ʻO ka prolapse o ka wahine | Mai hilahila i kēia, e kamaʻilio kākou e pili ana!

He mea maʻamau no nā wāhine he nui, ʻoiai ma hope o ka loaʻa ʻana o nā keiki a i ko lākou wā ʻelemakule, ke manaʻo i ka ʻoluʻolu ʻole a me ke kaumaha ma ka ʻōpū lalo. I kekahi manawa ua like ia me "ua iho mai kahi mea e like me ka pōpō" a i ʻole "Manaʻo wau e like me aʻu e noho ana ma luna o kahi pōpō." ʻOiai ua hilahila ka poʻe he nui e kamaʻilio e pili ana i kēlā ʻano ʻoluʻolu ʻole, he ʻano kēia e hiki ke wehewehe ʻia ma ke ʻano lapaʻau. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia ʻano i kapa ʻia ʻo ka vaginal prolapse.

I ka ʻōlelo maʻalahi, he aha ka vaginal prolapse?

E noʻonoʻo, ma ka ʻaoʻao haʻahaʻa o ko kākou ʻōpū, ʻo ia hoʻi, ma ka ʻāpana pelvic, he nui nā ʻōkana koʻikoʻi. Nā mea e like me ka uterus, ka vagina, ka mimi ʻōpū, ka rectum. Hoʻopaʻa ʻia kēia mau ʻōkana a pau ma ko lākou mau wahi kūpono e kahi pūnaewele ikaika o nā ʻiʻo a me nā ʻiʻo. Kāhea mākou i kēia ʻo ka papahele pelvic. Ua like ia me ka hāpai ʻana i kahi mea mai lalo o kahi umbrella, hoʻopaʻa kēia ʻōnaehana muscular i ko kākou mau ʻōkana ma kahi.

I ka hala ʻana o ka manawa, ʻoiai ma muli o nā kumu e like me ka loaʻa ʻana o nā keiki, ka ʻelemakule, a me ka hāpai ʻana i nā mea kaumaha, hiki i kēia mau ʻiʻo papahele pelvic ke nāwaliwali mālie. A laila, ʻaʻole lawa ka ikaika e hoʻopaʻa ai i nā kino ma kahi, a hoʻomaka nā kino e hina a hāʻule i lalo. ʻO kēia ka mea a mākou e kapa nei he "prolapse," a i ʻole "dropling."

ʻO ka prolapse vaginal ka wā e nāwaliwali ai ka ʻaoʻao o luna o ka vagina a hāʻule i lalo mai kona kūlana maʻamau i loko o ka vagina. I kekahi manawa he prolapse liʻiliʻi wale nō kēia. I nā hihia koʻikoʻi, hiki ke prolapse loa ka ʻiʻo vagina a ʻike ʻia.

Hiki i kēia mau hōʻino ke hana kekahi ma hope o kekahi?

ʻAe, aia nā ʻano prolapse like ʻole ma muli o kahi e kū ai a me ke kino e iho ana. No ka mea, i ka wā e nāwaliwali ai ka papahele pelvic, hiki iā ia ke hoʻopilikia ʻaʻole i hoʻokahi wale nō kino, akā, i kekahi mau kino.

He aha nā hōʻailona o kēia maʻi?

I kekahi manawa, inā loaʻa iā ʻoe kahi prolapse liʻiliʻi, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona. Hiki ke ʻike ʻia ke nānā ke kauka iā ʻoe. Eia nō naʻe, hiki i ka poʻe he nui ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona.

• He manaʻo kaumaha, piha, a ʻeha paha ma ka ʻōpū lalo. Hiki ke hoʻonui ʻia kēia ʻeha i ka hala ʻana o ka lā, ma hope o ke kū ʻana no ka manawa lōʻihi, ka hāpai ʻana i nā mea kaumaha, a i ʻole ke kunu ʻana.
• ʻEha hope .
• Manaʻo e like me he mea lā he puʻu a pōpō paha i loko o ka ʻōpū.
• Manaʻo e like me "ke puka mai nei kekahi mea mai loko mai o ka ʻōpū."
• ʻO ka incontinence mimi ka nalowale ʻana o ka mimi me ka makemake ʻole i ka wā e ʻū ana, ʻakaʻaka, a i ʻole ke kunu ʻana.
• Nā maʻi pinepine o ke ala mimi .
• Ka paʻakikī o ka hoʻokahe ʻana .
• ʻEha a ʻoluʻolu ʻole paha i ka wā o ka moekolohe.
• Ka paʻakikī ke hoʻokomo ʻana i nā mea e like me nā tampons i loko o ka vagina.

No ke aha lā kēia e hana nei? He aha nā kumu nui?

Aia kekahi mau kumu e nāwaliwali ai nā ʻiʻo o ka papahele pelvic a mākou i kamaʻilio ai ma mua.

• Ka loaʻa ʻana o nā keiki:ʻO ke kumu nui, ʻo ia ka hānau ʻana ma ke ʻano he wahine, ʻoi aku hoʻi. ʻO ka loaʻa ʻana o nā keiki he nui, ka hānau lōʻihi ʻana, a i ʻole kahi pēpē i ʻoi aku ke kaumaha ma mua o 9 paona e hoʻonui ai i ka pilikia.
• Menopause: Me ka menopause, emi iho ka hana ʻana o ke kino i ka hormone estrogen. He mea nui loa kēia hormone estrogen no ka mālama ʻana i nā ʻiʻo papahele pelvic ikaika. No laila, ke emi iho ka pae estrogen, hiki i kēia mau ʻiʻo ke nāwaliwali.
• ʻO ke ʻoki kino: ʻO nā wāhine i loaʻa ka hysterectomy e pilikia nui ana i ka prolapse vaginal.
• Ka ʻelemakule: Hoʻonui ka pilikia o kēia ʻano i ka nāwaliwali maoli ʻana o nā ʻiʻo me ka ʻelemakule.
• Ka hāpai pinepine ʻana i nā mea kaumaha: ʻO ka hāpai pinepine ʻana i nā mea kaumaha (e like me nā bākeke wai, nā pahu kinoea) hiki ke kau i ke kaomi mau ma ka papahele pelvic a hoʻonāwaliwali i nā ʻiʻo.
• Nā kumu ʻē aʻe: ʻO ka momona, ka hoʻoluhi pinepine ʻana ma muli o ka paʻa ʻana o ka ʻōpū, a me ka ʻū mau ʻana i hoʻokumu ʻia e nā maʻi e like me ka hānō hiki ke kau i ke kaomi ma ka papahele pelvic a alakaʻi i kēia ʻano.

He aha nā lāʻau lapaʻau no kēia?

ʻO ke ʻano o ka mālama ʻana no kēia mea e pili ana i nā kumu he nui, me kou mau makahiki, ke koʻikoʻi o ke ʻano, kou olakino holoʻokoʻa, a inā ʻoe e hoʻolālā e loaʻa nā keiki a i ʻole e hana moekolohe i ka wā e hiki mai ana. No laila, he mea nui e kamaʻilio ākea e pili ana i kēia me kāu kauka.

Hiki ke hoʻokaʻawale ʻia ka lāʻau lapaʻau i ʻelua ʻāpana nui.

1. Nā lāʻau lapaʻau ʻoki ʻole

ʻO kēia nā lāʻau lapaʻau mua i hoʻohana ʻia i ka wā ʻaʻole i koʻikoʻi loa ke ʻano.

• Nā hoʻomaʻamaʻa Kegel: ʻO kēia ka mea nui loa a maʻalahi hoʻi. Hoʻoikaika kēia i nā ʻiʻo o ka papahele pelvic. E hoʻopaʻa i nā ʻiʻo a puni ka vagina a me ka anus me he mea lā e hoʻōki ana ʻoe i ke kahe o ka mimi , e paʻa no kekahi mau kekona, a laila e hoʻomaha mālie. Hiki iā ʻoe ke hana i kēia i nā manawa he nui i ka lā, ma kahi o 10 mau manawa i ka manawa. Hiki iā ʻoe ke hana i kēia hoʻomaʻamaʻa ma nā wahi āpau, i kēlā me kēia manawa.
• ʻO ka pessary vaginal: He mea liʻiliʻi kēia, he ʻano apo i hana ʻia me ka laholio a i ʻole ka palakiko. E koho ke kauka i ka nui kūpono nou a hoʻokomo iā ia i loko o kou vagina. Hāʻawi ia i ke kākoʻo i kou mau ʻāpana genital haʻahaʻa a mālama iā lākou i luna. Pono e hoʻomaʻemaʻe mau ʻia a wehe ʻia ma mua o ka moekolohe.

2. Nā lāʻau lapaʻau ʻoki kino

Inā koʻikoʻi ke kūlana a ʻaʻole holomua nā lāʻau ʻē aʻe, hiki i kāu kauka ke ʻōlelo i ke ʻoki ʻana.

• Hoʻokuʻu ʻia ʻana o ka vault vaginal: ʻO kēia ʻoki kino e pili ana i ka hoʻopili ʻana i ka vagina i hoʻohaʻahaʻa ʻia i nā ligaments ikaika i loko o ka pelvis a laila hāpai i luna.
• Sacrocolpopexy:ʻO kēia ka hāpai ʻana i ka ʻōpū me ka hoʻohana ʻana i kahi ʻupena hana a hoʻopili iā ia i ka iwi haʻahaʻa loa o ka iwi kuamoʻo. Hana pinepine ʻia kēia ma ke ʻano laparoscopic ma o kekahi mau ʻoki liʻiliʻi ma ka ʻōpū.
• Colpocleisis: Pili kēia i ka humuhumu ʻana i ka vagina. He haʻahaʻa loa ka pilikia o ka prolapse e hana hou ʻia ma hope o kēia ʻoki kino. Eia nō naʻe, ʻaʻole hiki iā ʻoe ke moe kolohe ma o ka vagina ma hope o kēia ʻoki kino . No laila, pono ʻoe e kamaʻilio me kāu kauka ma mua o ka hoʻoholo ʻana e pili ana i kēia.

He aha kā mākou e hana ai e pale aku i kēia kūlana?

ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia.

• E hana i nā hoʻomaʻamaʻa Kegel i nā manawa a pau.
• Ka mālama ʻana i ke kaumaha olakino .
• E pale i ka puhipaka (hiki i ka puhipaka ke hoʻoulu i ka ʻūhū a hoʻonui i ke kaomi ma ka papahele pelvic).
• E hoʻohana i ke kūlana kūpono i ka wā e hāpai ana i nā mea kaumaha . E mālama i kou kua i pololei a kūlou i kou mau kuli i ka wā e hāpai ana i nā mea kaumaha. Mai wili a hāpai i nā mea kaumaha i ka manawa hoʻokahi.
• E ʻai i nā meaʻai waiwai i ka fiber a inu i ka wai he nui e pale aku ai i ka paʻa ʻana o ka ʻōpū.