Anticonvulsants ndi Antidepressants Angathandize Kuthana ndi Chisoni cha Neuralgia
Mitsempha yamakono imadutsa minofu ya gluteus (m'makoko) ndi ku perineum (ganizirani za perineum ngati mbali iliyonse ya thupi lomwe limakhudza mpando wa njinga). Pudendal neuralgia (yomwe imadziwika kuti nthenda ya ubongo) ndi matenda a mitsempha yambiri yomwe ingayambitse kupweteka kwapakhosi . Matendawa angayambidwe ndi mitsempha yambiri ya mitsempha, pamene mitsempha imatha kuumirizidwa, kapena kuwonongeka kwa mitsempha yowawa kwambiri komanso imadziwika kuti ndi matenda a ubongo.
Zimayambitsa
Kupweteka kwapakhosi kwapachiyambi kwapakati pa neuralgia kungayambitsidwe ndi zotsatirazi:
- matenda a shuga
- kupwetekedwa mpaka kumabowo kapena pamphuno kuphatikizapo kubala
- Kukhala okwera (okwera maulendo nthawi zambiri amakhala ndi mitsempha yovuta kwambiri)
- kuphulika kwa mitsempha kuzungulira mitsempha yoopsa
- Maonekedwe a bony amatsutsana ndi mitsempha yambiri
Cyclist's Syndrome
Kukhala nthawi yaitali pamalo ouma ngati mpando wa njinga kungayambitse kupweteka kwa mitsempha ya mitsempha, yomwe imayambitsa kupweteka kwapakhosi kwa nthawi. Ndipotu izi zimachitika mobwerezabwereza kuti nthendagia yokhala yovuta kwambiri, yomwe imakhala ululu wopweteka kwambiri chifukwa cha kupwetekedwa kapena kupanikizika kwa mitsempha yambiri, imatchedwa Cyclist's Syndrome.
Kukhala pa mipando ina ya njinga kwa nthawi yaitali kumapangitsa kuti mitsempha yambiri ikhale yovuta. Kupanikizika koteroko kungayambitse kutupa m'magazi, omwe amachititsa ululu wa mitsempha , ndipo angayambitse kupwetekedwa mtima kwa nthawi. Kupsinjika kwa mitsempha ndi kutupa nthawi zambiri kumapangitsa kupweteka kumatchulidwa monga kuyaka, kupweteka kapena kumverera ngati zikhomo ndi singano.
Kuteteza Cyclist's Syndrome
Mabasiketi ena amalimbikitsa mipando yosiyanasiyana ya njinga popewera kupweteka kwa mitsempha. Komabe, palibe kafukufuku wa sayansi omwe amati mipando ina imachepetsanso chizoloŵezi cha nkhanza za neuralgia pamabasi apakati.
Mwa kuyankhula kwina, kuyesa mpando watsopano ndithu sikungakupweteke iwe, koma usayembekezere kugwiritsira ntchito ndalama zambiri pa chisalachi kuti mutsimikizire ulendo wopanda ululu.
Kwa anthu ambiri omwe ali ndi nkhanza zopweteka kwambiri chifukwa cha njinga zamoto, zizindikiro zimawoneka pambuyo pa njinga zamoto, nthawi zina miyezi kapena zaka zotsatira. Mwa kuyankhula kwina, panthawi yomwe muzindikira kuti pali vuto, zowonongeka zatha kale.
Mukhoza kupeŵa kukhumudwa ndi neuralgia mwa kupuma nthawi zonse panthawi yopuma njinga, kapena panthawi yopuma pakati pa mafupa ndi "mpumulo" m'mitsempha ya m'mimba. Ngati mukuyamba kukhala ndi zizindikiro za kupweteka m'mimba, pumulani ndikuwona dokotala wanu mwamsanga.
Zizindikiro
Kupweteka kwa mitsempha yapamwamba kungatanthauzidwe kuti ndiyotentha, kunjenjemera, kapena zikhomo ndi singano, kukwapula, kapena kugwedeza. Ikhoza kupereka mwa njira izi:
- ululu mu perineum kapena m'dera la anal;
- mwa amuna, ululu mu mbolo kapena scrotum;
- mwa amayi, kupweteka mu labia kapena vulva;
- ululu pakugonana;
- kupweteka pamene mukukwera kapena kukhala ndi thupi;
- ululu wokhala pansi umene umachoka ukaima.
Chifukwa chakuti zizindikiro zimakhala zovuta kusiyanitsa, nthawi zambiri matenda a ubongo amatha kukhala ovuta kusiyanitsa ndi mitundu ina ya ululu wamkati , monga prostatitis ndi vulvodynia .
Njira Zothandizira
Ngati vutoli likukhala mokwanira kapena pamsewu, phokoso la neuralgia likhoza kuchiritsidwa ndi mpumulo. Mitsempha ya mitsempha imathandiza kuthetsa ululu umene umabwera chifukwa cha mitsempha yambiri ya mitsempha.
Anticonvulsants monga Neurontin ndi zotetezera matenda monga Elavil angapemphedwe kuti athandizidwe kupweteka kupweteka kwa nthenda ya ubongo. Kuchitidwa opaleshoni yamadzimadzi kungakhale kofunika.
Ngati muli ndi ululu wopweteka wa m'mimba chifukwa cha matenda a ubongo, dokotala wanu angagwiritse ntchito mankhwala onsewa.
Kulimbana
Chifukwa chovuta kwambiri cha neuralgia ndi chovuta kuchipeza ndi kuchiza, kuphunzira kupirira kungakhale kofunikira kuti uwonjezere khalidwe lanu lamoyo. Yesani njira izi:
- Sungani buku lopweteka;
- Pewani nkhawa ngati n'kotheka;
- Yesani njira zododometsa , monga kuwerenga buku kapena kumvetsera nyimbo;
- Kuyankhula ndi munthu kungathandize
Zotsatira:
Andersen, Kjeld V ndi Bovim, Gunnar. Kupanda Mphamvu ndi Mitsempha M'mitima ya Anthu Omwe Amasewera Amtunda Amtunda Kwambiri. Acta Neurologica Scandinavica. 95: 4, masamba 233 - 240.
Antolak Jr, Stanley J. Pudendal Neuralgia: Pudendal Nerve Entrapment, Alcock Canal Syndrome, ndi Pudendal Canal Syndrome. Matenda a Gitourinary And Inflammation. Mkonzi: Jeannette M. Potts. Humana Press, Totowa, NJ. 2008. masamba 39-56.
Hough David M, Wittenberg Keith H, Pawlina Wojciech et al. Ululu Wosatha Wopweteka Wopweteka Chifukwa Chachikulu Chakumangirira Mitsempha: Anatomy ndi CT-Guided Perineural Injection Technique. American Journal of Roentgenology. 2003; 181: 561-567
McDonald, John S. MD; Spigos, Dimitrios G. MD. Tomato Yophatikizidwa-Chidwi Chotsogolera Chothandizira Kuchiza Mankhwala Opaka Mavitamini Chifukwa Chakudwala Kwambiri Kwa Nthenda. Matenda a m'mimba komanso ma Gynecology. February 2000. 95: 2. pp 306-309.
National Pain Foundation. Kupweteka kwapala: Zifukwa. http://www.nationalpainfoundation.org/articles/717/kapakati.
University of Rochester Medical Center. Pudendal Neuralgia. http://www.urmc.rochester.edu/smd/Rad/Pudendal.pdf.