Ke ʻeha mau nei hoʻi ʻoe ma kou ʻōpū lalo? He neuralgia pudendal paha ia?

Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha hiki ʻole ke hoʻomanawanui, ka wela, a i ʻole ka mae ʻana o kou ʻōpū ma lalo , ʻo ia hoʻi, ma ka ʻāpana genital a me ka rectum? Ke ʻano nei anei e ʻoi aku ka ʻino o kēia ʻeha, ʻoiai ke noho ʻoe i lalo? Inā pēlā, he mea nui loa iā ʻoe ke makaʻala i kēia ʻano i kapa ʻia ʻo Pudendal Neuralgia, a mākou e kamaʻilio nei i kēia lā. ʻOiai he ʻano kakaikahi kēia, hiki ke hoʻopilikia nui i kekahi poʻe.

He aha ka Pudendal Neuralgia?

I ka ʻōlelo maʻalahi, ʻo ka neuralgia pudendal kahi ʻeha pelvic lōʻihi i hoʻokumu ʻia e ka hōʻino, ke kaomi ʻana, a i ʻole ka pilikia me kou aʻalolo pudendal . ʻO ke kikoʻī, i ka wā e ʻeha ai a i ʻole ke kaomi ʻia kēia aʻalolo, hana ia i kahi ʻeha hou, ʻā, a i ʻole ka ʻeha uila. Hiki ke ʻike ʻia kēia ʻeha ma kou puʻupuʻu, perineum , a me nā ʻōpū. ʻOi aku ka ʻino i ka wā e noho ana ʻoe.

Aia ma hea ke aʻalolo pudendal?

E noʻonoʻo e pili ana i ia mea, hoʻomaka ke aʻalolo pudendal ma ke kua o ko kākou pelvis a pili i ka ʻāpana holoʻokoʻa ma waena o ko kākou mau wāwae, me nā ʻiʻo a me ka ʻili. I kekahi ʻano ʻē aʻe, e noʻonoʻo i kēlā me kēia wahi āu e kaomi ai i ka noho ke holo ʻoe i kahi paikikala. Hiki ke hoʻopilikia ʻia kēlā ʻāpana holoʻokoʻa e ka hōʻino ʻia o ke aʻalolo pudendal. Hoʻomalu kēia aʻalolo i nā neʻe a me nā manaʻo o kou mau ʻōpū a me ka anus. Hoʻomalu pū ia i nā ʻiʻo sphincter e kōkua iā ʻoe e mimi a me ka defecate.

He aha ka hana a ke aʻalolo pudendal?

Ke lawe nei kēia aʻalolo i kekahi o nā manaʻo koʻikoʻi loa mai ko mākou kino a i ka lolo. ʻO ia hoʻi:

• Hoʻokaʻaʻike
• Leʻaleʻa (moekolohe)
• ʻEha
• Mahana

Loaʻa kēia mau manaʻo mai nā wahi aʻe:

• Nā inoa kāne: penis a me ka scrotum
• Nā inoa wahine: vagina , labia , a me vulva
• No nā mea ʻelua: ka wahi ma waena o ka anus a me ka vagina/penis (perineum)
• ʻAla anal a me ka anus
• Urethra (ka ʻōmole e puka ai ka mimi mai ke kino)

Ma ke kamaʻilio ʻana e pili ana i ke ʻano maʻamau o kēia ʻano, ʻo ia nōHe ʻano laha ʻole ka Pudendal Neuralgia, akā hiki iā ia ke hoʻopilikia i kekahi. ʻOi aku ka maʻamau i nā pākeke ma luna o 19 mau makahiki.

He aha nā hōʻailona o ka hōʻino ʻia ʻana o ke aʻalolo pudendal?

ʻO ka hōʻailona nui a koʻikoʻi loa o kēia ʻano, ʻo ia ka ʻeha . Hiki i kēia ʻeha ke hoʻopilikia i kekahi ʻōkana a i ʻole ʻiʻo i kāohi ʻia e ke aʻalolo pudendal. Hiki iā ʻoe ke manaʻo i kēia ʻeha ma ka clitoris, labia, vagina, penis, scrotum, anus, a i ʻole rectum .

Ua wehewehe kekahi poʻe i kēia ʻeha penei:

• Ua like ia me kahi hou ʻana, he ʻaki, he ʻano wela, a i ʻole me he mea lā ua hou ʻia me ka pahi .
• ʻŌniʻoniʻo, ʻūlū, a i ʻole ka nalowale o ka ʻike .
• Me he mea lā e hoʻonui ʻia ka ʻeha i ke ahiahi a me ka pō a laila e emi iki ana i ke kakahiaka .
• ʻOkoʻa ka ikaika o ka ʻeha i kēlā me kēia manawa (i kekahi mau lā ʻoi aku ka nui, i kekahi mau lā ʻaʻole emi).
• ʻIke nui ʻia ka ʻeha i ka wā e noho ana . Hoʻēmi iki ia i ke kū ʻana a i ʻole ka moe ʻana.

E noʻonoʻo, ua ʻike ʻo Nilanthi i kahi ʻeha ʻē ma kona ʻōpū haʻahaʻa no nā mahina. Ua ʻike ʻo ia i kekahi mau kauka, akā ʻaʻole hiki iā lākou ke kuhikuhi i ke kumu pololei. Ua paʻakikī loa iā ia ke noho ma kona noho keʻena a hana. I kekahi manawa ua nui loa ka ʻeha a uē ʻo ia. ʻO ka hope loa, ua ʻike kekahi loea he Pudendal Neuralgia.

Ma waho aʻe o kēia ʻeha nui, hiki ke loaʻa nā hōʻailona ʻē aʻe:

• Hoʻonui ka ʻike a hiki i kahi e ʻeha ai ʻoe ʻoiai ke komo nei i loko o nā lole komo.
• Ua pehu ka ʻāpana a puni ka anus, me he mea lā ua paʻa kekahi mea i loko o ka anus .
• He manaʻo koke o ka makemake e mimi .
• Ua ʻeha au i ka wā e kahe ai ka wai .
• Ua ʻeha au i ka wā o ka moekolohe .
• He mea paʻakikī ke hōʻea i ka orgasm.
• Hiki i nā kāne ke loaʻa i ka erectile dysfunction .
• Hiki paha ke loaʻa ka mae wale, ke anu, a i ʻole ka nalowale o ka ʻike ma nā wāwae, nā kapuaʻi, a me nā puʻupuʻu.

ʻEkolu mau lālā nui o ko kākou aʻalolo pudendal: ka lālā rectal, ka lālā perineal, a me ka lālā clitoral/penile. Aia nā hōʻailona āu e ʻike ai i ka lālā i hōʻino ʻia.

He aha nā kumu e hoʻonui ai i ka Pudendal Neuralgia?

Hiki ke hōʻino ʻia ke aʻalolo pudendal (ma o ke kaomi ʻana a i ʻole nā ​​ʻano ʻē aʻe) a i ʻole e kaomi ʻia e nā ʻiʻo a i ʻole nā ​​​​ʻiʻo e hoʻopuni ana. ʻO kekahi o nā mea e hiki ai ke hana i kēia:

• Nā hana e kau mau ana i ke kaomi ma ka ʻāpana pelvic. No ka laʻana, ʻo nā mea e like me ke kaʻa paikikala , ka squatting i ka wā hāpai kaumaha, ka holo lio, a i ʻole ka paʻa mau ʻana o ka ʻōpū hiki ke hōʻino i ka pelvis.
• Noho lōʻihi.
• ʻO ke kaomi ʻana o nā aʻalolo ma muli o nā ʻiʻo a me nā ligaments a puni.
• Nā pilikia o kekahi mau ʻoki kino, no ka laʻana, ka prostatectomy .
• Ka haki ʻana o ka iwi pelvic.
• Nā trauma i ka wā hānau.
• Kekahi mau maʻi a i ʻole nā ​​maʻi ʻino.
• ʻO kahi ulu a i ʻole ka ʻeha ʻaʻole maʻi kanesa (maikaʻi ʻole).
• ʻO ka neuropathy i hoʻokumu ʻia e ka maʻi diabetes mellitus a i ʻole nā ​​​​​​kūlana olakino ʻē aʻe.

Pehea e ʻike ʻia ai ka Pudendal Neuralgia?

Hoʻoponopono nā kauka i kēia kūlana ma o ka hoʻokolokolo kino a me nā hoʻokolohua ʻē aʻe. Nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona a me kahi o ka ʻeha. I ka manawa pinepine, hoʻāʻo pū nā kauka e kāpae i nā kūlana ʻē aʻe e hiki ke hoʻoulu i ka ʻeha like.

ʻO kekahi o nā hoʻokolohua i hoʻohana ʻia no kēia:

• Hoʻokolokolo vaginal a rectal paha: Hoʻokomo ke kauka i kahi manamana lima i loko o kou rectum a vagina paha a kau pololei i ke kaomi ma ke aʻalolo pudendal.
• Magnetic Resonance Imaging (MRI): He hoʻāʻo kiʻi ikaika kēia e hiki ai ke nānā i ke aʻalolo pudendal a me nā hale a puni e ʻike i nā pilikia.
• Electromyography (EMG): Ma kēia hoʻokolohua, hoʻohana nā kauka i kahi mea liʻiliʻi e hoʻouna i nā impulses uila i kou nerve pudendal e ʻike i ke ʻano o kāna hana a me ka pane ʻana i ka hoʻoulu ʻana.
• Nā mea pale aʻalolo: E hoʻokomo nā kauka i kahi lāʻau hoʻomaha ʻeha i loko o kou wahi pelvic e hoʻopau i ke aʻalolo pudendal. A laila e ʻike lākou inā e pau ana kou ʻeha. Inā e pau ana ka ʻeha, ʻo ia hoʻi, ua hele mai paha ka ʻeha mai ke aʻalolo pudendal mai.

Nā kūlana ʻē aʻe e hiki ke huikau me Pudendal Neuralgia

Loaʻa nā hōʻailona like o ka neuralgia Pudendal a me kekahi mau kūlana ʻē aʻe. No ka laʻana, ka ʻeha a me ka incontinence. No laila, hiki i kāu kauka ke hana i nā hoʻokolohua a nīnau paha i nā nīnau e kāpae i nā pilikia ʻē aʻe. ʻO kekahi o kēia mau kūlana ʻē aʻe:

• Vulvodynia: ʻEha ma ka ʻāpana vaginal waho .
• Coccygodynia: ʻEha ma ka iwi huelo.
• Prostatitis: Nā maʻi e pili ana i ka prostate gland.
• Sciatica: ʻEha ma ke kua a me nā wāwae i hana ʻia e ka hōʻino ʻana i ke aʻalolo sciatic.
• ʻO ka hana pono ʻole o ka papahele pelvic: ʻO ka hōʻino ʻana i nā ʻiʻo papahele pelvic e paʻakikī ai i ka hoʻokahe ʻana a i ʻole ka paʻa ʻana i ka mimi.

Pehea e mālama ai ʻia ai ka Pudendal Neuralgia?

Hiki i nā lāʻau lapaʻau ke komo pū me ka hoʻōla kino, nā lāʻau lapaʻau, nā hoʻololi ʻana i ke ʻano o ka nohona, a i ʻole ke ʻoki kino. Hiki i nā kauka ke hoʻohana pū i hoʻokahi a ʻoi aku paha o kēia mau lāʻau lapaʻau e hōʻoluʻolu koke i nā hōʻailona.

Hoʻōla kino

Hiki i kahi mea hoʻōla kino ke aʻo iā ʻoe i nā hoʻolōʻihi a me nā hoʻomaʻamaʻa e hoʻomaha i nā ʻiʻo e hoʻoulu ai i kou ʻeha aʻalolo pudendal. Hiki iā lākou ke paipai i ka hoʻohana ʻana i kahi mīkini TENS (Transcutaneous Electrical Nerve Stimulation) e hōʻemi i ka ʻeha aʻalolo.

Nā loli o ke ʻano o ka nohona

Hiki i kekahi mau mea ke hoʻonui i ka ʻeha o ke aʻalolo pudendal, no laila he mea kōkua paha ke pale aku a hoʻololi paha i kēlā mau hana. Eia kekahi mau laʻana:

• Ka noho ʻana no ka manawa lōʻihi i ka manawa hoʻokahi.
• Ke kaʻa paikikala ʻana.
• Hoʻomaʻamaʻa squat i hana ʻia i ka wā e hāpai ana i nā mea kaumaha.
• Holo lio.
• Ke hoʻoluhi nei i ka wā o ka neʻe ʻana o ka ʻōpū inā he paʻa kou.

He manaʻo maikaʻi ka hoʻohana ʻana i kahi uluna donut a i ʻole kahi uluna ʻano U ke noho ʻoe. He lua ko kēia mau uluna ma waenakonu, kahi e hōʻemi ai i ke kaomi ma nā ʻiʻo papahele pelvic a me ka perineum. Inā paʻa pinepine ʻoe i ka ʻōpū, e ʻai i nā meaʻai momona i ka fiber a lawe paha i kahi mea palupalu ʻōpala. E kōkua kēia iā ʻoe e hoʻokuʻu maʻalahi i ka ʻōpala.

Lāʻau lapaʻau

Hiki i kekahi poʻe ke hoʻohana i nā mea hoʻomaha ʻeha a i ʻole nā ​​steroids e hōʻemi i ka ʻeha. Aia kekahi mau lāʻau lapaʻau i kuhikuhi kūikawā ʻia no ka neuralgia pudendal:

• Nā lāʻau hoʻopau ʻeha.
• Nā lāʻau neuroleptic a i ʻole antiepileptic, no ka laʻana , ʻo Gabapentin .
• ʻO ka hoʻokomo ʻana i nā anesthetics kūloko (e ālai i ka ʻeha o ke aʻalolo) a i ʻole corticosteroids (e hōʻemi i ka mumū).
• Nā lāʻau antidepressants Tricyclic, e like me amitriptyline .
• Nā inikini Botox e hoʻomaha i nā ʻiʻo a puni ke aʻalolo pudendal.

ʻoki kino

ʻO ke ʻoki ʻana he koho hope loa ia. ʻO ka hoʻokaʻawale ʻana i ke aʻalolo Pudendal kahi hana e wehe ai i nā ʻiʻo a i ʻole nā ​​​​ʻiʻo mai kou aʻalolo pudendal. Hana nā kauka ʻoki i kahi ʻoki i loko o kou mau ʻiʻo gluteal a i ʻole nā ​​​​ʻiʻo perineal e hiki ai i ke aʻalolo pudendal. Hiki i kēia ʻoki ʻana ke hala i nā mahina, a i ʻole nā ​​​​makahiki, e hōʻoluʻolu i ka ʻeha. ʻAʻole ia he lāʻau lapaʻau koke.

Hiki ke lomilomi ʻia ke aʻalolo pudendal?

ʻAʻole ʻae ʻia ka lomilomi ʻana no ka neuralgia pudendal. Eia nō naʻe, ke ʻōlelo nei kekahi mau kauka e lomilomi i nā ʻiʻo a puni ke aʻalolo pudendal e hōʻoluʻolu i ka paʻa a me ke kaomi. Hiki i kēia ke hāʻawi i ka hoʻomaha manawa pōkole mai ke aʻalolo pudendal i ʻoki ʻia.

Pehea e hiki ai iaʻu ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka neuralgia pudendal?

Hiki ke paʻakikī ke hōʻemi i kēia inā he hānau keiki, he ulia, a he ʻoki kino paha ke kumu. Eia nō naʻe, hiki i kekahi mau hana ke hoʻopilikia i kou aʻalolo pudendal.

Aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka ʻeha o ke aʻalolo pudendal:

• E pale i ka holo lio a i ʻole ke kaʻa paikikala.
• Mai noho mau, e kū i luna i kēlā me kēia manawa.
• E hoʻohana i kahi uluna ʻano donut i ka wā e noho ana e hōʻemi i ke kaomi ma kou pelvis.
• E pale i ke kaumaha ʻana i ka wā e mimi ai a i ʻole e kīkēkē ana.

Hiki ke ho'ōla loa ʻia ka Pudendal Neuralgia?

ʻAʻole, ʻaʻohe lāʻau lapaʻau no kēia. ʻO ka pahuhopu o ka mālama ʻana, ʻo ia ka hōʻemi ʻana i nā hōʻailona i ka hiki. Eia nō naʻe, ʻaʻole paha e nalowale loa nā hōʻailona.

Pehea ʻoe e ola ai i ke ola o kēlā me kēia lā me ka ʻeha o ke aʻalolo pudendal?

Ke loaʻa iā ʻoe ka ʻeha aʻalolo mau loa, hiki iā ia ke hoʻopilikia i kou ola o kēlā me kēia lā. Hiki iā ia ke hoʻopilikia i kāu mau pilina, nā hana, a me ke olakino holoʻokoʻa. Inā loaʻa iā ʻoe ka ʻeha pelvic, ka hana pono ʻole o ka moekolohe, nā pilikia kaohi ʻana i ka mimi/ʻōpū, a i ʻole nā ​​​​manaʻo kaumaha, he mea nui e ʻike i ke kauka . Hiki iā lākou ke kōkua iā ʻoe e loaʻa ka hōʻoluʻolu no kou ʻeha a hoʻoholo inā ʻo ke aʻalolo pudendal ke kumu.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka ʻeha ma kou wahi pelvic a i ʻole nā ​​​​​​mea hoʻoilina , e ʻike koke i ke kauka . Inā ʻaʻole mālama ʻia, hiki i kou ʻeha ke ʻoi aku ka ʻino a hoʻolilo iā ʻoe i mea paʻakikī ke hana i kāu mau hana o kēlā me kēia lā. Eia kekahi mau hōʻailona e makaʻala ai:

• He manaʻo "pinepine a me nā nila" ma ke pelvis, ka puʻupuʻu, a i ʻole nā ​​​​​​wahi hānau.
• He manaʻo me he mea lā ua paʻa kekahi mea i loko o ka anus.
• ʻEha i ka wā e mimi ai a i ʻole ka pono e mimi pinepine.
• Nā pilikia hana moekolohe.

Inā loaʻa iā ʻoe ka ʻeha pelvic mau loa a manaʻo ʻoe he pudendal neuralgia paha kāu, ʻaʻole ʻoe hoʻokahi. ʻOiai he mea kakaikahi ia, hiki i ka pudendal neuralgia ke lilo i mea hoʻonāwaliwali e hiki ke hoʻopilikia i kou nohona, nā pilina, a me nā hana o kēlā me kēia lā. E kamaʻilio me kāu kauka e pili ana i kāu mau hōʻailona. A laila hiki iā ia ke hoʻoholo i ke koho lapaʻau maikaʻi loa e pili ana i ke koʻikoʻi a me kahi o kou ʻeha. E hoʻomanaʻo, ʻo ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau e hiki ke kōkua iā ʻoe e hoʻomaha mai kou ʻeha.

ʻO ka mea nui loa (Leka Lawe-Home)

• ʻO ka neuralgia Pudendal kahi ʻeha koʻikoʻi a mau loa ma ka ʻāpana pelvic i hoʻokumu ʻia e ka hōʻino ʻana i ke aʻalolo pudendal.
• ʻO kahi hōʻailona koʻikoʻi, ʻo ia ka hoʻonui ʻana o ka ʻeha i ka wā e noho ana .
• Hiki ke hana ʻia kēia e kekahi mau kumu; nā mea e like me ke kaumaha mau, ke ʻoki kino, ka hānau keiki ʻana , a me nā mea ʻē aʻe.
• He mea nui loa e ʻimi koke i ke kōkua lapaʻau inā loaʻa nā hōʻailona.
• Hiki ke mālama ʻia nā hōʻailona me ka hoʻoikaika kino, nā lāʻau lapaʻau, nā loli o ke ʻano o ka nohona, a i kekahi manawa ke ʻoki ʻana.
• ʻOiai inā ʻaʻohe lāʻau lapaʻau piha, hiki iā ʻoe ke loaʻa ke kōkua e hōʻemi i ka ʻeha a ola i kahi ola maʻamau.