He aha ka perineum? E aʻo kākou e pili ana i kēia ʻāpana liʻiliʻi akā koʻikoʻi loa o kou kino.

Aloha! Pehea ʻoe? I kēia lā, e kamaʻilio ana mākou e pili ana i kahi ʻāpana o ko mākou kino a mākou e kamaʻilio nui ʻole ai, akā he mea nui loa ia. ʻO kēia ka mea a nā kauka e kapa ai ʻo ka perineum. ʻAʻole paha ʻoe i lohe i kēia inoa ma mua. Akā, mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana iā ia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka perineum? Aia i hea ia?

I ka ʻōlelo maʻalahi, ʻo kou perineum ka ʻili palupalu ma waena o kou mau genitals (ka puka o kou vagina i nā wahine, a i ʻole kou scrotum i nā kāne) a me kou anus (kahi a mākou e poop ai). E noʻonoʻo iā ia e like me kahi hakahaka liʻiliʻi. ʻO kēia ka ʻāpana a mākou e ʻike ai ma waho.

Akā, ʻaʻole wale ka perineum ka ʻili i ʻike ʻia ma waho. ʻO ia ka wahi ma lalo o ko kākou lua pelvic. ʻO ia hoʻi, ma lalo o kēlā ʻili, aia kekahi mau ʻano koʻikoʻi a me nā ʻiʻo i loko o ko kākou kino. I ka pololei, aia ia ma lalo o nā ʻiʻo o ko kākou papahele pelvic.

No laila, ʻike ʻoe, ʻeā? Me he wahi liʻiliʻi paha kēia, akā he mea hohonu loa ia ma mua o kēlā.

He aha ka mea e hana ʻia ana i ka perineum? No ke aha he mea nui kēia iā mākou?

Kōkua kēia perineum liʻiliʻi me nā mea he nui ma mua o kou manaʻo.

• No ka hoʻoulu ʻana i ka moekolohe a me ka leʻaleʻa: He nui nā hopena aʻalolo o ka perineum i loko o ka ʻili. Kōkua kēia i ka hoʻoulu ʻana i ka moekolohe a me ka pane ʻana. ʻO ke ʻano kēia he wahi erogenous kēia o ko mākou kino.
• Kākoʻo papahele pelvic: ʻO nā ʻiʻo i loko o ko mākou papahele pelvic ka mea e hoʻopaʻa ai i nā mea e like me ko mākou ʻōpū mimi, kahi ʻāpana o ko mākou kolona, ​​a me nā ʻōpū hānau. Hāʻawi ka perineum i kahi kahua maikaʻi a me ke kākoʻo no kēia mau ʻiʻo papahele pelvic.
• ʻO ka mimi ʻana, ka ʻōpū, a me ka moekolohe: ʻO nā ʻano i loko o ko mākou kino, ma ka perineum, kōkua i kēia mau kaʻina hana.
• Ka hānau keiki ʻana (no nā wāhine): Kōkua nā ʻano i loko o ka perineum o ka wahine iā ia e hānau i kahi pēpē ma ke ʻano vaginal. ʻO kēia wahi ka wahi e ʻō aku ana i ka wā hānau keiki.

I kēia manawa ua maopopo iā ʻoe ke koʻikoʻi o kēia, ʻeā?

E aʻo hou kākou e pili ana i kahi a me ke ʻano o ka perineum.

Ua ʻōlelo mākou aia ka perineum ma waena o nā ʻōpū a me ka anus. Pili kēia ʻāpana i ʻike ʻia i nā ʻano i loko o ke kino a mākou e ʻike ʻole ai.

I loko, aia ka perineum ma lalo o ke ʻiʻo nui o ko kākou papahele pelvic (ʻiʻo levator ani). Hohola pū ia ma waena o ko kākou mau iwi pelvic. E noʻonoʻo penei:

• Ma mua: Hoʻomaka ka perineum ma ka pubic symphysis, ke hono ma waena o nā iwi pelvic hema a me ʻākau, ma ke alo o ko kākou pelvis.
• Ma hope: Mai laila mai, hoʻolōʻihi ia a hiki i ka iwi huelo/coccyx.
• Ma ka ʻaoʻao: Hoʻonui kēia i nā iwi ʻelua (nā iwi sitz a i ʻole nā ​​​​​​iwi ischial tuberosities) ma ka ʻaoʻao ʻākau a me ka hema o ko mākou pelvis, e kaomi ana i ka lepo ke noho mākou.

I kekahi manawa, hōʻike nā kauka i nā palena o ka perineum me he ʻano daimana lā. E noʻonoʻo i kahi laina hoʻokalakupua i kaha ʻia ma waena o kou mau iwi noho ʻelua. Hoʻokaʻawale kēia laina i ke daimana i ʻelua mau huinakolu:

1. Huinakolu Urogenital: ʻO kēia kahi i loaʻa ai nā ʻōpū, ka urethra, a me nā ʻiʻo e pili ana.

2. Huinakolu anal: ʻO kēia kahi i loaʻa ai ka puka anal a me nā ʻiʻo sphincter anal. Kōkua kēia mau ʻiʻo i ka hoʻopaʻa a me ka hoʻomaha ʻana i ka anus i ka wā o ka neʻe ʻana o ka ʻōpū.

Ma kahi e hui ai kēia mau huinakolu ʻelua, aia kahi mānoanoa o nā ʻiʻo fibrous-muscular i kapa ʻia ʻo ke kino perineal . He kuleana nui kēia i ke kākoʻo ʻana i ka papahele pelvic. ʻOi aku ka maʻalahi o kēia wahi i ka ʻeha i ka wā hānau keiki.

ʻEhia ka nui o ka perineum? He aha ka mea i hana ʻia ai?

ʻO ka maʻamau, ʻo ka perineum o ka wahine ma kahi o 1.5 ʻīniha (3.8 kenimika) ka lōʻihi. Hiki i ka perineum o ke kāne ke 2 ʻīniha (5 kenimika) a ʻoi iki aʻe paha.

He nui nā papa o ka perineum ma lalo o ka ʻili. ʻO kēia mau mea e komo pū ana me nā ʻiʻo hoʻohui, nā ʻiʻo momona, nā ʻiʻo, a me nā membrane . ʻO kahi aʻalolo koʻikoʻi i kapa ʻia ʻo ke aʻalolo pudendal e holo ana ma waena o ka perineum, e lālā ana i nā wahi e like me ko mākou mau genital, nā ʻiʻo papahele pelvic, a me ka rectum. ʻO kēia pūnaewele paʻakikī o nā aʻalolo ka mea e hiki ai i ka perineum ke pane i nā manaʻo moekolohe a kōkua iā mākou e mimi a me ka defecate.

He aha nā kūlana a me nā maʻi maʻamau e hoʻopilikia ai i ka perineum?

ʻO ka hānau keiki ʻana ke kumu nui o ka ʻeha perineal. Ma kahi o 85% o nā makuahine e hānau ana ma ke ʻano he ʻōpū e ʻeha ana i ka perineal. Eia nō naʻe, hiki i kekahi kanaka, me ka nānā ʻole i ke kāne, ke ʻeha i ka perineal.

Nā mea e pili nui ana i nā wāhine

• Hānau ʻana ma ke ʻano he vagina: Ke puka mai ke pēpē mai loko mai o ka vagina, e kīkoʻo ana ka vagina a me ka perineum, a i kekahi manawa e haehae ana. ʻO ka hapa nui o ka manawa, he mau haehae liʻiliʻi kēia e ho'ōla ana i ka hala ʻana o ka manawa. Eia nō naʻe, ma muli o ka nui o ka haehae, pono paha nā humuhumu e hoʻoponopono i nā ʻiʻo. Hiki i nā haehae nui ke hōʻino i nā ʻiʻo papahele pelvic kokoke a i ʻole nā ​​​​ʻiʻo anal. Ke haehae ʻia ka perineum, hiki ke paʻakikī ke mimi, ka ʻōpala, a i ʻole ka moekolohe.
• ʻEpisiotomy: ʻO kēia ka manawa e hana ai ke kauka a kahu hānai paha i kahi ʻoki liʻiliʻi ma ka perineum ma mua o ka hānau ʻana e hoʻonui i ka puka o ka vaginal. He mea maʻamau kēia ma mua, akā ʻaʻole hana hou ʻia. Ua hōʻike kekahi mau noiʻi e loaʻa paha i kekahi mau wahine i loaʻa i ka episiotomy ka ʻeha pelvic a me ka incontinence ma hope o ke ola.

Nā mea e pili pono ana i nā kāne

• ʻO ka maʻi prostatitis:Inā loaʻa ka maʻi a i ʻole ka ʻeha o ke kelepa prostate, hiki iā ia ke pehu a ʻeha. Hiki ke ʻike ʻia kēia ʻeha ma nā ʻōpū a me ka perineum.
• Hana ʻoki: I kekahi manawa pono nā kauka e ʻoki i ka perineum e hana i ke ʻoki prostate, wehe i kahi puʻupuʻu, a mālama paha i kahi urethral stricture.

Nā mea e hoʻopilikia ai i nā kāne ʻelua

Hiki i nā kūlana ma lalo nei ke loaʻa i nā wāhine a me nā kāne:

• ʻO ka hana pono ʻole o ka papahele pelvic: Inā ua hōʻino ʻia ka perineum, ʻoi aku ka nui o ka pilikia o ka mimi ʻana a i ʻole ka defecating.
• Nā cysts perineal a i ʻole abscesses: Hiki i nā cysts i loaʻa i ka maʻi ke hana ma ka ʻili o ka perineum a i loko paha o ka anus. He ʻulaʻula pinepine kēia, pehu, a ʻeha.
• Hemorrhoids: He mau aa koko pehu kēia i loko a puni paha o ka anus. Hiki iā lākou ke kūloko a i waho paha. Hiki iā lākou ke hoʻoulu i ke kahe koko, ka maneʻo, a i ʻole ka ʻeha ma ka perineum.
• Ka paʻa ʻana o ke aʻalolo pudendal: ʻO ke aʻalolo pudendal, a mākou i kūkākūkā ai ma mua, e holo ana ma o ka perineum. Inā hōʻeha ʻia a pehu, hiki iā ia ke hōʻeha i ka perineum. Hiki i kēia ʻeha ke hoʻomaka koke a hoʻonui mālie paha i loko o kekahi mau pule a i ʻole nā ​​​​mahina.
• ʻEha i kuhikuhi ʻia: ʻO kekahi mau kūlana e hoʻomaka ana ma kekahi ʻāpana o ke kino e hiki ke hōʻeha i ka perineum. No ka laʻana , ʻo ka appendicitis, colitis , a me kekahi mau maʻi gastrointestinal e hiki ke hōʻeha i ka perineum.
• ʻO Fournier's Gangrene: He maʻi bacteria kakaikahi loa kēia e make ai ka ʻili o nā ʻōpū a me ka perineum. ʻO ia ka mea maʻamau i nā kāne ma waena o 50 a me 60 mau makahiki i loaʻa i ka maʻi diabetes.
• ʻEha a ʻeha paha: ʻO nā ulia e like me ka holo kaʻa mokokaikala, ka holo paikikala, a me ka holo lio hiki ke hōʻino i ka perineum. Inā he mea holo paikikala ʻoe, ʻo ka hoʻohana ʻana i kahi noho paikikala ihu ʻole hiki ke hōʻemi i ke kaomi ma ka perineum a hōʻemi i ka pilikia o ka ʻeha.
• Ka hana ʻino moekolohe: ʻO ka perineum i haehae ʻia a ʻeha paha he hōʻailona ia o ka hana ʻino moekolohe a i ʻole ka hana ʻino.

Pehea ʻoe e ʻike ai inā he pilikia kou me ka perineum? (Nā hōʻailona)

ʻO ka hōʻailona nui e hewa ana kekahi mea me ka perineum, ʻo ia ka ʻeha . Ma hope o ka hānau ʻana, hiki i ka ʻeha e hele pū me ka haehae ʻana o ka perineum ke hoʻolilo iā ia i mea paʻakikī ke hele a noho paha.

Aia paha kekahi mau hōʻailona ʻē aʻe, e hōʻike ana i kahi pilikia me nā ʻiʻo a me nā ʻōpū i loko o ka perineum a i ʻole ka lua pelvic a puni:

• Paʻakikī i ka mimi ʻana a i ʻole ka ʻōpala.
• ʻEha a maneʻo paha ka perineum.
• ʻEha i ka wā moe a i ʻole ka mimi ʻana.
• He paʻakikī i nā kāne ke loaʻa kahi kūkulu ʻana.
• He puʻupuʻu, ʻulaʻula, a pehu paha i loko o ka perineum.

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka a ʻimi i ka ʻōlelo aʻo me ka hilahila ʻole a me ka makaʻu ʻole.

Nā hoʻāʻo e nānā i ke olakino o ka perineum

Hiki i kāu kauka ke hana i kahi hoʻokolohua kino e nānā i kekahi mau ʻeha, nā maʻi, a i ʻole nā ​​​​kūlana ʻē aʻe i loko o ka perineum. Hiki i kēia hoʻokolohua ke komo pū me kahi hoʻokolohua rectal digital, hiki ke ʻike i nā ʻano ʻē.

Eia kekahi, hiki i nā kaʻina hana kiʻi ke ʻike i nā pilikia ma ka perineum:

• CT Scan: Hiki ke nānā no ka hōʻino ʻia o ka perineum i loko o ke kino.
• MRI: Hōʻike inā he hōʻino ʻia nā kīʻaha koko a i ʻole nā ​​​​ʻiʻo i loko o ka perineum.
• Ultrasound: Hōʻike i nā kīʻaha koko i hōʻino ʻia i loko o ka perineum.
• X-Ray me ka dye: Hiki ke hoʻohana ʻia kēia e ʻike inā he pōʻino i ka urethra, ʻoiai ke hele nei ka urethra ma o nā ʻiʻo o ka perineum.

He aha nā lāʻau lapaʻau no ka perineum?

Inā he ʻoki a haehae paha kou perineum, e hoʻoholo kāu kauka inā pono nā humuhumu e ho'ōla. I kēia manawa, hiki iā ʻoe ke hana i kēia mau mea e kōkua ai i ka hōʻemi ʻana i ka ʻeha:

• ʻAuʻau Sitz a me nā ʻūmiʻi mehana: ʻO ka ʻauʻau Sitz kahi ʻano o ka hoʻomoʻa ʻana i ka perineum i loko o ka wai pāpaʻu a mehana e kōkua i ka hoʻomaʻemaʻe a me ka ho'ōla ʻana. E hana i kēia no ʻelima a ʻumi mau minuke ʻelua i ka lā. Ma hope o ka ʻauʻau ʻana, e pā mālie i ka perineum e maloʻo ma mua o ka ikaika.
• Nā lāʻau hoʻopau ʻeha a me nā pīpī hoʻomāʻalili: ʻO ka lawe ʻana i nā lāʻau hoʻopau ʻeha e like me Paracetamol a i ʻole Ibuprofen , a i ʻole ka hoʻohana ʻana i nā pīpī hoʻopau ʻeha, hiki ke kōkua i ka hoʻomalu ʻana i ka ʻeha a hiki i ka ho'ōla ʻana. Inā loaʻa iā ʻoe nā hemorrhoids, hiki i nā kāwele holoi a me nā kirīmi ke kōkua i ka hoʻēmi ʻana i ka ʻeha, ka maneʻo, a me ka mumū ma ka perineum.
• ʻŌmole Peri: He ʻōmole liʻiliʻi kēia e hiki ai iā ʻoe ke hoʻopiha me ka wai mahana a hoʻohana e holoi i kou perineum ma hope o ka hoʻohana ʻana i ka lua. E hōʻemi kēia i ka pilikia o ka ʻeha mai ka holoi ʻana me ka pepa lua.
• Ke kāohi ʻana i ka paʻa ʻana o ka ʻōpū: ʻO ka hoʻoluhi ʻana i ka wā o ka neʻe ʻana o ka ʻōpū hiki ke hoʻonui i ka ʻeha perineal. Hiki ke pale ʻia ka paʻa ʻana o ka ʻōpū ma ka ʻai ʻana i nā meaʻai kiʻekiʻe i ka fiber (nā mea kanu, nā huaʻai, a me nā legumes) a me ka inu ʻana i ʻewalu mau aniani wai i ka lā.
• Nā hoʻomaʻamaʻa papahele pelvic (nā hoʻomaʻamaʻa Kegel): Hoʻoikaika kēia mau hoʻomaʻamaʻa Kegel i nā ʻiʻo papahele pelvic ma hope o ka hānau ʻana.ʻO ka hana ʻana pēlā e hiki ai i kou kino ke hoʻōla mai nā mea e like me nā sprains a me nā ʻūmiʻi. Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi mea hoʻōla kino no nā hoʻomaʻamaʻa papahele pelvic kikoʻī. Akā e hoʻomanaʻo, pono e hana ʻia kēia mau hoʻomaʻamaʻa ma hope o kahi ʻeha ma lalo o ka nānā ʻana o ke kauka.

Inā he puʻu i loaʻa i ka maʻi, hiki i ke kauka ke kuhikuhi i nā lāʻau antibiotic , a i ʻole e ʻoki a hoʻokahe paha. Pono paha ke ʻoki kino inā he hemorrhoids koʻikoʻi a i ʻole ka hōʻino ʻana o ke aʻalolo i loko o ka perineum.

Kōkua anei ka lomilomi i ka hōʻemi ʻana i ka haehae ʻana o ka perineum i ka wā hānau?

ʻAʻole hiki ke pale loa i ka haehae ʻana o ka perineum, akā ua ʻōlelo ʻia ʻo ka lomilomi ʻana i ka perineum ma mua a i ka wā o ka hānau ʻana hiki ke hōʻemi i ka hiki ke haehae ʻia.

Āhea wau e hoʻomaka ai i kēia lomilomi? ʻEhia pinepine wau e hana ai?

He manaʻo maikaʻi e hoʻomaka i kēia lomilomi perineum ma kahi o 34 mau pule o kou hāpai ʻana.

E hoʻokaʻawale ma kahi o ʻelima mau minuke i ka manawa. E hoʻolālā e hana i kēia lomilomi ʻekolu a ʻehā manawa i ka pule.

Pehea e lomilomi ai i ka perineum?

Ma mua o ka hana ʻana i kēia, e koho i kahi manawa a me kahi e hiki ai iā ʻoe ke hoʻomaha. Ma mua o kou hoʻomaka ʻana, e holoi pono i kou mau lima me kahi kopa palupalu. E kōkua kēia i ka pale ʻana i ka bacteria mai ke komo ʻana i loko o ka vagina.

• E moe ma kou kua, e hohola i kou mau wāwae, a e kulou i kou mau kuli. E hōʻoia i ke kākoʻo maikaʻi ʻia o kou kua.
• E hoʻopili i kahi ʻaila maoli liʻiliʻi (e like me ka ʻaila niu, ka ʻaila ʻoliva) a i ʻole kahi lubricant wai-hoʻoheheʻe ʻia i kou mau manamana lima, ka manamana nui, a me ka perineum.
• E hoʻokomo i kekahi o kou mau manamana nui (me kahi lubrication) ma kahi o hoʻokahi ʻīniha a i ʻole hoʻokahi ʻīniha a me ka hapa i loko o kou vagina. A laila e hoʻokomo mālie i kou manamana nui ʻē aʻe.
• E kaomi i ka paia hope o ka ʻōpū i ka anus me nā manamana nui ʻelua. E kaomi i ka lawa e ʻike ai i kahi huki iki i loko o ka ʻōpū. E paʻa i kēia kūlana no hoʻokahi a ʻelua paha minuke.
• A laila e neʻe mālie i kou mau manamana nui ma ke ʻano "U". E ʻike ʻoe i kahi huki mālie.

Inā ʻoe e ʻeha i ka wā e hana ana i kēia, e hoʻōki. Eia kekahi, he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i kēia.

Nā mea e pono ai mākou e hoʻomanaʻo

ʻO kou perineum ka ʻāpana ʻili palupalu ma waena o kou mau ʻōpū a me ka anus, a me nā ʻiʻo ma lalo e hana ana i ka papahele o kou lua pelvic. He mea nui loa ia no ke kūpaʻa o ke kūkulu ʻana o kou pelvis.

Eia nō naʻe, mai hopohopo inā haehae kou perineum i ka wā hānau. Pono paha ʻoe i nā humuhumu, akā ʻo ka hapa nui o nā ʻeha e hoʻōla i ka hala ʻana o ka manawa. E aʻo aku kāu kauka iā ʻoe i nā ala e hoʻokele ai i ka ʻeha i kou wā e hoʻōla ai. He mea nui e makaʻala i kēia ʻāpana o kou kino a e ʻimi koke i ka ʻōlelo aʻoaʻo lapaʻau inā he mau hopohopo kāu. E noho olakino!

ʻO ka Perineum, ke olakino o ka pelvic, ka hānau keiki ʻana, ka haehae ʻana o ka perineal, ka lomilomi perineal, ke olakino o nā wāhine, ke olakino o nā kāne