Ke manaʻo nei ʻoe i kekahi manawa i ka ʻūlū a i ʻole ka ʻeha ma kou ʻōpū haʻahaʻa, ʻo ia hoʻi, ma lalo o kou pelvis? A i ʻole ke ʻike nei ʻoe i ka ʻoluʻolu ʻole a i ʻole ka ʻeha i ka wā e mimi ai a i ʻole e hele ana i ka lua? Malia paha ke manaʻo nei ʻoe i ka ʻeha i ka wā o ka moekolohe. Mai hoʻokuke i kēia mau mea me he mea lā he mau mea maʻamau wale nō. Malia paha ʻoi aku ka hohonu o ke kumu o kēia ma mua o kou manaʻo. ʻO ia ke kūlana a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo `(Hypertonic Pelvic Floor)`.
ʻO ka mea mua, e nānā kākou, he aha kēia 'papahele pelvic'?
ʻAe, ma mua o ko mākou kamaʻilio ʻana e pili ana i ka `(Hypertonic Pelvic Floor)`, e hoʻomaopopo iki kākou i ke ʻano o kēia 'Pelvic Floor'. I ka ʻōlelo maʻalahi, he hōʻiliʻili ia o nā ʻiʻo a me nā ʻiʻo hoʻohui i loko o ko kākou ʻōpū haʻahaʻa, ʻo ia hoʻi, i loko o ka ʻūhā. E like me ka ʻupena ikaika, a i ʻole kahi kīʻaha liʻiliʻi, hui pū kēia mau ʻiʻo e hāpai a pale i nā ʻōpū koʻikoʻi loa i loko o ko kākou ʻōpū haʻahaʻa.
E noʻonoʻo, ua like kēia me ka papahele o ko mākou hale. ʻO kēlā mau ʻōkana:
- ʻŌmole: Kahi e mālama ʻia ai ka mimi .
- Rectum: ʻO ka ʻāpana hope loa o ka anus (rectum): Kahi e mālama ʻia ai nā ʻōpala.
- I nā wahine, ʻo ka ʻōpū a me ka vagina .
- I nā kāne, ʻo ka prostate gland .
Aia nā ʻiʻo o ka papahele pelvic ma waena o ka iwi pubic i mua, ka sacrum ma ke kua, a me nā iwi noho ma nā ʻaoʻao ʻelua. Kōkua kēia mau ʻiʻo a me nā aʻalolo i ka kaohi ʻana i ko kākou mimi ʻana , ka ʻōpala ʻana, a me ka hana moekolohe.
No laila, he aha kēia kūlana i kapa ʻia ʻo `(Hypertonic Pelvic Floor)`?
I kēia manawa, ua loaʻa iā ʻoe kahi manaʻo maʻamau o ke ʻano o ka 'pelvic floor'. Ma ke ʻano i kapa ʻia ʻo "Hypertonic Pelvic Floor", ua paʻa mau nā ʻiʻo o ka 'pelvic floor', i ke ʻano o ka spasm, a i ʻole i ka ʻūmiʻi mau. ʻO ke ʻano kēia, ʻaʻole hiki i kēia mau ʻiʻo ke hoʻomaha, hoʻokuʻu, a hana maʻamau.
E noʻonoʻo, pehea inā ʻoe e paʻa i kou lima i loko o kou ʻeke no ka manawa lōʻihi? Ma hope o kekahi manawa, e hoʻomaka ana kou lima e ʻeha, e manaʻo ʻia he mae, a pēlā nō ia. No ka mea, ua paʻa mau kēia mau ʻiʻo, ʻaʻole hiki iā lākou ke hoʻomalu pono i kā lākou mau hana, e like me ka mimi ʻana a me ka hele ʻana i ka lua. ʻO ia ke kumu e hiki ai ke loaʻa ka ʻeha i nā manawa a pau, a i ʻole hiki ke loaʻa me kekahi mau hana (e laʻa, ka hele ʻana i ka lua, ka moekolohe). Hiki iā ia ke pilikia i ka mimi ʻana , ka ʻōpala ʻana, a me nā pilikia moekolohe. Hiki i kēia mau hōʻailona ke loaʻa ka hopena nui i kou ola maikaʻi.
ʻO wai ka mea e loaʻa ana i kēia maʻi (Hypertonic Pelvic Floor)? Pehea ka maʻamau?
No kēlā me kēia kanaka maoli kēia kūlana., ʻo ia hoʻi, hiki ke hana ia me ka nānā ʻole i ke kāne a i ʻole ka makahiki. I kekahi manawa, hiki i kēia kūlana ke hoʻopilikia i nā keiki ʻōpio.
Ma keʻano laulā, he mea maʻamau ka hana ʻino o ka papahele pelvic. ʻO ka Hypertonic Pelvic Floor kekahi o ia mau pilikia. ʻO ka hapa nui o ka manawa, ʻaʻole i ʻike pono ʻia no ka mea ua hilahila ka poʻe e kamaʻilio e pili ana. Eia nō naʻe, e like me ka ʻikepili, ua ʻōlelo ʻia he hoʻokahi o ka ʻumi o ka poʻe e loaʻa paha ia mau pilikia. ʻO ke ʻano kēia, ʻaʻole ia he mea i lohe ʻole ʻia.
Pehea ka manaʻo o ka loaʻa ʻana o ka `(Hypertonic Pelvic Floor)`? He aha nā hōʻailona?
ʻO ka hōʻailona nui no ka hapa nui o ka poʻe, ʻo ia ka ʻeha . Hiki i kēia ke manaʻo e like me ke kaomi, ke kaumaha, a i ʻole ka paʻa ʻana ma ka ʻōpū haʻahaʻa, ke kua haʻahaʻa, a i ʻole ka ʻūhā. I kekahi manawa, ʻike ʻia ka ʻeha ma kahi hoʻokahi (e.g., ma ka ʻōpū mimi) a i ʻole me kekahi mau hana wale nō (e.g., hele i ka lua, moe kolohe).
Aia kekahi mau hōʻailona ʻē aʻe. E wehewehe kākou iā lākou:
Nā hōʻailona mimi
- ʻEha o ka ʻōpū mimi.
- ʻEha a me ke kuni i ka wā e mimi ai .
- Pono e mimi pinepine (ʻoi aku ma mua o 8 mau manawa i ka lā, pono e ala i ka pō).
- Paʻakikī i ka hoʻomaka ʻana e mimi , ka mimi pinepine ʻana, a i ʻole ka manaʻo e like me he mimi lā ma hope o kou pau ʻana o ka mimi ʻana .
Nā hōʻailona o ka ʻōpū
- Ke paʻakikī nei e hoʻomaka e hele i ka lua, e lōʻihi ana ka manawa e hiki ai i laila.
- Manaʻo ʻaʻole i hoʻokahe loa ʻia kou ʻōpū ma hope o kou hele ʻana i ka lua.
- ʻEha i ka wā e hele ai i ka lua a ma hope paha o ka hele ʻana.
- Ke ʻeha nei i ka wā e kahe ana ke kinoea.
- ʻO ka paʻa ʻana o ka ʻōpū, ʻo ia hoʻi ka hiki ʻole ke hele i ka lua i hoʻokahi manawa no kekahi mau lā.
Nā hōʻailona moekolohe
- Ke ʻeha nei i ka wā a ma hope o ka moekolohe (hoʻopilikia kēia i nā wahine he nui).
- ʻO ka hiki ʻole ke hoʻokō i ka orgasm.
- No nā kāne, hiki ke lilo i ka erectile dysfunction, a i ʻole ka ʻeha i ka wā ejaculation.
ʻO ka mea nui loa, ʻo ia ka ulu mālie ʻana o nā hōʻailona o ka `(Hypertonic Pelvic Floor)` a lilo i mea ʻino i ka hala ʻana o ka manawa. No laila, inā loaʻa iā ʻoe kahi hōʻailona liʻiliʻi e like me kēia, mai hoʻowahāwahā iā ia. He mea nui loa e ʻike koke i ke kauka a ʻimi i ka ʻōlelo aʻo.
He aha ke kumu o kēia kūlana (Hypertonic Pelvic Floor)?
He paʻakikī ke kuhikuhi i nā kumu no kēia, a he paʻakikī iki hoʻi. Eia nō naʻe, aia kekahi mau mea pilikia e hiki ke kōkua i kēia kūlana. ʻO lākou kēia:
- ʻO ke ʻano o ka paʻa ʻana i ka mimi a me ka ʻōpala i ka wā kaumaha:Ua lilo kekahi poʻe i kēia ʻano maʻamau mai ko lākou wā kamaliʻi mai. Ua koi ʻia kekahi e hana ia mea ma muli o ke ʻano o kā lākou hana (e like me nā kumu, nā mea hoʻokele kaʻa) a i ʻole ke ʻano o ka nohona. Ke ʻūlū mau lākou e like me kēia, ʻaʻole hiki i ko lākou mau ʻiʻo ke hoʻomaha.
- Nā ʻeha a i ʻole ka hōʻino ʻana i nā ʻiʻo papahele pelvic: Hiki ke hōʻino ʻia kēia mau ʻiʻo 'pelvic floor' e kekahi mau ʻoki kino, ka hāpai ʻana, ka hānau keiki ʻana (ʻoi aku ka paʻakikī o ka hānau keiki ʻana), a i ʻole kahi ulia (e laʻa, ka hāʻule ʻana).
- Ka hana ʻino ʻana o nā ʻiʻo: ʻO ka noho ʻana ma ke kūlana like no ka manawa lōʻihi (ʻoi aku hoʻi no ka poʻe e hana ana ma kahi kamepiula), nā kūlana kūpono ʻole, nā ʻano hele wāwae kūpono ʻole, a me nā kaulike ʻole o ka ʻūhā hiki ke hoʻopilikia i kēia mau ʻiʻo.
- Nā kūlana ʻeha ʻē aʻe:
- ʻO ka maʻi ʻōpū huhū (IBS)
- ʻO ka Endometriosis
- ʻO Vulvodynia (ʻeha lōʻihi ma nā ʻāpana genitalia waho o nā wahine)
- Nā māwae anal
- ʻO ka maʻi ʻeha o ka ʻōpū mimi / Interstitial Cystitis
Ke loaʻa iā ʻoe nā maʻi e like me kēia, hiki i nā ʻiʻo o ka papahele pelvic ke ʻūmiʻi ma muli o ka ʻeha.
- ʻO ka hana ʻino ʻia a i ʻole ka hana ʻino kino: Ke kū nei i nā ʻike ʻeha e like me kēia, hiki iā ia ke loaʻa nā hopena kino.
- Ke Kaumaha, ke Kaumaha, a me ka Hopohopo: ʻO ka mea a mākou e manaʻo ai i loko o ko mākou manaʻo e hoʻopilikia i ko mākou kino. Ke kaumaha nui mākou, e ʻūlū wale ko mākou mau ʻiʻo. Pēlā nō hoʻi no ka papahele pelvic.
Pehea e ʻike ʻia ai ka Hypertonic Pelvic Floor?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino. ʻO ia hoʻi ke hoʻomaka ʻoe e loaʻa ka ʻeha, pehea ka lōʻihi o kou loaʻa ʻana, pehea ʻoe e hoʻohana ai i ka lua, pehea ʻoe e mimi ai , a me kou ola moekolohe. ʻOiai he mau mea ʻoluʻolu ʻole a hilahila kēia e kamaʻilio e pili ana, he mea nui ka ʻoiaʻiʻo a me ka maopopo no ka loaʻa ʻana o kahi hōʻailona pololei. E kōkua kēia i ke kauka e hoʻomaopopo i ke ʻano o ka ʻoluʻolu ʻole āu e ʻike nei.
A laila e hana ke kauka i kahi hoʻokolokolo kino . Hiki i kēia ke komo pū me kēia mau mea:
- ʻO ka nānā ʻana i kou ʻōpū lalo mai waho mai e hōʻike iā ʻoe pehea ʻoe e hoʻopaʻa ai a hoʻomaha ai i kēia mau ʻiʻo 'pelvic floor'.
- Hoʻokolokolo rectal kikohoʻe.
- Inā he wahine ʻoe, e hana i kahi hoʻokolokolo pelvic.
Hiki i kēia mau hoʻokolohua ke kōkua i ke kauka e ʻike i ka ʻoʻoleʻa o nā ʻiʻo a me nā wahi ʻeha.
I kekahi manawa, hiki ke hana ʻia nā hoʻokolohua kūikawā e like me kēia e ʻike ai i ka ʻike hou aku:
- Manometry Anorectal:Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi (catheter) i loko o ka rectum a ua hoʻopiha ʻia kahi pōpō liʻiliʻi ma ka hopena. Hoʻopaʻa a hoʻomaha nā ʻiʻo i loko o ka rectum a me ka anus, a me ke kaomi i loko o nā ʻiʻo.
- Electromyography (EMG): Ke ana kēia hoʻāʻo i nā hōʻailona uila a kou mau ʻiʻo e hana ai i ka wā e ʻūlū ai a hoʻomaha ai. Hana ʻia kēia ma ke kau ʻana i nā pads liʻiliʻi e like me ka sticker (electrodes) ma kou ʻili.
- Defecography: He hoʻāʻo kēia e ʻike ai pehea ʻoe e kahe ai. No kēia, ua hoʻokomo ʻia kahi mea kūikawā (barium paste) i ʻike ʻia ma nā kukuna X i loko o kou rectum a ua noi ʻia ʻoe e noho ma kahi lua kūikawā a kahe. Lawe ʻia nā kiʻi kukuna X i kēlā manawa. Pono ʻoe e lawe i kekahi lāʻau lapaʻau e hoʻomaʻemaʻe i kou ʻōpū ma mua o kēia.
- Nā hoʻāʻo Urodynamic: ʻAʻole kēia he hoʻāʻo hoʻokahi, akā he hui pū ʻana o kekahi mau hoʻāʻo. Nānā kēia i ke ʻano o kou mimi ʻana a me ka hana ʻana o kāu ʻōpū mimi.
He aha nā lāʻau lapaʻau no ka `(Hypertonic Pelvic Floor)`?
ʻO ka nūhou maikaʻi, aia kahi lāʻau lapaʻau no kēia kūlana! ʻO ka lāʻau lapaʻau nui a maikaʻi loa, ʻo ia ka hoʻōla kino . Hana ʻia kēia e kahi Pelvic Floor Physical Therapist nona ka hoʻomaʻamaʻa kūikawā i nā pilikia papahele pelvic. E hana lākou i nā mea e like me:
- Biofeedback: He ʻano hana maikaʻi loa kēia. Ma kēia, hoʻohana ʻoe i nā mea e like me nā sensor e nānā i ke ʻano o ka hana ʻana o kou mau ʻiʻo. A laila hoʻomaopopo ʻoe pehea e hoʻopaʻa pono ai a hoʻomaha i kou mau ʻiʻo.
- Nā hana hoʻomaha: Ua aʻo ʻia nā hoʻomaʻamaʻa hanu a me nā kūlana like ʻole e hoʻomaha ai i nā ʻiʻo.
- Lomilomi, kīkoʻo, a me ka neʻe ʻana o nā hono: Kōkua kēia i ka hoʻomaha ʻana i nā ʻiʻo paʻa.
ʻO nā lāʻau lapaʻau ʻē aʻe a kāu kauka e ʻōlelo ai:
- ʻAkipikipi.
- Nā lāʻau lapaʻau: Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e hōʻemi i ka ʻeha, kāohi i ka hopohopo, mālama i ka paʻa ʻana o ka ʻōpū, a mālama i ka mimi pinepine.
- Hoʻoulu ʻana i nā aʻalolo: Kāohi i ka hoʻōki ʻana o ka mimi a i ʻole ka hoʻōki ʻana o ka ʻōpū.
- Nā inikini kiko hoʻoulu: Hiki i kēia ke hoʻohana i nā corticosteroids (kahi ʻano steroid) a i ʻole Botox® e hōʻemi i ka ʻeha.
I kekahi manawa e ʻimi paha kāu kauka i ke kōkua mai nā loea ʻē aʻe, e like me:
- Gastroenterologist: Mālama i nā mea e like me ka paʻa ʻana.
- Kauka lapaʻau colorectal.
- Kauka wahine: No nā pilikia olakino hānau wahine.
- Urologist a Urogynecologist paha: No nā pilikia mimi a i ʻole ka hana moekolohe.
- Psychotherapist: Kōkua i nā pilikia noʻonoʻo.
- Mea hoʻoponopono moe kolohe: No nā pilikia moe kolohe.
Pehea e hōʻemi ai i ka pilikia o ka loaʻa ʻana o ka `(Hypertonic Pelvic Floor)`?
Aia kekahi mau mea hiki iā ʻoe ke hana iā ʻoe iho e hōʻemi i ka pilikia o kēia ʻano:
- E ʻike i ke ʻano o ka hoʻopaʻa ʻana a me ka hoʻomaha ʻana i nā ʻiʻo o kou ʻōpū.
- E hoʻomaʻamaʻa i ka noʻonoʻo pono a me nā hana hoʻomaha. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ke kaumaha.
- E hana i nā hoʻomaʻamaʻa papahele pelvic (nā hoʻomaʻamaʻa Kegel) i ka wā hāpai a ma hope o ka hānau ʻana . E nīnau i kāu kauka a mea hoʻoponopono kino paha e pili ana i kēia.
- E ikaika aʻe kēia mau ʻiʻo ma o nā hoʻomaʻamaʻa yoga.
- I mea e pale aku ai i ka paʻa ʻana o ka ʻōpū , e ʻai i nā meaʻai kiʻekiʻe i ka fiber (nā mea kanu, nā huaʻai, a me nā legumes), inu nui i ka wai, a pale i ka hoʻoluhi ʻana i ka wā e hele ai i ka lua.
- Inā loaʻa ka ʻeha ma kou ʻōpū haʻahaʻa a i ʻole ka rectum, mai hoʻowahāwahā iā ia a e ʻimi i ke kōkua lapaʻau.
- Inā ua loaʻa iā ʻoe kahi ʻike weliweli, e ʻimi i ke kākoʻo psychological.
- Mai hoʻopaʻa no ka manawa lōʻihi ke pono ʻoe e mimi a i ʻole e hele i ka lua. E hoʻokō i ka pono i ka wā hikiwawe loa.
He aha ka manaʻo no ke kūlana `(Hypertonic Pelvic Floor)`? (Manaʻo)
ʻO kēia ka mea nui loa. ʻO ka Hypertonic Pelvic Floor kahi maʻi hiki ke mālama ʻia. Pono ka manawa a me ke ahonui. Akā me ka mālama ʻana, ʻike ka hapa nui o ka poʻe i ka hōʻoluʻolu piha mai ko lākou mau hōʻailona, a hoʻōla piha kekahi poʻe. Inā hoʻomau kāu mau hōʻailona, e kuhikuhi kāu kauka iā ʻoe i kahi loea ʻē aʻe.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū ma lalo, ka paʻakikī o ka mimi ʻana , ka ʻeha i ka wā e neʻe ai ka ʻōpū, a i ʻole ka ʻeha i ka wā e moe ai, mai kali wale a hoʻomaikaʻi lākou. ʻAʻole e hoʻomaikaʻi pinepine kēia mau hōʻailona iā lākou iho. No laila, he mea nui e ʻike i ke kauka a loaʻa ka lāʻau lapaʻau i ka wā hikiwawe loa.
ʻO ka ʻeha, ka mimi ʻana , ka ʻōpala ʻana, a me nā pilikia moekolohe i hoʻokumu ʻia e ka `(Hypertonic Pelvic Floor)` he mea ʻoluʻolu ʻole ia, a i kekahi manawa he mea hilahila. Akā, ʻo ka mea pōmaikaʻi, hiki ke hoʻomalu ʻia a hoʻōla ʻia kēia ʻano ma ka nui me ka hoʻōla kino a me nā lāʻau ʻē aʻe. Inā ʻoe e kamaʻilio me kāu kauka e pili ana i kāu mau hōʻailona i ka wā mua a loaʻa ka lāʻau e pono ai, hiki iā ʻoe ke ola i kou ola me ka ʻoluʻolu a me ka hauʻoli.
Leka Lawe-Home
- ʻO ka papahele pelvic hypertonic kahi kūlana kahi e ʻūlū mau ai nā ʻiʻo o ka ʻōpū haʻahaʻa. Hiki i kēia ke hana i ka ʻeha, ka paʻakikī o ka mimi a me ka luaʻi ʻana, a me nā pilikia moekolohe.
- Hiki i kēia ke hana i kekahi, a ʻoi aku ka maʻamau ma mua o kou manaʻo.
- Inā loaʻa iā ʻoe nā hōʻailona, mai hilahila a makaʻu paha, e ʻike i ke kauka. ʻO ka wikiwiki o kou ʻike ʻana iā lākou, ʻo ka maʻalahi ka mālama ʻana.
- ʻO ka hoʻoikaika kino ka lāʻau lapaʻau nui, akā aia kekahi mau lāʻau lapaʻau ʻē aʻe.
- Hiki ke ho'ōla ʻia kēia maʻi. No laila, mai hoʻopau i ka puʻuwai.
- ʻO ka pale ʻana i nā kumu pilikia hiki ke hōʻemi i ka hanana o kēia ʻano.
Inā he mau nīnau hou aku kāu e pili ana i kēia, e kamaʻilio me kāu kauka. Makemake au iā ʻoe e ola maikaʻi!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka Hypertonic Pelvic Floor?
ʻO ka papahele pelvic kahi papa o nā ʻiʻo e kākoʻo ana i ko mākou mau ʻōpū pelvic (bladder, uterus, rectum) e like me ka hammock. ʻO kēia kūlana 'Hypertonic' ʻo ia hoʻi, ua paʻa mau nā ʻiʻo 100% (spasm) ma kahi o ka hoʻomaha ʻana i ka manawa kūpono. Ua like ia me kahi ʻiʻo i loko o kou lima e ʻeha ana ke paʻa ʻoe.
💬 He aha ke ʻano maʻi e kū mai ana ke paʻa nā ʻiʻo e like me kēia?
Hiki i kēia ke hana i nā wāhine a me nā kāne. Ke ʻūlū nā ʻiʻo a puni ka ʻōpū mimi, puka koke mai kahi kulu mimi, a ʻeha ia i ka wā e mimi ai ʻoe. Ke ʻūlū nā ʻiʻo i loko o ka rectum, pono ʻoe e hoʻoikaika nui e kipaku. Hiki i nā wāhine ke ʻike i ka ʻeha hiki ʻole ke hoʻomanawanui i ka wā o ka moekolohe, a hiki i nā kāne ke ʻike i ka ʻeha ma nā testicles.
💬 Hiki ke hoʻoponopono ʻia kēia ma ka hana ʻana i nā hoʻomaʻamaʻa Kegel, ʻeā?
ʻAʻole loa! ʻO kēia ka hewa nui loa a nā mea a pau e hana ai. Hana ʻia nā hoʻomaʻamaʻa Kegel e hoʻopaʻa i nā ʻiʻo ke nāwaliwali lākou. Ua paʻa mua kou mau ʻiʻo. No laila, ʻo ka hana ʻana i nā Kegel e hoʻonui i ka ʻeha i ʻelua manawa. Pono kēia e aʻo e pili ana i ka hoʻomaha ʻana o nā ʻiʻo ma o 'Biofeedback' a me ka 'Pelvic Floor Physiotherapy' kūikawā.
ʻEha o ka ʻōpū haʻahaʻa, ka papahele pelvic, ka paʻa ʻana o nā ʻiʻo, ka paʻa ʻana o ka ʻōpū, nā pilikia mimi, ka ʻeha moekolohe, ka hoʻōla kino











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