Peb puas yuav tham txog Obturator Nerve uas khiav hla koj lub qhov ncauj?

Koj puas tau xav txog tias cov hlab ntsha me me hauv peb lub cev tseem ceeb npaum li cas? Hnub no peb yuav tham txog ib txoj hlab ntsha tshwj xeeb hauv koj thaj tsam ntawm koj lub duav, sab hauv ntawm koj lub duav. Peb hu nws ua Obturator Nerve. Nws yuav zoo li nyuaj me ntsis, tab sis nws ua haujlwm ntau heev.

Lub paj hlwb Obturator yog dab tsi?

Hais yooj yim xwb, cov hlab ntsha obturator yog ib qho ntawm ntau cov hlab ntsha peripheral uas khiav hla koj lub qhov ncauj. Peb lub cev muaj ib yam hu ua peripheral nervous system . Qhov no yog qhov pab lub hlwb sib txuas lus nrog lwm tus ntawm lub cev. Nws zoo li lub xov tooj hluav taws xob.

Lub hauv paus ntawm cov hlab ntsha obturator no, lossis cov hauv paus hlab ntsha, nyob hauv koj lub lumbar plexus . Lub lumbar plexus no yog ib lub network ntawm cov hlab ntsha. Qhov no yog qhov uas tswj kev txav mus los thiab kev xav (innervation) ntawm peb ob txhais ceg qis, uas yog, sab saud ntawm ob txhais ceg, sab qis, thiab ko taw.

Muaj lwm cov hlab ntsha twg hla dhau lub qhov ncauj tsev menyuam?

Koj paub, cov hlab ntsha obturator no tsis yog tib qho nyob rau hauv thaj chaw groin xwb. Muaj ntau hom hlab ntsha ntxiv.

• Cov hlab ntsha femoral
• Cov hlab ntsha Genitofemoral
• Cov hlab ntsha Ilioinguinal
• Cov hlab ntsha femoral sab nraud

Cov haujlwm ntawm Obturator Nerve yog dab tsi?

Cov hlab ntsha no feem ntau tswj cov leeg nqaij txav thiab kev hnov ​​​​​​mus rau sab hauv ntawm koj lub duav.

Hais txog cov haujlwm ntawm lub cev muaj zog:

Cov leeg nqaij txuas nrog rau cov hlab ntsha obturator pab koj ua cov hauv qab no:

• Ntev koj ob txhais ceg ntawm lub hauv caug.
• Khoov koj lub duav.
• Tswj kom muaj kev sib npaug thaum sawv thiab taug kev.
• Tig koj ceg tawm ntawm koj lub cev.
• Tig koj txhais taw tawm ntawm koj lub cev.

Txog kev ua haujlwm ntawm lub sensory:

Cov hlab ntsha obturator muab kev xav rau cov qhov no ntawm koj lub cev:

• Rau cov pob qij txha.
• Rau cov pob qij txha.
• Qee qhov chaw ntawm daim tawv nqaij sab hauv ntawm koj ob txhais ceg (nyob ib puag ncig lub puab tais).

Puas muaj lwm yam kev siv rau Obturator Nerve?

Yog, muaj lwm cov txiaj ntsig tshwj xeeb. Qee zaum cov kws kho mob txhaj tshuaj rau hauv cov hlab ntsha obturator no kom txo qhov kev xav hauv thaj chaw ntawd. Peb hu qhov no ua kev thaiv hlab ntsha . Xav txog nws zoo li ua kom cov pos hniav tsis hnov ​​​​​​mob ua ntej rho hniav tawm.

Tej zaum koj yuav xav tau kev thaiv cov hlab ntsha obturator hauv cov xwm txheej hauv qab no:

• Ua ntej phais lub duav lossis lub hauv caug, ua kom lub qhov ncauj loog.
• Piv txwv li, thaum phais mob plab mog, thaum kho mob qog noj ntshav hauv lub zais zis, tiv thaiv ob txhais ceg kom tsis txhob txav mus los yam tsis xav tau.
• Txo qhov mob ntawm qhov chaw mos lossis qhov mob ntawm lub duav uas tsis teb rau kev kho mob ib txwm muaj.
• Kho cov leeg nqaij nruj tsis zoo ntawm sab hauv ntawm lub duav (tseem hu ua spasticity ). Qhov mob no qee zaum tuaj yeem tshwm sim rau cov neeg uas muaj kab mob xws li multiple sclerosis .

Lub cev ntawm cov hlab ntsha obturator yog dab tsi?

Zoo, tam sim no cia peb saib seb cov hlab ntsha no tsim li cas thiab nws mus ncig li cas.

Cov hlab ntsha uas ua rau cov hlab ntsha obturator pib hauv koj lub nraub qaum qis, ntawm cov vertebrae L2, L3, thiab L4.

Txoj kev ntawm cov hlab ntsha obturator yog raws li nram no:

• Nws mus los ntawm ib cov leeg nqaij hu ua cov leeg nqaij psoas .
• Koj cov hlab ntsha iliac khiav tom qab thiab raws ntug ntawm phab ntsa pelvic.
• Tom qab ntawd nws nkag mus rau hauv thaj tsam femoral los ntawm qhov qhib ntawm cov ntaub so ntswg ze, lub canal obturator .

Tom qab ncav cuag qhov chaw mos, cov hlab ntsha obturator faib ua peb ceg tseem ceeb:

• Ceg pem hauv ntej: Qhov no muab kev xav rau cov leeg uas pab koj khoov koj lub duav.
• Ceg tawv nqaij: Qhov no yog lwm ceg uas tawm ntawm ceg pem hauv ntej. Nws muab kev xav rau daim tawv nqaij ntawm sab hauv sab saud ntawm koj lub duav.
• Ceg posterior: Qhov no pab tig lub duav thiab coj ob txhais ceg ua ke.

Xav txog nws, ib yam li cov ceg loj tawm ntawm lub hauv paus ntoo, thiab cov ceg me dua tawm ntawm cov ceg ntawd, cov hlab ntsha no kuj tawm mus ua cov ceg ntoo thiab.

Qee zaum, ceg pem hauv ntej no kuj muab kev ua haujlwm rau cov leeg nqaij pectineus ntawm sab hauv ntawm koj lub duav sab saud. Tab sis feem ntau, cov leeg nqaij no tau txais kev pab los ntawm koj cov hlab ntsha femoral . Txawm li cas los xij, qhov no tuaj yeem yog qhov sib txawv tsawg ntawm cov qauv cev.

Ua li cas cov hlab ntsha obturator thiaj raug puas tsuaj? Cov mob dab tsi cuam tshuam rau nws?

Qhov teeb meem tseem ceeb uas tshwm sim thaum cov hlab ntsha obturator raug puas tsuaj yog qhov mob neuropathic . Qhov no yog qhov mob uas yog los ntawm cov hlab ntsha nws tus kheej. Muaj ntau yam mob uas tuaj yeem ua rau qhov no:

• Kev cuam tshuam ntawm cov hlab ntsha: Qhov no yog thaum cov nqaij nyob ze, xws li cov leeg o, muab kev nyuaj siab ntau dhau rau ntawm cov hlab ntsha, ua rau cov hlab ntsha tsis ua haujlwm zoo. Qhov no tuaj yeem tshwm sim thaum cev xeeb tub. Nws kuj tseem tuaj yeem tshwm sim los ntawm qee yam mob hauv lub plab mog, xws li endometriosis .
• Kev puas tsuaj rau cov hlab ntsha (Obturator neuropathy): Kev puas tsuaj rau cov hlab ntsha tuaj yeem tshwm sim vim yog kev hnav thiab tsim kua muag tsis zoo lossis muaj xwm txheej.
• Obturator hernia: Cov nqaij mos ntawm lub plab thawb mus rau hauv lub canal obturator thiab nias lub paj hlwb obturator.
• Kev raug mob ntawm lub duav: Qhov no tuaj yeem tshwm sim thaum lub sijhawm yug menyuam lossis thaum raug mob hnyav xws li kev sib tsoo tsheb. Lub sijhawm no, kev los ntshav sab hauv tuaj yeem tshwm sim thiab cov hlab ntsha tuaj yeem raug nias.
• Cov qog nqaij hlav hauv lub plab lossis mob qog noj ntshav: Cov qog nqaij hlav tsis zoo (cov qog nqaij hlav) tuaj yeem tshwm sim rau hauv qhov chaw xws li lub zais zis, lub ncauj tsev menyuam, thiab lub qhov quav.
• Kev raug mob hauv kev ua si: Qhov no tuaj yeem tshwm sim hauv kev ua si uas muaj kev ncaws pob ntau zaus, xws li ncaws pob, lossis hauv kev ua si uas xav tau kev zaum ntev, xws li caij tsheb kauj vab thiab caij nees.

Puas muaj lwm yam ua rau puas tsuaj rau cov hlab ntsha obturator?

Yog lawm, muaj lwm yam. Cov hlab ntsha obturator kuj tseem tuaj yeem raug cuam tshuam ua qhov teeb meem, tshwj xeeb tshaj yog hauv kev phais mob pelvic . Koj paub, muaj ntau cov qauv nyuaj heev hauv thaj chaw no. Yog li qhov chaw rau cov cuab yeej phais kom txav tau tsawg. Yog li, qee zaum cov hlab ntsha no tuaj yeem raug puas tsuaj thaum cov kws kho mob sim mus txog thaj chaw uas lawv ua qhov phais. Thaum lub sijhawm phais, cov hlab ntsha obturator tuaj yeem raug nias ib ntus, rub, lossis, tsis tshua muaj, raug puas tsuaj los ntawm cov cuab yeej phais.

Thaum muaj qee qhov kev phais mob, thiab thaum yug menyuam, cov ceg siv los tso ob txhais ceg deb ntawm lub cev. Qhov no tuaj yeem ua rau cov hlab ntsha obturator nruj.

Nov yog qee hom kev phais mob uas tuaj yeem ua rau muaj obturator neuropathy:

• Kev txiav cov lymph node rau mob qog nqaij hlav ntawm lub tsev menyuam.
• Kev kho qhov mob ntawm lub cev pelvic prolapse .
• Kev siv daim kab xev transobturator (TOT) rau kev tswj tsis pub tso zis .
• Kev phais tshem lub tsev menyuam tag nrho ( tshem lub tsev menyuam tawm) thiab kev phais prostate (tshem cov qog prostate).
• Uterine artery occlusion ua kev kho mob rau fibroids .

Kuv yuav tiv thaiv kuv cov hlab ntsha obturator li cas?

Qee yam uas ua rau muaj mob obturator neuropathy, xws li kev raug mob thaum yug menyuam lossis kev raug mob hlwb loj heev, tej zaum yuav dhau peb txoj kev tswj hwm. Lawv tsis yog yam uas peb tswj tau.

Txawm li cas los xij, muaj ntau yam koj ua tau los tiv thaiv kev puas tsuaj rau cov hlab ntsha obturator los ntawm kev raug mob kis las:

• Kho cov hlua khi ntawm cov nees lossis qhov siab ntawm lub rooj zaum ntawm lub tsheb kauj vab kom txo qhov kev nyuaj siab rau koj lub duav.
• Ua ntej koj yuav ncaws pob , koj yuav tsum ua kom koj lub cev sov so , uas txhais tau tias koj yuav tsum siv sijhawm los ua kom koj lub cev sov so.
• Ua kom koj ob txhais ceg thiab cov leeg nqaij hauv plab qis muaj zog los ntawm kev cob qhia ua kom muaj zog .
• Yog tias koj hnov ​​​​​​mob lossis tsis xis nyob hauv koj lub qhov ncauj, tsis txhob quav ntsej, tsum tsis txhob ua si thiab so .

Thaum twg koj yuav tsum mus ntsib kws kho mob yog tias koj muaj teeb meem nrog cov hlab ntsha obturator?

Cov tsos mob ntawm obturator neuropathy feem ntau yuav nyob ntev thiab tsis yooj yim zoo dua li qub.

Yog koj muaj ib qho ntawm cov tsos mob no, mus ntsib kws kho mob tam sim ntawd:

• Claudication , uas yog kev mob nqaij ntshiv lossis mob nqaij ntswj (mob ceg) hauv ob txhais ceg uas tshwm sim thaum ua si lub cev.
• Mob pob txha ntawm koj lub qhov ncauj tas li.
• Tsis xis nyob lossis mob kis mus rau ntawm tus ncej puab.
• Cov leeg tsis muaj zog hauv tus ncej puab.
• Mob duav.
• Yog tias qhov mob nce ntxiv thaum koj txav koj ceg ntawm ib sab mus rau ib sab.
• Ib qho kev xav tias muaj qhov ntse ntse hauv thaj chaw puab tais.

Nco ntsoov, nws tsis yog lub tswv yim zoo uas yuav tsis quav ntsej cov tsos mob no. Nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob sai li sai tau.

Cia peb nco ntsoov ua luv luv (Cov Lus Coj Mus Tsev)

Yog li, tej zaum koj yuav nkag siab tam sim no tias Obturator Nerve uas peb tau tham txog hnub no yog ib qho hlab ntsha tseem ceeb heev uas pab koj khoov koj lub duav thiab tig koj ceg mus rau sab nraud. Cov hlab ntsha no tuaj yeem cuam tshuam rau ntau yam, xws li kev raug mob hauv kev ua si, teeb meem thaum yug menyuam, lossis teeb meem los ntawm cov txheej txheem kho mob. Qee tus neeg kuj tseem yuav mob tas mus li vim yog obturator neuropathy.

Tiamsis tsis muaj dab tsi yuav tsum ntshai. Muaj cov kev kho mob niaj hnub no, xws li kev thaiv cov hlab ntsha, uas tuaj yeem pab koj. Qhov tseem ceeb tshaj plaws yog nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj cov tsos mob uas tau hais los saum toj no. Tom qab ntawd koj tuaj yeem pib kho mob sai li sai tau.

Cov hlab ntsha, Cov hlab ntsha Obturator, Mob ceg, Mob qhov ncauj, Mob hlab ntsha, Cov qauv ntawm lub cev, Kev noj qab haus huv