I-Anticonvulsants kunye ne-Anti-depressants Inokunceda Ukunciphisa Ubunzima be-Neudgia
Iimbindi zegudum zigijima kwiimpawu ze-gluteus (iifolo) kunye ne-perineum (cinga nge- perineum njengayiphi na inxalenye yomzimba ethinta isihlalo sebhayisiki). I-Pudendal neuralgia (eyaziwa ngokuba yi-pudendal neuropathy) yintlupheko yentsholongwane engabangela ukuba buhlungu buhlungu buhlungu . Le meko ingabangelwa yi-pervendal nerve entrapment, xa i-nerve igxininiswa, okanye imonakalo kwintsimbi yomdaka ngokwayo kwaye iyaziwa nangokuthi i-neuropathy ye-pudendal.
Izizathu
Ubuhlungu obungapheliyo be-pelvic obuvela kwi-neuralgia ye-pudendal bubangelwa yiyiphi na elandelayo:
- nesifo sesifo sikashukela
- ukuxhwaleka kwintsimbi okanye i-pelvis kubandakanya ukubeletha
- ukuhlala ngokugqithiseleyo (abahamba ngeebhayisikile bahlala benesifo sengqondo esiswini)
- ukuqina kwamagxa ejikeleze i-nerudal nerve
- Iimpawu zebony zixhomekeke kwi-nervousal nerve
I-Cyclist's Syndrome
Ukuhlala ixesha elide kwiindawo ezinzima ezifana nesitulo sebhayisiki kunokubangela ukunyanzeliswa kweentlungu ze-pelvic , ezinokubangela ubuhlungu obungapheliyo beplavic ngexesha. Enyanisweni, oku kwenzeka njalo ukuba i-neuralgia engummangaliso, intlungu ye-pelvic intlungu ebangelwa ukugonywa okanye ukunyanzeliswa kwentsholongwane, ibizwa ngokuba yi-Cyclist's Syndrome.
Ukuhlala kwezinye iintlobo zeeseti zebhayisiki ixesha elide libeka uxinzelelo kwi-nervousal nerve. Ingcinezelo enjalo inokubangela ukuvuvukala kwiimbilini, ezibangela iintlungu zentlungu , kwaye zingakhokelela ekubandezelekeni kwentsholongwane ngexesha. Ukunyanzeliswa kwesisu kunye nokuvuvukala kubangelwa ukuba intlungu echazwe njengokutshisa, ukubetha okanye ukuziva ngathi izikhonkwane kunye neenaliti.
Ukukhusela i-Cyclist's Syndrome
Abanye abahamba ngeebhayisikili baxhasa iintlobo ezahlukeneyo zezihlalo zebhayisikile ukuze bagweme ukunyanzeliswa kwesibindi. Nangona kunjalo, akukho uphando lwezenzululwazi oluthi izihlalo ezithile zinciphisa iziganeko ze-neuralgia emadeni asebhayisikili.
Ngamanye amazwi, ukuzama isihlalo esitsha ngokuqinisekileyo akunakukulimaza, kodwa ungalindelanga ukuchitha imali ethe xaxa kwisikhwama somqhubi ukuze kuqinisekiswe uhambo olungenabuhlungu.
Kuba abaninzi abantu abane-neuralgia ebangelwa yimoto, iimpawu zivela emva kweebhayisikili ezide, ngezinye iinyanga okanye kwiminyaka kamva. Ngamanye amagama, ngeli xesha uqonda ukuba kukho ingxaki, umonakalo usenokwenziwa.
Unako ukukhusela i-neuralgia ye-pudendal ngokuhlala ngokuphumla ngexesha lokuhamba ngebhayisikili, okanye ngokuthatha ixesha phakathi kweentlanga ukuya "ekuphumleni" kwemizwa yeplavic. Ukuba uqala ukuhlakulela iimpawu zentlungu ye-pelvic, phumla uze ubone ugqirha wakho ngokukhawuleza xa unako.
Iimpawu
Iintlungu zesifo seentlungu zingachazwa njengokutshisa, ukuphazamiseka, okanye izikhonkwane kunye neenaliti, ukugwaza okanye ukuchithwa. Ingabonakalisa kuyo nayiphi na indlela elandelayo:
- intlungu kwi-perineum okanye kwingingqi yomntu;
- kumadoda, intlungu kwi-penis okanye kwi-scrotum;
- kubasetyhini, intlungu kwilabia okanye kwintlaka;
- intlungu ngexesha lokulala;
- intlungu xa uchama okanye uhamba;
- intlungu ehleliyo ehamba xa imile.
Ngenxa yokuba iimpawu zisoloko zikhuni ukuhlula, i-neuropathy inokubakho nzima ukuhlula phakathi kwezinye iintlobo zentlungu engapheliyo ye-pelvic , njenge- prostatitis kunye ne- vulvodynia .
Izinyango Zonyango
Ukuba isizathu esiphezulu sokuhlala okanye ukuhamba ngebhayisikili, i-neuralgia ye-pudendal ingaphathwa ngokuphumla. Iibhloko zezinzwa zinganceda ukukhulula iintlungu ezibangelwa yi-puludal nerve entrapment.
I-Anticonvulsants ezifana ne-Neurontin kunye ne- anti-depressants efana ne-Elavil inokumiselwa ukuncedisa ukulawula ubuhlungu be-neuropathy intlungu. Utyando lwe-decompression operation lungafuneka.
Ukuba unentlungu engapheliyo ye-pelvic ebangelwa yi-pudendal neuropathy, ugqirha wakho unokusebenzisa nayiphi na inhlanganisela yalezi zonyango.
Ukujamelana
Ngenxa yokuba i-neuralgia engummangaliso kunzima ukuyixilonga nokunyanga, ukufunda ukujamelana nayo kunokubalulekileyo ekunyuseni umgangatho wobomi. Zama ezi zinto:
- Gcina i- journal journal;
- Gwema uxinzelelo xa kunokwenzeka;
- Zama iindlela zokuphazamisa , ezifana nokufunda incwadi okanye ukulalela umculo;
- Ukuthetha nomntu kunokunceda
Imithombo:
Andersen, Kjeld V kunye noBovim, iGunnar. Ukungabi namandla kunye neNerving Entrapment kwiiNgqungquthela zeeMidlalo zamaRama ezide. Acta Neurologica Scandinavica. 95: 4, iphepha 233 - 240.
U-Antolak Jr, uStanley J. Pudendal Neuralgia: Ingxwelongwane yeNtsholongwane ye-Pudendal, i-Alcock Canal Syndrome kunye ne-Pudendal Canal Syndrome. Ubuhlungu be-Genitourinary And Inflammation. Ed: Jeannette M. Potts. I-Humana Press, iTotowa, NJ. 2008. iphepha 39-56.
Hough David M, Wittenberg Keith H, Pawlina Wojciech et al. Ubuhlungu obungapheliyo buhlungu obubangelwa yi-Pudendal Nerve Entrapment: i-Anatomy kunye ne-CT-Guided Perineural Injection Technique. I-American Journal ye-Roentgenology. 2003; 181: 561-567
McDonald, John S. MD; I-Spigos, i-Dimitrios G. MD. I-Tomography ekhompyutheni-ekhokelwayo ekhokelwayo Ukukhusela ukuPhathwa kwePilvic Pain ngenxa ye-Pudendal Neuropathy. I-Obstetrics kunye neGynecology. NgoFebruwari 2000. 95: 2. iphe 306-309.
Isiseko seSizwe soPhando. Ubuhlungu bePelvic: Izizathu. http://www.nationalpainfoundation.org/articles/717/causes.
IYunivesithi yaseRochester Medical Centre. Pudendal Neuralgia. http://www.urmc.rochester.edu/smd/Rad/Pudendal.pdf.