Okufanele ukwenze uma babancwebe noma elikhanyayo ezinzwa pudendal? Izimpawu nasekwelashweni kwezifo kungakephuzi

ezinzwa Pudendal, okuthiwa futhi ucansi, ngokuvamile uba imbangela obungapheli bamathambo okhalo, okwenzeka abadala. Isizathu salokhu kuyinto ezimweni eziningi izinzwa babancwebe, okuyinto ibizwa ngokuthi peripheral kokucindezelwa. ezinzwa Pudendal is babancwebe landile abesifazane. In amadoda, kwenzeka kancane kathathu.

izici yokwakheka

ezinzwa Pudendal ubude lincane. Kodwa lena ezinzwa ebaluleke kakhulu yokugcina plexus sacral (uma siqhubekela yobuchopho). Itholakala ngalo ingaphakathi okhalo futhi ugwema ischium endleleni. Khona-ke ihlukaniswe amagatsha amathathu;

• Rectal.
• I ukuxhuma.
• Amaphiko emsipheni we clitoris wesilisa, noma ipipi.

Yini?

• Innervate imisipha ukuthi Uphakamisa ingquza kanye sphincter.
• Innervate isiteshi sphincter ngoba ukuchama.
• Innervates le clitoris besifazane kanye nezicubu Erectile ezingabantu.
• Kwenza isikhumba ebucayi ye ingquza kanye zangasese zangaphandle.

Ohlwini ngenhla ebonisa ukuthi emsipheni pudendal ifeza indima ebaluleke kakhulu kokubili ukuphila elisondelene umuntu, futhi ngesikhathi sokuzikhulula futhi ukuchama. Isakhiwo emsipheni kuhlanganisa inqwaba imicu autonomic ukuqinisekisa efanele ukusebenza sphincters ngaphandle voltage bayazi. Phela, abantu ungalokothi ucabange, ungazami ukulawula futhi musa ngawakhamela imisipha yakho ngamabomu, ukuze singathwesi ukuchamela noma azikhulula ngengozi ngesikhathi i mzuzu esibi. Lezi imisebenzi nokubeka Imicu yotshani autonomic iniketwe emsipheni pudendal.

Pinching: Izimbangela

Trouble kungenzeka ngenxa piriformis, elisendaweni ingaphakathi okhalo, noma ngenxa clamping phakathi pair of nemisipha.

Ngaphezu kwalokho, emsipheni pudendal kungalimala ngemva Ezimweni eziphuthumayo, okuhlanganisa zomgwaqo, uwela usuka phezulu. Kulezi zimo, amathambo aphukile kwezitho zangasese kungakhonjiswa ngendlela zenzeka. Umbhali wayevame ukunezela lokhu imbangela ubuhlungu okungalapheki ukulimala kwenzwa ngesikhathi sokuzalwa, noma ukuzibandakanya kwakhe ukukhula izimila ebulalayo.

Kuhle kokusho ukuthi ezinye izinhlobo umsebenzi womuntu ngokuhamba kwesikhathi singaholela wenza umcimbi we emsipheni pudendal. Lezi zihlanganisa ngebhayisikili noma ihhashi.

ezinzwa Pudendal: izimpawu peripheral

Njenganoma yimuphi omunye izimpawu pinching aqukethe e ubuhlungu, ukulahlekelwa sezinzwa, ukuba buthakathaka kwezicubu iziyaluyalu uhlelo autonomic.

Lapho babancwebe pudendal izimpawu ezinzwa e abesifazane futhi amadoda afana:

• I ukuxhuma avele ezibuhlungu.
• Ubuhlungu is ohangulayo umthunzi.
• Esikhathini sangasese ingquza babe emizweni ezingezinhle.
• Incontinence, okuyinto ayiphelele, okusho ukuzibonakalisa ngesimo ukuvuza incontinence noma kalomazaniya.
• Skin ukuzwela kuyehla kulezi zindawo, kukhona umuzwa "Ukugodola".
• Esimeni ingquza kanye urethra kungabonakala nasemkhakheni khona abuhlungu into angaphandle.
• Kwangathi ukuzwa nezinkinga zobulili ezifana yokuntuleka orgasm nokuvusa induku.

Lapho babancwebe pudendal izimpawu ezinzwa nabesifazane abazenzo ukwelashwa akudingeki alibale waphawula engxenyeni engezansi sangasese. Inikeza uzwe ubuhlungu obukhulu.

Kwangathi bazizwa sebuhlungwini obunzima ngesikhathi bezoziphatha nokuhamba - ungubani, uma babancwebe pudendal izimpawu ezinzwa amadoda. Ukwelashwa kuyadingeka ngokushesha ngoba ubuhlungu kuyalivuthela, futhi ngokuthinta isikhumba babe kabuhlungu nomkhwezeli. Kuzwakala ke lingachazwa ngokuthi khona kushisa noma kubanda noma into angaphandle etshaya kagesi. Ngokuvamile, izinzwa babancwebe zobulili kufaka inombolo enkulu izimpawu ezingezinhle.

Imiphumela yaloku kuhlola okungenhla ingcosana

Lapho ngenhla buhlungu futhi singathandeki emizweni abantu bamane nje abakwazi ukubekezelela isikhathi eside, ngoba akusiwona ubuhlungu obunjalo emlenzeni noma ingalo. Ngokuvamile uhlushwa peripheral iphathwa yokwehlisa kudokotela oyisazi sezinzwa ngezindleko noma Proctologist, uma kukhona ukwephulwa ezihlobene sphincter bendunu noma izinkinga incontinence indle kanye nomchamo.

Ezimweni ezingavamile, iziguli angaya owelapha ocansini. Kodwa onguchwepheshe obuhle lemibuzo elula kanje kumele akwazi ukuthola iziyaluyalu organic, bese uthumela isiguli udokotela ezifanele. Ukubhajwa we emsipheni pudendal sitholakale yi izifundo ezilandelayo futhi izikhalazo:

• Zonke izikhalazo okuye ohlwini ngaphambili.
• Iziguli ingase uqaphele ukuthi isicelo alandelayo ukuxhuma zokuthile cool kwenzekani impumuzo yesikhashana nokusha ubuhlungu uqala ukugeleza. Lokhu uphawu ibonisa ukuthi ukulimala kwenzwa kukhona neuropathic.
• Uma usebenzisa zokulingwa wezokwelapha zokuxilonga emsipheni amabhlogo usebenzisa novocaine kobukhulu izimpawu kuyinto ekunqabeni noma ngokuphelele kususa konke ukuhlupheka kuze kuphele isikhathi imithi ebulala izinzwa, okuyinto Uthatha amahora 12 kuya 3 days.
• Ubunjalo ubuhlungu ibonisa ukuthi Jamming iphutha (lokujabulela yokuxhumana futhi zonke izinhlobo ukulunywa, ukushiswa nokuphangwa umuzwa "izikhonkwane kanye izinaliti").
• Phakathi ultrasound futhi Doppler ukhalo kanye perineum cishe kuzo zonke izimo, emsipheni pudendal pinching okwehlisa ukugeleza kwegazi Isivinini nasemkhakheni eduze Umthambo ngokobulili. Njengoba sidlula indlela efanayo emsipheni, Umthambo ukuvaleka kubonisa ukuthi usebhekene kokucindezelwa.
• A umbandela ebaluleke kakhulu uphethwe - kuba nobuhlungu obukhulu umuntu esimweni ukuhlala ukwehla uma isiguli amanga emhlane wakhe. Ukuze pinching emsipheni pudendal nakho libhekene ukunqotshwa ohlangothini olulodwa kuphela. Kwezwakala disorder wakhe.

Ngaphezu nalezi zindlela, indlela yokwelapha, kumba ne perineum zingatholakala ezindaweni isici kukhona amaphuzu ubuhlungu sibonakalisa imisipha spasm.

Okuqakathekileko ukuthi zokugula we emsipheni pudendal buhlobene eduze ukuthuthukiswa myofascial syndrome, okungase uphathwe kabi kakhulu ngenxa indawo imisipha ejulile.

Ngaphezu kwalokho, izinzwa babancwebe ngokobulili anda kakhulu ukucindezeleka nokukhathazeka, futhi abantu baba usengozini yokuthola izigigaba ezingezinhle.

Ukwelashwa nokuvikelwa peripheral we emsipheni pudendal

Njengoba nakwezinye izimo, ukwelapha lesi sifo kufanele kube olunzulu.

Yiziphi izimiso eziyisisekelo ekwelapheni peripheral?

• Umthelela isici pinching ubunjalo ubuhlungu ngosizo gabapentin, oyingxenye ye imithi.
• I eliyifa njalo Izinzwa amabhlogo usebenzisa ama-hormone nemithi imithi ebulala izinzwa.
• Ukusebenzisa liphakathi esebenza imisipha relaxant, okukuvumela imisipha ukuba uphumule, ngaleyo ndlela kuncishiswe imisipha ithoni ipheya.
• Ukusetshenziswa physiotherapeutic ithonya, okuhlanganisa electrophoresis, phonophoresis.
• Amavithamini iqembu B, eziyingxenye nokuvinjelwa, kanye ngesimo amaphilisi.

Kunezinye futhi izinqubo

Ngokuvamile ekwelapheni pudendal ezinzwa ukubhajwa kudinga ukusekelwa wezengqondo ezinhle, owenza yokwelapha zokulungisa futhi esabela antidepressant. Ungase udinge ukuqashwa kukaNksz suppositories lwesitho sangasese sowesifazane noma rectal, okuhlanganisa diazepam. Iziguli zingenza ukuhlela umsebenzi okhethekile, okushiwo okuyinto ukusikwa kancane futhi aziphumulele imisipha ise ukuxhuma.

Kulezo zimo lapho ukwelashwa ngoludala wehluleka nethonya elihle, a decompressive ukuhlinzwa hlobo. Basuke lwenziwa izikhungo ezikhethekile nokwelashwa obungapheli bamathambo okhalo.

ukwelashwa eside

Kumele kukhunjulwe ukuthi ekwelapheni neuropathies we emsipheni pudendal - lokhu kuyinqubo ethatha isikhathi kakhulu, phakathi kwesikhathi lapho kufanele uhambisane nazo zonke izincomo udokotela ukuba khona. isikhathi yokutakula kuthatha okungenani izinyanga eziyisithupha.

Ukwelashwa kuphela esimweni esibhedlela kumele kwenziwe lesi sifo, njengoba kuyothenjelwa uvumele odokotela ukuba balawule inqubo yokutakula, futhi ngempumelelo sithathe eziyinkimbinkimbi izindlela ezizosetshenziselwa ngoba impatho efanele. Phela, amanye amathuluzi umuntu kungaba nomzimba, kuzobalwa kuphela isimo sibe sibi isimo.

Imiphumela

Ngakho, kwakubhekwa ukuthi izinzwa pudendal ezinjalo, izimpawu kanye nokwelashwa ingcosana yakhe ukuhlola. Ukuze ugweme lesi sifo, kutuswa ukuba siqaphele ukuba abalimele, kanye yokuphila asebenzayo, bonisani phila impilo ocansini esebenzayo. Kodwa uma enkingeni namanje iphutha, kubalulekile ukuba ngokuqinile ulandele izincomo odokotela.