He aha te perineum? Me ako tātou mō tēnei wāhanga iti engari he tino hira o tō tinana.

Kia ora! Kei te pēhea koe? I tēnei rā ka kōrero tātou mō tētahi wāhanga o tō tātou tinana kāore pea tātou e kōrero nui ana, engari he mea tino nui. Koinei te ingoa e karangatia ana e ngā tākuta ko te perineum. Kāore pea koe i rongo i tēnei ingoa i mua. Kaua e manukanuka, ka kōrerohia e mātou he tino māmā noa iho, i roto i tētahi huarahi e mārama ai koe.

He aha tonu te perineum? Kei hea tōna wāhi?

Ki te kī ngāwari, ko tō perineum te kiri tairongo i waenganui i ō ira tāne (te whakatuwheratanga o tō tenetene i ngā wāhine, tō kiriuhi rānei i ngā tāne) me tō nono (te wāhi e tūtae ai tātou). Whakaarohia he wāhi iti. Koinei te wāhanga e kitea ana e tātou i waho.

Engari, ehara i te kiri anake e kitea ana i waho te perineum. Ko te wāhi kei raro i te kōhao o te hope. Ara, kei raro i taua kiri ētahi hanganga me ngā uaua nui o roto i tō tātou tinana. Hei whakamārama, kei raro i ngā uaua o te papa hope.

Nā, kei te kite koe, āe? Ahakoa te āhua nei he wāhi iti tēnei, he mea hohonu rawa atu i tērā.

He aha te mea ka pā ki te perineum? He aha te hiranga o tēnei ki a tātou?

He nui atu ngā āwhina a tēnei perineum iti i tō whakaaro.

• Mō te whakaohooho me te ahuareka o te moepuku: He maha ngā pito io o te kiri o te perineum. Ka āwhina ēnei i te whakaohooho me te urupare moepuku. Ko te tikanga he rohe whakaihiihi tēnei o te tinana.
• Tautoko papa pelvic: Ko ngā uaua o te papa pelvic te mea e pupuri ana i ngā mea pēnei i te pūkahukahu, tetahi wāhanga o te koroni, me ngā whekau whakaputa uri. Ko te perineum te turanga pai me te tautoko mō ēnei uaua papa pelvic.
• Te mimi, te tūtae, me te moe tāne: I roto i ō tātou tinana, ka āwhina ngā hanganga o te perineum i ēnei tukanga.
• Te whānautanga (mō ngā wāhine): Mā ngā hanganga o te perineum o te wahine ka āwhina i a ia ki te whānau i te pēpi mā te tara. Koinei te wāhi e tino totoro ana i te wā e whānau ana.

Kua mārama koe ināianei ki te hiranga o tēnei, tika?

Kia ako tātou i ētahi atu kōrero mō te wāhi me te āhua o te perineum.

I kī mātou kei waenganui i ngā ira tangata me te nono te perineum. E rite ana tēnei wāhanga e kitea ana ki ngā hanganga o roto i te tinana e kore e kitea.

Kei roto, kei raro i te uaua matua o te papa pelvic (uaua levator ani) te perineum. Ka toro atu hoki puta noa i ngā wheua pelvic. Whakaarohia pēnei:

• Ki mua: Ka tīmata te perineum i te pubic symphysis, te hononga i waenganui i ngā wheua pelvic maui me te matau, i mua o te pelvic.
• Muri: Mai i reira, ka toro atu ki te wheua hiku/coccyx.
• Ki te taha: Ka toro atu tēnei ki ngā wheua e rua (ngā wheua sitz, ngā ngongo ischial rānei) kei te taha matau, me te taha maui o tō tātou hope, e pēhi ana ki te whenua ina noho tātou.

I ētahi wā ka whakaahuahia e ngā tākuta ngā rohe o te perineum hei āhua taimana. Whakaarohia he rārangi whakaaro i waenganui i ō wheua e rua e noho ana. Mā tēnei rārangi ka wehea te taimana kia rua ngā tapatoru:

1. Tapatoru urogenital: Koinei te wāhi e noho ai ngā ira tangata, te urethra, me ngā uaua e pā ana.

2. Tapatoru ā-ira: Koinei te wāhi e tū ai te pūaha ā-ira me ngā uaua o te uaua ā-ira. Ka āwhina ēnei uaua ki te whakau me te whakangāwari i te ā-ira i te wā e neke ana te puku.

I te wāhi e tūtaki ai ēnei tapatoru e rua, he puranga matotoru o te kiko muka-uaua e kiia nei ko te tinana perineal . He mahi nui tēnei ki te tautoko i te papa pelvic. He ngāwari ake tēnei wāhi ki te whara i te wā e whānau ana.

He aha te rahi o te perineum? He aha ngā mea hanga?

Ko te roa o te perineum o te wahine he tata ki te 1.5 inihi (3.8 henimita). Ko te perineum o te tāne he 2 inihi (5 henimita), he roa ake rānei.

He maha ngā paparanga o te perineum i raro i te kiri. Kei roto i ēnei ko te kiko honohono, te kiko ngako, te uaua, me ngā kiriuhi . He io tino nui e kiia nei ko te io pudendal e rere ana i roto i te perineum, e toro atu ana ki ngā wāhi pēnei i ō tātou ira tangata, ngā uaua o te papa pelvic, me te rectum. Ko tēnei whatunga uaua o ngā io e āhei ai te perineum ki te aro atu ki ngā kare ā-ira me te āwhina i a tātou ki te mimi me te tutae.

He aha ngā āhuatanga me ngā mate e pā ana ki te perineum?

Ko te whānautanga te tino take o te whara o te perineum. Tata ki te 85% o ngā whaea e whānau ana i roto i te tara ka pāngia e te pakaru o te perineum. Heoi, ka taea e te tangata katoa, ahakoa te ira tangata, te whara o te perineum.

Ngā mea e tino pā ana ki ngā wāhine

• Whānautanga tara: I te putanga mai o te pēpi i te tara, ka totoro te tara me te perineum, ka pakaru i ētahi wā. I te nuinga o te wā, he pakaru iti ēnei ka ora i roto i te wā. Heoi, i runga i te rahi o te pakaru, me tuitui pea hei whakatika i te kiko. Ka taea e ngā pakaru nui ake te kino i ngā uaua o te papa pelvic tata, i ngā uaua ana rānei. Ina pakaru te perineum, ka uaua pea te mimi, te tūtae, te moe tāne rānei.
• Episiotomy: Koinei te wā e tapahia ai e te tākuta, e te kaiwhakawhanau rānei tētahi wahi iti i roto i te perineum i mua i te whānautanga hei whakawhānui i te pūaha o te tara. I mua he mea noa tēnei, engari kāore e mahia ana i ēnei rā. Kua whakaatuhia e ētahi rangahau ka pāngia ētahi wāhine kua episiotomy e te mamae o te hope me te kore e taea te pupuri i te mimi i muri mai i te oranga.

Ngā mea e pā ana ki ngā tāne

• Te mate pūkahukahu:Ki te pangia, ki te whara rānei te repe tākihi, ka pupuhi, ka mamae hoki. Ka pāngia te tinana me te perineum e tēnei mamae.
• Pokanga: I ētahi wā me tapahi e ngā tākuta te perineum hei mahi pokanga repeure, hei tango i te pukupuku, hei rongoā rānei i te urethra stricture.

Ngā mea e pā ana ki ngā ira e rua

Ka taea e ngā āhuatanga e whai ake nei te puta i roto i ngā wāhine me ngā tāne:

• Te ngoikore o te papa o te pelvis: Mena kua pakaru te perineum, he nui ake te tūponotanga ka uaua te mimi, te tutae rānei.
• Ngā whēwhe perineal, ngā whewhe rānei: Ka puta pea ngā whēwhe pangia ki te kiri o te perineum, ki roto rānei i te nono. He whero, he pupuhi, he mamae hoki ēnei i ētahi wā.
• Hemorrhoids: He uaua pupuhi ēnei i roto, i te taha rānei o te nono. Ka taea e rātou te noho ki roto, ki waho rānei. Ka taea e rātou te whakaheke toto, te mākūkū, te mamae rānei i te perineum.
• Te mau o te io pudendal: Ko te io pudendal, i kōrerotia e tātou i mua ake nei, ka rere mā roto i te perineum. Mēnā ka whara, ka mumura, ka mamae pea te perineum. Ka tīmata ohorere, ka piki haere rānei te mamae i roto i ētahi wiki, i ētahi marama rānei.
• Mamae e tukuna ana: Ko ētahi āhuatanga e tīmata ana i tētahi wāhanga o te tinana ka pā te mamae ki te perineum. Hei tauira , ko te appendicitis, te colitis , me ētahi mate puku ka pā te mamae ki te perineum.
• Te Gangrene a Fournier: He mate huakita tino onge tēnei e mate ai te kiri o ngā ira tangata me te perineum. He mea tino noa tēnei i roto i ngā tāne i waenga i te 50 me te 60 tau te pakeke e mate huka ana.
• Whara, whara rānei: Ka taea e ngā aituā pēnei i te eke motopaika, te eke pahikara, me te eke hōiho te kino i te perineum. Mena he kaieke pahikara koe, mā te whakamahi i te nohoanga pahikara kore ihu ka taea te whakaiti i te pēhanga ki runga i te perineum me te whakaiti i te tūponotanga o te whara.
• Te tukino ā-ira tangata: Ko te perineum kua pakaru, kua whara rānei he tohu pea nō te tukino ā-ira tangata, te tutu rānei.

Me pēhea koe e mōhio ai mēnā he raruraru tō te perineum? (Ngā tohu)

Ko te tohu matua kei te hē tetahi mea ki te perineum ko te mamae . I muri i te whānautanga, ka uaua te hikoi, te noho rānei i te mamae e puta mai ana i te haehae o te perineum.

Tērā pea ētahi atu tohu e tohu ana i te raruraru o ngā uaua me ngā okana i roto i te perineum, i te kōhao pelvic rānei e karapoti ana:

• Te uaua ki te mimi, ki te tutae rānei.
• He mamae, he mākūkū rānei te perineum.
• Te mamae i te wā e moe ai, e mimi rānei.
• He uaua ki ngā tāne te whakatū i te tinana.
• He puku, he whero, he pupuhi rānei i roto i te perineum.

Ki te pā mai ēnei tohu ki a koe, he pai ake te toro atu ki te tākuta me te rapu tohutohu me te kore e whakama, e mataku rānei.

Ngā whakamātautau hei tirotiro i te hauora o te perineum

Ka taea e tō tākuta te whakahaere i tētahi whakamātautau tinana hei tirotiro i ngā whara, ngā mate pāwera, ngā āhuatanga kē atu rānei o te perineum. Tērā pea ka uru atu hoki ki tēnei whakamātautau he whakamātautau matihiko i te rectum, ka taea ai te kite i ngā āhuatanga rerekē.

Hei tāpiri, ka taea hoki e ngā tikanga whakaahua te tautuhi i ngā raruraru i roto i te perineum:

• Matawai CT: Ka taea te tirotiro mēnā he kino ki te perineum i roto i te tinana.
• MRI: E whakaatu ana mēnā he kino kei ngā oko toto, kei ngā uaua rānei i roto i te perineum.
• Ultrasound: E whakaatu ana i ngā uaua toto kua pakaru i roto i te perineum.
• Hiko-X me te tae: Ka taea te whakamahi i tēnei hei tirotiro mēnā he kino kei te urethra, i te mea ka haere te urethra mā roto i te kiko o te perineum.

He aha ngā maimoatanga mō te perineum?

Mena he motu, he haehae rānei tō perineum, mā tō tākuta e whakatau mēnā me tuitui kia ora ai. I tēnei wā, ka taea e koe te mahi i ēnei mea hei āwhina i te whakaiti i te mamae:

• Ngā kaukau noho-ā-roto me ngā kōpeke mahana: Ko ngā kaukau noho-ā-roto he tikanga mō te rumaki i te perineum ki te wai pāpaku, māhana hei āwhina i te horoi me te whakaora. Me mahi tēnei mō te rima ki te tekau meneti, kia rua ngā wā i te rā. I muri i te kaukau, me ata mirimiri te perineum kia maroke, kaua e kaha.
• Ngā rongoā whakamamae mamae me ngā rehu whakangote: Mā te tango i ngā rongoā whakamamae mamae pērā i te Paracetamol, te Ibuprofen rānei , te whakamahi rānei i ngā rehu whakamamae mamae, ka āwhina i te whakahaere i te mamae kia ora rā anō. Mena he hemorrhoids tōu, ka taea hoki e ngā tauera me ngā kirīmi te āwhina i te whakaiti i te mamae, te mākati, me te mumura i roto i te perineum.
• Pōtae-peri: He pōtae iti tēnei ka taea te whakakī ki te wai mahana hei horoi i tō perineum i muri i te whakamahinga o te wharepaku. Mā tēnei ka whakaiti i te tūponotanga o te whara i te murunga ki te pepa wharepaku.
• Te ārai i te mate puku: Mā te totoro i te puku i te wā e neke ana te puku ka nui ake te mamae o te perineum. Ka taea te ārai i te mate puku mā te kai i ngā kai he nui te muka (huawhenua, hua rākau, me ngā pīni) me te inu i te iti rawa e waru karāhe wai i te rā.
• Ngā mahi whakakori tinana (Ngā mahi Kegel): Ka whakapakari ēnei mahi Kegel i ngā uaua o te papa o te hope i muri i te whānautanga.Mā te mahi pēnei ka āwhina i tō tinana kia ora ake i ngā mea pēnei i te whāwhā me te totoro. Tērā pea ka tukuna koe e tō tākuta ki tētahi kaiwhakaora tinana mō ngā mahi whakakori tinana motuhake mō te papa hope. Engari kia maumahara, me mahi noa ēnei mahi i muri i te whara i raro i te tirotiro a te rata.

Mena he puku pangia, ka tohua pea e te tākuta he paturopi , ka tapahia rānei, ka tangohia te wai. Tērā pea ka hiahiatia he pokanga mena he nui ngā hemorrhoids, he kino rānei ngā io i roto i te perineum.

Ka āwhina te mirimiri ki te whakaiti i te pakaru o te perineum i te wā e whānau ana?

Kāore e taea te ārai katoa i ngā roimata o te perineum, engari e kīia ana mā te mirimiri i te perineum i mua atu me te wā e whānau ana ka taea te whakaiti i te tūponotanga o te roimata.

Āhea ahau me tīmata ai i tēnei mirimiri? Kia pēhea te auau o taku mahi?

He mea pai kia tīmata tēnei mirimiri perineum i te 34 wiki pea o tō hapūtanga.

Whakatakotoria kia rima meneti i ia wā. Whakamaheretia kia mirimirihia tēnei e toru, e whā rānei ngā wā i te wiki.

Me pēhea te mirimiri i te perineum?

I mua i te mahi i tēnei, whiriwhiria he wā me te wāhi hei whakangā. I mua i te tīmatanga, horoia ō ringaringa ki te hopi ngawari. Mā tēnei ka ārai i te uru o ngā huakita ki roto i te tenetene.

• Takoto ki runga i tō tuara, wherahia ō waewae kia whānui, ka piko ō turi. Kia tino tautokona tō tuara.
• Pania he hinu māori iti (pēnei i te hinu kokonati, te hinu oriwa) he hinu whakahinuhinu wairewa rānei ki ō maihao, ki tō koromatua, me te perineum.
• Whakauruhia tētahi o ō koromatua (me te hinu whakahinuhinu) kia kotahi inihi, kia kotahi inihi me te hawhe rānei ki roto i tō tara. Kātahi ka ata whakauru i tō koromatua kē atu.
• Pēhia te pakitara o muri o te tenetene ki te nono ki ngā koromatua e rua. Pēhia kia nui te pēhanga kia rongohia he kukume iti ki roto i te tenetene. Puritia tēnei tūranga mō te meneti, kia rua rānei.
• Kātahi ka nekehia mārire ō koromatua kia rite ki te āhua "U". Ka rongo koe i te kukume mārie.

Ki te pāngia koe e te mamae i a koe e mahi ana i tēnei, kati. He mea pai hoki kia kōrero koe ki tō tākuta mō tēnei.

Ngā mea me maumahara tātou

Ko tō perineum te wāhi kiri ngawari i waenganui i ō ira tangata me tō nono, me te kiko kei raro e hanga ana i te papa o tō kōhao hope. He mea tino nui tēnei mō te pumau o te hanganga o tō hope.

Heoi, kaua e mataku mēnā ka pakaru tō perineum i te wā e whānau ana. Tērā pea me tuitui koe, engari ka ora te nuinga o ngā whara i roto i te wā. Mā tō tākuta koe e tohutohu ki ngā huarahi hei whakahaere i te mamae i a koe e ora ana. He mea nui kia mōhio koe ki tēnei wāhanga o tō tinana, ā, me rapu tohutohu hauora tonu mēnā he āwangawanga āu. Kia ora tonu!

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