Zviratidzo, Zvinokonzera, uye Zvirwere zveGenitofemoral Neuropathy
Utachiona hwehutachiona hunogona kukonzerwa nekuparara kana kusagadzikana kweropa re genitofemoral. Mhando iyi yemarwadzo epelvic anorwadza anonzi genitofemoral neuralgia kana genitofemoral neuropathy.
Overview
Uturu hwemitsipa hunogona kunge husinganzwisisiki uye hunooma zvakaoma kurondedzera kune avo vasina kumboona kurwadziwa. Nhamo kurwadziwa inonziwo " marwadzo europathic ." Hurwa neuropathic inogona kuitika kupi chero ipi zvayo yakakuvara nerve.
Neine genitofemoral nerve, kurwadziwa uku kunowanikwa mumapanga.
Genitofemoral neuralgia (kurwadziwa kwegitofofororal) inowanzovapo kwechinguva chisati chaitika kufungidzirwa kunoitwa, zvichiwedzera kuora mwoyo kunofamba nekunzwa uku. Zvidzidzo zvakawana kuti vakadzi vazhinji vane chirwere chinonzi neuropathic chronic vulvar vanoramba vasingazivikanwi kunyange mushure mekunge vanachiremba vanoshanyira kakawanda.
Kuti unzwisise genitofemoral neuropathy, zvinobatsira kwazvo kutaura pamusoro pemaitiro ehutano.
Iyo nhengo yegenitofemoral inotanga kubuda mumutsara uye inoita nzira yayo kuburikidza ne psoas muscle. Iyo psoas muscle ndiyo chete musungo inosungirira musana kumakumbo. Iyo mutsara mukuru unonamatira kumucheto pamucheto mumwechete (unosungirira kumucheto wepamusoro unonzi thoracic uye lumbar spine,) uye unosunga kumusoro kwechiuno kune rumwe rutivi. Mutumbi wemisungo uripo mumapete uye unoshanda se hip flexor (inobatsira iwe kusimudza gumbo rako kumusoro kumimba yako.)
Mushure mokunge mushutu uchitenderera mumusasa wepsoas, unopinda muzvikamu zviviri; hutano uye nhengo dzomudzimai (zvinodaro izvi zvinopfuura kumusoro kwegadziriro inowanikwa mumapanga.)
Madzimai, bazi rebonde rejitemenomoral rinotarisa uye rinopa manzwiro kumadzimai emabhiza uye mons pubis (zvikamu zvemukadzi.) Muvarume, bazi rekuberekwa rinopa manzwiro kumapapu
Nhengo yechikadzi yejenitememoral nerve inokonzera kushungurudza mune chikamu chekunze chehudyu.
Zvinokonzera
Kukuvadza kana kudzvinyirirwa kumutsipa we genitofemoral, pamwe chete nemamiriro ezvinhu anokanganisa rutivi rwemitsipa munharaunda (chirwere cheuropathy) chinogona kutungamirira ku genitofemoral nerve pain pain. Zvimwe zvinokonzera zvinosanganisira:
- Kuvhima pamuviri kana kupera - Iropa re genitofemoral rinogona kukuvadzwa panguva dzakasiyana-siyana dzekuvhiya. (Dzidza zvakawanda nezvekurwadziwa kwemasuru mushure mokuvhiyiwa mumimba uye kupera .)
- Kutambudza kusvika pamimba uye / kana mapepa.
- Kugadzikana kwepsoas muscle.
- Kukuvadza kwenzara yegenitofemoral apo mishonga yemakumbo emasikirini inoparadzaniswa (sezvinoitwa ovarian, uterine, chirabwe, kana chirwere chekenza yeprostate) kana kuti musasa mukuru wepilvic unobviswa panguva yekuvhiyiwa kweplavic.
- Dambudziko reuropathy - Mamiriro ezvinhu anokonzera kukanganisa kwehutano (peripheral neuropathy) zvakadai sechirwere cheshuga zvinogona kukonzera marititemoral nerve pain. Mukuwedzera kune chirwere cheshuga, mamiriro ezvinhu akadai se multiple sclerosis, kusingaperi kushandiswa kwezvinodhaka, mamwe mavitamini anoshayiwa simba, zvimwe zvirwere zvemagetsi uye zvechirwere, uye kenza chemotherapy zvinogona kukonzera kuora mwoyo.
Zviratidzo
Kufanana nemhando dzakawanda dzemarwadzo europathic, genitofemoral neuropathy inowanzotsanangurwa seinopinza, kupfura kana kuputika.
Mhando iyi yemarwadzo epecvic anorwadza angave akanzwika mudumbu, kuderera shure kana pakati pemakumbo. Izvo zvinogona kuuya uye zvichienda, kana zvingave zvakanyanya kuramba. Vamwe vanhu vanodaro vanonzwa kunzwa rudzi urwu rwemaperembudzi ane chirwere chepelvic pane dzimwe nguva pavanorara pasi.
Kurapa
Kurapa kwepisipi yepisviviti inogona kuva yakaoma, uye inowanzodikanwa kuedza nzira dzakasiyana-siyana kuitira kuti uwane rubatsiro rwakanakisisa rwekunzwa nematambudziko mashoma. Zvirwere zvinogona kusanganisira:
- Mishonga, yakadai seanticonvulsants
- Nerve blocks
- Steroid injections
- Kupindira kwokuvhiya - Dzimwe nguva chirwere chinogona kubatsira, asi chinogonawo kumutsa marwadzo
Zviitiko zvakawanda zve genitofemoral neuropathy zvinogadziriswa nemagariro emagetsi nenguva, asi dzimwe nguva kurwadziwa kunogona kuramba kuchiitika.
Kuramba uchishungurudza kurwadziwa kwepfungwa ndeimwe yemhando dzakawanda dzemarwadzo echirwere chisingaperi .
Nokurwadziwa kunoramba kuchienderera mberi, mamwe marapirwo angasanganisira:
- Kusarudza serotonin norepinephrine reuptake inhibitors (SSNRIs) yakadai seCymbalta (duloxetine)
- Nyaya dzemashoko anticonvulsants (gabapentin)
- Nyaya dzepamusoro lidocaine patches
Kana uri kurwara zviratidzo zve genitofemoral neuropathy, unofanirwa kubvunzurudza chiremba wako wokutanga kana kuti OB-GYN. Chiremba wako anogona kukutaurira kune unyanzvi akakodzera kuti uongorore uye kurapwa kwechiitiko ichi chisina kunaka. Pane zvimwe zvingasarudzwa zvisingakurukurwi pano, izvo zvingafungidzirwa kana marwadzo ako achigara asingagumi, uye kushanda nemumwe munhu ane kurwadziwa kunogona kubatsira.
Kutsungirira
Hurwa neuropathic inogona kunge yakaoma zvikuru kuti vanhu vatsanangure, uye kunyanya kuoma vamwe kuti vanzwisise.
Kana uri kutarisana nekurwadziwa kusingaperi kwepilvic iwe unogona kunge wakaora mwoyo zvikuru. Handizvo chete kurwadziwa kunogara kusingaperi uye kusingagumi, asi vamwe vari mukati mako, kunyange vanachiremba vako, vangave vasinganzwisisi kuti kurwadziwa kunogumira sei zuva nezuva mabasa ako.
Vamwe vanhu vanozviona zvichibatsira kuti tibatanidzwe muboka rekutsigira kana sangano rekutsigira. Ndinofara kune mitsva inotsigira inharaunda umo iwe unokwanisa kutaurirana nevamwe vanorwisana nekuora mwoyo uye kusagadzikana kwe genitofemoral neuropathy. Vamwe vanhu vanonzwa kutsamwa, kwete nekuda kwekuti vakasara nemarwadzo, asi nekuda kwechipi nechipi chinokonzera kurwadziwa kwekutanga, somuenzaniso, kuvhiyiwa kweplavic kana njodzi. Kushanda nemushonga kunogona kubatsira zvikuru, kwete nokuti marwadzo ari mumusoro wako (haisi, iri mumutsara) asi nokuti iwe unganzwa uri woga sezvaunoita nemarwadzo. Nyanzvi yakanaka inokwanisawo kukutungamirira mukuwana dzimwe nzira dzekurapa dzakadai sekuzorora, kufema kufema, kana kuti kunyange kugadzirisa, kukubatsira kuti utsungirire kurwadziwa.
Sources:
Cesmebasi, A., Yadav, A., Gielecki, J., Tubbs, R., uye M. Loukas. Genitofemoral Neuralgia: A Review. Clinical Anatomy . 2015. 28 (1): 128-35.
Tanaka, T., Terai, Y., Ono, Y. et al. Genitofemoral Neuropathy Mushure mePelvic Lymphadenectomy muVirwere neUterine Corpus Cancer. International Journal of Gynecological Cancer . 2015. 25 (3): 533-6.
Verstraelen, H., De Zutter, E., naMe De Muynck. Genitofemoral Neuralgia: Kuwedzera kuMutoro weHupenyu Hwekugadzikana Kwemhirizhonga. Nhoroondo yePain Research . 2015. 8: 845-9.