He ʻeha anei ka moekolohe? E kamaʻilio kākou e pili ana i ka dyspareunia

He ʻeha a ʻoluʻolu ʻole paha ka moekolohe? Hilahila iki ʻoe e kamaʻilio e pili ana i ia mea? ʻAʻole kēia he pilikia wale nō nou. Nui ka poʻe e ʻeha nei i kēia maʻi. Akā ʻo ka mea maikaʻi loa, hiki ke mālama ʻia a loaʻa nā kumu. No laila, i kēia lā, e kamaʻilio ākea kākou e pili ana i kēia maʻi, i kapa ʻia ʻo dyspareunia ma ka ʻepekema lapaʻau.

I ka ʻōlelo maʻalahi, he aha ka dyspareunia?

ʻO ka Dyspareunia kahi maʻi e mau ana a hana hou ʻia paha ma mua, i ka wā, a ma hope paha o ka moekolohe. ʻOiai ʻoi aku ka maʻamau o kēia maʻi i nā wahine, hiki iā ia ke hoʻopilikia i nā kāne.

Aia kekahi mau wahi e hiki ai i nā wāhine ke ʻike i kēia ʻeha. Hiki i kekahi poʻe ke ʻike iā ia ma waho o ka ʻōpū, kokoke i ka labia a i ʻole ka puka o ka ʻōpū. Hiki i kekahi ke ʻike i ka ʻeha i loko o ke kino. Eia kekahi laʻana:

• Nā ʻiʻo papahele pelvic
• ʻIli o ke kahawai vaginal
• ʻōpū
• Nā ligaments e kākoʻo ana i ka uterus
• ʻŌpū lalo

Hiki i nā kāne ke loaʻa ka ʻeha ma ke poʻo o ka penis, ke kumu o ka penis, nā testicles, a i ʻole ke pelvis.

Inā loaʻa iā ʻoe kēia pilikia, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea olakino moekolohe, e like me ke kauka gynecologist, hiki iā ia ke hoʻoholo i ke kumu kumu o kāu mau hōʻailona a hoʻoholo i ka lāʻau kūpono loa.

Aia kekahi mau ʻano ʻē aʻe o kēia ʻeha?

ʻAe, hiki iā ʻoe ke hoʻokaʻawale i kēia e like me kahi āu e manaʻo ai i ka ʻeha. A laila e maʻalahi ka loaʻa ʻana o ke kumu.

Hiki ke hoʻokaʻawale ʻia ma kekahi ʻano ʻē aʻe ma muli o ka manawa e loaʻa ai ka ʻeha:

• ʻEha mua: ʻO ke ʻano kēia ua loaʻa kēia ʻeha mai ka lā mua āu i hana ai i ka moekolohe.
• ʻEha lua: Inā ua moe kolohe ʻoe me ka ʻole o ka ʻeha ma mua, a loaʻa kēia ʻeha ma hope, no kēia ʻano ia.
• ʻEha piha: Inā ʻoe e ʻeha i kēlā me kēia manawa āu e moe ai.
• ʻEha kūlana: Inā loaʻa wale ka ʻeha i kekahi mau manawa, ma kekahi mau kūlana, a i ʻole me kekahi mau hoa.

Pehea ka maʻamau o kēia ʻano?

He mea maʻamau ka ʻeha i ka wā o ka moekolohe i waena o nā wāhine. Wahi a nā noiʻi, 3 o 4 mau wāhine e ʻike iā ia i kekahi manawa o ko lākou ola. No ka mea he kumuhana koʻikoʻi loa ia, nui ka poʻe e kānalua e kamaʻilio e pili ana i ia mea a i ʻole e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau. No laila, ʻoi aku paha ke kiʻekiʻe o nā helu maoli.

ʻIke pinepine ʻia kēia ʻano ma nā wahine e kokoke ana i ka menopause a ma hope o ka menopause. ʻO ke kumu nui o kēia, ʻo ia ka emi ʻana o ka hormone estrogen. He mea nui loa kēia hormone no ka mālama ʻana i ka makū a me ka palupalu o ka vagina.

Akā, e hoʻomanaʻo, mai manaʻo wale he mea maʻamau kēia i kou wā e ʻelemakule ai. ʻAʻole nā ​​ʻeha a pau i hana ʻia e ka makahiki.

He aha nā hōʻailona o ka Dyspareunia?

Inā loaʻa iā ʻoe ka ʻeha i ka wā o ka moekolohe, hiki ke ʻokoʻa ke ʻano.

• ʻEha hiki ke ʻike ʻia i ke komo ʻana i loko o ka vagina a i ʻole ka hoʻohana ʻana i ka tamponʻEha ʻoi.
• ʻEha nui i ka wā o ka moekolohe.
• He manaʻo ʻeha a ʻā paha ma hope o ka moekolohe.
• ʻŌpū pelvic.
• ʻOʻoleʻa a i ʻole nā ​​ʻūmiʻi o nā ʻiʻo.
• ʻEha o ka ʻōpū mimi.

Hiki i kēia ʻeha ke like me ke hou ʻana, ka wela, a i ʻole ka ʻūmiʻi ʻana. Hiki ke noho ma kahi hoʻokahi a i ʻole e pālahalaha ma ka ʻāpana genital.

Ke hoʻokahe nei anei kēia ʻeha i ke koko?

ʻAʻole mau ke kahe ʻana o ke koko. Inā ʻoe e kahe ana ke koko i ka wā moe kolohe, hiki ke loaʻa ma muli o kahi maʻi maʻi. Hiki paha ke pili pū me ka ʻeha a ʻaʻole paha. Eia nō naʻe, inā ʻoe e kahe ana ke koko i ka wā moe kolohe, hiki ke maʻamau, he hōʻailona o ka maʻi, a i ʻole, kakaikahi, he hōʻailona o ka maʻi ʻaʻai, no laila e ʻike pono i ke kauka.

He aha nā kumu nui no kēia?

ʻO ka pinepine, ʻo ke kumu nui o kēia ʻeha ka lawa ʻole o ka lubrication , ʻo ia hoʻi ka maloʻo o ka ʻōpū. Eia nō naʻe, hiki i nā maʻi, nā ʻeha, a me nā ʻano maʻi like ʻole ke kumu.

1. Nā kūlana olakino like ʻole

• Endometriosis: ʻO ka ulu ʻana o nā ʻiʻo e uhi ana i loko o ka uterus (endometrium) ma waho o ka uterus, ma nā wahi ʻē aʻe (no ka laʻana, nā ʻōpū fallopian, ka lua ʻōpū).
• Nā maʻi ʻili: Nā maʻi ʻili e like me ka dermatitis e kū nei ma ka ʻāpana genital.
• Ka hana pono ʻole o ka papahele pelvic: Nā pilikia me nā ʻiʻo a me nā ligaments i loko o ka lua pelvic.
• Nā pilikia ʻōpū: Nā maʻi ʻōpū e like me ka irritable bowel syndrome (IBS), ulcerative colitis, a me ka maʻi a Crohn.
• Nā pilikia o ka ʻōpū mimi: Nā kūlana e like me nā maʻi ʻōnaehana mimi hou (UTIs) a me ka cystitis interstitial (IC).
• Nā loli hormonal: Nā loli hormonal, ʻoi aku hoʻi i ka wā perimenopause.
• Nā pilikia o ka ʻōnaehana nerve: Nā pilikia e pili ana i ke aʻalolo, e like me ke aʻalolo pinched i loko o ka iwi kuamoʻo.
• Nā makuahine hānai waiū: ʻO nā loli hormonal i ka wā hānai waiū hiki ke hana i ka maloʻo a me ka ʻeha o ka ʻōpū.
• Vulvodynia: ʻEha lōʻihi ma ka ʻāpana a puni ka wehe ʻana o ka vaginal (vulva).
• Vaginismus: ʻO ka ʻūmiʻi paʻa a makemake ʻole ʻia o nā ʻiʻo o ka vagina. Hiki ke hana ʻia kēia e kahi trauma ma mua a i ʻole ka makaʻu i ka ʻeha.

2. ʻEha a ʻeha paha

• Ka moe kolohe ʻana ma hope koke iho o ke ʻoki kino a i ʻole ka hānau keiki ʻana .
• ʻEha i ka ʻōpū a i ʻole ka wahi a puni ka puka o ka ʻōpū. Eia kekahi laʻana, ka haehae ʻana o ka ʻōpū i ka wā hānau keiki a i ʻole kahi episiotomy.

3. Nā maʻi

• Nā maʻi ʻōpū: Nā maʻi maʻamau e like me nā maʻi hū a i ʻole ka vaginosis bacteria.
• Nā maʻi i laha ma ke ʻano moekolohe (STI): Nā maʻi e like me nā ʻōuli genital a me nā herpes.

Pehea e ʻike ai i kēia maʻi?

E nīnau aku kāu kauka iā ʻoe e pili ana i kou mōʻaukala olakino a hana i kahi hoʻokolohua kino e hoʻāʻo ai e hoʻoholo i ke kumu. Hiki i kēia hoʻokolohua kino ke komo pū me ka nānā ʻana i kou pelvis, ʻōpū, vagina, a me ka uterus.

Hiki ke hana i nā hoʻokolohua ma lalo nei e ʻike ai i ke kumu kūpono o ka ʻeha:

• Hoʻokolokolo Pelvic: I kēia manawa, hiki ke lawe ʻia kahi hāpana o ka hoʻokahe ʻana o ka vaginal a i ʻole kahi hāpana mimi e nānā ai no ka maʻi.
• ʻO ke scan ultrasound: Hiki i kahi ultrasound transvaginal ke kiʻi i kahi kiʻi maikaʻi o nā ʻōpū o kāu ʻōnaehana hānau.
• Laparoscopy: ʻAʻole hana pinepine ʻia kēia. He hana ʻoki kino kēia e hoʻohana ana i kahi kāmela liʻiliʻi e nānā i loko o ka lua ʻōpū inā ʻaʻole hiki i nā hoʻokolohua ʻē aʻe ke loaʻa ke kumu.

Hiki i kāu kauka ke nīnau iā ʻoe i nā nīnau e like me kēia:

• Ma hea ʻoe e manaʻo ai i ka ʻeha?
• ʻEhia pinepine ka ʻeha?
• Pehea ka lōʻihi o kēia ʻeha ma laila?
• Pehea ke ʻano o ka ʻeha? (e.g., ke kuni ʻana, ka ʻeha?)
• He aha ka lāʻau lapaʻau āu e hoʻohana nei?
• Ua hana ʻia anei kekahi mau ʻoki kino ma mua?

Pehea e mālama ʻia ai?

Aia nā koho lapaʻau i ke kumu o ka ʻeha. No ka laʻana, inā ma muli o ka hana pono ʻole o ka papahele pelvic ka ʻeha, hiki ke ʻōlelo mua ʻia ka hoʻōla kino.

• Lāʻau lapaʻau: Inā maloʻo ka ʻōpū ma muli o ka nele o ka estrogen, aia nā kirīmi i loaʻa ka estrogen e hiki ke hoʻopili ʻia i ka ʻōpū. Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau e mālama i nā maʻi a i ʻole nā ​​​​maʻi ʻē aʻe.
• Nā Lubricants: Inā ʻo ka maloʻo o ka ʻōpū ke kumu nui, hiki ke kōkua nui ka hoʻohana ʻana i ka lubricant wai a silicone paha.
• Nā ʻōlelo aʻoaʻo ʻē aʻe: E hōʻalo i ka hoʻohana ʻana i nā kopa ʻala, ka ʻauʻau pehu, nā ʻūpā hoʻomaʻemaʻe ʻala, a me ka pepa lua ma ka ʻāpana genital.

Nā mea hiki iā ʻoe ke hana e mālama i ka ʻeha ma ka home

• Nā lubricants wai a silicone paha ma mua o ka moekoloheE hoʻohana i kahi mea lubricant.
• E hoʻāʻo i nā hana moekolohe ʻē aʻe a i ʻole nā ​​​​kūlana hana ʻē aʻe i ʻole e hōʻeha.
• E lawe i kahi lāʻau hoʻomaha ʻeha e like me ka paracetamol ma mua o ka moe ʻana.
• E hoʻokaʻawale i ka manawa e hoʻomaha ai a hoʻomaha ma mua o ka moe kolohe.
• Ma hope o ka moekolohe, e kau i kahi ʻeke hau ma ka ʻāpana a puni ka puka o ka vagina.

ʻOkoʻa ka lōʻihi o kēia ʻeha ma muli o ke kumu a me ka lāʻau lapaʻau. I kekahi manawa hiki iā ʻoe ke manaʻo koke i ka hōʻoluʻolu ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau. I kekahi manawa, hiki ke lōʻihi ka manawa e loaʻa ai ka lāʻau lapaʻau kūpono.

ʻO ka mea maikaʻi loa, hiki i kēia ke lawe mai i ka hōʻoluʻolu. No laila, mai hoʻopau i ka manaʻolana.