I pum hnuai lam pawh na i nei reng em? Pudendal neuralgia a ni thei ang em?

A châng chuan i pum hnuai lam , chu chu i mipat hmeichhiatna hmun leh i rilru natna (rectum)-ah chuan tuar theih loh khawpa natna, kang, a nih loh leh rilru hahna i nei ṭhin em? He natna hi a zual deuh niin a lang em, a bik takin i thut lai hian? Chutiang a nih chuan he natna Pudendal Neuralgia an tih hi i hriat a pawimawh hle a, vawiinah hian kan sawi dawn a ni. Hei hi thil awm lo tak ni mah se, mi thenkhat tan chuan lungngaihna nasa tak a thlen thei a ni.

Pudendal Neuralgia hi eng nge ni?

A awlsam zawngin, pudendal neuralgia hi hun rei tak chhunga i pelvic pain, i pudendal nerve chhiatna, compression, emaw harsatna avanga lo awm a ni . A bik takin, he nerve hi a hliam emaw, a compress emaw chuan, a hliam emaw, a kang emaw, electric shock ang maia natna a thlen thin. He natna hi i hnute, perineum , leh i taksa peng hrang hrangah te hriat theih a ni. I thut lai hian a na ber.

Pudendal nerve hi khawiah nge a awm?

Ngaihtuah teh, pudendal nerve hi kan pelvis hnunglam atanga tan a ni a, kan ke inkar hmun zawng zawng, ruh leh vun te nen a inzawm vek a ni. Thu dangin sawi ila, bike i khalh dawna seat i press na hmun apiang kha han ngaihtuah teh. Chu hmun pum pui chu pudendal nerve tihchhiatnain a nghawng thei a ni. He nerve hian i genitals leh anus te che leh sensation a control thin. Tin, zun leh ek chhuahna atana puitu sphincter muscle te pawh a control bawk.

Pudendal nerve hian eng hna nge a thawh?

He nerve hian kan taksa atanga hriatna pawimawh tak tak thenkhat chu thluak thlengin a phur a. Chu chu:

• Inbepawp
• Hlimna (sexual) .
• Na
• Lum leh vawt tehna

Heng sensation te hi a hnuaia hmun atang hian a lo chhuak thin a ni:

• Mipa hming: penis leh scrotum
• Hmeichhe hming: vagina , labia , leh vulva
• An pahnih tan: hnute leh hnute/seng inkar hmun (perineum) .
• Anal canal leh hnute kawng
• Urethra (zun taksa atanga zun chhuahna tube) .

He natna hi a hluar zia sawi ila, a takah chuan a niPudendal Neuralgia hi a tlem hle a, mahse tu pawh a nghawng thei. Kum 19 chunglam puitlingah a tam ber.

Pudendal nerve chhiatna chhinchhiahnate chu engte nge ni?

Hetiang natna lan chhuahna ber leh na ber chu natna hi a ni . He natna hian pudendal nerve-in a thunun organ emaw muscle emaw eng pawh a nghawng thei a ni. Hetiang natna hi clitoris, labia, vagina, penis, scrotum, anus, emaw rectum -ah i hre mai thei .

Mi thenkhat chuan he natna hi hetiang hian an sawi thin:

• Piercing, pull, burning sensation, a nih loh leh chemte hmanga vuak ang maiin a lang .
• Numbness, tingling, a nih loh leh hriatna hloh .
• Zan leh zan lamah a natna a pung a , zing lamah a reh deuh deuh niin a lang .
• A natna nasat dan hi a chang chuan a inang lo (ni thenkhatah chuan a tam zawk, ni thenkhatah chuan a tlem zawk).
• A natna hi thut lai hian a hriat tam ber . Ding emaw, mut emaw hian a reh deuh thin.

Ngaihtuah teh, Nilanthi hian thla tam tak chhung chu a pum hnuai lam natna mak tak mai a lo tawng tawh a. Doctor eng emaw zat a hmu tawh a, mahse a chhan dik tak chu an hmu thei lo. A office chair-a thu a, hnathawh chu a harsa ber a ni. A chang chuan a natna chu a na lutuk a, a tap thin. A tawpah chuan specialist pakhat chuan Pudendal Neuralgia a ni tih a hmuchhuak ta a ni.

He natna ber bakah hian natna dang a awm thei bawk:

• Sensitivity a sang chho zel a, underwear i bun lai pawhin natna i nei thei.
• Anus chhehvel chu a hring niin a lang a, anus chhungah thil a inkhung ang maiin a lang .
• Zun chhuah a ngai tih hriat nghal mai .
• Ka bawlhhlawh ka chhuah hian natna ka nei thin .
• Sex hman lai hian natna ka nei thin .
• Orgasm thlen a har khawp mai.
• Mipa hian erectile dysfunction an nei thei .
• Ke, ke leh hnuteah hian general numbness, coldness, emaw sensation hloh emaw a awm thei.

Kan pudendal nerve hian branch lian pathum a nei a, chungte chu rectal branch, perineal branch leh clitoral/penile branch te an ni. I natna lan chhuah dan chu heng branch zinga eng branch nge chhiat tih ah a innghat.

Pudendal Neuralgia a pun chhan hi engte nge ni?

Pudendal nerve hi a chhe thei (compression emaw kawng dang hmangin) emaw, a chhehvel tissue emaw muscle emaw hmangin a compress thei bawk. Hei hi a thlen thei thil thenkhat chu:

• Pelvic area-a pressure awm reng thei thiltih. Entîr nân, cycle khalh , weightlifting laiin squatting, sakawr khalh, a nih loh leh chronic constipation ang chi thilte hian pelvis a tichhe thei a ni.
• Rei tak thut chungin.
• A chhehvel thau leh ruh (ligament) avanga nerve compression.
• Surgery ṭhenkhata harsatna awm thei, entîr nân, prostatectomy .
• Pelvic bone a tliak.
• Nau neih laiin trauma (trauma) a awm thin.
• Infection emaw natna thenkhat.
• Cancer nei lo (benign) a lo thang lian emaw, a hliam emaw.
• Diabetes mellitus emaw damdawi lam thil dang emaw avanga neuropathy lo awm thin.

Pudendal Neuralgia hi engtin nge an hriat theih?

Doctor-te chuan he natna hi taksa enfiahna leh test dang hmangin an hmuchhuak thin. I natna lan chhuah dan leh i natna awmna hmun an zawt hmasa thin. Vawi tam tak chu doctor-te pawhin chutiang natna thlen thei dinhmun dangte chu paih chhuah an tum bawk.

Chumi atana hman test thenkhat chu:

• Vaginal emaw rectal exam: Doctor chuan i rectum emaw vagina emaw ah gloved finger a dah a, pudendal nerve ah direct in pressure a pe thin.
• Magnetic Resonance Imaging (MRI): Hei hi imaging test chak tak a ni a, pudendal nerve leh a chhehvela thil awmte enfiahin harsatna awmte a hriat theih a ni.
• Electromyography (EMG): He test-ah hian doctor-te chuan hmanraw te tak te hmangin i pudendal nerve-ah electrical impulse an thawn a, chu chuan a hnathawh that leh stimulation a chhanlet dan an enfiah thin.
• Nerve blockers: Doctor-te chuan i pelvic area-ah natna tidamtu damdawi an inject ang a, pudendal nerve chu a ti numb ang. Chutah chuan i natna chu a reh em tih an en ang. Natna a reh chuan a natna chu pudendal nerve atanga lo chhuak a nih a rinawm tihna a ni.

Pudendal Neuralgia nena inthlau thei dinhmun dang

Pudendal neuralgia leh natna dang engemaw zatah pawh hetiang chiah hian a lang chhuak a ni. Entirnan, natna leh insum theih lohna. Chuvangin i doctor chuan test a ti thei a, harsatna dang a neih loh nan zawhna a zawt thei bawk. Heng condition dang thenkhat hi chu:

• Vulvodynia: Pawn lam vaginal area-a natna .
• Coccygodynia: Hnung ruh natna.
• Prostatitis: Prostate gland nena inzawm natna.
• Sciatica: Sciatic nerve chhiat avanga hnungzang leh ke natna.
• Pelvic floor dysfunction: Pelvic floor muscle a chhiat chuan ek chhuah emaw, zun vawn emaw a ti harsa thin.

Pudendal Neuralgia hi engtin nge enkawl a nih?

Enkawlnaah chuan taksa lam enkawlna te, damdawi ei te, nunphung tihdanglam te, a nih loh leh operation te pawh a tel thei a ni. Doctor-te chuan heng enkawlna pakhat emaw, a aia tam emaw hi an hmang dun thei a, chu chuan natna lan chhuahna chu rang takin a tiziaawm thei a ni.

Taksa lam enkawlna

Physics therapist chuan i pudendal nerve natna thlentu taksa pengte tih hahdam nan stretch leh exercise te a zirtir thei che a ni. Nerve natna tihziaawmna turin TENS (Transcutaneous Electrical Nerve Stimulation) machine hman an rawt thei bawk.

Nunphung a inthlak danglam thin

Thil ṭhenkhat chuan pudendal nerve natna a tizual thei a, chuvangin chutiang thiltih chu pumpelh emaw, siam danglam emaw chu a ṭangkai thei ang. Entirna thenkhat chu hetiang hi a ni:

• Hun rei tak chhung thut a, a vawi khatnaah.
• Thirsakawr khalh.
• Squat exercise hi thil rit phurh laiin tih thin.
• Sakawr chunga chuang.
• Bowel movement laiin straining i neih chuan constipation i neih chuan.

I thut dawnin donut pillow emaw U-shaped pillow emaw hman a tha . Heng pillow te hian a laiah khur a nei a, chu chuan pelvic floor muscle leh perineum-a pressure a ti tlem a ni. I constipated fo chuan fiber tamna ei tam emaw, stool softener emaw ei thin ang che. Hei hian stool awlsam zawkin a pass thei ang.

Damdawi ei tur

Mi thenkhat chuan natna tihziaawm nan painkiller emaw steroid emaw an hmang thei bawk. Pudendal neuralgia tan hian damdawi bik engemaw zat a awm a:

• Natna tihdamna damdawi.
• Neuroleptic emaw antiepileptic emaw damdawi, entirnan , Gabapentin .
• Local anesthetics (block nerve pain) emaw corticosteroids (inflammation tihziaawmna) emaw injection pek a ni.
• Tricyclic antidepressant, amitriptyline ang chi te hi a ni.
• Botox injection hmanga pudendal nerve chhehvel thau te tih hahdam nan.

Inzai

Surgery hi a tawp ber a ni tlangpui. Pudendal nerve decompression hi i pudendal nerve atanga muscle emaw tissue emaw lakchhuahna a ni. Surgeon te chuan i gluteal muscles emaw perineal muscles ah incision an siam a, pudendal nerve thleng turin. He surgery hian natna tihziaawm nan thla tam tak, kum tam tak pawh a daih thei. Damdawi nghal mai a ni lo.

Pudendal nerve hi massage theih a ni em?

Massage therapy hi pudendal neuralgia enkawlna pawmpui a ni lo. Mahse, doctor thenkhat chuan pudendal nerve chhehvela muscle tissue te chu massage a, tightness leh pressure tihziaawm nan an rawt a ni. Hei hian pudendal nerve pinched atanga rei lo te chhung chu a ti hahdam thei a ni.

Engtin nge pudendal neuralgia vei theihna hi ka tihziaawm theih ang?

Hei hi a chhan chu nau neih vang emaw, accident vang emaw, surgery vang emaw a nih chuan tihtlem a harsa thei hle. Mahse, thiltih thenkhat chuan i pudendal nerve a nghawng thei a ni.

Pudendal nerve natna i neih theihna tur tihziaawmna tur thil engemaw zat a awm a:

• Sakawr khalh emaw, cycle khalh emaw kha pumpelh rawh.
• Thu reng reng suh, a chang chuan ding chhuak rawh.
• I thut laiin donut ang maia pillow hmang la, chu chuan i pelvis-a pressure a tihziaawm theih nan.
• Zun emaw, zun emaw chhuah laiin straining loh tur.

Pudendal Neuralgia hi a dam kim thei em?

Ni lo, hei hi damdawi a awm lo . Enkawlna tum ber chu a theih ang anga natna lan chhuah dan tihtlem a ni. Mahse, symptoms chu a bo vek lo mai thei.

Pudendal nerve natna nei hian engtin nge nitin nun i hman?

Chronic nerve pain i neih hian i nitin nun a nghawng thei a ni. I inlaichinna, thiltih leh i hriselna tlangpui a nghawng thei a ni. Pelvic pain, sexual dysfunction, bladder/bowel control issues, emaw depressive thoughts i neih chuan doctor advice lak a pawimawh . I natna tihziaawmna tur leh pudendal nerve hi a chhan a nih leh nih loh hriat theihna turin an pui thei che a ni.

Engtikah nge Doctor ka hmuh ang?

I pelvic area emaw genital emaw ah natna i neih chuan doctor pan nghal rawh . Enkawl loh chuan i natna chu a zual thei a, nitin hna thawh a harsat phah thei bawk. Heng symptoms fimkhur tur thenkhat chu hetiang hi a ni:

• Pelvis, buttocks emaw genitals-a “pins and needles” tih hriatna.
• Anus chhunga thil awm ang maia hriatna.
• Zun laiin natna emaw, zun tam ngai emaw.
• Sexual function lama harsatna awm thei.

Chronic pelvic pain i neih a, pudendal neuralgia i vei nia i rinhlelh chuan nangmah chauh i ni lo. A tlem hle nachungin, pudendal neuralgia hi chak lohna thlentu a ni thei a, chu chuan i nunphung, inlaichinna leh nitin hnathawhna a nghawng thei a ni. I natna lan chhuah dan tur chu i doctor nen sawiho rawh. Chumi hnuah chuan i natna nasat dan leh a awmna hmun a zirin enkawlna tha ber chu a ruat thei ang. Damdawi lam thurawn dil hian i natna a\angin hahdamna i hmu thei tih hre reng ang che.

A pawimawh ber (Take-Home Message) .

• Pudendal neuralgia hi pudendal nerve chhiat avanga pelvic area-a natna nasa tak, rei tak awm thei a ni.
• A key symptom chu thut laiin a na zual thin .
• Hei hi thil engemaw zat avanga lo awm thei a ni a; thil, stress awm reng, surgery, nau neih , etc.
• Symptoms i neih chuan tihkhawtlai lova damdawi lam thurawn lak a pawimawh hle.
• Symptoms te hi physical therapy, damdawi, nunphung thlak danglam, a chang chuan operation hmanga enkawl theih a ni.
• Damdawi famkim awm lo mah se, a natna tihziaawmna tur leh nun pangngaia nunpui turin tanpuina i dawng thei a ni.