Singakhuluma nge-Obturator Nerve edlula embotsheni yakho?

Wake wazibuza ukuthi imizwa emincane emizimbeni yethu ibaluleke kangakanani? Namuhla sizokhuluma ngemizwa ekhethekile endaweni yakho yesisu, ngaphakathi kwethanga lakho. Siyibiza ngokuthi i-Obturator Nerve. Kungase kuzwakale kuyinkimbinkimbi kancane, kodwa kwenza umsebenzi omningi.

Iyini i-Obturator Nerve?

Kalula nje, i-obturator nerve ingenye yezinzwa eziningi ezingaphandle ezidlula embotsheni yakho. Imizimba yethu inokuthile okubizwa ngokuthi i-peripheral nervous system . Yilokhu okusiza ubuchopho ukuthi buxhumane nomzimba wonke. Kufana nesistimu yocingo.

Impande yale nerve ye-obturator, noma impande yemizwa, itholakala ku- lumbar plexus yakho. Le plexus yemizwa iyinethiwekhi yemizwa. Yilokhu okulawula ukunyakaza kanye nokuzwa (ukugcinwa) kwemilenze yethu engezansi, okungukuthi, ingxenye engenhla yemilenze, ingxenye engezansi, kanye nonyawo.

Yimiphi eminye imizwa edlula embotsheni?

Uyazi, le nzwa yokuvimbela ukuvaleka kwemithambo akuyona yodwa etholakala endaweni yesisu. Kunezinhlobo eziningana zemizwa.

• Inzwa yesifazane
• I-genitofemoral nerve
• Inzwa ye-Ilioinguinal
• Inzwa ye-femoral eseceleni

Yimiphi imisebenzi ye-Obturator Nerve?

Lo mzwelo ulawula kakhulu ukunyakaza kwemisipha kanye nomuzwa ongaphakathi kwethanga lakho.

Uma sikhuluma ngemisebenzi yemoto:

Imisipha exhunywe kumthambo we-obturator ikusiza ukuthi wenze okulandelayo:

• Yelula imilenze yakho emadolweni.
• Goba izinqe zakho.
• Gcina ibhalansi ngenkathi umile futhi uhamba.
• Jikelezisa umlenze wakho kude nomzimba wakho.
• Susa unyawo lwakho emzimbeni wakho.

Ngokuphathelene nemisebenzi yezinzwa:

I-obturator nerve inikeza imizwa kulezi zingxenye zomzimba wakho:

• Kumalunga enqulu.
• Kumajoyinti edolo.
• Ezinye izindawo zesikhumba ngaphakathi kwamathanga akho (ezungeze imbobo).

Ingabe kukhona okunye ukusetshenziswa kwe-Obturator Nerve?

Yebo, kunezinye izinzuzo ezikhethekile. Ngezinye izikhathi odokotela bafaka umuthi kule nerve yokuvimbela ukuze banciphise ukuzwa kuleyo ndawo. Lokhu sikubiza ngokuthi ukuvimba kwemizwa . Cabanga ngakho njengokufaka izinsini zibe buhlungu ngaphambi kokuba kukhishwe izinyo.

Ungadinga i-obturator nerve block kulezi zimo ezilandelayo:

• Ukuqeda ubuhlungu endaweni yesinqe ngaphambi kokuhlinzwa kwenqulu noma idolo.
• Ngesikhathi sokuhlinzwa kwe-pelvic, isibonelo, lapho welapha umdlavuza wesinye, yeka imilenze ukuthi inganyakazi ngokungenhloso.
• Nciphisa ubuhlungu be-groin noma be-thigh obungaphenduli ekwelashweni okuvamile.
• Yelapha ukuqina okungajwayelekile kwemisipha engxenyeni engaphakathi yethanga (okubizwa nangokuthi i-spasticity ). Lesi simo singase senzeke ngezinye izikhathi kubantu abanezifo ezifana ne -multiple sclerosis .

Iyini i-anatomy ye-obturator nerve?

Kulungile, manje ake sibheke ukuthi lo mthambo wakheka kanjani nokuthi uhamba kanjani.

Imicu yezinzwa eyakha i-obturator nerve iqala emhlane wakho ongezansi, ku -vertebrae L2, L3, kanye ne-L4.

Indlela ye-obturator nerve yile elandelayo:

• Ihamba ngemisipha ebizwa ngokuthi imisipha ye-psoas .
• Umthambo wakho we-iliac ugijima ngemuva nangaseceleni kodonga lwe-pelvic.
• Bese ingena esifundeni se-femoral ngesikhala sezicubu esiseduze, umsele wokuvimbela ukuvuvukala .

Ngemva kokufinyelela embotsheni, i-obturator nerve ihlukana ibe amagatsha amathathu ayinhloko:

• Igatsha elingaphambili: Lokhu kunikeza imizwa emisipheni ekusiza ukuthi ugobe inqulu yakho.
• Igatsha elinokhalo: Leli elinye igatsha elivela egatsheni elingaphambili. Linikeza umuzwa esikhumbeni esingaphezulu kwethanga lakho.
• Igatsha langemuva: Lokhu kusiza ukuzungeza isinqe nokuhlanganisa amathanga.

Cabanga ngakho, njengoba nje amagatsha amakhulu ehluma esiqwini somuthi, namagatsha amancane ehluma kulawo magatsha, kanjalo nalezi zinzwa zihluma zibe amagatsha.

Ngezinye izikhathi, leli gatsha elingaphambili liphinde linikeze ukusebenza kwemisipha ye-pectineus engaphakathi kwethanga lakho elingaphezulu. Kodwa ngokuvamile, le misipha inikezwa yi- femoral nerve yakho. Kodwa-ke, lokhu kungaba ukuhlukahluka okungavamile kokwakheka komzimba okuvamile.

Ingalonakaliswa kanjani i-obturator nerve? Yiziphi izimo eziyithintayo?

Inkinga enkulu ephakamayo lapho i-obturator nerve yonakele ubuhlungu be-neuropathic . Lobu ubuhlungu obubangelwa yi-nerve uqobo. Kunezimo eziningana ezingabangela lokhu:

• Ukubhajwa kwemizwa: Lokhu kwenzeka lapho izicubu eziseduze, njengemisipha evuvukele, zibeka ingcindezi enkulu emsipheni, okuholela ekulahlekelweni kokusebenza kwemizwa. Lokhu kungenzeka ngesikhathi sokukhulelwa. Kungabangelwa futhi yizimo ezithile ze-pelvic, njenge -endometriosis .
• Ukulimala kwemizwa (Obturator neuropathy): Ukulimala kwemizwa kungenzeka ngenxa yokuguga okungavamile noma ingozi.
• I-Obturator hernia: Izicubu zesisu zisunduza nge-obturator canal bese zicindezela i-obturator nerve.
• Ukulimala kwe-pelvic: Lokhu kungenzeka ngesikhathi sokubeletha noma ekulimaleni okukhulu okufana nezingozi zezimoto. Ngalesi sikhathi, ukuphuma kwegazi ngaphakathi kungenzeka futhi inzwa ingacindezelwa.
• Izimila noma umdlavuza wesitho sangasese sowesifazane: Ukukhula okungajwayelekile (izimila) kungenzeka ezindaweni ezifana nesinye, umlomo wesibeletho kanye ne-rectum.
• Ukulimala kwezemidlalo: Lokhu kungenzeka emidlalweni ehilela ukukhahlela njalo, njengebhola, noma emidlalweni edinga ukuhlala isikhathi eside, njengokugibela ibhayisikili nokugibela amahhashi.

Zikhona yini ezinye izimbangela zomonakalo kumthambo we-obturator?

Yebo, kunezinye izinto. I-obturator nerve nayo ingathinteka njengenkinga, ikakhulukazi ekuhlinzeni kwe-pelvic . Uyazi, kunezakhiwo eziningi eziyinkimbinkimbi kakhulu kule ndawo. Ngakho-ke isikhala sezinsimbi zokuhlinza silinganiselwe. Ngakho-ke, ngezinye izikhathi le nzwa ingonakala lapho odokotela bezama ukufinyelela endaweni lapho benza khona ukuhlinzwa. Ngesikhathi sokuhlinzwa, i-obturator nerve ingacindezelwa okwesikhashana, idonswe, noma, ngokungajwayelekile, yonakaliswe yizinsimbi zokuhlinza.

Ngesikhathi sokuhlinzwa okuthile, kanye nangesikhathi sokubeletha, kusetshenziswa izikhundla zemilenze ezibeka imilenze kude nomzimba. Lokhu kungabangela ukucindezeleka emthanjeni we-obturator.

Nazi ezinye izinhlobo zokuhlinzwa ezingabangela i-obturator neuropathy:

• Ukususwa kwe-lymph node yomdlavuza wesibeletho.
• Ukulungiswa kokuncipha kwezitho zomzimba ze-pelvic .
• Ukusebenza kwetheyiphu ye-transobturator (TOT) yokungakwazi ukuzibamba ngokucindezeleka .
• Ukususwa kwesibeletho ngokuphelele ( ukususwa kwesibeletho ngokuphelele) kanye nokususwa kwe-prostate (ukususwa kwendlala ye-prostate).
• Ukuvaleka kwemithambo yesibeletho njengendlela yokwelapha ama-fibroids .

Ngingayivikela kanjani i-obturator nerve yami?

Ezinye zezinto ezibangela i-obturator neuropathy, njengokulimala ngesikhathi sokubeletha noma ukuxhuzula okukhulu, zingase zibe ngaphezu kwamandla ethu. Akuzona izinto esingazilawula.

Kodwa-ke, kunezinto eziningana ongazenza ukuze uvimbele ukulimala kwe-obturator nerve ezingozini zemidlalo:

• Lungisa izintambo zezinyawo zezihlalo zamahhashi noma ukuphakama kwesihlalo sebhayisikili ukuze unciphise ingcindezi ethangeni lakho.
• Ngaphambi kokudlala imidlalo yokukhahlela , fudumeza umzimba wakho kahle , okusho ukuthi zinike isikhathi sokufudumeza umzimba wakho.
• Qinisa imisipha yakho yomlenze kanye neyesisu esingezansi ngokuqeqeshwa kokumelana .
• Uma uzwa ubuhlungu noma ukungakhululeki esithweni sakho sangasese, ungakunaki, yeka ukudlala bese uphumula .

Kufanele ubonane nini nodokotela uma unenkinga nge-obturator nerve?

Izimpawu ze-obturator neuropathy zivame ukuqhubeka futhi azithuthuki kalula ngokuhamba kwesikhathi.

Uma unezinye zalezi zimpawu, xhumana nodokotela ngokushesha:

• I-Claudication , okuyi-claudication ebuhlungu noma eqhuqhayo yemisipha (ukuqaqamba kwemilenze) emilenzeni okwenzeka ngokuzivocavoca umzimba.
• Ubuhlungu obungapheli ethanjeni lakho lesitho sangasese.
• Ukungakhululeki noma ubuhlungu obuvela ethangeni.
• Ubuthakathaka bemisipha ethangeni.
• Ukungakhululeki kwethanga.
• Uma ubuhlungu bukhula uma ushukumisa umlenze wakho kusukela kolunye uhlangothi kuya kolunye.
• Ukuzwa kwezinaliti endaweni yesinqe.

Khumbula, akuwona umqondo omuhle ukungazinaki lezi zimpawu. Kubalulekile ukufuna iseluleko sezokwelapha ngokushesha okukhulu.

Masikhumbule ngamafuphi (Umyalezo Wokuya Ekhaya)

Ngakho-ke, cishe usuyaqonda manje ukuthi i-Obturator Nerve esikhulume ngayo namuhla iyi-nerve ebaluleke kakhulu ekusiza ukuthi ugobe isinqe sakho futhi ujikeleze umlenze wakho ngaphandle. Le nerve ingathinteka ngezizathu ezahlukahlukene, njengokulimala kwezemidlalo, izinkinga ngesikhathi sokubeletha, noma izinkinga ezivela ezinqubweni zezokwelapha. Abanye abantu bangase babe nobuhlungu obuqhubekayo ngenxa ye-obturator neuropathy.

Kodwa akukho okufanele ukwesabe. Kunezindlela zokwelapha zesimanje, njengezithiyo zemizwa, ezingakunikeza impumuzo. Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma unezimpawu ezishiwo ngenhla. Ngemuva kwalokho ungaqala ukwelashwa okudingekayo ngokushesha okukhulu.

Imizwa , I-Obturator Imizwa, Ubuhlungu Bemilenze, Ubuhlungu Bemivimbo, Ukuphazamiseka Kwemizwa, Ukwakheka Komzimba, Impilo