Ma ke ʻano he wahine, loaʻa pinepine iā mākou nā pilikia olakino e paʻakikī iki a hilahila paha ke kamaʻilio e pili ana. ʻO ke kumuhana a mākou e kamaʻilio ai i kēia lā kekahi o ia mau mea. Ke manaʻo nei ʻoe i kekahi manawa i kahi kaumaha ʻē, piha, a i ʻole kahi manaʻo pehu e puka mai ana mai kou ʻōpū? Ke manaʻo nei ʻoe ʻaʻole i hoʻokahe loa kou ʻōpū ma hope o ka hele ʻana i ka lua? A laila e lilo kēia ʻatikala i mea nui loa iā ʻoe. Mai makaʻu, e kamaʻilio kākou e pili ana i kēia me ka wehe.
I ka ʻōlelo maʻalahi, he aha ka Rectocele?
ʻAe, e wehewehe maʻalahi kākou i kēia. ʻO ka Rectocele kahi kūlana kahi e nāwaliwali ai nā ʻiʻo a me nā ʻiʻo ma waena o kou rectum (ka hopena o kou ʻōpū nui) a me kou vagina, e hoʻoulu ai i kahi hapa o kou rectum e puka i waho ma ka paia hope o kou vagina. Ua like ia me kahi nāwaliwali ma ka paia ma waena o ʻelua lumi a puka i waho. Ua kapa ʻia hoʻi kēia he posterior vaginal wall prolapse.
ʻO ka maʻamau, hoʻopaʻa nā ʻiʻo i loko o ko kākou papahele pelvic i ko kākou mau kino e like me ka uterus, ka mimi ʻōpū, ka vagina, a me ka rectum i kahi. Ua like ia me ka ʻupena e hoʻopaʻa ana i kēia mau kino i luna. I ka hala ʻana o ka manawa, i ka wā e nāwaliwali ai kēia mau ʻiʻo ma muli o nā mea e like me ka hānau keiki ʻana, hoʻomaka kēia mau kino e hāʻule i lalo a hāʻule ma luna o kekahi. Ua kapa pinepine ʻia kēia ʻano Pelvic Organ Prolapse (POP) . ʻO Rectocele kekahi ʻano o ke ʻano POP.
ʻAʻole pinepine ka Rectocele i ka wā hoʻokahi. Hiki ke hana pū ʻia me nā kūlana ʻē aʻe e like me ka prolapse uterine a i ʻole ka hāʻule ʻana o ka ʻōpū mimi.
ʻAʻole kēia he maʻi e hoʻoweliweli i ke ola. Eia nō naʻe, hiki iā ia ke lilo i mea hoʻopilikia nui a hoʻonāukiuki i ke ola o kēlā me kēia lā. Akā ʻo ka mea maikaʻi loa, aia kahi lāʻau lapaʻau kūpono no kēia.
He aha nā hōʻailona e hiki iā ʻoe ke ʻike me kahi rectocele?
ʻAʻole loaʻa i nā kānaka a pau nā hōʻailona. I kekahi manawa, ʻaʻole paha ʻoe e ʻike i kekahi ʻoluʻolu ʻole inā loaʻa iā ʻoe kēia maʻi. Akā inā loaʻa nā hōʻailona, ʻoi aku ka paʻakikī a me ka hoʻonāukiuki ma mua o ka ʻeha.
E nānā i ka papa ma lalo nei e ʻike inā loaʻa iā ʻoe kēia mau ʻano.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| He pehu i loko o ka vagina | Hiki iā ʻoe ke manaʻo i kahi mea e like me ka pehu o nā ʻiʻo palupalu ma ka paia hope o ka vagina. |
| ʻAʻole e hoʻokahe loa ka ʻōpū | Ma hope o ka hele ʻana i ka lua, ʻo ka manaʻo he ʻōpala nō i koe. |
| Ke kāʻei ʻana | No ka hele ʻana o ka ʻōpala, pono ʻoe e hoʻokomo i kahi manamana lima i loko o ka vagina a ʻomi i ka wahi e like me ka pehu. ʻOiai he mea hilahila iki kēia, nui ka poʻe me kēia maʻi e hana i kēia. |
| Ka nalowale o ke kaohi ʻana o ka ʻōpū | ʻO ka incontinence fecal ka nalowale ʻana o kahi ʻōpala liʻiliʻi me ka ʻike ʻole. |
| Maloʻo ka ʻōpū | Ke manaʻo o ka paʻa a me ka emi ʻana o ke kani i loko o nā ʻiʻo o ka vagina. |
| ʻEha i ka wā o ka moekolohe | ʻEha i ka wā o ka moe pū ʻana me kāu kāne ( Dyspareunia ). |
| He manaʻo o ke kaomi a i ʻole ka piha | Ka manaʻo mau o ke kaomi, ke kaumaha, a i ʻole ka piha i loko o ka ʻāpana anal a i ʻole ka vaginal. |
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ʻoi aku ka maikaʻi o ka hilahila ʻole a hālāwai me kāu kauka ʻohana a i ʻole ke kauka wahine e kamaʻilio e pili ana.
No ke aha lā kēia e hana nei? He aha nā kumu e hoʻohuli ai iā ia?
ʻO ke kumu nui o kēia, ʻo ia ka nāwaliwali o nā ʻiʻo papahele pelvic a mākou i kūkākūkā ai ma mua. Aia kekahi mau kumu e hiki ai i kēia mau ʻiʻo ke lilo i mea nāwaliwali.
- Ka hāpai hou ʻana a me ka hānau keiki ʻana:Ke loaʻa iā ʻoe nā keiki he nui, ʻoi aku ma mua o ʻelima, e nāwaliwali mālie ana kou mau ʻiʻo pelvic. ʻO kēia kekahi kumu i maʻamau ai kēia mau kūlana i ka wā o ko mākou mau makuahine a me nā kupuna wahine.
- Hānau ʻana ma ke ʻano he vaginal: ʻOi aku ka nui o ka pilikia o ka hōʻino ʻia a i ʻole ka nāwaliwali ʻana o kēia mau ʻiʻo ke hānau ʻia ke pēpē ma ke ʻano he vaginal. He ʻoiaʻiʻo loa kēia inā hoʻohana ʻia nā forceps a i ʻole ka vacuum e hānau ai i ke pēpē, inā ua haehae ʻia ka vagina, a inā paha i hana ʻia kahi episiotomy (ʻoki ʻia ma waena o ka vagina a me ka anus).
- Ka ʻelemakule ʻana: E like me nā ʻiʻo āpau i loko o ko kākou kino, nāwaliwali maoli kēia mau ʻiʻo i ko kākou ʻelemakule ʻana. Hiki i nā loli hormonal ma hope o ka menopause ke kumu e nalowale ai ka paʻa o kēia mau ʻiʻo.
- Momona: Ke piʻi aʻe kou kaumaha, hoʻokau ke kaumaha keu i ka nui o ke kaomi ma luna o kou mau ʻiʻo papahele pelvic, hiki ke hoʻonāwaliwali iā lākou.
- Paʻa mau: ʻO ka hoʻoikaika mau ʻana e hele i loko o ka ʻōpala e kau i ke kaomi nui ma luna o nā ʻiʻo papahele pelvic. ʻO ka hoʻoikaika ʻana i ka hala ʻana o ka manawa ke kumu nui o ka hoʻonāwaliwali ʻana i kēia mau ʻiʻo.
Ma waho aʻe o kēia mau kumu nui, ʻo ka loaʻa ʻana o kahi maʻi e like me ka maʻi puʻupuʻu mau a i ʻole ka bronchitis, a i ʻole ka hāpai mau ʻana i nā mea kaumaha hiki ke hoʻonui i kēia pilikia.
Pehea e ʻike ai ke kauka inā pēlā kēia?
Hiki i ke kauka gynecologist ke ʻike i kēia maʻi ma ka nīnau ʻana e pili ana i kāu mau hōʻailona a me ka hana ʻana i kahi hoʻokolokolo kino.
- Hoʻokolokolo Pelvic: E nānā ke kauka i kou vagina e ʻike inā he prolapse. Hiki iā lākou ke hoʻāʻo i ka ikaika o kou mau ʻiʻo pelvic.
- Ke haʻi aku nei i nā ʻiʻo e hoʻopaʻa: Hiki iā ʻoe ke hoʻopaʻa i nā ʻiʻo pelvic, me he mea lā e hoʻōki ana ʻoe i ke kahe o ka mimi, a laila e haʻi aku iā lākou e hoʻomaha hou.
- Ke noi ʻana e paʻi ʻia: Hiki iā ʻoe ke noi e paʻi ʻia ma ke kaomi ʻana i ka ʻōpū me he mea lā e neʻe ana ʻoe i ka ʻōpū. E ʻike nui ʻia kēia ka emi ʻana o ke kino.
Ma hope o kēia hoʻokolokolo ʻana, e hāʻawi paha kāu kauka iā ʻoe i kahi 'kahua' a i ʻole 'māka' ma muli o ke koʻikoʻi o kou Rectocele.
I ka manawa kākaʻikahi loa, e noi ʻia paha ʻoe e hana i kahi ultrasound transvaginal e nānā i ka ʻōpū liʻiliʻi prolapsed (enterocele). Hiki ke aʻo ʻia ʻoe e hana i kahi hoʻokolohua X-ray kūikawā a MRI paha i kapa ʻia ʻo defecography e nānā i nā loli i kou rectum i ka wā o ka neʻe ʻana o ka ʻōpū.
He aha nā lāʻau lapaʻau no kēia?
ʻO ke ʻano o ka mālama ʻana no kēia mea e pili ana i ke koʻikoʻi o kāu mau hōʻailona. Hoʻāʻo mua ʻia nā lāʻau lapaʻau ʻoki ʻole.
Hoʻokele ʻoki ʻole
- Nā hoʻomaʻamaʻa papahele pelvic: ʻO kēia nā mea a mākou e kapa aku nei ʻo Kegels(Nā hoʻomaʻamaʻa Kegel). Hiki i kēia mau hoʻomaʻamaʻa ke kōkua i ka hoʻoikaika ʻana i nā ʻiʻo nāwaliwali. ʻOi aku ka maikaʻi o ke aʻo pololei ʻana pehea e hana ai i kēia mau hoʻomaʻamaʻa mai kahi physiotherapist i loaʻa i ka hoʻomaʻamaʻa kūikawā ma kēia wahi.
- Ke kāohi ʻana i ka paʻa ʻana o ka ʻōpū: He mea nui loa ia e hōʻemi i ka paʻa ʻana o ka ʻōpū. No ka hana ʻana i kēia, e haʻi aku kāu kauka iā ʻoe e ʻai i nā meaʻai momona i ka fiber (nā pī, nā greens, broccoli, maiʻa, laiki ʻeleʻele) a inu i ka wai he nui i ka lā a pau. Hiki paha iā ia ke ʻōlelo aku i kahi mea palupalu i ka ʻōpū.
- ʻO ka Pessary Vaginal: He mea hiki ke wehe ʻia kēia i hiki ke hoʻokomo ʻia i loko o ka vagina. Hāʻawi ia i ke kākoʻo i nā lālā haʻahaʻa. Aia nā ʻano `pessary` like ʻole hiki iā ʻoe ke hoʻokomo a wehe i ka wā e pono ai.
ʻoki kino
Inā ʻaʻole kōkua nā lāʻau lapaʻau maʻalahi ma luna i kāu mau hōʻailona, a inā paha he koʻikoʻi kou ʻeha kua haʻahaʻa, ʻo ke ʻoki kino ke koho aʻe. E kūkākūkā kāu kauka i kēia me ʻoe ma mua o ka hoʻoholo ʻana i ke ʻoki kino kūpono iā ʻoe:
- Kou makahiki a me kou olakino holoʻokoʻa.
- Ke koʻikoʻi o ka emi ʻana.
- Ke manaʻo nei ʻoe i nā keiki hou aku i ka wā e hiki mai ana?
- Inā makemake ʻoe e hoʻomau i ka moekolohe ma o ka vagina (no ka mea, ʻo kekahi mau ʻoki kino, e like me `colpocleisis`, e pani i ka vagina).
ʻO ke ʻoki maʻamau no ka rectocele ʻo ia ka posterior colporrhaphy . Ma kēia kaʻina hana, wehe ke kauka ʻoki i nā ʻiʻo i hōʻino ʻia a nāwaliwali a humuhumu i nā ʻiʻo olakino. Hoʻokumu kēia i kahi kākoʻo hou a ikaika. No ka mea, hana pinepine ʻia kēia ʻoki ma o ka vagina, ʻaʻohe ʻeha i ʻike ʻia.
Nā nīnau koʻikoʻi e nīnau aku i kāu kauka
Inā e ʻoi aku ka ʻino o kou mau hōʻailona, a inā ʻaʻole ʻoe e ʻoi aku ka maikaʻi me kāu lāʻau lapaʻau o kēia manawa, e hōʻoia e haʻi i kāu kauka. Mai hilahila.
Ke hele ʻoe i ke kauka, e ʻike paha ʻoe he mea kōkua ke nīnau i kēia mau nīnau:
- He aha nā hoʻololi o ke ʻano o ka nohona e pono ai iaʻu e hana e hōʻemi i koʻu mau hōʻailona?
- Pehea e hiki ai iaʻu ke pale aku i kēia kūlana Rectocele mai ka lilo ʻana i mea ʻino?
- He aha kaʻu e hana ai e pale aku i ka prolapse o nā ʻano pelvic ʻē aʻe?
- E paipai mai ʻoe i ke ʻoki kino noʻu? Inā pēlā, he aha nā pilikia?
- He aha ka helu holomua o ke ʻano o ke ʻoki kino āu e ʻōlelo nei?
- E hoʻopilikia anei kēia lāʻau i koʻu ola moekolohe a i ʻole koʻu hiki ke hāpai?
He mau nīnau hou a ka poʻe he nui
He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?
Inā waiho ʻole ʻia me ka mālama ʻole ʻia a me ka ʻole o nā loli o ke ʻano o ka nohona, hiki i ka Rectocele ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa. Hiki i nā hōʻailona ke ʻoi aku ka ʻino a hoʻopilikia i ke ola o kēlā me kēia lā.
Hiki ke pale ʻia kēia mai ka hana ʻana?
ʻAʻole paha hiki ke pale loa iā ia. Akā he nui nā mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia. ʻO ka hana mau ʻana i nā hoʻoikaika kino Kegel, ka pale ʻana i ka paʻa ʻana o ka ʻōpū (ʻai ʻana i nā meaʻai momona i ka fiber a inu nui i ka wai), a me ka kaohi ʻana i kou kaumaha nā mea maikaʻi loa hiki iā ʻoe ke hana.
Hiki ke paʻa ka ʻōpala i loko o ka rectocele?
ʻAe, hiki nō. Inā koʻikoʻi ka prolapse, hiki i ka ʻōpala ke paʻa i loko o ka ʻeke i hana ʻia. A laila, ʻaʻole e puka maʻalahi ka ʻōpala.
ʻO kēia ka manawa e pono ai ʻoe e "splint" (e hoʻopaʻa me kou manamana lima). Inā ʻoe e hana i kēia, he mea nui loa ia e holoi pono i kou mau lima me ke kopa a me ka wai ma mua o ke komo ʻana i kou manamana lima i loko o ka vagina. A i ʻole, hiki iā ʻoe ke loaʻa nā germs. Inā pono ʻoe e defecate ma kēia ʻano, e kamaʻilio me kāu kauka e pili ana i ia mea a e ʻimi i ka lāʻau lapaʻau.
He Hernia ka Rectocele?
Ua like kēia me ka hernia. ʻO ia hoʻi, puka ka rectum i loko o ka vagina (herniates). Eia naʻe, ma ke ʻano lapaʻau, ʻaʻole i hoʻokaʻawale ʻia ʻo Rectocele ma ke ʻano he hernia, akā ma ke ʻano he ʻano pelvic organ prolapse.
He mea maʻamau ka hilahila a me ka hilahila e pili ana i kēia maʻi. Akā e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Aia nā lāʻau lapaʻau maikaʻi no kēia. ʻO ka mea wale nō āu e pono ai ke kamaʻilio me ke kauka e pili ana i ia mea. Hiki i nā poʻe he nui ke hoʻokele iā ia me ka hoʻōla kino a me nā hoʻololi ʻana i ke ʻano o ka nohona. Inā koʻikoʻi ke ʻano, hiki i ke ʻoki ʻana ke lilo i lāʻau lapaʻau piha.
Leka Lawe-Home
- ʻO ka Rectocele kahi maʻi e puka ai kahi ʻāpana o ka rectum i loko o ka vagina. He maʻi maʻamau kēia i waena o nā wahine.
- Mai hilahila a makaʻu paha i kēia. ʻAʻole kēia kou hewa.
- Inā manaʻo ʻia he pehu i loko o kou ʻōpū a i ʻole pilikia ʻoe i ka hoʻokahe ʻana, e ʻike pono i ke kauka.
- ʻO ka mea mua, ua hoʻāʻo ʻia nā lāʻau lapaʻau maʻalahi, ʻaʻole me ke ʻoki ʻana. He mea nui loa nā hoʻomaʻamaʻa Kegel a me ka kaohi ʻana i ka paʻa ʻana o ka ʻōpū.
- Inā ʻaʻole mālama ʻia, e ʻoi aku ka ʻino o ke kūlana, no laila e ʻimi koke i ke kōkua lapaʻau.
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