Ingabe ngezinye izikhathi uzizwa ubuhlungu obungajabulisi noma umuzwa wokucasuka ngaphakathi kwethanga lakho? Ingabe unenkinga yokuhamba kancane, ikakhulukazi uma ugoba umlenze wakho? Abantu abaningi bacabanga ukuthi lokhu kumane nje kuyi-muscle spasm, kodwa mhlawumbe imbangela i-nerve ekhethekile emzimbeni wethu. Namuhla sikhuluma nge-nerve engaziwa kakhulu, kodwa ebaluleke kakhulu ebaluleke kakhulu ekunyakazeni nasekuzweleni kwemilenze yethu. Leyo yi-Obturator Nerve.
Iyini i-Obturator Nerve?
Kalula nje, i-Obturator Nerve iyisitho esiyinhloko esinikeza umuzwa (umuzwa) kanye nokunyakaza (ukunyakaza) ohlangothini lwangaphakathi lwethanga lakho. Iyingxenye yeSistimu Yezinzwa Ehambayo (i-PNS) yomzimba wethu. Lolu hlelo yilona olusiza ekuthwaleni imiyalezo esuka ebuchosheni bethu iye emzimbeni wonke.
Lo mthambo uqala eqenjini lemizwa emhlane wethu ongezansi. Ngokwezokwelapha, siwubiza ngokuthi "i-lumbar plexus". Leli qembu lemizwa linikeza umuzwa kanye nokunyakaza ezingxenyeni eziphezulu nezingezansi zemilenze yethu, kanye nasezinyaweni zethu. Ngakho-ke lo mthambo we-Obturator uqala nakulelo qembu lemizwa futhi uhamba ibanga elide phakathi kwemisipha yethu uye ohlangothini lwangaphakathi lwethanga.
Yimiphi imisebenzi eyinhloko yalo mthambo?
Lo mthambo usebenza imisebenzi emibili eyinhloko engxenyeni engaphakathi yethanga lethu. Ukulawula ukunyakaza (imisebenzi yemisipha) kanye nokunikeza imizwa (imisebenzi yezinzwa). Ake sibone ukuthi iyini le mizwa.
| Uhlobo lomsebenzi | Inqubo eyenzeka |
|---|---|
| Ukulawula ukunyakaza (Imisebenzi Yezimoto) |
|
| Imisebenzi Yezinzwa |
|
Lo mzwelo uhamba kanjani emzimbeni wethu?
Indlela ye-Obturator Nerve iyinkimbinkimbi kancane, kodwa masiyigcine ilula.
1. Ukuqala: Lokhu kuqala nge-"lumbar plexus", eyakhiwa izimpande zemizwa ezivela kumathambo omgogodla (L2, L3, L4) emhlane wethu ongezansi.
2. Indlela: Lo mthambo wehla ngemisipha ye-psoas emhlane wethu ongezansi. Bese kuthi, ngaphakathi kwe-pelvis yethu, udlule ngemuva komthambo omkhulu wegazi obizwa ngokuthi umthambo we-iliac.
3. Ukungena ethangeni: Ekugcineni, umsele wokuvimbela ungena engxenyeni engenhla yethangeni lethu ngembobo encane ethangeni.
Ngemva kokufika ethangeni, lo mthambo uhlukana ube amagatsha amathathu amakhulu. Lawa yigatsha elingaphambili, igatsha lesikhumba, kanye negatsha elingemuva. Igatsha ngalinye lithwala imiyalezo emisipheni nasesikhumbeni esingaphakathi kwethanga.
I-Obturator Nerve ingonakalisa kanjani?
Uma lo mthambo wonakele (ukulimala kwe-obturator nerve), ungase uzwe ubuhlungu, ukungabi namandla, noma umuzwa wokucasuka embotsheni noma ethangeni lakho. Ungase uzizwe ubuthakathaka uma ugoba umlenze wakho ngaphakathi. Kunezimbangela eziningana ezingaba khona zalokhu.
| Imbangela yomonakalo | Incazelo elula |
|---|---|
| Izinkinga zemizwa (i-Obturator neuropathy) | Kungabangelwa ukuguguleka okuvamile ngokuhamba kwesikhathi noma ukucindezelwa kwemizwa engozini. |
| I-hernia ye-obturator | Izicubu esiswini ziphuma ngembobo lapho inzwa idlula khona (umsele ovimbayo), zicindezela inzwa. |
| Ukuboshwa kwemizwa | Ukucindezeleka emsipheni ngenxa yokuvuvukala kwezicubu ezizungezile. Lokhu kungenzeka ngesikhathi sokukhulelwa noma ezimweni ezifana ne-endometriosis. |
| Ukulimala kwe-pelvic | Uma kuzalwa umntwana, noma engozini yemoto, ukopha kwangaphakathi kungabangela ukuba inzwa icindezelwe. |
| Izimila noma umdlavuza | Izimila ezikhula ezithweni zomzimba njengesinye kanye nomlomo wesibeletho zingacindezela imizwa. |
| Ukulimala kwezemidlalo | Kungenzeka emidlalweni ehilela ukukhahlela kakhulu, njengebhola likanobhutshuzwayo, noma emidlalweni edinga ukuhlala isikhathi eside, njengokugibela ibhayisikili noma ukugibela ihhashi. |
Into ebaluleke kakhulu ukuthi i-pelvis yethu iyindawo lapho izitho eziningi ezibalulekile, imithambo yegazi, kanye nemizwa kutholakala khona endaweni encane. Ngakho-ke, kunengozi encane yokulimala kwalezi zinzwa ngesikhathi sokuhlinzwa noma ukubeletha. Kodwa odokotela bayaqaphela kakhulu ngalokhu.
Yiziphi izimpawu okufanele zikushukumisele ukuthi ubonane nodokotela?
Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, kubaluleke kakhulu ukubona udokotela wakho ukuze akunike iseluleko ngaphandle kokuzishaya indiva.
- Ubuhlungu obungapheli endaweni yesisu.
- Ukungakhululeki noma ubuhlungu obugeleza ngaphakathi kwethanga.
- Umuzwa wokuthuthumela endaweni yesinqe, njengezintuthwane ezigijima nxazonke .
- Ukuqaqamba kwemilenze.
- Ubuthakathaka bemisipha engxenyeni engaphakathi yethanga.
- I-Claudication ubuhlungu bemisipha obuvela ngesikhathi somsebenzi bese buphela uma uphumula.
- Ukuba ndikindiki engxenyeni engaphakathi yethanga.
- Ubuhlungu buyanda lapho ushukumisa umlenze usuka kolunye uhlangothi uye kolunye.
Yiziphi izindlela zokwelapha lokhu? Kuyini i-Obturator Nerve Block?
Uma ubona udokotela, uzokuxilonga futhi, uma kudingeka, akuthumelele ukuhlolwa okufana nokuskena, ukuze athole imbangela eqondile. Ukwelashwa kuzoncika embangela yomonakalo.
Ngezinye izikhathi, odokotela basebenzisa ukwelashwa okubizwa ngokuthi i-Obturator Nerve Block. Kalula nje, kufana nomuthi wokwenza izinyo zibe nesiyezi owuthola ngaphambi kokukhishwa kwezinyo. Lapha, udokotela ujova umuthi oqeda izinyo okwesikhashana, noma oqeda izinyo zibe nesiyezi. Lokhu kwenziwa ngezizathu ezimbalwa eziyinhloko:
- Ukuqeda ubuhlungu ngaphambi kokuhlinzwa kwenqulu noma idolo.
- Yeka ukugxumagxuma kwemilenze ngokungazibophezeli ngesikhathi sokuhlinzwa njengomdlavuza wesinyi.
- Ukuqeda ubuhlungu be-groin noma be-thigh obungaphenduli kwezinye izindlela zokwelapha.
- Yelapha izimo ezinjengokuqaqamba kwemisipha, okuwukuqina kwemisipha ngokweqile engxenyeni engaphakathi yethanga.
Esikhathini esiningi, asicabangi ngisho nange-Obturator Nerve kuze kube yilapho kukhona okungahambi kahle ngayo bese sizwa ubuhlungu noma ukungakhululeki. Lokho kuvamile. Kodwa khumbula, lolu hlobo lokungakhululeki luvamile. Into engcono kakhulu ongayenza ukuthola imbangela eqondile bese uthola ukwelashwa okufanele. Ngemuva kwalokho ungaba nempilo enhle futhi.
Umlayezo Wokuya Nawe Ekhaya
- I-Obturator Nerve iyi-nerve ebalulekile ekunyakazeni nasekuzweleni ngaphakathi kwethanga lakho.
- Ungalokothi ungazinaki izinhlungu ezingapheli, ukuqina, noma ubuthakathaka ethangeni noma esinqeni sangaphakathi.
- Lezi zimpawu zingase zibangelwe ingozi, ukucinana kwemizwa, noma esinye isimo sempilo.
- Uma unezinye zalezi zimpawu, bona udokotela wakho ngokushesha ukuze uthole ukuxilongwa okufanele kanye nokwelashwa. Ukwelashwa kusenesikhathi kungakusiza ukuthi ululame ngokushesha.
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