Pudendal Neuropathy: Kufumura Marwadzo Asingaperi Pelvic

Kune vanhu vari kunzwa kurwadziwa kwepelvic, inogona kunge iri kusagadzikana kwepudendal nerve inozivikanwa se pudendal neuropathy kana neuralgia inotungamirira kumarwadzo asingagumi. Mamiriro acho anogona kukonzerwa nepudendal nerve entrapment, uko nerve inomanikidzwa kana kukuvadzwa. Kuziva zviratidzo kungabatsira here varapi vehutano kunyatsoongorora mamiriro acho uye kugadzira chirongwa chekurapa chinoshanda?

Pudendal Neuropathy

Iyo pudendal nerve ndiyo tsinga huru inoshandira perineum, iyo inzvimbo iri pakati pe anus ne genitalia - scrotum muvarume uye vulva muvakadzi. Iyo pudendal nerve inomhanya nepakati pe gluteus tsandanyama / matako uye ichipinda mu perineum. Inotakura ruzivo rwekunzwa kubva kune ekunze genitalia uye ganda rakatenderedza anus uye perineum uye inotumira mota / mafambiro masaini kune akasiyana mhasuru dzepelvic. (Origoni, M. et al., 2014) Pudendal neuralgia, inonziwo pudendal neuropathy, chirwere chepudendal nerve chinogona kutungamirira kumarwadzo asingagumi epelvic.

Zvinokonzera

Kurwara kwepelvic kusingagumi kubva pudendal neuropathy kunogona kukonzerwa nechero ipi inotevera (Kaur J. et al., 2024)

• Kunyanya kugara panzvimbo dzakaoma, zvigaro, zvigaro zvebhasikoro, nezvimwewo. Vatyairi vemabhasikoro vanowanzoita pudendal nerve entrapment.
• Trauma kumagaro kana pelvis.
• Kuberekwa.
• Diabetes neuropathy.
• Maumbirwo emapfupa anosundidzira tsinga dzepudendal.
• Kukobvura kwemarunda akapoteredza pudendal nerve.

zviratidzo

Pudendal nerve pain inogona kurondedzerwa sekubaya, kupwanya, kupisa, kusanzwa, kana mapini netsono uye inogona kupa (Kaur J. et al., 2024)

• Mu perineum.
• Munzvimbo yekumashure.
• Muvarume, kurwadziwa muscrotum kana peni.
• Muvakadzi, kurwadziwa mu labia kana vulva.
• Panguva yebonde.
• Pakuita weti.
• Panguva yekufamba ura.
• Pakugara nekuenda mushure mekusimuka.

Nemhaka yokuti zviratidzo zvinowanzooma kusiyanisa, pudendal neuropathy inogona kuoma kusiyanisa kubva kune mamwe marudzi ekurwadziwa kwepelvic kusingaperi.

Cyclist's Syndrome

Kugara kwenguva refu pachigaro chebhasikoro kunogona kukonzera pelvic nerve compression, izvo zvinogona kutungamirira kumarwadzo asingagumi epelvic. Kuwanda kwepudendal neuropathy (kurwadza kwepelvic kusingaperi kunokonzerwa nekupinda kana kumanikidzika kwepudendal nerve) inowanzonzi Cyclist's Syndrome. Kugara pane zvimwe zvigaro zvebhasikoro kwenguva refu kunoisa dzvinyiriro huru pane pudendal nerve. Kudzvinyirira kunogona kukonzera kuzvimba kwakatenderedza tsinga, izvo zvinokonzeresa marwadzo uye, nekufamba kwenguva, zvinogona kutungamirira kune nerve trauma. Kudzvinyirirwa kwetsinga uye kuzvimba kunogona kukonzera marwadzo anotsanangurwa sekupisa, kuruma, kana mapini netsono. (Durante, JA, uye Macintyre, IG 2010) Kune vanhu vane pudendal neuropathy inokonzerwa nekuchovha bhasikoro, zviratidzo zvinogona kuoneka mushure mekuchovha bhasikoro kwenguva refu uye dzimwe nguva mwedzi kana makore gare gare.

Cyclist's Syndrome Prevention

Ongororo yezvidzidzo yakapa mazano anotevera ekudzivirira Cyclist's Syndrome (Chiaramonte, R., Pavone, P., Vecchio, M. 2021)

Zorora

• Tora kuzorora zvishoma 20-30 masekonzi mushure memaminitsi makumi maviri ega ega ekutasva.
• Paunenge uchikwira, shandura nzvimbo kakawanda.
• Simuka kutsika nguva nenguva.
• Tora nguva yekuzorora pakati pezvikamu zvekutasva uye mijaho yekuzorora uye kuzorodza pelvic nerve. Kuzorora kwemazuva 3-10 kunogona kubatsira mukupora. (Durante, JA, uye Macintyre, IG 2010)
• Kana zviratidzo zvekurwadziwa kwepelvic zvisati zvatanga kukura, zorora uye ona mutapi wehutano kana nyanzvi kuti aongororwe.

chigaro

• Shandisa chigaro chakapfava, chakafara nemhuno pfupi.
• Iva nenzvimbo yechigaro kana kurerekera kumberi zvishoma.
• Zvigaro zvine maburi ekucheka zvinoisa zvakanyanya kumanikidza pane perineum.
• Kana chiveve kana kurwadziwa kuripo, edza chigaro chisina maburi.

Bike Fitting

• Rongedza hurefu hwechigaro kuitira kuti ibvi rakakotama zvishoma pazasi pedeal stroke.
• Huremu hwemuviri hunofanira kugara pamapfupa akagara/ischial tuberosities.
• Kuchengeta mubato kureba pasi pechigaro kunogona kuderedza kudzvanywa.
• Iyo Triathlon bhasikoro yakanyanyisa-mberi chinzvimbo inofanira kudzivirirwa.
• Kuwedzera kurongeka kuri nani.
• Mabhasikoro emakomo akave akabatanidzwa nehuwandu hwengozi ye erectile dysfunction kupfuura mabhasikoro emugwagwa.

zvikabudura

• Pfeka zvikabudura zvebhasikoro.

Mishonga

Mutariri wehutano anogona kushandisa musanganiswa wekurapa.

• Iyo neuropathy inogona kurapwa nekuzorora kana chikonzero chakanyanya kugara kana kuchovha bhasikoro.
• Pelvic floor physical therapy inogona kubatsira kuzorora uye kurebesa tsandanyama.
• Zvirongwa zvekuvandudza muviri, kusanganisira kutambanudza uye kurovedza muviri kwakanangwa, zvinogona kusunungura tsinga.
• Chiropractic kugadzirisa kunogona kugadzirisa musana uye pelvis.
• Iyo inoshanda yekuburitsa tekinoroji / ART inosanganisira kushandisa kumanikidza kune tsandanyama munzvimbo iyi uchitambanudza uye uchisimbisa. (Chiaramonte, R., Pavone, P., Vecchio, M. 2021)
• Nerve blocks inogona kubatsira kubvisa marwadzo anokonzerwa netsinga entrapment. (Kaur J. et al., 2024)
• Zvimwe zvinozorodza tsandanyama, antidepressants, uye anticonvulsants zvinogona kurairwa, dzimwe nguva pamwe chete.
• Kuvhiyiwa kwetsinga kunogona kukurudzirwa kana mishonga yose inochengetedza yakapera. (Durante, JA, uye Macintyre, IG 2010)

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Kubata uye Sciatica

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References

Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Neurobiological nzira dzekurwadziwa kwepelvic. BioMed tsvagiridzo yenyika, 2014, 903848. doi.org/10.1155/2014/903848

Kaur, J., Leslie, SW, & Singh, P. (2024). Pudendal Nerve Entrapment Syndrome. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/31334992

Durante, JA, & Macintyre, IG (2010). Pudendal nerve entrapment mune Ironman mutambi: nyaya yenyaya. The Journal of the Canadian Chiropractic Association, 54 (4), 276-281.

Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Kuongororwa, Kugadzirisa uye Kudzivirira Matanho ePudendal Neuropathy muCyclists, A Systematic Review. Nyaya yekushanda morphology uye kinesiology, 6 (2), 42. doi.org/10.3390/jfmk6020042