Ke ʻike nei hoʻi ʻoe i ka ʻeha nui a wela i kou ʻōpū haʻahaʻa, ʻo ia hoʻi, a puni kou mau ʻōpū a me kou anus, ke noho ʻoe i lalo? A i ʻole he paʻakikī iā ʻoe ke kāohi i kou mimi a me kou ʻōpala, a i ʻole ke manaʻo nei ʻoe i ka nele o ka manaʻo i ka wā moe? ʻOiai he nui nā kumu no ia mau mea, malia paha ʻo ke kumu he pilikia me kahi aʻalolo kūikawā āu i lohe ʻole ai. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻāpana koʻikoʻi loa, akā ʻaʻole i kamaʻilio nui ʻia, o ko mākou kino, ʻo ia hoʻi ke aʻalolo pudendal.
I ka ʻōlelo maʻalahi, he aha ke aʻalolo pudendal?
E noʻonoʻo i ko kākou kino e like me ke kaapuni uila paʻakikī. ʻO ka lolo a me ke kaula kuamoʻo nā hale mana nui. Mai laila mai, aia kahi pūnaewele o nā 'uea uila' e lawe ana i nā leka i kēlā me kēia kihi o ke kino. Ma ke ʻano like, ua like ke aʻalolo pudendal me kahi 'uea uila' nui ma ko kākou ʻāpana pelvic.
Hāpai kēia aʻalolo i nā leka manaʻo a me nā leka neʻe i ko kākou mau ʻōpū, anus, a me nā wahi e pili ana. ʻO ka ʻōlelo pololei, ʻo kēia aʻalolo kekahi hapa o ka ʻōnaehana nerve peripheral o ko kākou kino. ʻO ia hoʻi, ʻo kāna hana nui ka lawe ʻana i nā kauoha mai ka lolo a me ke kaula spinal i nā ʻōpū pili a e lawe i nā manaʻo i loaʻa mai kēlā mau ʻōpū i ka lolo.
He aha nā mea nui loa e hana ʻia i ko kākou kino ma o ke aʻalolo pudendal?
Hiki ke hoʻokaʻawale ʻia nā hana o kēia aʻalolo i ʻelua ʻāpana. ʻO kekahi ka kaohi ʻana i ka neʻe ʻana , a ʻo kekahi ka manaʻo . No ka wehewehe hou aku i kēia, e nānā kākou i ka papa ma lalo.
| ʻAno hana | ʻO ka mea e hana ʻia ana, ʻo ia wale nō... |
|---|---|
| Hana Motika | Hoʻomalu kēia aʻalolo i nā ʻiʻo sphincter e kōkua iā mākou e hoʻokuʻu i ka ʻōpala a me ka mimi i ka wā e pono ai. Inā ua hōʻino ʻia kēia aʻalolo, hiki ke nalowale kēia kaohi. |
| Hana Sensory | Hoʻoili kēia aʻalolo i nā manaʻo e like me ka pā ʻana, ka ʻeha, ka leʻaleʻa, a me ka mahana i ka lolo. No ka laʻana, he mea nui ka hana olakino o kēia aʻalolo no ka ʻike ʻana i ka leʻaleʻa moekolohe. |
Ma hea e loaʻa ai kēia mau manaʻo?
ʻO ke aʻalolo pudendal ka mea nui e hāʻawi i ka ʻike i nā wahi aʻe:
- Nā kāne: Penis
- I nā wahine: Vagina a me nā wahi e pili ana
- No nā ʻaoʻao ʻelua: Anus a me Anal Canal, a me ka ʻili ma waena o lāua (Perineum)
Aia ma hea kēia aʻalolo i loko o ko kākou kino?
Aia ʻelua mau aʻalolo pudendal kaʻawale ma ka ʻaoʻao hema a me ka ʻākau o ko kākou kino. Hoʻomaka kēia aʻalolo ma nā vertebrae ma lalo loa o ko kākou iwi kuamoʻo, ma ka hopena o ke kaula spinal. Kāhea mākou i kēia wahi ʻo Sacral Plexus. Ua like ia me kahi hui kahi e hui pū ai nā uea kelepona he nui.
ʻO ke aʻalolo pudendal, e hoʻomaka ana ma ʻaneʻi, hana i kahi huakaʻi paʻakikī loa ma o nā iwi pelvic a me nā ʻiʻo gluteal. Ma kēia huakaʻi, hele ia ma waena o nā puka liʻiliʻi ma waena o nā iwi a me nā tunnels liʻiliʻi ma waena o nā ʻiʻo (Alcock's canal), a hiki hope i kona wahi i manaʻo ʻia, ʻo ia hoʻi nā ʻōpū a me ka anus.
I loko o kēia huakaʻi, ua māhele ʻia ke aʻalolo pudendal i ʻekolu mau lālā nui, e hana ana kēlā me kēia i kahi hana kikoʻī.
| Lālā Aʻalolo | Kāna hana nui |
|---|---|
| ʻO ke aʻalolo rectal haʻahaʻa | Hoʻāla i ka anal sphincter, ka ʻiʻo e kaohi i ka neʻe ʻana o ka ʻōpū, a hāʻawi i ka manaʻo i ka rectum. |
| ʻO ke aʻalolo perineal | Hana ia e hoʻoulu i nā ʻiʻo papahele pelvic a me ka sphincter urethral, a me ka hāʻawi ʻana i ka manaʻo i ka ʻili a puni ka labia i nā wahine a me ka scrotum i nā kāne. |
| ʻO ke aʻalolo dorsal | Hāʻawi i ka manaʻo i ka ʻili o ka penis i nā kāne a me ka clitoris i nā wahine. He mea nui kēia no ka leʻaleʻa moekolohe a me ke kūkulu ʻana. |
Pehea e hōʻino ʻia ai ke aʻalolo pudendal a i ʻole e hoʻoulu ai i nā pilikia?
Hiki i ke kaomi a i ʻole ka hōʻino ʻana i kēia aʻalolo ke hana i ka neuropathy a i ʻole ka ʻeha nui.
E noʻonoʻo i ka mea e hana ʻia inā e ʻūlū ʻia kēia aʻalolo ma kekahi wahi ma ke ala? E like me ka wā e ʻūlū ʻia ai kahi paipu wai, e pau ke kahe ʻana o ka wai. Ke ʻūlū ʻia ke aʻalolo, ua hoʻopilikia ʻia ka hoʻouna ʻana o nā leka, e hōʻeha nui ana. ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo Pudendal Nerve Entrapment Syndrome .
ʻO ka ʻeha mau loa a ʻoi i hoʻokumu ʻia e kēia ʻano ua kapa ʻia ʻo pudendal neuralgia . ʻOiai ʻaʻole ia he ʻano maʻamau, hiki ke ʻeha loa a hiki ʻole i ka mea maʻi ke hana i nā hana o kēlā me kēia lā.
Nā kumu maʻamau o ka hōʻino ʻana o ke aʻalolo:
- Nā ulia pōpilikia a me nā ʻeha: Nā ulia pōpilikia i ka ʻāpana pelvic.
- ʻOki kino: Nā pilikia ma hope o ke ʻoki kino ma ka ʻāpana pelvic, no ka laʻana, ka prostatectomy a i ʻole ke ʻoki prolapse o ke kino pelvic.
- Maʻi diabetes: Hiki i ka maʻi diabetes i kāohi ʻole ʻia ke hōʻino i nā aʻalolo.
- Ka hānau keiki ʻana: I ka wā hānau paʻakikī, hiki i ke poʻo o ke pēpē ke kau i ke kaomi ma luna o ke aʻalolo.
- Kaomi lōʻihi: ʻO nā hana e like me ke kaʻa paikikala no ka manawa lōʻihi hiki ke hoʻopili i ke aʻalolo. Kaomi pololei ka noho o ke kaʻa paikikala ma kahi e hele ai kēia aʻalolo.
- Lapaʻau Radiation: Lapaʻau radiation i hāʻawi ʻia i ka ʻāpana pelvic no ka maʻi ʻaʻai.
- Nā Puʻupuʻu a i ʻole Cysts: Ke kaomi ʻana o ke aʻalolo i hana ʻia e kahi puʻupuʻu e hana kokoke ana i ke aʻalolo.
Pehea ke koʻikoʻi o kēia aʻalolo i ka wā hānau?
ʻO ke ālai ʻana o ke aʻalolo pudendal kahi ʻano hana anesthesia i hāʻawi ʻia i kahi makuahine hāpai e hōʻemi i ka ʻeha o ka hānau keiki ʻana. Pili kēia i ka hoʻokomo ʻana i kahi anesthetic i loko o ke aʻalolo pudendal, e hoʻomāʻū ana i ka vagina a me nā wahi e pili ana no kekahi manawa.
Hoʻohana pinepine ʻia kēia e hōʻemi i ka ʻeha i ka wā ʻelua o ka hana, i ka wā e puka mai ana ke pēpē. Hoʻohana ʻia kekahi manawa e hoʻopau i ka ʻeha o kahi episiotomy, ʻo ia hoʻi ka ʻoki ʻana ma waena o ka vagina a me ka anus. Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻole kēia e hoʻopau i ka ʻeha o nā contractions.
Pehea mākou e mālama ai i kēia aʻalolo koʻikoʻi?
Aia kekahi mau hana maʻalahi e hiki ai iā kākou ke hahai e mālama i ko kākou ʻōnaehana nerve holoʻokoʻa a pale i ke aʻalolo pudendal.
- Mai noho ma ke kūlana hoʻokahi no ka manawa lōʻihi, ʻoiai ma nā ʻili paʻakikī. E ala a hele a puni ma ka liʻiliʻi hoʻokahi manawa i ka hola.
- Inā he mea holo paikikala ʻoe, e hoʻomaha pinepine. Eia kekahi, e hoʻohana i nā noho 'padded' kūikawā e hōʻemi ana i ke kaomi ma nā aʻalolo.
- E hoʻokele i ke kaumaha. E hoʻomaha i kou manaʻo ma o ka noʻonoʻo ʻana, ka hele wāwae ʻana, a pēlā aku.
- E ʻai i ka meaʻai olakino a mālama i ke kaumaha olakino.
- E mālama pono i nā kūlana olakino e like me ka maʻi diabetes a me ke koko kiʻekiʻe. Hiki i kēia ke hōʻino i nā aʻalolo.
- E pale i ka puhipaka. Hoʻopilikia ka puhipaka i ke kahe koko i nā aʻalolo.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike pono i ke kauka.
Inā ʻike ʻoe i kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, he mea nui loa ia ʻaʻole e hoʻowahāwahā iā lākou a e nīnau koke aku i kāu kauka .
| Hōʻailona | He aha e hoʻolohe ai |
|---|---|
| ʻEha pelvic mau loa | ʻEha mau, ʻūlū, a i ʻole ke kuni ʻana i loko o ka ʻōpū, ka anus, a i ʻole nā wahi a puni. |
| ʻEha e hoʻonui ana i ka wā e noho ana | Inā ʻoi aku ka ʻeha ke noho ʻoe a emi iho ke kū ʻoe a hele. |
| Hana ʻino i ka moekolohe | ʻEha i ka wā o ka moekolohe, emi ʻana a nalowale paha o ka ʻike, paʻakikī i ka hiki ʻana i ka orgasm. |
| Ka hoʻōki ʻana o ka mimi/fecal | Ka hele ʻana i kahi ʻōpala a i ʻole ka mimi liʻiliʻi me ka ʻike ʻole, a i ʻole ka manaʻo e mimi/haʻahaʻa pinepine. |
He aʻalolo koʻikoʻi ke aʻalolo pudendal no ka ʻike a me ka neʻe ʻana i loko o ko kākou wahi pelvic. No laila, ʻo ka ʻeha a me ka ʻoluʻolu ʻole i hana ʻia e ka hōʻino ʻia ʻana o kēia aʻalolo hiki ke hoʻopilikia nui i kou ola. No laila, he mea nui loa ka makaʻala i kēia mau hōʻailona a e ʻimi i ke kōkua lapaʻau inā pono.
Leka Lawe-Home
- ʻO ke aʻalolo pudendal ka aʻalolo nui e kaohi i ka manaʻo a me ka neʻe ʻana i kou wahi pelvic, genitals, a me anus.
- He mea nui ka hana olakino o kēia aʻalolo no ka kaohi ʻana i ka ʻōpū a me ka ʻōpū mimi, a me ka hana moekolohe a me ka leʻaleʻa moekolohe.
- ʻO ka hoʻonui ʻia o ka ʻeha pelvic i ka wā e noho ana he hōʻailona koʻikoʻi ia o kahi pilikia me ke aʻalolo pudendal.
- Hiki ke hōʻino ʻia kēia aʻalolo ma muli o nā kumu e like me nā ulia pōpilikia, ke ʻoki kino, ka hānau keiki ʻana, a me ke holo paikikala no ka wā lōʻihi.
- Inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma kēia ʻatikala, mai hoʻowahāwahā iā ia a e ʻike koke i kāu kauka no ka ʻōlelo aʻoaʻo kūpono a me ka mālama ʻana.
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