Pudendal nerve

	lotincha: Canalis analis
Arteriya	superior rectal arteriya (above pectinate line) and inferior rectal artery (below line)
Vena	superior rectal vena (above pectinate line) and inferior rectal vein (below line)
Innervatsiya	autonomic inferior hypogastric plexus (above pectinate line) and somatic inferior rectal nerves (below line)
Limfa	Superficial inguinal limfa tuguni (below pectinate line) and internal iliac lymph nodes (above line)
Prekursor	Hindgut, proctodeum
Kataloglar
	A08.800.800.720.450.680; D060525; 19037; A14.2.07.037;
	Pudendal nerve

Pudendal nerv perineumning asosiy nervidir^[1]^:274.U ikkala jinsning, yaʼni erkak va ayol tashqi jinsiy aʼzolaridan va anus va perineum atrofidagi teridan sezuvchanlikni, shuningdek, turli xil tos mushaklarini, shu jumladan erkak yoki ayolning tashqi siydik yoʻli sfinkteri va tashqi anal sfinkterini harakat bilan taʼminlaydi. Agar shikastlangan boʻlsa, koʻpincha tugʻruq paytida, lezyonlar hissiy yoʻqotish yoki najasni ushlab turishga olib kelishi mumkin. Nerv, anestetik protseduraning bir qismi sifatida vaqtincha bloklanishi mumkin.

Pudendal asabni olib yuradigan pudendal kanal, shuningdek, 1836-yilda ushbu kanalni hujjatlashtirgan irlandiyalik anatomist Benjamin Alkok nomi bilan atalgan „Alkok kanali“ atamasi bilan ham tanilgan.

Rasmda katta siyatik teshik (katta teshik) va sakrospinöz ligament bilan ajratilgan kichik siyatik teshik koʻrsatilgan. Pudendal nerv tos boʻshligʻidan katta chandiq teshigi orqali chiqib, boʻgʻim ustida oʻtadi va keyin kichik chanoq teshigi orqali tos suyagiga qayta kiradi.

Anatomik yadrosi

Nerv sakral pleksusning asosiy tarmogʻidir^[2] ^:950,orqa miyaning sakral mintaqasidagi Onuf yadrosidan kelib chiqqan tolalar bilan^[3].

Variatsiya

Pudendal nervga doir kasalliklar kelib chiqishiga koʻra farq qilishi mumkin. Masalan, pudendal asab aslida siyatik asabdan kelib chiqishi mumkin^[4].Binobarin, siyatik asabning shikastlanishi pudendal asabga ham taʼsir qilishi mumkin. Baʼzan birinchi sakral asabning dorsal rami pudendal asabga qoʻshiladi va hatto kamdan-kam hollarda S5^[3].

Funksiyasi

Pudendal nerv ham motor, ham sensor funktsiyalarga ega. U parasempatik tolalarni olib yurmaydi, balki simpatik tolalarni olib yuradi^[5]^:1738.

Mavzuga doir qoʻshimcha rasmlar

Erkak tos suyagi, pudendal asabni ko'rsatadi (markazda o'ngda)
Pudendal nerv tomonidan innervatsiya qilingan tuzilmalarni ko'rsatadigan sxema
Erkak tos bo'shlig'idagi pudendal asabning borishi diagrammasi

Manbalar

↑ AMR Agur. Grant's atlas of anatomy, 13th, Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013. ISBN 978-1-60831-756-1.
↑ TL King. Varney's midwifery, Fifth, Jones & Bartlett Publishers, 2013. ISBN 978-1-284-02542-2.
↑ ^3,0 ^3,1 Shafik, A; el-Sherif, M; Youssef, A; Olfat, ES (1995). "Surgical anatomy of the pudendal nerve and its clinical implications". Clinical Anatomy 8 (2): 110–5. doi:10.1002/ca.980080205. PMID 7712320. Manba xatosi: Invalid <ref> tag; name "Shafik1995" defined multiple times with different content
↑ Nayak, Soubhagya R.; Madhan Kumar, S.J.; Krishnamurthy, Ashwin; Latha Prabhu, V.; D'costa, Sujatha; Jetti, Raghu (November 2006). "Unusual origin of dorsal nerve of penis and abnormal formation of pudendal nerve—Clinical significance". Annals of Anatomy - Anatomischer Anzeiger 188 (6): 565–566. doi:10.1016/j.aanat.2006.06.011. PMID 17140150.
↑ Neill, editor-in-chief, Jimmy D.. Knobil and Neill's physiology of reproduction, 3rd, Amsterdam: Elsevier, 2006. ISBN 978-0-12-515400-0.

[Grant2013-1] AMR Agur. Grant's atlas of anatomy, 13th, Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013. ISBN 978-1-60831-756-1.

[Brucker2013-2] TL King. Varney's midwifery, Fifth, Jones & Bartlett Publishers, 2013. ISBN 978-1-284-02542-2.

[Shafik1995-3] 3,0 ^3,1 Shafik, A; el-Sherif, M; Youssef, A; Olfat, ES (1995). "Surgical anatomy of the pudendal nerve and its clinical implications". Clinical Anatomy 8 (2): 110–5. doi:10.1002/ca.980080205. PMID 7712320. Manba xatosi: Invalid <ref> tag; name "Shafik1995" defined multiple times with different content

[4] Nayak, Soubhagya R.; Madhan Kumar, S.J.; Krishnamurthy, Ashwin; Latha Prabhu, V.; D'costa, Sujatha; Jetti, Raghu (November 2006). "Unusual origin of dorsal nerve of penis and abnormal formation of pudendal nerve—Clinical significance". Annals of Anatomy - Anatomischer Anzeiger 188 (6): 565–566. doi:10.1016/j.aanat.2006.06.011. PMID 17140150.

[5] Neill, editor-in-chief, Jimmy D.. Knobil and Neill's physiology of reproduction, 3rd, Amsterdam: Elsevier, 2006. ISBN 978-0-12-515400-0.

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