ʻO wai ke kauka ʻUrogynecologist? E kamaʻilio kākou e pili ana i kēia mau pilikia kūikawā o nā wahine!

Ua lohe paha ʻoe i kahi 'urogynecologist'? Malia paha he mea hou iki kēia inoa iā ʻoe. Akā, he poʻe loea kēia e mālama nei i kekahi o nā pilikia olakino koʻikoʻi loa, a i kekahi manawa koʻikoʻi hoʻi, i nā wahine. I kēia lā, e kamaʻilio mākou e pili ana iā lākou, kā lākou hana, a me ka wā āu e makemake ai e ʻike iā lākou. Mai hopohopo, e wehewehe mākou i nā mea āpau ma nā ʻōlelo maʻalahi.

ʻO wai kēia kauka urogynecologist?

I ka ʻōlelo maʻalahi, he kauka urogynecologist kahi loea i nā maʻi o ka papahele pelvic i nā wahine. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka papahele pelvic, ʻeā? E noʻonoʻo i loko o ka ʻōpū haʻahaʻa o kou kino, ma lalo o kou bra, aia kahi pūnaewele ikaika o nā ʻiʻo a me nā ʻiʻo pili, a i ʻole kekahi ʻano papahele. ʻO ia ka mea a mākou e kapa nei he papahele pelvic.

He mea nui loa kēia papahele pelvic. No ka mea, paʻa ia i kou uterus, nā ʻōpū hānau e like me kou vagina , a me nā ʻōpū mimi e like me kou ʻōpū mimi , a ʻo kēia mau ʻiʻo papahele pelvic e kākoʻo iā lākou. E like me ka hīnaʻi ikaika e paʻa ana i ka nui o nā mea, kōkua lākou i ka mālama ʻana i kēia mau ʻōpū. No laila, inā nāwaliwali a ʻeha paha kēia mau ʻiʻo papahele pelvic, hiki iā lākou ke hoʻopilikia i ka hana o kēlā mau ʻōpū. ʻO ia ka manawa e pono ai ʻoe e ʻike i kahi urogynecologist.

He aha ka ʻokoʻa ma waena o ka urologist, gynecologist, a me ka urogynecologist?

Ke lohe ʻoe i kēia mau inoa ʻekolu, e huikau iki paha ʻoe, ʻeā? Ke noʻonoʻo nei paha ʻoe, "Ua like lākou a pau, ʻeā?" E nānā kākou i ka hana a kēlā me kēia o kēia mau loea. A laila e maopopo iā ʻoe ka ʻokoʻa.

• Kauka Urology: Hoʻōla nui kēia mau kauka i nā maʻi o ka ʻōnaehana urinary . ʻO ia hoʻi, nā pilikia me nā ʻōpū e like me ka ʻōpū mimi, nā puʻupaʻa, nā ureters, a me ka urethra. Hoʻōla lākou i nā maʻi o ka ʻōnaehana urinary i nā kāne a me nā wahine. Hoʻōla pū nā Urologists i nā maʻi o ka ʻōnaehana hānau kāne (e.g., nā pilikia prostate).

• Kauka wahine: He kauka wahine, a i ʻole e like me kā mākou e kapa pinepine ai iā lākou, he kauka wahine, mālama i nā maʻi o ka ʻōnaehana hānau wahine . ʻO ia hoʻi nā pilikia me ka ʻōpū, nā ovaries, a me ka vagina (e.g., nā hewa o ka menstruation, nā fibroids uterine). Hoʻoikaika pū lākou i ke olakino o ka umauma. I kekahi manawa mālama lākou i kekahi mau pilikia maʻalahi me ka ʻōnaehana urinary wahine.

• ʻUrogynecologist: E nānā, aia i loko o kēia inoa nā huaʻōlelo 'uro' (e pili ana i ka ʻōnaehana urinary) a me 'gynecological' (e pili ana i ka ʻōnaehana hānau wahine), ʻeā? ʻO ke ʻano kēia e mālama kēia mau loea i nā kūlana e pili ana i kekahi mau ʻāpana o nā kahua ʻelua o kahi urologist a me kahi gynecologist. I mea e pololei ai,He loea lākou i nā kūlana e loaʻa mai ana mai ka nāwaliwali a i ʻole ka hōʻino ʻana i ka papahele pelvic, i ʻike ʻia ʻo "Pelvic Floor Disorders." E like me ke kauka wahine, mālama lākou i nā maʻi papahele pelvic e pili ana i ka ʻōnaehana hānau wahine, a e like me ke kauka urologist, mālama lākou i nā pilikia e pili ana i ka ʻōpū mimi a i ʻole ke ala mimi, ʻoiai nā mea e pili ana i ka papahele pelvic.

E noʻonoʻo wale, i kekahi manawa hiki i ʻelua a ʻekolu paha o kēia mau kauka ke hana pū e mālama i kāu pilikia.

ʻOiai ʻo ka urology a me ka gynecology he mau kahua lapaʻau no nā makahiki he nui, ua ʻike ʻia ka urogynecology ma ke ʻano he ʻoihana kūikawā i ka makahiki 2011. No laila, ua hoʻomaka ka urogynecology, a i ʻike ʻia ʻo Female Pelvic Medicine and Reconstructive Surgery (FPMRS), e hāʻawi i ka palapala hōʻoia i nā kauka i ka makahiki 2013.

He aha ke ʻano o ka hoʻonaʻauao e pono ai ʻoe e lilo i urogynecologist?

ʻAʻole maʻalahi ka lilo ʻana i loea e like me kēia. Ma hope o ka puka ʻana mai ke kula lapaʻau, pono i ke kauka e aʻo ana e lilo i urogynecologist ke hoʻopau i ke aʻo noho ʻana ma ka gynecology a i ʻole ka urology. Hāʻawi kekahi mau papahana hoʻomaʻamaʻa i ka manawa kūpono e loaʻa ai ke aʻo ʻana ma nā mea ʻelua. Ma hope o kēlā, pono lākou e hoʻopau i ke aʻo fellowship ma kahi ʻoihana kūikawā i kapa ʻia ʻo Female Pelvic Medicine and Reconstructive Surgery (FPMRS) .

Ma hope o kēia hoʻomaʻamaʻa pilina, pono lākou e hala i kahi hoʻokolohua e lilo i urogynecologist i hōʻoia ʻia e ka papa.

I ka ʻōlelo maʻalahi, ma hope o ke puka ʻana mai ke kula lapaʻau, pono ʻoe e aʻo a hoʻomaʻamaʻa no kahi o ʻehiku mau makahiki e lilo i urogynecologist. No laila, he poʻe lākou i loaʻa ka ʻike nui ma kēia kahua.

He aha ka hana a ke kauka urogynecologist?

Hoʻoponopono a mālama nā kauka urogynecologists i nā maʻi papahele pelvic . ʻOiai hiki i kēia mau maʻi papahele pelvic ke hoʻopilikia i nā kāne a me nā wahine, mālama mua nā kauka urogynecologists i nā kūlana e pili ana i nā ʻike kūikawā i nā wahine. No ka laʻana, ʻo ka hāpai ʻana, ka hānau keiki ʻana, a me ka menopause he mau mea pilikia ia no ka hoʻomohala ʻana i nā maʻi papahele pelvic.

Eia kekahi o nā maʻi papahele pelvic maʻamau i mālama ʻia e nā urogynecologists:

• ʻO ka hiki ʻole ke kāohi i ke kahe o ka mimi . Aia kekahi mau ala e mālama ai i kēia:
• ʻO ke kahe ʻana o ka mimi i ka wā e piʻi ai ke kaomi i loko o ka ʻōpū, e like me ke kuʻi ʻana, ka ʻūhā ʻana, ka ʻakaʻaka nui ʻana, a i ʻole ka hāpai ʻana i kahi mea kaumaha.
• `Koi i ka hoʻomanawanui ʻole`:ʻO ke koi ʻana ka makemake koke a ikaika e mimi. I kekahi manawa, hiki iā ʻoe ke mimi ma mua o kou holo ʻana i ka lua. Hana ʻia ia i ka wā e manaʻo ai ʻoe e pono ʻoe e hele.
• ʻŌmole Hana Loa: Pinepine (malia paha hoʻokahi manawa i ka hola), pono koke e mimi. Pono paha ʻoe e ala i nā manawa he nui i ka pō.

• ʻO ka Pelvic Organ Prolapse (POP): ʻO kēia ka wā e paheʻe ai kekahi a ʻoi aku paha o nā ʻōpū pelvic mai ko lākou kūlana maʻamau a i loko o ka vagina ke kākoʻo pono ʻole ʻia ka papahele pelvic. Ua like kēia me ke ʻano o ka hiolo ʻana o ka paia a me ka hāʻule ʻana o nā lako. ʻO nā ʻōpū e hiki ke prolapse e komo pū me ka ʻōpū mimi (cystocele), ka uterus (uterine prolapse), kahi ʻāpana o ka rectum (rectocele), a me ka ʻaoʻao o luna o ka vagina (vaginal vault prolapse). Hiki ke pili pū kēia ʻano me nā pilikia o ka ʻōpū mimi. Manaʻo paha kekahi poʻe me he mea lā e puka mai ana kekahi mea mai loko mai o ka vagina.

• ʻAʻole hiki ke hoʻomoe i ka ʻōpū: Ke nāwaliwali nā ʻiʻo papahele pelvic, hiki iā ʻoe ke nalowale i ke kaohi o kou neʻe ʻana o ka ʻōpū a hoʻokahe i kekahi ʻōpala me ka manaʻo ʻole. Hiki paha kēia i ka wā o ka neʻe ʻana o ka ʻōpū a i ʻole he wahi liʻiliʻi paha o ka ʻōpala wai. Ua kapa ʻia kēia ʻo Fecal Incontinence.

• ʻO ka hana pono ʻole o ka papahele Pelvic: Hiki mai kēia ʻano ke hiki ʻole i nā ʻiʻo papahele pelvic e kāohi ana i ka mimi ʻana a me ka defecation ke hoʻonohonoho pono. ʻO ke ʻano kēia, e paʻa nā ʻiʻo i ka wā e pono ai ke paʻa, a e paʻa i ka wā e pono ai ke wehe. Hiki i kēia ke paʻakikī i ka mimi ʻana a i ʻole ka defecate (no ka laʻana, ʻaʻole hiki iā ʻoe ke mimi ʻoiai ke hoʻāʻo ʻoe). Hiki iā ia ke hana i ka ʻeha a me ka ʻeha o ka vagina i ka wā moe.

• Nā Fistulas Vaginal: ʻO kēia ka wā e hana ʻia ai kahi alahele maʻamau ma waena o ka vagina a me ka mimi ʻōpū a i ʻole ka rectum, ma muli paha o kahi ʻeha (e.g., i ka wā hānau keiki, ʻoki kino) a i ʻole kekahi maʻi ʻē aʻe. Hiki i kēia ke hoʻoulu i ka mimi a i ʻole ka feces e kahe i loko o ka vagina.

I kēia manawa, ua maopopo paha iā ʻoe, ʻeā? He mau pilikia ʻoluʻolu ʻole kēia, akā he mea ʻoluʻolu ʻole loa. Akā e hoʻomanaʻo, aia nā lāʻau lapaʻau no kēia.

He aha nā lāʻau lapaʻau a nā urogynecologists e hāʻawi ai no kēia mau kūlana?

Ke ʻike ʻia kou kūlana e kahi urogynecologist, e kuhikuhi lākou i ka lāʻau kūpono nou. ʻAʻohe lāʻau lapaʻau hoʻokahi e kūpono i nā mea āpau. Pili ka lāʻau lapaʻau i nā kumu he nui, me ke ʻano a me ke koʻikoʻi o kou kūlana, kou makahiki, a me kou olakino holoʻokoʻa. Eia kekahi o nā lāʻau lapaʻau a lākou e hoʻohana ai:

• Ke kuhikuhi ʻana i nā lāʻau lapaʻau: Hiki ke hāʻawi ʻia iā ʻoe nā lāʻau lapaʻau e kōkua i ka kaohi ʻana i kāu ʻōpū mimi (e.g., no ka ʻōpū mimi overactive) a i ʻole e hoʻoponopono i ka neʻe ʻana o ka ʻōpū (e.g., no ka constipation).
• Hoʻokomo lako:Eia kekahi laʻana, inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo "POP" a i ʻole ka prolapse o ke kino pelvic, hiki iā ʻoe ke hoʻokomo i kahi mea i kapa ʻia ʻo "pessary" . He mea hana apo kēia a i ʻole kekahi mea hana ʻē aʻe i hana ʻia me ka silicone, rubber, a i ʻole plastic i hoʻokomo ʻia i loko o ka vagina. Hoʻopaʻa ia i nā kino pelvic ma kahi. He lāʻau lapaʻau ʻole kēia.
• Nā ʻoki kino: I kekahi manawa, ʻoiai inā ʻaʻole holo pono nā lāʻau ʻē aʻe a inā koʻikoʻi ke kūlana, pono paha ke ʻoki kino. Hoʻokomo pū kēia i ke ʻoki kino hana hou, kahi e hoʻihoʻi ai i nā ʻōpū pelvic i ko lākou mau kūlana maʻamau. Hiki i ke ʻoki kino ke kōkua i nā pilikia kaohi mimi (e like me ke kaula no ka incontinence stress). Hiki i kēia mau ʻoki kino ke hoʻohana i kāu mau ʻiʻo a me nā ligaments ponoʻī, a i ʻole e hoʻokomo i nā mea (e like me ka mesh ) e hoʻoikaika i nā ʻiʻo papahele pelvic i nāwaliwali a i ʻole i hōʻino ʻia.
• Nā hoʻoikaika kino no ka papahele pelvic: Ua lohe paha ʻoe i nā hoʻoikaika kino Kegel . E hōʻike mai kahi urogynecologist iā ʻoe pehea e hana pono ai. Hoʻoikaika nā hoʻoikaika kino Kegel i kou mau ʻiʻo papahele pelvic. Ua like ia me ka hāpai ʻana i nā mea kaumaha a me ke kūkulu ʻana i nā ʻiʻo. I kekahi manawa e hana pū paha lākou me kahi mea hoʻōla kino e hoʻohana i kahi ʻano hana i kapa ʻia ʻo biofeedback . Kōkua ʻo Biofeedback iā ʻoe e ʻike hou aku i ka wā e paʻa ai a hoʻomaha ai kou mau ʻiʻo papahele pelvic. Me kēia ʻike, hiki iā ʻoe ke loaʻa ka mana hou aʻe ma luna o kēia mau ʻiʻo a me nā hana e kāohi ai i ka mimi a me ka defecation.
• Ke kuhikuhi nei i nā hoʻololi nohona kōkua: E kōkua lākou iā ʻoe e ʻike a hoʻololi i kāu mau hana o kēlā me kēia lā e kōkua ana i kāu mau hōʻailona. Hiki i kēia ke komo pū me ka hoʻololi ʻana i kāu mau ʻano ʻai (e laʻa, ka hōʻemi ʻana i ka caffeine, nā meaʻai ʻala), ke kōkua iā ʻoe e hōʻemi i ke kaumaha, ka haʻalele ʻana i ka puhipaka, ka hoʻohui ʻana i nā ʻano hoʻomaha, a i ʻole ka hoʻonohonoho ʻana i nā huakaʻi i ka lua e hoʻonui mālie i ka manawa hiki iā ʻoe ke "paʻa" i ka mimi (hoʻomaʻamaʻa ʻana i ka ʻōpū).

No ke aha e pono ai iaʻu ke ʻike i kahi urogynecologist? / I ka manawa hea?

He mea kūpono paha e ʻike i kahi urogynecologist inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Inā ʻoe e hoʻokahe i ka mimi a i ʻole nā ​​​​​​feces i kahi ulia pōpilikia .
• Inā manaʻo ʻoe e pono ʻoe e mimi pinepine ma mua o ka maʻamau .
• Inā manaʻo ʻoe e mimi ma mua o kou hele ʻana i ka lua , ʻo ia hoʻi he pilikia kou i ka hiki ʻana i ka lua i ka manawa kūpono.
• 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 (e like me kahi mea i paʻa i loko).
• NāuInā manaʻo ʻoe e iho mai ana kekahi mea a hāʻule paha mai loko mai o kou ʻōpū, a inā paha ʻoe e manaʻo maoli i kekahi mea e like me ia.

Mea nui: Mai hilahila e kamaʻilio e pili ana i kēia mau pilikia. He mau kūlana kēia e hiki i nā wāhine he nui ke loaʻa, a aia nā lāʻau lapaʻau kūpono no lākou. ʻAʻole pono ʻoe e ʻeha hoʻokahi.

Eia kekahi, he mau pilikia pilikino loa ka incontinence urinary a me ka pelvic organ prolapse no nā poʻe he nui. No laila, hiki ke lilo i mea hōʻoluʻolu nui ke ʻike i kahi kauka nāna, e like me ʻoe, e hopohopo like ana no ka ʻōnaehana kino wahine a hiki ke hoʻomaopopo i kou kūlana. A laila, ʻaʻohe mea ke kumu o ka ʻike ʻana i ke kauka, e emi ana kou makaʻu a me ka ʻoluʻolu ʻole i kou wā e kali ana ma ka lumi kali.

He aha ka mea e hana ai ke hele ʻoe e ʻike i kahi urogynecologist no ka manawa mua?

Hiki ke ʻokoʻa iki kāu ʻike ma muli o ke kumu e ʻike ai ʻoe i kahi urogynecologist, akā i ka hapanui o nā hihia, eia nā mea e hana ʻia:

• E kamaʻilio ke kauka urogynecologist me ʻoe e pili ana i kou mōʻaukala olakino piha . ʻO ia hoʻi nā mea e like me nā maʻi ma mua, nā ʻoki kino āu i loaʻa ai, nā lāʻau lapaʻau āu e lawe ai, a inā paha ua loaʻa i kekahi o kou ʻohana nā pilikia like.
• E nīnau lākou iā ʻoe me nā kikoʻī e pili ana i kāu mau hōʻailona . ʻO ia hoʻi ka manawa i hoʻomaka ai lākou, pehea ka lōʻihi o ko lākou noho ʻana, i ka wā e ʻoi aku ai ka ʻino, a pehea lākou e hoʻopilikia ai i kou ola (e.g., inā paha e hoʻopilikia lākou i kou hiki ke huakaʻi a komo paha i nā hana kaiāulu).
• E hana lākou i kahi hoʻokolohua kino . ʻO ka maʻamau, ua like kēia me ka hoʻokolohua pelvic. Makemake lākou e nānā pono i nā ʻōpū a me nā ʻiʻo i loko o kou papahele pelvic, ko lākou kūlana, a me ko lākou ikaika. Hiki iā lākou ke noi iā ʻoe e hōʻike iā lākou i kou vagina a hana paha i kahi hoʻokolohua.

Ma muli o nā mea i loaʻa i kēia mau hoʻokolohua, e hāʻawi lākou i kahi lāʻau lapaʻau nou, a i ʻole e haʻi iā ʻoe i nā hoʻokolohua hou aʻe e pono ai e hana i kahi hōʻailona (e.g., nā hoʻokolohua mimi, nā hoʻokolohua kūikawā e like me nā 'urodynamic studies').

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu urogynecologist?

Ke hālāwai ʻoe me kāu kauka, mai makaʻu e nīnau i kāu mau nīnau. Inā he mea āu e maopopo ʻole ai, e nīnau hou. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau:

• He aha ke kumu kūpono loa o koʻu mau pilikia papahele pelvic?
• ʻEhia ka nui o ka pōʻino i hana ʻia i koʻu papahele pelvic?
• He aha nā lāʻau lapaʻau āu e manaʻo ai noʻu? He aha nā pōmaikaʻi a me nā pōʻino o kēlā me kēia?
• ʻEhia ka ikaika e loaʻa hou iaʻu ma koʻu papahele pelvic ma hope o ka mālama ʻana? Pehea ka wikiwiki e hiki ai iaʻu ke manaʻo e hoʻōla?
• He aha nā hoʻololi e hiki iaʻu ke hana i koʻu ola o kēlā me kēia lā e mālama i ka hana o kaʻu papahele pelvic a pale i kēia mau pilikia mai ka hoʻi hou ʻana?
• Ma waho aʻe o kēia mau lāʻau lapaʻau, aia kekahi mau mea e like me ka hoʻoikaika kino hiki iaʻu ke hana?

He leka hope loa e lawe ʻia i ka home

ʻAʻole mākou e noʻonoʻo nui e pili ana i nā ʻiʻo e kaohi ana i nā hana kino maʻamau e like me ka mimi ʻana a me ka ʻōpala ʻana, ʻeā? Ke hoʻokahe ʻoe i ka mimi e like me kāu i hana ʻole ai ma mua, a i ʻole ke manaʻo ʻoe i kahi piha i ʻike ʻole ʻia i loko o kou ʻōpū, hiki ke hoʻonāukiuki loa, hilahila, a hoʻokaʻawale ʻia e ka lehulehu.

Akā, ua maopopo loa i nā urogynecologists kēia. He akamai lākou i ka ʻike ʻana i kāu mau pilikia papahele pelvic a me ka ʻike ʻana i nā lāʻau lapaʻau maikaʻi loa e kōkua iā ʻoe. E hoʻolohe lākou iā ʻoe a hoʻāʻo e ʻimi i ka hopena maikaʻi loa nāu. Ua hana pū lākou me nā poʻe he nui i loaʻa nā ʻike like. Inā loaʻa iā ʻoe kēia mau pilikia, e noi i kāu kauka ʻohana no kahi kuhikuhi i kahi urogynecologist, a i ʻole hiki iā ʻoe ke hoʻonohonoho i kahi manawa nou iho.

E hoʻomanaʻo, ʻaʻohe pono e hūnā i kēia mau mea a ʻeha, ʻo ka mea nui loa, ʻo ia ke kiʻi ʻana i ke kōkua. ʻAʻole ʻoe hoʻokahi!

ʻUrogynecology , Papahele Pelvic, Mana Mimi, Pelvic Organ Prolapse, Ola Kino Wahine, POP, Incontinence