Anticonvulsants uye Antidipressants Inogona Kubatsira Kutambura Nhamo yePudendal Neuralgia
Iyo mutsara unomhanya unofamba nenzira yemagute (matope) uye mukati me perineum (funga nezve perineum sechikamu chipi nechipi chemuviri unobata chigaro chebhasikoro). Pudendal neuralgia (inozivikanwawo sepudendal neuropathy) chirwere chepudendal nerve inogona kutungamirira mukurwadziwa kusingaperi kwepilvic . Ichi chiitiko chinogona kukonzerwa nekugadzikana kwepfungwa, kana ruzivo rwunenge rwakamanikidzwa, kana nekukuvadza kweropa rune simba uyewo kunonziwo pudendal neuropathy.
Zvinokonzera
Kusuruvara kurwadziwa kwepelvic kubva pudendal neuralgia kunogona kukonzerwa nechimwe chei chinotevera:
- chirwere cheshuga cheuropathy
- kushungurudzwa kusvika kumabako kana mapepa kusanganisira kubereka
- kunyanyisa kugara (vheji venguva dzose vanowanzova nehutano hwekugadzikana)
- kuwedzera kwemitsipa yakapoteredza pudendal nerve
- bony maitiro ekupikisa pudendal nerve
Cyclist's Syndrome
Kuramba kwenguva yakareba panzvimbo dzakasimba sechigaro chebhasikoro kunogona kukonzera mutsara wepracvic, izvo zvinogona kutungamirira mukurwadziwa kusingaperi kwepilvic munguva. Muzvokwadi, izvi zvinowanzoitika zvakanyanya zvekuti neuralgia inonyanyisa, chirwere chekusuruvara kusingaperi kwepachevic chinokonzerwa nokubatanidzwa kana kuwedzerwa kwehutano hwepudendal, inowanzozivikanwa seCylist's Syndrome.
Kugara pane mamwe marudzi ezvigaro zvebhasikoro kwemazuva akawanda kwenguva inoisa kuomesa pirendal nerve. Kudzvinyirira kwakadaro kunogona kukonzera kuvhara mukati mehutano, izvo zvinokonzera marwadzo ekurwadziwa , uye zvinogona kutotungamirira kushungurudzika kwepfungwa munguva. Nzira kudzvinyirira uye kuzvimba zvinowanzokonzera marwadzo anotsanangurwa sekupisa, kunyorera kana kunzwa semapini uye nendira.
Kudzivirira Cyclist's Syndrome
Vamwe vafambisi vemabhasikoro vanotsigira marudzi akasiyana-siyana ezvigaro zvebhasikoro kuitira kuti vasagadzikana nenyonganyonga. Zvisinei, hapana tsvakurudzo yesayenzi inotaura kuti zvigaro zvepakati zvinoderedza chiitiko che pudendal neuralgia vari kure nemabhasikoro.
Mune mamwe mazwi, kuedza chigaro chitsva hakungakukuvadzi, asi usatarisiri kushandisa mari yakawanda pachigaro chechitsigiri kuti uve nechokwadi chekufamba-famba.
Kune vanhu vakawanda vane pudendal neuralgia inokonzerwa nebhasikoro, zviratidzo zvinowanikwa mushure mekufamba kwenguva refu, dzimwe nguva mwedzi kana makore gare gare. Mune mamwe mazwi, nenguva yaunoona pane dambudziko, mhirizhonga ingangodaro yaitwa.
Iwe unogona kukwanisa pudendal neuralgia nekugara uchizorora zvishoma panguva dzebhazikoro, kana nekubvisa nguva pakati pemadzinza kusvika "kuzorora" mishonga yepelvic. Kana uri kutanga kutanga zviratidzo zvekurwadziwa kweplavic, zorora uye uone chiremba wako pakarepo iwe unogona.
Zviratidzo
Kunetseka kunetseka kunogona kurondedzerwa sekupisa, kupera, kana pini uye nheyo, kuponda, kana kupwanya. Inogona kupa chero ipi zvayo nzira dzinotevera:
- kurwadziwa mu perineum kana munharaunda;
- mune varume, kurwadziwa mupenisi kana mukoko;
- pakati pevakadzi, kurwadziwa mumadzimai kana mumhepo;
- kurwadziwa panguva yepabonde;
- kurwadziwa paunenge uchibhururuka kana uine chikwata chemuviri;
- kurwadziwa mukugara uko kunopera kana wakamira.
Nemhaka yokuti zviratidzo zvinowanzooma kusiyanisa, kusuruvara kweuropathy kunowanzova kwakaoma kusiyanisa kubva kune dzimwe mhando dzeshungu dzisingagumi dzomukomana , dzakadai se prostatitis uye vulvodynia .
Treatment Options
Kana icho chikonzero chiri kunyanyisa kugara kana mabhasikoro, pudendal neuralgia inogona kurapwa nezororo. Nzivo dzinogona kubatsira kubvisa marwadzo anokonzerwa nepudendal nerve entrapment.
Anticonvulsants dzakadai seNeurontin uye zvinodhaka zvakadai seElavil zvinogona kurongerwa kuti rubatsire kuronga kurwadziwa kwepudendal neuropathy. Nzira yekuvhiya kudzvinyirira inogona kudiwa.
Kana uine urombo husingaperi hunokonzerwa nepudendal neuropathy, chiremba wako angashandisa chero kusanganiswa kwezvirapa izvi.
Kutsungirira
Nemhaka yokuti pudendal neuralgia yakanyanya kuoma kuongorora uye kubata, kudzidza kudzivirira kunogona kuva chinhu chikuru chekuwedzera hupenyu hwako. Edza nzira idzi:
- Chengetedza bhuku rinorwadza;
- Dzivisa kunetseka kana zvichibvira;
- Edza kushandiswa kwezvinhu , zvakadai sokuverenga bhuku kana kuteerera mimhanzi;
- Kutaura nomumwe munhu kunogona kubatsira
Sources:
Andersen, Kjeld V naBovim, Gunnar. Kutadza uye Nheyo Kusungwa Murefu Kwemafirivhi Amateikisi Emakwikwi. Acta Neurologica Scandinavica. 95: 4, Mapeji 233 - 240.
Antolak Jr, Stanley J. Pudendal Neuralgia: Pudendal Nerve Inrapment, Alcock Canal Syndrome, uye Pudendal Canal Syndrome. Genitourinary Pain And Inflammation. Ed: Jeannette M. Potts. Humana Press, Totowa, NJ. 2008. pp. 39-56.
Hough David M, Wittenberg Keith H, Pawlina Wojciech et al. Chronic Chronic Perineal Pain Inokonzerwa nePudendal Nerve Inraping: Anatomy uye CT-Kutungamirirwa Perineural Injection Technique. American Journal of Roentgenology. 2003; 181: 561-567
McDonald, John S. MD; Spigos, Dimitrios G. MD. Computed Tomography-Kutungamirirwa Pudendal Mukova weKurapwa Kwepachivande Kutambudzika Nokuda kwePudendal Neuropathy. Obstetrics uye Gynecology. February 2000. 95: 2. pp. 306-309.
National Pain Foundation. Chipfevic Pain: Zvinokonzera. http://www.nationalpainfoundation.org/articles/717/causes.
University of Rochester Medical Centre. Pudendal Neuralgia. http://www.urmc.rochester.edu/smd/Rad/Pudendal.pdf.