Ngaba ukhe uve iintlungu eziqatha nezitshisayo esiswini sakho esisezantsi, oko kukuthi, ezijikeleze amalungu akho esini nakwi-anus, xa uhlala phantsi? Okanye ngaba unengxaki yokulawula umchamo wakho kunye nendle, okanye uziva ungenazo iimvakalelo ngexesha lokwabelana ngesondo? Nangona zininzi izizathu zezinto ezinjalo, mhlawumbi unobangela yingxaki yemithambo-luvo ekhethekileyo ongazange uve ngayo. Namhlanje sithetha ngenxalenye ebaluleke kakhulu, kodwa engathethwa kakhulu ngayo, yomzimba wethu, i-pudendal nerve.
Kalula nje, yintoni i-pudendal nerve?
Cinga ngemizimba yethu njengesekethe yombane entsonkothileyo. Ingqondo kunye nomqolo zezona zixhobo ziphambili zamandla. Ukusuka apho, kukho inethiwekhi 'yeentambo zombane' ezithwala imiyalezo kuzo zonke iikona zomzimba. Ngendlela efanayo, umthambo we-pudendal ufana 'nentambo yombane' enkulu kwindawo yethu ye-pelvic.
Le nerve ithwala imiyalezo yeemvakalelo kunye ne-motor ukuya kwizitho zethu zangasese, kwi-anus, nakwiindawo ezingqongileyo. Ngokwenyani, le nerve yinxalenye yenkqubo ye-peripheral nerve yomzimba wethu. Oko kukuthi, umsebenzi wayo ophambili kukuthwala imiyalelo esuka kwingqondo nakwi-spinal cord ukuya kwizitho ezifanelekileyo kunye nokuthwala iimvakalelo ezifunyenwe kwezo zitho ukuya engqondweni.
Zeziphi izinto ezibalulekileyo ezenzeka emzimbeni wethu nge-pudendal nerve?
Imisebenzi yale nerve inokwahlulwa ibe ngamacandelo amabini. Enye kukulawula intshukumo , enye kukuvakalelwa . Ukucacisa oku ngakumbi, makhe sijonge itheyibhile engezantsi.
| Uhlobo lomsebenzi | Okwenzekayo ku... |
|---|---|
| Umsebenzi weMoto | Le nerve ilawula izihlunu ze-sphincter ezisinceda sikhuphe ilindle nomchamo xa kufuneka. Ukuba le nerve yonakele, olu lawulo lunokulahleka. |
| Umsebenzi weemvakalelo | Le mithambo-luvo idlulisela iimvakalelo ezifana nokuchukumisa, iintlungu, ulonwabo, kunye nobushushu engqondweni. Umzekelo, ukusebenza kakuhle kwale mithambo-luvo kubalulekile ukuze ufumane ulonwabo ngokwesondo. |
Zivela phi ezi mvakalelo?
I-pudendal nerve ikakhulu inika imvakalelo kwezi ndawo zilandelayo:
- Amadoda: Ipenisi
- Kwabasetyhini: Ilungu lobufazi neendawo ezikufutshane
- Kumacala omabini: I-Anus kunye ne-Anal Canal, kunye nolusu oluphakathi kwazo (i-Perineum)
Iphi le mithambo-luvo emzimbeni wethu?
Kukho imithambo-luvo emibini eyahlukeneyo ye-pudendal kwicala lasekhohlo nelasekunene lemizimba yethu. Le mithambo-luvo iqala kwi-vertebrae ezantsi komqolo wethu, ekupheleni komqolo. Le ndawo siyibiza ngokuba yi-Sacral Plexus. Ifana nendawo apho iingcingo ezininzi zefowuni zidibana khona.
Umthambo we-pudendal, oqala apha, wenza uhambo olunzima kakhulu ngamathambo e-pelvic kunye nemisipha ye-gluteal. Kolu hambo, udlula kwiindawo ezincinci phakathi kwamathambo kunye nemijelo emincinci phakathi kwemisipha (umjelo ka-Alcock), kwaye ekugqibeleni ufikelela kwindawo oya kuyo, kwizitho zangasese nakwi-anus.
Ngeli xesha lohambo, umthambo we-pudendal wahlukana ube ngamasebe amathathu aphambili, ngalinye lisenza umsebenzi othile.
| Isebe Lemithambo-luvo | Umsebenzi wayo ophambili |
|---|---|
| Umthambo ongaphantsi werectal | Ivuselela i-anal sphincter, umsipha olawula ukuhamba kwamathumbu, kwaye inika imvakalelo kwi-rectum. |
| Umthambo we-perineal | Isebenza ukuvuselela izihlunu zomgangatho we-pelvic kunye ne-urethral sphincter, kunye nokubonelela ngemvakalelo kulusu olujikeleze i-labia kubasetyhini kunye ne-scrotum kumadoda. |
| Umthambo we-Dorsal | Ukunika imvakalelo kulusu lwepenis kumadoda nakwi-clitoris kubasetyhini. Oku kubalulekile ukuze umntu onwabe ngokwesondo aze aqine. |
Ingonakaliswa okanye ibangele njani iingxaki i-pudendal nerve?
Uxinzelelo okanye umonakalo kule mithambo-luvo unokubangela i-neuropathy okanye intlungu eqatha.
Khawucinge ukuba kuya kwenzeka ntoni xa le mithambo-luvo ixinwa ndaweni ithile endleleni? Njengaxa umbhobho wamanzi uxinwa, amanzi ayayeka ukuhamba. Xa imithambo-luvo ixinwa, ukuhanjiswa kwemiyalezo kuyaphazamiseka, nto leyo ebangela iintlungu eziqatha. Oku sikubiza ngokuba yiPudendal Nerve Entrapment Syndrome ngokwezonyango.
Intlungu engapheliyo nehlabayo ebangelwa yile meko ibizwa ngokuba yi -pudendal neuralgia . Nangona ingeyonto iqhelekileyo, inokuba buhlungu kangangokuba umntu onesifo angakwazi ukwenza imisebenzi yemihla ngemihla.
Izinto eziqhelekileyo ezibangela umonakalo kwimithambo-luvo:
- Iingozi kunye nokwenzakala: Iingozi kwindawo ye-pelvic.
- Utyando: Iingxaki emva kotyando kwindawo ye-pelvic, umzekelo, utyando lwe-prostatectomy okanye i-pelvic organ prolapse.
- Isifo seswekile: Isifo seswekile esingalawulwayo sinokubangela umonakalo kwimithambo-luvo.
- Ukuzala: Ngexesha lokuzala okunzima kakhulu, intloko yomntwana inokubeka uxinzelelo kwimithambo-luvo.
- Uxinzelelo olude: Imisebenzi efana nokukhwela ibhayisekile ixesha elide inokubangela ukuba umthambo ucinezeleke. Isihlalo sebhayisekile sicinezela ngqo kwindawo apho lo mthambo uhamba khona.
- Unyango lweMisebe: Unyango lweMisebe olunikezelwa kwindawo ye-pelvic yomhlaza.
- Iithumba okanye iiCysts: Ukucinezelwa kwemithambo-luvo okubangelwa sisimila esakheka kufutshane nemithambo-luvo.
Ibaluleke kangakanani le mithambo-luvo ngexesha lokubeleka?
I-pudendal nerve block yindlela ye-anesthesia enikwa umama okhulelweyo ukunciphisa iintlungu zokuzala. Oku kuquka ukufaka i-anesthetic kwi-pudendal nerve, okwethutyana kuthintele ubufazi kunye nendawo engqongileyo.
Oku kudla ngokusetyenziselwa ukunciphisa iintlungu ngexesha lesigaba sesibini sokubeletha, xa umntwana ephuma. Ngamanye amaxesha kukwasetyenziselwa ukuthomalalisa iintlungu ze-episiotomy, okukuqhekeka phakathi kwelungu lobufazi kunye ne-anus. Nangona kunjalo, kubalulekile ukukhumbula ukuba oku akuphelisi iintlungu zokuqhomfa.
Siyikhusela njani le mithambo-luvo ibalulekileyo?
Kukho amanyathelo ambalwa alula esinokuwalandela ukugcina yonke inkqubo yethu yemithambo-luvo isempilweni kwaye sikhusele imithambo-luvo ye-pudendal.
- Musa ukuhlala kwindawo enye ixesha elide, ingakumbi kwiindawo eziqinileyo. Sukuma uhambe-hambe ubuncinane kanye ngeyure.
- Ukuba ungumntu ohamba ngebhayisekile, thatha ikhefu rhoqo. Kwakhona, sebenzisa izihlalo ezikhethekileyo 'ezinamaphedi' ezinciphisa uxinzelelo kwimithambo-luvo.
- Lawula uxinzelelo. Khulula ingqondo yakho ngokucamngca, ukuhamba, njl.
- Yitya ukutya okunempilo kwaye ugcine ubunzima obusempilweni.
- Lawula iimeko zonyango ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu, ezinokwenzakalisa imithambo-luvo.
- Kuphephe ukutshaya. Ukutshaya kuphazamisa ukuhanjiswa kwegazi kwimithambo-luvo.
Ukuba unale mpawu, qiniseka ukuba ubonana nogqirha.
Ukuba ufumana uphawu olunye okanye ezingaphezulu kwezi zilandelayo, kubaluleke kakhulu ukuba ungazityesheli kwaye udibane nogqirha wakho ngokukhawuleza.
| Uphawu | Yintoni ekufuneka uyiqwalasele |
|---|---|
| Intlungu engapheliyo ye-pelvic | Intlungu engapheliyo, ukurhawuzelela, okanye ukutsha kwizitho zangasese, kwimpundu, okanye kwindawo engqongileyo. |
| Intlungu eyandayo xa uhleli | Ukuba intlungu iba mandundu xa uhleli kwaye iyancipha xa usukuma uhamba. |
| Ukungasebenzi kakuhle ngokwesondo | Intlungu ngexesha lokwabelana ngesondo, ukuncipha okanye ukulahleka kwemvakalelo, ubunzima bokufikelela kwi-orgasm. |
| Ukungakwazi ukuzibamba komchamo/indle | Ukuchitha indle okanye umchamo kancinci ungaqondanga, okanye ukuziva ufuna ukuchama/ukukhupha indle rhoqo. |
I-pudendal nerve yi-nerve ebalulekileyo yokuziva kunye nokuhambahamba kwindawo yethu ye-pelvic. Ke ngoko, iintlungu kunye nokungonwabi okubangelwa kukonakala kwale nerve kunokuchaphazela kakhulu umgangatho wobomi bakho. Ke ngoko, kubaluleke kakhulu ukuzazi ezi mpawu kunye nokufuna iingcebiso zonyango ukuba kuyimfuneko.
Umyalezo Wokuya Ekhaya
- I-pudendal nerve yeyona mithambo-luvo iphambili elawula imvakalelo kunye nentshukumo kwindawo yakho ye-pelvic, amalungu esini, kunye ne-anus.
- Ukusebenza kakuhle kwale mithambo-luvo kubalulekile ekulawuleni amathumbu kunye nesinyi, kunye nokusebenza ngokwesondo kunye nolonwabo ngokwesondo.
- Ukwanda kwentlungu yesinqe xa uhleli kunokuba luphawu oluphambili lwengxaki kwimithambo-luvo ye-pudendal.
- Le mithambo-luvo ingonakala ngenxa yezizathu ezifana neengozi, utyando, ukuzala, kunye nokukhwela ibhayisekile ixesha elide.
- Ukuba unayo nayiphi na kwezi mpawu zikhankanyiweyo kweli nqaku, musa ukuyityeshela kwaye bonana nogqirha wakho ngokukhawuleza ukuze ufumane iingcebiso ezifanelekileyo kunye nonyango.
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