Ngaba nawe unentlungu engapheliyo kwisisu sakho esisezantsi? Ngaba yi-pudendal neuralgia?

Ngaba ngamanye amaxesha uziva iintlungu ezinganyamezelekiyo, ukutsha, okanye ukungakhululeki esiswini sakho esisezantsi , oko kukuthi, kwindawo yesini nakwi-rectum? Ngaba le ntlungu ibonakala isiya iba mandundu, ingakumbi xa uhleli phantsi? Ukuba kunjalo, kubaluleke kakhulu ukuba uqaphele le meko ibizwa ngokuba yiPudendal Neuralgia, esiza kuthetha ngayo namhlanje. Nangona le yimeko engaqhelekanga, inokuba yingxaki enkulu kwabanye abantu.

Yintoni i-Pudendal Neuralgia?

Ngamafutshane, i-pudendal neuralgia yintlungu yexesha elide yesinqe ebangelwa kukonakala, ukucinezelwa, okanye ingxaki nge- pudendal nerve yakho. Ngokukodwa, xa le mithambo yenzakele okanye icinezelwe, ibangela intlungu yokuhlaba, ukutsha, okanye efana nombane. Le ntlungu inokuvakala ezinqeni zakho, kwi-perineum , nakwizitho zangasese. Iba nzima kakhulu xa uhleli.

Iphi i-pudendal nerve?

Cinga ngako oku, i-pudendal nerve iqala ngasemva kwe-pelvis yethu kwaye iqhagamshela kuyo yonke indawo ephakathi kwemilenze yethu, kuquka izihlunu kunye nolusu. Ngamanye amazwi, cinga ngendawo nganye apho ucinezela khona isihlalo xa ukhwela ibhayisekile. Loo ndawo yonke inokuchaphazeleka kukonakala kwe-pudendal nerve. Le nerve ilawula iintshukumo kunye neemvakalelo zesini sakho kunye ne-anus. Ikwalawula izihlunu ze-sphincter ezikunceda ukuba uchame kwaye ukhululeke.

Yintoni umsebenzi we-pudendal nerve?

Le nerve ithwala ezinye zezona mvakalelo zibalulekileyo ezivela emzimbeni wethu ukuya engqondweni. Oko kukuthi:

• Qhagamshelana
• Ulonwabo (ngokwesondo)
• Intlungu
• Ubushushu

Ezi mvakalelo zivela kwezi ndawo zilandelayo:

• Amagama amadoda: ipenisi kunye ne -scrotum
• Amagama abasetyhini: i-vagina , i-labia , kunye ne -vulva
• Kuzo zombini: indawo ephakathi kwempundu kunye nelungu lobufazi/ipenis (i-perineum)
• Umjelo womva kunye ne-anus
• I-Urethra (ityhubhu apho umchamo uphuma khona emzimbeni)

Ukuthetha ngendlela exhaphake ngayo le meko, eneneniI-Pudendal Neuralgia yimeko engaqhelekanga , kodwa inokuchaphazela nabani na. Ixhaphake kakhulu kubantu abadala abaneminyaka engaphezu kwe-19 ubudala.

Zithini iimpawu zomonakalo wemithambo-luvo ye-pudendal?

Uphawu oluphambili nolunzima kakhulu lwale meko yintlungu . Le ntlungu inokuchaphazela naliphi na ilungu okanye izihlunu ezilawulwa yi-pudendal nerve. Ungaziva ezi ntlungu kwi-clitoris, kwi-labia, kwi-vagina, kwi-penis, kwi-scrotum, kwi-anus, okanye kwi-rectum .

Abanye abantu bayichaza ngolu hlobo le ntlungu:

• Kuvakala ngathi kukugqobhoza, ukuhlaba, ukutsha, okanye ukuhlatywa ngemela .
• Ukuba ndindisholo, ukurhawuzelela, okanye ukuziva uphelelwe zimvakalelo .
• Intlungu ibonakala isanda ngokuhlwa nasebusuku ize iphele kancinci kusasa .
• Ubunzima bentlungu buyahluka ngamaxesha athile (kwezinye iintsuku buyakhula, kwezinye iintsuku buyancipha).
• Intlungu ivakala kakhulu xa uhleli . Iyancipha kancinci xa umi okanye ulele.

Khawucinge nje, uNilanthi ebenentlungu engaqhelekanga esiswini sakhe kangangeenyanga. Wayebone oogqirha abaninzi, kodwa abazange bakwazi ukubona unobangela ochanekileyo. Wakufumanisa kunzima kakhulu ukuhlala esitulweni sakhe seofisi aze asebenze. Ngamanye amaxesha intlungu yayinzima kangangokuba wayekhala. Ekugqibeleni, ingcali yafumanisa ukuba yiPudendal Neuralgia.

Ukongeza kule ntlungu iphambili, ezinye iimpawu zinokuvela:

• Uvakalelo luyanda kangangokuba uzive iintlungu nokuba unxibe impahla yangaphantsi.
• Indawo ejikeleze i-anus ivakala ngathi idumbile, ngokungathi kukho into ebambeke ngaphakathi kwi-anus .
• Ukuziva ngequbuliso ufuna ukuchama .
• Ndiva iintlungu xa ndikhupha indle .
• Ndiva iintlungu ngexesha lokwabelana ngesondo .
• Kunzima ukufikelela kwi-orgasm.
• Amadoda anokuba nokungasebenzi kakuhle kwe-erectile .
• Kunokubakho ukungaziva kakuhle, ukubanda, okanye ukuphelelwa zimvakalelo emilenzeni, ezinyaweni, nasezimpundu.

I-pudendal nerve yethu inamasebe amathathu aphambili: isebe le-rectal, isebe le-perineal, kunye nesebe le-clitoral/penile. Iimpawu ozifumanayo zixhomekeke ekubeni leliphi kula masebe lonakeleyo.

Zithini izizathu zokwanda kwe-Pudendal Neuralgia?

Umthambo we-pudendal ungonakaliswa (ngokucinezelwa okanye ngezinye iindlela) okanye ucinezelwe zizicubu okanye izihlunu ezingqongileyo. Ezinye zezinto ezinokubangela oku zezi:

• Imisebenzi ebeka uxinzelelo oluqhubekayo kwindawo ye-pelvic. Umzekelo, izinto ezinje ngebhayisekile , ukuquleka ngexesha lokuphakamisa iintsimbi, ukukhwela ihashe, okanye ukuqunjelwa okungapheliyo kunokonakalisa i-pelvis.
• Ukuhlala ixesha elide.
• Ukucinezelwa kwemithambo-luvo ngenxa yemisipha kunye nemisipha ejikelezileyo.
• Iingxaki zotyando oluthile, umzekelo, i-prostatectomy .
• Ukuqhekeka kwethambo lesinqe.
• Ukulimala ngexesha lokubeleka.
• Ezinye izifo okanye izifo.
• Ukukhula okanye isilonda esingengomhlaza (esingenobungozi).
• I-neuropathy ebangelwa sisifo seswekile okanye ezinye izifo.

Ifunyaniswa njani i-Pudendal Neuralgia?

Oogqirha bafumanisa le meko ngovavanyo lomzimba kunye nezinye iimvavanyo. Baqala bakubuze ngeempawu zakho kunye nendawo ekuyo intlungu. Rhoqo, oogqirha bazama ukuthintela ezinye iimeko ezinokubangela intlungu efanayo.

Ezinye zeemvavanyo ezisetyenzisiweyo koku zezi:

• Uvavanyo lwesisu okanye lwesisu: Ugqirha ufaka umnwe ogqunywe ngeglavu kwi-rectum okanye kwi-vaginal yakho aze afake uxinzelelo ngqo kwi-pudendal nerve.
• I-Magnetic Resonance Imaging (MRI): Olu luvavanyo olunamandla lokufota olunokuvavanya i-pudendal nerve kunye nezakhiwo ezingqongileyo ukuze kuchongwe iingxaki.
• I-Electromyography (EMG): Kolu vavanyo, oogqirha basebenzisa isixhobo esincinci ukuthumela i-electrical impulses kwi-pudendal nerve yakho ukuze babone ukuba isebenza kakuhle kangakanani kwaye isabela njani xa ikhuthazwa.
• Izinto zokuthintela imithambo-luvo: Oogqirha baza kufaka iyeza elinciphisa iintlungu kwindawo yakho yesinqe ukuze banciphise imithambo-luvo ye-pudendal. Baza kubona ukuba iintlungu zakho ziyaphela na. Ukuba iintlungu ziyaphela, oko kuthetha ukuba iintlungu kusenokwenzeka ukuba zivela kwimithambo-luvo ye-pudendal.

Ezinye iimeko ezinokubhidaniswa ne-Pudendal Neuralgia

I-Pudendal neuralgia kunye nezinye iimeko ezininzi zineempawu ezifanayo. Umzekelo, iintlungu kunye nokungakwazi ukuzibamba. Ngoko ke ugqirha wakho unokwenza uvavanyo okanye abuze imibuzo ukuze asuse ezinye iingxaki. Ezinye zezi meko ziquka:

• I-Vulvodynia: Intlungu kwindawo yangaphandle yesini .
• I-Coccygodynia: Intlungu kwithambo lomsila.
• I-Prostatitis: Izifo ezinxulumene ne-prostate gland.
• I-Sciatica: Intlungu emqolo nasemilenzeni ebangelwa kukonakala kwe-sciatic nerve.
• Ukungasebenzi kakuhle komgangatho we-pelvic: Ukonakala kwemisipha yomgangatho we-pelvic kubangela ubunzima bokukhupha indle okanye ukubamba umchamo.

Inyangwa njani i-Pudendal Neuralgia?

Unyango lunokubandakanya unyango lomzimba, amayeza, utshintsho kwindlela yokuphila, okanye notyando. Oogqirha banokusebenzisa olunye okanye ngaphezulu kwezi ndlela zonyango kunye ukuze banciphise iimpawu ngokukhawuleza.

Ulungiso lwenyama

Ingcali yezonyango ingakufundisa ukolula nokuzivocavoca ukuze uphumze izihlunu ezibangela intlungu yemithambo-luvo yakho. Banokucebisa nokusebenzisa umatshini we-TENS (Transcutaneous Electrical Nerve Stimulation) ukunciphisa intlungu yemithambo-luvo.

Utshintsho kwindlela yokuphila

Ezinye izinto zingenza intlungu yemithambo-luvo ye-pudendal ibe mandundu, ngoko ke kunokuba luncedo ukuyiphepha okanye ukuyitshintsha loo misebenzi. Nazi ezinye zemizekelo:

• Ukuhlala ixesha elide ngexesha.
• Ukukhwela ibhayisekile.
• Ukuzilolonga nge-squat kwenziwa xa uphakamisa iintsimbi.
• Ukukhwela ihashe.
• Ukuzikhama ngexesha lokuhamba kwamathumbu ukuba une-constipation.

Kungcono ukusebenzisa umqamelo wedonathi okanye umqamelo omile njengo-U xa uhleli. Le miqamelo inomngxuma embindini, nto leyo enciphisa uxinzelelo kwimisipha yomgangatho we-pelvic kunye ne-perineum. Ukuba uhlala unesithukuthezi sokuqunjelwa, yitya ukutya okuninzi okunefayibha okanye uthathe isithambisi sokuthambisa isitulo. Oku kuya kukunceda ukhuphe isitulo ngokulula.

Amayeza

Abanye abantu banokusebenzisa amayeza okudambisa iintlungu okanye ii-steroids ukunciphisa iintlungu. Kukho amayeza aliqela amiselwe ngokukodwa kwi-pudendal neuralgia:

• Izibulali-ntlungu.
• Amayeza e-neuroleptic okanye e-antiepileptic, umzekelo , i-Gabapentin .
• Ukutofa nge-anesthetics yendawo (ukuvimba iintlungu zemithambo-luvo) okanye ii-corticosteroids (ukunciphisa ukudumba).
• Ii-tricyclic antidepressants, ezifana ne -amitriptyline .
• Iinaliti zeBotox ukuze kuphumzwe izihlunu ezijikeleze umthambo we-pudendal.

Utyando

Utyando ludla ngokuba yindlela yokugqibela. Ukususwa kwe-Pudendal nerve decompression yinkqubo esusa izihlunu okanye izicubu kwi-pudendal nerve yakho. Oogqirha benza i-incision kwimisipha yakho ye-gluteal okanye kwi-perineal ukuze bafikelele kwi-pudendal nerve. Olu tyando lungathatha iinyanga, okanye iminyaka, ukuze kuthomalaliswe iintlungu. Ayilonyango olukhawulezileyo.

Ngaba i-pudendal nerve ingaxutywa?

Unyango lokuphulula alulonyango oluvunyiweyo lwe-pudendal neuralgia. Nangona kunjalo, abanye oogqirha bacebisa ukuphulula izihlunu ezijikeleze i-pudendal nerve ukuze kuncitshiswe ukuqina kunye noxinzelelo. Oku kunokubonelela ngokukhululeka okwethutyana kwi-pinched pudendal nerve.

Ndingayinciphisa njani ingozi yokuba ne-pudendal neuralgia?

Oku kunokuba nzima ukukunciphisa ukuba unobangela kukuzala, ingozi, okanye utyando. Nangona kunjalo, eminye imisebenzi inokuchaphazela imithambo-luvo yakho ye-pudendal.

Kukho izinto ezininzi onokuzenza ukunciphisa umngcipheko wakho wentlungu yemithambo-luvo:

• Kuphephe ukukhwela ihashe okanye ukukhwela ibhayisekile.
• Musa ukuhlala phantsi ngalo lonke ixesha, yima ngeenyawo ngamanye amaxesha.
• Sebenzisa umqamelo omile okwedonathi xa uhleli ukuze unciphise uxinzelelo kwi-pelvis yakho.
• Kuphephe ukuzikhama xa uchama okanye xa ukhupha indle.

Ngaba i-Pudendal Neuralgia inganyangeka ngokupheleleyo?

Hayi, akukho nyango loku. Injongo yonyango kukunciphisa iimpawu kangangoko kunokwenzeka. Nangona kunjalo, iimpawu zisenokungapheli ngokupheleleyo.

Uphila njani ubomi bemihla ngemihla unentlungu yemithambo-luvo ye-pudendal?

Xa unentlungu yemithambo-luvo engapheliyo, inokuchaphazela ubomi bakho bemihla ngemihla. Inokuchaphazela ubudlelwane bakho, imisebenzi yakho, kunye nokuphila kakuhle. Ukuba unentlungu ye-pelvic, ukungasebenzi kakuhle ngokwesondo, iingxaki zokulawula isinyi/amathumbu, okanye iingcinga zokudakumba, kubalulekile ukufuna iingcebiso zonyango . Banokukunceda ufumane isiqabu kwintlungu yakho kwaye bafumanise ukuba ingaba yimbangela ye-pudendal nerve.

Ndifanele ndimbone nini ugqirha?

Ukuba unentlungu kwindawo yakho yesinqe okanye kwisini , bona ugqirha ngokukhawuleza . Ukuba ayinyangwa, intlungu yakho inokuba mandundu kwaye yenze kube nzima kuwe ukwenza imisebenzi yakho yemihla ngemihla. Nazi ezinye iimpawu ekufuneka uziqaphele:

• Imvakalelo "yokuxinana" kwi-pelvis, ezinqeni, okanye kwizitho zangasese.
• Ukuziva ngathi kukho into ebambeke ngaphakathi kwimpundu.
• Intlungu xa uchama okanye isidingo sokuchama rhoqo.
• Iingxaki zokusebenza ngokwesondo.

Ukuba unentlungu engapheliyo ye-pelvic kwaye ukrokrela ukuba unokuba ne-pudendal neuralgia, awuwedwa. Nangona ingaqhelekanga, i-pudendal neuralgia inokuba yimeko ebangela ubuthathaka enokuchaphazela indlela ophila ngayo, ubudlelwane, kunye nemisebenzi yemihla ngemihla. Thetha nogqirha wakho malunga neempawu zakho. Emva koko unokugqiba ukhetho olufanelekileyo lonyango ngokusekelwe kubukhali kunye nendawo yentlungu yakho. Khumbula, ukufuna ingcebiso kagqirha kunokukunceda ufumane isiqabu kwintlungu yakho.

Eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

• I-Pudendal neuralgia yintlungu enzima nehlala ixesha elide kwindawo ye-pelvic ebangelwa kukonakala komthambo we-pudendal.
• Uphawu oluphambili kukuba intlungu iba mandundu xa uhleli .
• Oku kunokubangelwa zizinto ezininzi; izinto ezifana noxinzelelo oluqhubekayo, utyando, ukuzala umntwana , njl.
• Kubaluleke kakhulu ukufuna ingcebiso kagqirha ngaphandle kokulibazisa ukuba uneempawu.
• Iimpawu zingalawulwa ngonyango lomzimba, amayeza, utshintsho kwindlela yokuphila, kwaye ngamanye amaxesha utyando.
• Nokuba akukho nyango lupheleleyo, ungafumana uncedo lokunciphisa iintlungu kwaye uphile ubomi obuqhelekileyo.