Ingabe uzwa ubuhlungu endaweni yakho ye-pelvic? Ingabe kungaba yi-pudendal nerve?

Wake wezwa ngento ebizwa ngokuthi 'i-Pudendal Nerve'? Mhlawumbe akunjalo. Kodwa iyi-nerve ebaluleke kakhulu emzimbeni wethu, ikakhulukazi esifundeni se-pelvic. Ifana nesithunywa esiyimfihlo esilawula imizwa nokunyakaza emzimbeni wethu ongezansi. Namuhla, sizokhuluma ngale nerve emangalisayo ngendlela elula ongayiqonda.

Iyini i-Pudendal Nerve?

Kalula nje, i-pudendal nerve iyisitho esikhulu esifundeni sakho se-pelvic. Le nzwa ithwala ulwazi lwe-motor kanye ne-sensory iye futhi ibuya endaweni yakho yesitho sangasese. Cabanga ngale nzwa idlula emisipheni yakho ye-pelvic phansi ize iye ezithweni zakho zangasese zangaphandle. Le misipha ye-pelvic phansi isebenza njengokusekela izitho zethu zangaphakathi.

Uyini umsebenzi we-pudendal nerve?

Kulungile, manje ake sibone ukuthi kubaluleke kangakanani le nerve ye-pudendal. Lokhu kubalulekile ekuzizweni nasekusebenzeni kwesifunda sakho se-pelvic, okungukuthi, izindawo ezizungeze izitho zangasese kanye ne-anus. Le nerve ingeyesistimu yakho yezinzwa engaphandle . Uhlelo lwezinzwa olungaphandle luyisistimu ethwala izimpawu ezivela ohlelweni lwethu lwezinzwa oluphakathi - okungukuthi, ubuchopho kanye nomgogodla - ziye ezithweni zethu nasezithweni ezithile zomzimba.

Umsebenzi wokunyakaza kwe-pudendal nerve uthinta:

• Imisipha ye-anal sphincter: Lena yimisipha ekusiza ukulawula ukudlula kwendle, okusho ukuthi ungayimisa noma uyikhiphe.
• Imisipha ye-urethral sphincter: Le misipha isiza futhi ekulawuleni ukugeleza komchamo (umchamo).

Akukhona lokho kuphela, i-Pudendal Nerve isinikeza ulwazi lwezinzwa ezifana nokuthinta, injabulo, ubuhlungu, kanye nokushisa okuvela kulezi zindawo:

• Ipenisi: (ingxenye yesistimu yokuzala yabesilisa)
• Isitho sangasese sowesifazane: (ingxenye yesistimu yokuzala yabesifazane)
• I-Perineum: (Isikhumba esiphakathi kwe-anus yakho nesitho sangasese sowesifazane noma ipenisi)
• Umsele wendunu kanye nendunu: (ingxenye yesimiso sokugaya ukudla)

Ikuphi i-pudendal nerve? Iyiphi indlela yayo?

Unezinzwa ezimbili ze-pudendal, enye ingakwesokudla komzimba wakho kanti enye ikwesobunxele. Inzwa ye-pudendal iqala phansi komgogodla wakho , ebizwa ngokuthi i-sacral plexus . I-sacral plexus yiqembu lezinzwa ezitholakala ngemuva kwe-pelvis yakho.

Lena inethiwekhi eyinkimbinkimbi kakhulu yezinzwa. Lezi zinzwa yizo ezithumela futhi zamukele ulwazi mayelana nokunyakaza kanye nokuzwa emathangeni akho, emilenzeni engezansi, ezinyaweni, kanye nasesinqeni.

Iyini indlela yomthambo we-pudendal?

Cabanga ngalokhu kufana nokuya ohambweni oluncane:

• Okokuqala, le nzwa ixhuma ezimpandeni zemithambo yomgogodla ye-sacral S2 kuya ku-S4 ku-plexus ye-sacral.
• Bese idlula ethangeni lakho kanye nasesifundeni se-gluteal, phezulu kwe-femur.
• Idlula ngembobo ethanjeni le-pelvic ebizwa ngokuthi i-greater sciatic foramen .
• Bese, iphuma esifundeni se-gluteal ngembobo encane ebizwa ngokuthi i-lesser sciatic foramen .
• Ukusuka lapho, iyahamba, kanye nomthambo we-pudendal kanye nomthambo , iye endaweni encane efana nomhubhe e-pelvis ebizwa ngokuthi i-pudendal canal (ebizwa nangokuthi i-Alcock canal ).
• Ekugcineni, imizwa ihlukana ibe amagatsha amancane.

Yiziphi izingxenye eziyinhloko ze-Pudendal Nerve?

Ngemva kokungena emseleni we-pudendal, i-pudendal nerve ihlukana ibe amagatsha amathathu ayinhloko:

• I-Inferior rectal nerve: Lokhu kulawula imisipha yakho ye-anal sphincter. Kuphinde kunikeze ulwazi lwezinzwa emisipheni ye-anal sphincter kanye nomsele we-anal.
• I-perineal nerve: Lokhu kulawula imisipha yakho yephansi le-pelvic kanye ne-urethral sphincter. Kuphinde kunikeze ulwazi lwezinzwa ku-perineum kanye ne-labia kwabesifazane kanye ne-scrotum kwabesilisa.
• I-Dorsal nerve: Lona i-nerve ethumela ulwazi lwezinzwa njengokuthinta, injabulo, kanye nobuhlungu esikhumbeni sepenis noma i-clitoris. Iyasiza enjabulweni yocansi kanye nokuma.

Yiziphi izimo ezithinta i-pudendal nerve?

Ngezinye izikhathi, uma kufakwa ingcindezi kule nerve ye-pudendal, ubuhlungu noma umonakalo wemizwa (i-neuropathy) kungenzeka.

I-Pudendal nerve entrapment syndrome yisimo esingavamile esibangelwa ukucindezelwa kwemizwa. Kulesi simo, ingcindezi ibekwa emsipheni we-pudendal ngenxa yengozi noma esinye isizathu. Lokhu kungabangela ubuhlungu obukhulu, obuhlabayo, obungapheli obubizwa ngokuthi i-pudendal neuralgia . Lesi simo sithinta cishe umuntu oyedwa kwabayisigidi, okuyinto engavamile kakhulu.

Yiziphi izimbangela zezinkinga zemizwa ye-pudendal?

Kunezizathu eziningana zokuthi kungani le nerve ingalimala:

• Izingozi kanye nokulimala.
• Izinkinga zokuhlinzwa kwe-pelvic . Isibonelo, ukuhlinzwa kwe-prostatectomy noma ukuhlinzwa kwe-pelvic prolapse organ.
• Isifo sikashukela kanye ne-neuropathy ehlobene nesifo sikashukela.
• Ubunzima bokusebenza kanye nokulethwa.
• Ukucindezeleka isikhathi eside emsipheni ngenxa yemisebenzi efana nokugibela ibhayisikili .
• Ukwelashwa ngemisebe.
• Amathumba noma ama-cysts.

Indima yokuvimba kwemizwa ye-pudendal ngesikhathi sokubeletha

Ngezinye izikhathi odokotela basebenzisa i-pudendal nerve block ukunciphisa ubuhlungu ngesikhathi sokubeletha. Udokotela wakho angase akuphakamise lokhu uma ungakwazi noma ungafuni ukwenza i- epidural (i-spinal anesthesia), noma uma udinga ukukhululeka okwengeziwe kobuhlungu ngenkathi inxeba lakho liphola ngemva kokubeletha.

Ama-Pudendal nerve blocks asebenza ngokushesha. Angasiza ekunciphiseni ubuhlungu ngesikhathi sesigaba sesibili sokubeletha (isigaba lapho umntwana ekhishwa khona) noma ngaphambi kwe- episiotomy (ukusikeka okuncane emngxunyeni wesitho sangasese sowesifazane). Kodwa-ke, khumbula, awanciphisi ubuhlungu bokufinyela okubuhlungu ngesikhathi sokubeletha.

Sizivikela kanjani izinzwa zethu ze-pudendal?

Kunezinto esingazenza ukuze sigcine lonke uhlelo lwethu lwezinzwa luphilile, kanye nokuvikela lezi zinzwa ezibuhlungu:

• Ungahlali isikhathi eside. Vuka uhambehamba njalo ngehora noma amabili.
• Uma ugibela ibhayisikili, thatha ikhefu elifushane phakathi kwalo. Ungagibeli amahora amaningi ngesikhathi.
• Lawula ukucindezeleka ngezindlela ezinempilo njengokuzindla , ukuhamba, noma into oyithandayo.
• Yidla ukudla okunempilo futhi ugcine isisindo esinempilo.
• Lawula izimo ezingalimaza imizwa, njengesifo sikashukela kanye nomfutho wegazi ophakeme .
• Uma ubhema, cela usizo lokuyeka. Ukusebenzisa ugwayi kunciphisa ukugeleza kwegazi kuya emithanjeni.

Kufanele ubonane nini nodokotela?

Uma unezinye zalezi zimpawu, qiniseka ukuthi ubona udokotela wakho:

• Uma unezinhlungu ezingapheli esifundeni sakho se-pelvic .
• Uma ubuhlungu bukhula uma uhleli .
• Uma unenkinga yokungasebenzi kahle kocansi.
• Uma unenkinga yokungakwazi ukuzibamba ngomchamo noma ngendle .

Ekugcineni, khumbula lokhu.

Kulungile, ngakho-ke i-pudendal nerve esikhulume ngayo namuhla iyi-nerve ebaluleke kakhulu enikeza ukunyakaza okuningi kanye nomuzwa esifundeni sethu se-pelvic, okungukuthi, izitho zangasese zangaphandle kanye ne-anus. Kubalulekile ekhonweni lakho lokulawula ukuchama kanye nokuphuma kwendle.

Uma i-pudendal nerve yonakele, ingabangela ubuhlungu futhi ithinte ikhono lokwenza ucansi noma injabulo.

I-Pudendal nerve entrapment syndrome yenzeka lapho kufakwa ingcindezi emsipheni. Ubuhlungu obukhulu, obungapheli obubangelwa yilesi simo (i-pudendal neuralgia) ngezinye izikhathi bungaba bukhulu kangangokuthi akunakwenzeka ukwenza imisebenzi yansuku zonke. Ngakho-ke, uma ungakhululeki kanjalo, kungcono ungabi namahloni noma wesabe ukubona udokotela futhi ufune iseluleko. Khumbula, njengakho konke, kukhona nokwelashwa kwalokhu.

I- Pudendal Neva, Ubuhlungu Be-Pelvic, Ukuphazamiseka Kwemizwa, Ukungasebenzi Kahle Kocansi, Ukulawulwa Kwendle, Ukulawulwa Komchamo