Cutar cututtuka, dalilai, da jiyya na Neuropathy Genitofemoral
Pelvic jijiyar ciwo zai iya haifar da lalacewa ko rashin ciwo na jijiyar genitofemoral. Irin wannan mummunan ciwo na jijiya shine ake kira genitofemoral neuralgia ko genurofemoral neuropathy.
Bayani
Nama ciwo zai iya zama da wuya sosai kuma yana da wuya a bayyana wa waɗanda basu taɓa jin zafi ba. Nada ciwo kuma ana kiransa " ciwon neuropathic ." Maganin neuropathic zai iya faruwa a ko'ina inda cutar ta ji rauni.
Tare da jijiyar genitofemoral, wannan zafi yana faruwa a ƙashin ƙugu.
Hanyar Genitofemoral neuralgia (cututtukan genitofemoral) yana kasancewa na ɗan lokaci kafin an gano asali, yana ƙara damuwa da wannan irin ciwo. Nazarin sun gano cewa mafi yawancin matan da ke dauke da kwayoyin neuropathic suna ci gaba da zama marasa lafiya ko da bayan magungunan likita.
Don fahimtar neuropmoral neuropathy, yana da matukar taimaka wa magana game da jikin mutum na jiji.
Tsarin genitofemoral na farko ya bar kashin baya kuma ya sa hanyar ta hanyar tsofaffin ƙwayoyi. Ƙarfin ƙarancin shine ƙwayar tsohuwar jiki wadda ta haɗa da kashin baya ga kafa. Yana da babban tsoka wanda ya rataya zuwa kashin baya a kan iyakar (ya danganta zuwa kashin kashin thoracic da spine lumbar,) kuma ya rataye zuwa saman ramin a gefe guda. Jiki na tsoka yana a cikin ƙashin ƙugu kuma yana aiki a matsayin ƙuƙwalwar katako (yana taimaka maka ka ɗaga ƙafarka zuwa ga ciki.)
Bayan jijiya yana tafiya ta cikin tsoka, sai rassan cikin sassa biyu; Genital da jijiyar mata (wannan ne kawai a sama da haɗin gwiwar da ke cikin ƙashin ƙugu.)
A cikin mata, sashin jikin jini na jijiya na genitofemoral yana tafiya zuwa ga labaran majora da kuma sarkin pubis (ɓangare na farjin.) A cikin maza, rassan ginin yana ba da jin dadi ga karfin
Asalin mata na jijiya na genitofemoral yana da alhakin jin dadi a ɓangaren ƙananan cinya.
Dalilin
Damage ko matsawa ga jijiya na genitofemoral, da kuma yanayin da zai lalata ƙwayar jijiyoyi a gaba ɗaya (ƙananan neuropathy) zai iya haifar da ciwo na jijiyar genetalmoral. Wasu abubuwa sun haɗa da:
- Magunguna na ciki ko na pelvic - Zubar da cututtuka na genitofemoral zai iya lalacewa a wasu lokuta na tiyata. (Ƙara koyo game da ciwo mai jiji bayan ciwon ciki da kuma pelvic .)
- Cutar zuwa cikin ciki da / ko ƙashin ƙugu.
- Rubutun ƙwayar tsohuwar tsoka.
- Damage ga jijiyar genitofemoral lokacin da aka rarraba ƙwayar ƙwallon ƙwayar cutar (kamar yadda ovarian, uterine, mafitsara, ko kuma tiyata) ko kuma lokacin da aka cire babban adadi pelvic yayin aikin tiyata.
- Kwararre neuropathy - Yanayin da ke haifar da lalacewar jijiyar jiki (ƙananan neuropathy) irin su ciwon sukari zai iya haifar da ciwo na jijiyar jijiya. Bugu da ƙari ga ciwon sukari, yanayi kamar ƙwayar sclerosis, cin zarafin barasa, wasu rashin ciwon bitamin, wasu cututtuka na rayuwa da na jijiyoyin jini, da kuma cutar kanjamau na iya haifar da neuropathy.
Cutar cututtuka
Kamar yawancin ciwon neuropathic iri-iri, yawancin neuropathy na genitofemoral an kwatanta shi a matsayin mai kaifi, harbi ko tayarwa.
Irin wannan ciwon ciwon nadama yana iya ji a cikin ciki, ƙananan baya ko tsakanin kafafu. Zai iya zo kuma ya tafi, ko kuma yana iya zama mafi mahimmanci. Wasu mutane sun ji labarin irin nau'in ciwon ƙwayar ƙwayar ƙwayar ƙwayar cutar lokacin da kwance.
Jiyya
Jiyya ga ciwon ciwon jiji na pelvic zai iya zama da wuya, kuma yakan buƙaci ƙoƙarin ƙoƙari da dama don samun jinƙai mafi kyau daga jin zafi tare da ƙananan sakamako. Zaɓuɓɓukan jiyya sun haɗa da:
- Magunguna, irin su anticonvulsants
- Nada tubalan
- Magungunan kwayar cutar
- Yin aiki mai mahimmanci - Tiyata yana iya taimakawa a wasu lokuta, amma kuma wani lokacin zai iya zubar da zafi
Yawancin lokuta na marasa lafiya na genitofemoral an magance su da gwaninta da kuma lokacin, koda kuwa wani lokacin zafi zai iya ci gaba.
Jin ciwo mai tsanani na ciwon zuciya yana daya daga cikin nau'o'in nau'in ciwon kwari na kullum .
Don ciwo da yake ci gaba, wasu jiyya na iya haɗawa da:
- Maɗaukaki mai sassaucin ƙwayar ɗan adam mai ƙwayatarwa (SSNRIs) kamar Cymbalta (duloxetine)
- Topical anticonvulsants (gabapentin)
- Topical lidocaine faci
Idan kana fuskantar bayyanar cututtuka na neuropathy, zaku nemi shawara tare da likita na farko ko OB-GYN. Kwararka zai iya mayar da ku ga likitan da ya dace domin kimantawa da kuma kula da wannan yanayin mara lafiya. Akwai wasu zaɓuɓɓukan da ba a tattauna a nan ba, waɗanda za a iya la'akari da su idan jin zafi ya ci gaba sosai, kuma aiki tare da likita mai tsanani zai iya taimakawa sosai.
Ciyarwa
Jin zafi na Neuropathic zai iya zama da wuya ga mutane su bayyana, kuma har ma da wuya ga wasu su fahimci.
Idan kana shan wuya tare da ciwo mai zafi na kullum zaka iya zama takaici sosai. Ba wai kawai jin zafi ba ne kawai kuma ba tare da jinkiri ba, amma wasu a cikinku, har ma likitocinku, bazai fahimci irin yadda ciwon ya rage ayyukanku na yau ba.
Wasu mutane suna taimakawa wajen shiga ƙungiyar goyon baya ko goyan bayan al'umma. Abin godiya akwai al'ummomin talla da ke kan layi waɗanda zaka iya sadarwa tare da wasu masu shan wahala da rashin jin daɗi na neuropathy na genitofemoral. Wasu mutane suna jin fushi, ba kawai saboda an bar su da ciwo ba, amma saboda duk abin da ya haifar da zafi a farkon wuri, misali, tiyata ko haɗari. Yin aiki tare da mai ilimin hanyoyin kwantar da hankali na iya taimakawa, ba saboda ciwo yana cikin kanka ba (ba haka ba, yana cikin jijiya) amma saboda za ka iya jin dadi sosai idan ka fuskanci zafi. Kyakkyawan mai ilimin likita zai iya jagorantarka a gano wasu hanyoyin magance jiki kamar shakatawa, zurfin numfashi, ko ma acupuncture, don taimaka maka ka magance zafi.
Sources:
Cesmebasi, A., Yadav, A., Gielecki, J., Tubbs, R., da M. Loukas. Ma'anar Genitofemoral Neuralgia: A Review. Clinomy Anatomy . 2015. 28 (1): 128-35.
Tanaka, T., Terai, Y., Ono, Y. et al. Genitofemoral Neuropathy Bayan Pelvic Lymphadenectomy a cikin marasa lafiya da Uterine Corpus Ciwon daji. Jaridar Duniya na Ciwon Gynecological Cancer . 2015. 25 (3): 533-6.
Verstraelen, H., De Zutter, E., da M. De Muynck. Genitofemoral Neuralgia: Ƙarawa zuwa Ƙaddara na Tsoro Vulvar Pain. Journal of Pain Research . 2015. 8: 845-9.