I-Pudendal Neuropathy: Ukutyhila Iintlungu Ezingapheliyo zePelvic

Kubantu abafumana iintlungu ze-pelvic, inokuba lukuphazamiseka kwemithambo-luvo eyaziwa ngokuba yi-pudendal neuropathy okanye i-neuralgia ekhokelela kwiintlungu ezingapheliyo. Imeko inokubangelwa yi-pudendal nerve entrapment, apho i-nerve iyancipha okanye yonakaliswe. Ngaba ukwazi iimpawu kunokunceda ababoneleli bezempilo bachonge ngokuchanekileyo imeko kwaye baphuhlise isicwangciso sonyango esisebenzayo?

I-Pudendal Neuropathy

I-pudendal nerve yi-nerve engundoqo ekhonza i-perineum, eyona ndawo phakathi kwe-anus kunye ne-genitalia - i-scrotum emadodeni kunye ne-vulva kubasetyhini. I-nerve ye-pudendal ihamba nge-gluteus muscles / buttocks kunye ne-perineum. Ithwala ulwazi oluvakalayo oluvela kwi-genitalia yangaphandle kunye nolusu olujikeleze i-anus kunye ne-perineum kwaye ihambisa izibonakaliso zemoto / zokuhamba kwiimisipha ezahlukeneyo ze-pelvic. (Origoni, M. et al., 2014) I-Pudendal neuralgia, ekwabizwa ngokuba yi-pudendal neuropathy, ukuphazamiseka kwentsholongwane ye-pudendal engakhokelela kwintlungu engapheliyo ye-pelvic.

Izizathu

Iintlungu ezingapheliyo ze-pelvic ezivela kwi-pudendal neuropathy zinokubangelwa yiyo nayiphi na kwezi zilandelayo (Kaur J. et al., 2024)

• Ukuhlala ngokugqithisileyo kwiindawo eziqinileyo, izitulo, izihlalo zebhayisikile, njl.
• Ukwenzakala kwiimpundu okanye kwi-pelvis.
• Ukubeleka.
• I-diabetes neuropathy.
• Ukwakheka kwamathambo okutyhala kumthambo we-pudendal.
• Ukujiya kwemigqa ejikeleze umthambo we-pudendal.

iimpawu

Iintlungu ze-Pudendal nerve zingachazwa njengokuhlatywa, ukunyanzeliswa, ukutshisa, ukuba ndindisholo, okanye izikhonkwane kunye neenaliti kwaye zinokubonisa (Kaur J. et al., 2024)

• Kwi-perineum.
• Kwingingqi yangasese.
• Kumadoda, intlungu kwi-scrotum okanye kwilungu lobudoda.
• Kwabasetyhini, intlungu kwi-labia okanye kwi-vulva.
• Ngexesha lokwabelana ngesondo.
• Xa uchama.
• Ngexesha lokuhamba kwamathumbu.
• Xa uhleli kwaye uhamba emva kokuma.

Ngenxa yokuba iimpawu zihlala zinzima ukwahlula, i-pudendal neuropathy inokuba nzima ukwahlula kwezinye iintlobo zeentlungu ezingapheliyo ze-pelvic.

Cyclist's Syndrome

Ukuhlala ixesha elide kwisihlalo sebhayisikili kunokubangela ukunyanzeliswa kwe-nerve ye-pelvic, oku kunokukhokelela kwiintlungu ezingapheliyo ze-pelvic. I-frequency ye-pudendal neuropathy (intlungu engapheliyo ye-pelvic ebangelwa ku-entrapment okanye ukunyanzeliswa kwe-nerve ye-pudendal) idla ngokubizwa ngokuba yi-Cyclist's Syndrome. Ukuhlala kwizihlalo ezithile zebhayisekile ixesha elide kubeka uxinzelelo olukhulu kwi-nerve ye-pudendal. Uxinzelelo lunokubangela ukuvuvukala okujikeleze i-nerve, okubangela intlungu kwaye, ngokuhamba kwexesha, kunokukhokelela kwi-nerve trauma. Uxinzelelo lwe-nerve kunye nokudumba kunokubangela intlungu echazwe njengokutshisa, ukuhlaba, okanye izikhonkwane kunye neenaliti. (Durante, JA, kunye ne Macintyre, IG 2010) Kubantu abane-pudendal neuropathy ebangelwa kukuqhuba ibhayisekile, iimpawu zinokuvela emva kokuhamba ngebhayisekile ixesha elide kwaye ngamanye amaxesha iinyanga okanye iminyaka kamva.

Cyclist's Syndrome Prevention

Uphononongo lwezifundo lunike ezi ngcebiso zilandelayo zokuthintela i-Cyclist's Syndrome (Chiaramonte, R., Pavone, P., Vecchio, M. 2021)

Ukuphumla

• Thatha ikhefu ubuncinane imizuzwana engama-20-30 emva kwemizuzu engama-20 yokukhwela.
• Ngelixa ukhwele, tshintsha izikhundla rhoqo.
• Yima unyotywe ngamaxesha athile.
• Thatha ixesha lokuphumla phakathi kweeseshoni zokukhwela kunye neentlanga ukuze uphumle kwaye uphumle imithambo-luvo ye-pelvic. Iintsuku ze-3-10 zekhefu zinokunceda ekubuyiseleni. (Durante, JA, kunye ne Macintyre, IG 2010)
• Ukuba iimpawu zentlungu ye-pelvic ziqala ukukhula, phumla kwaye ubone umboneleli wezempilo okanye ingcali ukuze uhlolwe.

Sihlalo

• Sebenzisa isitulo esithambileyo, esibanzi kunye nempumlo emfutshane.
• Yiba nenqanaba lesihlalo okanye uthambekele phambili kancinci.
• Izihlalo ezinemingxuma yokusika zibeka uxinzelelo olungakumbi kwiperineum.
• Ukuba ndindisholo okanye iintlungu zikhona, zama isihlalo esingenamingxuma.

Ukufakwa kweBhayisekile

• Lungisa ubude besihlalo ukuze idolo ligobe kancinci ezantsi kwe-pedal stroke.
• Ubunzima bomzimba kufuneka bubekwe phezu kwamathambo ahleliyo/ischial tuberosities.
• Ukugcina i-handlebar ukuphakama ngaphantsi kwesihlalo kunokunciphisa uxinzelelo.
• Indawo yokuya phambili egqithileyo yebhayisekile ye-Triathlon kufuneka iphetshwe.
• Ukuma okuthe tye ngakumbi.
• Iibhayisikili zeentaba ziye zadibaniswa nomngcipheko okhulayo wokungasebenzi kakuhle kwe-erectile kunezibhayisikili zendlela.

Shorts

• Nxiba iibhulukhwe ezimfutshane zebhayisekile.

Unyango

Umboneleli wezempilo unokusebenzisa indibaniselwano yonyango.

• I-neuropathy inokunyangwa ngokuphumla ukuba unobangela kukuhlala kakhulu okanye ukukhwela ibhayisekile.
• Unyango lomzimba lwePelvic floor inokunceda ukuphumla kunye nokwandisa imisipha.
• Iinkqubo zokuvuselela umzimba, kubandakanywa ukuzolula kunye nokuzivocavoca okujoliswe kuyo, kunokukhulula i-nerve entrapment.
• Uhlengahlengiso lweChiropractic lunokulungelelanisa umqolo kunye ne-pelvis.
• Ubuchule bokukhupha obusebenzayo/i-ART ibandakanya ukufaka uxinzelelo kwizihlunu ezikuloo ndawo ngelixa usolula kwaye ugxininise. (Chiaramonte, R., Pavone, P., Vecchio, M. 2021)
• Iibhloko zemithambo-luvo zinokunceda ukuthomalalisa iintlungu ezibangelwa kukubanjwa kwemithambo-luvo. (Kaur J. et al., 2024)
• Ezinye iziphumlisi zemisipha, ii-antidepressants, kunye ne-anticonvulsants zinokumiselwa, ngamanye amaxesha zidibene.
• Utyando lokuthotywa kwemithambo-luvo lunokucetyiswa ukuba zonke iindlela zonyango ezilondolozayo ziphelile. (Durante, JA, kunye ne Macintyre, IG 2010)

Izicwangciso zokhathalelo lwezonyango lweChiropractic kunye neFunctional Medicine Clinic kunye neenkonzo zeklinikhi zikhethekileyo kwaye zijolise kukulimala kunye nenkqubo yokubuyisela ngokupheleleyo. Imimandla yethu yokuziqhelanisa ibandakanya iMpilo kunye nesondlo, Ubuhlungu obungapheliyo, Ukulimala komntu, uLondolozo lweNgozi, ukuSebenza, ukulimala emva, iintlungu ezisezantsi, iintlungu zentamo, i-Migraine Headaches, i-Sciatica enzima, i-Scoliosis, i-Complex Herniated Discs, i-Fibromyalgia, i-Chronic Iintlungu, Ukulimala Okuyinkimbinkimbi, Ulawulo Loxinzelelo, kunye noNyango lweMicimbi eSebenzayo. Ukuba umntu ufuna olunye unyango, baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu kwimeko yabo, njengoko uDkt Jimenez ehlangene noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, abaphengululi, abaqeqeshi, kunye nabanikezeli be-premiere rehabilitation.

Ukukhulelwa kunye ne-Sciatica

Ucaphulo

Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Iinkqubo ze-Neurobiological zentlungu ye-pelvic. Uphando lweBioMed lwamazwe ngamazwe, 2014, 903848. doi.org/10.1155/2014/903848

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

Durante, JA, & Macintyre, IG (2010). I-Pudendal nerve entrapment kwi-athlete ye-Ironman: ingxelo yecala. I-Journal ye-Canadian Chiropractic Association, i-54 (4), i-276-281.

Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Ukuxilongwa, uBuyiselo kunye noBuchule bokuKhusela i-Pudendal Neuropathy kwii-Cyclists, ukuPhononongwa okuCwangcisiweyo. Ijenali ye-morphology esebenzayo kunye ne-kinesiology, i-6 (2), i-42. doi.org/10.3390/jfmk6020042