Singathetha nge-Obturator Nerve ehamba kwi-groin yakho?

Ngaba wakha wazibuza ukuba zibaluleke kangakanani iimithambo-luvo ezincinci emizimbeni yethu? Namhlanje siza kuthetha ngemithambo-luvo ekhethekileyo kwindawo yakho yangaphakathi ethangeni lakho. Siyibiza ngokuba yi-Obturator Nerve. Isenokuvakala ngathi inzima kancinci, kodwa yenza umsebenzi omninzi.

Yintoni i-Obturator Nerve?

Ngamafutshane, i-obturator nerve yenye yemithambo-luvo emininzi ejikeleze i-groin yakho. Imizimba yethu inento ebizwa ngokuba yi-peripheral nervous system . Oku kunceda ingqondo inxibelelane nomzimba wonke. Kufana nenkqubo yocingo lwefowuni.

Ingcambu yale mithambo-luvo ye-obturator, okanye ingcambu yemithambo-luvo, ikwi- lumbar plexus yakho. Le plexus ye-lumbar yinethiwekhi yemithambo-luvo. Yiyo le nto ilawula intshukumo kunye nokuziva (innervation) kwemilenze yethu esezantsi, oko kukuthi, inxalenye ephezulu yemilenze, inxalenye esezantsi, kunye nonyawo.

Zeziphi ezinye imithambo-luvo edlula kwi-groin?

Uyazi, le mithambo-luvo ye-obturator ayiyo yodwa ekwindawo ye-groin. Kukho ezinye iintlobo ezininzi zemithambo-luvo.

• Imithambo-luvo ye-femoral
• I-nerve ye-genitofemoral
• Umthambo we-Ilioinguinal
• I-lateral femoral nerve

Zithini imisebenzi ye-Obturator Nerve?

Le mithambo-luvo ikakhulu ilawula intshukumo yemisipha kunye nokuziva ngaphakathi kwethanga lakho.

Ukuthetha ngemisebenzi yemoto:

Izihlunu ezidityaniswe ne-obturator nerve zikunceda wenze oku kulandelayo:

• Yandisa imilenze yakho emadolweni.
• Goba amanqe akho.
• Gcina ibhalansi ngelixa umile kwaye uhamba.
• Jikelezisa umlenze wakho kude nomzimba wakho.
• Jika unyawo lwakho lusuke emzimbeni wakho.

Ngokuphathelele imisebenzi yeemvakalelo:

I-obturator nerve inika imvakalelo kwezi ndawo zomzimba wakho:

• Kumalungu esinqe.
• Kumalungu edolo.
• Ezinye iindawo zesikhumba ngaphakathi kwamathanga akho (ezijikeleze i-groin).

Ngaba kukho ezinye iindlela zokusebenzisa i-Obturator Nerve?

Ewe, kukho nezinye izibonelelo ezikhethekileyo. Ngamanye amaxesha oogqirha bafaka amayeza kule nerve yokuthintela ukuva ukuze banciphise imvakalelo kuloo ndawo. Oku sikubiza ngokuba yi-nerve block . Cinga ngako njengokufaka iintsini ezibuhlungu ngaphambi kokuba kukhutshwe izinyo.

Ungadinga i-obturator nerve block kwiimeko ezilandelayo:

• Ukuvala indawo yesinqe ngaphambi kotyando lwesinqe okanye lwedolo.
• Ngexesha lotyando lwe-pelvic, umzekelo, xa unyanga umhlaza wesinyi, yeka imilenze ukuba ingashukumi ngokuthanda kwayo.
• Nciphisa iintlungu zemiqolo okanye zethanga ezingaphenduliyo kunyango oluqhelekileyo.
• Nyanga ukuqina okungaqhelekanga kwemisipha kwicala langaphakathi lethanga (okubizwa ngokuba yi-spasticity ). Le meko inokwenzeka ngamanye amaxesha kubantu abanezifo ezifana ne -multiple sclerosis .

Yintoni i-anatomy ye-obturator nerve?

Kulungile, ngoku makhe sijonge indlela le mithambo-luvo eyakheka ngayo nendlela ehamba ngayo.

Iintambo zemithambo-luvo ezenza umthambo we-obturator ziqala kumqolo wakho ongezantsi, kwi -vertebrae L2, L3, kunye ne-L4.

Indlela ye-obturator nerve yile ilandelayo:

• Ihamba ngemisipha ebizwa ngokuba yi-psoas muscle .
• Umthambo wakho we-iliac uhamba ngasemva nangasecaleni kodonga lwe-pelvic.
• Emva koko ingena kwindawo ye-femoral ngomngxuma wezicubu okufutshane, umjelo we-obturator .

Emva kokufikelela kwi-groin, i-obturator nerve yahlulwe ibe ngamasebe amathathu aphambili:

• Isebe elingaphambili: Oku kunika imvakalelo kwimisipha ekuncedayo ukugoba isinqe sakho.
• Isebe elinolusu: Eli lelinye isebe elivela kwisebe elingaphambili. Linika ulusu olukwicala elingaphezulu elingaphakathi lethanga lakho imvakalelo.
• Isebe elingasemva: Oku kunceda ekujikelezeni isinqe nasekuhlanganiseni amathanga.

Khawucinge nje, njengokuba amasebe amakhulu ehluma esiqwini somthi, namasebe amancinci ehluma kuloo masebe, ngokunjalo la masebe ehluma abe ngamasebe.

Ngamanye amaxesha, eli sebe langaphambili likwabonelela ngomsebenzi wokunyakaza kwimisipha ye-pectineus engaphakathi kwethanga lakho elingaphezulu. Kodwa ngokuqhelekileyo, le misipha ibonelelwa yi- femoral nerve yakho. Nangona kunjalo, olu lutshintsho olungaqhelekanga lwe-anatomy eqhelekileyo.

Ingonakaliswa njani i-obturator nerve? Ziziphi iimeko eziyichaphazelayo?

Ingxaki ephambili ephakamayo xa umthambo we-obturator wonakele yintlungu ye-neuropathic . Le yintlungu ebangelwa ngumthambo ngokwawo. Kukho iimeko ezahlukeneyo ezinokubangela oku:

• Ukubhajwa kwemithambo-luvo: Oku kwenzeka xa izicwili ezikufutshane, ezifana nemisipha evuvukileyo, zibeka uxinzelelo olugqithisileyo kwimithambo-luvo, nto leyo ebangela ukungasebenzi kakuhle kwemithambo-luvo. Oku kunokwenzeka ngexesha lokukhulelwa. Kunokubangelwa naziimeko ezithile ze-pelvic, ezifana ne -endometriosis .
• Ukonakala kwemithambo-luvo (Obturator neuropathy): Ukonakala kwemithambo-luvo kunokwenzeka ngenxa yokuguguleka okungaqhelekanga okanye ingozi.
• I-Obturator hernia: Izicubu zesisu zityhala umjelo we-obturator kwaye zicinezele umthambo we-obturator.
• Ukulimala kwepelvic: Oku kungenzeka ngexesha lokubeleka okanye kwizilonda ezinzima ezifana neengozi zeemoto. Ngeli xesha, ukopha ngaphakathi kunokwenzeka kwaye umthambo unokucinezelwa.
• Iithumba okanye umhlaza wesinqe: Ukukhula okungaqhelekanga (iithumba) kunokwenzeka kwiindawo ezifana nesinyi, umlomo wesibeleko, kunye ne-rectum.
• Ukulimala kwezemidlalo: Oku kunokwenzeka kwimidlalo equka ukukhaba rhoqo, njengebhola ekhatywayo, okanye kwimidlalo efuna ukuhlala ixesha elide, njengokukhwela ibhayisekile nokukhwela ihashe.

Ngaba kukho ezinye izizathu zomonakalo kwi-obturator nerve?

Ewe, kukho nezinye izinto. Umthambo we-obturator unokuchaphazeleka njengengxaki, ingakumbi kutyando lwe-pelvic . Uyazi, kukho izakhiwo ezininzi ezintsonkothileyo kule ndawo. Ngoko ke indawo yokuba izixhobo zotyando zikwazi ukuhambahamba incinci. Ngoko ke, ngamanye amaxesha lo mthambo unokonakala xa oogqirha bezama ukufikelela kwindawo apho benza khona utyando. Ngexesha lotyando, umthambo we-obturator unokoyiswa okwethutyana, utsalwe, okanye, ngokungafane, wonakaliswe zizixhobo zotyando.

Ngexesha lotyando oluthile, kunye nexesha lokubeleka, kusetyenziswa iindlela zokubeka imilenze kude nomzimba. Oku kunokubangela uxinzelelo kwi-obturator nerve.

Nazi ezinye iintlobo zotyando ezinokubangela i-obturator neuropathy:

• Ukususwa kwe-lymph node yomhlaza womlomo wesibeleko.
• Ukulungiswa kokuqhekeka kwamalungu esinqe .
• Umsebenzi we-transobturator tape (TOT) wokungakwazi ukuzibamba ngenxa yoxinzelelo .
• Ukususwa ngokupheleleyo kwesibeleko ( ukususwa kwesibeleko) kunye nokususwa kweprostate (ukususwa kweprostate gland).
• Ukuvaleka kwemithambo yesibeleko njengonyango lwe -fibroids .

Ndingayikhusela njani i-obturator nerve yam?

Ezinye zezinto ezibangela i-obturator neuropathy, ezifana nokwenzakala ngexesha lokubeleka okanye ukuxhuzula okukhulu kwengqondo, zinokuba ngaphaya kwamandla ethu. Asizizo izinto esinokuzilawula.

Nangona kunjalo, kukho izinto ezininzi onokuzenza ukuthintela umonakalo kwi-obturator nerve kwiingozi zemidlalo:

• Lungisa imitya yeenyawo zeesali zehashe okanye ubude besihlalo sebhayisekile ukuze unciphise uxinzelelo kwi-pelvis yakho.
• Ngaphambi kokuba udlale imidlalo yokukhaba , fudumeza umzimba wakho kakuhle , oko kuthetha ukuba zinike ixesha lokufudumeza umzimba wakho.
• Qinisa imisipha yakho yomlenze neyesisu esisezantsi ngoqeqesho lokuxhathisa .
• Ukuba uziva ubuhlungu okanye intlungu emqolo wakho, ungayihoyi, yeka ukudlala uze uphumle .

Ufanele uye nini kugqirha xa unengxaki yomthambo we-obturator?

Iimpawu ze-obturator neuropathy zihlala ziqhubeka kwaye aziphucuki lula ngokuhamba kwexesha.

Ukuba unayo nayiphi na kwezi mpawu, bona ugqirha ngokukhawuleza:

• I-Claudication , oku kukuqhwalela okanye ukuqaqanjelwa kwemisipha (ukuqaqamba kwemilenze) emilenzeni okwenzeka xa umntu esenza umthambo.
• Intlungu engapheliyo kwithambo lakho lesitho sangasese.
• Ukungakhululeki okanye iintlungu eziphuma ethangeni.
• Ubuthathaka bemisipha ethangeni.
• Ukuba ndindisholo kwethanga.
• Ukuba intlungu iyanda xa ushukumisa umlenze wakho ukusuka kwelinye icala ukuya kwelinye.
• Ukuziva unamanxeba kwindawo yesinqe.

Khumbula, ayilocebo lilungileyo ukungawahoyi la mpawu. Kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza.

Masikhumbule ngokufutshane (Umyalezo Wokubuyela Ekhaya)

Ngoko ke, mhlawumbi uyaqonda ngoku ukuba i-Obturator Nerve esithethe ngayo namhlanje yi-nerve ebaluleke kakhulu ekunceda ukugoba isinqe sakho kwaye ujikeleze umlenze wakho ngaphandle. Le nerve inokuchaphazeleka ngezizathu ezahlukeneyo, ezinje ngokwenzakala kwezemidlalo, iingxaki ngexesha lokubeleka, okanye iingxaki ezivela kwiinkqubo zonyango. Abanye abantu banokufumana iintlungu eziqhubekayo ngenxa ye-obturator neuropathy.

Kodwa akukho nto yokoyika. Kukho unyango lwanamhlanje, olufana nokuthintela imithambo-luvo, olunokukunika isiqabu. Eyona nto ibalulekileyo kukufuna ingcebiso yezonyango ngokukhawuleza ukuba uneempawu ezikhankanyiweyo apha ngasentla. Emva koko ungaqala unyango olufunekayo ngokukhawuleza.

Imithambo - luvo, i-Obturator Imithambo-luvo, Intlungu Yomlenze, Intlungu Yemiqolo, Iingxaki Zemithambo-luvo, Ulwakhiwo Lomzimba, Impilo