Ka turuturu noa iho rānei he mimi i ētahi wā ina kata nui koe, ina maremare, ina tihe rānei? Ka tere tonu koe ki te wharepaku engari ka mimi wawe rawa? He wheako noa tēnei e pā ana ki te nuinga o ngā whaea i te wā e hapu ana. Nō reira, kāore he take e whakama ai, e wehi ai rānei i tēnei. I te nuinga o te wā, he wā poto noa iho tēnei āhuatanga. Ka hoki ngā mea katoa ki te āhua noa i roto i ētahi marama i muri i te whānautanga o te pēpi. Nō reira, me kōrero taipitopito tātou mō tēnei i tēnei rā.
He aha te kore e taea te pupuri i te toto?
Ki te whakarapopoto, ko te kore e taea te whakahaere i tō pūkahukahu te take o tēnei mate. Tērā pea ka puta mai i te hiahia ohorere, te kaha ki te mimi, i te turuturu rānei o te mimi i a koe e haere ana ki te wharepaku. I ētahi wā, ko te hiahia ki te haere ki te wharepaku i ngā wā katoa he tohu o tēnei mate. Ko te haputanga me te whānautanga ngā tino take o tēnei mate.
Ko te rongo pai, he wā poto noa iho tēnei mamae i te wā e hapu ana. Ka memeha haere i roto i ētahi marama i muri i te whānautanga o te pēpi.
He aha ngā momo mate pāwera e tino kitea ana i te wā e hapu ana?
E rua ngā momo matua o tēnei mate ka kitea i te wā e hapu ana. He mea tino nui kia mōhio koe ki ēnei momo e rua.
| Te momo mamae | Me pēhea te tupu me ngā tauira |
|---|---|
| Te korenga o te mimi i te ahotea (SUI) | Koinei te momo mate mimi kore e taea te mimi i te wā e hapu ana. Ka puta tēnei ina pēhia, ina taumaha rānei tō pūkahukahu, ka turuturu te mimi. Ka puta pea tēnei ina maremare koe, ina tihe, ina kata, ina mahi rānei i ngā mahi tinana māmā pēnei i te hikoi. |
| Te Whakaroa i te Mimi (UUI) | Koinei te wā ka kōpiri ohorere ngā uaua o tō pūkahukahu, kāore e taea e koe te whakahaere. Ka puta he hiahia nui, he hiahia kore e taea te whakahaere ki te mimi. Ahakoa ka oma koe ki te wharepaku, tera pea ka turuturu tonu ētahi pata mimi i mua i tō taenga ki reira . |
He pēhea te noa o tēnei?
He mea noa ake tēnei i tō whakaaro. I waenganui i te 40% me te 50% o ngā wāhine ka pāngia e tēnei i te wā e hapū ana. Ina koa i te toru o ngā marama o te hapūtanga, ka piki ake te taumaha o te pēpi, ka nui ake te pēhanga ki runga i te pūkahukahu. Nō reira, he mea noa tēnei āhuatanga i tēnei wā. Heoi, ka taea te pā mai i ngā wā katoa i te wā e hapū ana.
Ka puta anō hoki tēnei raruraru i muri i te whānautanga, ka kino ake rānei. He nui rawa atu tēnei mōrearea ina whānau mai i te tara.
He aha tēnei ka puta i te wā e hapu ana, ā, i muri i te whānautanga?
I te wā e hapu ana, ka huri tō tinana kia rite ki te pēpi e tipu ana. Engari ka pā kino pea ēnei huringa ki te whakahaere o tō pūkahukahu. Me titiro tātou ki ngā take mō tēnei.
- Te whakanui i te kōpū: Kei muri i tō pūhā tō kōpū. I te tipu haere o tō pēpi, ka nui haere anō hoki tō kōpū. Ka pēhia tō pūhā e tēnei. Ka whakaitihia te nui o te mimi ka taea e tō pūhā te pupuri.
- Ngā huringa homoni: I te wā e hapu ana, ka meinga e ngā homoni pēnei i te progesterone kia wātea, kia ngoikore hoki ō uaua papa pelvic. Ka āwhina ēnei uaua ki te pupuri i tō pūkahukahu kia mau tonu. Me wātea ēnei uaua kia wātea ai he wāhi mō tō pēpi, kia rite ai hoki mō te whānautanga. Engari ina ngoikore ēnei uaua, ka uaua pea te "pupuri" ina hiahia koe ki te mimi.
- Whānautanga: Ka pakaru pea ngā io o te pelvic, inā koa i te wā e whānau ana te pēpi. I ētahi wā, ka pakaru hoki ēnei uaua i te whānautanga o te forceps. Waihoki, mā te pēhi roa i te wā e whānau ana ka nui ake te tūponotanga o te pakaru o ngā io.
- Te Takahuri o te Okana Pelvic (POP): I ētahi wā i te wā e hapu ana, e whānau ana rānei, ka ngoikore rawa ngā uaua o te papa pelvic, ā, kāore e taea te pupuri i ngā okana kia mau tonu. Hei tauira, ka taka te pūkahukahu ki raro. Ka kiia hoki tēnei āhuatanga he "cystocele". Ka raru pea te whakahaere mimi i tēnei.
Ko te mea nui kia mārama ko te nuinga o ēnei take he mea ā-taiao, ā, he wāhanga hoki o te tukanga whakarite a te tinana ki te manaaki i te pēpi.
He aha atu ngā āhuatanga mōrearea e pā ana ki tēnei mate?
Haunga te haputanga me te whānautanga, he maha atu anō ngā āhuatanga ka piki ake te mōrearea o tēnei mate.
- Taumaha tinana: Mena kei runga ake i te 25 (taimaha rawa) neke atu rānei i te 30 (momona) tō taupū papatipu tinana (BMI), ka taea te whakaneke rua i tēnei mōrearea. I ētahi wā, mā te whakaiti i tō taumaha ka āwhina i te whakahaere i tēnei āhuatanga.
- Tau: Ko te hunga neke atu i te 30 tau te pakeke i te wā o te whānautanga tuatahi ka nui ake te tūponotanga ka pāngia e te SUI i te hunga kei raro iho i te 30 tau.
- Whānautanga tara: He nui ake te tūponotanga ka puta te kore mimi i muri i te whānautanga i te whānautanga tara i te pokanga tākihi (C-section).
- Episiotomy: He tapahi iti tēnei e tata ana ki te pūaha o te tara hei whakangāwari i te whānautanga. Ahakoa i whakaarohia i mua ka whakaiti i ngā mōrearea pēnei i ngā raruraru whakahaere mimi, kua kitea inaianei ka ngoikore ngā uaua o te papa pelvic.
- Taumaha o te pēpi: Mena he nui atu i te 4 kirokaramu (9 pauna) te taumaha o te pēpi i te whānautanga, ka piki ake pea te mōrearea o te kino o te io i te wā e whānau ana.
- Kai me te momo noho: Ka taea e ētahi kai me ngā inu te whakaoho i te pūkahukahu. Ka taea e ngā inu kawheine (ina koa ko te kawhe), te waipiro, me ngā inu warowaihā te whakawhāiti i te pūkahukahu, ā, ka nui ake te hiahia ki te mimi tere. Waihoki, ka taea e ngā kai raukikī, waikawa hoki. Kua whakaatuhia e ētahi rangahau ka nui ake hoki tēnei mōrearea i te momi hikareti.
He aha tā tātou e taea ai te mahi mō tēnei?
He maha ngā mea ka taea e koe te mahi hei whakapai ake i tō whakahaere mimi i te wā e hapu ana. He tino whakamarie te whakamātau i ēnei.
1. Te mahi i ngā mahi Kegel
Koinei te tikanga tino nui, tino whai hua hoki. Mā ngā mahi Kegel ka whakapakari i ngā uaua o te papa pelvic e pupuri ana i tō pūkahukahu. Ina kaha ēnei uaua, ka āwhina i a koe ki te whakahaere i tō mimi.
Me pēhea te mahi tika i ngā mahi Kegel?
Whakaarohia kei te ngana koe ki te whakamutu i te mimi ohorere i a koe e mimi ana. Kei te ngana rānei koe ki te aukati i te turuturu hau. Koinei te mea me mahi e koe ina whakakorikori ana koe i ō uaua.
1. Tāutuhia ngā uaua tika: Tuatahi, kimihia aua uaua.
2. Whakakīkītia, puritia: Inaianei, whakakīkītia aua uaua, puritia mō te 10 hēkona. Kia tūpato kei whakakīkītia ō waewae, ō papa, ō uaua puku rānei i tēnei wā.
3. Whakangāwari: Kātahi ka whakangāwari rawatia ngā uaua.
4. Whakahokia: Me mahi tēnei kia 15 ngā wā. Kotahi te huringa. Ngāna kia 5 ngā huringa o tēnei i te rā.
He mea nui:Mena he roimata, he whara rānei kei a koe i te wā e whānau ana, me pātai atu ki tō tākuta mō ētahi tohutohu me tatari koe kia ora rā anō ngā patunga i mua i te tīmata i ngā mahi Kegel.
2. Ngā huringa āhua noho
Haunga ngā mahi Kegel, mā te whakarerekē i ētahi o ō tikanga o ia rā ka nui te pānga.
- Āta karohia te kawheine me ngā kai raukikī: Huri ki ngā inu kore kawheine, ki te wai rānei. Whakaitihia ngā kai raukikī me ngā kai waikawa ki te taea.
- Whakaitihia te inu wai i te pō: Mā te whakaiti i te inu wai i muri i te tina ka āwhina i te whakaiti i te maha o ngā wā me ara ake koe i te pō ki te haere ki te wharepaku.
- Kai i ngā kai muka nui: Ka taea te ārai i te mate puku mā te kai i ngā kai muka nui. Mā te totoro i te puku i te wā e neke ana ka pēhi i te pūkahukahu, ka turuturu hoki te mimi.
- Kia mau tonu te taumaha hauora: Mā te pupuri i te taumaha hauora ka taea te whakaiti i te pēhanga ki runga i te pūkahukahu.
- Whakangungu Pūkahukahu: Puritia he pukapuka rātaka mō te wā e hiahia ana koe ki te mimi me te wā e mimi ai koe. Kātahi, whakamahere kia haere ki te wharepaku i mua i te hiahia ki te mimi. Ngāna mārire ki te whakanui ake i te wā i waenga i ngā haerenga ki te wharepaku. Mā tēnei ka whakangungu i ō uaua hope ki te pupuri i te mimi.
I a koe e mahi ana i ēnei mea, ka taea e koe te whakamahi i ngā papa, i ngā kākahu motuhake rānei (kākahu o roto i te incontinence). Kāore he mea whakama ki tēnei, he mano tini ngā whaea e pāngia ana e tēnei wheako pērā i a koe.
Kei te puta mai tēnei mimi? He mea kē rānei?
He mea nui kia aro nui ki ngā mea e puta mai ana i tō tara i te wā e hapu ana. Me pēhea koe e mōhio ai mēnā he mimi, he wai tara, he wai amniotic rānei?
| Momo tukunga | Me pēhea te tautuhi? (Tae, kakara, kakano) |
|---|---|
| Mimi | He wai te nuinga o te wā, he kōwhai mārama , he mārama rānei te tae. I ētahi wā, he kakara paku rite ki te haukini . |
| Te Tukunga o te Tara | Ka taea te mārama, te mā, te kōwhai pouri, te parauri, te kakariki, te hina rānei. Mēnā he mate pāwera, tera pea he haunga kino, pērā i te haunga ika . Mēnā he matotoru, he miraka, he huka rānei, he tohu anō hoki tēnā o te mate pāwera. |
| Wai Āniotika | Koinei te wai e karapoti ana i tō pēpi. Koinei te mea ka pakaru tō wai. He wai mārama, he wai rite ki te kakau witi, kāore he kakara . I ētahi wā ka parauri, kakariki rānei. Tērā pea ka hongi pērā i te mimi, engari me āwangawanga koe mēnā kāore e hongi pērā i te haukini. |
Whakatūpato: Ki te mea he āwangawanga āu mō te rerenga mai o te tara, kaua rawa e warewarehia. Tirohia tonutia tō tākuta. Ina koa mēnā kei te whakapae koe he rerenga mai o te tara, he āhuatanga ohorere pea.
Āhea ahau me toro atu ki te tākuta?
He mea pai tonu te whakamōhio atu ki tō tākuta mō ngā raruraru whakahaere mimi i te wā e hapū ana, engari he mea nui rawa kia rapu tohutohu hauora i roto i ēnei āhuatanga.
- Mena ka mau tonu tēnei raruraru ahakoa kua ono wiki, neke atu rānei i muri i te whānautanga.
- Mena kei te whakararuraru tēnei mamae i tō oranga o ia rā . Hei tauira, ki te karo koe i ngā huihuinga pāpori nā te wehi kei turuturu te mimi, ki te kore rānei koe e pai ki te haere ki waho.
- Mena he ruarua āu mō te wai e puta mai ana.
Tērā pea ka whakahaerehia e tō tākuta he whakamātautau tinana, ā, ki te tika, ka tukuna koe mō ngā whakamātautau pēnei i te whakamātautau mimi (`Urinalysis`), te `Ultrasound scan`, te `Cystoscopy`, te `Urodynamic testing` rānei.
Ka hoki anō te mana o te nuinga o te tangata ki te whakahaere i te mimi i roto i te 3 ki te 6 marama i muri i te whānautanga o te pēpi. Engari mō ētahi tāngata, ka roa ake pea. He maha ngā mea e whakawhirinaki ana ki tēnei, pērā i te āhua o tō whānautanga me te taumaha o tō pēpi.
Karere Tangohia ki te Kāinga
- He mea noa te uaua ki te whakahaere i tō mimi i te wā e hapū ana. Kaua e whakama, kaua hoki e noho mokemoke.
- He wā poto noa iho tēnei āhuatanga, ā, ka hoki anō ki te āhua noa i muri i ētahi marama i te whānautanga.
- Ko ngā mahi whakakorikori Kegel te otinga pai rawa atu, me te otinga tino whai hua mō tēnei. Mā te mahi i tēnei hei tikanga o ia rā, ka tino kitea he rerekētanga.
- Ka taea e koe te whakahaere i tēnei āhuatanga mā te hanga i ngā huringa iti ki tō kai me tō momo noho (te whakaiti i te kawheine, te kai i ngā kai momona i te muka).
- Kōrerotia mārire ki tō tākuta mō tēnei mamae. Ka taea e rātou te hoatu i ngā tohutohu pai rawa atu ki a koe.
- Mena he ruarua āu mō te tukunga atu, rapua tonutia he tohutohu hauora.
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