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October 10, 2025
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Ka puta te herēme o ngā wāhanga pūnaha pelvic ina ngoikore ngā uaua me ngā kiko e tautoko ana i ōu wāhanga pūnaha pelvic, ā, ka taka, kāore rānei, ka pēhi tetahi wāhanga, kāore rānei, atu ki te pakitara waewae. Whakaarohia he whatu kua tōia i te wā roa, kāore hoki e taea te pupuri i ngā mea i roto i tō rātou wāhi tika.
He tino noa tēnei āhuatanga, inā koa mō ngā wāhine kua whānau tamariki, kāore rānei, kua tīmata te wā whakamutunga. Kāore koe e mōrahi ana mena kei te pāngia koe e tēnei, a he maha ngā huarahi whai hua hei whakahaere me te whakaora.
Ka puta te herēme o ngā wāhanga pūnaha pelvic ina ngoikore, kāore rānei, i pakaru ngā uaua me ngā hononga o tō papa pelvic, ā, ka taea e ngā wāhanga penei i tō pūngāwerewere, tō kopu, kāore rānei, tō tūtae te neke atu i tō rātou tūnga noa. Ka taea e ēnei wāhanga te pupuhi ki roto, kāore rānei, ki waho o te waewae.
Ko tō papa pelvic te mahi rite ki te taura tautoko, e pupuri ana i ōu wāhanga pūnaha pelvic i te wāhi. Ina ngoikore tēnei pūnaha tautoko, ka tango te kaha o te āhuatanga, ā, ka taea e ngā wāhanga te heke iho. Kāore tēnei e whakaatu ana kua pakaru tō tinana, kāore rānei, kua he te mahi a koe.
Ka pā te āhuatanga ki ngā miriona o ngā wāhine puta noa te ao, ā, ka tino noa ake te pakeke. He tokomaha ngā wāhine e noho ana me te herēme ngawari kāore e mōhio ana, ā, ko ētahi atu ka pāngia e ngā tohumātohu tino kitea e pā ana ki tō rātou wāhi noho i ia rā.
He maha ngā momo herēme o ngā wāhanga pūnaha pelvic, kei runga i te wāhanga kua neke atu i tōna tūnga. Kei ia momo ōna āhuatanga me ngā tohumātohu motuhake.
Cystocele (herēme o mua) ko te momo tino noa, kei hea te heke o tō pūngāwerewere ki te pakitara waewae o mua. Ka rongo pea koe i te pupuhi i te taha o mua o tō waewae, kāore rānei, ka pāngia e ngā tohumātohu e pā ana ki te pūngāwerewere.
Te ngoikore o te tūwhenua (te heke o muri) ka puta ina pēhia te tūwhenua ki te pakitara o muri o te tenetere. Ka taea e tēnei te whakahirahira i ngā nekehanga o te whekau, me te hanga i te ahua o te kore-whakakī.
Te heke o te kopu ka puta ina heke te kopu ki roto i te kauae tenetere. I ngā take ngawari, ka kore pea koe e kite, engari ko ngā take kino ka taea te turaki i te kopu ki waho o te tuwhera tenetere.
Te heke o te tenetere ka taea te puta i muri i te tango kopu, ina ngaro te tautoko o te pito o runga o te tenetere ka heke iho. He iti ake te noho o tēnei, engari ka taea tonu te whakaeke i te mamae nui.
Enterocele e pā ana ki te pēhanga o te whekau iti ki te pakitara tenetere, te nuinga i te wahi o runga. He iti ake te noho o tēnei momo, engari ka taea te puta tahi me ētahi atu momo heke.
Ka rereke haere ngā tohu o te heke o ngā kōpū o te upoko i te tangata ki te tangata, ā, he maha ngā wāhine e pā ana ki ngā tohu ngawari e haere mai ana, e haere atu ana. Ko te mārama ki te mea hei titiro atu ka āhei te āwhina i a koe ki te mohio ina pea te wā ki te kōrero ki tō kaiwhakarato hauora.
Ko te tohu tino noa ko te ahua o te taimaha, te pēhanga rānei i roto i tō upoko, ina koa i muri i te tū roa, i te mutunga rānei o te rā. Ka kite pea koe i te pupū, te kōtiti rānei i roto i tō tenetere e taea te kite, te kite rānei.
Ka kite etahi wāhine he kino ake ō rātou tohu i ētahi wā o te huringa o te marama, i te wā rānei e mahi tinana ana rātou. Ko te mea pai, ka pai ake ngā tohu i te okiokinga me te takoto.
He mea tika te kī, kaore etahi wāhine e pangia ana e te prolapse ngawari, engari ko ētahi atu e pangia ana e te prolapse rite tonu te nui o te mamae. He motuhake tō wheako ki a koe.
Ka puta te prolapse o ngā whekau o te riu ina ngoikore, kī rānei ngā uaua, ngā hononga, me ngā kiko e tautoko ana i ō whekau o te riu. Ka pā te pūnaha tautoko nei ki ngā momo kaupapa o te ora me ngā huringa taiao o tō tinana.
Mā te mōhiotanga ki ēnei take, ka taea e koe te mohio ko te prolapse te hua o ngā wheako noa o te ora, kāore i te mea he he kē i mahia e koe. He maha ngā take ka āhei te whakaiti i tō papa o te riu i te roa o te wā.
Ko te haputanga me te whānautanga ngā take tino nui o te morearea, engari ka puta ano te prolapse ki ngā wāhine kāore i hapu. I ētahi wā, ka whakakotahi ngā take iti maha i te roa o te wā hei whakaiti i te papa o te riu.
He mea nui te ngaro o te estrogen i te wā o te menopause, i te mea ko tēnei homoni te āwhina i te pupuri i te kaha me te ngawari o ngā kiko o te riu. Koia te take i kaha ake ai te puta o te prolapse i te wā e koroheke ana ngā wāhine.
Me whakaaro koe ki te haere ki te kaiwhakarato hauora ina tīmata ngā tohu o te heke o ngā tūmomo o te kopu ki te pā ki tō whakamarie, ngā mahi o ia rā, te kounga rānei o te ora. Ka taea e te aromatawai wawe te āwhina i te aukati i ngā tohu kei te kino haere, ā, ka hoatu ki a koe ētahi atu whiringa maimoatanga.
Kaua e tatari mēnā kei te pāngia koe e te pupū e kitea ana i roto i tō tara, ā, tērā pea ka kitea i waho o tō tinana. E whakaatu ana tēnei i te taumata nui ake o te heke e whai hua ana i te aromatawai me te maimoatanga ngaio.
Ko ētahi atu āhuatanga e tika ana kia haere ai ki te taote, ko te pehanga o te kopu e kore e pai ake me te okioki, te raruraru ki te mimi, te nehu rānei, te mamae rānei i te whakawhānau. Ka pā nui ēnei tohu ki tō oranga pai, ā, e tika ana kia arohia.
Me rapu wawe koe i te tiaki hauora mēnā kei te pāngia koe e te mamae nui o te kopu, te kore e taea te mimi, te mau rānei o te tūmomo kua heke ki waho o tō tinana, ā, kāore e taea e koe te pana ngāwari ki roto. E hiahia ana ēnei āhuatanga ki te maimoatanga tere.
Kia mahara kei te tino mohio te nuinga o ngā kaiwhakarato hauora ki te whakaora i te heke, ā, e kore e hiahiatia kia whakama te kōrero mō ēnei tohu. He mea nui tō whakamarie me te kounga o te ora, ā, kei reira ngā maimoatanga whai hua.
He maha ngā take ka piki ake ai tō tūponotanga ki te whanake i te heke o ngā tūmomo o te kopu, ahakoa te mea kei a koe ngā take morearea, kāore e whakaatu ana ka whanake koe i te mate. Ka taea e te mārama ki ēnei take te āwhina i a koe ki te whakatau whakamārama mō te aukati me te maimoatanga wawe.
Ko ētahi o ngā take morearea kāore e taea e koe te whakahaere, pēnei i tō hanganga ira, te whānau tamariki rānei. Heoi, ko te mohio ki ēnei mea ka taea te āwhina i a koe ki te tūmanako ki ngā tohu, ki te rapu rānei i te maimoatanga wawe ina hiahiatia.
Ahakoa kaore e taea te whakakapi i ngā take penei i te pakeke, te hītori whānautanga rānei, ka taea e koe te whakatika i ētahi atu penei i te pupuri i te taumaha hauora, te whakaora i te maremare roa, me te whakahaere i te koretake o te pūkahukahu. Ka taea e ngā huringa oranga iti te whakaputa i te rerekētanga nui.
Ko te whai i ngā take morearea maha kaore e tikanga he mea tino heke te heke. He tokomaha ngā wāhine e whai ana i ngā take morearea maha kaore e whānau he heke nui, ā, ko ētahi atu e whai ana i ngā take morearea iti ka pāngia.
Ko te nuinga o ngā keehi o te heke o ngā tūnga o te kopu kaore e āhei ki ngā raruraru nui, inā koa ka kitea, ka tukatuka tika. Heoi, ko te mārama ki ngā raruraru pea ka āhei i a koe te whakatau i ngā whakatau e pā ana ki te rongoā.
Ko ngā raruraru tino noa e pā ana ki te kino haere o ngā tohu i te wā kaore e whakahaerea te heke. Kāore tenei ahuatanga e kino, engari ka taea te pā kino ki tō mārohirohi me tō kounga ora.
Kaore e tino puta ngā raruraru kino, engari ka puta pea i te heke kino, te kore rānei e whakaorahia. Ko te pupuri katoa i te mimi, te aukati rānei o te whekau e hiahia ana ki te tiaki hauora tonu, ahakoa he iti rawa ngā āhuatanga.
Ko te rongo pai, ko te nuinga o ngā raruraru ka taea te aukati mā te whakaora tika. Āe, ko te heke kino rawa atu ka taea te whakahaere pai ki te whakamahinga tika, ā, ka taea e koe te pupuri i te ora mahi, te ora pai hoki.
Ahakoa kaore e taea e koe te aukati i ngā take katoa o te heke o ngā kiko o te kopu, ina koa ngā mea e pā ana ki te whānau tamariki, ki ngā ira rānei, he maha ngā rautaki ka taea te whakaiti i tō tūponotanga, te whakaheke rānei i te heke o te heke o nāianei.
Ko te mea nui ko te pupuri i ngā uaua pakari o te papa o te kopu, me te karo i ngā mahi e tukuna ana te pehanga nui ki ēnei kiko tautoko. Ko ngā whakapau kaha iti, pumau, te tino rerekētanga i te wā roa.
Ngā whakangungu papa pelvic, e mohiotia ana hoki ko ngā whakangungu Kegel, he tino nui. Kei roto i ēnei te whakawhānui me te whakaheke i ngā uaua e whakamahia ana e koe ki te mutu i te mimi i waenganui. Mā te mahi i ēnei whakangungu i ngā rā katoa ka kaha ake ai tō papa pelvic.
Ki te hapu koe, ki te whakaaro rānei koe ki te hapu, ka taea e ngā whakangungu papa pelvic i mua i te whānautanga me te mahi tahi me tō kaiwhakarato hauora mō te whakarite whānautanga te whakaiti i te tūponotanga o te prolapse, ahakoa he mea noa te huringa o te papa pelvic i muri i te whānautanga.
Ko te whakatau i te prolapse o ngā whekau pelvic e tīmata ana i te kōrero tino pai mō ō tohu me tō hītori hauora, ā, muri iho ka whakamātauhia. Ka hiahia tō kaiwhakarato hauora ki te mōhio ki te pānga o te prolapse ki tō oranga o ia rā, me ngā tohu e awangawanga ana koe.
Ko te whakamātautau tinana e whakauru ana i te whakamātautau pelvic, ka tirotirohia e tō tākuta, ka whakamātautau ngawari hoki i tō weronga me ngā wāhi e karapoti ana. Ka raru pea tēnei, engari kāo e mamae, ā, ka whakamārama atu tō tākuta i ngā mea e mahi ana rātou i te wā katoa o te tukanga.
I te wā o te whakamātautau, ka tono pea tō tākuta kia pēhia e koe, kia mare rānei kia kitea ai te huringa o te prolapse me te piki o te pehanga o te kopu. Ka āwhina tēnei ki te whakatau i te kaha me te momo prolapse e pā ana ki a koe.
Ka tūtohu pea etahi whakamātau atu e whakawai ana ki ō tohu. Ā, ka uru pea ki ēnei te whakamātau whakahaere mimi hei aromatawai i te mahi o te pūngāwerewere, ngā rangahau whakaahua penei i te ultrasound, te MRI rānei, te X-ray motuhake rānei hei aromatawai i te mahi o te whekau.
Ka tohu hoki tō tākuta te heke o te whekau ki te pātene e whakaatu ana i te tawhiti o te hekenga o ngā whekau. Ka āwhina tēnei tohu ki te arahi i ngā whakatau ātete, ā, ka taea te aroturuki i ngā huringa i te wā.
Ko te rongoā mō te heke o ngā whekau o te riu e whakawhirinaki ana ki te kino o ō tohu, te momo me te whānui o te heke, tō tau, te mahi taane, me ō hiahia whaiaro. Ko te rongo pai ko te maha o ngā kōwhiringa whai hua mai i ngā huringa noho ngāwari ki ngā mahi pokanga.
Mō te heke ngawari me ngā tohu iti, he tino whai hua ngā rongoā whakahaere, ā, me whakamātau tuatahi. Ka arotahi ēnei huarahi ki te whakapakari i tō papa o raro o te riu, me te whakahaere i ngā tohu kahore he pokanga.
Ngā rongoā whakahaere e whakauru ana i te rongoā tinana o te papa o raro o te riu, e whakaako ana i a koe ki ngā mahi motuhake hei whakapakari i ngā uaua e tautoko ana i ō whekau o te riu. Ka taea e te kaiwhakaora tinana motuhake te tuku i ngā tohutohu whaiaro me te whakahoki korero hei whakarite kē i te mahi tika o ngā mahi.
Ngā taputapu pessary he taputapu silicone, rānei, kirihou e tangohia ana e noho ana ki roto i tō tara hei tautoko i ngā whekau heke. He maha ngā āhua me ngā rāhi, ā, ka āwhina tō tākuta ki a koe ki te kimi i te mea tika. He maha ngā wāhine e kite ana i ngā pessary he tino whai hua mō te whakahaere i ngā tohu.
Ka taea e ngā huringa noho te whakapai ake i ngā tohu, me te aukati i te kino haere. E whakauru ana ēnei ki te whakahaere taumaha, te whakaora i te kōpū kōtiti, te karo i te kawe taumaha, me te whakarereke i ngā mahi e whakapiki ana i te pehanga o te riu.
Ngā whiringa pokanga ka taea te tūtohutia mō te heke nui rānei, ki te kore ngā rongoā whakahaere e homai ana te whakaora tika.
Ko ēnei ka uru atu ki ngā whakatikatika mā te whakamahi i ō kōpū ake, i te whatu hangai rānei, i ngā tukanga hei whakaara i ngā whekau ki o rātou tūranga tika.
Ko te whakahaere i te heke o ngā whekau pūkahukahu i te kāinga e whakauru ana i ngā mahi o ia rā e taea ai te whakapai ake i tō mārohirohi me te aukati i te kino haere o ngā tohu. Ka pai ake te mahi o ēnei rautaki tiaki whaiaro ina whakauruhia ki te rongoā ngaio.
Ko te turanga o te whakahaere kāinga ko ngā whakakori papa o te pūkahukahu. Mā te mahi tika me te mau tonu o ngā whakakori Kegel ka kaha ake ngā uaua e tautoko ana i ō whekau pūkahukahu, ā, ka whakaiti i ngā tohu i te roa.
He tokomaha ngā wāhine e kite ana i te takoto ki raro me ō rātou waewae e whakaritea ana mō ngā meneti 10-15 i te wā maha i te rā e āwhina ana i te whakaiti i te āhua o te pehanga pūkahukahu. Ka tukua e tēnei tūranga te kaha o te āhuatanga hei awhina i te whakahoki i ngā whekau heke i te wā poto.
He mea nui te whakarongo ki tō tinana me te whakarereke i ngā mahi e ai ki tō āhua. He rā pea ka pai atu i ētahi atu, ā, he mea noa katoa tena. Ko te tiaki ngāwari, mau tonu te tikanga ka whakawhiwhia ngā hua pai mō te wā roa.
Ka taea e te whakarite mō tō whakatau te āwhina kia whiwhi koe i te hua nui rawa atu i tō haerenga, ā, kei a tō taakuta ngā mōhiohio katoa e hiahiatia ana kia whakawhiwhia ai te tiaki pai rawa atu. Mā te whakapau i tētahi wā i mua i te whakarite i ō whakaaro me ngā mōhiohio ka nui ake te hua o te whakatau.
Tīmata mā te tuhituhi i ō tohu katoa, tae atu ki te wā i tīmata ai rātou, he aha te mea e pai ake ai, he aha te mea e kino ake ai, me pehea te pānga ki ō mahi o ia rā. Kia tino mōhio ki ngā mea penei i te uaua ki te mimi, te nehu, te mahi taane, te mahi wahine ranei.
Kawe mai i te rārangi kākāo o ō rongoā, tae atu ki ngā rongoā kore-whakahaunga me ngā taapiri. Waihoki, kohikohia ngā mōhiohio e pā ana ki tō hītori hauora, ina koa ngā haputanga o mua, ngā pokanga, me tetahi hītori whānau o ngā raruraru papa pelvic.
Whakaarohia te pupuri i te tātai tohu mō te wiki kotahi, rua rānei i mua i tō whakatau. Tātaihia te wā e kino rawa ai ngā tohu, ngā mahi e whakaohooho ana i a rātou, me te aha e whakaora ana. He tino whai hua tēnei mōhiohio mō tō taakuta.
Whakaritea he rārangi o ngā pātai e hiahia ana koe ki te ui. Pea ka uru atu ēnei pātai ki ngā whiringa maimoatanga, te aha e tatari ana, me pēhea te pānga o te prolapse ki tō oranga, me te wā e hiahiatia ana te tiaki whai muri. Kaua e whakaroa ki te ui ki tetahi mea e awangawanga ana koe.
Ki te pai koe ki te mahi pera, pea ka hiahia koe ki te kawe mai i tētahi hoa whakawhirinaki, mema whānau rānei hei tautoko me te awhina ki te maumahara i ngā mōhiohio i kōrerohia i te whakatau.
Ko te tūtorotanga o ngā whekau o te riu he āhuatanga noa e pā ana ki te tini o ngā wāhine, inā rātou kua whānau tamariki, kua tīmata rānei te wā koroheketanga. Ahakoa ka koretake, ka awangawanga hoki, he mea nui kia mahara kei reira ngā rongoā whai hua, ā, he tino whakahaeretia te āhuatanga.
Ko te mea nui rawa atu kia mārama ko te tūtorotanga kāore e whakaatu ana kua pakaru tō tinana, kāore rānei koe i mahi he. He maha ngā wā he hua nā ngā wheako noa o te ora penei i te whānautanga me te koroheketanga, me te ngoikore o ngā kiko tautoko i te wā.
Mā te mohiotanga wawe me te rongoā ka taea te aukati i te kino haere o ngā tohu, ā, ka āwhina i te pupuri i tō kounga ora. Ahakoa mā te whakahaere mā te whakamahi i ngā whakakori me ngā huringa noho ora, mā ngā rongoā kaha ake penei i ngā pessaries, i te pokanga rānei, kei reira ngā kōwhiringa ka āwhina i a koe kia pai te noho me te whakapono anō.
Kāore koe e noho pēnei ki te koretake, kāore rānei e tuku i te tūtorotanga ki te whakaiti i ō mahi. Mā te huarahi tika me te tautoko mai i ngā kaiwhakarongo hauora, ka taea e te nuinga o ngā wāhine e pangia ana e te tūtorotanga o ngā whekau o te riu te whakahaere tonu i ngā oranga mahi, ngā oranga whai hua.
Ko te tūtorotanga o ngā whekau o te riu kaore e ora noa iho, engari ka taea te whakapai ake o ngā tohu mā te rongoā tika me te tiaki whaiaro. Mā ngā rongoā whakahaere penei i ngā whakakori o te papa o te riu, ngā whakarerekētanga noho ora, me te whakamahinga o te pessary ka taea te whakahaere pai i ngā tohu me te aukati i te kino haere. Ahakoa ka mau tonu ngā huringa tinana, he tokomaha ngā wāhine e kite ana ka pai ake te whakahaere o ō rātou tohu mā te tiaki pumau.
Ae, he mea noa te whakapakari tinana, ā, he pai hoki mō ngā wāhine e pangia ana e te heke o ngā whekau o te kopu, engari pea ka hiahiatia ētahi whakarerekētanga. Ko ngā mahi whakapakari ngawari penei i te hikoi, te kauhoe, me te yoga te nuinga o te wā ka manawanuihia, ā, ka āhei te awhina i te pupuri i te hauora whānui. Ko ngā whakapakari kaha, te hāpai i ngā taimaha nui, me ngā mahi e piki haere nui ana te pehanga o te kopu ka pāngia pea ngā tohu, ā, me ata whakaarohia. Ko te mahi tahi me te kaiwhakaora tinana o te papa o te kopu ka āhei te awhina i a koe ki te whakawhanake i tētahi kaupapa whakapakari tinana haumaru, ā, whai hua.
Ka pāngia pea te ngāwari me te makona o te moe e te heke o ngā whekau o te kopu, engari ehara tēnei i te tikanga me mate tonu tō oranga tata. Ko ētahi wāhine ka raru i te wā e moe ana, kāore rānei e pai ki te heke o ngā whekau o te kopu. Heoi, he maha ngā tikanga whakaora ka taea te whakapai ake i ēnei āhuatanga, tae atu ki ngā pessaries, te rongoā o te papa o te kopu, me te whakatikatika pokanga mēnā e hiahiatia ana. Ko te kōrero whakawātea ki tō hoa me tō kaiwhakarongo hauora ka āhei te awhina i te whakaoti i ēnei āhuatanga.
Ko te wā whakaora i muri i te pokanga heke ka rerekē kei runga i te momo tukanga me ngā āhuatanga takitahi, engari ko te nuinga o ngā wāhine ka tūmanako ki te 6-8 wiki mō te whakaora tuatahi. Ko te tikanga ka hiahia koe ki te karo i te hāpai i ngā taimaha nui me ngā mahi kaha i tēnei wā. Ko te whakaora katoa, tae atu ki te hokinga mai ki ngā mahi katoa noa me ngā hua pai rawa atu, ka roa pea i te 3-6 marama. Ka hoatu e tō taote ngā aratohu motuhake e hangai ana ki tō tukanga me tō ahuatanga.
Ka taea pea te hoki mai o te mate i ngā tikanga whakaora katoa mō te heke iho, engari ka rerekē ngā reiti e whakaatu ana i te tikanga whakaora me ngā take takitahi. Mō ngā tikanga whakaora mā te tiaki, me mau tonu te tiaki kia mau tonu te hua. Ko ngā whakaoranga pokanga he 80-90% te angitu, ā, neke atu rānei, engari ka taea pea te hoki mai o te mate i te wā. Ko te pupuri i te kaha o te papa o te kopu, te taumaha hauora, me te karo i ngā mahi e pēhi ana i te papa o te kopu ka āwhina i te whakaiti i te tūponotanga o te hoki mai o te mate ahakoa te tikanga whakaora i whiriwhiria.
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