Ke paʻa a ololi paha kou ʻōpū? E kamaʻilio kākou e pili ana i ka Vaginal Stenosis.

Ke manaʻo nei ʻoe i kekahi manawa ua ʻūmiʻi kou ʻōpū a ua paʻa iki paha? Ke ʻeha nei ʻoe a i ʻole ka ʻoluʻolu ʻole i ka wā o ka moekolohe a i ʻole ke hoʻohana ʻana i ka tampon? Makaʻu iki paha ʻoe a hilahila paha e kamaʻilio e pili ana i ia mea. Akā, he mea kēia e hiki ke hana i nā poʻe he nui, ʻoiai me kekahi mau kūlana olakino. I kēia lā, e kamaʻilio mākou me nā kikoʻī, akā maʻalahi loa, e pili ana i kēia kūlana i kapa ʻia ʻo 'Vaginal Stenosis'.

He aha ka 'Vaginal Stenosis'? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ka 'Vaginal Stenosis' he ʻūmiʻi a he emi paha ka lōʻihi o loko o kou vagina . ʻO ke kumu nui o kēia, ʻo ia ka hoʻokumu ʻia ʻana o nā ʻiʻo ʻeha . Ua ʻike anei ʻoe i ka wā e loaʻa ai iā mākou kahi ʻeha ma kekahi wahi o ko mākou kino, e hana ʻia kahi ʻeha i kona ho'ōla ʻana? Pēlā ia. Ke loaʻa kekahi pōʻino a ʻeha paha i ka vagina, hoʻāʻo ko mākou kino e hoʻōla iā ia ma ka hana ʻana i kēia ʻiʻo ʻeha. Akā ʻo ka pilikia, ʻaʻole palupalu a kikoo kēia ʻiʻo ʻeha e like me ka ʻiʻo vaginal maʻamau. No laila, ke komo kekahi mea i loko o ka vagina, e like me ka wā o ka moekolohe, i ka wā e hoʻokomo ai i ka tampon, a i ʻole ke hana ke kauka i kahi hoʻokolokolo vaginal, hiki iā ʻoe ke manaʻo i ka ʻeha a me ka ʻoluʻolu ʻole. Hoʻomaka pinepine kēia ʻano ma hope o ka hānau ʻana, ma hope o ke ʻoki ʻana, a i ʻole ma hope o ka radiation therapy i ka ʻāpana pelvic ('Pelvic Radiation Therapy').

ʻAʻole pono ʻoe e noho me kēia ʻeha a me ka ʻoluʻolu ʻole. Aia nā lāʻau lapaʻau e hōʻemi i kāu mau hōʻailona a hoʻolilo i kou ola i mea ʻoluʻolu.

Pehea ka maʻamau o kēia ʻano?

ʻAʻohe helu helu e pili ana i ka maʻamau o kēia. Ma muli o ke kumuhana koʻikoʻi loa, kānalua kekahi poʻe e kamaʻilio e pili ana i kā lākou mau hōʻailona a i ʻole e ʻimi i ka lāʻau lapaʻau. No laila, ʻaʻole i hōʻike nui ʻia ka nui o nā hihia. Eia nō naʻe, ʻoi aku ka maʻamau i nā poʻe me nā kumu pilikia, e like me ka poʻe i hana ʻia i ke ʻoki kino a i ʻole ka radiation therapy.

Loaʻa iā ʻoe kēia mau hōʻailona?

I loko o kēia kūlana 'Vaginal Stenosis', hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• ʻEha i ka wā moe kolohe (`Dyspareunia`): ʻO kēia ka hōʻailona nui no nā poʻe he nui. No kekahi poʻe, ʻo kēia ʻeha ka mea e paʻakikī ai ka moe kolohe.
• ʻO ka ʻeha a me ke kaumaha i ka wā e hoʻokomo ai i ka tampon i loko o ka vagina.
• Ke kahe koko ʻana i ka wā a ma hope paha o ka moekolohe.
• Manaʻo ʻoluʻolu ʻole a ʻeha paha i ka wā o ka hoʻokolokolo pelvic i hana ʻia e ke kauka wahine. ʻO ia ke kumu e makaʻu ai kekahi poʻe e kipa aku i nā kauka.
• Maloʻo ka ʻōpū.

No ke aha e kū mai ai kēia 'Vaginal Stenosis'? He aha nā kumu?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ka 'Vaginal Stenosis' ke hana ʻia ka ʻiʻo palapū i loko o ka vagina, e hoʻolilo ana i ka vagina i ololi a pōkole. ʻAʻole palupalu a kīkoʻo paha kēia ʻiʻo palapū e like me ka ʻiʻo vagina maʻamau. E noʻonoʻo ʻoe ma kahi o kahi mea e kīkoʻo ana e like me ke kaula laholio, aia kekahi mea e like me ka palakika paʻakikī. ʻO ia ke ʻano o kēia ʻiʻo palapū. No laila, i ka wā e komo ai kekahi mea i loko o ka vagina, hele mai ka ʻeha mai ka ʻiʻo paʻakikī.

Aia kekahi mau kumu no ke kumu o ka hoʻokumu ʻia ʻana o kēia ʻiʻo scar:

Hoʻōla Pāhawewe

Ke hāʻawi ʻia ka lāʻau lapaʻau radiation i nā ʻōpū pelvic (ʻo ia hoʻi ka wahi ma lalo o ka ʻōpū), hiki ke emi ka vagina ma ke ʻano he hopena ʻaoʻao. Ua kapa ʻia kēia he radiation-induced vaginal stenosis. He mea maʻamau kēia ma hope o ka lāʻau lapaʻau radiation i nā wahine ma luna o 50 mau makahiki. I kekahi manawa, hiki i ka hoʻohana ʻana i nā lāʻau anti-cancer (chemotherapy) ke hoʻopilikia i kēia.

ʻoki kino

ʻO kēlā me kēia ʻoki kino e pili ana i kou uterus, vagina, a i ʻole cervix hiki ke hōʻino i nā ʻiʻo vaginal a hana i nā ʻiʻo scar. No ka laʻana, pili kēia i nā kaʻina hana hana hou a me ke ʻoki kino no ka pelvic organ prolapse.

Ka hānau ʻana

Hiki ke ulu aʻe nā ʻiʻo ʻeha ma muli o nā pilikia i ka wā hānau maʻamau, e like me ka episiotomy (kahi ʻoki liʻiliʻi i hana ʻia ma waena o ka vagina a me ka anus) a i ʻole nā ​​​​hae vaginal. ʻO ia ke kumu e manaʻo ai kekahi mau wahine ua paʻa iki ko lākou vagina ma hope o ka hānau ʻana. Hiki i kēia ke hōʻeha i ka wā moe no nā mahina ma hope o ka hānau ʻana.

Nā Kūlana ʻIli

Aia kekahi mau maʻi ʻili, no ka laʻana ʻo 'Lichen Sclerosus' a me 'Lichen Planus'. Hiki i kēia mau kūlana ke kōkua i ka maloʻo o ka ʻōpū.

Ka hoʻopau ʻana o ka wahine

I kou hoʻokokoke ʻana aku i ka menopause (ʻo ia hoʻi, ma hope o ka pau ʻana o kou mau wā mahina), e emi ana ka nui o ka hormone estrogen i loko o kou kino. Hiki i kēia ke hoʻomaloʻo a lahilahi i nā ʻiʻo o ka vagina. Ua kapa ʻia kēia he atrophy vaginal. I kekahi manawa, hiki i kēia ʻano ke hoʻonui i nā hōʻailona o ka stenosis vaginal.

I ka liʻiliʻi loa, hiki ke loaʻa ka stenosis vaginal ma muli o kekahi mau maʻi congenital, e like me ka adrenal hyperplasia.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

Hiki i kekahi mea me ka vagina ke loaʻa i ka 'Vaginal Stenosis'. Eia nō naʻe, ʻoi aku kou pilikia inā loaʻa iā ʻoe:

• Inā ua hana ʻia ʻoe i ke ʻoki kino ma ka ʻāpana pelvic.
• Inā ua hana ʻia kahi episiotomy i ka wā hānau keiki a inā paha ua haehae ʻia ka ʻōpū.
• Inā ua loaʻa iā ʻoe ka radiation therapy pelvic a i ʻole chemotherapy i ka ʻāpana pelvic.

Ua hōʻike kekahi mau noiʻi ua ʻoi aku ka nui o ka pilikia o ka poʻe e hoʻohana ana i nā huahana paka i ka hoʻomohala ʻana i kēia maʻi.

He aha nā pilikia e hiki ai i kēia ke hana?

ʻAʻole wale ka hopena o ka stenosis vaginal i kou vagina. Hiki iā ia ke hoʻopilikia i kou ola holoʻokoʻa, ʻaʻole wale i kou ola moekolohe. E noʻonoʻo wale, ʻo ka hiki ʻole ke hoʻohana pono i ka tampon, ʻaʻole hiki ke hana i kahi hoʻokolokolo vaginal me ka ʻoluʻolu, a i ʻole ka hiki ʻole ke moe me kāu hoa hiki ke hoʻonāukiuki loa. Inā ʻaʻole mālama ʻia, hiki i ka stenosis vaginal ke ʻoi aku ka ʻino. Hiki ke paʻakikī ke mālama. No laila, inā ʻoe e ʻeha nei, he mea nui e kamaʻilio me ke kauka e pili ana i ia mea.

Pehea e ʻike ai ke kauka i kēia?

Hiki i ke kauka ke ʻike i ka stenosis vaginal ma ka hana ʻana i kahi hoʻokolokolo pelvic a kamaʻilio e pili ana i kāu mau hōʻailona. Pono ʻoe e haʻi i kāu kauka i ka wā i hoʻomaka ai ka ʻeha, nā hana e hoʻoulu ai i ka ʻeha, a me kāu mōʻaukala olakino piha, me nā ʻoki kino a i ʻole nā ​​​​lāʻau lapaʻau āu i loaʻa ai.

I ka wā o ka hoʻokolokolo ʻana o ka vagina, e kau ke kauka i nā mīkina lima, e kau i kahi lubricant, a e hoʻokomo i kona mau manamana lima i loko o ka vagina e nānā i kona palupalu a me ka hohonu. Inā ʻoe e ʻeha i ka wā o kēia hoʻokolokolo ʻana, pono ʻoe e haʻi i kāu kauka . Mai hopohopo, ua maʻa nā kauka i kēia ʻano mea.

He aha nā lāʻau lapaʻau no kēia? E nānā kākou...

ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka hoʻolilo ʻana i ka ʻiʻo ʻeha i ʻoi aku ka palupalu, a i ʻole ka maʻalahi o ka neʻe ʻana. ʻO ka hoʻolālā mālama āu a me kāu kauka e koho ai e hilinaʻi ʻia ma ke kumu o kou stenosis vaginal a me kona koʻikoʻi. E hoʻomanaʻo he hiki i kēia mau lāʻau ke hala i nā mahina, a i ʻole nā ​​​​makahiki. No ka mea hiki ke hoʻi hou mai nā ʻiʻo ʻeha, pono paha ʻoe i kahi hoʻolālā lōʻihi e hoʻokele i kāu stenosis vaginal.

Eia kekahi o nā lāʻau lapaʻau i loaʻa no ka 'Vaginal Stenosis':

Nā mea hoʻonui ʻōpū

He mau mea liʻiliʻi a ʻōwili nā mea hoʻonui ʻōpū i hoʻohana ʻia e hoʻolōʻihi mālie a mālie i ka ʻōpū. Hoʻomaka ʻoe me kahi mea hoʻonui liʻiliʻi. A laila, i loko o kekahi mau pule a i ʻole mau mahina, neʻe mālie ʻoe i kahi mea hoʻonui nui aʻe. Ua like kēia me ka hoʻoikaika kino, a pono ia i ke ahonui iki.

Lapaʻau Papahele Pelvic

He ala maikaʻi loa ka Pelvic Floor Therapy e hoʻoikaika ai i nā ʻiʻo papahele pelvic a hoʻomaikaʻi i ke kahe koko i ka wahi. Ke aʻo ʻoe pehea e hoʻopaʻa ai a hoʻomaha i kou mau ʻiʻo papahele pelvic, e maʻalahi iā ʻoe ke hoʻohana i kahi dilator vaginal. Hiki iā ʻoe ke loaʻa ke kōkua mai kahi physiotherapist loea no kēia.

Ka Lapaʻau Hoʻololi Hormone (HRT)

Inā loaʻa kou stenosis vaginal i ka nele o ka estrogen, hiki i ka lawe ʻana i ka estrogen ke kōkua. Nui nā ʻano HRT - nā kirīmi, nā pila, nā ʻāpana. Hiki i kēia mau mea ke kōkua i ka hoʻonui ʻana i ka makū a me ka elasticity o nā ʻiʻo vaginal. Eia nō naʻe, ma mua o ka hoʻomaka ʻana i ka HRT, he mea nui e kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono.

ʻoki kino

I kekahi manawa, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino e hoʻonui i ka puka o kou vagina. Eia nō naʻe, hana ʻia kēia ma ke ʻano he hopena hope loa, a inā ʻaʻole i holo pono nā lāʻau ʻē aʻe.

Ma waho aʻe o kēia mau lāʻau lapaʻau nui, aia kekahi mau mea ʻē aʻe e hiki ke hōʻoluʻolu iā ʻoe:

• Ka hoʻohana ʻana i nā lubricants wai i ka wā o ka moekolohe, e like me KY® Jelly.
• ʻO ka hoʻohana ʻana i kahi mea hoʻomaʻū vaginal, e like me Replens™, ʻaʻole ia e like me ka lubricant, a hiki ke hoʻohana ʻia i ka wā o ka moekolohe ʻole. Kōkua ia i ka mālama ʻana i nā ʻiʻo vaginal i ka lā a pau.
• Ma muli o ke kumu o ka stenosis vaginal, makemake paha ʻoe e hoʻāʻo i ka laser therapy.

ʻO ka mea nui loa, ʻo ia ka ʻike piha ʻana e pili ana i kēia mau lāʻau lapaʻau, e kamaʻilio me kāu kauka, a koho i ka mea kūpono loa iā ʻoe. ʻAʻole pono nā lāʻau lapaʻau āpau no nā kānaka āpau.

E ʻoi aku ka maikaʻi o kēia?

ʻAʻole. ʻAʻole e nalowale wale nā ​​ʻiʻo ʻōpala me ka ʻole o ka mālama ʻia. Inā ʻaʻole mālama ʻia, hiki i ke kūlana ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa a hoʻonui i ka ʻeha.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka 'Vaginal Stenosis'?

Hiki i ka stenosis vaginal ke lilo i mea ʻeha a hilahila hoʻi. He ʻoiaʻiʻo nō. ʻOiai ʻaʻohe lāʻau lapaʻau mau loa no ia mea, hiki i kāu kauka ke kōkua iā ʻoe e ʻimi i nā ala e hoʻokele ai. No ka mea hiki ke hoʻi hou mai ka stenosis vaginal, pono paha ʻoe e hoʻomau i ka hoʻohana ʻana i nā dilators, lubricants, a i ʻole nā ​​​​​​lāʻau mālama ʻē aʻe. Eia nō naʻe, me ka lāʻau kūpono, ʻike ka poʻe he nui i kahi hoʻomaikaʻi nui i ko lākou ola moekolohe a me ke ʻano holoʻokoʻa o ke ola. No laila, mai hopohopo.

Aia kekahi mau ala e pale aku ai i kēia mai ka hana ʻana?

I kekahi manawa hiki nō, akā i ka hapa nui o ka manawa inā ua loaʻa iā ʻoe ka radiation therapy. Paipai kekahi mau kauka i ka hoʻohana ʻana i kahi dilator vaginal e pale aku i ka stenosis vaginal ma hope o ka mālama ʻana i ka maʻi kanesa.

Eia nō naʻe, i ka wā o ke ʻoki ʻana, ʻaʻole hiki ke pale mau ʻia ka `Vaginal Stenosis`. ʻOiai hiki ke hoʻemi ʻia ka nui o nā ʻiʻo ʻeha e hana ʻia ma ka hoʻohana ʻana i nā `ʻano hana ʻoki kino minimally invasive`, ʻaʻole hiki ke hoʻopau loa ʻia.

Āhea wau e ʻike ai i ke kauka?

Inā ʻeha ʻoe i ka wā o ka moekolohe, i ka wā e hoʻokomo ai i ka tampon, a i ʻole i ka wā e nānā ai i ka pelvic , e ʻike koke i kāu kauka. Hiki i kēia ke lilo i kumuhana koʻikoʻi e kamaʻilio ai, akā e hoʻomanaʻo eia kāu kauka ma laila e kōkua iā ʻoe. He maʻi maʻamau ka stenosis vaginal, a hiki ke hoʻomaha ʻia kāu mau hōʻailona. ʻAʻohe kumu e hilahila ai a makaʻu paha.

He mea like anei ʻo 'Vaginal Stenosis' a me 'Vaginal Atrophy'?

ʻAʻole. Pili lāua ʻelua, akā he mau kūlana ʻokoʻa kēia.

• ʻO ka atrophy vaginal kahi kūlana kahi e maloʻo ai a lahilahi ka uhi o ka vagina ma muli o ka nele o ka estrogen. He kūlana pili kēia i ka hormone e hoʻopilikia pinepine i nā wahine e hoʻokokoke ana i ka menopause.
• Ma ka ʻaoʻao ʻē aʻe, ʻo ka 'Vaginal Stenosis' ke kumu o ka ʻiʻo ʻeha i hana ʻia ma muli o nā mea e like me ke ʻoki ʻana, ka radiation therapy, a me ka hānau keiki ʻana.

He pili kēia mau kūlana ʻelua no ka mea, i ka wā e nāwaliwali a maloʻo ai nā ʻiʻo o ka vagina ma muli o ka 'Vaginal Atrophy', hiki ke hoʻonui ʻia ka ʻeha a me ka ʻoluʻolu ʻole i hoʻokumu ʻia e ka 'Vaginal Stenosis'.

ʻAʻole wale ka stenosis vaginal i kahi mea e hoʻopilikia ai i kou vagina. Hiki iā ia ke hoʻopilikia i kou hauʻoli, ka hilinaʻi iā ʻoe iho, a hiki ke paʻakikī i ka loaʻa ʻana o nā pilina pili me kāu mau hoa moe. ʻOiai he kumuhana paʻakikī kēia e kamaʻilio ākea ai, ʻo ka ʻimi ʻana i ke kōkua mai ke kauka ka mea maikaʻi loa hiki iā ʻoe ke hana nou iho. Aia kekahi mau lāʻau lapaʻau i loaʻa e kōkua ai i ka stenosis vaginal. ʻAʻole pono ʻoe e noho me kēia ʻeha, ʻaʻole hoʻi ʻoe e ʻae. He nui ka poʻe e ʻōlelo nei ua hoʻomaikaʻi nui ʻia ko lākou ʻano ola ke loaʻa iā lākou ka lāʻau kūpono.

ʻO nā mea nui loa e pono ai ʻoe e hoʻomanaʻo

• ʻO ka Vaginal Stenosis kahi haiki a i kekahi manawa haiki o ka vagina. ʻO ke kumu nui o kēia, ʻo ia ka ʻiʻo palapū.
• Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha i ka wā o ka moekolohe, ka paʻakikī i ke kau ʻana i ka tampon, ka maloʻo o ka ʻōpū, a i ʻole ka ʻeha i ka wā o ka hoʻokolokolo ʻana o ka ʻōpū, mai hilahila a haʻi i ke kauka.
• Hiki ke hana ʻia kēia kūlana e ka radiation therapy, ke ʻoki kino, nā ʻeha i ka wā hānau keiki, kekahi mau maʻi ʻili, a me ka menopause.
• Aia nā lāʻau lapaʻau no kēia! Hiki iā ʻoe ke hoʻomaha me nā mea e like me 'Dilators', 'Pelvic Floor Therapy', hormone therapy, lubricants, a me nā moisturizers vaginal.
• ʻAʻohe mea e hilahila ai kēia. ʻO ka mea nui loa, ʻo ke noi ʻana i ke kōkua. ʻAʻole pono ʻoe e ʻeha wale ma kēia. Na kāu kauka e kōkua iā ʻoe.

ʻO ka Stenosis Vaginal, Vaginal Stenosis, ʻIʻo ʻeha, ʻeha moekolohe, Dyspareunia, Vaginal Dilators, Pelvic Radiation Therapy