I kawr chhungah hian a chang chuan dull ache emaw tingling sensation emaw i nei thin em? Kea i ke i ben lai hian kea kal harsatna tlem i nei em? Mi tam tak chuan hei hi taksa peng hrang hrang (muscle spasm) mai mai niin an ngai a, mahse a chhan chu kan taksaa nerve bik a ni mai thei. Vawiin hian nerve hriat tlem, mahse pawimawh tak, kan ke chetna leh hriatna atana pawimawh tak kan sawi dawn a ni. Chu chu Obturator Nerve a ni.
Obturator Nerve hi eng nge ni?
A awlsam zawngin sawi ila, Obturator Nerve hi i kawr chhungril lam hawia sensation (feeling) leh movement (movement) pe theitu nerve ber a ni. Kan taksa Peripheral Nervous System (PNS)-a tel a ni. He system hian kan thluak atanga thuchah kan taksa peng dang thlenga thawn chhuah puitu a ni.
He nerve hi kan hnungzang hnuai lam nerve pawl atanga intan a ni. Damdawi lamah chuan hei hi ``lumbar plexus`` kan ti thin. He nerve pawl hian kan ke chunglam leh hnuai lam te, kan ke te pawh hriatna leh chetna a pe a ni. Chuvangin he Obturator Nerve pawh hi chu nerve group atang chuan a intan a, kan groin kaltlangin kan thigh chhung lam thlengin a kal thui hle.
He nerve hnathawh ber berte chu engte nge ni?
He nerve hian kan kekawr chhungril lamah hna lian pahnih a thawk a. Anni hi chetna (motor functions) control leh sensation (sensory functions) pe thin an ni. Hengte hi eng nge ni tih i lo en ang u.
| Hna chi hrang hrang | A kalphung (process) a awm dan |
|---|---|
| Incheina control dan (Motor Functions) 1.1. |
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| Sensory hnathawh dan |
|
He nerve hi engtin nge kan taksaah a kal?
Obturator Nerve kawng hi a buaithlak deuh a, mahse a awlsam zawngin i dah ang u.
1. A bul tanna: Hei hi ``lumbar plexus'' atanga tan a ni a, chu chu kan hnungzang hnuai lam vertebrae (L2, L3, L4) atanga lo chhuak nerve roots atanga lo chhuak a ni.
2. Path: He nerve hi kan hnungzang hnuai lam psoas muscle kaltlangin a kal thla a. Tichuan, kan pelvis chhungah chuan thisen kalna kawng lian tak, iliac artery an tih hnung lamah a kal a.
3. Thigh chhunga lut: A tawp berah chuan obturator canal chu kan thigh chunglam lamah pelvis chhunga hawnna te tak te hmangin a lut a.
Thigh a thlen hnuah he nerve hi branch lian pathum ah a inthen a. Chungte chu hmalam branch, cutaneous branch leh posterior branch te an ni. Heng branch tin hian kawr chhungril lam ruh leh vun hrang hrangah thuchah a keng tel a ni.
Engtin nge Obturator Nerve hi a chhiat theih ang?
He nerve hi a chhiat chuan (obturator nerve injury) i groin emaw thigh emaw ah natna, rilru hahna emaw, tingling sensation emaw i nei thei. I ke chu chhung lam hawia i ben hian chak lohna i nei thei bawk. Hei hi a chhan awm thei engemaw zat a awm.
| Chhiatna thlentu | Hrilhfiahna awlsam tak |
|---|---|
| Nerve lama harsatna (Obturator neuropathy) a awm thei. | Hun kal zelah normal wear and tear vang emaw, accident-a nerve pinched vang emaw a ni thei. |
| Obturator hernia a ni | Pum chhunga tissue te chu nerve kalna kawngkhar (obturator canal) atang hian a rawn chhuak a, nerve chu a compress a ni. |
| Nerve tihbuai (entrapment) a ni | A chhehvel tissue swelling avanga nerve pressure. Hei hi naupai lai emaw, endometriosis ang chi dinhmunah emaw a thleng thei. |
| Pelvic trauma a ni | Naute a pian hian, emaw, car accident-ah emaw, chhungril thisen chhuak hian nerve a ti compress thei a ni. |
| Tumor emaw cancer emaw a awm thei | Bladder leh cervix ang chi organ-a tumor lo awm hian nerve-ah pressure a siam thei a ni. |
| Infiamna lama inhliam a awm | Kick tam tak telna infiamna, soccer ang chi infiamnaah emaw, hun rei tak ṭhut ngai infiamna, cycle khalh emaw, sakawr khalh emaw ang chi infiamnaah pawh a thleng thei a ni. |
A pawimawh ber chu kan pelvis hi hmun tlemteah hian taksa peng pawimawh tak tak, thisen kalna kawng leh nerve tam tak awmna hmun a ni. Chuvangin, surgery thenkhat emaw, nau neih lai emaw hian heng nerve te hi a chhiat theihna a tlem hle. Mahse doctor-te chuan he thil hi an fimkhur hle a ni.
Doctor pan tura fuih tur che symptoms te chu engte nge ni?
A hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah lovin doctor pan a, thurawn lak a pawimawh hle.
- Groin area-a natna awm reng .
- Thigh chhung lam atanga luang chhuak nuam lo emaw natna emaw .
- Groin area-a tingling sensation, rulhut tlan kual ang maia awm .
- Ke a na hle.
- Thigh chhungril lam ruh chak lohna .
- Claudication hi taksa ruh natna a ni a, activity neih laiin a awm a, chawlh hahdam laiin a bo thin.
- Thigh chhung lam a hring (numbness) a awm .
- Ke chu a sir lehlamah kan sawn hian a na zual thin .
Hei hi eng enkawlna nge ni? Obturator Nerve Block tih hi eng nge ni?
Doctor i hmuh chuan a enfiah ang che a, a tul chuan scan ang chi test turin a refer ang che, a chhan dik tak hriat theih nan. Enkawlna chu a chhiatna thlentuah a innghat ang.
A chang chuan doctor-te chuan Obturator Nerve Block an tih damdawi an hmang thin. A awlsam zawngin, ha lak hmaa i hmuh thin numbing medicine ang mai a ni. Hetah hian doctor chuan Obturator Nerve chu hun eng emaw chen ti na thei, a nih loh leh a tichak lo thei damdawi a inject a. Hei hi chhan lian tlemte avanga tih a ni:
- Hip emaw khup emaw surgery hmain natna tihziaawm.
- Bladder cancer ang chi surgery neih laiin duh loh zawnga ke jerking kha titawp rawh.
- Damdawi dang hmanga enkawl loh groin emaw thigh na emaw tihziaawm.
- Spasticity ang chi condition te hi enkawl la, chu chu thigh chhung lam a muscle tight lutuk tihna a ni.
A tam zawkah chuan Obturator Nerve hi thil dik lo a awm a, natna emaw, lungawi lohna emaw kan neih hma loh chuan kan ngaihtuah ngai lo. Chu chu thil pangngai a ni. Mahse, heng ang rilru hahna hi a awm fo tih hre reng ang che. A tha ber chu a chhan dik tak zawn chhuah a, enkawlna dik tak neih hi a ni. Tichuan i hrisel leh thei tawh ang.
Take-Home Thuchah a ni
- Obturator Nerve hi i kawr chhung lam a che leh hriatna atana pawimawh tak a ni.
- Inner thigh emaw groin emaw a natna awm reng, a nghet lo emaw, chak lohna emaw chu ngaihthah ngai suh.
- Heng symptoms te hi accident vang emaw, nerve pinched vang emaw, damdawi lam thil dang vang emaw a ni thei.
- Heng symptoms te hi i neih chuan doctor pan vat la, i natna hriat dan tur dik tak leh enkawl dan tur dik tak i hmu ang. Enkawl hmasak hian i dam thuai thei a ni.
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