Kei te pāngia hoki koe e te mamae nui, te mamae wera i roto i tō puku o raro, arā, i te taha o ō ira tangata me te nono, ina noho koe? He uaua rānei ki a koe te whakahaere i tō mimi me tō tūtae, he kore rānei e rongo i te wā e moe ai? Ahakoa he maha ngā take mō ēnei mea, ko te take pea he raruraru ki tētahi io motuhake kāore anō kia rongohia e koe. I tēnei rā kei te kōrero tātou mō tētahi wāhanga tino nui o tō tātou tinana, engari kāore i te tino kōrerotia, arā, te io pudendal.
He aha te uaua pudendal?
Whakaarohia tō tātou tinana he ara iahiko hiko matatini. Ko te roro me te taurakira ngā pūtake hiko matua. Mai i reira, ka puta he whatunga o ngā 'waea hiko' e kawe ana i ngā karere ki ngā kokonga katoa o te tinana. Waihoki, he rite te io pudendal ki tētahi 'waea hiko' nui i roto i te rohe o tō tātou hope.
Ka haria e tēnei io ngā kare ā-roto me ngā karere nekeneke ki ō tātou ira tangata, te nono, me ngā wāhi e karapoti ana. Inaa, ko tēnei io he wāhanga o te pūnaha io taha o tō tātou tinana. Arā, ko tana mahi matua he kawe i ngā whakahau mai i te roro me te taurakira ki ngā whekau e tika ana, me te kawe anō i ngā kare ā-roto i riro mai i aua whekau ki te roro.
He aha ngā mea tino nui e pā ana ki tō tātou tinana mā roto i te io pudendal?
E rua ngā wāhanga o ngā mahi a tēnei io. Ko tētahi he whakahaere nekehanga , ko tētahi he kare ā-roto . Hei whakamārama atu i tēnei, me titiro tātou ki te ripanga i raro nei.
| Momo mahi | Ko te mea ka tupu noa iho... |
|---|---|
| Mahi Mōta | Mā tēnei io e whakahaere ngā uaua o te sphincter e āwhina i a tātou ki te tuku tūtae me te mimi ina hiahiatia. Mēnā ka pakaru tēnei io, ka ngaro pea tēnei mana whakahaere. |
| Te Mahi Pūoro | Ka tukuna e tēnei io ngā kare ā-roto pērā i te pā, te mamae, te ahuareka, me te pāmahana ki te roro. Hei tauira, he mea nui te mahi hauora o tēnei io mō te wheako i te ahuareka o te moepuku. |
Kei hea ēnei kare ā-roto e puta ai?
Ko te nerve pudendal te nuinga e whakarato ana i te kare ā-roto ki ngā wāhi e whai ake nei:
- Tāne: Ure
- I roto i ngā wāhine: Te tara me ngā wāhi e karapoti ana
- Mō ngā taha e rua: Te Anus me te Anal Canal, me te kiri i waenganui i a rāua (Perineum)
Kei hea tēnei io i roto i tō tātou tinana?
E rua ngā io pudendal motuhake kei te taha maui me te taha matau o ō tātou tinana. Ka tīmata tēnei io i ngā tuaiwi i te pito rawa o tō tātou tuaiwi, i te pito o te taurakira. Ka karangatia tēnei wāhi ko te Sacral Plexus. He rite ki te hononga e honoa ai ngā waea waea maha.
Ko te io pudendal, e tīmata ana i konei, ka haere mā roto i ngā wheua hope me ngā uaua gluteal i tētahi haerenga tino uaua. I tēnei haerenga, ka haere mā roto i ngā pūaha iti i waenganui i ngā wheua me ngā kauhanga iti i waenganui i ngā uaua (te awaawa o Alcock), ā, ka tae atu ki tōna ūnga, arā, ki ngā ira tangata me te nono.
I tēnei haerenga, ka wehea te io pudendal kia toru ngā peka matua, ia peka e mahi ana i tētahi mahi motuhake.
| Peka Io | Tōna mahi matua |
|---|---|
| Te io rectum o raro | Ka whakahohe i te uaua o te puku ā-ira, arā, te uaua e whakahaere ana i ngā nekehanga o te puku, ā, ka puta he kare ā-roto ki te pūkahukahu. |
| Te io perineal | Ko tāna mahi he whakahohe i ngā uaua o te papa pelvic me te sphincter urethral, me te whakarato i te kare ā-roto ki te kiri huri noa i te labia i roto i ngā wāhine me te scrotum i roto i ngā tāne. |
| io tuara | E whakarato ana i te kare ā-roto ki te kiri o te ure i roto i ngā tāne me te kiore i roto i ngā wāhine. He mea nui tēnei mō te ahuareka o te moepuku me te whakaara i te ure. |
Me pēhea te pakaru, te whakararu rānei i te io pudendal?
Ka taea e te pēhanga, te pakaru rānei o tēnei io te whakararu i te neuropathy, te mamae nui rānei.
Whakaarohia te mea ka tupu mēnā ka pēhia tēnei io i tētahi wāhi i te ara? Pērā i te pēhia o tētahi paipa wai, ka mutu te rere o te wai. Ina pēhia te io, ka whakararuraruhia te tuku karere, ka puta he mamae nui. Koinei te mea e kiia nei e tātou i roto i te rongoā ko te Pudendal Nerve Entrapment Syndrome .
Ko te mamae mau tonu, te mamae wero i puta mai i tēnei mate ka kiia ko te pudendal neuralgia . Ahakoa ehara i te mea noa, ka tino mamae rawa atu, ā, kāore e taea e te tangata te mahi i ngā mahi o ia rā.
Ngā take noa o te kino o te io:
- Ngā aituā me ngā whara: Ngā aituā ki te rohe hope.
- Pokanga: Ngā raruraru i muri i te pokanga i te rohe pelvic, hei tauira, te tango i te prostate, te pokanga tango rānei i te okana pelvic.
- Mate huka: Ka pā kino pea ngā io ki te mate huka kāore e whakahaeretia.
- Whānautanga: I te wā e tino uaua ana te whānautanga, ka pēhia pea e te māhunga o te pēpi te io.
- Te pēhanga roa: Ka taea e ngā mahi pēnei i te eke pahikara mō ngā wā roa te whakapōrearea i te io. Ka pēhia tika te nohoanga o te pahikara ki te wāhi e haere ana tēnei io.
- Whakaora Irahiko: Ka tukuna te rongoā irahiko ki te rohe hope mō te mate pukupuku.
- Ngā Puku, Ngā Pūmua rānei: He pēhanga io i puta mai i te pukupuku e hanga tata ana ki te io.
He aha te hiranga o tēnei io i te wā e whānau ana?
Ko te aukati io pudendal he tikanga whakamoe e hoatu ana ki te whaea e hapu ana hei whakaiti i te mamae o te whānautanga. Ko te tikanga o tēnei ko te werohanga i tētahi whakamoe ki roto i te io pudendal, hei whakangāwari i te tara me te rohe e karapoti ana mō tētahi wā poto.
Ko te tikanga, ka whakamahia tēnei hei whakaiti i te mamae i te wāhanga tuarua o te whānautanga, ina puta mai te pēpi. I ētahi wā ka whakamahia hoki hei whakangāwari i te mamae o te episiotomy, arā, he tapahi i waenganui i te tara me te nono. Heoi, he mea nui kia mahara kāore tēnei e whakakore i te mamae o ngā mamae o te whānautanga.
Me pēhea te tiaki i tēnei io nui?
He torutoru ngā mahi māmā ka taea e tātou te whai hei pupuri i te hauora o tō tātou pūnaha io katoa, hei tiaki hoki i te io pudendal.
- Kaua e noho i te tūranga kotahi mō te wā roa, inā koa i runga i ngā mata pakeke. Whakatika, ka hikoi haere i te iti rawa i te kotahi i te haora.
- Mena he kaieke pahikara koe, me okioki pinepine. Whakamahia hoki he nohoanga 'whakakī' motuhake hei whakaiti i te pēhanga ki ngā io.
- Whakahaerehia te ahotea. Whakangāwarihia tō hinengaro mā te whakaaroaro, te hikoi, me ētahi atu.
- Kai i tētahi kai hauora , kia mau tonu hoki tō taumaha hauora.
- Whakahaeretia pai ngā mate hauora pēnei i te mate huka me te toto toto tiketike. Ka taea e ēnei te kino i ngā io.
- Kaua e kai hikareti. Ka whakararu te kai hikareti i te rere o te toto ki ngā io.
Mena kei a koe ēnei tohu, me toro atu ki te tākuta.
Mena kei te pāngia koe e tētahi, e ētahi rānei o ngā tohu e whai ake nei, he mea tino nui kia kaua e warewarehia, me toro atu ki tō tākuta i te wā e taea ai.
| Tohu | He aha ngā mea hei aro atu |
|---|---|
| Te mamae pūmau o te hope | Te mamae tonu, te ngau, te wera rānei i roto i ngā ira tākihi, i te nono, i te wāhi e karapoti ana rānei. |
| Ka piki ake te mamae i te wā e noho ana | Mena ka kino haere te mamae ina noho koe, ā, ka heke iho ina tū koe, ina hikoi rānei. |
| Te ngoikore o te moepuku | Te mamae i te wā o te taatai, te hekenga, te ngaro rānei o ngā kare ā-roto, te uaua ki te eke ki te orgasm. |
| Te kore e taea te pupuri i te mimi/paru | Te tuku paru, te mimi rānei i roto i te iti noa iho, me te kore e mōhio, e hiahia ana rānei kia mimi/tutae i ngā wā katoa. |
He io nui te io pudendal mō te rongo me te nekehanga i roto i tō tātou rohe hope. Nō reira, ko te mamae me te kore whakamarie i puta mai i te pakaru o tēnei io ka pā kino ki tō kounga o te oranga. Nō reira, he mea tino nui kia mōhio koe ki ēnei tohu, ā, me rapu tohutohu hauora mēnā e tika ana.
Karere Tangohia ki te Kāinga
- Ko te io pudendal te io matua e whakahaere ana i ngā kare ā-roto me ngā nekehanga i roto i tō rohe pelvic, ira tangata, me te nono.
- He mea nui te mahi hauora o tēnei io mō te whakahaere i te puku me te pūhā, tae atu ki te mahi ā-ira me te ahuareka o te ā-ira.
- Ko te mamae nui ake o te hope i te wā e noho ana he tohu matua pea tēnei o tētahi raruraru o te io pudendal.
- Ka taea te pakaru o tēnei io nā ngā take pēnei i ngā aituā, te pokanga, te whānautanga, me te eke pahikara mō te wā roa.
- Ki te pā mai ētahi o ngā tohu kua whakahuatia i roto i tēnei tuhinga, kaua e warewarehia, me toro atu ki tō tākuta i te wā e taea ai, kia whiwhi ai koe i ngā tohutohu me ngā maimoatanga tika.
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