He raruraru anō hoki tōu pēnei i te mamae o te puku o raro me te mate kōroke? Me kōrero tātou mō te ngoikore o te papa o raro o te kōpū!

He maha ngā wā ka hiahia koe ki te haere ki te wharepaku? Kāore rānei i te tino takoto kau tō puku i muri i te haerenga ki te wharepaku? Tērā pea ka roa te wā e tūtae ai koe, engari kāore e puta tika mai? He raruraru ēnei e pā ana ki te tini o te tangata, engari he whakama ki te kōrero. Engari ko te take hauora kei muri i ēnei mamae ko te āhua e kōrerohia ana i tēnei rā e kiia nei ko te 'Pelvic Floor Dysfunction'.

He aha te ngoikore o te papa pelvic?

Whakaarohia te puku o raro, te rohe i waenganui i ngā wheua o tō hope, he rite ki te whare. Kei roto i tēnei whare ngā whekau tino nui pērā i tō tātou pūkahukahu, te kōpū (i roto i ngā wāhine), te repeure (i roto i ngā tāne), me te tō. Inaianei me whai turanga pakari tēnei whare, ki te kore ka hinga katoa ēnei whekau. Ko taua turanga te mea e kiia nei e tātou ko ngā Uaua o te Papa Pelvic . He whatunga uaua tēnei. Koinei ngā mea e pupuri ana i aua whekau ki te tūranga tika.

I te nuinga o te wā, ina mimi, ina tūtae rānei tātou, ka whakangāwari ēnei uaua ina hiahiatia, ā, ka noho pūmau tonu i ētahi atu wā. He rite ki te whakakīkī i ngā uaua o ō tātou ringa ina hiki tātou i tētahi taumaha, ā, ka whakangāwari i a rātou ina oti tātou.

Heoi, mō te tangata e pāngia ana e te ngoikore o te papa o raro o te kōpū, ko te ritenga kē te mea ka tupu. Ina hiahia koe ki te tūtae, ki te mimi rānei, ka whakakikitia ēnei uaua, kaua e whakangāwari. He rite ki te tatau e kati ana, kaua e tuwhera. Koinei te take e puta ai ngā raruraru maha.

• Ka uaua te tuku katoa i te tūtae.
• Ahakoa kua haere ki te wharepaku, kei te kī tonu taku puku.
• I ētahi wā, ka turuturu te mimi, te paru rānei, kāore koe e mōhio.

Mō ngā wāhine, ka mamae pea te tinana i te wā e moe ai, nā tēnei mate. Mō ngā tāne, ka raru pea te ure o te wahine.

Kei a koe anō ēnei āhuatanga? Kia kite tātou...

He maha ngā tohu noa hei āwhina i a koe ki te tautuhi i tēnei mate. Tirohia mēnā kua pāngia koe e tētahi, e ētahi rānei o ēnei.

He aha i puta ai tēnei āhuatanga?

Ahakoa kāore anō kia kitea te tino take mō tēnei, he maha ngā āhuatanga e whakaarohia ana hei whai wāhi atu ki tēnei āhuatanga.

• Ngā whara ki te rohe hope: Ka taea e ngā mea pēnei i te aituā motuka, te hinga rānei i te teitei te kino o ngā uaua o tēnei rohe.
• Te hapūtanga me te whānautanga: Ka taea e ēnei uaua te totoro rawa, te pakaru hoki, inā koa i te wā e uaua ana te whānautanga (hei tauira, te whakamahi i te kuku, te korehau rānei).
• Pokanga pelvic: Ka puta pea tēnei āhuatanga i muri i ngā pokanga pērā i te tango i te hysterectomy, te tango rānei i te prostate.
• Te whakamātau pinepine i te haere ki te wharepaku: Mā te whakamātau pinepine i te roa o te mate kōroke ka nui rawa te mahi a ēnei uaua.
• Te koroheketanga: I a tātou e koroheke ana, ka tīmata te ngoikore o ēnei uaua, pērā i ngā uaua kē atu o te tinana.
• Te ahotea me te manukanuka: Kaua e miharo, ka taea e te ahotea te whakauaua i ngā uaua o te tinana, kāore tātou e mōhio. Ka pā anō hoki tēnei ki ngā uaua o te papa hope.
• Ngā mate hononga kiko: Ko ētahi āhuatanga hauora e pā ana ki ngā kiko o te tinana ka ngoikore ai ēnei uaua.

Ka taea te whakapoauau i tēnei ki tētahi atu mate?

Āe, tino pono. He rite tonu ngā tohu o te ngoikore o te papa o raro o te pelvic ki ērā o ētahi atu mate, nō reira ka taea te hē te whakamārama i ētahi wā.

• Te mate pūkahukahu o roto: He mate tēnei e mamae ai te pūkahukahu me te rohe hope. Ka taea e tēnei mamae te whakawhāiti i ngā uaua hope. Nō reira, ka taea te pāngia e ngā mate e rua i te wā kotahi.
• Te Mate Puku Whakararuraru (IBS): He āhuatanga e puta ai ngā tohu pēnei i te mamae o te puku, te mate kōroke, te mate korere rānei. He tino rite ēnei tohu ki te Mate Puku Pelvic Floor.
• Te Takahanga o te Okana Pelvic (POP): Ina ngoikore ngā uaua o te papa pelvic, ka tīmata ngā okana pēnei i te kōpū me te pūhā ki te heke iho, ka puta mai i roto i te tara. He maha ngā wā e hono ana ēnei āhuatanga e rua.
• Te mate pūkahukahu: He mate, he pupuhi rānei o te repe pūkahukahu i roto i ngā tāne. He rite tonu te mamae me te uaua ki te mimi ki te ngoikore o te papa o raro o te kōpū.
• Ngā mate o te rectum: Ka taea hoki e te mamae e puta mai ana i ngā āhuatanga pēnei i te kapiti o te rectum, te fistula rānei te whakawhāiti i te uaua o te papa pelvic.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ina haere koe ki te kite i tō tākuta, ka pātai tuatahi rātou ki a koe mō ō tohumate. Hei tauira:

• Kei te hiahia koe ki te tūtae?
• Kei te tino takoto kau koe i muri i tō mimi?
• E hia ngā wā ka haere koe ki te wharepaku i te rā?
• Mena he wahine koe, ka taea hoki e koe te pātai mō te whānautanga me te pātai mēnā he mamae i te wā e moe ai.

Kātahi ka whakahaerehia he whakamātautau tinana. I konei, ka tirohia ā-ringa e te tākuta ō uaua papa hope mō te piri, te kukū, te ngoikore rānei.

I ētahi wā, ka tūtohutia pea ngā whakamātautau motuhake hei whakaū i te āhua.

Āe, he aha ngā rongoā mō tēnei inaianei?

Koinei te rongo pai rawa atu. Ko te ngoikore o te papa o raro o te kōpū he mate ka taea te rongoā me te kore pokanga . He maha ngā kōwhiringa maimoatanga.

• Te Whakaora Tinana o te Papa Pelvic:Koinei te maimoatanga tino nui, tino whai hua hoki. Mā te kaiwhakaora tinana motuhake koe e tautuhi ko ēhea ngā uaua e piri ana. Kātahi ka whai wāhi atu ki ngā mahi whakakori tinana motuhake hei āwhina i a koe ki te whakangāwari i aua uaua, me te whakapai ake i te taunga o ō rātou hononga.
• Urupare Koiora: He ahua hou pea tēnei, engari he tino māmā noa iho. Ka tāpirihia e te kaiwhakaora tinana ngā pūoko ki tō tinana, ka whakaaturia ki te aroturuki i te wā e whakakorikori ana, e whakangāwari ana hoki ō uaua, he rite tonu ki te titiro ki te whakaata. Kātahi ka ako koe ki te whakahaere i ō uaua. Kua kitea he nui ake i te 75% te whai hua o tēnei tikanga.
• Ngā Rongoā: Mena he mate puku tōu, ka tūtohu pea tō tākuta i ngā rongoā pēnei i ngā rongoā whakangawari tūtae. Engari kaua rawa e whakamahia ēnei me te kore he tohutohu hauora.
• Ngā Tikanga Whakangā: Ko ngā mahi pēnei i te whakaaroaro, te yoga, te kaukau wera, me te wero ngira ka āwhina i te whakaiti i te kikī o ngā uaua o te hope.
• Werohanga Pūwāhi Whakaoho: Mena kāore ētahi atu maimoatanga e angitu, ka werohia pea e te tohunga whakahaere mamae he ngira iti o te rongoā whakamoe ki roto i ngā uaua piri hei whakangāwari i a rātou.

Ngā mea ka taea e koe te mahi hei whakapai ake i tēnei āhuatanga

Ehara tēnei i te mea ka pai ake i te pō kotahi. Engari ko te mea nui ko te ngana tonu, kaua hoki e ngākau rua. Tērā pea kāore koe e kite i te rerekētanga nui mō ētahi marama i muri i te tīmatanga o te maimoatanga. Engari he tokomaha te hunga e whai ana i ngā tohutohu a tā rātou tākuta me te kaiwhakaora tinana, ka pai ake i te roanga o te wā.

I tēnei wā, kia tūpato ki ēnei mea:

• Kaua e mahue ō wā rongoā me te whakaora tinana: Ki te kore koe e tango i ō rongoā me te kore e whakakorikori tinana, ka kino ake pea ō tohumate, ā, ka roa te tukanga whakaora.
• Āta karohia ngā mahi e pēhi ana, e mamae ana rānei ki te rohe hope: Mā ngā mahi whakakori tinana pēnei i te hiki taumaha me te pekepeke tonu ka kaha ake te kikī o ēnei uaua. Pātai atu ki tō tākuta, ki tō kaiwhakaora tinana rānei, he aha ngā mahi e tika ana, e kore rānei e tika ana māu.
• Inumia he nui te wai, ā, kai i tētahi kai taurite: Mā te inu i te neke atu i te 8 karāhe wai i te rā ka āwhina i te ārai i te mate puku. Waihoki, ka kī tonu pea ētahi tāngata ina kai i ngā kai muka nui. Ki te kore koe e pai ki te kai i aua kai, me karo i aua kai mō tētahi wā. Kōrero ki tō tākuta mō tētahi kai e tika ana māu.

He mate noa te ngoikore o te papa o raro o te kōpū, engari he maha ngā tāngata e whakama ana ki te kōrero mō ō rātou uauatanga ki te haere ki te wharepaku. Engari kia maumahara, ko te kōrero ki tō tākuta mō tēnei mea te taahiraa tuatahi me te taahiraa nui rawa atu ki tō whakaoranga. Mēnā ka tuwhera, ka pono hoki koe mō ō raruraru, ka angitu ake tō maimoatanga.