Ama-anticonvulsants kanye nama-Anti-depressants angasiza ekunciphiseni ubuhlungu be-Neuralgia
I-nerve enobuhlungu ihamba ngemisipha ye-gluteus (emadodeni) futhi ingene ku-perineum (cabanga nge- perineum njengengxenye yomzimba ethinta isihlalo sebhayisikili). I-pudendal neuralgia (eyaziwa nangokuthi i-pudendal neuropathy) ingumkhuhlane wezinzwa eziyingozi ezingabangela ubuhlungu obungapheli be-pelvic . Lesi simo singabangelwa ukuguliswa kwesibindi semisipha, lapho izinzwa zicindezelwa, noma umonakalo emndenini oyingozi futhi uyaziwa nangokuthi i-neuropathy ye-pudendal.
Izimbangela
Ubuhlungu obungapheli besifo sofuba obuvela ku-neuralgia engapheli kungabangelwa yikuphi okulandelayo:
- ukuphelelwa yisifo sikashukela
- ukuhlukumezeka kuya emagqabeni noma kwesikhumba kubandakanya ukubeletha
- ukuhlala ngokweqile (abashayeli bamabhayisikili ngokuvamile banesifo sengqondo esibuhlungu)
- ukuqina kwemigqa ezungeze le nerve emnyama
- ama-bony formations acindezela ngokumelene ne-nervousal nerve
I-Cyclist's Syndrome
Ukuhlala isikhathi eside ezindaweni ezinzima ezifana nesihlalo sebhayisikili kungabangela ukucindezeleka kwamagciwane, okungaholela ekubuyeni okungapheli kwamaphilisi ngokuhamba kwesikhathi. Eqinisweni, lokhu kwenzeka njalo ukuthi i-neuralgia enobuhlungu, uhlobo olubuhlungu lobuhlungu obungapheli olubangelwa ukugonywa noma ukucindezelwa kwe-nervousal nerve, ngokuvamile libizwa ngokuthi yi-Cyclist's Syndrome.
Ukuhlala kwezinye izinhlobo zezihlalo zamabhayisikili isikhathi eside kubeka ingcindezi emgodini we-pudendal. Ukucindezela okunjalo kungabangela ukuvuvukala emndenini, okubangela ubuhlungu benzwa , futhi kungase kuholele ekuhluphekeni komzimba ngemva kwesikhathi. Ukucindezeleka kwamagciwane kanye nokuvuvukala kuvame ukubangela ubuhlungu obuchazwe njengokushisa, ukugxuma noma ukuzwa njengezikhonkwane nezinaliti.
Ukuvimbela i-Cyclist's Syndrome
Abanye abashayeli bamabhayisikili bakhuthaza izinhlobo ezahlukene zezihlalo zamabhayisikili ukuze bagweme ukucindezelwa kwesisindo. Kodwa-ke, akekho ucwaningo lwesayensi oluthi izihlalo ezithile zinciphisa izigameko ze-neuralgia ezihamba ngamabhayisikili emabhayisikili.
Ngamanye amazwi, ukuzama isihlalo esisha ngeke neze kukulimaze, kodwa ungalindeli ukuchitha imali eningi esitokisini sokuthi uqinisekise ukuhamba okungahambi kahle.
Kubantu abaningi abane-neuralgia emangalisa ebangelwa ukuhamba ngebhayisikili, izimpawu zivela ngemuva kokuhamba ngebhayisikili eside, ngezinye izikhathi izinyanga noma iminyaka kamuva. Ngamanye amazwi, ngenkathi uqaphela kunenkinga, umonakalo kungenzeka usuvele usuwenzile.
Ungakwazi ukugwema i-neuralgia embi ngokuthatha isikhathi sokuphumula njalo ngesikhathi sokuhamba ngebhayisikili, noma ngokuthatha isikhathi phakathi kwemikhawulo "ekuphumuleni" izinzwa ze-pelvic. Uma uqala ukuthuthukisa izimpawu zobuhlungu be-pelvic, phumula futhi ubone udokotela wakho ngokushesha.
Izimpawu
Ubuhlungu bomunyo obunamahloni bungachazwa njengokushisa, ukunganaki, noma izikhonkwane nezinaliti, ukugwaza noma ukuchoboza. Kungabonisa nganoma iyiphi yezindlela ezilandelayo:
- ubuhlungu e-perineum noma esifundeni esifanayo;
- emadodeni, ubuhlungu e-penis noma e-scrotum;
- kwabesifazane, ubuhlungu emabhodini noma ama-vulva;
- ubuhlungu ngesikhathi sokulala;
- ubuhlungu lapho uchama noma unomzimba wokuhamba;
- ubuhlungu ekuhleleni okuhamba lapho kumile.
Ngenxa yokuthi izimpawu ngokuvamile zilukhuni ukuhlukanisa, ubuhlungu be-neuropathy buhlungu kaningi kungaba nzima ukuhlukanisa nezinye izinhlobo zobuhlungu obungapheli be-pelvic , njenge- prostatitis ne- vulvodynia .
Izinketho zokwelapha
Uma imbangela ihlezi ngokweqile noma ukuhamba ngebhayisikili, i-neuralgia enobudlova ingaphathwa ngokuphumula. Izimpawu zomzimba zingasiza ekunciphiseni ubuhlungu obubangelwa ukugonywa kwemizwa.
Ama-anticonvulsants afana ne-Neurontin kanye nezidakamizwa ezinjenge-Elavil angase anqunywe ukuze asize ukulawula ubuhlungu bokuphuza i-neuropathy. Ukuhlinzwa kokunciphisa umzimba kungadingeka.
Uma unesihlungu esingapheli se-pelvic esibangelwa ukuphelelwa yisifo sofuba, udokotela wakho angasebenzisa noma iyiphi inhlanganisela yalezi zonyango.
Ukubhekana
Ngenxa yokuthi i-neuralgia enobudlova inzima kakhulu ukuyihlolisisa nokuphatha, ukufunda ukubhekana nayo kungaba yikhibhodi yokwandisa izinga lakho lokuphila. Zama lezi zindlela:
- Gcina umagazini wezinhlungu;
- Gwema ukucindezeleka uma kungenzeka;
- Zama amasu okuphazamisa , njengokufunda incwadi noma ukulalela umculo;
- Ukukhuluma nomuntu kungasiza
Imithombo:
U-Andersen, uKjeld V noBovim, uGunnar. Ukungabi namandla nokungena emndenini emabhayisikili abagibeli bamahhashi amade. I-Acta Neurologica Scandinavica. 95: 4, amakhasi 233 - 240.
U-Antolak Jr, uStanley J. Pudendal Neuralgia: I-Pudendal Nerve Entrapment, i-Alcock Canal Syndrome, ne-Pudendal Canal Syndrome. Ubuhlungu be-Genitourinary Nokuvuvukala. U-Ed: Jeannette M. Potts. I-Humana Press, Totowa, NJ. 2008. iphe. 39-56.
Hough David M, Wittenberg Keith H, Pawlina Wojciech et al. Ubuhlungu obungapheliyo obubuhlungu obubangelwa yi-Pudendal Nerve Entrapment: I-Anatomy ne-CT-Guided Technial Injection Technique. I-American Journal ye-Roentgenology. 2003; 181: 561-567
UMcdonald, John S. MD; I-Spigos, i-Dimitrios G. MD. I-Tomographic Computed-Guided Pudendal Block for Treatment of Pavic Pain ngenxa Yokugula Kwe-Pudendal Neuropathy. I-Obstetrics ne-Gynecology. February 2000. 95: 2. iphe 306-309.
I-National Pain Foundation. Ubuhlungu be-pelvic: Izimbangela. http://www.nationalpainfoundation.org/articles/717/causes.
I-University of Rochester Medical Centre. I-Pudendal Neuralgia. http://www.urmc.rochester.edu/smd/Rad/Pudendal.pdf.