Yu kin gɛt pen bak ɔltɛm na yu bɛlɛ we de dɔŋ? Yu tink se na pudendal nyuraljia?

Sɔntɛnde, yu kin fil pen we yu nɔ go ebul fɔ bia, bɔn, ɔ we yu nɔ ebul fɔ bia na yu bɛlɛ we de dɔŋ , dat na, na di say we yu bɛlɛ ɛn yu rɛkɛt? I tan lɛk se dis pen de wɔs, mɔ we yu sidɔm? If na so, i rili impɔtant fɔ mek yu no bɔt dis sik we dɛn kɔl Pudendal Neuralgia, we wi go tɔk bɔt tide. Pan ɔl we dis nɔ kin apin so ɔltɛm, i kin rili mek sɔm pipul dɛn at pwɛl.

Wetin na Pudendal Nyuraljia?

Fɔ tɔk am simpul wan, pudendal neuralgia na wan pen we kin de na yu bɛlɛ fɔ lɔng tɛm we yu kin gɛt prɔblɛm wit yu pudendal nerve . Spɛshal wan, we dis nɛv wund ɔ kɔmprɛs, i kin mek pɔsin chuk am, bɔn am, ɔ i kin fil pen lɛk ilɛktrik shɔk. Yu kin fil dis pen na yu bɔdi, yu bɔdi , ɛn yu bɔdi. I kin tranga pas ɔl we yu sidɔm.

Usay di pudendal nerve de?

Tink bɔt am, di pudendal nerve de stat na di bak pat na wi pelvis ɛn i de kɔnɛkt to di wan ol eria bitwin wi leg dɛn, inklud di mɔsul dɛn ɛn di skin. Fɔ tɔk am ɔda we, tink bɔt ɛni say we yu de pres di sit we yu de rayd baysikul. Dat ɔl eria kin afɛkt bay we di pudendal nerve dɔn pwɛl. dis nεv de kכntro di muvmεnt εn sens dεm na yu jεnital εn anus. I de kɔntrol bak di sfinktɔ mɔsul dɛm we de ɛp yu fɔ pis ɛn pul dɔti.

Wetin na di wok we di pudendal nerve de du?

Dis nerve de kɛr sɔm pan di impɔtant tin dɛm we wi kin fil frɔm wi bɔdi to di bren. Dat na:

• Kɔl
• Plɛnti gladi (seksual) .
• Pen
• Tɛmprɛchɔ

Dɛn sɛns ya kin kɔmɔt frɔm dɛn tin ya:

• Man nem dεm: penis εn skrotum
• uman nem dεm: vagina , labia , εn vulva
• fכ dεn tu: di εria bitwin di anus εn di vagina/penis (perineum) .
• Anal kanal ɛn anus
• Yuretra (di tiub we di urine de kɔmɔt na di bɔdi) .

Fɔ tɔk bɔt aw dis sik kin kɔmɔn, na tru truPudendal Neuralgia na wan sik wae nɔr kin bɔrku , bɔt e kin afɛkt ɛnibɔdi. I kin mɔs bi pan big pipul dɛm wae dɔn pas 19 ia.

Wetin na di sayn dɛm we de sho se di pudendal nerve dɔn pwɛl?

Di men ɛn bad bad sayn fɔ dis sik na pen . dis pen kin afekt eni כgan כ mכsul we di pudendal nεv de kכntro. Yu kin fil dis pen na di klitoris, labia, vagina, penis, skrotum, anus, ɔ rεktum .

Sɔm pipul dɛn kin tɔk bɔt dis pen lɛk dis:

• I kin tan lɛk se pɔsin de chuk pɔsin, i de swɛt am, i de bɔn am, ɔ i tan lɛk se dɛn chuk am wit nɛf .
• Yu nɔ de fil fayn, yu de swɛt, ɔ yu de fil lɛk se yu nɔ de fil fayn igen .
• I tan lɛk se di pen kin bɔku na ivintɛm ɛn na nɛt ɛn afta dat i kin stɔp smɔl na mɔnin .
• De intensity of de pen kin difrɛn frɔm tɛm to tɛm (sɔm de i kin mɔs, sɔm dez i kin smɔl).
• Di pen kin fil mɔ we yu sidɔm . I kin stɔp smɔl we yu tinap ɔ ledɔm.

Imajin se Nilanthi bin dɔn de fil wan strenj pen na in bɛlɛ fɔ lɔng lɔng tɛm. I bin dɔn si bɔku dɔktɔ dɛn, bɔt dɛn nɔ bin ebul fɔ no di rayt rizin. I bin rili at fɔ sidɔm na in ɔfis chia ɛn wok. Sɔntɛnde, di pen bin so bad dat i kin kray. Fɔ dɔn, wan spɛshal dɔktɔ bin kam fɔ no se i gɛt am na Pudendal Neuralgia.

Apat frɔm dis men pen, ɔda sayn dɛn kin apin:

• Di sɛnsitiviti kin go ɔp te yu fil pen ivin we yu wɛr ɔndawea.
• di say we de rawnd di ans kin fil se i dɔn swel, lɛk se sɔntin dɔn stɔp insay di an .
• Wan filin wantɛm wantɛm se yu nid fɔ pis .
• A kin fil pen we a de dɔti .
• A kin fil pen we a de du mami ɛn dadi biznɛs .
• I at fɔ rich ɔrgazm.
• Man dɛn kin gɛt prɔblɛm wit di erectile dysfunction .
• I kin gɛt jɛnɛral numbness, kol, ɔr nɔr kin fil fayn na di leg, fut, ɛn bɔt.

di pudendal nεv we wi gεt tri men branch dεm: di rεktal branch, di pεrinial branch, εn di klitoral/pεni branch. Di sayn dɛm wae yu kin gɛt kin dipen pan uswan pan dɛn branch ya dɔn pwɛl.

Wetin na de tin wae de mek Pudendal Neuralgia de bɔku?

di pudendal nεv kin pwεl (bay kכmכpshכn כ כda we) כ i kin kכmprεs bay di tisu כ mכsul dεm we de rawnd am. Sɔm pan di tin dɛm wae kin mek dis sik na:

• Aktiviti dεm we de put prεshכn kכnstant pan di pεlvik εria. Fɔ ɛgzampul, tin dɛn lɛk fɔ rayd baysikul , fɔ skwatin we yu de es wet, fɔ rayd ɔs, ɔ fɔ gɛt kɔnstipɛshɔn we nɔ de dɔn, kin pwɛl di bɔdi.
• Sidɔm fɔ lɔng tɛm.
• di nεv kכmpreshכn bikoz fכ di mכsul dεm εn di ligament dεm we de rawnd.
• Di prɔblɛm dɛn we kin apin we sɔm ɔpreshɔn dɛn kin du, fɔ ɛgzampul, we dɛn kin pul di prɔstat .
• Fraktrɔs na wan pelvik bon.
• Trauma we dɛn de bɔn pikin.
• Sɔm infɛkshɔn ɔ sik dɛn.
• Wan tin we nɔ gɛt kansa (benign) we de gro ɔ we gɛt lɛsin.
• Nyuropathy we kin kam bikɔs ɔf dayabitis ɔ ɔda mɛrɛsin.

Aw dɛn kin no se pɔsin gɛt Pudendal Nyuraljia?

Dɔktɔ dɛn kin no dis sik bay we dɛn de chɛk dɛn bɔdi ɛn ɔda tɛst dɛn. Dɛn kin aks yu fɔs bɔt yu sayn dɛm ɛn usay de pen de. Bɔku tɛm, dɔktɔ dɛn kin tray bak fɔ pul ɔda tin dɛn we kin mek pɔsin fil di sem kayn pen.

Sɔm pan di tɛst dɛn we dɛn kin yuz fɔ dis na:

• Vagina ɔ rεktal εgzam: di dכkta de put glɔv finga insay yu rεktum ɔ vagina εn i de prεshכn dairekt pan di pudendal nerve.
• Magnetic Resonance Imaging (MRI): dis na pawaful imej tεst we kin egzamin di pudendal nerve εn di strכkchכ dεm we de rawnd am fכ no di prכblεm dεm.
• Ilɛktromayografi (EMG): Insay dis tɛst, dɔktɔ dɛn kin yuz smɔl tin fɔ sɛn ilɛktrik impuls to yu pudendal nerve fɔ si aw i de wok fayn ɛn aw i de ansa we yu stimulate.
• Nεv blכk dεm: Dכkta dεm go injεkt wan dεm we de mek yu fil pen na yu bכdi εria fכ mek di pudendal nerve nכm. Dɔn dɛn go si if yu pen go dɔn. If di pen go, i min se i go mɔs bi se di pen de kɔmɔt frɔm di pudendal nerve.

Ɔda kɔndishɔn dɛm wae kin kɔnfyus wit Pudendal Neuralgia

Pudendal neuralgia ɛn bɔku ɔda sik dɛn gɛt di sem kayn sayn dɛm. Fɔ ɛgzampul, pen ɛn nɔ ebul fɔ kɔntrol insɛf. So yu dɔktɔ kin du tɛst ɔ aks kwɛstyɔn fɔ no ɔda prɔblɛm dɛn. Sɔm pan dɛn ɔda tin ya we kin apin na:

• Vulvodynia: Pen na di ekstenal vagina eria .
• Coccygodynia: Pen na di telbon.
• Prɔstataytis: Sik dɛn we gɛt fɔ du wit di prɔstat gland.
• Sciatica: Pen na di bak ɛn leg we kin kam bikɔs di sciatic nerve dɔn pwɛl.
• di pelvik fכl we nכ de wok fayn: we di mכsul dεm we de na di bכdi de damej i kin mek i at fכ fכs כ fכ ol di urine.

Aw dɛn kin trit Pudendal Nyuraljia?

Di tritmɛnt dɛn kin bi fɔ trit yu bɔdi, fɔ tek mɛrɛsin, fɔ chenj di we aw yu de liv yu layf, ɔ ivin ɔpreshɔn. Dɔktɔ dɛn kin yuz wan ɔ mɔ pan dɛn tritmɛnt ya togɛda fɔ mek dɛn nɔ gɛt di sik kwik kwik wan.

Fizik Tɛrapi

Wan dɔktɔ we de mɛn yu bɔdi kin tich yu fɔ strɛch ɛn ɛksesaiz fɔ rilaks di mɔsul dɛm we de mek yu pudendal nerve pen. Dɛn kin se bak fɔ yuz TENS (Transcutaneous Electrical Nerve Stimulation) mashin fɔ ridyus di pen na di nerv.

Di we aw pipul dɛn de liv dɛn layf kin chenj

Sɔm tin kin mek di pudendal nerve pen wɔs, so i kin fayn fɔ avɔyd ɔ chenj dɛn tin ya. Na sɔm ɛgzampul dɛn ya:

• Sidɔm fɔ lɔng tɛm wan tɛm.
• De baysikul.
• Skwat ɛksɛsayz we dɛn kin du we dɛn de es di wet dɛn.
• Fɔ rayd ɔs.
• Strayn we yu de muv yu bɔdi if yu gɛt kɔnstipɛshɔn.

I fayn fɔ yuz donut pilo ɔ pilo we shep lɛk U we yu sidɔm. dis pilo dεm gεt wan ol na di midul, we de ridyus di prεshכn pan di pεlvik fכl mכsul dεm εn di pεriniכm. If yu kin gɛt kɔnstipɛshɔn bɔku tɛm, it mɔ tin dɛn we gɛt fayv ɔ tek tin fɔ mek yu stɔl sof. Dis go ɛp yu fɔ pas stɔl izi wan.

Mɛrɛsin we dɛn kin gi

Sɔm pipul kin yuse mɛrɛsin wae de mek pɔrsin fil pen ɔr stɛroyd fɔ ridyus pen. Bɔku mɛrɛsin dɛn de we dɛn kin gi spɛshal wan fɔ pudendal nyuraljia:

• Di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen.
• Nyurolɛptik ɔ antiɛpileptik drɔgs, fɔ ɛgzampul , Gabapentin .
• Injεkshכn fכ lokal anεsthεtik (blכk nεv pen) כ k כtikostεroyd (ridyus inflameshn).
• Trisayklik antidipreshan, lɛk amitriptyline .
• Botox injεkshכn fכ rilaks di mכsul dεm we de rawnd di pudendal nεv.

Ɔpreshɔn

Bɔku tɛm, ɔpreshɔn na di las tin we dɛn kin du. di pudendal nerve decompression na di prosidur we de pul di mכsul כ tisu frכm yu pudendal nerve. di sכja dεm kin mek wan insayshכn na yu gluteal mכsul dεm כ di perineal mכsul dεm fכ rich di pudendal nεv. Dis ɔpreshɔn kin tek sɔm mɔnt, ɔ ivin sɔm ia fɔ mek i nɔ fil pen. I nɔto fɔ mɛn am wantɛm wantɛm.

Yu tink se dɛn kin masaj di pudendal nɛv?

Masaj tɛrapi nɔto tritmɛnt we dɛn dɔn gri fɔ fɔ mek pɔsin gɛt pudendal nyuraljia. Bɔt sɔm dɔktɔ dɛn kin se yu fɔ masaj di mɔsul tisu we de rawnd di pudendal nerve fɔ mek yu nɔ tayt ɛn prɛshɔn. dis kin mek yu fil fכ sכm tεm frכm di pinched pudendal nerve.

Aw a go ridyus di risk fɔ gɛt pudendal nyuraljia?

Dis kin tranga fɔ ridyus if di tin we kin mek i apin na we dɛn bɔn pikin, aksidɛnt, ɔ ɔpreshɔn. Bɔt sɔm tin dɛn we yu kin du kin afɛkt yu pudendal nerve.

Bɔku tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt pudendal nerve pen:

• Nɔ rayd ɔs ɔ rayd baysikul.
• Nɔ sidɔm ɔltɛm, tinap ɛvride.
• Yuz pilo we tan lɛk donut we yu sidɔm fɔ ridyus prɛshɔn pan yu bɛlɛ.
• Nɔ strɛs we yu de pis ɔ we yu de pul dɔti.

Yu tink se dɛn kin mɛn Pudendal Neuralgia ɔltogɛda?

Nɔ, no mɛrɛsin nɔ de fɔ dis. Di gol fɔ tritmɛnt na fɔ ridyus di sayn dɛm as i pɔsibul. Bɔt, di sayn dɛm nɔ kin dɔn kpatakpata.

Aw yu de liv yu layf ɛvride wit pudendal nerve pen?

We yu gɛt krɛse pen na yu nerve, e kin afɛkt yu ɛvride layf. E kin afɛkt yu rilayshɔnship, aktiviti, ɛn jɛnɛral wɛl bɔdi. If yu gɛt pen na yu bɛlɛ, yu nɔ de du mami ɛn dadi biznɛs fayn, yu gɛt prɔblɛm wit yu blad/bɔwel kɔntrol, ɔ yu de tink bɔt pwɛl hat, i impɔtant fɔ go to dɔktɔ . Dɛn kin ɛp yu fɔ gɛt rilif fɔ yu pen ɛn no if na di pudendal nerve na di kɔz.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt pen na yu bɛlɛ ɔ yu bɔdi we de na yu bɔdi , go to dɔktɔ wantɛm wantɛm . If yu nɔ trit yu, yu pen kin wɔs ɛn mek i nɔ izi fɔ yu fɔ du di tin dɛn we yu de du ɛvride. Na sɔm sayn dɛm wae yu fɔ wach fɔ:

• Wan “pin ɛn nidul” we pɔsin kin fil na di bɛlɛ, di bɔdi, ɔ di bɔdi we gɛt bɔdi.
• Wan filin lɛk se sɔntin dɔn stɔp insay di an.
• Pen we yu de pis ɔ di nid fɔ pis bɔku tɛm.
• Prɔblɛm dɛn we kin apin we pɔsin de du mami ɛn dadi biznɛs.

If yu gɛt krɛse pen na yu bɛlɛ ɛn yu tink se yu kin gɛt pudendal nyuraljia, nɔto yu wan de. Pan ɔl we i nɔ kin apin so ɔltɛm, pudendal neuralgia kin bi wan sik we kin mek yu nɔ gɛt bɛtɛ trɛnk ɛn i kin afɛkt yu layf, rilayshɔnship, ɛn di tin dɛn we yu de du ɛvride. Tɔk to yu dɔktɔ bɔt yu sik dɛn. Dɔn i kin no di bɛst tritmɛnt bay aw yu de fil ɛn usay yu de fil. Mɛmba se, we yu go to dɔktɔ, dat go ɛp yu fɔ gɛt fridɔm frɔm di pen we yu de fil.

Di tin we impɔtant pas ɔl (Take-Home Message) .

• Pudendal neuralgia na wan bad bad pen we de te na di pelvik eria we de kam bikɔs di pudendal nerve dɔn pwɛl.
• Wan men sayn na dat di pen kin wɔs we yu sidɔm .
• Dis kin bi bikɔs ɔf sɔm tin dɛn; tin dɛm lɛk fɔ strɛs ɔltɛm, ɔpreshɔn, bɔn pikin , ɛn ɔda tin dɛm.
• E fayn fɔ go to dɔktɔ fɔ advays yu nɔr de te if yu gɛt sɔm kayn sik.
• Dɛn kin ebul fɔ kɔntrol di sayn dɛm wit fizik tritmɛnt, mɛrɛsin, chenj in layf, ɛn sɔmtɛm ɔpreshɔn.
• Ivin if no kɔmplit mɛrɛsin nɔr de, yu kin gɛt ɛp fɔ ridyus de pen ɛn liv nɔrmal layf.