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