I mōhio koe ki ēnei mea mō ō uaua papa hope? Me kōrero tāua!

Kua whakaaroaro kē koe mō ō uaua papa hope? Kāore pea. Engari he tino nui te mahi a ēnei uaua ki roto i ō tātou tinana, inā koa i roto i ētahi o ngā mahi e tika ana mō ō tātou oranga o ia rā. Nō reira, i tēnei rā ka kōrerohia tēnei mea i roto i tētahi huarahi māmā, i tētahi huarahi e mārama ai koe.

He aha ngā uaua o te papa o te pelvis?

He whakarāpopototanga noa iho, ko ngā uaua o te papa pelvic he kohinga uaua me ngā kiko honohono e tautoko ana i ētahi okana nui i roto i tō kōhao pelvic, pērā i tō pūkahukahu, tō puku, me tō kōpū, te tara, me te repeure i roto i ngā wāhine. Pērā i te mata, ka āwhina ēnei uaua ki te pupuri i ēnei okana kia mau tonu. Ka whakaratohia hoki e rātou te ngāwari e hiahiatia ana mō ngā mea pēnei i te mimi, te tūtae, me te mahi moepuku.

Whakaarohia, ko ngā rōpū uaua matua o tō tinana, e kiia nei hoki ko ngā "uaua matua," ka mahi tahi me ēnei uaua, arā, ngā uaua o te papa hope. Koinei te take ka taea e koe te tiaki i tō tuaiwi me ō whekau o roto mai i te pēhanga e puta mai ana i te wā e hiki ana koe i tētahi mea taumaha, i te maremare, me ētahi atu. I taua wā anō, ka āwhina hoki ēnei uaua i a koe ki te whakahaere i tō mimi me tō tūtae ('Pupuritanga').

He aha rawa te mea e tupu ana ki ēnei uaua o te papa pelvic?

Ko te mahi matua o ēnei uaua he pupuri me te tiaki i ngā whekau nui o te kōhao hope i ō rātou tūranga tika. Ko te kaha ki te whakahaere i ēnei uaua – arā, ki te pēhi me te whakangā – he tino āwhina ki te tango i ngā para i roto i ō tātou tinana.

Whakaarohia, he tino motuhake te mahi a ēnei uaua me tō pūwero me tō pūwero. Ina whakakīkīhia ēnei uaua o te papa hope, ka whaiti ēnei ara e rua. Kātahi ka kore e taea te puta te paru. Ina whakangāwarihia anō ēnei uaua, ka whānui ake ēnei ara, ā, ka taea e koe te mimi, te tūtae rānei.

Mō te tangata hauora ngā uaua o te papa pelvic, ka puta noa mai tēnei whakakaha me te whakangā. Ā, ka taea e koe te whakahaere i tēnei i tō hiahia, pērā i te whakakaha ā-ringa i te bicep.

He iti anō hoki ngā rerekētanga o te mahi a ēnei uaua o te papa pelvic, i runga i ngā wāhanga o tō pūnaha whakaputa uri.

He pēhea te mahi a ngā uaua o te papa pelvic o ngā wāhine?

Hei wahine, ko ngā mahi a ō uaua papa pelvic e whai ake nei:

• Ka tautoko i ngā whekau pēnei i tō pūkahukahu, te urethra, te tara, te kōpū, te koroni, te tō, me te nono.
• Ka whakakīkī, ka whakangāwari hoki koe i tō pūhā hei whakahaere i te rere o te mimi, te paru, te hau rānei.
• Ka āwhina i te whakanui ake i te rere o te toto ki te tara, ā, ka pāngia te tara i te wā o te moepuku me te orgasm.
• Ka tautoko i te whānautanga ā-taiao ('Whānautanga tara').

He pēhea te mahi a ngā uaua o te papa hope o ngā tāne?

Ko ngā mahi a ngā uaua o te papa pelvic o te tāne e whai ake nei:

• Ka tautoko i ngā whekau pēnei i tō pūkahukahu, te urethra, te prostate, te koroni, te rectum, me te nono.
• Ka whakakīkī, ka whakangāwari hoki koe i tō pūhā hei whakahaere i te rere o te mimi, te paru, te hau rānei.
• Ka āwhina i te ure kia tū tika ('whakaara') me te puha ('puha') i te wā moe tāne.

E mōhio ana koe kei hea ēnei uaua o te papa pelvic?

Ko ō uaua papa pelvic te tūāpapa o ō uaua matua. Kei roto i ēnei uaua matua ō uaua papa pelvic, ngā uaua puku, ngā uaua tuara, me te diaphragm (te uaua e whakahaere ana i te manawa). Ka hono ngātahi ēnei uaua ki tō pelvis me tō tuaiwi, ka pumau ai tō puku.

Hei whakamārama tika, ka toro atu ēnei uaua mai i te mua o tō hope (te 'wheua Pubic') ki raro i te tuara o tō tuaiwi ki te wheua iti i te pito (te 'Coccyx'). Waihoki, e rua ngā wheua ka taea e koe te rongo ina noho koe (ngā 'Ischial tuberosities'), ā, ka toro atu ēnei uaua i ngā taha e rua. He rite ki te kiriuhi kotahi i hangaia mai i ētahi paparanga uaua e hono ana tetahi ki tetahi. Engari he pūwhera anō hoki ō rātou – ko te 'Anus', ko te 'Urethra' me te 'Vagina'.

Ka taea hoki e koe te kimi i te wāhi kei reira ēnei uaua mā te mahi i tētahi mea iti. Engari me horoi pai ō ringaringa i mua i te mahi i tēnei.

* Ki te mea he wahine koe, te whakatuwheratanga o te tara: Whakauruhia tētahi, e rua rānei ngā maihao ki roto i te tara, ka ngana ki te kōpeke i ngā maihao kia piri tahi.

* Mimi: Whakaarohia kei te mimi koe, ā, kei te pēhia e koe me te mea kei te aukati ohorere koe i te rere o te mimi.

* Nono: Whakakīia tō nono me te mea kei te ngana koe ki te aukati i te hau kei puta.

>

Ahakoa te āhua o tāu mahi i tēnei, ka rongo koe i ētahi uaua i roto i tō hope e tō ana ki roto, ki runga hoki. Ko ō uaua papa hope ēnā.

He aha ngā uaua matua o te papa hope?

He maha ngā paparanga uaua me ngā hononga e kiia nei ko ngā hononga, he mea hanga ki tō papa hope, e hono ana i aua uaua. E rua ngā rōpū uaua matua e whai tikanga ana ki tēnei:

• Levator ani (`Levator ani`):Koinei te rōpū uaua nui rawa atu, tino hira hoki o te papa hope. He huinga uaua motuhake e toru: te pubococcygeus, te puborectalis, me te iliococcygeus. Ka toro atu tēnei rōpū (Levator ani) huri noa i tō hope.
• Kokonga: He rōpū uaua iti anō tēnei kei roto i te papa hope. Kei muri o te hope.

He aha ngā āhuatanga noa e pā ana ki ngā uaua o te papa pelvic?

Ka ngoikore pea ngā uaua o te papa hope (ngāwari) ka tino piri rānei (hipertonika). Ka raru pea ēnei uaua e rua. Ko te mea nui ko te taurite. Arā, me kaha ēnei uaua kia mau tonu ai tō uho me ō whekau ki tōna tūranga, engari me ngāwari hoki kia taea ai te whakawhāiti me te whakangā ina hiahiatia.

Ka aha mēnā ka ngoikore (ka ngoikore) ngā uaua o te papa pelvic?

He maha ngā take e ngoikore ai ēnei uaua. Hei tauira:

• Nā te aituā, te whara rānei ('Whara, whara rānei'). Tērā pea nā ngā mea pēnei i te whānautanga ('Whānautanga') te pokanga rānei ('Pokanga').
• Nā te ahotea o te haputanga.
• Te nui rawa o te whakauaua i te tinana nā ngā mahi pēnei i te hiki taumaha pinepine, te maremare roa, me te mate pāwera.
• Nā ngā huringa homoni e puta ana i te wā menopause.
• Hei wāhanga o te tukanga koroheketanga taiao.
• Ka taea hoki ēnei te ngoikore e ētahi āhuatanga hauora, pērā i te mate huka.

Ina ngoikore ngā uaua o te papa pelvic, ka puta pea ēnei āhuatanga:

• Te kore e taea te pupuri i te mimi i te ahotea: Ko te turuturu o te mimi ina kata koe, ina maremare, ina tihe, ina hiki rānei i tetahi mea. He mea noa tēnei i muri i te whānautanga, te pokanga repeure, te whara pelvic rānei.
• Te hiahia nui ki te mimi kore e taea te pupuri: Ko te hiahia tonu ki te mimi me te kore e taea te whakahaere i taua hiahia.
• Te kore e taea te pupuri i te tūtae: Te uaua ki te whakahaere i te haere o te tūtae .
• Te kore e taea te pupuri i te mimi i roto i te pūwero: Te uaua ki te whakahaere i te rere o te hau .
• Te hekenga o te whekau pelvis: Ina ngaro te tautoko o ō whekau pelvis, pērā i tō kōpū, tō pūkahukahu, me tō mimi, ka taka ki roto, ki waho rānei i tō tara, he mea noa tēnei āhuatanga i muri i te paheketanga.

I te nuinga o te wā, ki te uaua koe ki te whakahaere i te rere o te mimi, te paru, te hau rānei ('incontinence'), he tohu pea tēnei nō te ngoikore o ngā uaua o te papa pelvic.

Ka aha mēnā ka piripono ngā uaua o te papa pelvic (ka nui haere te kaha)?

He nui tonu ngā mea e akohia ana mō tēnei āhuatanga, e mōhiotia nei ko te "papa pelvic hypertonic." Heoi, ina kore e ngāwari, ka pakari ake ēnei uaua, ka puta pea ēnei raruraru:

• Te koretake o te mimi, te uaua rānei ki te tutae.
• Mamae o te hope.
• Te mamae i te tuara, i te hope, i te waewae rānei.
• Te moe tahi mamae.
• Te uaua ki te mimi, te mimi pinepine, te hiahia nui rānei ki te mimi.

Ka taea te hua o tēnei momo uaua kukū i te whakaeke ā-ira tangata, i ētahi atu momo whara hinengaro, tinana rānei, i ngā aituā, i te whānautanga, i te ahotea, me ētahi atu mate wahine.

He aha ngā maimoatanga mō ngā uaua ngoikore o te papa pelvic?

Ko te rongo pai, he maha ngā mea ka taea e koe te mahi mō tēnei.

• Ngā mahi Kegel: He maha ngā wā ka whakamahia ēnei hei whakapakari i ngā uaua o te papa pelvic. Ko ngā mahi Kegel he whakakaha me te whakangāwari i ō uaua papa pelvic, me te hanga haere i te mana whakahaere ki runga i aua uaua. Ka taea hoki e ēnei mahi te āwhina i te kore e taea te pupuri i te mimi. I ētahi wā ka whakamahia pea e te tākuta te urupare koiora hei āwhina i a koe ki te mahi i ēnei mahi. Ka taea e te pūoko e whakanohoia ana ki roto i tō tenetene te ine i te kaha o tō whakapiko i ngā uaua me te nui o tō whakapiko i a rātou.

He mea nui: Kaua e whakamātau i ngā mahi Kegel me te kore he tohutohu a tō tākuta, ina koa mēnā kua pāngia koe e tētahi whara ki ngā uaua o te papa pelvic (hei tauira, i te wā e whānau ana).

• Te whakahaere i te mate puku: Ko ngā mea ka taea e koe te mahi hei whakaiti i te mate puku (te kai, te whakakori tinana, ngā rongoā) ka āwhina i te aukati i te pēhanga koretake ki ngā uaua o te papa pelvic ina haere koe ki te wharepaku.
• Ngā taumaha tara/pōro Kegel: Mā te whakauru i ngā mea rite ki te pōro i hangaia mōu ki roto i te tara, me te pupuri i aua mea i a koe e mahi ana i ngā mahi o ia rā, ka taea e koe te whakapakari haere i ngā uaua o te papa hope.
• Ngā taputapu hauora: Mena he ngoikore rawa ngā uaua o te papa pelvic, ka taea te whakamahi i tētahi taputapu pēnei i te pessary tara hei pupuri i ō whekau pelvic ki tōna tūranga.
• Whakaora tinana: Ka taea e te kaiwhakaora tinana kua whiwhi whakangungu motuhake ki ngā uaua o te papa pelvic te āwhina i a koe ki te whakataurite me te whakapakari i ō uaua matua, tae atu ki ngā uaua o te papa pelvic.
• Pokanga:Mēnā ka heke te whekau pelvic, ka taea te mahi i te pokanga hanga anō hei whakahoki i ngā whekau ki tōna tūranga tika, i te pokanga rānei e kīia nei ko te colpocleisis hei tuitui i ngā pakitara o te tenetene kia kore ai e puta ngā whekau.

He aha ngā maimoatanga mō ngā uaua papa pelvic kikī (hypertonic)?

Ko ngā maimoatanga mō tēnei āhuatanga ko te whakaora tinana, ngā tikanga manawa/whakangā, ngā werohanga uaua o te papa pelvic, te rongoā, me te whakaora whanonga hinengaro (CBT).

He aha ētahi mea ngāwari ka taea e tātou te mahi hei pupuri i te hauora o ēnei uaua o te papa hope?

I runga i tō hauora, tera pea ka whai hua koe mā te mahi i ngā mahi whakakorikori Kegel i ia wā, i ia wā. Ka taea e ēnei te whakapai ake i te whakahaere mimi me te puku, me te whakanui ake hoki i te mahi moepuku. He tokomaha i whakaaro i mua ko ngā mahi whakakorikori Kegel anake ka whakanui ake i te makona o te moepuku mō te hunga whai tara. Engari e kī ana ngā rangahau hou kei te wātea ēnei painga moepuku ki te katoa.

Ko te mea nui ko te whakamahi i ngā uaua tika i te wā e mahi ana i ngā mahi Kegel. Nō reira, me kōrero ki tō tākuta, ki tētahi kaiwhakaora tinana rānei, kia mōhio ai koe ki te whakau me te whakangāwari i ngā uaua tika.

Ka taea e koe te mahi i tēnei mahi whakakori tinana i runga i te noho, i te tū, i te takoto rānei.

• Whakakīkīhia ō uaua papa hope mō te 8 hēkona. Kia tūpato kei whakakīkīhia ō papa, ō huha, ō uaua rānei i tēnei wā. Mānu noa i a koe e whakakīkī ana.
• Kātahi ka whakangāwari i aua uaua mō te 8 hēkona. He mea nui anō hoki kia whakakahangia, kia whakangāwaritia hoki i te wā e whakakorikori ana i te tinana. Kia manawa noa i a koe e whakangāwari ana.
• Meatia tēnei (whakapakari mō te 8 hēkona, whakangā mō te 8 hēkona) kia 8 anō ngā wā.

Me mahi tēnei mahi whakangungu kia toru ngā wā i te rā. Me whakamātau kia noho hei tikanga te mahi i tētahi mea kua oti kē i a koe, ahakoa i te wā e parai ana koe i ō niho i te ata, i te wā e tirotiro ana koe i ngā pāpāho pāpori i te tina, i te wā rānei e hoki ana koe ki te kāinga mai i te mahi.

Ki te mea he uaua ki a koe te pupuri i te whakawhāititanga mō te 8 hēkona i te tīmatanga, tīmata ki te 3 hēkona. I roto i te wā, ka taea e koe te pupuri i te whakawhāititanga me te whakangā mō te 8 ki te 12 hēkona. Whakanuia mārire te wā me te kore e whakauaua ngā uaua.

I muri i te 4 ki te 6 marama, ka tīmata koe ki te rongo i te panoni o te kaha o ngā uaua o te papa pelvic.

Hei whakamutunga, kia maumahara ki tēnei ! (Karere hei kawe ki te kāinga)

He tokomaha te hunga e whakaaro ana ki ō rātou uaua papa pelvic i muri i te pāngia e te raruraru pēnei i te kore e taea te pupuri i te mimi, te heke rānei o te mimi. Kaua e tatari kia pāngia koe e te raruraru ka tiaki i tō papa pelvic.Mā te whakakorikori i ēnei uaua ka āwhina i a koe ki te whakahaere i tō pūkahukahu me te nekehanga o te puku. Ka taea hoki e ngā whakakorikori papa hope te whakapai ake i tō mahi moepuku, te whakaohooho, tae atu ki te kaha o te orgasm. Nō reira, me waiho te pupuri i te hauora o ō uaua papa hope hei wāhanga o tō mahi whakakorikori tinana mai i tēnei rā. Kaua e manukanuka, ka taea e koe te mahi i a koe anō!

Uaua o te papa pelvic, uaua o te papa pelvic, ngā mahi Kegel, te whakahaere mimi, te nekehanga o te puku, te hauora o ngā wāhine, te hekenga o ngā whekau pelvic