Loaʻa iā ʻoe kekahi ʻano ʻoluʻolu ʻole me ka paʻa a me ka ʻeha ma kou ʻōpū haʻahaʻa? E aʻo kākou e pili ana i kēia (Hypertonic Pelvic Floor) !

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!

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