Ingabe nawe uzwa ubuhlungu obungapheli esiswini sakho esingezansi? Ingabe kungaba yi-pudendal neuralgia?

Ingabe ngezinye izikhathi uzizwa ubuhlungu obungabekezeleleki, ukusha, noma ukuba ndikindiki esiswini sakho esingezansi , okungukuthi, endaweni yesitho sangasese kanye ne-anus? Ingabe lobu buhlungu bubonakala buba bubi kakhulu, ikakhulukazi uma uhlala phansi? Uma kunjalo, kubaluleke kakhulu ukuthi uqaphele lesi simo esibizwa ngokuthi i-Pudendal Neuralgia, esizokhuluma ngaso namuhla. Nakuba lesi kuyisimo esingavamile, singaba buhlungu kakhulu kwabanye abantu.

Kuyini i-Pudendal Neuralgia?

Kalula nje, i-pudendal neuralgia ubuhlungu besikhathi eside be-pelvic obubangelwa umonakalo, ukucindezelwa, noma inkinga nge- pudendal nerve yakho. Ikakhulukazi, uma le nzwa ilimele noma icindezelwe, ibangela ubuhlungu obufana nokugwazwa, ukusha, noma ukushaqeka kukagesi. Lobuhlungu bungazwakala ezinqeni zakho, e-perineum , nasezithweni zangasese. Bunzima kakhulu uma uhleli.

Ikuphi i-pudendal nerve?

Cabanga ngakho, i-pudendal nerve iqala ngemuva kwe-pelvis yethu futhi ixhuma kuyo yonke indawo ephakathi kwemilenze yethu, okuhlanganisa imisipha nesikhumba. Ngamanye amazwi, cabanga ngendawo ngayinye lapho ucindezela khona esihlalweni uma ugibela ibhayisikili. Yonke leyo ndawo ingathinteka ukulimala kwe-pudendal nerve. Le nerve ilawula ukunyakaza kanye nemizwa yezitho zakho zobulili kanye ne-anus. Iphinde ilawule imisipha ye-sphincter ekusiza ukuthi uchame futhi ukhululeke.

Uyini umsebenzi we-pudendal nerve?

Lo mthambo uthwala eminye yemizwa ebaluleke kakhulu esuka emzimbeni wethu iye ebuchosheni. Okungukuthi:

• Xhumana
• Injabulo (ngokocansi)
• Ubuhlungu
• Izinga lokushisa

Le mizwa ivela ezindaweni ezilandelayo:

• Amagama abesilisa: ipenisi kanye ne-scrotum
• Amagama abesifazane: isitho sangasese sowesifazane , i-labia , kanye ne -vulva
• Kuzo zombili: indawo ephakathi kwendunu kanye nesitho sangasese sowesifazane/isitho sangasese sowesilisa (i-perineum)
• Umsele wendunu kanye nendunu
• I-urethra (ipayipi lapho umchamo uphuma khona emzimbeni)

Uma sikhuluma ngokuthi lesi simo sivame kangakanani, empeleni sivamileI-Pudendal Neuralgia yisimo esingavamile , kodwa singathinta noma ubani. Sivame kakhulu kubantu abadala abaneminyaka engaphezu kwengu-19.

Ziyini izimpawu zokulimala kwemizwa ye-pudendal?

Uphawu oluyinhloko nolunzima kakhulu lwalesi simo ubuhlungu . Lobuhlungu bungathinta noma yisiphi isitho noma imisipha elawulwa yi-pudendal nerve. Ungase uzizwe lobuhlungu ku-clitoris, labia, vagina, penis, scrotum, anus, noma rectum .

Abanye abantu bachaza lobu buhlungu kanje:

• Kuzwakala njengokubhoboza, ukuhlaba, umuzwa oshisayo, noma njengokugwazwa ngommese .
• Ukuba ndikindiki, ukuqaqamba, noma umuzwa wokulahlekelwa umuzwa .
• Ubuhlungu bubonakala bukhula kusihlwa nasebusuku bese buphela kancane ekuseni .
• Ubukhulu bobuhlungu buyahlukahluka ngezikhathi ezithile (kwezinye izinsuku buyakhula, kwezinye izinsuku buyancipha).
• Ubuhlungu buzwakala kakhulu uma uhleli . Buyancipha kancane uma umi noma ulele phansi.

Cabanga nje, uNilanthi wayesezwa ubuhlungu obungavamile esiswini sakhe esingezansi izinyanga eziningi. Wayebone odokotela abaningana, kodwa babengenakukwazi ukuthola imbangela eqondile. Wakuthola kunzima kakhulu ukuhlala esihlalweni sakhe sehhovisi nokusebenza. Ngezinye izikhathi ubuhlungu babunzima kakhulu kangangokuthi wayekhala. Ekugcineni, uchwepheshe wabuthola njenge-Pudendal Neuralgia.

Ngaphezu kwalokhu kubuhlungu okuyinhloko, kungase kube nezinye izimpawu:

• Ukuzwela kuyanda kuze kufike ezingeni lapho uzwa khona ubuhlungu ngisho nalapho ugqoke izingubo zangaphansi.
• Indawo ezungeze indunu izwakala ivuvukele, njengokungathi kukhona okubhajwe ngaphakathi kwendunu .
• Umuzwa ophuthumayo wokudinga ukuchama .
• Ngizwa ubuhlungu uma ngikhipha indle .
• Ngizwa ubuhlungu ngesikhathi socansi .
• Kunzima ukufinyelela ekufikeni kobulili obuphelele.
• Amadoda angase abe nokungasebenzi kahle kokuya endodeni .
• Kungase kube nokungezwani okuvamile, ukubanda, noma ukulahlekelwa umuzwa emilenzeni, ezinyaweni, nasezinqeni.

I-pudendal nerve yethu inamagatsha amathathu ayinhloko: igatsha le-rectal, igatsha le-perineal, kanye negatsha le-clitoral/penile. Izimpawu ozizwayo zincike ekutheni yiliphi kula magatsha elimele.

Yiziphi izimbangela zokwanda kwe-Pudendal Neuralgia?

I-pudendal nerve ingalimala (ngokucindezelwa noma ngezinye izindlela) noma icindezelwe izicubu noma imisipha ezungezile. Ezinye zezinto ezingabangela lokhu yilezi:

• Imisebenzi ebeka ingcindezi engaguquki endaweni ye-pelvic. Isibonelo, izinto ezifana nokugibela ibhayisikili , ukuquleka ngesikhathi sokuphakamisa izinsimbi, ukugibela ihhashi, noma ukuqunjelwa okungapheli kungalimaza i-pelvic.
• Ukuhlala isikhathi eside.
• Ukucindezelwa kwemizwa ngenxa yemisipha nemisipha ezungezile.
• Izinkinga zokuhlinzwa okuthile, isibonelo, ukususwa kwe-prostate .
• Ukuphuka kwethambo le-pelvic.
• Ukulimala ngesikhathi sokubeletha.
• Ezinye izifo noma izifo.
• Ukukhula noma isilonda esingenawo umdlavuza (esingesihle).
• I-neuropathy ebangelwa isifo sikashukela noma ezinye izimo zezokwelapha.

Itholakala kanjani i-Pudendal Neuralgia?

Odokotela baxilonga lesi simo ngokuhlolwa ngokomzimba kanye nezinye izivivinyo. Baqala ngokukubuza ngezimpawu zakho kanye nendawo lapho ubuhlungu bukhona. Ngokuvamile, odokotela bazama nokususa ezinye izimo ezingabangela ubuhlungu obufanayo.

Ezinye zezivivinyo ezisetshenziswe kulokhu yilezi:

• Ukuhlolwa kwesitho sangasese sowesifazane noma se-rectal: Udokotela ufaka umunwe ogqokwe ngeglavu e-rectum noma esithweni sangasese sowesifazane sakho bese ecindezela ngqo emthanjeni we-pudendal.
• I-Magnetic Resonance Imaging (MRI): Lolu uhlobo lokuhlola olunamandla oluhlola i-pudendal nerve kanye nezakhiwo ezizungezile ukuze kutholakale izinkinga.
• I-Electromyography (EMG): Kulolu vivinyo, odokotela basebenzisa idivayisi encane ukuthumela ama-electrical impulses kumthambo wakho we-pudendal ukuze babone ukuthi usebenza kahle kangakanani nokuthi usabela kanjani ekushukunyisweni.
• Ama-nerve blocker: Odokotela bazofaka umuthi oqeda ubuhlungu endaweni yakho ye-pelvic ukuze baqede i-pudendal nerve. Bazobe sebebona ukuthi ubuhlungu bakho buyaphela yini. Uma ubuhlungu buphela, kusho ukuthi ubuhlungu kungenzeka buvela ku-pudendal nerve.

Ezinye izimo ezingadidaniswa ne-Pudendal Neuralgia

I-pudendal neuralgia kanye nezinye izimo eziningi zinezimpawu ezifanayo. Isibonelo, ubuhlungu nokungakwazi ukuzibamba. Ngakho udokotela wakho angenza izivivinyo noma abuze imibuzo ukuze asuse ezinye izinkinga. Ezinye zalezi zimo zifaka:

• I-Vulvodynia: Ubuhlungu endaweni yangaphandle yesitho sangasese sowesifazane .
• I-Coccygodynia: Ubuhlungu ethanjeni lomsila.
• I-Prostatitis: Izifo ezihlobene ne-prostate gland.
• I-Sciatica: Ubuhlungu emhlane nasemilenzeni obubangelwa ukulimala kwe-sciatic nerve.
• Ukungasebenzi kahle kwephansi le-pelvic: Ukulimala kwemisipha yephansi le-pelvic kubangela ubunzima bokukhipha indle noma ukubamba umchamo.

Iphathwa kanjani i-Pudendal Neuralgia?

Ukwelashwa kungafaka phakathi ukwelashwa ngokomzimba, imithi, izinguquko zendlela yokuphila, noma ngisho nokuhlinzwa. Odokotela bangase basebenzise eyodwa noma ngaphezulu yalezi zindlela zokwelapha ndawonye ukuze banciphise izimpawu ngokushesha.

Ukwelashwa Komzimba

Udokotela wezokwelapha angakufundisa ukwelula nokuzivocavoca ukuze ukhulule imisipha ebangela ubuhlungu bemisipha yakho. Bangase batuse nokusebenzisa umshini we -TENS (Transcutaneous Electrical Nerve Stimulation) ukuze unciphise ubuhlungu bemisipha.

Izinguquko zendlela yokuphila

Ezinye izinto zingenza ubuhlungu be-pudendal nerve bube bubi nakakhulu, ngakho-ke kungaba usizo ukugwema noma ukushintsha lezo zenzo. Nazi ezinye izibonelo:

• Ukuhlala isikhathi eside ngesikhathi.
• Ukuhamba ngebhayisikili.
• Ukuzivocavoca kwe-squat kwenziwa ngenkathi uphakamisa izinsimbi.
• Ukugibela amahashi.
• Ukuzikhandla ngesikhathi sokuhamba kwamathumbu uma unesifo sokuqunjelwa.

Kungumqondo omuhle ukusebenzisa umcamelo we-donut noma umcamelo omise okwe-U uma uhleli. Le micamelo inembobo phakathi nendawo, okunciphisa ingcindezi emisipheni yephansi le-pelvic kanye ne-perineum. Uma uvame ukuqunjelwa, yidla ukudla okune-fiber eningi noma uthathe isithambisi sendle. Lokhu kuzokusiza ukuthi ukhiphe indle kalula.

Imithi

Abanye abantu bangasebenzisa imithi yokunciphisa ubuhlungu noma ama-steroid ukunciphisa ubuhlungu. Kunemithi eminingana enikezwe ngokukhethekile i-pudendal neuralgia:

• Izibulali-zinhlungu.
• Imithi ye-neuroleptic noma ye-antiepileptic, isibonelo , i-Gabapentin .
• Ukujova imithi yokubulala izinzwa yendawo (ubuhlungu bemizwa obuvimbayo) noma ama-corticosteroids (ukunciphisa ukuvuvukala).
• Ama-antidepressant e-Tricyclic, njenge- amitriptyline .
• Imijovo ye-Botox ukuze kuphumule imisipha ezungeze i-pudendal nerve.

Ukuhlinzwa

Ukuhlinzwa ngokuvamile kuyindlela yokugcina. Ukususwa kwe-pudendal nerve inqubo esusa imisipha noma izicubu emthanjeni wakho we-pudendal. Odokotela abahlinzayo benza i-incision emisipheni yakho ye-gluteal noma emisipheni ye-perineal ukuze bafinyelele emthanjeni we-pudendal. Lokhu kuhlinzwa kungathatha izinyanga, noma ngisho neminyaka, ukuze kuqedwe ubuhlungu. Akuyona ikhambi elisheshayo.

Ingabe i-pudendal nerve ingabhucungwa?

Ukwelashwa ngokubhucunga akuyona indlela yokwelapha evunyelwe ye-pudendal neuralgia. Kodwa-ke, abanye odokotela batusa ukubhucunga izicubu zemisipha ezizungeze i-pudendal nerve ukuze kuncishiswe ukuqina nokucindezeleka. Lokhu kunganikeza impumuzo yesikhashana emsipheni we-pudendal ocindezelwe.

Ngingayinciphisa kanjani ingozi yokuthola i-pudendal neuralgia?

Lokhu kungaba nzima ukukunciphisa uma imbangela kungukubeletha, ingozi, noma ukuhlinzwa. Kodwa-ke, eminye imisebenzi ingathinta i-pudendal nerve yakho.

Kunezinto eziningana ongazenza ukuze unciphise ingozi yakho yobuhlungu be-pudendal nerve:

• Gwema ukugibela ihhashi noma ukugibela ibhayisikili.
• Ungahlali phansi ngaso sonke isikhathi, yima ngezinyawo ngezikhathi ezithile.
• Sebenzisa umcamelo ofana nedonathi uma uhleli ukuze unciphise ingcindezi ethangeni lakho.
• Gwema ukuzikhandla ngenkathi uchama noma ukhipha indle.

Ingabe i-Pudendal Neuralgia ingelapheka ngokuphelele?

Cha, alikho ikhambi lalokhu. Umgomo wokwelashwa ukunciphisa izimpawu ngangokunokwenzeka. Kodwa-ke, izimpawu zingase zingapheli ngokuphelele.

Uphila kanjani impilo yansuku zonke nobuhlungu bemizwa ye-pudendal?

Uma unezinhlungu zemizwa ezingapheli, zingathinta impilo yakho yansuku zonke. Zingathinta ubudlelwano bakho, imisebenzi, kanye nenhlalakahle yakho jikelele. Uma unezinhlungu ze-pelvic, ukungasebenzi kahle kocansi, izinkinga zokulawula isinyi/amathumbu, noma imicabango yokucindezeleka, kubalulekile ukufuna iseluleko sezokwelapha . Bangakusiza ukuthola impumuzo yobuhlungu bakho futhi banqume ukuthi i-pudendal nerve iyimbangela.

Kufanele ngimbone nini udokotela?

Uma uzwa ubuhlungu endaweni yakho yesinqe noma ezithweni zangasese , bona udokotela ngokushesha . Uma ungelashwa, ubuhlungu bakho bungaba bubi kakhulu futhi kwenze kube nzima ngawe ukwenza imisebenzi yakho yansuku zonke. Nazi ezinye izimpawu okufanele uziqaphele:

• Umuzwa “wokubhoboza nezinaliti” ethangeni, ezinqeni, noma ezithweni zangasese.
• Umuzwa sengathi kukhona okubhajwe ngaphakathi kwendunu.
• Ubuhlungu lapho uchama noma isidingo sokuchama njalo.
• Izinkinga zokusebenza kocansi.

Uma unesifo esingapheli se-pelvic futhi usola ukuthi ungaba ne-pudendal neuralgia, awuwedwa. Nakuba kungavamile, i-pudendal neuralgia ingaba yisimo esiqeda amandla esingathinta indlela yakho yokuphila, ubudlelwano, kanye nemisebenzi yansuku zonke. Khuluma nodokotela wakho ngezimpawu zakho. Angabe esenquma inketho engcono kakhulu yokwelashwa ngokusekelwe ebunzimeni kanye nendawo yobuhlungu bakho. Khumbula, ukufuna iseluleko sezokwelapha kungakusiza uthole impumuzo ebuhlungwini bakho.

Into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

• I-pudendal neuralgia ubuhlungu obukhulu, obuhlala isikhathi eside endaweni yesinqe obubangelwa ukulimala kwe-pudendal nerve.
• Uphawu oluyinhloko ukuthi ubuhlungu buya ngokuya buba bubi kakhulu uma uhleli .
• Lokhu kungabangelwa yizinto eziningana; izinto ezifana nokucindezeleka okuqhubekayo, ukuhlinzwa, ukubeletha , njll.
• Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngaphandle kokulibala uma unezimpawu.
• Izimpawu zingalawulwa ngokwelashwa ngokomzimba, imithi, izinguquko zendlela yokuphila, futhi ngezinye izikhathi nokuhlinzwa.
• Ngisho noma kungekho ukwelashwa okuphelele, ungathola usizo lokunciphisa ubuhlungu futhi uphile impilo evamile.