He mamae rerekē anō hoki tō puku o raro, he kikī, he mamae hoki? Me ako tātou mō tēnei (Hypertonic Pelvic Floor) !

Kei te pēhia koe e te mamae, e te kikī rānei i tō puku o raro, arā, i raro i tō hope? Kei te pāngia rānei koe e te kore whakamarie, te mamae rānei i a koe e mimi ana , e haere ana rānei ki te wharepaku? Tērā pea ka pāngia koe e te mamae i te wā e moe ai. Kaua e whakakorea ēnei mea hei mea noa iho. Tērā pea he hohonu ake te take i tō whakaaro. Koinei te āhua ka kōrerohia e tātou i tēnei rā, e kiia nei ko te (Hypertonic Pelvic Floor).

Tuatahi, kia kite tātou, he aha tēnei 'papa hope'?

Āe, i mua i tā tātou kōrero mō te (Papa Pelvic Hypertonic), me mārama tātou ki te tikanga o tēnei 'Papa Pelvic'. He kupu māmā noa iho, he kohinga uaua me te kiko honohono i roto i tō tātou puku o raro, arā, i roto i te hope. Pērā i te kupenga kaha, i te peihana iti rānei, ka huihui ēnei uaua ki te hiki me te tiaki i ngā whekau tino nui o roto i tō tātou puku o raro.

Whakaarohia, he rite tēnei ki te papa o tō tātou whare. Ko aua okana ko:

• Pūngāwerewere: Te wāhi e rongoa ai te mimi .
• Te tūtae: Ko te wāhanga whakamutunga o te nono (te tūtae): Te wāhi e rongoa ai ngā paru.
• I roto i ngā wāhine, ko te kōpū me te tara .
• I roto i ngā tāne, ko te repe prostate .

Kei waenganui i te wheua tūpāpaku i mua, te wheua tapu i muri, me ngā wheua nohoanga i ia taha, i ia taha, ngā uaua o te papa hope. Ka āwhina ēnei uaua me ngā io ki te whakahaere i tō tātou mimi , te tūtae, me te moe tāne.

Nā, he aha te ingoa o tēnei āhuatanga ko te (Hypertonic Pelvic Floor)?

Kua mōhio whānuitia e koe te tikanga o te 'papa pelvic'. I roto i te āhua e kiia nei ko te "papa pelvic hypertonic", ka pēhia tonutia ngā uaua o te 'papa pelvic', ka noho pōrearea, ka kōpiripiri tonu rānei. Ko te tikanga o tēnei, kāore e taea e ēnei uaua te whakangā, te tuku, me te mahi noa.

Whakaarohia, me pēhea mēnā ka puritia tō ringa ki roto i tō pōke mō te wā roa? Ā muri iho, ka tīmata tō ringa ki te mamae, ka ngoikore, ā, koinā te āhua. Nā te mea he piri tonu ēnei uaua, kāore e taea te whakahaere tika i ā rātou mahi, pērā i te mimi me te haere ki te wharepaku. Koia te take ka puta tonu te mamae, ka puta rānei i roto i ētahi mahi (hei tauira, te haere ki te wharepaku, te moe tāne). Ka taea hoki e ia te whakauaua i te mimi , te tūtae, me ngā raruraru moe tāne. Ka pā nui ēnei tohu ki te kounga o tō oranga.

Ko wai ka pāngia e tēnei mate (Hypertonic Pelvic Floor)? He aha te auau o tēnei mate?

He tino tika tēnei āhuatanga mō te katoa., arā, ka pā mai ahakoa te ira tangata, te pakeke rānei. I ētahi wā, ka pāngia hoki ngā tamariki nohinohi e tēnei āhuatanga.

I te nuinga o te wā, he mea tino noa te ngoikore o te papa pelvic. Ko te Papa Pelvic Hypertonic tētahi o aua raruraru. I te nuinga o te wā, kāore e tino kitea nā te mea e whakama ana te tangata ki te kōrero mōna. Heoi, e ai ki ngā raraunga, e kīia ana tata ki te kotahi i roto i te tekau tāngata ka pāngia e ēnei raruraru. Ko te tikanga ehara i te mea kāore i rangona i mua.

He aha te āhua o te pāngia e te (Hypertonic Pelvic Floor)? He aha ngā tohu?

Ko te tohu matua mō te nuinga o te tangata ko te mamae . Ka rite tēnei ki te pēhanga, te taumaha, te kikī rānei i te puku o raro, te tuara o raro, te hope rānei. I ētahi wā ka pā te mamae ki te wāhi kotahi (hei tauira, i roto i te pūkahukahu) i ētahi mahi rānei (hei tauira, te haere ki te wharepaku, te moe tāne).

Tērā atu anō ngā tohu. Me wehewehe tātou i ēnei:

Ngā tohu mimi

• Te mamae o te pūkahukahu.
• Te mamae me te wera i te wā e mimi ana .
• Te mimi pinepine (neke atu i te 8 ngā wā i te rā, me te ara ake i te pō).
• Te uaua ki te tīmata mimi , te mimi tonu, te āhua rānei kei te toe tonu te mimi i muri i te mimi .

Ngā tohu o te puku

• He uaua ki te tīmata ki te haere ki te wharepaku, he roa te wā ki te tae ki reira.
• Te āhua nei kāore anō tō puku kia tino mimiti ahakoa i muri i te haerenga ki te wharepaku.
• Te mamae i te wā e haere ana ki te wharepaku, i muri rānei i te haere.
• Te mamae tonu ahakoa te tuku hau.
• Ko te mate kōroke ko te kore e taea te haere ki te wharepaku ahakoa kotahi mō ētahi rā.

Ngā tohu moepuku

• Te mamae i te wā moe tāne, i muri hoki i te moe tāne (he maha ngā wāhine e pāngia ana e tēnei).
• Te kore e taea te whakatutuki i te orgasm.
• Mō ngā tāne, ka pāngia pea rātou e te ngoikore o te ure, te mamae rānei i te wā e puta ai te ira.

Ko te mea nui ko te āta whanake haere o ngā tohu o te (Hypertonic Pelvic Floor) ka kino haere i te roanga o te wā. Nō reira, ki te pā mai he tohu pēnei, kaua e warewaretia. He mea nui kia tere tonu te toro atu ki te tākuta me te rapu tohutohu.

He aha te take o tēnei āhuatanga (te papa o raro o te pēpi hypertonic)?

He uaua ki te tautuhi i ngā take mō tēnei, ā, he uaua hoki. Heoi anō, kei reira ētahi āhuatanga mōrearea ka whai wāhi atu ki tēnei mate. Ko ēnei:

• Te āhua o te pupuri i te mimi me te tūtae i te wā e taumaha ana:Kua noho tonu ētahi tāngata ki tēnei whanonga mai i te tamarikitanga. Ko ētahi ka akiakihia ki te mahi i tēnei nā te āhua o ā rātou mahi (hei tauira, he kaiako, he taraiwa pahi) nā te āhua o te noho rānei. Ina pēhia tonutia rātou pēnei, kāore e taea e ō rātou uaua te whakangā.
• Ngā whara, ngā pakaru rānei o ngā uaua o te papa pelvic: Ka taea te pakaru o ēnei uaua 'papa pelvic' i ētahi pokanga, te haputanga, te whānautanga (ina koa ko te whānautanga uaua), te aituā rānei (hei tauira, te hinganga).
• Te ngoikore o te uaua: Ka pā pea ēnei uaua ki te noho i te tūranga kotahi mō te wā roa (ina koa mō te hunga e mahi ana i te rorohiko), ngā tū āhua tauhou, ngā tauira hikoi hē, me ngā taupatupatu o te hope.
• Ētahi atu āhuatanga mamae:
• Te Mate Puku Whakararuraru (IBS)
• Te endometriosis
• Vulvodynia (mamae roa i roto i ngā ira o waho o ngā wāhine)
• Ngā pakaru o te ihu
• Te mate pūkahukahu mamae / Te mate pūkahukahu Interstitial

Ina pāngia koe e ēnei mate, ka kikī pea ngā uaua o te papa pelvic nā te mamae.

• Te tukino ā-ira tangata, ā-tinana rānei: Ina pāngia koe e ngā wheako mamae pēnei, ka pāngia hoki koe e ngā pānga tinana.
• Te ahotea, te pouri, me te manukanuka: Ko ngā mea e pā ana ki ō tātou hinengaro ka pā ki ō tātou tinana. Ina pāngia tātou e te ahotea nui, ka whakakikitia ō tātou uaua. Pērā anō hoki mō te papa hope.

Me pēhea te tātaritanga o te papa pelvic hypertonic?

Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohu me tō hītori hauora. Arā, ko te wā ka tīmata koe ki te mamae, te roa o te mamae, te whakamahinga o te wharepaku, te mimi , me tō oranga moepuku. Ahakoa he mea whakamā, he mea whakama hoki ēnei kōrero, he mea nui te pono me te mārama kia tika ai te tātaritanga. Mā tēnei ka āwhina i te tākuta kia mārama ki te momo mamae e pāngia ana e koe.

Kātahi ka whakahaerehia e te tākuta he whakamātautau tinana . Tērā pea kei roto i tēnei ko ngā mea e whai ake nei:

• Mā te tirotiro i tō puku o raro mai i waho ka kitea e koe te āhua o te whakakaha me te whakangāwari i ēnei uaua 'papa pelvic'.
• Whakamātautau matihiko mō te rectum.
• Mena he wahine koe, me tirotiro tō hope.

Ka āwhina ēnei whakamātautau i te tākuta ki te kimi i te pakari o te uaua me ngā wāhi e mamae ana.

I ētahi wā, ka whakahaerehia pea ētahi whakamātautau motuhake pēnei i ēnei hei rapu atu i ētahi atu kōrero:

• Te manometria o te repeure:I roto i tēnei, ka whakauruhia he ngongo angiangi (he catheter) ki roto i te rectum, ā, ka pupuhihia he poihau iti ki te pito. Ka whakawhāiti, ka whakangāwari hoki ngā uaua o te rectum me te nono, me te ine anō hoki i te pēhanga i roto i ngā uaua.
• Te Irahiko-ā-ringa (EMG): Ka ine tēnei whakamātautau i ngā tohu hiko e whakaputaina ana e ō uaua ina kōpiri, ina whakangāwari hoki. Ka mahia tēnei mā te whakatakoto i ngā papa iti rite ki te whakapiripiri (ngā irahiko) ki tō kiri.
• Te tango i te paru: He whakamātautau tēnei hei tirotiro i te āhua o te tūtae. Hei mahi i tēnei, ka whakaurua he matū motuhake (he whakapiri barium) e kitea ana i ngā hihi-X ki roto i tō pūkahukahu, ā, ka tonoa koe kia noho ki runga i tētahi wharepaku motuhake ka tūtae. Ka tangohia ngā whakaahua hihi-X i taua wā. Me tango e koe ētahi rongoā hei horoi i ō puku i mua i tēnei.
• Ngā whakamātautau Urodynamic: Ehara tēnei i te whakamātautau kotahi, engari he huinga o ētahi whakamātautau. Ka tirohia e ēnei te āhua o tō mimi me te mahi a tō pūhā.

He aha ngā maimoatanga mō te (Hypertonic Pelvic Floor)?

Ko te rongo pai, he rongoā kei reira mō tēnei mate! Ko te rongoā matua me te tino whai hua ko te whakaora tinana . Ka mahia tēnei e te Kaiwhakaora Tinana o te Papa Pelvic, he tohunga whakangungu motuhake ki ngā raruraru o te papa pelvic. Ka mahia e rātou ngā mea penei:

• Urupare Koiora: He tikanga tino pai tēnei. I roto i tēnei, ka whakamahia e koe ngā mea pēnei i ngā pūoko hei aroturuki i te mahi a ō uaua. Kātahi ka mārama koe ki te whakakorikori me te whakangāwari i ō uaua.
• Ngā tikanga whakangā: Ka whakaakona ngā mahi manawa me ngā momo tū hei whakangā i ngā uaua.
• Te mirimiri, te totoro, me te nekehanga o ngā hononga: Ka āwhina ēnei ki te whakangāwari i ngā uaua kikī.

Ko ētahi atu maimoatanga ka tūtohu pea tō tākuta:

• Te wero ngira.
• Ngā Rongoā: Ka taea te hoatu rongoā hei whakaiti i te mamae, hei whakahaere i te manukanuka, hei rongoā i te mate pāwera, hei rongoā hoki i te mimi pinepine.
• Te whakaohooho io: Whakahaerehia te kore e taea te mimi, te kore rānei e taea te puku.
• Werohanga pūwāhi: Ka taea te whakamahi i ngā corticosteroids (he momo steroid) Botox® rānei hei whakaiti i te mamae.

I ētahi wā ka rapu āwhina pea tō tākuta i ētahi atu tohunga, pēnei i:

• Kaimātai puku: He rongoā mō ngā mate pēnei i te mate kōroke.
• He tohunga mō te repe tai.
• Tākuta Whānau: Mō ngā raruraru hauora whānau uri o ngā wāhine.
• Tohunga Urologist, Uroginecologist rānei: Mō ngā raruraru mimi, mō te koretake o te moepuku rānei.
• Kaiwhakaora hinengaro: He āwhina mō ngā raruraru hinengaro.
• Kaiwhakaora ira tangata: Mō ngā raruraru ira tangata.

Me pēhea te whakaiti i te mōrearea o te whakawhanake i te (Hypertonic Pelvic Floor)?

He maha ngā mea ka taea e koe te mahi māu ake hei whakaiti i te mōrearea o tēnei mate:

• Kia mōhio koe ki te whakau me te whakangāwari i ngā uaua o tō puku.
• Whakaharatauhia ngā tikanga aroā me te whakangā. Ka āwhina ēnei ki te whakaiti i te ahotea.
• Me mahi ngā mahi whakakorikori papa hope (ngā mahi Kegel) i te wā e hapu ana, ā, i muri i te whānautanga . Pātai atu ki tō tākuta, ki tō kaiwhakaora tinana rānei mō tēnei.
• Ka kaha ake hoki ēnei uaua mā roto i ngā mahi yoga.
• Hei ārai i te mate puku mārō , kainga ngā kai he nui te muka (huawhenua, hua rākau, me ngā pīni), inuhia he nui te wai, ā, kaua e whakamātau i te mimi ina haere ki te wharepaku.
• Ki te mamae tō puku o raro, tō pūkahukahu rānei, kaua e warewaretia, engari me rapu tohutohu hauora.
• Mena kua pāngia koe e tētahi wheako mamae, rapua he tautoko hinengaro.
• Kaua e whakaroa ina hiahia koe ki te mimi , ki te haere rānei ki te wharepaku. Whakaotia te hiahia i te wā e taea ai.

He aha te tirohanga mō te mate (Hypertonic Pelvic Floor)? (Tirohanga)

Koinei te mea tino nui. He mate te Papa Pelvic Hypertonic ka taea te rongoā. He roa te wā me te manawanui. Engari ko te nuinga o te tangata ka tata te whakaora katoa i ō rātou tohu mā te rongoā, ā, ko ētahi ka ora katoa. Mena ka mau tonu ō tohu, ka tukuna koe e tō tākuta ki tētahi atu tohunga.

Āhea ahau me toro atu ki te tākuta?

Ki te mamae tō puku o raro, he uaua ki te mimi , he mamae i te wā e neke ana te puku, he mamae rānei i te wā e moe ai, kaua e tatari kia pai ake. Kāore ēnei tohu e pai ake i a rātou anō. Nō reira, he mea nui kia kite i te tākuta me te whiwhi maimoatanga i te wā e taea ai.

He tino kore whakamarie, he whakama hoki te mamae, te mimi , te tūtae, me ngā raruraru moepuku e hua mai ana i te (Hypertonic Pelvic Floor). Engari, waimarie, ka taea te whakahaere me te whakaora i tēnei mate mā te whakaora tinana me ētahi atu maimoatanga. Ki te kōrero wawe koe ki tō tākuta mō ō tohumate, ā, ka whiwhi koe i te maimoatanga e tika ana, ka taea e koe te noho humarie me te harikoa.

Karere Tangohia ki te Kāinga

• Ko te papa pelvic hypertonic he āhuatanga e pēhia tonutia ana ngā uaua o te puku o raro. Ka pā mai pea te mamae, te uaua ki te mimi me te tūtae, me ngā raruraru moepuku.
• Ka taea tēnei te pā ki te katoa, ā, he mea noa ake i tō whakaaro.
• Ki te pā mai ngā tohu, kaua e whakamā, kaua hoki e mataku ki te toro atu ki te tākuta. Mā te wawe o tō kitenga i a rātou, ka māmā ake te rongoā.
• Ko te whakaora tinana te maimoatanga matua, engari he maha atu anō hoki ngā maimoatanga.
• Ka taea te rongoā i tēnei mate. Nō reira kaua e ngākau pouri.
• Mā te karo i ngā āhuatanga mōrearea ka taea hoki te whakaiti i te putanga mai o tēnei mate.

Mena he pātai anō āu mō tēnei, me kōrero ki tō tākuta. Kia ora koe!

Mamae o raro o te puku, te papa hope, te kikī o ngā uaua, te mate kōroke, ngā uaua mimi, te mamae o te moepuku, te whakaora tinana