Ke manaʻo nei ʻoe i kekahi manawa i ke kaumaha, ke kaomi, a i ʻole kekahi mea like me ia i loko o kou ʻōpū? Ke ʻoi aku nei kēia ʻeha ke kū ʻoe no ka manawa lōʻihi, ke kunu, a i ʻole ke hāpai ʻana i kahi mea kaumaha? He nui nā wāhine e hilahila iki a makaʻu paha e kamaʻilio e pili ana i kēia mau mea. Akā, ʻaʻole kēia wale nō kou pilikia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi maʻi i kapa ʻia ʻo enterocele, kahi e hoʻopilikia ai i nā wāhine he nui akā ʻaʻole i kamaʻilio nui ʻia.
He aha ka Enterocele? E hoʻomaopopo maʻalahi kākou.
I ka ʻōlelo maʻalahi, ʻo ka enterocele kahi kūlana kahi e iho ai ka ʻōpū liʻiliʻi , aia i loko o ko kākou ʻōpū, i loko o ka ʻāpana pelvic, e paʻi ana i ka paia o luna o ka vagina. Ua kapa ʻia kēia he prolapse ʻōpū liʻiliʻi.
E noʻonoʻo inā e nāwaliwali ka papahele ma ka papahele kiʻekiʻe o ko mākou hale, e hana ʻia kekahi mea like ma ʻaneʻi. Ke nāwaliwali ka ʻōnaehana kākoʻo o nā ʻiʻo a me nā ʻiʻo i loko o ko mākou wahi pelvic, hoʻomaka nā ʻōpū ma luna e hāʻule i lalo. Hiki ke kapa ʻia kēia he ʻano prolapse o nā ʻōpū pelvic i nā wahine.
No ke aha e hana ʻia ai kēia? He aha nā mea e hoʻonui ai i ka pilikia?
Ua like ko kākou lua pelvic me kahi ʻupena ikaika. Hana ʻia kēia ʻupena me nā ʻiʻo, nā ʻiʻo hoʻohui, a me nā ligaments. ʻO kēia nā mea e hoʻopaʻa ai i ko kākou mau kino e like me ko kākou uterus, ka ʻōpū mimi, a me nā ʻōpū. Loaʻa kēia mau pilikia ke nāwaliwali kēia ʻōnaehana kākoʻo, kīkoʻo ʻia, a haehae ʻia paha no nā kumu like ʻole.
E nānā kākou i nā kumu nui o kēia ma ka papa ma lalo.
| Kumu Hoʻopilikia | Pehea e pili ai |
|---|---|
| Ka hāpai ʻana a me ka hānau keiki ʻana | I ka wā hānau keiki, ua kau ʻia nā ʻiʻo o ka papahele pelvic ma lalo o ka nui o ke kaomi, kahi e hiki ai iā lākou ke hoʻonāwaliwali. |
| Ka hoʻopau ʻana o ka wahine | I ko kākou ʻelemakule ʻana, ʻoiai ma hope o ka menopause, e emi ana ka hormone estrogen, e emi ana ka ikaika a me ka maʻalahi o nā ʻiʻo. |
| ʻŪhū lōʻihi | ʻO ka ʻū mau ʻana ma muli o nā maʻi e like me ka hānō a i ʻole ka puhipaka hiki ke kau i ke kaomi ma ka ʻōpū lalo. |
| Paʻa pinepine ʻana | ʻO ka hoʻoluhi pinepine ʻana i ka wā o ka neʻe ʻana o ka ʻōpū hiki ke hōʻino i nā ʻiʻo o ka papahele pelvic. |
| Ke hāpai pono ʻole nei i nā mea kaupaona | ʻO ka hāpai pinepine ʻana, ʻoiai me ke kūlana kūpono ʻole, e kau ana i ke kaomi ma ka papahele pelvic. |
| Momona | I ka piʻi ʻana o ke kaumaha o ke kino, kau mau ʻia ke kaomi ma luna o nā ʻiʻo e kākoʻo ana i kēlā kaumaha. |
| ʻO ke ʻoki kino Pelvic | Hiki ke hoʻonui ʻia kēia pilikia ma hope o nā ʻoki ʻana e like me ka hysterectomy. |
| ʻO kekahi mau maʻi genetic | ʻO nā kūlana e like me ka maʻi Ehlers-Danlos e hoʻonāwaliwali ai i nā ʻiʻo pili. |
ʻO ka mea nui, hiki i kekahi poʻe me ka enterocele ke loaʻa i nā ʻāpana prolapsed ʻē aʻe. No ka laʻana, cystocele, rectocele, a i ʻole uterine prolapse. Mai hopohopo, ʻaʻole pono ʻoe e loaʻa i kēia mau mea āpau. Akā he mea maikaʻi ke ʻike he pili paha lākou.
Loaʻa iaʻu kēia maʻi pū kekahi? He aha nā hōʻailona?
ʻO ka mea kupanaha maoli, ʻo kekahi mau wahine me kēia maʻi ʻaʻole hōʻike i kekahi mau hōʻailona . Akā inā ʻike ʻia nā hōʻailona, hiki ke like me kēia.
- Ke kaumaha a i ʻole ke kaomi ma ka ʻōpū lalo a me ka vagina:Hiki paha ke manaʻo he mea e like me ka pōpō i loko o ka ʻōpū. Hiki ke ʻoi aku ka ʻino o kēia i ke kū ʻana a i ʻole ke kuʻi ʻana.
- Ke manaʻo nei i kahi puʻu i loko o ka vagina: I kekahi manawa hiki iā ʻoe ke manaʻo a manaʻo paha i kahi mea e like me kahi puʻu i loko o ka vagina.
- Paʻakikī i ka hoʻokahe ʻana: He manaʻo me he mea lā ʻaʻole i hoʻokuke loa ʻia ka ʻōpala.
- ʻEha hope: Inā ʻeha kēia ʻeha hope, ʻoiai inā ua hōʻoluʻolu ʻia e ka moe ʻana i lalo, pili paha ia i kēia kūlana.
- ʻO ka incontinence urinary: Hiki paha iā ʻoe ke hoʻokahe i ka mimi me ka manaʻo ʻole i ka wā e ʻū ai ʻoe, ʻakaʻaka, a ʻū paha.
- Paʻakikī i ka wā moe: Hiki iā ʻoe ke manaʻo i ka ʻeha a i ʻole ke kaomi i ka wā o ka moe.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke haʻi aku ʻoe i kāu kauka e pili ana i kēia ʻano ʻoluʻolu ʻole, ʻo ka mea mua a kāu kauka e hana ai, ʻo ia ke nānā pono iā ʻoe. E komo pū ana kēia me kahi hoʻokolokolo pelvic . I loko o kēia hoʻokolokolo, e noi ke kauka iā ʻoe e ʻū a kaomi iki paha i lalo. A laila, hiki ke ʻike maikaʻi ʻia ka ʻaoʻao haʻahaʻa, i hiki ke ʻike pololei ʻia ke ʻano.
Eia kekahi, hiki i ke kauka ke kuhikuhi i kekahi mau hoʻokolohua ʻē aʻe inā pono.
- Nā hoʻāʻo kiʻi: E noi ʻia paha ʻoe e hana i kahi MRI , ultrasound , a i ʻole CT scan e ʻike maopopo i ke kūlana o nā ʻiʻo a me nā ʻōpū o ka papahele pelvic.
- Cystoscopy: Hoʻohana kēia hoʻāʻo i kahi ʻōmole lahilahi me kahi kāmela e nānā i loko o ka ʻōpū mimi a ʻike i kona kūlana.
- Ka hoʻāʻo ʻana o Urodynamic: He ʻano o nā hoʻokolohua kūikawā e nānā ana i nā kumu o ka hana ʻōpū a me nā pilikia urination.
He aha nā lāʻau lapaʻau no kēia? Pono anei nā kānaka a pau i ke ʻoki kino?
ʻO kekahi o nā mea a ka poʻe he nui e makaʻu nei, ʻo ia ka pono o ke ʻoki kino. ʻO ka nūhou maikaʻi, ʻaʻole pono nā kānaka a pau i ke ʻoki kino. Aia ka lāʻau lapaʻau i kou makahiki, ke olakino, a me ke koʻikoʻi o kāu mau hōʻailona. ʻAʻole pono ka nui o ka poʻe i loaʻa ʻole nā hōʻailona i kekahi lāʻau lapaʻau.
| Nā ʻano lapaʻau nui | |
|---|---|
| Nā Lapaʻau ʻAʻole ʻoki kino | |
| Pessary | He mea liʻiliʻi kēia i hana ʻia me ka laholio a i ʻole ka silicone i hoʻokomo ʻia i loko o ka vagina. Ua hoʻolālā ʻia e hāʻawi i ke kākoʻo no nā lālā haʻahaʻa. Ua hoʻolālā ʻia e hiki ke wehe ʻia a hoʻololi ʻia. He hopena maikaʻi kēia no ka poʻe e kali ana i ke ʻoki kino a i ʻole ka poʻe makemake ʻole e hana i ke ʻoki kino. |
| Nā hoʻomaʻamaʻa papahele pelvic | Ua kapa ʻia kēia he mau hoʻomaʻamaʻa Kegel . Hoʻoikaika lākou i nā ʻiʻo ma kou papahele pelvic. Hiki iā ʻoe ke aʻo pehea e hana pono ai iā lākou mai kahi mea hoʻōla kino. I kekahi manawa, hiki ke hoʻohana ʻia nā ʻano hana e like me ka biofeedback e hōʻoia ai e hana pololei ana ʻoe iā lākou. |
| Lapaʻau ʻoki kino | |
| ʻO ke ʻoki hoʻoponopono | Inā wale nō i hāʻule nā ʻano hana ʻē aʻe a i ʻole he koʻikoʻi ke kūlana, e noʻonoʻo ke kauka i ke ʻoki kino. ʻO kēia ʻoki kino e pili ana i ka hoʻoneʻe ʻana i ka ʻōpū i hoʻokuʻu ʻia i kona wahi a me ka hoʻoponopono ʻana i kekahi ʻiʻo i haehae ʻia a haehae ʻia paha. ʻO ka hapa nui o ka manawa, he mau ʻoki kino minimally invasive kēia i hana ʻia ma o ka vagina. |
He aha kā mākou e hana ai e pale aku i kēia?
Aia kekahi mau mea maʻalahi e hiki iā mākou ke hana e hōʻemi i ka manawa kūpono o kēia pilikia.
- ʻAi i nā meaʻai waiwai i ka fiber: E ʻai i nā mea e like me nā mea kanu, nā huaʻai, nā legumes, a me nā palaoa holoʻokoʻa, a inu i ka wai nui e pale aku ai i ka paʻa ʻana o ka ʻōpū.
- E akahele i ka hāpai ʻana: Inā ʻoe e hāpai ana i kahi mea kaumaha, e noi i kekahi no ke kōkua. E hāpai me kou mau kuli e kūlou ana, ʻaʻole me kou kua e kūlou ana.
- E mālama i ke kaumaha olakino: Hoʻokomo ka momona i ke kaomi pono ʻole ma ka papahele pelvic.
- E kiʻi i ka lāʻau no ka ʻū: Inā loaʻa iā ʻoe ka ʻū mau, e ʻike i ke kauka e ʻike i ke kumu pololei a loaʻa ka lāʻau.
- E pale i ka puhipaka: ʻAʻole wale ke kumu o ka puhipaka i ke kuni ʻana akā hōʻemi pū kekahi i ke olakino o nā ʻiʻo o ke kino.
Āhea ka manawa kūpono e ʻike ai i ke kauka?
ʻO ka mea nui loa, ʻo ia ke kamaʻilio me ke kauka e pili ana i kēia ʻano pilikia, me ka hilahila ʻole a me ka makaʻu ʻole. He mea maʻamau kēia a hiki ke mālama ʻia.
Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, e ʻike koke i kāu kauka:
- Inā ʻaʻole hiki iā ʻoe ke kāohi i kāu mimi.
- Inā he koko i loko o ka mimi.
- Inā loaʻa iā ʻoe ka ʻeha i ka wā e mimi ai a i ʻole pono e mimi pinepine.
- Inā loaʻa iā ʻoe ka paʻa paʻa a i ʻole ka pilikia o ka neʻe ʻana i ka wai.
I ke kamaʻilio ʻana me ke kauka e pili ana i kahi pilikia e like me kēia, e nīnau i nā nīnau a pau āu e loaʻa ai. E nīnau i nā nīnau e like me, "No ke aha i loaʻa ai iaʻu kēia?", "He aha ka lāʻau lapaʻau maikaʻi loa noʻu?", "Aia kekahi mau mea ʻē aʻe e pono iaʻu e makaʻala?" i mea e maopopo ai kou kūlana.
Leka Lawe-Home
- ʻO Enterocele kahi ʻano i iho ai ka ʻōpū liʻiliʻi i loko o ka vagina ma muli o ka nāwaliwali o nā ʻiʻo papahele pelvic.
- ʻAʻole kēia he maʻi koʻikoʻi e makaʻu ai. ʻAʻole paha e hōʻike ka nui o nā wahine i nā hōʻailona.
- I ka hapanui o nā hihia, hiki i nā lāʻau lapaʻau maʻalahi, ʻaʻole ʻokiʻoki (pessary, nā hoʻomaʻamaʻa Kegel) ke hoʻomalu pono i nā hōʻailona.
- Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū ma lalo, ke kaomi, a i ʻole kekahi ʻano ʻoluʻolu ʻole, mai hilahila a makaʻu paha e kamaʻilio me kāu kauka e pili ana i ia mea. ʻO ka wikiwiki o kou ʻimi ʻana i ka ʻōlelo aʻoaʻo, ʻo ka maʻalahi o nā hoʻonā.
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