Kei te ahua kua heke iho ō whekau hope? Me kōrero tātou mō te Pelvic Organ Prolapse (POP)!

Kei te rongo koe i te taumaha, te pēhanga, te ahua rānei kei te puta mai tetahi mea i roto i tō tara? Kei te kite rānei koe i tētahi rerekētanga ina mimi koe, ina tūtae rānei? Ehara ēnei i te mea ka taea e koe te wareware noa. I tēnei rā ka kōrero tātou mō tētahi āhuatanga e pā ana ki te tini o ngā wāhine, engari i ētahi wā ka hunaia e rātou nā te mea kei te whakama rātou. Ko te Pelvic Organ Prolapse (POP) tēnei.

He aha te Pelvic Organ Prolapse (POP)? Kia mārama tātou!

Āe, kia titiro tātou he aha tēnei. Ko te Pelvic Organ Prolapse , i te whakarapopototanga, ko ngā okana i roto i tō kōhao pelvis, arā, ko te (Tenetene) , te (Kōpū) , te (Pūngāmimi) , te (Rectum) (ngā okana pēnei i te nono) kua tukuna iho i ō rātou tūranga noa. Whakaarohia, ko ēnei okana i roto i tō puku o raro kua puritia ake pērā i te kupenga. Ko tēnei kupenga te mea e kiia nei e tātou ko te Pelvic Floor . He mea hanga mai i ngā uaua, ngā hononga, me ngā kiko. He rite tēnei Pelvic Floor ki te pouraka e pupuri ana i ēnei okana mai i raro.

Nā, ki te ngoikore ngā uaua o te papa hope , me te mea kua wetekina te kupenga, ā, kāore e taea e ngā whekau e pupuri ana i a rātou te noho tonu. Ko te wā tēnā ka tīmata te taka o ēnei whekau, ka tīmata rānei te iri o te tara ki te taha. Ka puta pea tēnei āhuatanga i muri i te whānautanga, i te pakeketanga rānei.

I ngā take ngawari o te POP, tera pea ka paku noa te heke o te okana. Engari i ngā take kino rawa atu, tera pea ka puta katoa te okana i te tara, pērā i te pukupuku. He maha ngā wā ka whakaahuahia e te hunga whai mate nei he kare ā-roto kī, he pēhanga, he mea rānei e puta mai ana i te tara. Ko ngā tohu tika e pā ana ki a koe me te kaha o te mate ka whakatau i te momo POP kei a koe.

Ko te mea pai rawa atu, kei reira ngā maimoatanga mō tēnei. Kei reira ngā maimoatanga kore-pokanga me ngā maimoatanga pokanga. Ka arotakehia e tō tākuta tō āhua, ā, ka kōrero tahi me koe ko ēhea ngā kōwhiringa maimoatanga e pai ana mōu.

He aha ngā momo rerekē o ngā POP?

Ko te momo POP kei a koe, kei te wāhi kei roto i tō papa hope te ngoikore, me ngā okana e pāngia ana e taua ngoikore. Me titiro tātou ki ētahi o ngā momo matua:

• Te hekenga o te pakitara o mua o te tara (Te Totonga o te Pūngāwerewere / Cystocele): Koinei te wā e ngoikore ai ngā uaua o te papa pelvic i runga ake i tō tara, ka heke iho tō pūngāwerewere ka puta ki roto i tō tara. Ka kiia tēnei he cystocele . Koinei te momo POP tino kitea e te nuinga o te tangata.
• Urethrocele: Ka puta tēnei nā te ngoikore o ngā uaua o te papa pelvic (urethra).Ka whakahekehia tetahi (urethra). He maha ngā wā, ina whakahekehia te pūkahukahu, ka taea hoki te whakaheke i te urethra me taua mea.
• Te hekenga o te pakitara o muri o te tara (Rectocele): I konei, ka puta te pūkahukahu ki te pakitara o muri o te tara nā te ngoikore o ngā uaua o te papa pelvic i waenganui i te tara me te pūkahukahu .
• Enterocele: Ina ngoikore ngā uaua o te kōhao pelvis, ka puta te whekau iti ki roto i te pakitara o muri, ki te taha whakarunga rānei o te tenetene.
• Te hekenga o te kōpū (Te hekenga o te kōpū): Ina ngoikore te papa o te hope , ka taea e te kōpū te heke ki roto i te tenetene.
• Te hekenga o te tara: He mea tino noa tēnei i roto i ngā wāhine kua oti te tango i te kōpū. Ina ngoikore ngā uaua o te papa pelvic , ka taka te wāhanga o runga o te tara (e kiia nei ko te tara) ki roto i te tara.

E hia te auau o tēnei āhuatanga? He mea whakama tēnei?

Ina hoki, e kī ana ngā tatauranga kei waenganui i te 3% me te 11% o ngā wāhine ka pāngia e tēnei āhuatanga. Tata ki te 37% o ngā wāhine he mate papa pelvic (tae atu ki te POP) kei waenganui i te 60 me te 79 tau te pakeke. Neke atu i te haurua he neke atu i te 80 tau te pakeke. (Kia mahara: ko te kupu "neke atu i te haurua" i roto i tēnei rerenga he kupu Tamil. Me "nuinga" me "neke atu i te haurua" rānei. Ka whakatikahia e au tēnā.) ... neke atu i te haurua he neke atu i te 80 tau te pakeke.

Engari he uaua ki te kī tika e hia ngā tāngata e pāngia ana, nā te mea he tokomaha ngā tāngata kāore e rapu rongoā mō tēnei. He tokomaha ngā tāngata kāore e rapu rongoā nā te mea e whakama ana, e whakamā ana rānei ki te kōrero mō ō rātou raruraru ira tangata. Engari ko te mea nui me mōhio koe, ehara i te mea ko koe anake. He tokomaha ngā tāngata e pāngia ana e ēnei momo POP.

He aha ngā tohu o te POP?

Ko te tohu tino kitea ko te ahua o tetahi mea e puta mai ana i te tara, pērā i te pōro, i tetahi mea rānei e mau ana i roto. Hei tāpiri, tera pea ētahi atu tohu pēnei i:

• He kare ā-roto e kī ana, e taimaha ana, e pēhanga ana rānei i roto i te tenetene.
• Te kare o te kī, te pēhanga, te mamae rānei i te puku o raro, i te rohe hope rānei.
• Te mamae, te kore whakamarie rānei i te wā e moe ai (Dyspareunia) .
• Ngā panonitanga o te āhua o tō mimi me tō tūtae.

Ka whakawhirinaki ngā tohu ka pā ki a koe ki te wāhi i puta ai te hekenga o te kōpū. Mēnā ka taea e koe te whakamārama mārama i ēnei tohu ki tō tākuta, ka taea e rātou te tautuhi pai ake i te wāhi e ngoikore ana te papa o tō hope .

He tokomaha ngā tāngata ka kōrero noa ki tā rātou tākuta mō ō rātou tohu ina uaua ki te mimi, ki te tūtae rānei, ina mamae rānei te moe tāne. He mea noa ēnei pānga taha ki ngā POP. Ko ēnei tohu ko:

• Tērā pea ka turuturu noa iho te mimi i a koe e maremare ana, e kata ana, e whakakorikori tinana ana rānei.(Te kore e taea te pupuri i te mimi i te ahotea).
• He kare ā-roto e hiahia ana ki te mimi, he kare rānei e kī ana te pūkahukahu.
• Te kōroke, te kore rānei e taea te whakahaere i ngā nekehanga o te puku.

He aha te take e puta ai te POP? He aha ngā take?

He maha ngā take e ngoikore ai tō papa hope . I te nuinga o te wā, ka puta tēnei ina totoro rawa ngā uaua, ngā hononga, me ngā kiko o tō papa hope . Ka puta anō hoki tēnei nā te mea kāore ngā uaua e mahi tika ana nā te kore whakamahinga.

Mā tētahi o ēnei āhuatanga ka piki ake tō tupono ki te whakawhanake i te POP:

• Te whānautanga ā-tara: Koinei te tino take o te POP. Ko ngā whānautanga ā-tara maha, ngā māhanga, ngā mātoru rānei, ngā pēpi nunui (Fetal Macrosomia) , me ngā whānautanga mā te whakamahi i ngā taputapu pēnei i te forceps , te vacuum rānei, he āhuatanga katoa ēnei ka ngoikore ai ngā uaua o te papa pelvic . Whakaarohia te nui o te pēhanga e pā ana ki taua wāhi i te wā e whānau ana.
• Te koroheketanga: I a tātou e pakeke haere ana, ka ngoikore haere ō tātou uaua. Ko tētahi take he hekenga o te homoni estrogen . I te wā o te menopause, ka iti ake te estrogen e hangaia ana e tō tinana. Ka ngoikore pea te kiko honohono e tautoko ana i te papa pelvic .
• Taumaha rawa/Momona: Kua whakaatuhia e ngā rangahau he nui ake te tūponotanga ka pāngia te hunga taumaha rawa, arā, he momona, e te POP i te hunga kei roto i te awhe taumaha hauora.
• Te pēhanga roa ki te kōhao puku: Ka ngoikore pea ngā uaua o te papa pelvic nā te pēhanga tonu ki aua uaua. Ka piki ake te mōrearea o te POP nā te mea he roa te mate puku , te maremare roa , me te hiki taumaha pinepine .
• Hītori whānau: Kei te haere tonu ngā rangahau mō te pānga ira o te POP, engari tera pea i riro mai i a koe te ngoikore o te papa pelvic .
• Ngā mate hononga kiko: Ko te hunga e pāngia ana e ngā āhuatanga pēnei i te mate Ehlers-Danlos , te mate Marfan , te mate Joint Hypermobility Syndrome rānei, kei te mōrearea ki te whakawhanake i te POP.

He aha ngā raruraru pea ka pā mai i te POP?

He āhuatanga whakararuraru te Pelvic Organ Prolapse ka pā ki te kounga o tō oranga. Haunga te ngaronga o te mana whakahaere i tō pūkahukahu me ō puku, anei ētahi atu raruraru ka puta mai i te POP:

• Ngā Mate Pukupuku: Ki te kore e taea e koe te mimi tika nā te hekenga o te mimi, ka hoki anō tō mimi ki roto i tō urethra, ki roto rānei i ō whatukuhu. Ka pā mai pea ngā Mate Pukupuku o te Ara Mimi (UTI).(mate mimi) tērā pea ka pā mai te mate tākihi rānei.
• Te kino o te whatukuhu: I ngā take kino rawa atu, ka pā te mate roa me te aukati i te rere o te mimi ki te whatukuhu.
• Te Mamae Hinengaro: Ka taea e te POP te whakararuraru i tō oranga o ia rā, me te pā ki tō oranga hinengaro. Tērā pea ka whakama koe ki te kōrero mōna, ka nui ake ai te ahotea.

Me pēhea te tātaritanga a te tākuta i te POP?

Ina kite koe i te tākuta, ka pātai tuatahi rātou mō ō tohumate, kātahi ka tirotirohia te hope . I tēnei whakamātautau, ka tono pea te tākuta kia maremare koe, ā, ka tirohia pea e rātou te nui o te hekenga o tō ihu i a koe e okioki ana, e whakauaua ana hoki. Ka tirohia pea koe e rātou i a koe e takoto ana, e tū ana rānei. I te nuinga o te wā, ka āwhina te whakamātautau hope ki te whakatau mēnā he POP tōu.

Hei tāpiri, ka taea te whakahaere i ngā whakamātautau e whai ake nei:

• Ngā whakamātautau mahi o te papa pelvic: Mā ēnei whakamātautau ka taea e tō tākuta te kite i te kaha o ngā uaua me ngā hononga o tō papa pelvic. Tērā pea ka uru atu ki tēnei te mahi i ētahi nekehanga, te whakakaha me te whakangāwari i ngā uaua, me ētahi atu.
• Ngā whakamātautau mahi a te pūkahukahu: Ka āwhina ēnei whakamātautau ki te tirotiro i ngā raruraru mimi e kitea whānuitia ana e te POP. Kei roto pea i tēnei he whakamātautau e kiia nei ko te cystoscopy , e tirohia ai e te tākuta te roto o tō pūkahukahu me te urethra. Tērā pea ka whakahaerehia e rātou he whakamātautau urodynamics hei tirotiro i te pai o te pupuri me te tukunga o tō pūkahukahu me te urethra i te mimi.
• Ngā tikanga whakaahua: Ka taea e ēnei whakamātautau te tirotiro i roto i tō kōhao hope. Ka tono pea tō tākuta i tētahi ultrasound o te papa hope , i tētahi MRI rānei hei whakatau i te whānuitanga tika o tō prolapse. Heoi, ko ēnei whakamātautau whakaahua ka whakamahia noa i ngā take uaua ake.

He wāhanga anō kei roto o te POP?

Āe, he huarahi hei whakarōpū i te POP. Ko te ingoa o tēnei pūnaha ko te Pelvic Organ Prolapse Quantification (POP-Q) . Ka whakarōpūhia ō whekau pelvic i runga i te tawhiti kua heke iho ki tō hymen (te kiriuhi e whakarārangi ana i te whakatuwheratanga o tō tenetene).

Ka ahu atu tēnei tauine mai i te kore ki te whā:

• Wāhanga Kore: Ko te tikanga tēnei kāore ō whekau i nekeneke.
• Wāhanga Tuatahi: He ngawari te hekenga o te ure. Kia kotahi henimita te teitei o te ure i runga ake i tō hymen .
• Wāhanga Tuarua: I tēnei wāhanga, he āhua noa te hekenga o te ure. Kei raro iho i te 1 henimita te tawhiti o te okana mai i te hymen (arā, kua(1 henimita mai i runga ki raro).
• Wāhanga Tuatoru: I tēnei wāhanga, he kino te hekenga o te ure. Kei raro iho i te hymen te ure i te 1 henimita te hohonu, engari kāore anō kia puta katoa te hekenga o te ure i te tara.
• Wāhanga Tuawhā: Ko te tikanga he tino heke te ure. Ko te tino heke te ure te momo tino kino. I tēnei take, kua puta katoa te ure i te tara.

Whakaarohia, tera pea he rerekē ngā wāhanga o te POP i roto i ngā whekau rerekē i te wā kotahi. Hei tauira, tera pea he wāhanga tuatoru o te hekenga o te pūkahukahu, me te wāhanga tuatahi o te hekenga o te kōpū.

He aha ngā maimoatanga mō te POP?

Ko te mahere maimoatanga ka whiwhi koe ka whakawhirinaki ki te kaha o te hekenga o te whekau, te wāhi e noho ana, me te nui o te pānga o ō tohu ki a koe. He maimoatanga kore-pokanga, he maimoatanga pokanga hoki. Hei tauira, ki te ngawari te hekenga o te whekau, ā, kāore e tino pāngia koe, kāore pea koe e hiahia ki te maimoatanga. Ka matapakihia e tō tākuta ēnei kōwhiringa maimoatanga katoa ki a koe, ā, ka āwhina i a koe ki te whakatau ko tēhea te mea pai mōu.

Ngā Maimoatanga Kore-Pokanga

Ko te arotahi matua o ngā maimoatanga kore-pokanga ko te āwhina i a koe ki te whakahaere i ō tohu me te whakapai ake i te kounga o tō oranga. I runga i te kaha o tō mate, kāore pea ngā hua o ēnei maimoatanga e pumau. Heoi, he tokomaha te hunga e pai ake ana ki ngā kōwhiringa kore-pokanga, e whakatau ana rānei ko tēnei tikanga te mea pai mō rātou.

Ko ngā maimoatanga kore-pokanga mō te POP ko:

• Pessary Tara: He taputapu tango tēnei i hangaia ki te silicone. Ka taea e te tākuta te whakauru ki roto i tō tara ka pupuri ki te wāhi kei reira te okana kua heke iho. He rite ki te tautoko iti mō taua okana.
• Ngā mahi whakakori tinana o te papa hope (ngā mahi Kegel): He mahi whakakori tinana ēnei hei whakapakari i tō papa hope . Tērā pea ka tukuna koe e tō tākuta ki tētahi tohunga papa hope ( Urogynecologist ), māna e whakamātautau takitahi te kaha o ō uaua me te tohu i ngā mahi whakakori tinana motuhake hei whakapakari i aua uaua. He mea tino nui kia tika te mahi i ēnei (ngā mahi Kegel) .

Ngā Maimoatanga Pokanga

Ki te kore ō tohu e pai ake i ngā maimoatanga paerewa, ki te whakaaro rānei tō tākuta ka pai ake te kounga o tō oranga mā te pokanga, he kōwhiringa pea te pokanga. Heoi , he mea nui kia kōrerohia ngā mōrearea me ngā painga o te pokanga me tō tākuta.

He maha ngā tikanga rerekē ka taea e te taote pokanga te whiriwhiri hei whakatika i tētahi āhua POP. E rua ngā momo pokanga matua: Ko te pokanga whakakore me te pokanga hanga anō.(Pokanga hanga anō).

Ko te pokanga whakakore he whakawhāiti i te pūaha o tō tara. Mā tēnei ka aukati i te putanga mai o te ure. Heoi anō, ka kore pea e taea te moe mā roto i te tara.

• He pokanga whakakore te Colpocleisis . Ka whakapotohia te tara. Ka ārai i ngā whekau katoa kia puta mai i te tinana. He kōwhiringa pai tēnei mēnā kāore koe i te kaha tinana ki te mahi pokanga hanga anō , ā, mēnā kāore koe e hiahia ana ki te moe tāne mā te tara.

Ko te pokanga whakahou ko te whakatika i ngā wāhi ngoikore o tō papa hope me te whakahoki i ngā okana ki ō rātou tūranga noa.

• He tikanga pokanga te Sacrocolpopexy hei rongoā i te prolapse uterine me te prolapse vault vaginal . Ko te tikanga he whakamahi i tētahi mata (he momo mata) hei hono i tō tenetene ki tētahi hononga i tō tuara o raro. He maha ngā wā ka mahia tēnei mā te laparoscopic (pokanga kī) mā roto i ētahi tapahi iti i roto i tō puku.
• Ka whakamahia hoki tētahi tikanga e kīia nei ko te sacrohysteropexy hei rongoā i te hekenga o te kōpū. Ka tāpirihia e tō tākuta he mata pokanga ki tō kaki me tō tara, kātahi ka tāpirihia ki tō tuara o raro. Mā tēnei ka ara ake te kōpū ki tōna tūranga.
• He pokanga te Colporrhaphy hei rongoā i te hekenga o te pakitara tara o mua , o muri rānei. Ka mahia tēnei tikanga mā roto i tō tara. Ka whakapakari te tākuta i ngā pakitara o tō tara mā te whakamahi i ngā tuitui ka taea te rewa, hei tautoko pai ake i tō pūkahukahu me tō pūkahukahu.
• Ko te whakatikatika hononga uterosacral, sacrospinous rānei , he tikanga e whakamahi ana i tō ake kiko hei rongoā i te kōpū kua heke, i te pokanga tara rānei . Ka mahia anō hoki tēnei tikanga mā roto i te tara (he rite ki te colporrhaphy ). I roto i tēnei tikanga, ka honoa e te tākuta te wāhanga o runga o tō tara ki tētahi hononga, ki tētahi uaua rānei i roto i tō kōhao pelvis mā te whakamahi i ngā tuitui ka taea te rewa. I ētahi wā ka kiia tēnei momo pokanga he whakatikatika kiko taketake .

Āhea te wā e hiahiatia ai te pokanga?

Kāore he wāhanga motuhake e hiahiatia ana te pokanga hei rongoā i te POP. Kei runga i ngā āhuatanga pēnei i te pānga o ō tohu ki tō oranga me te mea kei te whakamahere koe kia whānau mai anō ō tamariki. Heoi, i te nuinga o te wā, ki te mea he wāhanga tuatoru, tuawhā rānei tō prolapse, he nui ake te tūponotanga ka hiahiatia he pokanga.

Ko te mea nui ko te kōrero ki tō tākuta mō ngā kōwhiringa maimoatanga katoa. Kia mōhio koe mēnā ka tūtohu ia i te pokanga, me whakamātau rānei koe i ngā kōwhiringa kore-pokanga i te tuatahi.

Ka ora katoa te maimoatanga POP? Ka taea te whakaara anō i te mea kua whakahekehia?

Āe, ka taea te whakakore i tēnei āhuatanga mā te maimoatanga. Mō ngā take ngawari o te POP, ka taea e koe te whakapakari i ō uaua kia taea ai e rātou te pupuri i ō whekau ki ō rātou tūranga tika. Mā te pokanga whakahou ka whakapakari i ngā ngoikore o ō pakitara hope kia hoki ai ō whekau ki ō rātou tūranga taketake.

I ngā wā tino kino, me pana pea e koe te okana e pupū ake ana ki roto, inā koa ka puta he puku, he mimi rānei. Heoi, he otinga rangitahi noa iho tēnei. Mena he tino kino te heke o tō okana pelvic , me toro atu koe ki te tākuta kia whiwhi maimoatanga.

Me aha tātou hei ārai i te whanaketanga o te POP?

He maha ngā āhuatanga ka whai wāhi ki te whanaketanga o te POP kāore e taea e tātou te whakahaere. Heoi, ka taea e koe te whakaiti i tēnei mōrearea mā te whai i ētahi tikanga hauora.

• Mahia ngā mahi whakakorikori papa pelvic i ia rā (ngā mahi Kegel): Mā te whakahaere i ngā uaua o te papa pelvic ka tautokona ō whekau.
• Kia mau ki te taumaha hauora: Kōrero ki tō tākuta mō te taumaha hauora māu.
• Ārai i te mate puku: Ka taea e te mate puku roa te whakararuraru i ngā uaua o te papa pelvic . Mā te kai i ngā kai muka nui me te inu i te nui o te wai ka āwhina i te ārai i te mate puku.
• Kaua e momi hikareti: Ka taea e te momi hikareti te whakararu i te maremare roa. Ka taea e tēnei te pēhi i tō puku, ā, ka taea hoki te whakararu i ngā uaua o te papa hope .
• Tiakina tō papa hope i te wā e hiki ana: Tonoa he āwhina i te wā e hiki ana i ngā mea taumaha. I te wā e hiki ana koe i ngā mea taumaha, tūohu me ō hope me ō turi kia piko, me tō tuara kia tika tonu. Kaua e whakapiko i tō tinana i te wā e hiki ana. Mā te tūnga tika o te tinana ka āwhina i te ārai i te whara o tō tuara o raro me te tiaki i tō papa hope .

He aha ngā mea hei tumanako atu māu ina noho tahi koe me te mate POP?

Kei runga i ētahi mea tō tirohanga. Kei roto i ēnei ko te wāhi kei reira te pukupuku, tōna kaha, ō tohumate, me ngā kōwhiringa maimoatanga kei a koe. Whakaarohia marietia ngā mea e tumanakohia ana e koe mai i te maimoatanga. Kōrero ki tō tākuta mō ngā painga me ngā huakore o ia kōwhiringa maimoatanga. Kōrerohia me pēhea te āwhina a te maimoatanga i a koe kia noho ora pai ake.

Ko te mea anake hei maumahara , ka taea te rongoā i te Pelvic Organ Prolapse, ā, kāore koe e hiahia ki te noho me tēnei mamae. Pātai atu ki tō tākuta mō te āwhina, ā, tukua rātou kia kōrero ki a koe mō ō kōwhiringa. Ko te nuinga o te hunga e pāngia ana e te Pelvic Organ Prolapse ka kitea he whakaoranga mai i ō rātou tohu mā te rongoā.

Kia pēhea te wā me toro atu ahau ki te tākuta?

Tirohia he tākuta mēnā kei a koe ngā tohu o te hekenga o te papa pelvic . Ko ētahi o ngā tohu ko:

• Mena ka rongo koe i te pēhanga, i te kī rānei i roto i tō hope.
• Mena kei te ahua kore whakamarie koe i te wā e moe ai.
• Ki te mea kei te puta mai tetahi mea i te tenetene.
• Mena kāore e taea e koe te whakahaere i ō nekehanga puku, kei te mate kōroke rānei koe.
• Mena kei te turuturu tō mimi (kāore i te mōhio), ki te mea rānei kei te hiahia koe ki te mimi pinepine.

Ehara te hekenga o te whekau pelvic i te mea morearea ki te ora, engari ehara i te mea me whakaae koe hei wāhanga o te ao. Ka puta pea ngā tohu ka aukati i a koe ki te noho i tō oranga pai me te mahi i ngā mea e arohaina ana e koe. Kia mōhio koe ehara koe i te mokemoke, ā, he mea noa te ngoikore o te papa pelvic i waenga i ngā wāhine. Ki te whakapae koe he ngoikore tō papa pelvic, kaua e whakamā ki te kōrero ki tō tākuta. Ka taea e rātou te taunaki i ngā maimoatanga, i ngā taputapu hauora, tae atu ki ngā huringa momo noho hei whakatika i te hekenga me te whakapai ake i tō kounga o te ao.

Hei whakamutunga, me kōrero atu ahau ki a koe (Karere Kawe-ki-te-Kāinga)

Ahakoa he mate te Pelvic Organ Prolapse (POP) ka pā ki ngā wāhine, ā, he ahua kore whakamarie hoki, me mahara tonu kei reira ngā maimoatanga whai hua mōna.

• Kaua e whakama: Ki te mea kei a koe ēnei tohu, kaua e whakama, kaua hoki e wehi ki te kōrero ki te tākuta mō ēnei. He mea tēnei e pā ana ki te tini o te tangata.
• Kia mōhio ki ngā take: He mea nui kia mōhio ki ngā āhuatanga e whai wāhi ana ki te putanga mai o te POP (pēnei i te whānautanga, te koroheketanga, te pikinga o te taumaha).
• He mea nui te ārai: Mā te mahi i ngā mahi Kegel , te pupuri i te taumaha hauora, me te karo i te mate kōroke ka taea te whakaiti i te mōrearea o tēnei mate.
• He kōwhiringa maimoatanga: He maha ngā kōwhiringa maimoatanga, mai i ngā maimoatanga kore-pokanga (pessary, exercises) ki te pokanga, i runga i tō āhua.
• Rapua he tohutohu hauora: Kia mōhio ai koe ki te maimoatanga e pai ana mōu, me toro atu koe ki te tākuta, me te rapu tohutohu hoki.

Tiakina tō tinana. Mēnā ka pāngia koe e tētahi huringa, e tētahi mamae rānei, he mea whakaaro nui kia rapu tohutohu hauora, kaua e warewaretia.

` Te hekenga o te whekau pelvic, POP, hauora wahine, te hekenga o te kōpū, te hekenga o te pūkahukahu, ngā mahi whakakori tinana o te papa pelvic, ngā mahi whakakori tinana Kegel