Kei te rongo koe i te kikī tonu, te mamae puhoi, te taumaha rānei i tō puku o raro, i raro noa i tō puku? Tērā pea ka pāngia koe e te kore whakamarie, te mamae rānei i a koe e mimi ana, e neke ana rānei i te puku? Tērā pea ka mamae koe i te wā e mimi ana, e neke ana rānei i te puku? Tērā pea ka kitea e koe he mamae te moepuku. Kaua e waiho ēnei āwangawanga ki te taha hei mea noa iho. Tērā pea he tohu ēnei mō tētahi take e tika ana kia arohia e koe. I tēnei rā, i Nirogi Lanka , ka kōrero tātou mō tētahi āhuatanga e mōhiotia ana ko te Papa Pelvic Hypertonic.
Tuatahi, he aha te papa hope?
I mua i tā tātou ruku ki ngā taipitopito o te Papa Pelvic Hypertonic , me mārama tātou he aha te tikanga o tō papa pelvic. He whatunga uaua o ngā uaua me ngā kiko honohono kei roto i te pūtake o tō pelvis. Whakaarohia he whitiki kaha, he pēni tautoko rānei e pupuri ana, e tiaki ana hoki i ō whekau pelvis nui.
Hei whakaahua i tēnei, whakaarohia koinei te tūāpapa o tō tinana, e tautoko ana i ngā hanganga matua tae atu ki:
- Pūngāwerewere: Te wāhi e rongoa ai tō mimi .
- Te tō: Ko te wāhanga whakamutunga o tō whekau te wāhi e puritia ai te tūtae.
- I roto i ngā wāhine: Te kōpū me te tara .
- I roto i ngā tāne: Te repe prostate .
Kei waenganui i tō wheua tūtae i mua, i te wheua hiku (sacrum) i muri, me ō wheua nohoanga i ngā taha. Ko ēnei uaua me ō rātou io e pā ana te kawenga mō te whakahaere i tō pūkahukahu, i ngā nekehanga o te puku, me te mahi moepuku.
Nā, he aha te Papa Pelvic Hypertonic?
Nā te mea kua mārama kē koe ki ngā āhuatanga taketake, ka puta te Hypertonic Pelvic Floor ina piri tonu ēnei uaua, kei roto i te āhua o te pupuhi, kei te mau tonu rānei i roto i te whakawhāititanga tuturu. Ko te tikanga, ka ngaro te kaha o ngā uaua ki te whakangā me te mahi i runga i te tikanga tika.
Whakaarohia te pupuri i tō ringa ki roto i te ringa pūmau mō te wā roa—ā tōna mutunga, ka tīmata te mamae, te kōpiripiri, me te kore e mōhio. He rite tēnei ki te mea e tupu ana i roto i tō papa hope. Nā te mea he pūmau tonu te kōpiripiri o ngā uaua, ka uaua ki a rātou te whakahaere i ngā mahi pēnei i te mimi me te nekenekehanga o te puku. Ka arahi tēnei ki te mamae tonu, te mamae rānei e puta mai ana i ngā mahi motuhake pēnei i te whakamahi i te wharepaku, te moe tāne rānei. Ka taea hoki e ia te whakararu i te whakahaere i te pūkahukahu me te puku me te kore mahi moe tāne, ā, ka pā kino katoa ēnei ki te kounga o tō oranga.
Ko wai ka pāngia e te Hypertonic Pelvic Floor, ā, he pēhea te auau o tēnei?
Ka pāngia te tangata katoa e tēnei mate, ahakoa te ira tangata, te pakeke rānei; ka pāngia anō hoki ngā tamariki e ēnei tohu i ētahi wā.
I te nuinga o te wā, he mea noa te ngoikore o te papa pelvic. Ko te papa pelvic hypertonic tētahi momo motuhake. He maha ngā wā kāore i te tino kitea te mate nā te mea he maha ngā tāngata e whakama ana ki te kōrero mō ēnei take. Heoi, e kī ana ngā rangahau tata ki te 1 i roto i te 10 tāngata ka pāngia e ēnei momo raruraru, ā, he mea noa ake tēnei mate i tō whakaaro.
He aha te āhua o te Papa Pelvic Hypertonic? He aha ngā tohu?
Ko te tohu tino kitea e ngā tūroro ko te mamae . Ka rite tēnei ki te mamae nui, te mamae, te werowero rānei i roto i tō puku o raro, i tō tuara o raro, i tō hope rānei. I ētahi wā ka pā te mamae ki te rohe (hei tauira, tata ki te pūkahukahu), i ētahi wā ka pā mai i te wā e mahi ana koe i ngā mahi pēnei i te haere ki te wharepaku, i te moepuku rānei.
Ka taea te whakarōpū i ētahi atu tohu penei:
Ngā tohu mimi
- Te mamae o te pūkahukahu.
- Te mamae, te wera rānei i te wā e mimi ana .
- Te hiahia tonu ki te mimi (hei tauira, te haere neke atu i te 8 ngā wā i te rā, te hiahia rānei kia ara ake i te pō).
- He uaua ki te tīmata i te rere, he ruarua, he mutu-tīmata rānei te rere, he whakaaro rānei kāore tō pūkahukahu i te tino kau i muri i te otinga.
Ngā tohu o te puku
- Te uaua ki te tīmata i te nekenekehanga o te puku, te hiahia rānei ki te taumaha rawa.
- Te āhua o te whakatahe kāore i oti i muri i te whakamahinga o te wharepaku.
- Te mamae i te wā e neke ana te puku, i muri tonu rānei i te nekenga o te puku.
- Te mamae i te wa e pupuhi ana te hau.
- Te mate kōroke , te wāhi e kore ai e taea e koe te nekeneke i te puku i ia wā mō ētahi rā.
Ngā tohu moepuku
- Te mamae i te wā o te moe tāne, i muri rānei i te moe tāne (he maha ngā wā ka rongohia e ngā wāhine).
- He uaua ki te whakatutuki i te orgasm.
- Mō ngā tāne, ko ngā tohu pea ko te koretake o te ure , te mamae rānei i te putanga mai o te ure.
Ko te mea nui, ko ngā tohu o te Papa Pelvic Hypertonic ka tipu haere, ka kino haere i te roanga o te wā. Nō reira, ki te mea he iti noa ngā tohu e pāngia ana e koe, kaua e warewaretia. He mea nui kia kōrero ki tētahi tohunga hauora, kia toro atu rānei ki tētahi hōhipera o te rohe mō tētahi aromatawai tika.
He aha ngā take o te papa pelvic hypertonic?
Kāore he take kotahi, nā te mea he raruraru uaua tonu. Heoi, he maha ngā āhuatanga mōrearea ka whai wāhi ki tōna whanaketanga, tae atu ki:
- Te pupuri mimi, te pupuri tūtae rānei: Ka whanake tēnei whanonga i ētahi tāngata mai i te tamarikitanga, ko ētahi ia ka pēnei nā te āhua o ā rātou mahi (hei tauira, he kaiako, he taraiwa ngaio rānei). Mā te pupuri pinepine i ēnei ki roto ka kore e taea te whakangā tika i ngā uaua.
- Ngā whara, ngā whara rānei o te hope: Ka taea e ngā pokanga o mua, te haputanga, te whānautanga (ina koa ko ngā whānautanga uaua), te whara rānei mai i ngā aituā (pēnei i te hinganga) te kino i ēnei uaua.
- Te ngoikore o ngā uaua: Mā te noho roa (ina koa mō te mahi rorohiko), te tū tika, te āhua haere hē, te rerekētanga rānei o ngā hononga hope ka pā he taumahatanga rerekē ki ēnei uaua.
- Ētahi atu āhuatanga hauora mamae:
- Te Mate Puku Whakararuraru (IBS)
- Te endometriosis
- Vulvodynia (mamae mau tonu o te ira wahine o waho)
- Ngā pakaru o te ihu
- Te mate pūkahukahu mamae / Te mate pūkahukahu Interstitial
Ina pāngia koe e te mate mau tonu, ka taea e te mamae e hua ake ana te whakakiki i ngā uaua o te papa pelvic.
- He hītori o te whara ā-ira tangata, ā-tinana rānei: Ka puta te mamae o te tinana puta noa i te tinana i te wā e pāngia ana e ēnei momo whara, tae atu ki te rohe hope.
- Te ahotea, te pouri, me te manukanuka:He hononga hohonu tō hinengaro me tō tinana. Ina pāngia koe e te pēhanga hinengaro nui, ka whakakorikori noa tō tinana, ā, ka urupare ngā uaua o te papa hope mā te whakakorikori koretake.
Me pēhea te tautuhi i te Hypertonic Pelvic Floor?
Ina toro atu koe ki tō tākuta, ka tīmata rātou mā te pātai i tētahi hītori taipitopito o ō tohu me tō hauora whānui. Tērā pea kei roto i tēnei ngā pātai tairongo mō te wā e puta ai tō mamae, te roa o tō mamae, ō nekehanga puku, ō tauira mimi , me tō hauora ā-ira tangata. Ahakoa he āhua whaiaro, he āhua kore whakamarie rānei ēnei kaupapa, he mea nui te tuwhera me te pono mō te tautuhi tika, nā te mea ka āwhina i tō tākuta kia mārama ki te āhua tuturu o tō mamae.
Whai muri i tēnei, ka whakahaerehia e tō tākuta he whakamātautau tinana , tae atu ki:
- He aromatawai ā-waho i tō puku me tō hope kia kitea ai te kaha o te whakamahi, te whakangā rānei i ngā uaua o tō papa hope.
- He whakamātautau matihiko mō te rectum.
- He whakamātautau hope mō ngā tūroro wahine.
Mā ēnei whakamātautau ka taea e tō tākuta te tautuhi i te uaua pakari, te māuiui, ngā wāhi motuhake rānei o te ngawari.
Hei whakamārama ake, ka tūtohu pea tō tākuta i ngā whakamātautau motuhake:
- Manometri Anorectal: Ka whakauruhia he catheter angiangi, ngāwari ki roto i te rectum me te poihau iti i te pito hei ine i te pēhanga me te taunga o te whakaheke/whakangā o ō uaua pona me te rectum.
- Electromyography (EMG): Ka ine tēnei whakamātautau i te ngohe hiko o ō uaua i a rātou e whakawhāiti ana, e whakangāwari ana mā te whakamahi i ngā papa hiko piri iti kua whakanohoia ki te kiri.
- Defecography: Ka arotakehia e tēnei whakamātautau te āhua o te putanga o ō whekau. Ka hoatu he matū whakawhiti (he whakapiri barium) ki a koe hei whakauru ki roto i te tōu, ā, ka tangohia ngā whakaahua hihi-X i a koe e whakamahi ana i tētahi wharepaku motuhake. Me tango pea koe i tētahi rongoā whakamāmā ngawari i mua i te mahi kia mārama ai te whekau.
- Ngā whakamātautau Urodynamic: He raupapa whakamātautau i hangaia hei aromatawai i te āhua o te penapena me te tukunga o te mimi e tō pūkahukahu.
He aha ngā kōwhiringa maimoatanga mō te Papa Pelvic Hypertonic?
Ko te rongo pai rawa atu, he tino ngāwari te rongoā i tēnei mate! Ko te huarahi tuatahi, ko te huarahi tino angitu ko te whakaora tinana . Tērā pea ka tukuna koe e tō tākuta ki tētahi Kaiwhakaora Tinana Papa Pelvic, māna koe e ārahi i roto i ēnei mahi:
- Urupare Koiora: He tikanga whai hua e whakamahi ana i ngā pūoko e whakarato ana i ngā raraunga wā-tūturu mō ngā mahi a ō uaua, hei āwhina i a koe ki te ako me pēhea te whakawhāiti tika i te uaua, me te mea nui ake, te whakangāwari i ngā uaua o te papa pelvic.
- Ngā tikanga whakangā: Ka akona koe ki ngā mahi manawa me ngā tū motuhake hei āwhina i te tuku i te taumahatanga i roto i ō uaua hope me tō puku.
- Mirimiri, totoro, me te nekeneke hononga: Ngā tikanga ā-ringa i hangaia hei whakamamae i te kōpeketanga o te uaua mau tonu me te whakapai ake i te nekenekehanga.
I runga anō i ō hiahia, ka tūtohu pea tō tākuta:
- Te wero ngira.
- Ngā Rongoā: Hei whakahaere i te mamae, hei whakaiti i te manukanuka, hei whakatika rānei i ngā raruraru e pā ana ki tēnei mate pēnei i te mate pāwera, te mimi pinepine rānei.
- Te whakaohooho io: Hei āwhina i te whakahaere i ngā tohumate o te kore e taea te pupuri i te mimi, te puku rānei.
- Werohanga pūwāhi: Te whakamahi i ngā corticosteroids, Botox® rānei hei whakamamae i ngā uaua mamae nui, i te mamae ā-rohe rānei.
Tērā pea ka taea e tō tākuta te whakarite i tō tiaki me ētahi atu tohunga, pēnei i:
- He tohunga kai mō ngā raruraru nakunaku, puku rānei.
- He tohunga mō te repe tai.
- He tākuta wahine mō ngā take hauora uri.
- He Tākuta Mimi, he Tākuta Urogynecologist rānei mō ngā āwangawanga hauora mimi, ā-ira tangata rānei.
- He kaiwhakaora hinengaro hei tautoko i a koe i roto i te ahotea, i te whara rānei.
- He kaiwhakaora hinengaro mō ngā āwangawanga e pā ana ki te whanaungatanga piripono.
Me pēhea te whakaiti i te mōrearea o te papa pelvic hypertonic?
Ka taea e koe te mahi i ngā mahi hei tautoko i te hauora o tō hope:
- Kia tūpato ki te tauhohenga o ō uaua hope ki te ahotea, ā, kia āta whakangāwari hoki i aua uaua.
- Whakaharatauhia te aroātahi, te whakaaroaro, me ngā tikanga whakangā hei whakahaere i ō taumata ahotea o ia rā.
- I te wā e hapu ana, me muri i te whānautanga , me mahi ngā mahi whakakorikori papa hope (ngā mahi Kegel) e ai ki ngā taunakitanga a tō tākuta, a tō kaiwhakaora tinana rānei.
- Me mahi i te yoga i ia wā, i ia wā, hei āwhina i te pupuri i te ngāwari me te kaha o ngā uaua.
- Ārai i te mate puku mā te kai i ngā kai muka nui e whai kiko ana i ngā huawhenua, ngā hua rākau, me ngā rau matomato, me te noho wai tonu. Kaua e whakamātau i te tinana i te wā e haere ana ki te wharepaku.
- Ki te pāngia koe e te mamae tonu i tō puku o raro, i tō hope rānei, kaua e warewaretia—rapua wawetia he tohutohu hauora.
- Mena he hītori whara tōu, rapua he tohutohu ngaio.
- Kaua e whakaroa te haere ki te wharepaku. Ki te hiahia koe ki te mimi, ki te hiahia rānei ki te takoto puku, ngana ki te haere wawe tonu kaua e pupuri.
He aha te tirohanga mō te Papa Pelvic Hypertonic?
Anei te karere tino nui: He mate ka taea te rongoā i te Papa Pelvic Hypertonic. Ahakoa he roa te wā, he manawanui, he auau hoki te whakaora, he maha ngā tūroro e kite ana i te whakaoranga nui—ā, mō te tini, te whakaoranga katoa—mā te maimoatanga motuhake. Mena ka mau tonu ō tohu, me mahi tahi tonu me tō rōpū hauora, ā, kia mahara kei konei a Nirogi Lanka hei tautoko i tō haerenga ki te hauora.
Āhea koe me toro atu ki te tākuta?
Mena kei te pāngia koe e te mamae o te hope, e ngā uauatanga mimi , e te mamae i te wā e neke ana te puku, e te mamae rānei i te wā e moe ai, kaua e whakaaro ka memeha noa iho ēnei tohu. Kāore e maha ngā wā ka pai ake ēnei tohu me te kore he wawaotanga. Nō reira, he mea nui kia tere tonu te toro atu ki tētahi tohunga hauora kia rapua ai he maimoatanga.
Mamae, mimiKo ngā raruraru, ngā āwangawanga whekau, me te mamae ā-ira tangata e puta mai ana i te Hypertonic Pelvic Floor ka taea te whakararuraru, ā, i ētahi wā ka whakama. Heoi, waimarie, ka taea te whakahaere, te whakatau rānei i ēnei āhuatanga mā te whakaora tinana me ētahi atu maimoatanga kua arotahihia. Mā te matapaki wawe i ō tohumate ki tō tākuta, me te tīmata i te tiaki tika, ka taea e koe te hoki ki te oranga whakamarie, harikoa, me te whai hua.
Karere Tangohia ki te Kāinga
- Ko te Hypertonic Pelvic Floor he āhuatanga e piri tonu ai ngā uaua o te papa pelvic. Ka arahi pea tēnei ki te mamae, te ngoikore o te mimi me te whēkau, me ngā raruraru moepuku.
- Ka pāngia te tangata katoa e tēnei mate, ā, he nui ake te noa i tō whakaaro.
- Ki te pā mai ngā tohu, kaua e whakama, kaua hoki e mataku; me toro atu ki te tākuta. Mā te tautuhi wawe ka māmā ake te maimoatanga.
- Ko te whakaora tinana o te papa o te hope te maimoatanga matua, ahakoa he maha atu ngā kōwhiringa e wātea ana.
- Ka taea te rongoā i tēnei mate. Kia mau tonu te wairua pai.
- Mā te karo i ētahi āhuatanga mōrearea ka āwhina i te whakaiti i te putanga mai o tēnei mate.
Mēnā he pātai anō āu, tēnā kōrero ki tō tākuta i Nirogi Lanka. Kia tere tō ora!
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 He aha te Papa Pelvic Hypertonic?
Ko te papa hope he paparanga uaua e mahi ana pērā i te 'hamoka' e tautoko ana i ō whekau hope (pūkahukahu, kōpū, tō). Ko te āhua 'Hypertonic' ko te tikanga kāore e taea e aua uaua te whakangā i te wā e tika ana, ka noho tonu i roto i te āhua o te pēhanga, te kōpeketanga rānei. Whakaarohia he rite ki te pupuri i te uaua i roto i tō ringa i roto i te āhua piri - ā tōna wā, ka mamae.
💬 He aha ngā tohu e pā mai ana i tēnei taumahatanga uaua?
Ka pā tēnei ki ngā wāhine me ngā tāne. Ina pēpeke ngā uaua huri noa i te pūkahukahu, ka pāngia pea koe e te hiahia nui, te mamae rānei i te wā e mimi ana. Ka pāngia pea ngā uaua tōngāmimi e te pēpeketanga o te kōpū, ka whakamātau hoki i te mimi. Hei tāpiri, ka pāngia pea ngā wāhine e te mamae nui i te wā e moe tāne ana, ā, ka pāngia pea ngā tāne e te mamae o te kōpū.
💬 Ka āwhina ngā mahi Kegel?
Kāore rawa! He hapa noa tēnei. Ko ngā mahi Kegel he mea hanga hei whakapakari i ngā uaua ngoikore. Nā te mea kua tino pēhia ō uaua, ka kino rawa atu te āhua mā te mahi Kegel. Engari, me whai urupare koiora me te whakaora tinana motuhake mō te papa pelvic kia ako ai koe me pēhea te whakangāwari i aua uaua.
Ngā Kupumatua: Mamae o te hope, papa hope, pēhanga uaua, kōroke, uaua mimi, mamae ā-ira tangata, whakaora tinana
