Ke ʻike nei hoʻi ʻoe i ka ʻeha nui ma ka anus a me ka vagina? Hiki ke kumu o ka (Levator Ani Syndrome)!

Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha ʻē, ʻoluʻolu ʻole, paʻa, a i ʻole ka manaʻo o kahi mea e paʻi ana i loko o kou anus (ʻo ia kahi a mākou e kahe ai, ʻeā?) a i ʻole ka vagina, a i ʻole kou ʻōpū haʻahaʻa? Malia paha ua hilahila iki ʻoe e haʻi aku i kekahi e pili ana i kēia, ʻaʻole anei ʻoe e hilahila iki e kamaʻilio e pili ana i ia mau mea? Akā, ʻaʻole kēia ʻo ʻoe wale nō, hiki ke hana i kekahi poʻe. No laila, mai makaʻu. I kēia lā, e kamaʻilio kākou e pili ana i kēia ʻano, nona kahi inoa ʻē, i kapa ʻia ʻo (Levator Ani Syndrome), me nā kikoʻī.

He aha ka (Levator Ani Syndrome)? I ka ʻōlelo maʻalahi loa...

I ka ʻōlelo maʻalahi, ʻo (Levator Ani Syndrome) kahi maʻi i hoʻokumu ʻia e ka spasm a i ʻole ka paʻa ʻana o ka ʻiʻo (levator ani) i loko o ko mākou papahele pelvic (ʻo ia hoʻi, ka hōʻiliʻili ʻana o nā ʻiʻo a me nā ʻiʻo e kōkua ana i ka mālama ʻana i nā ʻōpū koʻikoʻi i loko o ko mākou ʻōpū, e like me ka uterus a me ka mimi ʻōpū, mai ka hāʻule ʻana i lalo, ʻo ia ke kumu a mākou e kapa ai he papahele pelvic). Aia kēia ʻiʻo (levator ani) a puni ko mākou anus a me ka vagina. E noʻonoʻo, uhi kēia ʻiʻo i ka lalo o ko mākou lua pelvic e like me ka ʻupena.

Hana kēia ʻiʻo (levator ani) i nā mea nui he nui no ko mākou kino. No ka laʻana, hana ia ma ke ʻano he kākoʻo no nā ʻōpū i loko o ka lua pelvic, a kōkua pū ia iā mākou e kaohi i kā mākou neʻe ʻana o ka ʻōpū. No laila, i ka wā e paʻa koke ai kēia ʻiʻo a ʻūlū ʻia, ʻo ia ka manawa e hoʻomaka ai ka ʻeha. I kekahi manawa ua kapa ʻia kēia he (pelvic floor myalgia), (pelvic floor myofascial pain), a i ʻole (pelvic floor muscle spasm).

ʻO ka mea nui, ʻaʻole kēia (Levator Ani Syndrome) he maʻi weliweli a hoʻoweliweli i ke ola . Eia naʻe, ʻo ka ʻeha e hele pū me ia he ʻano koʻikoʻi iki, a inā ʻaʻole mālama pono ʻia, ʻaʻole ia e hoʻōla iā ia iho. E like me kākou a pau, ke loaʻa iā kākou kahi pilikia e pili ana i ko kākou mau ʻāpana pilikino, e hilahila iki kākou a hilahila hoʻi e kamaʻilio me kekahi, ʻeā? Akā e ʻae mai iaʻu e haʻi aku iā ʻoe, aia nā lāʻau lapaʻau maikaʻi no kēia. Hiki i ke kauka ke ʻike i kēia kūlana, e hōʻemi i nā ʻeha ʻeha o nā ʻiʻo āu e manaʻo ai, a hāʻawi i ka hōʻoluʻolu.

No laila he aha nā hōʻailona o ka Levator Ani Syndrome?

ʻO ka hōʻailona maʻamau o kēia ʻano he ʻeha palupalu a ʻeha paha i loko o ka rectum, vagina, a i ʻole ka ʻāpana pelvic (ʻōpū lalo). Hiki ke wehewehe ʻia kēia ʻeha a me ke kaomi penei:

• He mea ʻeha paha ka moekolohe.
• Malia paha e like me ʻoe e noho ana ma luna o kahi pōpō, a i ʻole he pōpō i paʻa i loko o kou anus. E noʻonoʻo wale, he mea ʻoluʻolu ʻole ia, me he mea lā aia kekahi mea i loko.
• Hiki ke ʻike ʻia kēia ʻeha ke noho ʻoe ma kahi hoʻokahi no ka manawa lōʻihi. Eia kekahi laʻana, inā ʻoe kekahi e hana mau ana ma kahi noho keʻena, a inā ʻoe e hele no nā hola ma kahi kaʻa a kaʻaahi paha e like me mākou ma Sri Lanka, e ʻike ʻia kēia ʻeha a hoʻonui ʻia.
• Hiki paha iā ʻoe ke manaʻo i ka hōʻoluʻolu iki ʻana o ka ʻeha ke kū ʻoe a hele paha.
• Hiki i ka ʻeha ke mau no nā hola, a hiki nō hoʻi ke lilo koke i mea ʻoi aku ka koʻikoʻi.

I kekahi manawa hoʻomaka kēia ʻeha i ke kakahiaka a ʻoi aku ka ʻino i ka hala ʻana o ke ao. No kekahi poʻe, hiki i ka ʻeha ke pālahalaha i nā puʻupuʻu (ʻae, kou puʻupuʻu) a i ʻole nā ​​ʻūhā luna. ʻO ka mea hoʻonāukiuki maoli, i kekahi manawa hoʻomaka kēia ʻeha i ka wā e hiamoe nui ana ʻoe, a hiki ke koʻikoʻi loa a hoʻāla iā ʻoe.

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No ke aha mākou e loaʻa ai i ka (Levator Ani Syndrome)? He aha nā kumu?

ʻO kaʻoiaʻiʻo, ʻaʻole i ʻike pono nā kauka i ke kumu e ʻūlū koke ai kēia ʻiʻo "levator ani". ʻO ia hoʻi, ʻaʻole lākou i ʻike i ke kumu pololei . Eia nō naʻe, ua ʻike ʻia e ka noiʻi hiki i kekahi mau hana ke hoʻoulu a hoʻonui paha i kēia mau ʻiʻo. ʻO kekahi o kēia mau mea:

• Nā huakaʻi kaʻa lōʻihi: Malia paha kēia no ka mea pono ʻoe e noho no ka manawa lōʻihi.
• Ke kaumaha: ʻAe, mai kāhāhā, hiki i ke kaomi a mākou e manaʻo nei ke hoʻopilikia i nā pilikia kino e like me kēia.
• Ka moe kolohe ʻana: Hiki i kekahi poʻe ke ʻeha ma hope o kēia.
• Ka neʻe ʻana i ka wai: I kekahi manawa ʻo ke kaumaha i ka wā o ka neʻe ʻana o ka ʻōpū kekahi kumu.

ʻO kēia nā mea aʻu e noʻonoʻo nei i kēia manawa. Eia naʻe, hiki iā ʻoe ke loaʻa i kēia maʻi me ka ʻole o kekahi o kēia mau mea.

Pehea e ʻike pololei ai ke kauka i ka Levator Ani Syndrome?

ʻAʻohe hoʻāʻo kikoʻī hoʻokahi e ʻike ai i kēia maʻi (Levator Ani Syndrome). ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke ʻōlelo koke, "ʻAuē, ʻo kēia ka maʻi," me kahi hoʻāʻo koko a i ʻole kahi scan.

Ke ʻike ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. A laila, e hana lākou i kahi hoʻokolokolo kino. E komo pinepine kēia i kahi hoʻokolokolo rectal digital (i kapa ʻia hoʻi he DRE) a me kahi hoʻokolokolo pelvic. I loko o kēia mau hoʻokolohua, hiki i ke kauka ke ʻike i ka paʻa a i ʻole ka palupalu i loko o ka ʻiʻo levator ani. ʻOiai ke ʻano ʻoluʻolu ʻole kēia mau hoʻokolohua, he mea nui ia no ka ʻike ʻana i ke kūlana.

Mea nui: Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​mai hilahila a ʻike i ke kauka. Na ia e kōkua iā ʻoe.

ʻĀ, he aha nā lāʻau lapaʻau no kēia?

ʻO ka mea pōmaikaʻi, aia kekahi mau lāʻau lapaʻau no kēia ʻano (Levator Ani Syndrome). Ua hōʻike ʻia e ka noiʻi hiki i kēia mau lāʻau lapaʻau ke hāʻawi i ka hōʻoluʻolu maikaʻi.

• Lapaʻau Biofeedback:He ʻano lapaʻau kūikawā kēia. Pili ia i ke aʻo ʻana iā ʻoe e kāohi a hoʻomaha i kekahi mau ʻiʻo i loko o kou kino (i kēia hihia, ʻo ka ʻiʻo levator ani). Hoʻohana kahi mea hoʻōla kino i nā mea ʻike kūikawā a me ke wikiō e nānā iā ʻoe e hoʻopaʻa a hoʻomaha i ka ʻiʻo. (E noʻonoʻo e like me ʻoe e ʻūlū ana i kou mau puʻupuʻu e pale i ka makani mai ka puka ʻana mai). Pane mai ka mea hoʻōla iā ʻoe a kōkua iā ʻoe e hoʻomaikaʻi i ka hoʻonohonoho ʻana o kāu ʻiʻo. Hiki iā ʻoe ke hoʻomaʻamaʻa i ka hoʻomaha ʻana i ka ʻiʻo me ka ʻike.

• Hoʻoulu ʻana o ka electrogalvanic: Ma kēia lāʻau lapaʻau, hoʻokomo ke kauka i kahi mea liʻiliʻi (probe) i loko o kou rectum. Hāʻawi kēia mea i kahi au uila mālie loa e hoʻomaha i nā ʻiʻo a puni kou rectum. ʻAʻole kēia he mea ʻeha.

• Nā mea hoʻomaha ʻiʻo: ʻO kēia nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i nā ʻūmiʻi a me ka ʻoʻoleʻa o nā ʻiʻo. ʻO kekahi o nā lāʻau lapaʻau maʻamau i hoʻohana ʻia no ka levator ani syndrome ʻo ia ka methocarbamol (ua lohe paha ʻoe iā ia ma lalo o ka inoa inoa ʻo Robaxin®), diazepam (ʻike ʻia hoʻi ʻo Valium®), a me cyclobenzaprine (loaʻa ma lalo o nā inoa inoa ʻo Flexmid® a i ʻole Flexeril®). Mai lawe i kēia mau lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻoaʻo a ke kauka.

• Lapaʻau hoʻokuʻu Myofascial: He ʻano lomilomi kēia. Maanei, ʻike ʻia nā kiko hoʻoulu i loko o ka ʻiʻo levator ani a hoʻohana ʻia kahi mea kūikawā e lomilomi i kēlā mau wahi.

• Lapaʻau kino papahele pelvic: He lāʻau lapaʻau koʻikoʻi loa kēia. E kōkua kekahi mea lapaʻau kino iā ʻoe me kou papahele pelvic. , ke aʻo nei i kekahi mau hoʻomaʻamaʻa e hoʻolōʻihi i nā ʻiʻo o ka pelvis a me ka papahele pelvic. ʻO ka hana pololei ʻana i kēia mau hoʻomaʻamaʻa hiki ke kōkua i ka hoʻomaha ʻana i nā ʻiʻo a hōʻemi i ka ʻeha.

• ʻAuʻau Sitz: He mea maʻalahi loa kēia. Hiki iā ʻoe ke hana ma ka home. Pili ia i ka noho ʻana i loko o kahi kīʻaha pāpaʻu me kahi wai mehana no kahi o 15-20 mau minuke. Kōkua ka wela i ka hoʻomaha ʻana i ka ʻiʻo levator ani. Hiki iā ʻoe ke hana i ʻelua a ʻekolu paha manawa i ka lā.

He aha ka mea e hana ʻia ma hope o ka mālama ʻana? E loaʻa anei kahi lāʻau lapaʻau?

No nā kānaka he nui, i ka wā e hui pū ʻia ai me ka lāʻau lapaʻau a me ka hoʻōla kino, e like me ka mea i ʻōlelo ʻia ma mua, e emi nui ana nā hōʻailona. No laila, aia ka manaʻolana. Eia naʻe, mai manaʻo i ka hoʻomaha koke ʻana mai ka lāʻau lapaʻau. He manawa iki ka manawa e ʻoluʻolu ai.

He aha ke ʻano kauka e pono ai iaʻu e ʻike no ke kūlana e like me kēia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​makemake paha ʻoe e ʻike mua i kāu kauka ʻohana (practitioner laulā - PCP). E nānā ʻo ia iā ʻoe a kuhikuhi iā ʻoe i kahi loea inā pono.

ʻO ka hapa pinepine, ua mālama ʻia kēia mau ʻano me:

• Nā kauka ʻōpū:No ka mea, pili kēia mau hōʻailona i ka rectum.
• Nā kauka wahine: ʻOi loa inā loaʻa i nā wahine nā hōʻailona vaginal.
• Nā kauka ʻokiʻoki kala: Hoʻōla kēia i nā maʻi e pili ana i ka rectum a me ka colon .

Na kāu kauka ʻohana e hoʻoholo i ke kauka lapaʻau kūpono loa iā ʻoe a e kuhikuhi iā ʻoe.

Āhea wau e ʻike hou ai i ke kauka?

Inā hoʻi hou mai kāu mau hōʻailona a i ʻole e ʻoi aku ka ʻino i kou wā e mālama ʻia ana, e hōʻoia e haʻi i kāu kauka. Eia kekahi, inā ʻike ʻoe i kekahi mau hōʻailona hou, e like me ke kahe ʻana o ke koko rectal, a i ʻole kekahi ʻeha hou i loko o kou rectum a i ʻole vagina, pono ʻoe e haʻi koke i kāu kauka .

He aha ka ʻokoʻa ma waena o ka (Levator Ani Syndrome) a me ka (Proctalgia Fugax)?

ʻO kēia mau mea ʻelua he mau kūlana e hōʻeha ai i ka anus, akā he ʻokoʻa iki.

ʻOi loa ka ʻeha ma ka (Proctalgia Fugax), hiki koke mai, a nalowale pinepine i loko o 20 mau minuke . Ua like ia me ka pahi e hou ana, me he mea lā ua paʻa kekahi mea i kou puʻu, a i ʻole me he ʻeha ʻoi.

Eia nō naʻe, ʻoiai ke ʻoi o ka ʻeha o ka (Levator Ani Syndrome) i kekahi manawa, ʻo ia ka ʻeha palupalu, ʻeha, a me ke koʻikoʻi i ʻōlelo ʻia ma mua. Hiki i kēia ʻeha ke hele mai a hele aku, a i ʻole hiki ke mau no nā hola i ka manawa.

Hiki ke ulu aʻe ka Levator Ani Syndrome ma muli o nā hemorrhoids?

ʻAʻole, ʻaʻole nā ​​hemorrhoids ke kumu o ka levator ani syndrome. He mea ʻokoʻa loa nā hemorrhoids. ʻO nā hemorrhoids nā kīʻaha koko pehu i loko a i waho paha o ka anus. I ka manawa pinepine, ua kaomi ʻia kēia mau kīʻaha koko ke hāpai ʻoe i kahi mea kaumaha a hoʻoluhi ikaika paha i ka wā e neʻe ai ka ʻōpū.

Akā, ʻo ka (Levator Ani Syndrome) ke kumu o ka ʻūmiʻi ʻia ʻana o kahi ʻiʻo. E like me kā mākou i ʻōlelo ai ma mua, ʻaʻole ʻike ʻia ke kumu pololei. No laila, mai huikau i nā mea ʻelua.

ʻO ka leka koʻikoʻi loa e lawe i ka home

Inā loaʻa iā ʻoe kēia ʻano maʻi, e ʻeha mau ana paha ʻoe i ka ʻeha ma ka anus a me ka vagina. ʻO kēia no ka mea e paʻa a ʻūlū ʻia ka ʻiʻo levator ani kokoke i kou anus, e hōʻeha ana i ka anus a me ka vagina.

Akā, ʻo ka mea nui loa, aia nā lāʻau lapaʻau maikaʻi no kēia . Hiki i nā kauka ke hāʻawi iā ʻoe i ka hōʻoluʻolu me nā mea e like me ka lāʻau lapaʻau a me ka hoʻōla kino. Hiki iā ʻoe ke makaʻu iki, hilahila, a ʻoluʻolu ʻole paha ke kamaʻilio ʻana me ke kauka e pili ana i kēia mau hōʻailona. He mea maʻamau kēlā. Akā e hoʻomaopopo ke kauka i kou mau manaʻo. E hoʻolohe pono ʻo ia i kāu mea e ʻōlelo ai.

No laila, inā loaʻa iā ʻoe kahi pilikia e like me kēia, e ʻoluʻolu, mai hoʻopaʻa iā ia a e ʻike i ke kauka. E kōkua ʻo ia iā ʻoe a kuhikuhi i ka lāʻau lapaʻau maikaʻi loa e hōʻoluʻolu i kāu mau hōʻailona. ʻAʻole ʻoe hoʻokahi!

ʻO ka maʻi Levator Ani, ʻeha rectal, ʻeha vaginal, ʻeha Pelvic, ʻeha ʻiʻo, ʻeha papahele Pelvic, Levator Ani Syndrome