Kei te whakaaro koe me haere tonu koe ki te wharepaku? Kāore rānei tō puku i tino horoia i muri i tō haerenga ki te wharepaku? Tērā pea he mamae tuara tonu tōu, kāore e taea te mārama he aha? He uaua ēnei ki te kōrero. Engari he tohu pea ēnei o tētahi mate ka taea te rongoā, e pāngia ana e te tini o te tangata. I tēnei rā ka kōrero tātou mō tēnei mate kāore i te mōhiotia e te tini o te tangata, engari e pāngia ana e te tini o te tangata, e kiia nei ko te 'Pelvic Floor Dysfunction'.
He aha te ngoikore o te papa pelvic?
Whakaarohia tō hope hei whare. Kei roto i tēnei whare ngā whekau nui pēnei i tō pūkahukahu, tō kōpū (i roto i ngā wāhine), tō repeure (i roto i ngā tāne), me tō pūkahukahu. Ko te turanga o tēnei whare ko ngā uaua o te papa hope . Ka āwhina ēnei uaua ki te pupuri i aua whekau katoa kia mau tonu.
I te nuinga o te wā, ina hiahia koe ki te haere ki te wharepaku, ka whakapūmau ēnei uaua, kātahi ka whakangāwari, ka āwhina i a koe ki te mahi i te mahi me te kore he uaua. Pērā i te wā e hiki ana tātou i tētahi pouaka taumaha, ka whakapūmau tātou i ngā uaua o ō tātou ringa, kātahi ka whakangāwari ina oti tātou.
Heoi, ki te mea he ngoikore tō papa pelvic, ka rerekē te āhua. Engari ko te whakangāwari i ēnei uaua ina hiahia koe ki te haere ki te wharepaku, ka kaha ake te whakakaha o tō tinana i a rātou. He rite ki te pana i tētahi tatau kia tuwhera. Nā te mea he whakakaha tonu ēnei uaua, ka pā pea ēnei ki a koe:
- Te uaua ki te tuku i te tūtae.
- Te āhua nei kāore anō kia whakawātea katoatia ō whekau i muri i te tutae.
- Te turuturu o te mimi, o te paru rānei, kāore koe e mōhio.
Mena he wahine koe, tera pea ka pāngia koe e te mamae i te wā e moe ai. Mena he tāne koe, tera pea ka pāngia koe e te uaua ki te whakatū, ki te pupuri rānei i te ure (he ngoikore o te ure).
He aha ngā tohu e whakapae ai koe kei a koe anō tēnei mate?
Mena kei a koe tētahi, ētahi rānei o ngā tohu i raro nei, tera pea he raruraru kei ngā uaua o te papa hope. Kaua rawa e whakama ki te kōrero ki te tākuta mō ēnei mea.
| Tohu | Ko te tikanga tēnei... |
|---|---|
| Te wharepaku pinepine | Te hiahia ki te mimi, ki te tutae rānei i ngā wā maha i te rā. |
| Te mutu me te tīmata anō i te wā e mimi ana | Kāore te rerenga mimi e puta tonu mai, engari e puta mai ana i ētahi wā. |
| Te ngana ki te tūtae | Te noho roa i runga i te wharepaku, me te whakapau kaha ki te haere i roto i te tūtae. |
| Te kōroke | Te kore e nekeneke i te puku mō ngā rā. E ai ki ngā tohunga, tata ki te haurua o te hunga e pāngia ana e te mate puku roa, ka pāngia hoki e tēnei ngoikore uaua. |
| Te kore e taea te pupuri i te mana o te puku | Ko te kore e taea te pupuri i te mimi ko te ngaromanga o te mimi, o te paru rānei (te kore e taea te pupuri i te mimi) i te wā e maremare ana, e kata ana rānei. |
| Te mamae i te wā e mimi ana | Te wera, te mamae rānei i te wā e mimi ana. |
| Mamae tuara kāore he take | Te mamae tonu o te tuara o raro, kāore e kitea he take kē atu. |
| Mamae o te hope | Te mamae tonu i te hope, i te taha o ngā ira tangata, i te taha rānei o te nono. |
He aha i puta ai tēnei āhuatanga?
Kāore anō kia kitea te tino take o tēnei. Heoi anō, he maha ngā āhuatanga e whakaarohia ana hei whai wāhi atu ki tēnei āhuatanga.
- Ngā whara o te hope: Ngā whara ki te hope, pērā i te aituā motuka, te hinga rānei i te teitei.
- Ngenge uaua:Te whakamātau pinepine me te roa o te mimi i te wā e haere ana ki te wharepaku.
- Ngā pokanga o mua: Ngā pokanga pelvic pērā i te tango i te hysterectomy me te tango i te prostate.
- Te hapūtanga me te whānautanga: Ka kino pea ngā uaua o te papa pelvic i tēnei, inā koa mēnā he uaua te whānautanga.
- Te koroheketanga: I a tātou e pakeke haere ana, ka ngoikore haere ngā uaua o tō tātou tinana.
- Te ahotea me te manukanuka: Ka taea hoki e te ahotea nui te whakakiki i ngā uaua o te tinana, inā koa ngā uaua o te hope.
Ētahi atu mate ka hono pea ki tēnei āhuatanga
I ētahi wā, he tino rite ngā tohu o te ngoikore o te papa o raro o te kōpū ki ngā tohu o ētahi atu mate. Nō reira, he mea tino nui kia toro atu ki te tākuta kia tika ai te tātaritanga.
Te mate pukupuku o te pokapū
He āhuatanga tēnei e mamae ai te pūkahukahu me te rohe hope. Ka taea e tēnei mamae te whakawhāiti i ngā uaua o te papa hope. Ko te tikanga o tēnei he hononga pea ēnei āhuatanga e rua.
Te Mate Puku Whakararuraru (IBS)
He kohinga tohu tēnei e pā ana ki te pūnaha nakunaku. Ka kitea ngā tohu pēnei i te mate puku me te pupuhi i roto i ngā āhuatanga e rua.
Te hekenga o te whekau pelvis (POP)
Koinei te wā e ngoikore ai ngā uaua e pupuri ana i ngā whekau pelvis (te kōpū, te pūkahukahu, te pūkahukahu) kia noho ki tōna tūranga, ka taka iho mā roto i te tara. Ko te ngoikore o ngā uaua te tino take o tēnei.
Te ngoikore o te ure (ED)
He uaua ki ngā tāne te whakatutuki, te pupuri rānei i te ure i te wā o te moe tāne. I ētahi wā ka puta tēnei i te piripono, i te mamae rānei o ngā uaua o te hope. Heoi, he āhuatanga uaua tēnei, ā, ka puta mai i ētahi atu āhuatanga.
Te mate pūkahukahu
He mate pāwera, he pupuhi rānei o te repeure. E whakaatu ana hoki tēnei i ngā tohu e tino rite ana ki ērā o te 'Pelvic Floor Dysfunction'.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te tākuta, ka pātai tuatahi rātou mō ō tohu me tō hītori hauora. Hei tauira,
- Me whakapau kaha koe ki te totohu?
- Ka mimiti katoa te pūkahukahu i muri i te mimi?
- E hia ngā wā ka haere koe ki te wharepaku i te rā?
Mena he wahine koe, ka pātaihia pea koe mēnā kua whānau tamariki koe i mua, me te mamae rānei i te wā e moe ai.
Kātahi ka whakahaerehia he whakamātautau tinana . I tēnei wā, ka tirohia ā-ringa e te tākuta te pai o tō whakahaere i ngā uaua o te papa hope. Ka āwhina tēnei ki te kite i ngā pona, te kikī, te ngoikore rānei o ngā uaua.
Ngā whakamātautau motuhake ka taea te mahi
I ētahi wā, ka taea te whakahaere i ngā whakamātautau pēnei hei whakaū i te mate.
- Manometri Anorectal: Mā tēnei ka ine i te pai o te mahi a ngā uaua huri noa i te nono.
- Proctogram o te Tutae: He rite tēnei ki te hihi-X. E whakaatu ana i te nekehanga o te puku me te mahi a ngā whekau.
- Urodynamics: Ka mahia tēnei whakamātautau mēnā he uaua ki a koe te mimi. Ka ine i ngā mea pēnei i tō kaha ki te whakawātea i tō pūkahukahu me te tere o te rere o tō mimi.
He aha ngā maimoatanga mō tēnei?
Kāore e hiahiatia he pokanga hei rongoā i tēnei mate. I te nuinga o te wā, ka taea e ngā maimoatanga i raro nei te whakarato i ngā hua pai.
| Tikanga maimoatanga | Ka ahatia? |
|---|---|
| Te Whakaora Tinana o te Papa Pelvic | Ma te kaiwhakaora tinana koe e tautuhi i ō uaua piripono, ka ako i ngā mahi whakakori tinana motuhake hei totoro me te whakangāwari i aua uaua, ā, ka whakapai ake hoki i tō taunga o ngā uaua. |
| Urupare koiora | He maha ngā wā ka mahia tēnei me te whakaora tinana. Ka tāpirihia ngā pūoko ki tō tinana, ā, ina whakakorikori, ina whakangāwari hoki ō uaua, ka whakaaturia ki te mata rorohiko. Ka taea e koe te mātaki me te whakaharatau i te whakahaere uaua tika. |
| Ngā rongoā | Tērā pea ka tohua e tō tākuta he rongoā hei whakangawari i tō tūtae me te ārai i te mate puku. Me whakamahi noa i ēnei i raro i ngā tohutohu a tō tākuta. |
| Ngā Tikanga Whakangā | Ka taea e ngā mahi pēnei i te whakaaroaro, te yoga, te kaukau wera, me te wero ngira te āwhina ki te whakaiti i te kikī o ngā uaua o te hope. |
| Ngā Werohanga Pūwāhi Whakaoho | Ki te kore e whai hua ētahi atu maimoatanga, ka werohia pea e te tohunga whakahaere mamae he rongoā mamae ki roto i ngā uaua tino piri hei whakangāwari i a rātou. |
Me pēhea koe e tiaki ai i a koe anō?
Engari, kāore tēnei mate e ora ake i a ia anō. Ki te kore e rongoatia, ka roa pea ngā tohu, ka kino rānei i roto i te wā. Nō reira, he mea nui kia whai i ngā tohutohu a te taote.
Ko te mea nui rawa atu i te wā e noho tahi ana me tēnei mate , kaua e ngākau pōuri . E hia marama pea ka puta ngā hua o te whakaora tinana me te rongoā. Heoi, ko te nuinga o te hunga e whai ana i te mahere maimoatanga ka ora tonu i roto i te wā.
I tēnei wā, ka taea e koe te mahi i ēnei mea:
- Kaua e mahue ngā rongoā me ngā maimoatanga: Tangohia ngā rongoā e tohua ana e tō tākuta i te wā tika. Kaua e mahue ngā wā whakaora tinana. Mahia ngā mahi whakakori tinana kua tohutohuhia kia mahia e koe ki te kāinga.
- Āta karohia ngā mahi e pēhi ana i ngā uaua o te papa hope: Mā ngā mahi whakakori tinana pēnei i te hiki taumaha me te pekepeke ka kaha ake te whakau o ngā uaua o te papa hope. 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 ngā kai hauora: Inuhia kia neke atu i te 8 karāhe wai i te rā hei ārai i te mate puku. Ka taea e ētahi kai muka-nui te whakanui ake i ngā tohu pēnei i te pupuhi. Ki te puta tēnei, me karo i aua kai mō tētahi wā. Whakawhitiwhiti kōrero ki tō tākuta mō ngā tohutohu kai e kore e whakararu i a koe.
Ahakoa he mate noa te ngoikore o te papa o raro o te kōpū, he maha ngā tāngata e whakama ana ki te kōrero mō ō rātou uauatanga ki te mahi a te puku me te pūhā. Engari kia maumahara, ko te kōrero ki tō tākuta mō tēnei mea te taahiraa tuatahi me te taahiraa nui rawa atu i tō haerenga ki te whakaora. Ko te nui ake o tō tuwhera me tō pono ki tō tākuta, ko te nui ake o te angitu o tō maimoatanga.
Karere Tangohia ki te Kāinga
- He mate te ngoikore o te papa o te pelvic e pā ana ki te tini tāngata, ā, ka taea te rongoā angitu.
- Ko ngā tohu matua ko te uaua ki te mimi, te rere ā-roto, te mamae o te hope, me te mamae o te tuara kāore e taea te whakamārama.
- Kāore tēnei mate e ora noa iho, nō reira, ki te puta mai ngā tohu, me toro atu ki te tākuta.
- Kāore e hiahiatia he pokanga mō te maimoatanga. He rawaka noa te whakaora tinana, te whakarerekē i te momo noho, me te rongoā i ētahi wā.
- Kaua rawa e whakama, kaua hoki e mataku ki te kōrero ki tō tākuta mō ngā take tairongo pēnei. He mea nui tēnei mō tō oranga tinana.
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