Ka hoʻomaopopo ʻana iā Levator Ani Syndrome
Anter
- Nā maʻi maʻi pelvic
- Nā ʻōuli
- ʻEha
- Nā pilikia mimi a me ka ʻōpū
- Pilikia moekolohe
- Nā Kumu
- Kānāwai
- Lapaʻau home
- Kūleʻa hohonu
- Pēpē hauʻoli
- Nā wāwae i ka paia
- Nā lapaʻau ʻē aʻe
- Outlook
Hōʻike Overview
ʻO ka maʻi ʻo Levator ani kahi ʻano o ka maikaʻi ʻole o ka papahele pelvic nonrelaxing. ʻO ia ka mea paʻa loa nā mākala pelvic. Kākoʻo ka papa pelvic i ka rectum, bladder, a me ka urethra. I nā wahine, kākoʻo nō ia i ka pūpū a me ka lua.
ʻO ka maʻi maʻi ʻo Levator ani ka mea maʻamau i nā wahine. ʻO kāna ʻōuli nui ka hoʻomau a i ʻole ka ʻūpī ʻole o ka ʻeha ma ka rectum i hana ʻia mai kahi spasm i ka levator ani muscle, kahi kokoke i ka anus. Nui nā inoa ʻē aʻe o Levator ani syndrome, e like me:
- ʻeha anorectal mau
- proctalgia mau
- spasm levator
- myalgia pelvic tension
- maʻi piriformis
- maʻi maʻi puborectalis
Nā maʻi maʻi pelvic
Kū nā maʻi pelvic papahele ke hana ʻole nā mākala me ka pololei. Kū lākou mai nā pilikia ʻelua. Hoʻomaha hoʻomaha a paʻa paʻa paha nā mākala pelvic.
Hiki i nā mākala pelvic leʻaleʻa ke hoʻonā i ka pelvic organ prolaps. Hiki i kahi bladder i kākoʻo ʻole ʻia ke alakaʻi i ka incontinence urinary. A i nā wahine, hiki i ka ʻōpū a i ʻole ka uterus ke kulu i loko o ka ʻōpū. Hiki i kēia ke kumu i kaʻeha o ke kua, nā pilikia i ka mimiki a i ʻole ka neʻe ʻana o ka ʻōpū, a me ka moekolohe ʻeha.
Hiki ke alakaʻi i nā mākala pelvic palaoa paʻa loa i ka hana palvic papahele pelvic nonrelaxing. Hiki i kēia ke kumu i nā pilikia me ka mālama ʻana a i ʻole ka ninini ʻana i nā ʻōpū, a me ka ʻeha pelvic, ka moekolohe ʻeha, a me ka hana erectile.
Nā ʻōuli
Hiki i nā ʻōuli o ka levator ani syndrome ke hoʻomau a hopena i kou ʻano o ke ola. ʻO ka hapa nui o ka poʻe me kēia maʻi i loaʻa i kekahi o kēia mau ʻōuli, inā ʻaʻole lākou āpau.
ʻEha
ʻO ka poʻe me kēia maʻi e ʻike paha i ka ʻeha pololei ʻole e pili pū me ka neʻe ʻana o ka ʻōpū. Pōkole paha ia, a i ʻole hiki mai a hoʻi paha, e mau ana i kekahi mau hola a mau lā paha. Lawe ʻia ka ʻeha a hōʻino ʻia paha e ka noho ʻana a moe ʻana i lalo. E ala paha ʻoe mai ka hiamoe ʻana. ʻOi aku ke kiʻekiʻe o ka ʻeha ma ka pololei. ʻO kekahi ʻaoʻao, pinepine ka hema, manaʻo paha e palupalu ma mua o kekahi.
Hiki iā ʻoe ke ʻike i ka ʻehaʻeha o ke kua i hiki ke pāhola i ke aʻa a i ʻole nā ʻūhā. I nā kāne, hoʻolaha paha ka ʻeha i ka prostate, nā testicle, a me ka piko o ka peni a me ka urethra.
Nā pilikia mimi a me ka ʻōpū
Hiki paha iā ʻoe ke ʻike i ka paʻa paʻa, nā pilikia e hele aʻe i nā ʻōpū o ke ʻōpū, a i ʻole ke kanikau nei e hala iā lākou. Loaʻa paha iā ʻoe kahi manaʻo e like me ka pau ʻole o ka neʻe ʻana o ka ʻōpū. Hoʻohui ʻia nā hōʻailona hou aʻe:
- ʻōhūhū
- pono e mimi pinepine, wikiwiki, a i ʻole me ka hiki ʻole ke hoʻomaka i ke kahe
- ʻeha bladder a i ʻole ʻeha me ka mimiki
- incontinence mimi
Pilikia moekolohe
Hiki i ka Levator ani syndrome ke hana i ka ʻeha ma mua, i ka wā, a ma hope o ka moekolohe ʻana i nā wahine. I nā kāne, hiki i ke ʻano ke hoʻonāukiuki i ka ejaculation ʻeha, ka wā kahiko ejaculation, a i ʻole ke erectile hana.
Nā Kumu
ʻAʻole ʻike ʻia ke kumu kūpono o ka levator ani syndrome. Pili paha ia i kekahi o kēia mau mea:
- ʻaʻole urinating a hala i kahi noho ke pono ai ʻoe
- hoʻohaʻahaʻa liʻiliʻi (atrophy) a i ʻole ʻeha i ka vulva (vulvodynia)
- ke hoʻomau nei i ka moekolohe ʻoiai ke ʻeha
- ʻeha i ka papakū pelvic mai ke ʻoki a trauma paha, e like me ka hoʻomāinoino wahine
- ke loaʻa nei kekahi ʻano ʻeha pelvic maʻi mau, e like me ka maʻi huhū o ke kīhā, endometriosis, a i ʻole cystitis interstitial
Kānāwai
ʻO ka ʻike ʻana i ka maʻi ʻo levator ani i kapa pinepine ʻia he "diagnose of exclusion." ʻO ia no ka mea pono nā kauka e hoʻāʻo e kāpae i nā pilikia ʻē aʻe i hiki ke kumu i nā ʻōuli ma mua o ka hōʻoia ʻana i ka maʻi maʻi levator ani. I nā kāne, ʻike pinepine ʻia ʻo levator ani syndrome ma ke ʻano he prostatitis.
Me ka loiloi kūpono a me ka mālama ʻana, hiki i nā poʻe i loaʻa i ka levator ani syndrome ke loaʻa ka hoʻomaha.
Lapaʻau home
E kamaʻilio me kāu kauka e pili ana i nā mea hōʻemi ʻehaʻeha o ka counter i hiki ke kōkua.
ʻIke ka poʻe he nui i ka hōʻoluʻolu mai kahi ʻauʻau sitz. Lawe i hoʻokahi:
- Hoʻomaʻu i ka anus i loko o ka wai mehana (ʻaʻole wela) ma ke kuʻi ʻana a i ʻole ka noho ʻana i loko o kahi ipu ma luna o ka ipu holoi.
- E hoʻomau i ka pulu no 10 a 15 mau minuke.
- Pat iā ʻoe iho maloʻo ma hope o ka ʻauʻau. Hōʻalo i ka hamo ʻana iā ʻoe iho me ke kāwele, e hoʻonāukiuki paha ia wahi.
Hiki iā ʻoe ke hoʻāʻo i kēia mau hana e hoʻokuʻu i nā mākala pelvic paʻa i ka papahele.
Kūleʻa hohonu
- Kū me kou mau wāwae e hohola ākea ma mua o kou hiʻupuʻu. Paʻa i kahi mea paʻa.
- E kuʻi i lalo a ʻike ʻoe i kahi kī i kou mau wāwae.
- Paʻa no 30 kekona ke hanu nui ʻoe.
- E hana hou he ʻelima mau manawa a puni ka lā.
Pēpē hauʻoli
- Moe i kou kua i kou moena a i ʻole moena ma ka papahele.
- Kulou kou mau kuli a hāpai i kou mau wāwae i ke kaupaku.
- E hopu i ka wāwae o kou mau wāwae a i ʻole nā kuʻekuʻe wāwae me kou mau lima.
- E hoʻokaʻawale mālie i kou mau wāwae ma mua o kou hiʻupuʻu.
- Paʻa no 30 kekona ke hanu nui ʻoe.
- E hana hou i 3 a 5 mau manawa i ka lā holoʻokoʻa.
Nā wāwae i ka paia
- Noho me kou pūhaka ma kahi o 5 a 6 ʻīniha mai kahi pā.
- E moe i lalo, a hoʻoluli i kou mau wāwae i luna e hoʻomaha ai kou kuʻekuʻe wāwae i ka paia. E hoʻomaha i kou mau wāwae.
- Inā ʻoi aku ka ʻoluʻolu, e hoʻokuʻu i kou mau wāwae i nā ʻaoʻao i ʻike ʻoe i kahi kī i kou mau ʻūhā o loko.
- E kia i kou hanu ʻana. Noho i kēia kūlana 3 a 5 mau minuke.
Kōkua pū paha nā hana Kegel. E aʻo i nā ʻōlelo aʻoaʻo no ka hoʻoikaika kino Kegel.
Nā lapaʻau ʻē aʻe
ʻAʻole lawa paha ka mālama ʻana i ka home no ka mālama ʻana i kāu ʻano. E kamaʻilio paha kāu kauka iā ʻoe e pili ana i kekahi o kēia mau hana no ka maʻi levator ani.
- ka hoʻōla kino, me ka lomilomi, ka wela, a me ka biofeedback, me kahi mea hoʻomaʻamaʻa hoʻomaʻamaʻa i ka pelvic papa hana
- kuhikuhi nā mea hoʻōla i nā mākala a i ʻole nā lāʻau ʻeha, e like me gabapentin (Neurontin) a me pregabalin (Lyrica)
- hoʻonāukiuki i nā injection, ʻo ia paha me ka corticosteroid a i ʻole botulinum toxin (Botox)
- ʻākehu
- hoʻonāukiuki nerve
- hoʻoipoipo wahine
ʻAʻole pono e hoʻohana ʻia nā lāʻau antidepressants Tricyclic, no ka mea, hoʻonāukiuki lākou i ka ʻōpū a me nā ʻōuli o ka maʻi ʻaʻa.
Outlook
Me ka hōʻailona kūpono a me ka mālama ʻana, hiki i nā poʻe i loaʻa i ka maʻi levator ani ke hōʻoluʻolu mai nā ʻōuli hōʻoluʻolu ʻole.