Ke hoʻokahe nei paha ʻoe i kahi mimi liʻiliʻi i kou wā e ʻū ai, ʻakaʻaka, kihe, a hāpai paha i kahi mea? A i ʻole ke manaʻo nei ʻoe i ke kaumaha a i ʻole ke kaomi me he mea lā e iho mai ana kekahi mea mai ka ʻōpū? He mau pilikia kēia i loaʻa i nā wahine he nui, akā he mea hilahila iki a ʻoluʻolu ʻole hoʻi ke kamaʻilio e pili ana i loko o ke kaiāulu. Akā ua ʻike anei ʻoe aia kekahi hui o nā loea i hoʻomaʻamaʻa ʻia e mālama i kēia mau pilikia like? ʻO ia ka poʻe a mākou e kapa nei he 'Urogynecologists'.
I ka ʻōlelo maʻalahi, ʻo wai kēia Urogynecologist?
He kauka lapaʻau loea ka urogynecologist i ka mālama ʻana i nā kūlana o ka papahele pelvic i nā wahine. ʻAe, ke noʻonoʻo nei paha ʻoe i ke ʻano o ka papahele pelvic.
E noʻonoʻo i loko o kou ʻōpū lalo, aia kahi pūnaewele o nā ʻiʻo a me nā ʻiʻo i hohola ʻia e like me ka ʻupena. ʻO kēia pūnaewele o nā ʻiʻo ka mea e hoʻopaʻa ai i kāu mau kino hānau, e like me kou uterus, vagina, a me nā kino mimi, e like me kou ʻōpū mimi. I nā huaʻōlelo ʻē aʻe, ʻo ia ke kākoʻo no kēia mau kino.
No laila, i ka wā hāpai, ka hānau keiki ʻana (ʻoi aku ka vaginal), menopause, a i ʻole ka ʻelemakule ʻana, hiki i kēia mau ʻiʻo papahele pelvic ke lilo i nāwaliwali a ʻeha paha. ʻO ia ka manawa e kū mai ai nā pilikia i ʻōlelo ʻia ma luna. I nā manawa e like me kēia e pono ai mākou i ke kōkua o kahi Urogynecologist.
He aha ka ʻokoʻa ma waena o ka urologist, gynecologist a me urogynecologist?
Ua like iki kēia mau inoa ʻekolu, no laila hiki ke huikau. E nānā kākou i ke kuleana o kēlā me kēia o kēia mau loea. E hoʻomaopopo pono kēia papa iā ʻoe.
| ʻOihana lapaʻau kūikawā (ʻOihana kūikawā) | He aha ka lāʻau lapaʻau nui? |
|---|---|
| Kauka Urology | Hoʻōla lākou i nā maʻi o nā ʻāpana āpau o ka ʻōnaehana mimi, me ka ʻōpū mimi, nā puʻupaʻa, a me ka urethra. Hoʻōla lākou i nā kāne a me nā wahine. Eia kekahi, mālama pū kēia mau loea i nā maʻi o ka ʻōnaehana hānau kāne. |
| Kauka wahine | Hoʻōla lākou i nā maʻi e pili ana i ka ʻōnaehana hānau wahine, ʻo ia hoʻi, ka ʻōpū, nā ovaries, a me ka vagina. Nānā pū lākou i ke olakino o ka umauma. I kekahi manawa, mālama pū lākou i kekahi mau pilikia liʻiliʻi o ka ʻōnaehana urinary. |
| Kauka ʻUroginetika | ʻO kā lākou hana kūikawā, ʻo ia nā kūlana i hoʻokumu ʻia e ka nāwaliwali a i ʻole ka hōʻeha ʻana i nā ʻiʻo papahele pelvic i nā wahine. ʻO ia hoʻi, mālama lākou i nā pilikia kikoʻī e pili ana i nā kahua o ka gynecology a me ka ʻōnaehana urinary. |
Ua ʻike ʻia ʻo Urogynecology ma ke ʻano he ʻoihana kūikawā ʻokoʻa i ka makahiki 2011. No laila, he kahua hou ia.
He aha nā maʻi nui a ka urogynecologist e mālama ai?
Hoʻōla nui kēia mau loea i nā maʻi papahele pelvic. E nānā kākou i ke ʻano o lākou.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Ka hoʻokaʻawale ʻana o ka mimi | Nā kūlana e like me ke kāohi ʻole o ke kaumaha, ka kāohi ʻole koke ʻana i ka makemake e kahe i loko o ka mimi, a me ka mimi pinepine (overactive bladder). |
| Ka Holoʻokoʻa Pelvic (POP) | Ke nāwaliwali nā ʻiʻo o ka lua pelvic, hāʻule i lalo nā ʻōpū e kākoʻo ana iā lākou, e like me ka ʻōpū mimi, ka uterus, ka rectum, a i ʻole ka vagina. Kapa pū kekahi poʻe i kēia "uterine prolapse." |
| ʻAʻole hiki ke kāohi i ka ʻōpala (Fecal Incontinence) | ʻO ka neʻe ʻana o ka ʻōpū me ka makemake ʻole ma muli o ka nāwaliwali o nā ʻiʻo papahele pelvic. |
| Ka Hana ʻole o ka Papahele Pelvic | ʻAʻole hiki ke hoʻonohonoho pono i nā ʻiʻo e kāohi ana i ka mimi ʻana a me ka luaʻi ʻana. Hiki i kēia ke hana i ka paʻakikī o ka mimi ʻana/ka luaʻi ʻana, ka ʻeha o ka ʻōpū, a me ka ʻeha i ka wā moe kolohe. |
| Nā Fistulas Vaginal | He puka kūpono ʻole (hele ʻana) ma waena o ka ʻōpū mimi a i ʻole ka rectum a me ka vagina, ma muli o kahi ʻeha a i ʻole ke kūlana olakino. Hiki i kēia ke hoʻoulu i ka mimi a i ʻole ka ʻōpala e kahe ma o ka vagina. |
Pehea e mālama ʻia ai nā kūlana e like me kēia?
Hiki i kahi urogynecologist ke hāʻawi i nā koho lapaʻau like ʻole ma muli o kou kūlana.
- Ke kuhikuhi ʻana i nā lāʻau lapaʻau: Ke hāʻawi ʻana i nā lāʻau lapaʻau e kōkua i ka kaohi ʻana i ka ʻōpū mimi a hoʻoponopono i ka neʻe ʻana o ka ʻōpū.
- Ka hoʻokomo ʻana i kahi hāmeʻa: No ka laʻana, inā aia kahi kūlana i kapa ʻia ʻo prolapsed organ (POP), hiki ke hoʻokomo ʻia kahi hāmeʻa i hana ʻia me ka silicone a i ʻole ka laholio i kapa ʻia ʻo "Vaginal Pessary" i loko o ka vagina e hoʻopaʻa i ka ʻōkana prolapsed i kona wahi.
- ʻOki kino: Hana ʻia ke ʻoki kino hou e hoʻihoʻi i ka lālā i hōʻino ʻia i kona wahi. I kekahi manawa hoʻohana ʻia kou ʻiʻo ponoʻī, a i ʻole hoʻohana ʻia ke kākoʻo e like me ka ʻupena e hoʻoikaika i nā ʻiʻo nāwaliwali.
- Ke aʻo ʻana i nā hoʻomaʻamaʻa papahele pelvic: Aʻo pololei lākou iā ʻoe pehea e hana ai i nā "hoʻomaʻamaʻa Kegel." Hoʻoikaika kēia i nā ʻiʻo o ka papahele pelvic. I kekahi manawa, hoʻohana ʻia kekahi ʻano hana i kapa ʻia ʻo "Biofeedback" me kahi mea hoʻōla kino.
- Ke hāpai nei i nā hoʻololi o ke ʻano o ka nohona: ʻO ka hana ʻana i nā hoʻololi liʻiliʻi i nā mea e like me kāu mau ʻano ʻai a me nā ʻano hele ʻana i ka lua e hiki ke kōkua i ka kaohi ʻana i nā hōʻailona.
Pehea e ʻike ai iaʻu inā pono iaʻu e ʻike i kahi urologist?
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, he manaʻo maikaʻi e noʻonoʻo e ʻike i kahi urogynecologist. He mea nui e ʻimi i ka ʻōlelo aʻo lapaʻau ma mua o ka hilahila i kēia mau mea.
- Inā ʻoe e hoʻokahe ana i ka mimi a i ʻole nā mea ʻino me ka ʻike ʻole.
- Inā pono ʻoe e mimi pinepine ma mua o ka maʻamau.
- Inā pilikia ʻoe i ka hoʻomalu ʻana i kou makemake e mimi a hiki i kou hiki ʻana i ka lua .
- Inā ʻoe e manaʻo i ka piha, ke kaumaha, a i ʻole ke kaomi i loko o kou vagina a i ʻole ka ʻāpana pelvic.
- Inā ʻoe e manaʻo ana i kahi mea e iho ana i lalo o kou ʻōpū a i ʻole inā ʻoe e manaʻo nei ua paʻa kekahi mea.
Hiki i kēia ʻano pilikia ke loaʻa ka hopena koʻikoʻi i kou ʻano. No laila, ʻo ka ʻike ʻana i kahi kauka loea i nā kino o nā wahine a me nā kūlana kūikawā iā lākou hiki ke lilo i mea hōʻoluʻolu nui iā ʻoe, ma ka noʻonoʻo a me ke kino.
He aha ka mea e hana ʻia ke hele ʻoe e ʻike i ke kauka no ka manawa mua?
Ke kipa mua ʻoe i kahi urogynecologist, hiki iā ʻoe ke manaʻo i kēia mau mea:
1. Ke kamaʻilio ʻana e pili ana i kāu mau hōʻailona: E nīnau ke kauka e pili ana i kou mōʻaukala olakino. E nīnau lākou e pili ana i kāu mau hōʻailona, i ka wā i hoʻomaka ai, pehea ka lōʻihi o ko lākou ʻike ʻia ʻana, a pehea lākou e pili ai i kou ola o kēlā me kēia lā.
2. Hoʻokolokolo kino: Hana ʻia kahi hoʻokolokolo pelvic e nānā i ke kūlana o nā ʻōpū a me nā ʻiʻo i loko o ka lua pelvic.
3. Ke hāpai nei i ka lāʻau lapaʻau a i ʻole nā hoʻokolohua hou aʻe: Ma hope o ka hoʻokolokolo ʻana, e wehewehe ke kauka iā ʻoe i nā koho lapaʻau maikaʻi loa no kou kūlana. I kekahi manawa, hiki iā ia ke hāpai i kekahi mau hoʻokolohua hou aʻe e hoʻoholo ai i ke kumu pololei o ka maʻi.
Hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau e like me kēia:
- He aha paha ke kumu o koʻu kūlana?
- He aha ka pōʻino i koʻu lua pelvic?
- He aha nā lāʻau lapaʻau āu e manaʻo ai?
- ʻEhia ka nui o ka ho'ōla hou ʻana e hiki iaʻu ke manaʻo ma hope o ka lāʻau lapaʻau?
- He aha kaʻu e hana ai e pale aku i ka lilo ʻana o kēia kūlana i mea ʻino?
Ke hiki ʻole iā ʻoe ke kāohi i nā mea maʻamau e like me ka mimi ʻana a me ka ʻōpala ʻana, hiki ke hilahila loa a hoʻohilahila. Akā, he loea ka Urogynecologist e hiki ke kōkua iā ʻoe e hoʻopau i kēlā ʻeha. No laila, inā loaʻa iā ʻoe kēia pilikia, mai kānalua a noi i kāu kauka ʻohana (kauka mālama mua) no kahi kuhikuhi i kahi Urogynecologist.
Leka Lawe-Home
- He kauka urogynecologist ka mea i loea i ka mālama ʻana i nā pilikia i hoʻokumu ʻia e ka nāwaliwali o nā ʻiʻo o ka papahele pelvic i nā wahine.
- Inā ʻike pū ʻoe i ke kahe ʻana o ka mimi i ka wā e ʻū ana/ʻakaʻaka ana, kahi manaʻo o ka hoʻohaʻahaʻa ʻia ʻana o ka ʻōpū, a i ʻole nā pilikia me ka kaohi ʻana i ka mimi/fecal, mai hilahila e ʻimi i ke kōkua lapaʻau.
- No nā kūlana he nuiAia nā lāʻau lapaʻau kūpono e like me nā lāʻau lapaʻau, ka hoʻoikaika kino, a me ke ʻoki kino.
- He mau kūlana maʻamau kēia i ʻike ʻia e nā wāhine he nui. No laila, ʻaʻole ʻoe hoʻokahi. Ma ka ʻike ʻana i ke kauka kūpono, hiki iā ʻoe ke ola hou i kahi ola ʻoluʻolu.
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