Ngaba uziva iintlungu kwindawo yakho ye-pelvic? Ngaba yi-pudendal nerve?

Ngaba wakha weva ngento ebizwa ngokuba yi-'Pudendal Nerve'? Mhlawumbi akunjalo. Kodwa ngumthambo obaluleke kakhulu emzimbeni wethu, ingakumbi kummandla we-pelvic. Ufana nesithunywa esiyimfihlo esilawula iimvakalelo kunye neentshukumo emzimbeni wethu ongezantsi. Namhlanje, siza kuthetha ngalo mthambo umangalisayo ngendlela elula onokuyiqonda.

Yintoni iPudendal Nerve?

Ngamafutshane, i-pudendal nerve yi-nerve enkulu kwindawo yakho ye-pelvic. Le nerve ithwala ulwazi lwe-motor kunye ne-sensory ukuya nokubuya kwindawo yakho ye-genital. Khawuthelekelele le nerve ihamba ngemisipha yakho ye-pelvic floor ukuya kwi-genitalia yakho yangaphandle. Le misipha ye-pelvic floor ikwasebenza njengenkxaso yamalungu ethu angaphakathi.

Yintoni umsebenzi we-pudendal nerve?

Kulungile, ngoku masibone ukuba kubaluleke kangakanani le nerve ye-pudendal. Oku kubalulekile kwimvakalelo kunye nokusebenza kommandla wakho we-pelvic, oko kukuthi, iindawo ezijikeleze isini kunye ne-anus. Le nerve yeyomxokelelwano wakho we-peripheral nerve . Inkqubo ye-peripheral nerve yinkqubo ethwala imiqondiso evela kwinkqubo yethu ye-nerve ephakathi - oko kukuthi, ingqondo kunye nomqolo - ukuya kwimilenze yethu nakwamanye amalungu omzimba.

Umsebenzi we-motor we-pudendal nerve uchaphazela oku kulandelayo:

• Izihlunu ze-anal sphincter: Ezi zizihlunu ezikunceda ukulawula indlela indle ehamba ngayo, oko kuthetha ukuba ungayimisa okanye uyikhuphe.
• Izihlunu ze-Urethral sphincter: Ezi zihlunu zikwanceda ekulawuleni ukuhamba komchamo (umchamo).

Ayipheleli apho, i-Pudendal Nerve isinika ulwazi olufana nokuchukumisa, ulonwabo, intlungu, kunye nobushushu obuvela kwezi ndawo:

• Ipenisi: (inxalenye yenkqubo yokuzala yamadoda)
• Ilungu lobufazi: (inxalenye yenkqubo yokuzala yabasetyhini)
• I-Perineum: (Ulusu oluphakathi kwempundu yakho kunye nelungu lobufazi okanye ipenis)
• Umjelo womqala kunye nomngxunya: (inxalenye yenkqubo yokugaya ukutya)

Iphi i-pudendal nerve? Ithini indlela yayo?

Unemithambo-luvo emibini ye-pudendal, enye ingasekunene komzimba wakho kwaye enye ingasekhohlo. Imithambo-luvo ye-pudendal iqala ezantsi komqolo wakho , ebizwa ngokuba yi-sacral plexus . I-sacral plexus liqela lemithambo-luvo efumaneka ngasemva kwe-pelvis yakho.

Olu luthungelwano oluntsonkothileyo lwemithambo-luvo. Le mithambo-luvo yiyo ethumela kwaye ifumane ulwazi malunga nokushukuma kunye nokuziva emathangeni akho, emilenzeni esezantsi, ezinyaweni, nakwisinqe.

Iyintoni indlela ye-pudendal nerve?

Khawucinge nje ukuba oku kufana nokuthatha uhambo oluncinci:

• Okokuqala, le mithambo iqhagamshela kwiingcambu zemithambo-luvo yomgogodla ye-sacral S2 ukuya kwi-S4 kwi-sacral plexus.
• Emva koko, idlula kwi-pelvis yakho nakwi-gluteal region, phezulu kwe-femur.
• Idlula kwindawo evulekileyo kwithambo le-pelvic ebizwa ngokuba yi-greater sciatic foramen .
• Emva koko, iphuma kwindawo yegluteal ngomngxuma omncinci obizwa ngokuba yi-lesser sciatic foramen .
• Ukusuka apho, ihamba, kunye nomthambo we-pudendal kunye nomthambo , iye kwindawo emxinwa efana nomngxuma kwi-pelvis ebizwa ngokuba yi-pudendal canal (ekwabizwa ngokuba yi-Alcock canal ).
• Ekugqibeleni, imithambo-luvo iyahlukana ibe ngamasebe amancinci.

Ngawaphi amasebe aphambili e-Pudendal Nerve?

Emva kokungena kumjelo we-pudendal, umthambo we-pudendal wahlukana ube ngamasebe amathathu aphambili:

• I-Inferior rectal nerve: Oku kulawula imisipha yakho ye-anal sphincter. Ikwabonelela ngolwazi lweemvakalelo kwimisipha ye-anal sphincter kunye nomjelo we-anal.
• I-perineal nerve: Oku kulawula izihlunu zakho zomgangatho we-pelvic kunye ne-urethral sphincter. Ikwabonelela ngolwazi lweemvakalelo kwi-perineum kunye ne-labia kubasetyhini kunye ne-scrotum kumadoda.
• Umthambo we-Dorsal: Lo ngumthambo othumela ulwazi lweemvakalelo ezifana nokuchukumisa, ukonwaba, kunye nentlungu eluswini lwepenis okanye i-clitoris. Unceda ngolonwabo lwesondo kunye nokuqiniswa.

Ziziphi iimeko ezichaphazela i-pudendal nerve?

Ngamanye amaxesha, ukuba uxinzelelo lubekwe kule mithambo-luvo ye-pudendal, intlungu okanye umonakalo wemithambo-luvo (i-neuropathy) unokwenzeka.

I-Pudendal nerve entrapment syndrome yimeko engaqhelekanga ebangelwa kukucinezelwa kwemithambo-luvo. Kule meko, uxinzelelo lubekwa kwi-pudendal nerve ngenxa yengozi okanye esinye isizathu. Oku kunokubangela intlungu enzima, ehlabayo, nengapheliyo ebizwa ngokuba yi -pudendal neuralgia . Le meko ichaphazela malunga nomntu omnye kwisigidi, nto leyo engaqhelekanga kakhulu.

Zithini izizathu zeengxaki zemithambo-luvo ye-pudendal?

Kukho izizathu ezahlukeneyo zokuba le mithambo-luvo inokonakala:

• Iingozi kunye nokulimala.
• Iingxaki zotyando lwe-pelvic . Umzekelo, utyando lwe-prostatectomy okanye utyando lwe-pelvic prolapse organ.
• I-neuropathy enxulumene nesifo seswekile kunye nesifo seswekile.
• Ubunzima bokusebenza kunye nokunikezelwa.
• Uxinzelelo olude kwimithambo-luvo ngenxa yemisebenzi efana nokuqhuba ibhayisekile .
• Unyango ngemitha.
• Iithumba okanye ii-cysts.

Indima yokuvimba kwemithambo-luvo ye-pudendal ngexesha lokubeleka

Ngamanye amaxesha oogqirha basebenzisa i-pudendal nerve block ukunciphisa iintlungu ngexesha lokubeleka. Ugqirha wakho angacebisa oku ukuba awukwazi okanye awufuni ukwenza i- epidural (i-spinal anesthesia), okanye ukuba ufuna uncedo olongezelelweyo lwentlungu ngelixa inxeba lakho liphola emva kokubeleka.

Iibhloko zemithambo-luvo ye-Pudendal zisebenza ngokukhawuleza. Zinokunceda ukunciphisa iintlungu ngexesha lesigaba sesibini sokubeletha (isigaba apho umntwana etyhalelwa ngaphandle) okanye ngaphambi kwe- episiotomy (ukusika okuncinci kumngxuma welungu lobufazi). Nangona kunjalo, khumbula, azinciphisi iintlungu zokuqhomfa okubuhlungu ngexesha lokubeletha.

Sizikhusela njani iimithambo-luvo zethu zobuchopho?

Kukho izinto esinokuzenza ukugcina yonke inkqubo yethu yemithambo-luvo isempilweni, kunye nokukhusela le mithambo-luvo ye-pudendal:

• Sukuhlala ixesha elide. Sukuma uhambehamba rhoqo emva kweyure okanye ezimbini.
• Ukuba ukhwela ibhayisekile, thatha ikhefu elifutshane phakathi kwayo. Musa ukukhwela iiyure ezininzi ngexesha.
• Lawula uxinzelelo ngeendlela ezisempilweni ezifana nokucamngca , ukuhamba, okanye into oyithandayo.
• Yitya ukutya okunesondlo kwaye ugcine ubunzima obusempilweni.
• Lawula iimeko ezinokonakalisa imithambo-luvo, njengesifo seswekile kunye noxinzelelo lwegazi oluphezulu .
• Ukuba uyatshaya, cela uncedo lokuyeka. Ukusebenzisa icuba kunciphisa ukuhamba kwegazi ukuya kwimithambo-luvo.

Ufanele uye nini kugqirha?

Ukuba unayo nayiphi na kwezi mpawu, qiniseka ukuba ubona ugqirha wakho:

• Ukuba unentlungu engapheliyo kwindawo yakho ye-pelvic .
• Ukuba intlungu iyanda xa uhleli .
• Ukuba unengxaki yokungasebenzi kakuhle ngokwesondo.
• Ukuba unengxaki yokungakwazi ukuzibamba ngomchamo okanye lindle .

Okokugqibela, khumbula oku.

Kulungile, ngoko ke i-pudendal nerve esithethe ngayo namhlanje yi-nerve ebaluleke kakhulu enika intshukumo eninzi kunye nemvakalelo kwindawo yethu ye-pelvic, oko kukuthi, amalungu esini angaphandle kunye ne-anus. Ibaluleke kakhulu kumandla akho okulawula ukuchama kunye nokuphuma kwesisu.

Ukuba umthambo we-pudendal wonakele, unokubangela iintlungu kwaye uchaphazele amandla okwenza isondo okanye ulonwabo.

I-Pudendal nerve entrapment syndrome yenzeka xa uxinzelelo lubekwe kwi-nerve. Intlungu enzima nengapheliyo ebangelwa yile meko (i-pudendal neuralgia) ngamanye amaxesha inokuba nzima kangangokuba akunakwenzeka ukwenza imisebenzi yemihla ngemihla. Ke ngoko, ukuba unengxaki enjalo, kungcono ungabi neentloni okanye ungoyiki kwaye ubone ugqirha ukuze akunike iingcebiso. Khumbula, njengayo yonke into, kukho nonyango lwale nto.

I- Pudendal Neva, Intlungu yePelvic, Iingxaki zeMithambo, Ukungasebenzi kakuhle ngokwesondo, Ulawulo lweLindle, Ulawulo lomchamo