Pono pinepine ʻoe e hele i ka lua? A i ʻole ke manaʻo nei ʻoe ʻaʻole i piha loa kou ʻōpū ma hope o ka hele ʻana i ka lua? Malia paha ua lōʻihi kou manawa e neʻe ai, akā ʻaʻole ia e puka pono mai? He mau pilikia kēia i loaʻa i nā poʻe he nui, akā hilahila iki lākou e kamaʻilio e pili ana. Akā ʻo ke kumu lapaʻau ma hope o kēia mau ʻeha ʻeha, ʻo ia ke kūlana a mākou e kamaʻilio nei i kēia lā i kapa ʻia ʻo 'Pelvic Floor Dysfunction'.
I ka ʻōlelo maʻalahi, he aha ka Pelvic Floor Dysfunction?
E noʻonoʻo ʻoe ua like ka ʻōpū haʻahaʻa, kahi ma waena o nā iwi ʻūhā o kou ʻūhā, me he hale lā. Aia i loko o kēia hale nā mea nui loa e like me ko kākou ʻōpū mimi, ka uterus (i nā wahine), ka prostate (i nā kāne), a me ka rectum. I kēia manawa, pono kēia hale i kahi kahua paʻa, inā ʻaʻole e hāʻule kēia mau mea āpau. ʻO kēlā kahua ka mea a mākou e kapa nei he Pelvic Floor Muscles . He pūnaewele kēia o nā ʻiʻo. ʻO kēia nā mea e hoʻopaʻa ai i kēlā mau mea i kahi.
ʻO ka maʻamau, ke mimi a ʻōpala paha kākou, hoʻomaha kēia mau ʻiʻo i ka wā e pono ai, a paʻa mau i nā manawa ʻē aʻe. Ua like ia me ke kau ʻana o nā ʻiʻo i loko o ko kākou mau lima i ka wā e hāpai ai kākou i kahi kaumaha, a hoʻomaha iā lākou ke pau kākou.
Eia nō naʻe, no kekahi kanaka me ka Pelvic Floor Dysfunction, ʻo ke kū'ē ka mea e hana ʻia. Ke pono ʻoe e kiola a mimi paha, e ʻūlū kēia mau ʻiʻo ma kahi o ka hoʻomaha ʻana. Ua like ia me ka puka e pani paʻa ana ma kahi o ka wehe ʻana. ʻO ia ke kumu e kū mai ai nā pilikia he nui.
- Lilo i mea paʻakikī ke hoʻopau loa i ka noho.
- ʻOiai ma hope o ka hele ʻana i ka lua, ua piha mau koʻu ʻōpū.
- I kekahi manawa, hiki i ka mimi a i ʻole ka feces ke kahe i waho me ka ʻike ʻole ʻoe.
No nā wahine, hiki i kēia kūlana ke hōʻeha i ka wā o ka moekolohe. No nā kāne, hiki iā ia ke hōʻeha i ka erectile dysfunction.
Loaʻa iā ʻoe kēia mau ʻano pū kekahi? E nānā kākou...
Aia kekahi mau hōʻailona maʻamau e hiki ke kōkua iā ʻoe e ʻike i kēia maʻi. E nānā e ʻike inā ua loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea.
| Hōʻailona | He aha ke ʻano o kēia? |
|---|---|
| Ka lua pinepine ʻana | No ka mea, ʻaʻole e hoʻokahe loa ka ʻōpū mimi, pono ʻoe e mimi hou ma hope o kekahi manawa. |
| Ke kū nei a hoʻomaka hou i ka wā e mimi ana | Ma muli o ka hoʻomaha pono ʻole ʻia o nā ʻiʻo, ʻaʻole e puka mau mai ke kahe o ka mimi akā e puka pinepine mai ana. |
| Ke hoʻoikaika nei a i ʻole ke koi ʻana e kipaku | Ma muli o ka paʻa o nā ʻiʻo, pono ʻoe e hoʻoikaika ma mua o ka mea maʻamau e hele ai i loko o ka ʻōpū. |
| Ke hoʻololi nei i nā kūlana e hoʻokahe ai | Pono kekahi poʻe e hoʻāʻo e hele i loko o ka noho ma ka hoʻololi ʻana i ko lākou kūlana i ka wā e noho ana ma ka lua (e like me ke kūlou ʻana i mua) a i ʻole ma ke kaomi ʻana i ko lākou mau lima kokoke i ka vagina/scrotum. |
| Ka paʻa ʻana o ka ʻōpū | He hōʻailona maʻamau kēia. Hōʻike ka noiʻi ma kahi o ka hapalua o ka poʻe me ka paʻa mau o ka ʻōpū e loaʻa ana kēia maʻi i kapa ʻia ʻo 'Pelvic Floor Dysfunction'. |
| Ka liki ʻana o ka mimi a i ʻole ka feces | ʻO ka hoʻokahe ʻana o ka mimi/fecal (ka liki ʻana o ka mimi a i ʻole ka feces i ka wā e ʻū ana, e ʻakaʻaka ana, a i ʻole e hāpai ana i nā mea kaumaha). |
| ʻEha ma ka ʻōpū lalo, ka ʻāpana genital, a i ʻole ka rectum | Ma muli o ka ʻūmiʻi mau ʻana o nā ʻiʻo, hiki ke loaʻa ka ʻeha lōʻihi ma kēlā mau wahi me ke kumu ʻole. |
| ʻEha hope me ke kumu ʻole | Ua pili nā ʻiʻo o ka papahele pelvic i nā ʻiʻo ma ke kua haʻahaʻa, no laila hiki i kahi pilikia ma kekahi wahi ke hoʻopilikia i kekahi. |
No ke aha lā e kū mai ai kēia kūlana?
ʻOiai ʻaʻole i loaʻa ke kumu kikoʻī no kēia, aia kekahi mau kumu i manaʻo ʻia e kōkua i kēia ʻano maʻi.
- Nā ʻeha ma ka ʻāpana pelvic: ʻO nā mea e like me kahi ulia kaʻa a i ʻole ka hāʻule ʻana mai kahi kiʻekiʻe e hōʻino i nā ʻiʻo ma kēia wahi.
- Hāpai keiki a me ka hānau keiki ʻana: Hiki ke hoʻolōʻihi nui ʻia a hōʻino ʻia kēia mau ʻiʻo, ʻoiai i ka wā paʻakikī o ka hānau keiki ʻana (e laʻa, me ka hoʻohana ʻana i nā forceps a i ʻole ka vacuum).
- ʻO ke ʻoki Pelvic: Hiki ke hana ʻia kēia kūlana ma hope o nā ʻoki ʻana e like me ka hysterectomy a i ʻole prostatectomy.
- Hoʻoikaika pinepine i ka wā e hele ai i ka lua: ʻO ka hoʻoikaika pinepine ʻana ma muli o ka paʻa ʻana o ka ʻōpū lōʻihi hiki ke hana nui i kēia mau ʻiʻo.
- Ka ʻelemakule ʻana: I ko kākou ʻelemakule ʻana, e hoʻomaka maoli kēia mau ʻiʻo, e like me nā ʻiʻo ʻē aʻe o ke kino, e nāwaliwali.
- Ke Kaumaha a me ka Hopohopo: Mai kahaha, hiki i ke kaumaha ke hoʻopaʻa i ko mākou mau ʻiʻo kino me ka ʻike ʻole ʻia. Hiki i kēia ke hoʻopilikia i nā ʻiʻo papahele pelvic.
- Nā maʻi pili o nā ʻiʻo: ʻO kekahi mau kūlana olakino e hoʻopilikia ai i nā ʻiʻo o ke kino hiki ke hoʻonāwaliwali i kēia mau ʻiʻo.
Hiki ke huikau kēia me kekahi maʻi ʻē aʻe?
ʻAe, ʻoiaʻiʻo nō. Ua like nā hōʻailona o ka Pelvic Floor Dysfunction me nā hōʻailona o nā maʻi ʻē aʻe he nui, no laila hiki ke kuhihewa ʻia i kekahi manawa.
- ʻO ka Cystitis Interstitial: He ʻano kēia e hōʻeha ai i ka ʻōpū mimi a me ka ʻāpana pelvic. Hiki i kēia ʻeha ke hoʻopaʻa i nā ʻiʻo pelvic. No laila, hiki ke loaʻa nā ʻano ʻelua i ka manawa like.
- ʻO ka Irritable Bowel Syndrome (IBS): He kūlana e hoʻoulu ai i nā hōʻailona e like me ka ʻeha o ka ʻōpū, ka paʻa ʻana o ka ʻōpū, a i ʻole ka maʻi diarrhea. Ua like loa kēia mau hōʻailona me ka Pelvic Floor Dysfunction.
- ʻO ka Pelvic Organ Prolapse (POP): Ke nāwaliwali nā ʻiʻo o ka papahele pelvic, hoʻomaka nā ʻōpū e like me ka uterus a me ka mimi e iho i lalo a puka i waho ma o ka vagina. Hoʻopili pinepine ʻia kēia mau kūlana ʻelua.
- Prostatitis: He maʻi a pehu paha o ka ʻōpū prostate i nā kāne. Ua like loa ka ʻeha a me ka paʻakikī o ka mimi me ka Pelvic Floor Dysfunction.
- Nā maʻi rectal: ʻO ka ʻeha i hoʻokumu ʻia e nā kūlana e like me nā māwae rectal a i ʻole nā fistulas hiki ke hana i ka paʻa ʻana o nā ʻiʻo papahele pelvic.
ʻO ia ke kumu he mea nui e kamaʻilio ākea me ke kauka e pili ana i kāu mau hōʻailona i hiki ke ʻike ʻia ke kumu pololei a hiki ke hoʻomaka ʻia ka lāʻau kūpono.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i kāu kauka, e nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona. Eia kekahi laʻana:
- Makemake ʻoe e hoʻokahe?
- Ke manaʻo nei ʻoe ua hakahaka loa ʻoe ma hope o kou pau ʻana o ka mimi ʻana?
- ʻEhia mau manawa āu e hele ai i ka lua i ka lā?
- Inā he wahine ʻoe, hiki iā ʻoe ke nīnau e pili ana i ka hānau keiki ʻana a inā he ʻeha i ka wā o ka moekolohe.
A laila, e hana ʻia kahi hoʻokolokolo kino. Maanei, e nānā lima ke kauka i kou mau ʻiʻo papahele pelvic no ka paʻa, ka paʻa, a i ʻole ka nāwaliwali.
I kekahi manawa, hiki ke ʻōlelo ʻia nā hoʻokolohua kūikawā e hōʻoia hou i ke kūlana.
| Inoa o ka hoʻāʻo | He aha kāu e hana ai me kēia? |
|---|---|
| Manometry Anorectal | He hoʻāʻo e ana i ka maikaʻi o ka hana ʻana o nā ʻiʻo a puni ka anus (sphincters). Ana ʻia ke kaomi e ʻūlū ai nā ʻiʻo i ka wā e hele ai i ka luaʻi. I ka manawa pinepine, hana ʻia kahi hoʻāʻo i kapa ʻia ʻo Electromyography (EMG) e nānā i ka hoʻonohonoho ʻana o nā ʻiʻo. |
| Proctogram Hoʻokahe Kino | He hoʻāʻo e like me ka X-ray e ʻike ai i ka maikaʻi o kou hiki ke hoʻomaka i kahi neʻe ʻana o ka ʻōpū a hoʻokahe loa i kou ʻōpū. Kōkua kēia i ka ʻike ʻana i ke ʻano o ka hana ʻana o kou mau kino i ka wā e neʻe ai ʻoe i ka ʻōpū. |
| ʻUrodynamics | Hana ʻia kēia hoʻāʻo inā pilikia ʻoe i ka mimi. Ana ia i kou hiki ke hoʻokahe i kou ʻōpū mimi. Hiki iā ia ke ʻike i nā mea e like me ke kahe ʻana o ka mimi nāwaliwali a me ka mimi pinepine ʻole. |
ʻĀ, he aha nā lāʻau lapaʻau no kēia i kēia manawa?
ʻO kēia ka nūhou maikaʻi loa. ʻO ka Pelvic Floor Dysfunction kahi maʻi hiki ke mālama pinepine ʻia me ke ʻoki ʻole ʻana . Nui nā koho lapaʻau.
- Ka Lapaʻau Kino o ka Papahele Pelvic:ʻO kēia ka lāʻau lapaʻau koʻikoʻi a maikaʻi loa. E ʻike pono kahi mea hoʻōla kino i aʻo kūikawā ʻia i nā ʻiʻo paʻa iā ʻoe. A laila, aia nā hoʻomaʻamaʻa kūikawā e kōkua iā ʻoe e hoʻomaha i kēlā mau ʻiʻo a hoʻomaikaʻi i ko lākou hoʻonohonoho ʻana.
- Biofeedback: He mea hou paha kēia, akā he mea maʻalahi loa ia. Hoʻopili ka mea hoʻōla kino i nā mea ʻike i kou kino a hōʻike iā ʻoe ma kahi monitor i ka wā e hoʻopaʻa ai ʻoe a hoʻomaha i kou mau ʻiʻo, e like me ka nānā ʻana i ke aniani. A laila e aʻo ʻoe pehea e kaohi ai i kou mau ʻiʻo. Ua ʻike ʻia he ʻoi aku ka maikaʻi o kēia ʻano hana ma mua o 75%.
- Nā lāʻau lapaʻau: Inā loaʻa iā ʻoe ka paʻa ʻana o ka ʻōpū, hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e like me nā mea palupalu ʻōpala. Akā , mai hoʻohana i kēia mau mea me ka ʻole o ke aʻo ʻana a ke kauka.
- Nā Hana Hoʻomaha: Hiki i nā mea e like me ka noʻonoʻo ʻana, yoga, ʻauʻau wela, a me ka acupuncture ke kōkua i ka hōʻemi ʻana i ka paʻa o nā ʻiʻo pelvic.
- Nā Inikini Kiko Trigger: Inā ʻaʻole holomua nā lāʻau ʻē aʻe, hiki i kahi loea hoʻokele ʻeha ke inikini i kahi nila liʻiliʻi o ka anesthetic i loko o nā ʻiʻo paʻa e hoʻomaha ai iā lākou.
Nā mea hiki iā ʻoe ke hana e hoʻomaikaʻi i kēia kūlana
ʻAʻole kēia he mea e ola maikaʻi i ka pō hoʻokahi. Akā ʻo ka mea nui loa, ʻo ia ka hoʻāʻo mau ʻana a me ka hoʻōki ʻole. ʻAʻole paha ʻoe e ʻike i ka ʻokoʻa nui no kekahi mau mahina ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Akā, he nui ka poʻe e hahai pono ana i nā kuhikuhi a kā lākou kauka a me ka mea hoʻōla kino, e ola maikaʻi ana i ka hala ʻana o ka manawa.
I kēia manawa, e makaʻala i kēia mau mea:
- Mai poina i kāu mau manawa lāʻau lapaʻau a me nā manawa hoʻōla kino: Inā ʻaʻole ʻoe e lawe i kāu lāʻau lapaʻau a me ka hoʻoikaika kino, e ʻoi aku ka ʻino o kāu mau hōʻailona a e lohi ke kaʻina hana ho'ōla.
- E pale i nā hana e kau ai i ke kaomi a i ʻole ka ʻeha ma ka ʻāpana pelvic: ʻO nā hoʻomaʻamaʻa e like me ka hāpai kaumaha a me ka lele mau ʻana e hoʻonui i ka paʻa ʻana o kēia mau ʻiʻo. E nīnau i kāu kauka a mea hoʻoponopono kino paha i nā hana kūpono a kūpono ʻole iā ʻoe.
- E inu i ka wai he nui a e ʻai i ka meaʻai kaulike: ʻO ka inu ʻana ma mua o 8 mau aniani wai i ka lā e hiki ke kōkua i ka pale ʻana i ka paʻa ʻana o ka ʻōpū. Eia kekahi, hiki i kekahi poʻe ke manaʻo i ka māʻona i ka wā e ʻai ana i nā meaʻai fiber kiʻekiʻe. Inā ʻoluʻolu ʻole ʻoe, e noho mamao mai ia mau meaʻai no kekahi manawa. E kūkākūkā me kāu kauka e pili ana i kahi meaʻai kūpono iā ʻoe.
He maʻi maʻamau ka Pelvic Floor Dysfunction, akā hilahila ka poʻe he nui e kamaʻilio e pili ana i ko lākou pilikia i ka hele ʻana i ka lua. Akā e hoʻomanaʻo, ʻo ke kamaʻilio ʻana me kāu kauka e pili ana i ia mea ʻo ia ka hana mua a koʻikoʻi loa i kou hoʻōla ʻana. ʻO ka ʻoi aku o kou wehe a me ka ʻoiaʻiʻo e pili ana i kāu mau pilikia, ʻoi aku ka holomua o kāu lāʻau.
Leka Lawe-Home
- He pilikia ʻiʻo ka Pelvic Floor Dysfunction, ʻaʻole ia he mea e hilahila ai. Hiki ke hoʻomalu maikaʻi ʻia me ka lāʻau lapaʻau.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka ʻōpū ma lalo, ka paʻa ʻana o ka ʻōpū, a i ʻole ka paʻakikī o ka mimi ʻana, mai hoʻowahāwahā iā lākou.
- E ʻike mau i ke kauka no ka ʻike kūpono a me ka mālama ʻana. Mai hoʻoholo ma muli o ke kuhi wale ʻana.
- Hoʻokomo pinepine ka lāʻau lapaʻau i ka hoʻōla kino a me nā hoʻololi ʻana i ke ʻano o ka nohona. ʻAʻole pono pinepine ke ʻoki ʻana.
- He manawa ka lōʻihi e ho'ōla ai, no laila e hoʻomanawanui a hoʻomau i ka lāʻau me ka ʻole o ka haʻalele ʻana.











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo