Kodi kuchita pamene wotsinidwa kapena chofuna pudendal mitsempha? Zizindikiro ndi mankhwala a matenda

Pudendal ubongo, zomwe amatchedwanso pogonana, nthawi zambiri amachita ngati chifukwa cha ululu aakulu m'chiuno, kunachitika akulu. Chifukwa cha ichi ndi nthawi zambiri ndi mitsempha wotsinidwa, wotchedwa ndi psinjika neuropathy. Pudendal mitsempha ndi wotsinidwa ambiri mwa akazi. Mu amuna, izo zimachitika nthawi atatuwo.

mbali anatomical

Pudendal mitsempha m'litali ndi chochepa. Koma ichi ndi mitsempha yofunika kwambiri ya sacral plexus lomaliza (ngati timapita ku ubongo). Iwo lili M'mimbamo m'chiuno ndipo amapewa ndi ischium panjira. Ndiye lagawidwa nthambi zitatu:

• Thumbo.
• The crotch.
• Dorsal mitsempha ya nkongo kapena mbolo.

Kodi?

• Innervate minofu kuti amanyamula chotulukira ndi sphincter.
• Innervate njira sphincter kwa pokodza.
• Innervates nkongo wamkazi ndi zimakhala erectile anthu.
• Izo zimapangitsa khungu tcheru wa chotulukira ndipo maliseche awo.

Pa mndandanda pamwamba limasonyeza kuti mitsempha pudendal n'chofunikira zofunika kwambiri onse mu moyo wapamtima wa munthu, ndi pa defecation ndi pokodza. Kapangidwe ka mitsempha chikuphatikizapo ambiri ulusi autonomic kuonetsetsa sphincters yolondola ntchito popanda voteji sadziwa. Ndipotu anthu pang'ono kuganiza, musayese kulamulira ndipo musati Finyani minofu yanu dala kuti kukodza kapena defecate mwangozi pa mphindi inopportune. ntchitozo ndi kuika ulusi autonomic amene anapereka mu mitsempha pudendal.

Kukanikiza pakati: Zoyambitsa

Vuto kumachitika chifukwa piriformis, imeneyi M'mimbamo m'chiuno, kapena chifukwa cha clamping pakati pa awiri Mitsemphayi.

Komanso, mitsempha pudendal zikhoza kuonongeka pambuyo zinthu zadzidzidzi, monga ngozi zapamsewu, kugwa kuchokera m'mwamba. Pazochitika izi, wosweka m'chiuno mafupa angayambe. Nthawi zambiri chifukwa cha ululu aakulu kuwononga mitsempha nthawi yobereka, kapena nkhani mu kukula kwa zotupa zilonda.

Ndi ananena kuti mitundu ya zochita za anthu pa nthawi akhoza kuyambitsa jamming ya mitsempha pudendal ofunika. Zikuphatikizapo kupalasa njinga kapena kavalo.

Pudendal mitsempha: zizindikiro za neuropathy

Mofanana ndi zizindikiro zina zilizonse kukanikiza pakati MUKACHULUKIDWE ululu, imfa kwenikweni, kufooka minofu ndi matenda a dongosolo autonomic.

Pamene wotsinidwa pudendal zizindikiro mitsempha amai ndi abambo ali ofanana:

• The crotch kuoneka chopweteka.
• ululu ndi chotentha n'kusindikiza mthunzi.
• Mu kumaliseche ndi chotulukira ndi zomverera zosasangalatsa.
• Incontinence, zomwe zikhoza kukhala zosatha pofuna kuonekera mu mawonekedwe a kukapanda kuleka incontinence kapena kalomazaniya.
• Khungu tilinazo yafupika m'madera amenewa, pali lingaliro la "kuzizira".
• Mu chotulukira ndi mkodzo zingaoneke zosasangalatsa pamaso pa zachilendo.
• Angakhale nayo kukanika kugonana monga kusowa pamalungo ndi kusabala.

Pamene wotsinidwa zizindikiro mitsempha pudendal mu akazi amene chithandizo sayenera kuzengereza ananena mu mmunsi mwa nyini. Kamakupatsani kusapeza kwambiri.

Angaganize ululu pa kugonana ndi kuyenda - ali, ngati wotsinidwa zizindikiro pudendal mitsempha amuna. Chithandizo chofunika yomweyo chifukwa ululu ikuyaka, ndipo kukhudza khungu kukhala momvetsa muzikhosomola. Ndimaona zikhoza kukhala pamaso pa otentha kapena ozizira kapena chinthu chatsopano amenya magetsi anafotokoza. Ambiri, ndi mitsempha wotsinidwa kugonana kumatanthauza ambiri zizindikiro zosasangalatsa.

matenda uzitsine

Pamene pamwamba chowawa ndi zosasangalatsa zomverera anthu kungoti amalephera kulekerera kwa nthawi yaitali, chifukwa izo si kuwawa kotero mu mwendo kapena mkono. Nthawi zambiri amadwala neuropathy ankachitira kuti mwina matenda okhudza ubongo, kapena kuti proctologist, ngati pali kuyan'anila zokhudzana ndi sphincter kumatako, kapena mavuto ndi incontinence wa ndowe ndi mkodzo.

Nthawi zina, odwala mukhoza kupita kwa dokotala kugonana. Koma katswiri wabwino ndi losavuta mafunso ayenera kudziwa matenda organic, n'kutumiza wodwalayo kwa dotolo yoyenera. Entrapment ya mitsempha pudendal amawapeza ndi maphunziro awa ndi madandaulo:

• Onse madandaulo a omwe kutchulidwa kale.
• Odwala kuona kuti ntchito zotsatirazi kwa crotch chinachake ozizira zikuchitika mpumulo wa kanthawi kochepa ndi moto ululu umayamba kuyenda. Chizindikiro chimenechi chikusonyeza kuti mitsempha kuwonongeka ndi neuropathic.
• Ngati mumamwa mayesero a zachipatala midadada matenda mitsempha ntchito novocaine kusalekerera zizindikiro ndi kuchepekela kapena kwathunthu amachotsa mavuto onse pa nthawi yonse ya mankhwala ochititsa, amene kumatenga kwa maola 12 kuti masiku 3.
• Chikhalidwe cha ululu limasonyeza kuti jamming zinachitika (kutengeka ndikukhudzana ndi mitundu yonse ya kuyabwa, moto ndi kumverera kwa "zikhomo ndi masingano").
• Pa ultrasound ndi Doppler mafupa a chiuno ndi perineum pafupifupi milandu, mitsempha pudendal kukanikiza pakati liwiro magazi mathamangidwe anati mu mtsempha wamagazi pafupi kugonana. Ukamapita njira yomweyo monga mitsempha, mtsempha wamagazi kuchepetsa limasonyeza kuti kakusintha psinjika.
• A muyezo zofunika kwambiri matenda - ndi ululu munthu atakhala malo ndipo kuchepa pamene wodwala lagona pa nsana wake. Pakuti kukanikiza pakati mitsempha pudendal amadziwikanso yodziwika ndi kugonjetsedwa mbali imodzi yokha. Zinaoneka kuti matenda ake.

Kuwonjezera akwaniritsa zimenezi, matenda, kusanthulasanthula ndi perineum angapezeke zigawo khalidwe limene mfundo chowawa kuwalitsa minofu kuphipha.

Cofunika n'cakuti kuti kudwala kwa mitsempha pudendal ndi umakhudza chitukuko cha matenda myofascial, sipangakhalenso zikuipiraipirabe chifukwa malo a minofu kwambiri.

Komanso, mitsempha wotsinidwa kugonana kwambiri kuchuluka ovutika maganizo, ndi anthu kuti atengeke zochitika chowawa.

Chithandizo cha neuropathy ya mitsempha pudendal

Monga mwa zinthu zina, mankhwala a matenda ayenera kukhala wopambana.

ndi mfundo ya chithandizo cha neuropathy chiyani?

• The zimakhudza khalidwe kukanikiza pakati chikhalidwe cha ululu mothandizidwa ndi gabapentin, chomwe ndi mbali ya mankhwala.
• The likhale lokhazikika la midadada mitsempha ntchito mahomoni ndi dzanzi.
• Ntchito pakati akuchita minofu anasiya, moti minofu kumasuka, potero kuchepetsa minofu kamvekedwe ka peyala ya.
• Ntchito chikoka physiotherapeutic, monga electrophoresis, phonophoresis.
• Mavitamini gulu B, zomwe zili mbali ya anatseka misewu, komanso monga mwa mawonekedwe a mapiritsi.

njira zina

Kawirikawiri mankhwalawa pudendal mitsempha entrapment amafuna kuthandizidwa ndi zamaganizo zabwino, amene amachita chithandizo amakonza ndipo anapereka antidepressants. Mungafunike poika suppositories nyini kapena thumbo, monga ntchito diazepam. Wodwala lizikhala ndi zolimbitsa wapadera, tanthauzo la zomwe ndi chidule wodekha ndi zosangalatsa minofu ili mu crotch lapansi.

Mu zochitika komwe mankhwala ndiwofatsa amalephera ndi zotsatira zabwino, ndi decompressive opaleshoni mtundu. Iwo anachita mu malo apadera mankhwala a ululu aakulu m'chiuno.

chithandizo yaitali

Kumbukirani kuti mankhwala a neuropathies ya mitsempha pudendal - izi ndi ndondomeko yaitali kwambiri, imene tiyenera kutsatira malangizo onse a dokotala nawo. Kuchira nthawi amatenga miyezi isanu ndi umodzi.

Chithandizo yekha pokhazikitsa kuchipatala ayenera kuchitidwa ya matenda, chifukwa chakuti kulola madokotala kulamulira ndondomeko kuchira, ndi bwino kukatenga zovuta za njira zimene ntchito mankhwala oyenera. Ndipotu ena mwa zida munthu akhoza kukhala siligwirizana, izo zokha kuvutika zinthu.

zotsatira

Choncho ankaona kuti ndi mitsempha pudendal, zizindikiro ndi mankhwala uzitsine diagnostics wake. Pofuna kupewa matenda, Ndi bwino kukhala osamala kuti anavulala, komanso moyo yogwira, chitani ndi kutsogolera yogwira moyo kugonana. Koma ngati vuto akadali zinachitika, m'pofunika kuti mosamalitsa kutsatira malangizo a madotolo.