Kei te mamae tonu tō puku o raro? He pudendal neuralgia pea?

Kei te pāngia koe e te mamae, te wera, te ngoikore rānei i tō puku o raro , arā, i te wāhi ira tangata me te tō? Kei te ahua kino haere tēnei mamae, inā koa ka noho koe? Mena koinā, he mea nui kia mōhio koe ki tēnei mate e kiia nei ko te Pudendal Neuralgia, ka kōrerohia e tātou i tēnei rā. Ahakoa he mate onge tēnei, ka tino pāngia ētahi tāngata e te mamae.

He aha te Pudendal Neuralgia?

He whakarāpopototanga noa iho, ko te neuralgia pudendal he mamae hope roa e puta mai ana i te pakaru, te pēhi, te raruraru rānei o tō io pudendal . Ina koa, ina whara, ina pēhia rānei tēnei io, ka puta he mamae wero, he wera, he mamae hiko rānei. Ka taea te rongo i tēnei mamae i roto i tō papa, i tō perineum , me ngā ira tangata. Ka tino kino ina noho koe.

Kei hea te io pudendal?

Whakaarohia, ka tīmata te io pudendal i muri o tō tātou hope, ka hono atu ki te rohe katoa i waenganui i ō tātou waewae, tae atu ki ngā uaua me te kiri. Ki te kī atu, whakaarohia ngā wāhi katoa e pēhi ana koe i te nohoanga ina eke pahikara koe. Ka pāngia pea taua wāhi katoa e te kino o te io pudendal. Ka whakahaere tēnei io i ngā nekehanga me ngā kare o ō ira tangata me tō nono. Ka whakahaere hoki i ngā uaua sphincter e āwhina ana i a koe ki te mimi me te tutae.

He aha te mahi a te io pudendal?

Ka haria e tēnei io ētahi o ngā kare-ā-roto tino nui mai i te tinana ki te roro. Arā:

• Whakapā mai
• Te ahuareka (te moepuku)
• Mamae
• Te pāmahana

Ka puta mai ēnei kare ā-roto i ngā wāhi e whai ake nei:

• Ingoa tāne: ure me te kiriuhi
• Ngā ingoa wahine: tenetene , te labia , me te vulva
• Mō ngā mea e rua: te rohe i waenganui i te nono me te tara/ure (perineum)
• Te awaawa o te ihu me te nono
• Urethra (te ngongo e puta ai te mimi i te tinana)

Mō te whānui o te kitea o tēnei mate, he ponoHe āhua onge te Pudendal Neuralgia, engari ka pā ki te katoa. He mea noa tēnei i roto i ngā pakeke neke atu i te 19 tau te pakeke.

He aha ngā tohu o te pakaru o te io pudendal?

Ko te tohu matua, ko te tohu tino kino hoki o tēnei mate ko te mamae . Ka pā tēnei mamae ki tētahi okana, ki tētahi uaua rānei e whakahaeretia ana e te io pudendal. Tērā pea ka rongo koe i tēnei mamae i roto i te clitoris, te labia, te tenetene, te ure, te scrotum, te nono, te rectum rānei .

Ko ētahi tāngata e whakaahua ana i tēnei mamae penei:

• He rite ki te werohanga, ki te werohanga, ki te werawera, ki te mea rānei kua werohia ki te maripi .
• Te ngenge, te mākūkū, te ngaro rānei o te kare ā-roto .
• Te āhua nei ka piki haere te mamae i te ahiahi me te pō, kātahi ka memeha haere i te ata .
• Ka rerekē te kaha o te mamae i ia wā, i ia wā (i ētahi rā ka roa ake, i ētahi rā ka iti iho).
• Ka tino kitea te mamae i te wā e noho ana . Ka iti haere te mamae i te wā e tū ana, e takoto ana rānei.

Whakaarohia, kua pāngia a Nilanthi e te mamae rerekē i roto i tōna puku o raro mō ngā marama. He maha ngā tākuta kua kite ia, engari kāore i taea e rātou te tohu i te tino take. I tino uaua ki a ia te noho i roto i tōna tūru tari me te mahi. I ētahi wā ka tino kaha te mamae ka tangi ia. Hei whakamutunga, ka kitea e te tohunga he Pudendal Neuralgia.

Haunga tēnei mamae matua, ka puta pea ētahi atu tohu:

• Ka piki ake te aro ki te wāhi ka mamae koe ahakoa kei te mau koe i ngā kākahu o roto.
• Ka pupuhi te wāhi huri noa i te nono, me te mea kei te mau tetahi mea i roto i te nono .
• He kare ā-roto ohorere e hiahia ana kia mimi .
• Ka mamae ahau ina tūtae ahau .
• Ka mamae ahau i te wā e moe ai .
• He uaua ki te whakatutuki i te orgasm.
• Tērā pea ka pāngia ngā tāne e te ngoikore o te ure .
• Tērā pea ka pāngia ngā waewae, ngā waewae, me te papa e te mātao, te kore rānei e rongo i ngā mea e pā ana ki te tinana.

E toru ngā peka matua o tō tātou io pudendal: te peka rectum, te peka perineal, me te peka clitoral/ure. Ko ngā tohu ka pā ki a koe ka whakawhirinaki ki te peka kua pakaru.

He aha ngā take e piki ake ai te Pudendal Neuralgia?

Ka taea te pakaru o te io pudendal (mā te pēhi, mā tētahi atu tikanga rānei) ka pēhia rānei e ngā kiko, e ngā uaua rānei e karapoti ana. Ko ētahi o ngā mea ka puta ai tēnei:

• Ko ngā mahi e pēhi tonu ana i te hope. Hei tauira, ko ngā mahi pēnei i te eke pahikara , te tūpeke i te wā e hiki taumaha ana, te eke hōiho, te mate puku roa rānei ka kino pea te hope.
• Te noho roa.
• Te pēhanga o ngā io nā ngā uaua me ngā hononga e karapoti ana.
• Ngā raruraru o ētahi pokanga, hei tauira, te tango i te prostate .
• Te whati o te wheua pelvic.
• Te whara i te wā e whānau ana.
• Ētahi mate pāwera, mate rānei.
• He tipu, he whara rānei ehara i te matepukupuku (pai).
• Te neuropathy i puta mai i te mate huka , i ētahi atu mate hauora rānei.

Me pēhea te tautuhi i te Pudendal Neuralgia?

Ka tātaritatia tēnei āhuatanga e ngā tākuta mā te whakamātautau tinana me ētahi atu whakamātautau. Ka pātai tuatahi rātou ki a koe mō ō tohu me te wāhi o te mamae. He maha ngā wā ka ngana hoki ngā tākuta ki te whakakore i ētahi atu āhuatanga ka puta ai te mamae ōrite.

Ko ētahi o ngā whakamātautau e whakamahia ana mō tēnei ko:

• Whakamātautau tara, te pūwero rānei: Ka whakaurua e te tākuta he maihao kua mau ki te karapu ki roto i tō pūwero, i tō pūwero rānei, ka pēhi tika ki te io pudendal.
• Whakaahua Āhua Aukume (MRI): He whakamātautau whakaahua kaha tēnei e taea ai te tirotiro i te io pudendal me ngā hanganga e karapoti ana hei tautuhi i ngā raruraru.
• Electromyography (EMG): I roto i tēnei whakamātautau, ka whakamahia e ngā tākuta tētahi taputapu iti hei tuku i ngā hiko ki tō io pudendal kia kite ai i te pai o tana mahi me tana urupare ki te whakaohooho.
• Ngā aukati io: Ka werohia e ngā tākuta he rongoā whakamamae mamae ki roto i tō rohe hope hei whakangāwari i te io pudendal. Kātahi ka tirohia mēnā kua ngaro tō mamae. Ki te ngaro te mamae, ko te tikanga kei te pūtake pea te mamae i te io pudendal.

Ētahi atu āhuatanga ka taea te whakapoauau ki te Pudendal Neuralgia

He rite tonu ngā tohu o te neuralgia pudendal me ētahi atu mate. Hei tauira, te mamae me te kore e taea te pupuri i te mimi. Nō reira, ka whakamātautau pea tō tākuta, ka pātai rānei i ngā pātai hei whakakore i ētahi atu raruraru. Ko ētahi o ēnei mate ko:

• Vulvodynia: Te mamae i te taha o waho o te tara .
• Coccygodynia: Te mamae i te wheua hiku.
• Prostatitis: Ngā mate e pā ana ki te repe prostate.
• Sciatica: Te mamae o te tuara me ngā waewae i puta mai i te pakaru o te nerve sciatic.
• Te ngoikore o te papa o te hope: Ka uaua te tūtae, te pupuri rānei i te mimi nā te kino o ngā uaua o te papa o te hope.

Me pēhea te rongoā i te Pudendal Neuralgia?

Ko ngā maimoatanga ka uru atu ki te whakaora tinana, ngā rongoā, ngā whakarerekētanga momo noho, tae noa ki te pokanga. Ka whakamahia pea e ngā tākuta tētahi, ētahi rānei o ēnei maimoatanga hei whakaora wawe i ngā tohumate.

Te Whakaora Tinana

Ka taea e te kaiwhakaora tinana te whakaako i a koe ki ngā totoro me ngā mahi whakakori tinana hei whakangāwari i ngā uaua e mamae ai tō io pudendal. Tērā pea ka tūtohu rātou kia whakamahia he mīhini TENS (Transcutaneous Electrical Nerve Stimulation) hei whakaiti i te mamae o te io.

Ngā huringa āhua noho

Ka taea e ētahi mea te whakanui ake i te mamae o te io pudendal, nō reira he pai pea te karo, te whakarerekē rānei i aua mahi. Anei ētahi tauira:

• Te noho roa mō te wā kotahi.
• Te eke pahikara.
• Ko te mahi whakakorikori tinana e mahia ana i te wā e hiki ana i ngā taumaha.
• Te eke hōiho.
• Te whakamātau i te wā e neke ana te puku mēnā he mate kōroke tōu.

He pai te whakamahi i tētahi urunga tōnati, i tētahi urunga āhua-U rānei ina noho koe. He kōhao kei waenganui o ēnei urunga, ka whakaiti i te pēhanga ki ngā uaua o te papa hope me te perineum. Mena he maha ōu mate kōroke, kai atu i ngā kai he nui te muka , kai rānei i tētahi rongoā whakangawari tūtae. Mā tēnei ka ngāwari ake tō tuku tūtae.

Rongoā

Ka taea e ētahi tāngata te whakamahi i ngā rongoā whakamamae mamae, i ngā steroids rānei hei whakaiti i te mamae. He maha ngā rongoā kua tohua mō te pudendal neuralgia:

• Ngā rongoā whakamamae.
• Ngā rongoā neuroleptic, antiepileptic rānei, hei tauira , ko Gabapentin .
• Werohanga o ngā rongoā whakamoe ā-rohe (ārai i te mamae o ngā io) me ngā corticosteroids (whakaiti i te mumura).
• Ngā rongoā ārai pouri tricyclic, pērā i te amitriptyline .
• Ngā werohanga Botox hei whakangāwari i ngā uaua huri noa i te io pudendal.

Pokanga

Ko te pokanga te huarahi whakamutunga. Ko te tango i te uaua pudendal he tikanga e tango ana i te uaua, i te kiko rānei mai i tō uaua pudendal. Ka tapahia e ngā taote pokanga ō uaua gluteal, ō uaua perineal rānei kia tae atu ai ki te uaua pudendal. Ka roa pea tēnei pokanga mō ngā marama, tae noa ki ngā tau, hei whakamamae i te mamae. Ehara i te mea he rongoā tonu.

Ka taea te mirimiri i te io pudendal?

Kāore te mirimiri i te whakaaetia hei rongoā mō te neuralgia pudendal. Heoi, e kī ana ētahi tākuta kia mirimirihia te kiko uaua huri noa i te io pudendal hei whakamama i te kikī me te pēhanga. Tērā pea ka whakaora wā poto i te io pudendal kua kōpeke.

Me pēhea te whakaiti i te mōrearea o te pudendal neuralgia?

He uaua pea tēnei ki te whakaiti mēnā he whānautanga, he aituā, he pokanga rānei te take. Heoi anō, ka pā pea ētahi mahi ki tō io pudendal.

He maha ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te mamae o te io pudendal:

• Kaua e eke hōiho, e eke paihikara rānei.
• Kaua e noho tonu, engari me tū ake i ētahi wā.
• Whakamahia he urunga āhua tōnati i a koe e noho ana hei whakaiti i te pēhanga ki tō hope.
• Kaua e whakamātau i te totohu i te wā e mimi ana, e tutae ana rānei.

Ka taea te whakaora katoa i te Pudendal Neuralgia?

Kāore, kāore he rongoā mō tēnei. Ko te whāinga o te maimoatanga he whakaiti i ngā tohumate i te mea ka taea. Heoi, kāore pea ngā tohumate e memeha katoa.

Me pēhea te noho i ia rā me te mamae o te io pudendal?

Ina pāngia koe e te mamae io mau tonu, ka pā ki tō oranga o ia rā. Ka pā ki ō whanaungatanga, ki ō mahi, me te oranga whānui. Mena kei te mamae tō hope, kei te ngoikore te moepuku, kei te raru tō pūkahukahu/puku, kei te whakaaro pouri rānei, he mea nui kia rapu tohutohu hauora . Ka taea e rātou te āwhina i a koe ki te kimi i te whakaora mō tō mamae, me te whakatau mena ko te io pudendal te take.

Āhea ahau me toro atu ki te tākuta?

Ki te mamae tō hope, tō ira tangata rānei , me toro atu ki te tākuta tonu . Ki te kore e rongoatia, ka kino haere tō mamae, ā, ka uaua ki a koe te mahi i ngā mahi o ia rā. Anei ētahi tohu hei tūpato māu:

• Te kare o te "titi me te ngira" i te hope, i te papa, i ngā ira tangata rānei.
• He kare ā-roto me te mea kei te mau tetahi mea i roto i te nono.
• Te mamae i te wā e mimi ana, te hiahia rānei kia mimi pinepine.
• Ngā raruraru mahi ā-ira tangata.

Mena kei te mamae tonu tō hope, ā, e whakaaro ana koe kei te pāngia koe e te pudendal neuralgia, ehara i te mea ko koe anake. Ahakoa he onge, he mate ngoikore pea te pudendal neuralgia ka pā ki tō āhua noho, ki ō whanaungatanga, me ō mahi o ia rā. Kōrero ki tō tākuta mō ō tohumate. Kātahi ka taea e ia te whakatau i te kōwhiringa maimoatanga pai rawa atu i runga i te kaha me te wāhi o tō mamae. Kia maumahara, mā te rapu tohutohu hauora koe e āwhina ki te whakaora i tō mamae.

Te mea tino nui (Karere hei kawe ki te kāinga)

• Ko te neuralgia pudendal he mamae kino, he roa te roa i te rohe hope e hua mai ana i te pakaru o te io pudendal.
• Ko tētahi tohu matua ko te kaha haere o te mamae i te wā e noho ana .
• Ka taea tēnei te hua mai i ētahi āhuatanga; pērā i te ahotea tonu, te pokanga, te whānautanga , me ētahi atu.
• He mea tino nui kia rapu tohutohu hauora tonu koe mēnā ka puta ngā tohu.
• Ka taea te whakahaere i ngā tohu mā te whakaora tinana, ngā rongoā, ngā huringa momo noho, me te pokanga i ētahi wā.
• Ahakoa kāore he rongoā katoa, ka taea e koe te tiki āwhina hei whakaiti i te mamae me te noho i te oranga noa.