Kia ako tātou mō tō hope. He aha rawa te mea nei?

Kia ora! Kua whakaarohia e koe tēnei wāhanga nui o tō tinana, kei waenganui i tō puku me ō huha? Ka kiia e mātou ko te pelvis, ko te whitiki pelvis rānei i te reo Pākehā, ko te (Pelvis). He rite ki tētahi peihana iti kei te pūtake o tō tātou tuaiwi, he kōhao kei waenganui. He mea hanga mai i ngā wheua i tō hope, i tō papa, me tō puku o raro. I ētahi wā ka kiia e ngā tākuta tēnei rohe pelvis katoa ko te Pelvis. Ina mamae koe i tēnei rohe, he maha ngā wā e pā ana ki ngā whekau o roto i tēnei kōhao. Ko te tikanga o tēnā ko ngā mea pēnei i tō pūnaha mimi, te pūnaha whakaputa uri, me te rectum. Ina mahi te tākuta i te whakamātautau Pelvic, ka tirotirohia e rātou ēnei whekau. Me kōrero tātou mō te pelvis i tēnei rā, he māmā noa iho, he tika hoki, āe?

Nā, he aha te mea ka pā ki tō tātou tinana mai i tēnei hope?

He whakarāpopototanga noa iho, he hanganga tō hope e taea ai te hiki i ngā mea taumaha. Whakaarohia hei tautoko i te taumaha katoa o tō tinana o runga, me te āwhina o ngā uaua o te papa hope. He mea nui tēnei hei pupuri i te taurite o tō tinana ina tū koe, ina hikoi koe, ina noho koe.

Ehara i te mea koinā anake, engari he wāhi anō tōu e kīia nei ko tō kōhao hope. Arā, ko te wāhi takoto kau i roto i tō hope. Koinei te wāhi e tiakina ai ō whekau nui, pērā i tō pūkahukahu, tō kōpū (i roto i ngā wāhine), ōwai (i roto i ngā wāhine), te repe prostate (i roto i ngā tāne), me ngā wāhanga o te tō. He whare haumaru te hope mō ēnei whekau.

Ko tētahi atu mea motuhake, mō ngā wāhine, ko tēnei kōhao i roto i te hope te mahi hei awa whānau, e whakarite ana i te ara mō te whānautanga o te pēpi. Nō reira, ka kite koe i te hiranga o tēnei, tika?

He aha ngā wheua e hanga ana i te hope?

Ehara tō hope i te wheua kotahi. He maha ngā wheua nui e hono tahi ana, e hono ana tetahi ki tetahi. Me titiro tātou ki ēnei wheua. Ko te mea whakamiharo, i a koe e tamariki ana, he motuhake ēnei wheua, engari ina pakeke koe, ka honoa ngātahi hei hanga i tētahi hanganga kaha.

Ko te nuinga o te wheua he mea hanga ki ēnei wheua:

Hakaramu

Koinei te wheua kei raro rawa o tō tuaiwi, arā, ngā tuaiwi whakamutunga e rima o tō tuaiwi, e honoa ana tetahi ki tetahi, he tapatoru te āhua, he rite ki te mata o te koko. Ka roa te wā kia tae koe ki te pakeketanga ka honoa ēnei tuaiwi e rima, ka hanga he wheua kotahi. Koinei te mea e hanga ana i te tuara, i waenganui o te hope.

Kōkīhi

Koinei te mea e kiia nei e tātou ko te 'iwi hiku', arā, i te reo Pākehā ko '(Iwi hiku)'. Koinei te wheua iti kei te pito o te tuaiwi, i raro i te sacrum kua whakahuatia ake nei. Ka hangaia hoki tēnei mā te hononga o ētahi tuaiwi iti. I ētahi wā ka whakakotahi ngā tākuta i te sacrum me te coccyx ka kiia ko te '(Iwi Pelvic)'.

Te whitiki Pelvic: Ilium, Ischium, me Pubis

Ko ngā wheua āhua rite ki te takotoranga wai e karapoti ana i ō tuaiwi pelvic, arā, te sacrum me te coccyx, koia ēnei e kīia nei ko te whitiki pelvic. E toru ngā wheua matua o tēnei wheua. I wehea ēnei wheua i te wā o te tamarikitanga, ā, i muri mai ka hanumi ngātahi.

• Ilium: Koinei te wheua nui rawa atu, te wheua teitei rawa atu hoki o ngā wheua e toru. E karapoti ana tēnei wheua whānui, paku piko i tō hope i ngā taha e rua. Koinei te wheua ka pā ki a koe ina whakatakotoria tō ringa ki tō hope.
• Ischium: Koinei ngā mea e kiia nei e tātou ko ngā 'wheua noho'. Koinei ngā wāhanga mārō e pēhi ana i te tūru ina noho koe. Kei raro me muri o tō wheua hope ēnei wheua āhua 'U'. Koinei ngā mea e hanga ana i te wāhanga wheua o tō papa.
• Wheua tūpāpaku (Pubis): Koinei te wheua kei mua me raro o te whitiki hope. Ka honoa ō wheua tūpāpaku e rua ki mua me waenganui. Ka kiia taua hononga ko te (Pubis symphysis). He hononga tēnei me te iti o te kiriuhi (Cartilage).

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He aha ngā hononga nui o te hope?

Ko te hononga he wāhi e hono ai ngā wheua e rua, neke atu rānei. He maha ngā hononga nui o tō hope pērā i tēnei. Mā ēnei hononga ka taea te neke o te hope, ā, he kaha hoki. Ka herea ēnei hononga e ngā kiko e kiia nei ko te kiriuhi me ngā hononga.

Ngā hononga i roto i ngā tuaiwi pelvic:

• Hononga sacrococcygeal: Koinei te hononga e hono ana i te sacrum me te coccyx i raro iho.
• Ngā hononga Lumbosacral: Ka hono ēnei hononga i tō tuaiwi lumbar ki tō sacrum.

Ngā hononga i roto i te whitiki pelvic:

• Te hononga o te kōpū o te puku: Kua kōrerotia tēnei i mua. Koinei te hononga e tūtaki ai ngā wheua kōpū e rua i mua o te hope.
• Ngā hononga sacroiliac: Koinei ngā hononga e hono ana i te sacrum ki ngā wheua ilium. Kei muri o te pelvis ēnei, i ia taha. Ka pāngia ētahi e te mamae o te tuara nā te raruraru o ēnei hononga.
• Hononga hope:He hononga tino nui tēnei. Ka hono tō wheua huha (Femur) ki te wheua hope (Ilium) i roto i tō hope. Ko te pūnga e pupuri ana i tēnei hononga ko te acetabulum. He hononga porotaka tēnei, nō reira ka taea e koe te neke i tō waewae ki ngā taha maha.

E whā ngā momo āhua o te hope?

I ngā wā o mua, i wehea e ngā tākuta ngā āhua o te hope kia whā ngā momo matua. Engari ināianei kua mōhio ngā tākuta kāore e taea te whakarōpū i a rātou kia whā ngā momo tika, ā, ka rerekē pea te hope o ia tangata, pērā i te whānuitanga. Engari kei te whakamahia tonutia taua whakarōpūtanga tawhito mō te mātauranga. He rerekē te nuinga o ēnei āhua i runga i te āhua o te whakatuwheratanga i te tihi o te hope (te tomokanga hope).

• Pēpi Android: He āhua ngākau tēnei. He āhua kōniko, e whānui haere ana i te taha whakarunga, e whaiti haere ana ki raro.
• Pekepeke ā-ira: He whaiti ake tēnei, he hohonu ake i ētahi atu. He kōhao porowhita tōna. Ko te hunga whai pēkepeke pēnei, tera pea he roa ake ō rātou uaua gluteal i te mea noa.
• Pēpi wahine: Koinei te mea tino porowhita o ngā mea e rua. He whānui tōna pēpi, he whānui hoki te kōhao porowhita. E ai ki ngā tākuta, koinei te āhua e māmā ai te whānau tara mō te wahine .
• He hope platypelloid: Koinei te āhua tino iti o ngā āhua e whā. He whānui, he pāpaku hoki. He papatahi te mua me te muri.

Ko te mea nui kia maumahara, ahakoa te āhua o tō hope, ehara i te mea he arai ki te whānau mai o tētahi pēpi hauora. I te nuinga o te wā, ka taunga te tinana ki tēnei āhua.

He aha ngā rerekētanga i roto i te hanganga o te pelvic o ngā tāne me ngā wāhine?

Ahakoa he wahine koe, he tāne rānei, ka tipu tonu tō hope, ka rerekē haere i a koe e pakeke haere ana. I a koe e pakeke haere ana, tera pea ka kite koe i ētahi huringa kitea i roto i te hanganga o tō hope, i runga i tō pūnaha whakaputa uri. Kua whanake haere ēnei huringa me ngā huringa o roto i ō tātou pūnaha whakaputa uri.

Mena he pūnaha whakaputa uri wahine tōu, ko te hanganga o tō hope te mea matua hei whakahaere i te whānautanga. Ko te tikanga o tēnā:

• He whānui ake, he pāpaku ake. Ā, he nui ake te putanga o te hope.
• He whānui rawa te āputa i waenganui i ō wheua ischia/sit, ka whānui ake ai te putanga o te hope.
• He whānui ake te āwhata tūpāpaku, e hangaia ana ki te wāhi e tūtaki ai ngā wheua tūpāpaku (pērā i te reta 'U').
• He nui rawa te āputa i waenganui i ngā kōhao hope e rua (acetabula) (te wāhi e tūtaki ai te wheua huha ki te wheua hope), ā, kua anga whakaroto.
• He poto, he whānui te sacrum.
• Ka taea te neke te coccyx (ka piko whakamuri i te wā e whānau ana).

I tētahi atu taha, ki te mea he pūnaha whakaputa uri tāne tōu, kāore e hiahiatia kia hangaia tō hope mō te whānautanga. Nō reira, ko te nuinga o te wā he mea hanga kia māmā ake ai te hikoi me te oma i runga i ngā waewae e rua. Ko te tikanga:

• He roa ake, he whaiti ake, he kiato ake.
• Ka whaiti haere i a koe e anga atu ana i runga ki raro.
• He whaiti te koki o te āwhata o te puku (pērā i te reta 'V').
• Kei te tata tonu ngā kōhao hope e rua (acetabula) tetahi ki tetahi, ā, ka anga whakaroto.
• He roa, he whaiti, he tika hoki te sacrum.
• Ka piko te coccyx ki roto, kāore e neke.

He aha ngā āhuatanga hauora ka pā ki te pelvis?

Pērā i ētahi atu wheua me ngā hononga o te tinana, ka taea te whara i ngā wheua me ngā hononga o te hope. Hei tauira, ko ngā whatiwhatinga, ngā nekehanga o te wheua, me ngā whara taumahatanga auau. Ka taea hoki te puta te mate rumatiki o ngā hononga hope. Ka taea hoki te mamae o ngā hononga hope mō te wā poto i te wā e hapu ana, e whānau ana rānei.

Ko ētahi o ngā āhuatanga e pā ana ki te pelvis ko:

• Te kore taurite o te upoko o te pēpi: He nui rawa te pane o te pēpi kāore e taea te uru ki roto i te hope o te whaea.
• Coccydynia: Te mamae i te wheua hiku.
• Ngā whati o te hope .
• Sacroiliitis: Te pupuhi me te mamae i roto i te hononga sacroiliac.
• Spondyloarthritis: He momo mate rumatiki e pā ana ki ngā hononga o te tuaiwi, ā, ka pā hoki ki te pelvis.
• Te ngoikore o te hononga o te kōpū (symphysis pubis dysfunction - SPD): Te mamae i roto i te hononga o te kōpū, e kitea whānuitia ana i te wā e hapu ana.

Ngā āhuatanga e pā ana ki ngā kiko honohono i roto i te pelvis:

• Te mumura o te putea (bursa) kī tonu i te wai e tata ana ki te wheua ischial.
• Te mate pūngao o te pelvic: Te mamae e puta mai ana i te pūngao o ngā uaua i roto i te pelvic.
• Te mate piriformis: He io kua kopikopiko i puta mai i te kikī o te uaua piriformis i te rohe o te papa.
• Pudendal neuralgia: Te mamae i te io pudendal i te rohe pelvic.
• Mamae o te hononga porowhita: Te mamae e puta mai ana i te totoro o ngā hononga porowhita e tautoko ana i te kōpū i te wā e hapu ana.

He aha ngā whakamātautau ka taea te whakamahi hei tirotiro i te hauora o tō hope?

Ki te whakaaro te tākuta he raruraru kei tō hope, ka whakahaerehia pea e rātou ēnei whakamātautau:

• Whakamātautau tinana o te hope: He whakamātautau tinana e te tākuta.
• Te tirotiro oro o te hope: Ka whakamahia ngā ngaru oro hei tango whakaahua o ngā whekau o roto i te hope.
• X-ray o te hope: Tirohia te āhua o ngā wheua hope.

Ko tō hope te uho o tō pūnaha uaua me te uaua. Ka tautoko i te taumaha o tō tinana o runga ina noho, ina tū, ina hikoi koe. Ki ētahi, ka āwhina anō hoki i te whānautanga. I te wā e hapu ana, ka wetekina ngā hononga o tō hope hei whakarite mō te whānautanga, ā, i ētahi wā ka pāngia koe e te mamae me te kore whakamarie.

Kāore pea koe i whakaaro mō tēnei tae noa ki tō haputanga, tae noa ki te pānga mai o tētahi atu raruraru o te hope. Mena kei te hapu koe, tera pea ka āwangawanga koe mō te āhua o tō hope me tōna pānga ki tō whānautanga. Engari kia maumahara, he maha ngā momo hope – ā, ka puta he pēpi hauora i roto i ēnei momo katoa.

Ko te mea nui rawa atu e hiahia ana mātou ki te kawe ki te kāinga mai i tēnei tuhinga (Karere Tangohia ki te Kāinga)

Nō reira, e ai ki tā tātou i kōrero ai i tēnei rā, he wāhanga tino whakamiharo, he wāhanga tino nui hoki tō hope o tō tinana.

Ka tautoko tēnei i ō tātou tinana, ka tiaki i ō tātou whekau nui, ā, mō ngā wāhine, ka whakatakoto i te ara mō tētahi oranga hou ki tēnei ao.

Mena he pātai āu mō te āhua o tō hope, mō tētahi atu mamae rānei e pā ana ki tēnā, kaua e wehi ki te kōrero ki te tākuta. Ka taea e rātou te whakamārama tika atu ki a koe, ā, ka āwhina mai mēnā e tika ana. Kia maumahara, he rerekē te tinana o te katoa, koinā te ataahua o te taiao!