Ko wai te Tākuta Urogynecologist? Me kōrero tātou mō ēnei raruraru motuhake o ngā wāhine!

Kua rongo koe i tētahi 'urogynecologist'? Tērā pea he ingoa hou tēnei ki a koe. Engari he tohunga ēnei e rongoā ana i ētahi o ngā raruraru hauora tino nui, ā, i ētahi wā he tairongo, o ngā wāhine. I tēnei rā, ka kōrero tātou mō rātou, ā rātou mahi, me te wā e hiahia ana koe ki te kite i a rātou. Kaua e manukanuka, ka whakamāramahia e mātou i roto i ngā kupu māmā noa iho.

Ko wai tēnei tākuta uroginetic?

He māmā noa iho, he tākuta te tākuta urogynecologist e tohunga ana ki ngā mate o te papa hope o ngā wāhine. Tērā pea kei te whakaaro koe he aha te papa hope, tika? Whakaarohia kei te puku o raro o tō tinana, kei raro i tō pōtae, he whatunga uaua me te kiko honohono, he momo papa rānei. Koinei te mea e kiia nei e tātou ko te papa hope.

He mea tino nui tēnei papa hope. Nā te mea kei reira tō kōpū, ngā whekau whakaputa uri pēnei i tō tara , me ngā whekau mimi pēnei i tō pūkahukahu , ā, ko ēnei uaua papa hope e tautoko ana i a rātou. Pērā i te kete kaha e pupuri ana i te maha o ngā mea, ka āwhina rātou ki te pupuri i ēnei whekau kia tika. Nō reira, ki te ngoikore, ki te whara rānei ēnei uaua papa hope, ka raru pea te mahi a aua whekau. Koinā te wā me toro atu koe ki tētahi tākuta urogynecologist.

He aha te rerekētanga i waenga i te tākuta urologist, te tākuta gynecologist me te tākuta urogynecologist?

Ina rongo koe i ēnei ingoa e toru, tera pea ka pōhēhē koe, tika? Tērā pea kei te whakaaro koe, "He rite tonu rātou katoa, tika?" Me titiro tātou ki ngā mahi a ia tohunga. Kātahi ka mārama koe ki te rerekētanga.

• Tohunga Uri: Ko te nuinga o ēnei tākuta e rongoā ana i ngā mate o te pūnaha mimi . Arā, ko ngā raruraru o ngā whekau pēnei i te pūkahukahu, ngā whatukuhu, ngā ureter, me te urethra. Ka rongoāhia e rātou ngā mate o te pūnaha mimi i roto i ngā tāne me ngā wāhine. Ka rongoāhia hoki e ngā tohunga urologi ngā mate o te pūnaha whakaputa uri tāne (hei tauira, ngā raruraru prostate).

• Tākuta Whānau: He tākuta wahine, e kīia ana rānei e tātou he tākuta wahine, e rongoā ana i ngā mate o te pūnaha whakaputa uri wahine . Arā, he raruraru ki te kōpū, ki ngā ovaries, me te tara (hei tauira, ngā koretake o te paheketanga, ngā fibroids uterine). Ka arotahi anō hoki rātou ki te hauora o ngā ū. I ētahi wā ka rongoāhia e rātou ētahi raruraru ngāwari ki te pūnaha mimi wahine.

• Tākuta Urogine: Titiro mai, kei roto i tēnei ingoa ngā kupu 'uro' (e pā ana ki te pūnaha mimi) me te 'gynecological' (e pā ana ki te pūnaha whakaputa uri wahine), tika? Ko te tikanga o tēnei ka rongoatia e ēnei tohunga ngā āhuatanga e pā ana ki ētahi wāhanga o ngā mara e rua o te tākuta urologist me te tākuta gynecologist. Kia tika,He tohunga rātou ki ngā āhuatanga e puta mai ana i te ngoikore, i te kino rānei o te papa pelvic, e mōhiotia ana ko "Ngā Mate Papa Pelvic." Pērā i te tākuta wahine, ka rongoatia e rātou ngā mate papa pelvic e pā ana ki te pūnaha whakaputa uri wahine, ā, pērā i te tākuta mimi, ka rongoatia e rātou ngā raruraru e pā ana ki te pūkahukahu, ki te ara mimi rānei, inā koa ko ērā e pā ana ki te papa pelvic.

Whakaarohia, i ētahi wā ka taea e ēnei tākuta e rua, e toru rānei, te mahi tahi ki te rongoā i tō raruraru.

Ahakoa he maha ngā tau e mahi ana te urology me te gynecology hei mara hauora, i te tau 2011 i mohiotia te urogynecology hei tohungatanga motuhake. Nō reira, i tīmata te urogynecology, e mōhiotia whānuitia ana ko te Female Pelvic Medicine and Reconstructive Surgery (FPMRS), ki te tuku tiwhikete ki ngā tākuta i te tau 2013.

He aha te momo mātauranga e hiahiatia ana e koe hei tohunga urogynecologist?

Ehara i te mea ngāwari te noho hei tohunga pēnei. I muri i te whakatutukitanga o te kura hauora, me whakaoti e te tākuta e whakangungu ana hei tohunga urogynecology te whakangungu noho i roto i te gynecology, i te urology rānei. Kei ētahi kaupapa whakangungu te whai wāhi ki te whiwhi whakangungu i roto i ngā mea e rua. Whai muri i tēnā, me whakaoti e rātou te whakangungu karahipi i roto i tētahi tohungatanga e kiia nei ko te Female Pelvic Medicine and Reconstructive Surgery (FPMRS) .

Whai muri i tēnei whakangungu hoa mahi, me whakaoti hoki e rātou tētahi whakamātautau hei tohunga urogynecologist kua whaimanahia e te poari.

Hei whakarāpopototanga, i muri i te whakatutukitanga o te kura hauora, me ako koe, me whakangungu hoki mō te whitu tau kia noho hei tākuta uroginetic. Nō reira, he hunga rātou he nui ō rātou mātauranga i tēnei mara.

He aha tonu te mahi a te tākuta urogynecologist?

Ka tātaritatia, ka rongoātia hoki e ngā tākuta urogynecologist ngā mate o te papa pelvic . Ahakoa ka pāngia ngā tāne me ngā wāhine e ēnei mate o te papa pelvic, ko ngā tākuta urogynecologist te nuinga e rongoā ana i ngā āhuatanga e pā ana ki ngā wheako motuhake ki ngā wāhine. Hei tauira, ko te haputanga, te whānautanga, me te menopause he mea mōrearea katoa mō te whakawhanake i ngā mate o te papa pelvic.

Anei ētahi o ngā mate o te papa pelvic e rongoatia ana e ngā tākuta uro-gynecologist:

• Te kore e taea te pupuri i te mimi: Koinei te kore e taea te whakahaere i te rere o te mimi . He maha ngā huarahi hei rongoā i tēnei:
• `Te Ārai i te Puku Āwangawanga`: Ko te turuturu o te mimi ina piki ake te pēhanga o roto i te puku, pērā i te maremare, te tihe, te kata nui, te hiki rānei i tētahi mea taumaha.
• 'Te Whakahau i te Puku Manawanui':Ko te hiahia nui ko te hiahia ohorere, kaha ki te mimi. I ētahi wā, ka taea e koe te mimi i mua i tō oma ki te wharepaku. Ka puta i te wā tonu ka hiahia koe ki te haere.
• Pūngāwerewere Tino Kaha: He maha ngā wā (tērā pea kotahi i te haora), he hiahia nui ki te mimi. Me ara ake pea koe i ngā wā maha i te pō.

• Te Porowhita o te Okana Pelvic (POP): Koinei te wā e paheke ana tētahi, neke atu rānei o ngā okana pelvic i tōna tūranga noa ki roto i te tara ina kore e tautokona tika te papa pelvic. He rite tēnei ki te hinganga o te pakitara me te taka o ngā taonga. Ko ngā okana ka taea te porowhita ko te pūkahukahu (cystocele), te kōpū (uterine prolapse), te wāhanga o te rectum (rectocele), me te wāhanga o runga o te tara (vaginal vault prolapse). Ka taea hoki te hono atu ki tēnei āhuatanga me ngā raruraru pūkahukahu. Ka rongo pea ētahi tāngata me te mea kei te puta mai tetahi mea i te tara.

• Te Pupuritanga o te Tūtae: Ina ngoikore ngā uaua o te papa pelvic, ka ngaro pea tō mana whakahaere i ō nekehanga puku, ā, ka turuturu pea ētahi tūtae. Tērā pea i te wā e puku ana koe, he iti noa rānei ngā tūtae wai. Ka kiia tēnei ko te Pupuritanga o te Tūtae.

• Te ngoikore o te papa o te kōpū: Ka puta tēnei āhuatanga ina kore e taea e ngā uaua o te papa o te kōpū e whakahaere ana i te mimi me te tūtae te mahi tahi tika. Ko te tikanga o tēnei ka kikī ngā uaua i te wā e tika ana kia kikī, ka kikī anō hoki i te wā e tika ana kia wetekina. Ka uaua pea te mimi, te tūtae rānei (hei tauira, kāore e taea te mimi ahakoa e ngana ana koe ki te mimi). Ka mamae hoki te tara i te wā moe tāne.

• Ngā Fistula Tara: Koinei te wā e puta ai he ara rerekē i waenganui i te tara me te pūkahukahu, te pūkahukahu rānei, nā te whara (hei tauira, i te wā whānau, i te pokanga) nā tētahi atu mate hauora rānei. Ka taea e tēnei te turuturu i te mimi, i te paru rānei ki roto i te tara.

Kua mārama pea koe ināianei, tika? He raruraru whakararuraru ēnei, engari he tino whakararuraru. Engari kia maumahara, he maimoatanga anō kei reira mō tēnei.

He aha ngā maimoatanga e whakaratohia ana e ngā tākuta uro-gineko mō ēnei āhuatanga?

Kia oti te tātaritanga a te tākuta urogynecologist i tō mate, ka tohua e rātou te maimoatanga tika māu. Kāore he maimoatanga kotahi e pai mō te katoa. Ka whakawhirinaki te maimoatanga ki ngā āhuatanga maha, tae atu ki te āhua me te kaha o tō mate, tō tau, me tō hauora whānui. Anei ētahi o ngā maimoatanga e whakamahia ana e rātou:

• Te tuku rongoā: Tērā pea ka hoatu he rongoā ki a koe hei āwhina i te whakahaere i tō pūkahukahu (hei tauira, mō te pūkahukahu kaha rawa) hei whakahaere rānei i ngā nekehanga o te puku (hei tauira, mō te mate pāwera).
• Te tāutanga taputapu:Hei tauira, ki te mea he mate tōu e kīia nei ko te "POP" te hekenga o te whekau pelvic, ka taea e koe te whakauru i tētahi taputapu e kīia nei ko te "pessary" . He taputapu porowhita tēnei, he taputapu rānei i hangaia ki te silicone, ki te rapa, ki te kirihou rānei, ka whakaurua ki roto i te tenetene. Ka pupuri i ngā whekau pelvic ki tōna tūranga. He maimoatanga kore-pokanga tēnei.
• Ngā Pokanga: I ētahi wā, ina koa kāore ētahi atu maimoatanga e whai hua, he kino rānei te āhua, me pokanga pea. Kei roto i tēnei ko te pokanga hanga anō, e whakahoki ana i ngā whekau pelvic ki ō rātou tūranga noa. Ka taea hoki e te pokanga te āwhina i ngā raruraru whakahaere mimi (pēnei i te whitiki mō te kore e taea te pupuri i te mimi). Ka whakamahia pea e ēnei pokanga ō ake kiko me ō hononga, ka whakauru rānei i ngā rauemi (pēnei i te mata ) hei whakapakari i ngā uaua o te papa pelvic kua ngoikore, kua pakaru rānei.
• Ngā mahi whakapakari papa pelvic: Kua rongo pea koe i ngā mahi Kegel . Mā te tākuta urogynecologist koe e whakaatu ki te mahi tika. Mā ngā mahi Kegel ka whakapakari i ō uaua papa pelvic. He rite ki te hiki taumaha me te hanga uaua. I ētahi wā ka mahi tahi rātou me te kaiwhakaora tinana ki te whakamahi i tētahi tikanga e kiia nei ko te biofeedback . Mā te biofeedback koe e āwhina kia mōhio ake ai ki te wā e whakawhāiti ana, e wātea ana hoki ō uaua papa pelvic. Mā tēnei mōhiotanga, ka taea e koe te whakahaere ake i ēnei uaua me ngā mahi e whakahaere ana i te mimi me te tutae.
• Te whakaaro ki ngā huringa āhua noho āwhina: Ka āwhina i a koe ki te tautuhi me te whakarerekē i ō tikanga o ia rā e whai wāhi ana ki ō tohu. Kei roto pea i tēnei ko te whakarerekē i ō tikanga kai (hei tauira, te whakaiti i te kawheine, ngā kai raukikī), te āwhina i a koe ki te whakaiti i tō taumaha, te whakamutu i te momi hikareti, te tāpiri i ngā tikanga whakangā, te whakarite rānei i ngā haerenga ki te wharepaku hei whakanui haere i te roa o te wā ka taea e koe te "pupuri" i te mimi (te whakangungu i te pūkahukahu).

He aha me toro atu ahau ki tētahi tākuta urogynecologist? / I tehea wā?

He pai pea kia tirohia e koe tētahi tākuta urogynecologist mēnā kei a koe ēnei tohu:

• Ki te turuturu tō mimi, tō paru rānei i te tūponotanga .
• Ki te mea kei te hiahia koe kia mimi i ngā wā maha atu i te wā noa .
• Ki te hiahia koe ki te mimi i mua i te haere ki te wharepaku , he uaua ki te haere ki te wharepaku i te wā tika.
• Ki te rongo koe i te kī, te taimaha, te pēhanga rānei i roto i tō tenetene, i tō hope rānei (me te mea kei te mau tetahi mea i roto).
• NāuKi te mea kei te heke iho, kei te taka rānei tetahi mea i roto i tō tenetene, ki te mea rānei kei te rongo koe i tētahi mea pērā.

He mea nui: Kaua e whakamā ki te kōrero mō ēnei take. He āhuatanga ēnei ka pā ki te tini o ngā wāhine, ā, he rongoā whai hua anō hoki mō ēnei. Kāore koe e hiahia ki te mamae ko koe anake.

He take whaiaro anō hoki te kore e taea te pupuri i te mimi me te heke o te whekau pelvic mō te tini o te tangata. Nō reira, he tino whakamarie te kite i tētahi tākuta, pērā i a koe, e āwangawanga ana mō te pūnaha tinana wahine, ā, e mārama ana ki tō āhuatanga. Kātahi, ahakoa te take o te kite i te tākuta, ka iti ake tō mataku me tō kore whakamarie i a koe e tatari ana i roto i te rūma tatari.

He aha te mea ka tupu ina haere koe ki te kite i tētahi tākuta urogynecologist mō te wā tuatahi?

Tērā pea ka rerekē pea ō wheako i runga i te take e toro atu ai koe ki tētahi tākuta urogynecologist, engari i te nuinga o te wā, koinei ngā mea ka puta:

• Ka kōrero te tākuta urogynecologist ki a koe mō tō hītori hauora katoa . Ko te tikanga o tēnei ko ngā mate o mua, ngā pokanga kua mahia e koe, ngā rongoā kua tangohia e koe, me te mea kua pāngia tetahi o tō whānau e ngā raruraru rite.
• Ka pātai atu rātou ki a koe mō ō tohumate . Arā, nōnahea i tīmata ai, kia pēhea te roa o te noho, āhea ka kino haere, me pēhea te pānga ki tō oranga (hei tauira, mēnā ka whakararuraru i tō kaha ki te haereere, ki te whai wāhi atu rānei ki ngā mahi pāpori).
• Ka whakahaerehia e rātou he whakamātautau tinana . He rite tonu tēnei ki te whakamātautau hope. Ka hiahia rātou ki te tirotiro tata i ngā whekau me ngā kiko i roto i tō papa hope, ō rātou tūranga, me ō rātou kaha. Tērā pea ka tono atu rātou kia whakakitea e koe tō tenetene ki a rātou, kia whakahaerehia rānei he whakamātautau.

I runga i ngā kitenga o ēnei whakamātautau, ka tūtohutia he maimoatanga māu, ka kī atu rānei ki a koe he aha atu ngā whakamātautau e hiahiatia ana hei whakatau i te mate (hei tauira, ngā whakamātautau mimi, ngā whakamātautau motuhake pēnei i ngā 'rangahau urodynamic').

He aha ngā pātai me pātai atu ki taku tākuta urogynecologist?

Ina tūtaki koe ki tō tākuta, kaua e wehi ki te pātai i ō pātai. Mēnā he mea kāore koe e mārama ana, pātai anō. Anei ētahi pātai ka taea e koe te pātai:

• He aha te tino take o ngā raruraru o te papa pelvic?
• E hia te kino kua pā ki tōku papa hope?
• He aha ngā maimoatanga e tūtohu ana koe māku? He aha ngā painga me ngā huakore o ia maimoatanga?
• Kia pēhea te kaha ka hoki mai ki te papa o taku hope i muri i te maimoatanga? Kia pēhea te tere e tumanakohia ai e au te ora?
• He aha ngā huringa ka taea e au te mahi i ia rā hei pupuri i te mahi a te papa pelvic, hei ārai hoki i te hokinga mai o ēnei raruraru?
• Haunga ēnei maimoatanga, kei reira anō ētahi atu mea pēnei i te whakakori tinana ka taea e au te mahi?

He karere whakamutunga hei kawe ki te kāinga

Kāore tātou e tino whakaaro ana ki ngā uaua e whakahaere ana i ngā mahi taketake o te tinana pērā i te mimi me te tūtae, e tika ana? Ina turuturu te mimi, kāore anō kia pērā i mua, ina rongo rānei koe i te kī o tō tara, ka tino pouri, ka whakama, ka noho motuhake hoki.

Engari e tino mārama ana ngā tākuta urogynecologist ki tēnei. He pūkenga rātou ki te tātaritanga i ō raruraru papa pelvic me te tautuhi i ngā maimoatanga pai hei āwhina i a koe. Ka whakarongo rātou ki a koe, ka ngana ki te kimi i te otinga pai mōu. He maha ngā tāngata kua mahi tahi rātou me rātou kua pāngia e ngā wheako rite. Mena kei a koe ēnei raruraru, pātai atu ki tō tākuta whānau mō te tuku i a koe ki tētahi tākuta urogynecologist, ki te kore ka taea e koe te whakarite i tētahi wā hui.

Kia maumahara, kāore he take e huna ai ēnei mea, e mamae ai, ko te mea nui ko te rapu āwhina. Kāore koe i te mokemoke!

` Urogynecology, Papa Pelvic, Whakahaere Mimi, Prolapse Okana Pelvic, Hauora Wahine, POP, Incapacitation