Anticonvulsants iyo Antidepressants ayaa kaa caawin kara xakameynta xanuunka nuujiyaanka nuujiya
Dareemka qulubku wuxuu ku dhacaa muruqyada gluteus (badhida) iyo perineum (ka fikir perineum sida qayb kasta oo jirka ah ee taabanaya kursiga baaskiilka). Pudendal neuralgia (oo sidoo kale loo yaqaano "neefopathy pudendal") ayaa ah xanuunka dareenka qulqulka ee keeni kara xanuunka foosha ee joogtada ah . Xaaladdan waxaa sababi kara xirmidda dareemaha bacaha, marka dareenka la jeexjeexo, ama uu waxyeelo u geysto dareemaha bakeeriga laftiisa oo sidoo kale loo yaqaanno neuropathy pudendal.
Sababaha
Xanuunka caloosha ee joogtada ah ee sanbabada neuralgia waxaa sababi kara waxyaabahan soo socda:
- sonkorowga macaanka
- jahawareerka bararka ama miskaha oo ay ku jiraan dhalmada
- fadhiga xad-dhaafka ah (baaskiilada badiyaa waxay leeyihiin cirbadaha dareeraha)
- adkeynta laf dhabarta ah ee ku wareegsan dareenka sumeysan
- qaababka lafaha ah ee riixaya dareenka suntan
Calaamadaha Calaamadaha Baaskiilka
Ciriiri badan oo fadhiya meelaha adag sida kursiga baaskiilka ayaa sababi kara cadaadiska dareemayaasha miskaha, taas oo horseedi karta xanuunka foosha ee muddo dheer. Xaqiiqdii, tani waxay dhacdaa sida caadiga ah ee neuralgia, neefsiga neefsiga, nooc ka mid ah xanuunka foosha ee joogtada ah ee uu keeno xanuujinta ama isku-buuqa dareenka maskaxda, waxaa badanaa loo yaqaan 'Syndrome Cyclist'.
Ku fadhiista qaar ka mid ah kuraasta baaskiilka mudo dheer waxay cadaadis ku saaran dareemaha murugada. Cadaadiska noocan ahi wuxuu keeni karaa barar ku dhaca dareenka, taas oo keena dareemeyaasha xanuunka , xitaa waxay keeni kartaa dhaawaca dareemaha waqti dheer. Caabuqa dareeraha iyo barar badanaa waxay keenaan xanuunka lagu sharraxay gubasho, xanaaq ama dareemo sida biinanka iyo irbadaha.
Ka Hortagga Calaamadaha Cudurka Cyclist
Baaskiilada qaarkood waxay u doodaan noocyada kala duwan ee kuraasta baaskiilka si looga fogaado cirbidda nerwada. Hase yeeshee, ma jirto baadhitaan cilmi-baaris ah oo sheegaya in kuraasta qaarkood ay yareeyaan dhacdooyinka neuralgia bakeeriga ee baaskiilka fog.
Haddii si kale loo yiraahdo, isku dayid kursi cusub xaqiiqda kuma dhibi doonto, laakiin ha fileynin inaad lacag badan ku bixiso adigoo ku kalifay inuu kufaraxo xannuun aan xanuun lahayn.
Dadka badankooda leh nuugista neuralgia ee sababay baaskiil, waxay calaamaduhu u muuqdaan ka dib baaskiil dheeraaday, mararka qaarkood ama dhowr sano ka dib. Si kale haddii loo dhigo, waqtiga aad ogtahay inay jirto dhibaato, waxaa dhici karta in waxyeello hore loo geystay.
Waxaa laga yaabaa inaad ka fogaato neuralgia naqaska leh adoo qaadanaya fasaxyada nasashada inta lagu jiro mudada baaskiilka, ama inaad waqti nasasho qaadatid inta u dhaxaysa jinsiyada si aad u nasato dareemayaasha miskaha. Haddii aad bilaabayso inaad yeelato calaamadaha xanuunka 'pelvic pain', qaado nasasho oo dhakhtarkaaga sida ugu dhakhsaha badan u tag.
Astaamaha
Dareemka dareemaha Pudendal waxaa lagu tilmaami karaa gubasho, kabuubis, ama boorsooyin iyo irbado, tuubo, ama casiraad. Waxay ku imaan kartaa mid ka mid ah siyaabahan soo socda:
- xanuunka ku yaala perineum ama gobolka;
- ragga, xanuunka guska ama xargaha;
- haweenka, xanuun ku dhaca naqshadda ama faallooyinka;
- xanuunka inta lagu jiro galmada;
- xanuunka markaad kaadiso ama aad saxaroonto;
- xanuunka oo fadhiya oo baxa marka uu taagan yahay.
Sababtoo ah calaamadaha badanaa way adagtahay in la kala saaro, nuucka nuujiya waxaa laga yaabaa in ay adagtahay in laga takooro noocyada kale ee xanuunka foosha , sida prostatitis iyo vulvodynia .
Fursadaha Daaweynta
Haddii sababtu tahay fadhiisin ama baaskiil xad-dhaaf ah, neuralgia santuuqa ayaa lagu daaweyn karaa nasasho. Noocyada xididada ayaa kaa caawin kara yaraynta xanuunka ay keento xanuunka dareemayaasha.
Anticonvulsants sida Neurontin iyo antidepressants sida Elavil ayaa laga yaabaa in loo qoro caawimaad si loo xakameeyo xanuunka neuropathy. Qalitaanka neerfaha ayaa loo baahan karaa.
Haddii aad qabtid xanuun caloosha joogtada ah ee uu keeno neef-wadnaha nudaha, dhakhtarkaaga ayaa isticmaali kara wax kasta oo isku dhafan.
La qabsashada
Sababtoo ah neuralgia borotiinka waa mid aad u adag in la ogaado oo la daweeyo, barashada xallinta ayaa fure u ah kordhinta tayada noloshaada. Isku day farsamooyinkaan:
- Xaji wargeys xanuun;
- Iska ilaali cadaadiska marka suurtagal ah;
- Isku day farsamooyinka ladagaalanka , sida akhrinta buug ama dhegeysiga muusikada;
- La hadlida qof ayaa kaa caawin kara
Ilaha:
Andersen, Kjeld V iyo Bovim, Gunnar. Dareerida iyo Dareemida Nervasta ee Long Cycle Cyclists. Acta Neurologica Scandinavica. 95: 4, Qodobada 233 - 240.
Antolak Jr, Stanley J. Pudendal Neuralgia: Cudurka Pudendal Nerve, Alcock Canal Syndrome, iyo Pudendal Canal Syndrome. Xanuunada Genitourinary iyo Inflammation. Ed: Jeannette M. Potts. Humana Press, Totowa, NJ. 2008. pp 39-56.
Hormar David M, Wittenberg Keith H, Pawlina Wojciech et al. Xanuunka Xanuunada Xanuunada ee Katariga ah ee uu keenay Cadaadiska Nudaha ee Pudendal: Nidaamka Isku-ilaalinta Cudurka Perineural Inside. Somali Journal of Roentgenology. 2003; 181: 561-567
McDonald, John S. MD; Spigos, Dimitrios G. MD. Isku-xirka Tomography-Isbedelka Pudendal Block ee Daaweynta Xanuunka Aargoosiga ee Lagu Xanaansanayo Nuujiyaanka Pudendal. Dhaqtarka iyo Ginecology. Febraayo 2000. 95: 2. pp 306-309.
Foundation Foundation Pain Foundation. Malaayiin Xanuun: Sababaha. http://www.nationalpainfoundation.org/articles/717/causes.
Jaamacadda Rochester Medical Center. Pudendal Neuralgia. http://www.urmc.rochester.edu/smd/Rad/Pudendal.pdf.