He aha te Whakapakarurungatanga Pūngao? Tohutohu, Take, me te Maimoatanga

Ka puta te whakapakarurungatanga pūngao ina rere te mimi i te wā e pēhi ana koe i tō pūngao. Āe pea ka puta tēnei ina koe e kōhutia ana, e taikō ana, e kata ana, e whakakori tinana ana, e kawe ana rānei i tetahi mea taimaha. Ko tētahi o ngā raruraru whakahaere mimi tino noa tēnei, inā te nuinga ki ngā wāhine, ā, kāo kore koe te tangata anake e pā ana ki tēnei.

Ko te ingoa o te āhuatanga nā te mea ko te 'pūngao' tinana, te pēhanga rānei ki tō kopu, te take o te rerenga. Kāo he hononga ki te pūngao hinengaro, ahakoa te whakahaere i ngā rerenga kaore i whakaarohia e tino āwangawanga pea i etahi wā.

He aha ngā tohu o te whakapakarurungatanga pūngao?

Ko te tohu matua ko te rerenga mimi kaore i whakahaerehia e puta ana i ngā mahi tinana. Āe pea ka kite koe i te torutoru o ngā mimi e rere ana ina pā te pēhanga ohorere ki tō tinana, ki te nekehanga rānei.

Ko ēnei ngā āhuatanga tino noa e puta ai te whakapakarurungatanga pūngao:

• Te kōhutia, te taikō, te kata rānei
• Ngā mahi whakakori tinana, ngā hākinakina rānei
• Te kawe i ngā mea taimaha, te pēhi rānei
• Te haere ki runga i ngā kaupae, te oma rānei
• Te whakatikatika mai i te tūnga noho, te takoto rānei
• Ngā mahi wahine me te tāne

Ka rerekē te nui o te rerenga mai i te torutoru noa o ngā maturuturu ki te nui rawa kia hiahia ai koe ki te whakarereke i ō kakahu raro. Ka pā ngā rerenga ki ētahi i ngā mahi kaha anake, ā, ka raru pea ētahi atu ki ngā nekehanga māmā penei i te tū tere.

He mea nui kia mōhio ko te whakapakarurungatanga pūngao he rerekē i te whakapakarurungatanga hiahia. Ki te whakapakarurungatanga pūngao, kāo e tino mōhio koe ki te hiahia nui ohorere ki te mimi i mua – ka puta noa te rerenga i te wā o te mahi tinana.

He aha ngā take o te whakapakarurungatanga pūngao?

Ka puta te incontinence stress ina ngoikore, kīhai rānei i pakaru ngā uaua me ngā kiko e tautoko ana i tō pūngāwerewere me te manaaki i te rere o te mimi. Whakaarohia ēnei hanganga hei whatu tautoko e pupuri ana i ngā mea katoa i te wahi – ina ngoikore taua tautoko, ka taea te rere.

He maha ngā take ka āhei te whakauru ki tēnei ngoikore:

• Te hapu me te whānau: Ka taea e te taumaha o te pēpi e tipu ana me te tukanga whānau te whakawhāiti me te whakawehi i ngā uaua o te papa pelvic
• Te koroheketanga: Ka taea e te koroheketanga noa te whakaiti i te uaua o te uaua me te ngawari o te kiko huri noa i te pūngāwerewere
• Te menopause: Ka pā te heke o ngā taumata estrogen ki te kaha o ngā kiko pelvic
• Ngā pokanga pelvic o mua: Ka taea e ngā mahi penei i te hysterectomy te pā ki ngā hanganga tautoko
• Te mare mare tonu: Ka taea e ngā āhuatanga penei i te mate huango, te kai hikareti rānei te whakapā atu i te ahotea ki ngā uaua pelvic
• Ngā mahi kaha-pānga: Ka taea e ngā tau o te whakakori kaha, te kawe i ngā mea taimaha rānei te whakauru ki te ngoikore o te uaua

I etahi wā, ka puta pea te incontinence stress nā ngā āhuatanga neurological e pā ana ki ngā tohu io ki te pūngāwerewere, kīhai rānei i etahi rongoā e pā ana ki te mahi uaua. Ka taea hoki e ngā hapa whānau e pā ana ki te ara mimi te arahi ki te incontinence stress, ahakoa he mea onge tēnei.

I etahi wā, ka mahi tahi ngā take maha hei hanga i te raruraru. Hei tauira, ka pāngia pea koe e te ngoikore uaua iti mai i te whānau e kitea ana i te wā o te menopause ina pā atu ngā huringa hormone ki te kaha o te kiko.

Nōhea te kite i te taote mō te incontinence stress?

Me whakaaro koe ki te kōrero ki tō kaiwhakarato hauora mēnā kei te pā te rerenga mimi ki ō mahi o ia rā, kīhai rānei i te kounga o te ora. He tokomaha ngā tāngata e whakaroa ana te rapu awhina nā te whakama, engari ka kite ngā taote i tēnei āhuatanga i te nuinga o te wā, ka taea te tuku i ngā otinga whai hua.

Ko ēnei ngā tohu he wā ki te whakarite i te hui:

• Kei te whakaheke koe i ngā mahi e pai ana koe ki te mahi nā te wehi kei rere te mimi
• Me whakamahi koe i ngā papatahi, i te whakarerekē rānei i ngā kakahu nā te ngā wā ka rere te mimi
• Kei te kino haere te rerenga mimi, kei te maha ake rānei
• Kei te whakaiti koe i te inu wai hei ārai i ngā aituā
• Kei te mamae koe, kei te tahuna rānei te mimi
• Kei te kite koe i te toto i roto i tō mimi

Mēnā ka puta mai te kore-mana ohorere, nui, me te mamae o te tuara, te kirika, me ētahi atu tohu āwangawanga, me kimi wawe te awhina hauora. Ka taea e ēnei te tohu i tētahi āhuatanga morearea kei raro i te āwangawanga e hiahia ana ki te aromatawai wawe.

Kia mahara ko te kore-mana stress he āhuatanga hauora, ehara i te mea me noho noa koe ki reira. Ko te maimoatanga wawe te nuinga o te wā ka ārahi ki ngā hua pai ake, na kaua e whakaroa ki te tono awhina.

He aha ngā take morearea mō te kore-mana stress?

Ko te mārama ki ō take morearea ka āhei i a koe te tango i ngā mahi ārai, me te mohio ki te wā hei tiaki atu ai mō ngā tohu. He take morearea e kore e taea e koe te whakarereke, ā, ko ētahi atu ka taea pea e koe te whakauru mā ngā whiringa oranga.

Ko ngā take morearea tino noa ko:

• Ko te wahine: He tino nui ake te tūponotanga o ngā wāhine ki te whanake i te kore-mana stress nā te hanganga tinana me ngā kaupapa ora penei i te hapu
• Te tau: Kei te piki ake te tūponotanga i te wā e koroheke haere ana koe, inā koa i muri i te 50 tau
• Te hapu me te whānau: Ko ngā hapu maha, i ngā whānau uaua rānei ka piki ake te tūponotanga
• Te momona: Ko te taumaha atu ka whakapiki i te pehanga ki ngā uaua o raro o te kopu
• Te hītori whānau: Ko te whai whānau me te kore-mana ka piki ake pea tō tūponotanga
• Te kai paipa: Ko te mare mare tonu mai i te kai paipa ka whakawaiwai i ngā uaua o te kopu i te roa o te wā
• Ngā mahi ā-pūtea: Ngā mahi e hiahia ana ki te kawe i ngā mea taimaha, i ngā mahi kaha rānei

Ko ētahi atu take tūponotanga kaore i te tino noa, engari he mea nui, ko ngā mate pūtau hono penei i te mate Ehlers-Danlos, ka pā pea ki te kaha o ngā pūtau tautoko puta noa i tō tinana. Ko ētahi rongoā, inā te nuinga o ngā rongoā toto teitei me ngā whakahaumaru uaua, ka āhei hoki te whakauru ki te ngoikore o ngā uaua.

Ki te whai koe i ngā take tūponotanga, ehara tena i te tikanga ka pangia koe e te mate mimi ārai. He tokomaha ngā tāngata he maha ngā take tūponotanga kei a rātou, kāore rawa e pāngia e te mate, ā, ko ētahi atu he torutoru ngā take tūponotanga kei a rātou, ka pangia rātou e te mate.

He aha ngā raruraru pea o te mate mimi ārai?

Ahakoa ehara te mate mimi ārai i te mea kino, ka āhei te arahi ki ētahi atu raruraru e pā ana ki tō hauora tinana me tō oranga hinengaro. Mā te mārama ki ēnei take pea ka āhei te whakaohooho i a koe ki te rapu i te rongoā i te wā wawe.

Ko ngā raruraru tino noa ko:

• Te whakaheke o te kiri: Ka taea e te hono tonu ki te mimi te whakaeke i te kiri, te mate, te whara rānei
• Ngā mate huhu mimi: Ko te kore e whakapau i te putea mimi, te kore rānei o te horoi pai nā te rere o te mimi, ka nui ake pea te tūponotanga o te mate
• Te wehe atu i te iwi: Ko te wehi kei pāngia koe e ngā aituā ka āhei te arahi i a koe ki te karo i ngā mahi hapori, te whakakori rānei
• Te pouri: Ko te manukanuka, te pouri, te ngaro rānei o te whakapono he mea noa
• Te moe kore: Ko te manukanuka mō ngā aituā i te pō ka pā pea ki te kounga o te moe
• Ngā pānga ki ngā whanaungatanga: Ka pā pea te hononga, me ngā hononga hapori

I etahi wā, ko te mate mimi ārai kaore i te rongoā ka āhei te whakauru ki ētahi atu raruraru nui ake. Ka āhei te whakauru ki ngā raruraru whatukuhu roa ki te whakaiti tonu koe i te inu wai, te pouri nui rānei e pā ana ki tō hauora whānui me tō oranga.

Ko ētahi tāngata ka whanake i te mea e kiia nei ko te "whakaūrupare whakaranu," kei reira te whakaūrupare ahotea e puta tahi ana me te whakaūrupare hiahia. Ka uaua ake pea te whakahaere i tēnei whakaranu, ā, ka hiahiatia pea ngā tikanga rongoā whānui ake.

Ko te rongo pai, ko te nuinga o ngā raruraru ka taea te aukati, te whakahoki rānei mā te rongoā tika. Ko te whakauru wawe te tikanga ka aukati i ēnei take kei te whanake mai i te tīmatanga.

Me pēhea te aukati i te whakaūrupare ahotea?

Ahakoa kaore e taea e koe te aukati i ngā take katoa o te whakaūrupare ahotea, ina koa ētahi e pā ana ki te koroheketanga, te ira rānei, he maha ngā rautaki noho ora ka taea te whakaiti nui i tō tūponotanga. Ko te ārai i te whakaūrupare ahotea e aro ana ki te pupuri i ngā uaua papa pelvic kaha, me te karo i ngā take e whakapēhi atu ana i tō pūkahukahu.

Ko ēnei ngā rautaki ārai tino whai hua:

• Whakamahia ngā whakakori uaua papa pelvic: Ko ngā whakakori Kegel auau e whakakaha ana i ngā uaua e tautoko ana i tō pūkahukahu
• Pupuri i te taumaha hauora: Ko te whakaiti i te taumaha nui e whakaiti ana i te pēhanga ki tō papa pelvic
• Kaua e whakakī: Ko te mutu i te whakakī e aukati ana i te mare mare roa e whakawaiwai ana i ngā uaua pelvic
• Whakaora i te mare mare roa: Whakahaeretia ngā take taketake penei i te mate huango, te mate pāwera rānei i te wa tika
• Noho mahi me ngā whakakori iti te pānga: Ko te kaukau, te hikoi, me te yoga he ngawari ake ki ngā uaua pelvic i ngā hākinakina nui te pānga
• Whakamahia ngā tikanga wharepaku pai: Kaua e kaha i te wā e haere ana te kakā, me te mimi ina hiahia koe

I te wā hapu, ko te mahi tahi me te kaiwhakaora tinana e mōhio ana ki te hauora pelvic ka āwhina i a koe ki te whakarite i ō uaua mō te whānau me te ora. Ko te ako i ngā tikanga arai tika me ngā whakakori whakapakari pūtau e tiaki ana hoki i tō papa pelvic i te ora katoa.

Mō te hunga kei ngā mahi tūkino teitei, ko te whakamahinga o ngā tikanga tinana tika i te wa e hiki ana, me te tango i ngā wā okioki auau, ka āwhina i te aukati i te mamae o ngā uaua. Ko ētahi wāhine e whai hua ana i te kakahu i ngā kakahu tautoko i te wa e mahi kino ana.

Pehea te whakamātautau i te incontinence stress?

Ko te whakamātautau i te incontinence stress e whakamahi ana i te whānuitanga o te kōrero mō ō tohu, te tirotiro tinana, ā, i ētahi wā ngā whakamātautau motuhake. Ka hiahia tō tākuta ki te mohio tika ki te wā me te pēhea o te puta mai o ō tohu hei wehewehe i te incontinence stress i ētahi atu raruraru pukupuku.

Ko te tukanga whakamātautau e whakauru ana i te nuinga:

• Hītori hauora: Kōrero mō ō tohu, rongoā, me ngā āhuatanga hauora
• Tirotiro tinana: Tirotiro pelvic hei tirotiro i te kaha o ngā uaua me te rapu i ētahi atu take
• Ngā whakamātautau mimi: Te tirotiro i ngā mate pukupuku, i ētahi atu rerekētanga rānei
• Rātaka pukupuku: Te tuhi i te inu wai, ngā wā mimi, me ngā wāhanga rere mō ētahi rā
• Whakamātautau ahotea mare: Te tirotiro i te rerenga ina mare koe me te pukupuku kī

I ētahi wā, ka taea e tō tākuta te tūtohutia ngā whakamātautau atu. Ko te whakamātautau toenga muri-wāhi e ine ana i te nui o te mimi e toe ana i roto i tō pukupuku i muri i te mimi. Ka taea e te whakamātautau urodynamic te aromatawai i te pai o te penapena me te tuku mimi o tō pukupuku me tō urethra, ahakoa koinei te nuinga o ngā take uaua ake.

Ko te iti rawa, ngā whakamātautau whakaahua penei i te ultrasound, i te MRI rānei ka hiahiatia pea mena ka whakaaro tō tākuta he raruraru hanganga. Ko te cystoscopy, kei reira tetahi pūpoi angiangi me te kamera e tirotiro ana i roto i tō pukupuku, e mahi ana noa i te wā e whakaarohia ana ētahi atu āhuatanga.

Ko te whāinga o te whakamātautau ehara i te mea ko te whakau i te incontinence stress anake, engari ko te whakatau i tōna kaha me te whakakore i ētahi atu āhuatanga ka taea te whakaora. Ka āwhina tēnei mōhiohio i tō tākuta ki te tūtohutia te huarahi whakaora tino tika mō tō āhuatanga motuhake.

He aha te rongoā mō te pāwera mimi?

Ko te rongoā mō te pāwera mimi e tīmata ana i te nuinga o ngā tikanga māori, ā, ka haere tonu ki ngā whiringa kaha ake mehemea e hiahiatia ana. Ko te nuinga o te iwi e kite ana i te whakapainga nui me ngā rongoā kore-mātauranga, ā, he tokomaha e kite ana i te whakaora katoa.

Ko ngā rongoā tuatahi e whakamahia ana ko:

• Ngā whakakori o te papa pelvic (Kegels): Ngā whakakori whakapakari e taea e te tini o te iwi te ako me te mahi i te kāinga
• Te whakangungu pūkahukahu: Ngā tikanga hei whakapai ake i te mana o te pūkahukahu me te whakaiti i te hiahia
• Te ngaro o te taumaha: Ko te ngaro o te taumaha nui ka taea te whakaiti i ngā tohu
• Te whakahaere wai: Te whakarite i te wā me te nui o te inu, kaua e whakaiti i te wai
• Te rongoā tinana: Te mahi tahi me te tohunga hei whakapai ake i te mahi o te papa pelvic

Mēnā kaore ngā rongoā māori e homai te whakaora pai, ka taea e tō tākuta te tūtohutia ngā taputapu hauora, ngā tikanga rānei. Ko ngā pessaries he taputapu ka tangohia e tautoko ana i te pūkahukahu, ā, ka tino whai hua ki ētahi tangata. Ko ngā uretheal inserts he taputapu iti e whakamahia ana i te wā poto i ngā mahi motuhake.

He whiringa pokanga kei te wātea mō ngā take kino ake. Ko ēnei e puta mai ana i ngā tikanga iti-whakauru penei i te pokanga taura, e tautoko ana i te urethra, ki ngā mahi uaua ake e whakarereke ana i te pūkahukahu. Ko te pokanga motuhake e tūtohuhia ana e whakawhirinaki ana ki tō tinana, te kino o ngā tohu, me tō hauora katoa.

Ko te tino iti, ka taea e ētahi tangata te whai hua mai i ngā rongoā whakauru e tāpiri ana i te nui o te taha o te urethra, i ngā rongoā hou penei i te whakaohooho i te uaua sacral rānei. Ko ēnei whiringa e whakaarohia ana i te nuinga o te wā kaore i angitu ētahi atu rongoā.

Ka whakaritea tō mahere rongoā ki tō āhuatanga motuhake, ngā manakohanga, me te oranga. He tokomaha te iwi e kite ana i te whakauru i te maha o ngā tikanga e pai ake ana i te whakawhirinaki ki te kotahi anake te tikanga rongoā.

Me pēhea te whakahaere i te kore-manaaki mimi i te kāinga?

Ko te whakahaere i te kāinga e arotahi ana ki ngā rautaki mahi hei whakaiti i ngā tohu, ā, hei whakapai ake i tō whakapono ki ngā mahi o ia rā. He maha o ēnei huarahi e mahi pai ana me ngā maimoatanga hauora, ā, ka taea te whakapai ake nui i tō kounga o te ora.

Ko ngā rautaki whakahaere o ia rā e whai ake nei:

• Whakapakari i ngā mahi o te papa pelvic: Whakahaere tika, ā, mau tonu ngā Kegel, kia eke ki ngā 3 pūtea o ngā 10 whakawhāiti i ia rā
• Wā ia haerenga ki te wharepaku: Mimi i mua i ngā mahi ka pāngia ai te rere
• Tīpakohia ngā hua tika: Whakamahia ngā papanga ngongo i hangaia mō te kore-manaaki, kāore ko ngā hua o te wā
• Kakahu i ngā tae pouri, i ngā tauira: Ka taea e ēnei te āwhina i te huna i ngā aituā i a koe e mahi ana i te maimoatanga
• Whakarite i mua: Kia mōhio koe kei hea ngā wharepaku ina kei waho koe
• Whakahaere i te hauora pai: Whakarerekē ngā kakahu makuku wawe, ā, kia ma, kia maroke te kiri

Ka taea hoki e ngā whakarerekētanga kai me te oranga te āwhina. Ko te whakaiti i te caffeine me te waipiro ka whakaiti pea i te mamae o te putea mō ētahi tāngata. Ko te pupuri i ngā nekehanga pūkahukahu noa e ārai ana i te pehanga atu ki tō putea mai i te kōpū.

Whakaarohia te pupuri i te puka tohu hei tautuhi i ō tohu motuhake. Ka kite pea koe kei te hono etahi mahi, kai, i ngā wā o te rā ki te nui ake o te rere. Ka taea e ēnei mōhiohio te āwhina i a koe ki te whakarite pai ake, ā, ki te kōrero i ngā tauira ki tō kaiwhakarato hauora.

Ko ngā rōpū tautoko, ahakoa i te tangata, i te ipurangi rānei, ka taea te whakarato i ngā tohu mahi me te tautoko hinengaro mai i ētahi atu e mārama ana ki te mea e pā ana ki a koe. He maha ngā tāngata e kite ana i te whakamarie nui i te mōhio kei te kore rātou anake me tēnei āhuatanga.

Me pēhea te whakarite mō tō hui ki te taote?

Ko te whakarite pai mō tō whakatau he āwhina kia whakarite ai koe e whiwhi ana i ngā korero tino whai hua me ngā tohutohu rongoā. Ka mihi tō tākuta ki ngā korero taipitopito e pā ana ki ō tohu me te āhua o te pānga ki tō oranga.

I mua i tō haerenga, kohikohia ēnei korero nui:

• Ngā kōrero mō ngā tohu: Nōhea te rerenga o te mimi, te nui o te mimi e ngaro ana, me ngā mea e whakaohooho ana i te rerenga
• Rārangi rongoā: Ngā rongoā tākuta katoa, ngā rongoā kore-tākuta, me ngā taapiri e inu ana koe
• Hītori hauora: Ngā haputanga o mua, ngā pokanga, me ngā āhuatanga hauora e tika ana
• Hītori whānau: Tetahi whānau me te kore-manaaki mimi, te raru o te papa pelvic ranei
• Rātaka mimi: He torutoru rā te tuhi i te inu wai, te haerenga ki te wharepaku, me ngā wāhanga rerenga
• Arotake pānga: Pehea te pānga o ngā tohu ki tō mahi, mahi whakakori tinana, oranga pāpori, me ngā whanaungatanga

Tuhia ngā pātai motuhake e hiahia ana koe ki te ui. Ka uru pea ēnei ki ngā whiringa rongoā, te wa e tumanakohia ana mō te whakapai ake, ngā whakarerekētanga oranga ka taea te awhina, te manukanuka ranei mō ngā mahi motuhake, āhuatanga ranei.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, mema whānau rānei hei tautoko, ina koa ki te pouri koe ki te kōrero mō ngā tohu whaiaro. Ka taea e rātou te awhina i a koe ki te mahara ki ngā korero nui mai i te whakatau.

Kaua e horoi, kaua hoki e whakamahi i ngā hua hauora wahine i mua i te whakamātautau pelvic, i te mea ka raru pea ēnei ki ngā hua whakamātautau. Kakahu ngā kakahu māhana, ngāwari ki te tango mena ka tupu te whakamātautau.

He aha te mea nui e pā ana ki te kore-manaaki stress?

He āhuatanga noa, ārai-a-rānei te kore-manaaki stress e pā ana ki te miriona o te iwi, ina koa ngā wāhine. Ko te mea nui rawa atu hei mahara ko te kore e whakaae ki te mea he wāhanga kore-a-rerekē o te ora, o te koroheketanga rānei.

He rongoā whai hua kei te wātea, mai i ngā whakakori ngāwari e taea e koe te mahi i te kāinga tae atu ki ngā tukanga hauora mō ngā take kino ake. Ko te nuinga o te iwi ka kite i te whakapainga nui me ngā rongoā māori, ā, he tokomaha ka tutuki te whakaora katoa i ō rātou tohu.

Ko te tere o tō whakautu ki te koretake o te ahotea, ko te pai ake o ngā hua ka puta pea. Ko te rongoā wawe ka aukati i te kino haere o te āhuatanga, ā, ka āwhina i a koe ki te karo i ngā raruraru hinengaro me te pāpori ka puta i te wā.

Kia mahara he āhuatanga hauora tēnei e tika ana kia whakarongohia e tetahi tohunga, ehara i te mea hei whakama. He wheako ngā kaiwhakarato hauora ki te whakaora i te koretake, ā, e hiahia ana rātou ki te āwhina i a koe ki te whakahoki i tō whakawhirinaki me tō mārire ki ō mahi o ia rā.

Pātai nā te iwi e ui pinepine ana mō te koretake o te ahotea

U1. Ka ngaro noa atu rānei te koretake o te ahotea?

Ko te koretake o te ahotea ngawari ka pai ake i etahi wā kahore he rongoā, inā koa ki te whanau mai i te wā hapu, ā, kei te wā whakaora whānau tonu koe. Heoi, ko te nuinga o ngā take kaore e ora katoa ana i a rātou anō, ā, ka kino haere pea i te wā kahore he whakauru. Ko te rongoā wawe ka ārahi i te nuinga ki ngā hua pai atu i te tatari kia pai ake ngā tohu.

U2. He whai hua ngā whakakori Kegel mō te koretake o te ahotea?

Ae, ki te mahi tika me te mau tonu, ka taea e ngā whakakori Kegel te whakapai ake, te whakakore rānei i ngā tohu koretake o te ahotea mō te tokomaha o te iwi. Ka whakaatu ngā rangahau ko te 70% o ngā wāhine ka kite i te whakapainga me ngā whakakori papa pelvic tika. Ko te matua ko te ako i te tikanga tika me te mahi i ngā whakakori i ia rā mō etahi marama kia kite i ngā hua katoa.

U3. Ka whakaora rānei te pokanga i taku koretake o te ahotea mō ake tonu atu?

He tino whai hua te pokanga mō te kore-manaaki ahotea, me te 80-90% te angitu o te nuinga o ngā tukanga. Heoi, kāore he pokanga e 100% te whakamana, ā, ka raru pea etahi i te hokinga mai o ngā tohu i te wā. Ko te momo pokanga motuhake, tō tinana ake, me tō hauora katoa e pā ana ki ngā reiti angitu mo te wā roa.

Q4. He mea noa te kore-manaaki ahotea i muri i te whānau tamariki?

Ae, he mea noa ki te wheako i tētahi taumata o te kore-manaaki ahotea i te wā hapu me muri i te whānau. Me whai wā ō uaua papa pelvic me ngā kōpū tautoko kia ora mai i te whakatete me te pehanga o te hapu me te whānau. He tokomaha ngā wāhine e kite ana i te whakapai i ngā marama i muri mai i te whānau, inā koa me ngā whakakori uaua papa pelvic, engari pea ka hiahia etahi ki ētahi atu rongoā.

Q5. Ka taea e ngā tāne te whanake i te kore-manaaki ahotea?

Ahakoa he iti rawa te noa atu i ngā wāhine, ka taea e ngā tāne te whanake i te kore-manaaki ahotea, i te nuinga i muri i te pokanga prostate, i te whara rānei ki te rohe pelvic. Ko ngā tikanga rongoā rite tonu ki ētahi e whakamahia ana mō ngā wāhine, tae atu ki ngā whakakori uaua papa pelvic, ngā whakarerekētanga oranga, ā, i etahi wā ngā tukanga pokanga. Me kimi ngā tāne i te aromatawai pēnei i ngā wāhine mehemea ka wheakohia e rātou ngā tohu.