Ingabe uzwa ubuhlungu obukhulu, obushisayo esiswini sakho esingezansi, okungukuthi, eduze kwezitho zakho zangasese kanye ne-anus, uma uhlala phansi? Noma ingabe unenkinga yokulawula umchamo wakho kanye nendle, noma uzizwa ungenaso imizwa ngesikhathi socansi? Nakuba kunezizathu eziningi zalezi zinto, mhlawumbe imbangela inkinga ngenzwa ekhethekile ongakaze uyizwe. Namuhla sikhuluma ngengxenye yomzimba wethu ebaluleke kakhulu, kodwa engakhulunywa kakhulu ngayo, i-pudendal nerve.
Kalula nje, iyini i-pudendal nerve?
Cabanga ngomzimba wethu njengomjikelezo kagesi oyinkimbinkimbi. Ubuchopho kanye nomgogodla yizona zindawo eziyinhloko zamandla. Ukusuka lapho, kukhona inethiwekhi 'yezintambo zikagesi' ezithwala imiyalezo kuwo wonke amagumbi omzimba. Ngendlela efanayo, i-pudendal nerve ifana 'nentambo kagesi' enkulu esifundeni sethu se-pelvic.
Lo mthambo uthwala imizwa kanye nemiyalezo yokunyakaza ezithweni zethu zangasese, endunu nasezindaweni ezizungezile. Empeleni, lo mthambo uyingxenye yesimiso sezinzwa zomzimba wethu. Okusho ukuthi, umsebenzi wawo oyinhloko ukuthwala imiyalo esuka ebuchosheni nasentanjeni yomgogodla iye ezithweni ezifanele kanye nokuthwala imizwa etholwe kulezo zitho ibuyele ebuchosheni.
Yiziphi izinto ezibaluleke kakhulu ezenzeka emzimbeni wethu nge-pudendal nerve?
Imisebenzi yale nerve ingahlukaniswa izingxenye ezimbili. Eyokuqala ukulawula ukunyakaza , kanti enye imizwa . Ukuze sichaze lokhu kabanzi, ake sibheke ithebula elingezansi.
| Uhlobo lomsebenzi | Okwenzekayo kumane nje... |
|---|---|
| Umsebenzi Wemoto | Lo mthambo ulawula imisipha ye-sphincter esisiza ukuthi sikhiphe indle nomchamo uma kudingeka. Uma lo mthambo wonakele, lo mthambo ungalahleka. |
| Umsebenzi Wezinzwa | Lo mthambo udlulisela imizwa efana nokuthinta, ubuhlungu, injabulo, kanye nokushisa ebuchosheni. Isibonelo, ukusebenza kahle kwalo mthambo kubalulekile ukuze ujabule ngokocansi. |
Kwenzeka kuphi lokhu kuzwa?
I-pudendal nerve ihlinzeka kakhulu ngemizwa ezindaweni ezilandelayo:
- Amadoda: Ipenisi
- Kwabesifazane: Isitho sangasese sowesifazane nezindawo ezizungezile
- Kuzo zombili izinhlangothi: I-Anus kanye ne-Anal Canal, kanye nesikhumba esiphakathi kwazo (i-Perineum)
Ikuphi le nzwa emzimbeni wethu?
Kunezinzwa ezimbili ezihlukene ze-pudendal ezinhlangothini zesobunxele nesokudla zomzimba wethu. Lo mthambo uqala emathanjeni angaphansi komgogodla wethu, ekugcineni komgogodla. Sibiza le ndawo ngokuthi i-Sacral Plexus. Kufana nendawo lapho kuhlangana khona izintambo eziningi zocingo.
Umthambo we-pudendal, oqala lapha, wenza uhambo oluyinkimbinkimbi kakhulu emathanjeni e-pelvic kanye nemisipha ye-gluteal. Kulolu hambo, udlula ezimbotsheni ezincane phakathi kwamathambo kanye nemigudu emincane phakathi kwemisipha (umsele ka-Alcock), bese ekugcineni ufika lapho uya khona, ezithweni zangasese kanye nasendunu.
Phakathi nalolu hambo, i-pudendal nerve ihlukana ibe amagatsha amathathu ayinhloko, ngalinye lawo lenza umsebenzi othile.
| Igatsha Lemizwa | Umsebenzi wayo oyinhloko |
|---|---|
| Inzwa engezansi ye-rectal | Ivuselela i-anal sphincter, umsipha olawula ukunyakaza kwamathumbu, futhi unikeze umuzwa ku-rectum. |
| Inzwa ye-perineal | Isebenza ukuvuselela imisipha yephansi le-pelvic kanye ne-urethral sphincter, kanye nokunikeza umuzwa esikhumbeni esizungeze i-labia kwabesifazane kanye ne-scrotum kwabesilisa. |
| Inzwa ye-Dorsal | Ukunikeza umuzwa esikhumbeni sepenis kwabesilisa kanye ne-clitoris kwabesifazane. Lokhu kubalulekile enjabulweni yocansi kanye nokuma. |
I-pudendal nerve ingonakala noma ibangele kanjani izinkinga?
Ukucindezeleka noma ukulimala kwale nzwa kungabangela i-neuropathy noma ubuhlungu obukhulu.
Cabanga ukuthi kuzokwenzekani uma lo mthambo ucindezelwa ndawana thize endleleni? Njengoba nje lapho ipayipi lamanzi licindezelwa, amanzi ayayeka ukugeleza. Lapho umthambo ucindezelwa, ukudluliselwa kwemiyalezo kuyaphazamiseka, okubangela ubuhlungu obukhulu. Lokhu yilokho esikubiza ngezokwelapha ngokuthi i-Pudendal Nerve Entrapment Syndrome .
Ubuhlungu obungapheli, obuhlabayo obubangelwa yilesi simo bubizwa ngokuthi i-pudendal neuralgia . Nakuba kungesona isimo esivamile, bungaba buhlungu kangangokuthi ogulayo akakwazi ukwenza ngisho nemisebenzi yansuku zonke.
Izimbangela ezivamile zokulimala kwemizwa:
- Izingozi nokulimala: Izingozi endaweni ye-pelvic.
- Ukuhlinzwa: Izinkinga ngemva kokuhlinzwa endaweni ye-pelvic, isibonelo, ukuhlinzwa kwe-prostatectomy noma ukuhlinzwa kwe-pelvic organ prolapse.
- Isifo Sikashukela: Isifo sikashukela esingalawulwa singadala umonakalo wezinzwa.
- Ukubeletha: Ngesikhathi sokubeletha okunzima kakhulu, ikhanda lomntwana lingacindezela imizwa.
- Ukucindezeleka isikhathi eside: Imisebenzi efana nokugibela ibhayisikili isikhathi eside ingabangela ukuthi inzwa icindezelwe. Isihlalo sebhayisikili sicindezela ngqo endaweni lapho le nzwa ihamba khona.
- Ukwelashwa Ngemisebe: Ukwelashwa ngemisebe okunikezwa indawo ye-pelvic yomdlavuza.
- Ama-Tumors noma ama-Cysts: Ukucindezeleka kwemizwa okubangelwa yi-tumor eyakheka eduze kwe-nerve.
Lo mthambo ubaluleke kangakanani ngesikhathi sokubeletha?
Ukuvimba kwemizwa ye-pudendal kuyindlela yokubulala izinzwa enikezwa umama okhulelwe ukuze kuncishiswe ubuhlungu bokubeletha. Lokhu kuhilela ukufaka umuthi wokubulala izinzwa emthanjeni we-pudendal, okwenza isitho sangasese sowesifazane nendawo ezungezile kube nesiyezi okwesikhashana.
Lokhu kuvame ukusetshenziselwa ukunciphisa ubuhlungu ngesikhathi sesigaba sesibili sokubeletha, lapho umntwana ephuma. Ngezinye izikhathi kusetshenziselwa futhi ukudambisa ubuhlungu be-episiotomy, okuwukuqhekeka phakathi kwesitho sangasese sowesifazane ne-anus. Kodwa-ke, kubalulekile ukukhumbula ukuthi lokhu akuqedi ubuhlungu bokufinyela.
Siyivikela kanjani le nzwa ebalulekile?
Kunezinyathelo ezimbalwa ezilula esingazilandela ukuze sigcine lonke uhlelo lwethu lwezinzwa luphilile futhi sivikele i-pudendal nerve.
- Ungahlali endaweni efanayo isikhathi eside, ikakhulukazi ezindaweni eziqinile. Sukuma uhambehamba okungenani kanye ngehora.
- Uma ugibela ibhayisikili, thatha ikhefu njalo. Futhi, sebenzisa izihlalo ezikhethekile 'ezinama-pad' ezinciphisa ingcindezi ezinhlungwini zemizwa.
- Lawula ukucindezeleka. Khulula ingqondo yakho ngokuzindla, ukuhamba, njll.
- Yidla ukudla okunempilo futhi ugcine isisindo esinempilo.
- Phatha izimo zezokwelapha ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme, okungalimaza imizwa.
- Gwema ukubhema. Ukubhema kuphazamisa ukuhlinzekwa kwegazi ezinzwa.
Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela.
Uma ubhekene nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, kubaluleke kakhulu ukungazinaki futhi uthintane nodokotela wakho ngokushesha okukhulu.
| Isibonakaliso | Okufanele ukunake |
|---|---|
| Ubuhlungu obungapheli be-pelvic | Ubuhlungu obuqhubekayo, ukuqaqamba, noma umuzwa wokushisa ezithweni zangasese, endunu, noma endaweni ezungezile. |
| Ubuhlungu obukhula lapho uhleli | Uma ubuhlungu buba bubi kakhulu uma uhleli futhi buncipha uma usukuma futhi uhamba. |
| Ukungasebenzi kahle kocansi | Ubuhlungu ngesikhathi socansi, ukuncipha noma ukulahlekelwa umuzwa, ubunzima bokufinyelela ekufikeni kokuvuthwa. |
| Ukungakwazi ukuzibamba komchamo/indle | Ukuchitha indle noma umchamo omncane ngaphandle kokuqaphela, noma ukuzizwa unesidingo sokuchama/ukukhipha indle njalo. |
I-pudendal nerve iyisitho esibalulekile sokuzwa nokunyakaza endaweni yethu yesinqe. Ngakho-ke, ubuhlungu nokungakhululeki okubangelwa ukulimala kwale nsitho kungathinta kakhulu izinga lempilo yakho. Ngakho-ke, kubaluleke kakhulu ukuqaphela lezi zimpawu nokufuna iseluleko sezokwelapha uma kudingeka.
Umlayezo Wokuya Nawe Ekhaya
- I-pudendal nerve iyi-nerve eyinhloko elawula ukuzwa nokunyakaza endaweni yakho ye-pelvic, izitho zangasese, kanye ne-anus.
- Ukusebenza kahle kwale nzwa kubalulekile ekulawuleni amathumbu kanye nesinye, kanye nokusebenza kocansi kanye nenjabulo yocansi.
- Ukwanda kobuhlungu be-pelvic lapho uhleli kungaba uphawu olubalulekile lwenkinga nge-pudendal nerve.
- Lo mthambo ungonakala ngenxa yezimbangela ezifana nezingozi, ukuhlinzwa, ukubeletha, kanye nokugibela ibhayisikili isikhathi eside.
- Uma unezinye zezimpawu ezishiwo kulesi sihloko, ungazithathi indiva bese ubona udokotela wakho ngokushesha ngangokunokwenzeka ukuze uthole iseluleko esifanele kanye nokwelashwa.
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