No ke aha au e makemake ai i ka lāʻau lapaʻau Pelvic Floor?

Hoʻopilikia i ka pelvic papahele ʻO nā ʻiʻo kahi pilikia ākea e pili ana i kahi hapalima o ka heluna kanaka o ka honua. ʻO ka manawa pinepine ma hope o ka hāpai ʻana a me ka hānau ʻana, me ka predisposition genetic, e kū'ē i ke ʻano o kahi nohona sedentary, a me ka wā menopause, nalowale kēia mau ʻiʻo. ʻAʻole ia e hoʻoweliweli i ke ola, akā ʻoi aku ka paʻakikī. Inā pilikia ʻoe i nā pilikia o ka papahele pelvic, manaʻo paha ʻoe ʻo ka ʻoki wale nō ke koho. ʻAʻole naʻe. Hiki ke lilo ka ho'ōla kino i kahi koho lapaʻau papa pelvic.

He aha ka papahele pelvic? 

ʻO nā ʻiʻo o ka papahele pelvic a i ʻole, e like me ka mea i kapa ʻia, he mea nui nā ʻiʻo pili i ke kino. Aia kēia mau ʻiʻo pili ma ka ʻāpana perineal a he pā muscular i hohola ʻia ma waena o ka iwi pubic a me ka coccyx. Aia ma luna o kēia hammock muscular ʻē aʻe nā ʻāpana pelvic, ka ʻōpū, ka rectum, ka prostate gland i nā kāne, ka ʻōpū i nā wahine. 

ʻO ka hana nui o ka musculature pelvic floor e hāʻawi i ke kākoʻo a me ke kākoʻo no nā ʻōpū o loko. Kākoʻo lākou i nā ʻāpana pelvic i kahi kūlana physiological maʻamau, hāʻawi i ka hana maikaʻi, a komo i nā kaʻina o ka mimi a me ka defecation. Eia kekahi, komo nā ʻiʻo pili i ka hana o nā sphincters o ka urethra a me ka rectum. ʻO kēia nā ʻiʻo āu e hoʻohana ai no ka hoʻopaʻa ʻana i ka mimi a me ke kinoea, e like me ka wā e hoʻoikaika ai ʻoe, ʻakaʻaka a kihe paha.

Hiki ke hoʻomalu ʻia nā ʻiʻo o ka papahele pelvic e ka manaʻo, akā maʻa mau lākou me ka ʻike ʻole, hoʻohui pū me nā ʻiʻo hohonu a me nā ʻiʻo hope a me ka diaphragm, a kōkua i ke kāohi ʻana i ke kaomi ʻōpū i ka wā hoʻoikaika kino. ʻO ke kūpono, hoʻoponopono ʻia ke kaomi intraabdominal. Inā nāwaliwali a ʻeha paha kekahi o nā ʻiʻo cortical, e komo pū ana me nā ʻiʻo o ka papahele pelvic, pilikia ka hoʻonohonoho ʻana. A laila, i nā kūlana e piʻi ai ke kaomi intraabdominal, aia ka hiki ke hoʻonui i ka papahele pelvic, nāwaliwali a emi iho ke kaomi. Inā hana pinepine kēia, piʻi ke koʻikoʻi o nā ʻōpū pelvic i ka manawa, hiki ke alakaʻi i ka nalo ʻana o ka ʻōpū a i ʻole ka hoʻomalu ʻana i ka ʻōpū a i ʻole ka hāʻule ʻana o ke kino pelvic.

No ka hana ʻana ma ke ʻano he ʻāpana o ka cortex, pono e maʻalahi nā ʻiʻo o ka papahele pelvic, ʻo ia hoʻi ʻaʻole hiki iā lākou ke ʻaelike a paʻa i ka haʻalulu, akā hoʻomaha hoʻi. Hiki i ka ha'alulu mau ke lilo i nā 'i'o a lilo i 'o'ole'a loa, a hui pū 'ia ka 'o'ole'a o ka papahele pelvic me ka nawaliwali, hiki ke alaka'i i ka mimi 'ole, ka 'eha pelvic, ka 'eha me ka moe, a me ka pa'akikī o ka mimi.

No ke aha e makemake ai au i ka lāʻau lapaʻau pelvic floor?

He mea koʻikoʻi loa ka mālama ʻana i ka papahele pelvic, no ka mea, inā pilikia ka hana o ka pelvic floor, he hopena nui ia i ke ola.

ʻO ka nāwaliwali ʻana o nā ʻiʻo o ka papahele pelvic e alakaʻi i ka ʻūhā hāmama i ka wā e hohola ʻia ai nā ʻūhā a i ka wā e pahu ai. Hiki ke komo maʻalahi ke komo ʻana i ka maʻi maʻi ma o ka puhaka ākea, kahi e hoʻomohala ai i ka colpitis a me ka vulvovaginitis. ʻO ka wehe ʻana i ka ʻāʻī e alakaʻi pinepine ai i ka maloʻo a me ka atrophy o ka mucosa vaginal. Hoʻopilikia maikaʻi kēia mau mea a pau i ke ola moekolohe o nā wahine.

ʻO ka maloʻo a me ka atrophy o ka mucosa vaginal e hōʻemi i kona naʻau ma ke ʻano he erogenous zone, kahi mea paʻakikī i ka wahine ke loaʻa i kahi orgasm. ʻAʻole lawa ka leʻaleʻa o ka hoa moe, no ka mea, ʻaʻole hāʻawi kahi ākea ākea i ka pilina pili me ke kino i ka wā pili. Loaʻa paha i ke kāne nā pilikia erectile ma muli o kēia.

Ma waho aʻe o ka hoʻohaʻahaʻa ʻana o ka maikaʻi o ka pili ʻana i ka moekolohe, i ka wā lōʻihi o nā hōʻailona maikaʻi ʻole e like me ka urinary incontinence i ka wā e ʻakaʻaka ai, ʻakaʻaka, paʻi ʻana, hoʻoikaika kino, pono e hele i ka lua i ka manawa pinepine a wikiwiki paha. Ma ka ʻepekema, ua kapa ʻia ʻo stress urinary incontinence. Eia kekahi, inā ʻoi aku ka maikaʻi o ke ʻano o ka papahele pelvic, aia ka prolapse o nā paia o ka vagina a me ka urethra, prolapse o ka ʻōpū, prolapse o ka rectum, ka haki ʻana o ka sphincter o ka anus. ʻAʻole ia he mea maʻamau no ka prolapse okana pelvic i mea e ulu ai ka ʻeha pelvic mau loa.

Eia hou, e hiki mai ana keia mau mea:

• ʻO ka hoʻomau ʻole o ke kinoea a me ka ʻōpū.
• Paʻakikī e hoʻokahe i ka ʻōpū a i ʻole ka ʻōpū.
• ʻO ka hāʻule ʻana o nā ʻōpū o loko. I loko o nā wahine, ʻike ʻia ʻo ia he puʻupuʻu i loko o ka ʻōpū a i ʻole ka manaʻo o ka ʻeha a kaumaha paha. I nā kāne, ʻike ʻia ʻo ia he bulge i ka rectum a i ʻole ka makemake e hoʻokaʻawale i ka ʻōpū, ʻoiai ʻaʻohe mea e pono ai ke hana pēlā.
• ʻEha ma ka ʻōpū, ka ʻōpū a i ʻole ke kua ma kahi kokoke i ka papahele pelvic i ka wā e hana ai i nā hoʻoikaika kino o ka papahele pelvic a i ka wā o ka moekolohe.

Pehea e loaʻa ai ka lāʻau lapaʻau kino pelvic floor?

Hoʻomaka kēlā me kēia lāʻau lapaʻau me ka ʻike ʻana i nā maʻi: loiloi ʻia ke kūlana a me ka ikaika o nā ʻiʻo o ka papahele pelvic, ua hoʻoholo ʻia inā he mau hōʻailona a inā pili lākou i ka pelvic floor dysfunction. Inā hoʻokumu ʻia ka pilina, hoʻokumu ʻia kahi hoʻonohonoho o nā mea lapaʻau pilikino e hoʻihoʻi i nā ʻiʻo a me nā mea ligamentous. Aʻo pū ke kauka i ka mea maʻi i ka hoʻomaʻamaʻa Kegel, hiki ke hana kūʻokoʻa ma ka home e hoʻoikaika i nā ʻiʻo nāwaliwali a hoʻomaha i nā spasmed. 

Biofeedback

Hana ʻia ka biofeedback therapy ma kahi mīkini kūikawā. Paipai ʻia ka lāʻau biofeedback no ka mālama ʻana i nā ʻano like ʻole o ka urinary incontinence, fecal incontinence, prolapse wall vaginal, ʻeha pelvic mau a me nā maʻi moe.

ʻO ka Biofeedback kahi ʻano koʻikoʻi o ka lāʻau lapaʻau pelvic i hana ʻia i kēlā me kēia pule ma kahi kūlana olakino e nā limahana lapaʻau i hoʻomaʻamaʻa kūikawā i hui pū ʻia me nā hoʻomaʻamaʻa Kegel ma ka home. I ka wā biofeedback therapy, hoʻokomo ʻia kahi sensor kūikawā i loko o ka vagina a i ʻole rectum a hoʻopaʻa ʻia nā electrodes i kahi o ka paia o ka ʻōpū mua. Lawe kēia mau electrodes i nā hōʻailona uila mai nā ʻiʻo. Pono ka mea maʻi e ʻaelike a hoʻomaha i nā ʻiʻo ma ke kauoha a ke kauka. Hōʻike ʻia nā hōʻailona uila ma kahi hōʻike kamepiula. Mahalo i kēia papahana, hoʻomaopopo ka mea maʻi i nā ʻiʻo o ka papahele pelvic e pono e hoʻopaʻa ʻia 

Ua hōʻike ka nui o nā noiʻi lapaʻau i ka hoʻomaikaʻi nui ʻana i ka mālama ʻana i ka urinary i nā poʻe maʻi me nā maʻi neurological a me nā poʻe maʻi kahiko. 

Electrostimulation

ʻO ka Electrostimulation ka ʻano maʻalahi o ka hoʻomaʻamaʻa pane e manaʻo e hoʻihoʻi i nā ʻiʻo o ka papahele pelvic. ʻO kēia hoʻoikaika kino ka manaʻo e hoʻoulu i nā ʻiʻo e hāpai i ka anus. Ke hoʻoulu ʻia nā ʻiʻo me nā manaʻo uila, ʻae ʻia nā ʻiʻo ʻaoʻao hema a me ka sphincter bladder, a me ka ʻoki ʻana o ka pūpū. Hiki ke hoʻohana ʻia ka hoʻoulu ʻana i ka uila me ka hoʻomaʻamaʻa pane a i ʻole nā ​​​​hana Kegel 

ʻO ka Electrostimulation kahi ala maikaʻi e mālama ai i ka incontinence mimi a me nā ʻano hui like ʻole o ka urinary incontinence a nāwaliwali nā ʻiʻo o ka papahele pelvic. No nā wahine e loaʻa ana i ka incontinence peremptory, kōkua ka electrostimulation e hoʻomaha i ka ʻōpū a hoʻemi i ke kiʻekiʻe o ka hoʻopaʻa ʻole ʻana o ka detrusor.

He mea maikaʻi loa ka Electrostimulation i ka mālama ʻana i nā maʻi me nā maʻi neurogenic urinary. Loaʻa ka hopena maikaʻi loa ma ka hoʻohui ʻana i ka mālama ʻana me ka electrostimulation a me ka therapy feedback. Eia nō naʻe, loaʻa kahi hopena koʻikoʻi ma hope o ka liʻiliʻi o ʻehā mau pule o ka mālama ʻana, a pono e hoʻomau ka poʻe maʻi i ka hana Kegel ma ka home.

Hoʻomaʻamaʻa ʻāʻī 

Hoʻohana pinepine ʻia kēia ʻano lāʻau lapaʻau e mālama i nā wahine ikaika me nā hōʻailona o ka incontinence urinary a me ka hypersensitivity o ka pūpū, ka mea i kapa ʻia ʻo urgency. ʻO ke kumu o ka hoʻomaʻamaʻa ʻana i ka ʻōpū, ʻo ia ka mea e aʻo ai ka mea maʻi i ka ʻae ʻana i nā koi hoʻopunipuni e mimi me ka ʻōpū piha ʻole a i ʻole ka hoʻopiha piha ʻana a e mimi i ka hola. Hoʻokomo pū ka hoʻomaʻamaʻa ʻana i kekahi mau lula e pili ana i ka meaʻai a me ka inu wai. Hoʻohana ʻia kahi ʻenehana hoʻomaha kūikawā, e kōkua ana i ka pale ʻana a me ka hoʻopaneʻe ʻana i ka koi hoʻopunipuni. ʻO ka pahuhopu o ka hoʻomaʻamaʻa ʻana e hiki i ka mea maʻi ke ʻae i kahi manawa o 2-3 mau hola ma waena o nā huakaʻi i ka lua.

Ma waho aʻe o ka mea i luna, he nui nā ʻano, me ka hoʻomohala ʻana i ka lāʻau lapaʻau a me ka ʻenehana. I kēia manawa aia kahi ʻano mea hana hou – kahua haʻalulu sonic , he noho papahele pelvic. Hiki i kona kahua hoʻoheheʻe sonic ke hoʻōla hou i nā ʻiʻo degenerated, hāʻawi i ka mana a me ka hoʻolōʻihi ʻana. He hopena maikaʻi loa ia i ka pale ʻana a me ka hoʻomaikaʻi ʻana i ka infiltration o ka urinary tract, urination, urinary incontinence, a me benign prostatic hyperplasia.