka ʻōnaehana nerve peripheral ka ʻōnaehana e lawe ana i nā hōʻailona mai kā mākou ʻōnaehana nerve waena - ʻo ia hoʻi, ka lolo a me ke kaula spinal - i ko mākou mau lālā a me kekahi mau ʻōpū.

Hoʻopilikia ka hana motor o ke aʻalolo pudendal i:

• Nā ʻiʻo sphincter anal: ʻO kēia nā ʻiʻo e kōkua iā ʻoe e kāohi i ke kaʻe ʻana o ka poop, ʻo ia hoʻi hiki iā ʻoe ke hoʻōki a kipaku paha.
• Nā ʻiʻo sphincter urethral: Kōkua pū kēia mau ʻiʻo i ka kaohi ʻana i ke kahe o ka mimi (pee).

ʻAʻole wale kēlā, hāʻawi mai ke Aʻalolo Pudendal iā mākou i ka ʻike sensory e like me ka pā ʻana, ka leʻaleʻa, ka ʻeha, a me ka mahana mai kēia mau wahi:

• Penis: (ʻāpana o ka ʻōnaehana hānau kāne)
• Vagina: (ʻāpana o ka ʻōnaehana hānau wahine)
• Perineum: (ʻO ka ʻili ma waena o kou anus a me ka vagina a i ʻole penis)
• ʻAla anal a me ka anus: (ʻāpana o ka ʻōnaehana hoʻoheheʻe)

Aia ma hea ke aʻalolo pudendal? He aha kona ala?

Loaʻa iā ʻoe ʻelua mau aʻalolo pudendal, hoʻokahi ma ka ʻaoʻao ʻākau o kou kino a hoʻokahi ma ka hema. Hoʻomaka ke aʻalolo pudendal ma lalo loa o kou iwi kuamoʻo , i kapa ʻia ʻo ka sacral plexus . ʻO ka sacral plexus kahi hui o nā aʻalolo e kū ana ma ke kua o kou pelvis.

He pūnaewele paʻakikī loa kēia o nā aʻalolo. ʻO kēia mau aʻalolo ka mea e hoʻouna a loaʻa i ka ʻike e pili ana i ka neʻe ʻana a me ka ʻike i kou mau ʻūhā, nā wāwae haʻahaʻa, nā wāwae, a me ka pelvis.

He aha ke ala o ke aʻalolo pudendal?

E noʻonoʻo e like kēia me ka hele ʻana i kahi huakaʻi liʻiliʻi:

• ʻO ka mea mua, pili kēia aʻalolo i nā aʻa aʻa spinal sacral S2 a i S4 ma ka plexus sacral.
• A laila, hele ia ma kou pelvis a me ka ʻāina gluteal, ma ka piko o ka femur.
• Hele ia ma kahi puka ma ka iwi pelvic i kapa ʻia ʻo ka foramen sciatic nui .
• A laila, puka ia i waho o ka ʻāpana gluteal ma o kahi puka liʻiliʻi i kapa ʻia ʻo ka foramen sciatic haʻahaʻa .
• Mai laila mai, hele ia, me ke aʻa pudendal a me ka aʻa koko , i loko o kahi alahele haiki e like me ke ana ma ka pelvis i kapa ʻia ʻo ke kahawai pudendal (i kapa ʻia hoʻi ʻo ke kahawai ʻo Alcock ).
• ʻO ka hope loa, māhele ʻia nā aʻalolo i nā lālā liʻiliʻi.

He aha nā lālā nui o ke aʻalolo Pudendal?

Ma hope o ke komo ʻana i ke kahawai pudendal, māhele ʻia ke aʻalolo pudendal i ʻekolu mau lālā nui:

• ʻO ke aʻalolo rectal haʻahaʻa: Hoʻokele kēia i kou ʻiʻo sphincter anal. Hāʻawi pū ia i ka ʻike sensory i ka ʻiʻo sphincter anal a me ke kahawai anal.
• ʻO ke aʻalolo Perineal: Hoʻokele kēia i kou mau ʻiʻo papahele pelvic a me ka sphincter urethral. Hāʻawi pū ia i ka ʻike sensory i ka perineum a me ka labia i nā wahine a me ka scrotum i nā kāne.
• ʻO ke aʻalolo dorsal: ʻO kēia ke aʻalolo e hoʻouna i ka ʻike sensory e like me ka hoʻopā, ka leʻaleʻa, a me ka ʻeha i ka ʻili o ka penis a i ʻole clitoris. Kōkua ia i ka leʻaleʻa moekolohe a me nā kūkulu ʻana.

He aha nā kūlana e hoʻopilikia ai i ke aʻalolo pudendal?

I kekahi manawa, inā kau ʻia ke kaomi ma luna o kēia aʻalolo pudendal, hiki ke loaʻa ka ʻeha a i ʻole ka hōʻino ʻia ʻana o ke aʻalolo (neuropathy) .

ʻO ka maʻi pahele ʻana o ke aʻalolo Pudendal kahi maʻi kakaʻikahi i hoʻokumu ʻia e ke kaomi ʻana o ke aʻalolo. I kēia hihia, kau ʻia ke kaomi ma luna o ke aʻalolo pudendal ma muli o kahi ulia a i ʻole kekahi kumu ʻē aʻe. Hiki i kēia ke hana i kahi ʻeha koʻikoʻi, ʻeha, a mau loa i kapa ʻia ʻo pudendal neuralgia . Hoʻopilikia kēia maʻi i hoʻokahi i loko o hoʻokahi miliona mau kānaka, he mea kakaʻikahi loa ia.

He aha nā kumu o nā pilikia o ke aʻalolo pudendal?

Aia kekahi mau kumu e hiki ai ke hōʻino ʻia kēia aʻalolo:

• Nā ulia pōpilikia a me ka trauma.
• Nā pilikia o nā ʻoki kino pelvic . No ka laʻana, ka prostatectomy a i ʻole ke ʻoki ʻana o ka ʻōpū pelvic.
• ʻO ka maʻi diabetes a me ka neuropathy e pili ana i ka maʻi diabetes.
• Ka hana paʻakikī a me ka hānau ʻana.
• Kaomi lōʻihi ma luna o ke aʻalolo ma muli o nā hana e like me ke kaʻa paikikala .
• Hoʻōla radiation.
• Nā puʻupuʻu a i ʻole nā ​​cysts.

ʻO ke kuleana o ka poloka nerve pudendal i ka wā hānau keiki

I kekahi manawa hoʻohana nā kauka i kahi poloka aʻalolo pudendal e hōʻemi i ka ʻeha i ka wā hānau. Hiki i kāu kauka ke kuhikuhi i kēia inā ʻaʻole hiki iā ʻoe a ʻaʻole makemake paha ʻoe e loaʻa kahi epidural (spinal anesthesia), a inā makemake ʻoe i ka hoʻomaha ʻeha hou aʻe i ka wā e ho'ōla ai kou ʻeha ma hope o ka hānau ʻana.

Hana koke nā poloka aʻalolo Pudendal. Hiki iā lākou ke kōkua i ka hōʻemi ʻana i ka ʻeha i ka wā ʻelua o ka hana (ke kahua e hoʻokuke ʻia ai ke pēpē i waho) a i ʻole ma mua o ka episiotomy (kahi ʻoki liʻiliʻi ma ka puka o ka vagina). Eia naʻe, e hoʻomanaʻo, ʻaʻole lākou e hōʻemi i ka ʻeha o nā ʻūlū ʻeha i ka wā hana.

Pehea mākou e pale ai i ko mākou mau aʻalolo pudendal?

Aia kekahi mau mea hiki iā mākou ke hana e mālama i ko mākou ʻōnaehana nerve holoʻokoʻa, a me ka pale ʻana i kēia mau aʻalolo pudendal:

• Mai noho no ka manawa lōʻihi. E ala a hele a puni i kēlā me kēia hola a ʻelua paha.
• Inā ʻoe e holo paikikala, e hoʻomaha iki ma waena. Mai holo no nā hola i ka manawa.
• E hoʻokele i ke kaumaha ma o nā ʻano olakino e like me ka noʻonoʻo ʻana , ka hele wāwae, a i ʻole kahi leʻaleʻa āu e makemake ai.
• E ʻai i ka meaʻai momona a mālama i ke kaumaha olakino.
• E kāohi i nā kūlana e hiki ke hōʻino i nā aʻalolo, e like me ka maʻi diabetes a me ke koko kiʻekiʻe .
• Inā ʻoe e puhipaka, e noi i ke kōkua e haʻalele. Hoʻemi ka hoʻohana ʻana i ka paka i ke kahe koko i nā aʻalolo.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike pono i kāu kauka:

• Inā loaʻa iā ʻoe ka ʻeha mau loa ma kou wahi pelvic .
• Inā piʻi aʻe ka ʻeha ke noho ʻoe .
• Inā he hana moekolohe kou.
• Inā loaʻa iā ʻoe ka incontinence urinary a fecal paha .

ʻO ka mea hope loa, e hoʻomanaʻo i kēia.

ʻAe, ʻo ke aʻalolo pudendal a mākou i kamaʻilio ai i kēia lā he aʻalolo koʻikoʻi loa ia e hāʻawi ana i ka nui o ka neʻe ʻana a me ka ʻike i loko o ko mākou ʻāpana pelvic, ʻo ia hoʻi, ka genitalia waho a me ka anus. He mea nui ia no kou hiki ke kāohi i ka mimi a me ka defecation.

Inā ua hōʻino ʻia ke aʻalolo pudendal, hiki iā ia ke hōʻeha a hoʻopilikia i ka hiki ke moe kolohe a i ʻole ka leʻaleʻa.

ʻO ka maʻi pahele aʻalolo Pudendal e kū mai ana ke kau ʻia ke kaomi ma luna o ke aʻalolo. ʻO ka ʻeha nui a mau loa i hoʻokumu ʻia e kēia ʻano (pudendal neuralgia) hiki ke koʻikoʻi loa i hiki ʻole ke hana i nā hana o kēlā me kēia lā. No laila, inā loaʻa iā ʻoe kēlā ʻano ʻoluʻolu ʻole, ʻoi aku ka maikaʻi o ka hilahila ʻole a makaʻu paha a e ʻike i ke kauka no ka ʻōlelo aʻo. E hoʻomanaʻo, e like me nā mea āpau, aia kahi lāʻau no kēia.

ʻO ke aʻalolo Pudendal, ʻeha Pelvic, nā maʻi aʻalolo, hana pono ʻole i ka moekolohe, ka hoʻomalu ʻana i ka fecal, ka hoʻomalu ʻana i ka mimi