Izimpawu, Izimbangela, kanye Nezokwelapha ze-Genitofemoral Neuropathy
Ubuhlungu bezinzwa zesibindi kungabangelwa ukulimala noma ukungasebenzi komzimba we-genitofemoral. Lolu hlobo lwezinhlungu zenhliziyo lubizwa ngokuthi i-genitofemoral neuralgia noma i-genitofemoral neuropathy.
Sibutsetelo
Ubuhlungu bezinzwa bungase bungakhululekile futhi ngokuvamile kunzima ukuchaza kulabo abangakaze babhekane nobuhlungu. Ubuhlungu bomzimba bubizwa nangokuthi " ubuhlungu be-neuropathic ." Ubuhlungu be-neuropathic bungenzeka noma kuphi lapho inzwa khona inzwa.
Ngezinzwa ze-genitofemoral, lobu buhlungu buba khona ekhanda.
I-Genitofemoral neuralgia (ubuhlungu be-genitofemoral) ivame ukuba khona isikhathi esithile ngaphambi kokuthola ukuxilongwa, okwengeza ekukhungeni okuhambisana nalolu hlobo lobuhlungu. Ucwaningo luye lwathola ukuthi abesifazane abaningi abanezinhlungu ze-neuropathic uhlobo lwe-chronic vulvar bahlala bengatholakali ngisho nangemva kokuvakashelwa odokotela abaningi.
Ukuze uzwisise i-genitofemoral neuropathy, kuyasiza kakhulu ukukhuluma nge-anatomy ye-nerve.
I-genitofemoral nerve kuqala ishiya umgogodla futhi isebenzise indlela ye-psoas muscle. Umsizi we-psoas yiyona muscle kuphela okufaka umgogodla emlenzeni. Kuyinto imisipha enkulu ehlanganisa umgogodla ngomunye umkhawulo (ithobela emgodleni ophansi we-thoracic kanye nomgogodla we-lumbar,) futhi ifaka phezulu phezulu kwe-hip ngaphesheya. Umzimba we-muscle ukhona esikhwameni futhi usebenza njenge-hip flexor (ikusiza ukuthi ukhulise umlenze wakho ophezulu ekubhekeni kwesisu sakho.)
Ngemuva kokuba le nerve ihamba nge-psoas muscle, ihamba ibe izingxenye ezimbili; i-genital ne-femoral nererve (yenza lokhu nje ngenhla engumgogodla ngaphakathi kwesikhumba.)
Kwabesifazane, igatsha lofuzo lezinzwa ze-genitofemoral lihamba liya futhi linikeza izinzwa emabhokisini ama-labia kanye namadons pubis (izingxenye zesifazane.) Emadodeni, igatsha lomzimba linikeza inzwa ku-scrotum
Igatsha labesifazane le-genitofemoral nerve libhekene nokuzwa kwesigaba sangaphandle sethanga.
Izimbangela
Ukulimala noma ukucindezelwa kwenzalo ye-genitofemoral, kanye nemibandela eyonakalisa uketshezi lwezinzwa ngokujwayelekile (i-peripheral neuropathy) ingabangela ubuhlungu be-genitofemoral nerve. Ezinye izimbangela zihlanganisa:
- Ukuhlinzwa ngamathumbu noma ukuhlunga - I-genitofemoral nerve ingalimala phakathi nezinhlobo ezithile zokuhlinzwa. (Funda kabanzi mayelana nobuhlungu benzwa ngemuva kokuhlinzwa kwesisu nangesisu .)
- I-trauma kuya esiswini kanye / noma isikhumba.
- Ukucindezeleka komzimba we-psoas.
- Ukulimala kwenzalo ye-genitofemoral lapho i-lymph nodes ehlanjululwayo isatshalaliswa (njengokwenziwa kokuhlinzwa komdlavuza we-ovarian, uterine, isambatho, noma isifo somdlavuza) noma uma isisindo esikhulu senhlanzi sisuswa ngesikhathi sokuhlinzwa kwe-pelvic.
- I-neuropathy ye-peripheral - Izimo ezibangelwa ukulimala komdlavuza jikelele (i-peripheral neuropathy) ezifana nesifo sikashukela kungabangela ubuhlungu be-genitofemoral nerve. Ngaphandle kwesifo sikashukela, izimo ezinjenge-multiple sclerosis, ukuphuza ngokweqile ukuphuza utshwala, ukungabi namagciwane okwezinye izinto, izifo ezithile ze-metabolic and vascular, kanye ne-chemotherapy yomdlavuza kungabangela neuropathy.
Izimpawu
Njengezinhlobo eziningi zobuhlungu be-neuropathy, i-genitofemoral neuropathy ivame ukuchazwa njengebukhali, ukudubula noma ukubhoboza.
Lolu hlobo lobuhlungu bezinzwa zomzimba lungase luzwakale esiswini, phansi noma phakathi kwemilenze. Kungase kufike futhi kuhambe, noma kungase kube khona okuqhubekayo. Abanye abantu babika ukuzwa lolu hlobo lobuhlungu bezinzwa zenhliziyo ngaphezulu uma belele phansi.
Ukwelapha
Ukwelapha ubuhlungu bezinzwa zomzimba kunzima, futhi kuvame ukudinga ukuzama izindlela eziningi ezihlukene ukuze uthole ukukhululeka okungcono kakhulu kobuhlungu nemiphumela emibi kakhulu. Izinketho zokwelapha zingafaka:
- Imithi, njenge- anticonvulsants
- Amabhuloki emigodi
- I-steroid injection
- Ukungenelela kokuhlinzwa - Ngezinye izikhathi ukuhlinzwa kungasiza, kepha ngezinye izikhathi kungabangela ubuhlungu
Amacala amaningi we-genitofemoral neuropathy axazululwa ngamabhuloki nesibindi, nakuba ngezinye izikhathi ubuhlungu bungase buqhubeke.
Ukuphika ubuhlungu bezinzwa zesifo senhliziyo kungenye yezinhlobo eziningi zobuhlungu obungapheli be-pelvic .
Ngenxa yobuhlungu obuphikelela, ezinye izindlela zokwelapha zingafaka:
- I-serotonin ekhethiwe i-norepinephrine reuptake inhibitors (SSNRIs) njenge- Cymbalta (duloxetine)
- Ama-anticonvulsants aphezulu (gabapentin)
- Ama-patty lidocaine
Uma uhlangabezana nezimpawu ze-neuropathy ye-genitofemoral, kufanele uxoxe nodokotela wakho oyinhloko wokunakekela noma u-OB-GYN. Udokotela wakho angakutshela ochwepheshe abafanelekayo ukuhlola nokuphathwa kwalesi simo esingakhululekile. Kunezinketho eziningi ezingakhulumi ngazo lapha, okungase kubhekwe uma ubuhlungu bakho buhlala buhlala njalo, futhi ukusebenzisana nodokotela wezinhlungu kungasiza kakhulu.
Ukubhekana
Ubuhlungu be-neuropathic bungaba nzima kakhulu kubantu ukuchaza, futhi kunzima nakakhulu ukuthi abanye baqonde.
Uma ubhekene nobuhlungu obungapheli be-pelvic ungase ucindezeleke kakhulu. Akukhona nje ukuthi ubuhlungu buvame ukuhlala bukhuni futhi bungapheli, kodwa abanye phakathi kwakho, ngisho nodokotela bakho, bangase bangaqondi ukuthi ubuhlungu bukhawulelani usuku lwakho nemisebenzi yosuku.
Abanye abantu bakuthola kuwusizo ukuba bahlanganyele eqenjini lokusekela noma umphakathi wokusekela. Ngokuthakazelisayo kukhona imiphakathi yokusekela inthanethi lapho ungakwazi ukuxhumana nabanye ukubhekana nokukhungatheka nokungahambi kahle nge-neuropathy ye-genitofemoral. Abanye abantu bazizwa bentukuthelo, hhayi ngenxa yokuthi basala ubuhlungu, kodwa ngenxa yalokho okubangele ubuhlungu kuqala, ngokwesibonelo, ukuhlinzeka ngenhliziyo noma ingozi. Ukusebenza nomhlengikazi kungaba usizo kakhulu, hhayi ngoba ubuhlungu busekhanda lakho (akusilo, lusenkonzweni) kodwa ngoba ungase uzwe wedwa lapho ubhekana nobuhlungu. Umuthi omuhle angase akwazi ukukuqondisa ekutholeni ezinye izindlela zokwelashwa ezifana nokuphumula, ukuphefumula okujulile, noma ngisho nokukhwabanisa, ukukusiza ukuba ubhekane nobuhlungu.
Imithombo:
Cesmebasi, A., Yadav, A., Gielecki, J., Tubbs, R., noMn. Loukas. I-Genitofemoral Neuralgia: Ukubuyekeza. Anatomy Clinic . 2015. 28 (1): 128-35.
Tanaka, T., Terai, Y., Ono, Y. et al. I-Genitofemoral Neuropathy Ngemuva kwe-Lymphadenectomy Ye-Pelvic ku-Iziguli Nge-Cancer Corpus Cancer. I-International Journal ye-Gynecological Cancer . 2015. 25 (3): 533-6.
I-Verstraelen, H., De Zutter, E., noMnu De Muynck. I-Genitofemoral Neuralgia: Ukwengeza eMnyangweni We-Chronic Vulvar Pain. Journal of Pain Research . 2015. 8: 845-9.