Loaʻa iā ʻoe kekahi ʻeha ma ka ʻāpana a puni ka vagina? E kamaʻilio kākou e pili ana i kēia (Vestibulodynia)!

Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha a i ʻole ke kuni ʻana ma ke komo ʻana o kou ʻōpū? Hiki ke loaʻa kēia ʻeha i ka wā o ka moekolohe a i ʻole ke noho mālie ʻoe. He pilikia kēia i kamaʻilio pinepine ʻole ʻia i waena o nā wahine, akā hoʻopilikia ia i nā poʻe he nui. No laila i kēia lā e kamaʻilio mākou e pili ana i kēia me nā kikoʻī hou aku .

He aha kēia (Vestibulodynia)? E hoʻomaopopo maʻalahi kākou?

I ka ʻōlelo maʻalahi, ʻo ka vestibulodynia ka ʻeha e kū mai ana ma kahi a puni ke komo ʻana i kou vagina, i kapa ʻia ʻo vestibule . Hiki i kēia ʻeha ke kū mai i kekahi manawa ma nā wahi ʻē aʻe o ka ʻāpana genital waho a puni ka vagina, i kapa ʻia ʻo vulva . He ʻeha hoʻopilikia loa ia a lōʻihi. I kekahi manawa ʻaʻole hiki ke loaʻa ke kumu maopopo. Hiki i kāu kauka ke kapa i kēia ʻano he vulvar vestibulitis syndrome , a i ʻole (VVS) no ka pōkole.

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o ka vulva . ʻO ia ka ʻāpana i ʻike ʻia ma waho o ka ʻōnaehana hānau o ka wahine. I ka pololei, pale ia i kāu mau ʻōpū hānau o loko, e like me kou vagina, uterus, a me nā ovaries. Mālama pū ia i kou urethra , ka ʻōmole e puka ai ka mimi.

He wahi koʻikoʻi loa ka vulva no kāu pane moekolohe a me ka orgasm. Loaʻa iā ia kēia mau ʻāpana:

• ʻO Clitoris
• Nā lehelehe o loko (labia minora)
• Nā lehelehe waho (labia majora)
• ʻO ke komo ʻana i ka vagina (vestibule)

He aha ka ʻokoʻa ma waena o (Vulvodynia) a me (Vestibulodynia)?

Hiki i kēia mau inoa ʻelua ke lilo i mea huikau iki, akā e mālama kākou i ka maʻalahi. ʻO Vestibulodynia kahi ʻano maʻi e hāʻule ana ma lalo o ka māhele nui o Vulvodynia . Pili nā kūlana ʻelua i ka ʻeha ma ka ʻāpana vulva me ke kumu ʻole.

ʻElua ʻano nui o ka vulvodynia :

1. Vulvodynia laulā: ʻO kēia ka wā e loaʻa ai ka ʻeha mau ma kekahi mau wahi o ka vulva , ʻaʻole hoʻokahi wale nō.

2. Vulvodynia kūloko: Ma kēia, ʻo ka ʻeha ma hoʻokahi wale nō wahi kikoʻī o ka vulva . No ka laʻana, ʻeha ma ke komo ʻana o ka vagina (i kapa ʻia ʻo vestibulodynia ) a i ʻole ka ʻeha ma ka clitoris (clitorodynia) . ʻO kēia mau mea, ʻo ka vestibulodynia, i hoʻokumu ʻia e kekahi kaomi a i ʻole ke kaomi, ʻo ia ke ʻano maʻamau o ka vulvodynia kūloko . Kapa mākou iā ia he vestibulodynia i hoʻonāukiuki ʻia .

He aha ka Vestibulodynia i hoʻonāukiuki ʻia?

E like me ka inoa e hōʻike nei, ʻo ka vestibulodynia i hoʻonāukiuki ʻia he ʻeha e kū mai ana i ka wā e kaomi ai a i ʻole ke kaomi ma kou vestibule. ʻO kēia kaomi ka mea e "hoʻonāukiuki" ai i kēia ʻeha mau loa, hiki ke mau no ʻekolu mahina. Hiki ke hana ʻia kēia kaomi e nā mea e like me:

• He hoʻokolokolo pelvic i hana ʻia e ke kauka.
• Ke noho ʻoe ma kahi hoʻokahi no ka manawa lōʻihi.
• I ka wā moe kolohe.
• I ke komo ʻana i nā lole paʻa (e.g. lole wāwae paʻa).
• Ke hoʻokomo ʻia kekahi mea i loko o ka vagina, inā paha he manamana lima, penis, tampon, a i ʻole kahi mea pāʻani moe .

E noʻonoʻo, ʻo Nimali kekahi kanaka e noho ana ma ke keʻena no nā hola i kēlā me kēia lā. No kekahi mau lā, ua hoʻomaka ʻo ia e manaʻo i kahi ʻano wela iki i loko o kona ʻōpū. ʻOiai ʻaʻole ʻo ia i mālama i ka wā mua, ua piʻi aʻe ka ʻeha ma hope o ka moekolohe. Ua makaʻu loa ʻo ia ʻaʻole hiki iā ia ke haʻi aku i kekahi e pili ana i ia mea. Ua loaʻa paha iā ʻoe kahi ʻike like.

He aha nā ʻano o Vestibulodynia i hoʻonāukiuki ʻia?

Aia nō hoʻi ʻelua ʻano nui o kēia:

1. ʻO ka vestibulodynia i hoʻoulu ʻia e ke kino mua (congenital): ʻO kēia ka wā e loaʻa ai ka ʻeha ke hoʻāʻo ʻoe e hoʻokomo i kahi mea i loko o kou vagina no ka manawa mua i kou ola (e.g., i ka wā e moe ai no ka manawa mua, i ka wā e hoʻāʻo ai e hoʻokomo i kahi tampon). He ʻano hānau kēia, ʻo ia hoʻi, hiki ke loaʻa mai ka hānau ʻana.

2. ʻO ka vestibulodynia lua (loaʻa): Ma kēia, loaʻa ka ʻeha i nā lā, nā mahina, a i ʻole nā ​​​​makahiki ma hope o kou hiki mua ʻana ke hoʻokomo i kahi mea i loko o kou vagina me ka ʻole o ka ʻeha. He kūlana kēia e ulu ana i ka hala ʻana o ka manawa.

Pehea ka maʻamau o ka vestibulodynia?

ʻO kaʻoiaʻiʻo, ua manaʻo ʻia e loaʻa i hoʻokahi o nā wahine ʻehā kekahi ʻano o ka vulvodynia , ʻo ia hoʻi ka ʻeha ma ka vulva me ke kumu ʻole. ʻO ka hapa nui o ka manawa, hoʻoulu ʻia kēia ʻeha e ke kaomi o waho a i ʻole ka pā ʻana (i kapa ʻia ʻo " provoked ").

Akā, ʻoi aku paha ka nui o nā hihia maoli. Hilahila kekahi poʻe e kamaʻilio me kā lākou mau kauka e pili ana i kēia pilikia. Manaʻo kekahi he mea kēia hiki ʻole ke ho'ōla ʻia a pono e noho pū me ia no ke koena o ko lākou ola. Akā, ʻaʻole ia ka hihia, aia kahi lāʻau no kēia!

He aha nā kumu o ka vestibulodynia?

ʻAʻole maopopo i nā loea ke kumu o kēia. Akā aia kekahi mau manaʻo. ʻO kekahi, ʻoi aku ka nui o nā aʻalolo pudendal i loko o ka vulva . ʻO kēiaʻO nā aʻalolo pudendal ka mea e hoʻouna i nā manaʻo e like me ka ʻeha a me ka leʻaleʻa i kāu ʻōnaehana nerve.

Loaʻa i kekahi poʻe kahi maʻi i kapa ʻia ʻo neuroproliferation (i kapa ʻia hoʻi ʻo neuroproliferative vestibulodynia ). ʻO ke ʻano kēia, lilo ko lākou mau aʻalolo pudendal i mea maʻalahi loa. Hiki iā lākou ke manaʻo i ka ʻeha nui ( hyperalgesia ) ʻoiai i ka pā iki ( allodynia ). Hiki i kēia neuroproliferation ke lilo i mea i loaʻa i ka wā hānau a i ʻole hiki ke ulu ma hope ma muli o ka hōʻino a i ʻole ka huhū i nā aʻalolo.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka vestibulodynia?

ʻOiai hiki ke loaʻa kēia ʻano i kekahi kanaka, ʻoi aku ka maʻamau i nā wahine keʻokeʻo a me nā wahine ʻĀsia e hana ana i ka moekolohe ma waena o 20 a me 40 mau makahiki. Hiki ke loaʻa pinepine i nā wahine i hala i ka menopause a loaʻa i nā kūlana e like me ka maloʻo o ka vaginal a me ka atrophy vaginal .

ʻOi aku ka nui o kou loaʻa ʻana i kēia ʻano inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Nā hopena alerika a i ʻole nā ​​​​​​maʻi ʻili i kekahi mau kopa ʻala, nā detergents, nā pantyliners, a pēlā aku.
• Nā maʻi hū mau loa .
• Nā kūlana e like me ka fibromyalgia .
• ʻO ka predisposition genetic i ka ʻeha mau loa, ka mumū, a i ʻole ka maʻi.
• (Cystitis Interstitial) (ʻōpū mimi ʻeha).
• ʻEha hui a i ʻole ʻeha musculoskeletal .
• Nā maʻi naʻau e like me ke kaumaha a i ʻole ka maʻi bipolar .
• Ka hana pono ʻole o ka papahele pelvic , nāwaliwali a i ʻole nā ​​​​​​ʻūʻū ʻiʻo.
• ʻO ka ʻeha i hoʻokumu ʻia e ka hana hoʻomāinoino moekolohe (hoʻokamakama) a i ʻole nā ​​​​pilikia i ka wā hānau keiki.

He aha nā hōʻailona o Vestibulodynia?

ʻO Vestibulodynia kahi ʻano ʻeha e pili ana i ke aʻalolo (ʻeha neuropathic) . ʻO kēia ʻeha ke mau no ʻekolu mahina. Hiki ke mau ka ʻeha a hele mai a hele aku (i kapa ʻia he intermittent ).

ʻO nā hōʻailona nui o ka vestibulodynia :

• ʻO ka ʻeha ʻā, ʻō ʻana, a i ʻole ka ʻeha e like me ka pahi ma ka ʻāpana vestibular .
• ʻEha i ka wā e hoʻokomo ai i kahi mea i loko o ka vagina, e noho ana, a i ʻole e hana i nā hana kino e like me ka holo ʻana, ke kaʻa paikikala, a i ʻole ka holo lio.
• ʻO ka moekolohe ʻeha (dyspareunia) .
• ʻEha ka mimi ʻana (dysuria) .
• ʻO ke ʻano maʻalahi, ka maloʻo, ka ʻulaʻula, a me ke ʻano ʻeha o ka ʻāpana vestibule .

He aha nā pilikia ʻē aʻe e hiki ke hana me Vestibulodynia?

Loaʻa paha i kekahi poʻe kēia mau kūlana ʻelua me Vestibulodynia :

• Clitorodynia: He ʻano vulvodynia kūloko kēia. Hōʻike ʻia e ka ʻeha nui ma ka clitoris .
• (Vaginismus): ʻO kēia ka wā e ʻūlū ai a ʻūmiʻi kou mau ʻiʻo vagina me ka ʻike ʻole ʻoe i kēlā me kēia manawa āu e hoʻāʻo ai e hoʻokomo i kahi mea i loko o kou vagina.

Pehea e ʻike ʻia ai ʻo Vestibulodynia?

ʻAʻohe hoʻāʻo diagnostic kikoʻī e ʻike ai i kēia. E hoʻolohe pono kāu kauka i kāu mau hōʻailona. I ka wā o ka hoʻokolokolo pelvic , e lawe kāu kauka i kahi pulupulu a kaomi mālie i nā wahi like ʻole o kou vulva , e nīnau iā ʻoe i kona ʻeha.

Hiki iā ʻoe ke holo i hoʻokahi a ʻoi aku paha o kēia mau hoʻāʻo e ʻike inā he mau pilikia ʻē aʻe, a i ʻole e hōʻoia ʻaʻohe:

• Nā hoʻāʻo koko.
• Nā hoʻāʻo urinalysis a i ʻole ka moʻomeheu mimi - Hana ʻia kēia mau mea e nānā i nā maʻi ʻaʻai urinary (UTIs) , cystitis , nā maʻi hū , a me nā maʻi a me nā maʻi i hoʻouna ʻia ma ke ʻano moekolohe (STDs a me STIs) .
• ʻO Pap smear a, inā pono , colposcopy - hana ʻia kēia mau mea e nānā i nā cell ʻano ʻē i loko o ka cervix (cervical dysplasia) a i ʻole ke kanesa cervical .
• ʻO ka biopsy ʻili - e nānā i nā maʻi ʻili.

He aha ke ʻano o nā kauka e mālama ai i ka vestibulodynia?

ʻOiai ke hoʻopilikia nei kēia maʻi i kou mau ʻōpū, ʻaʻole pono ia he pilikia wahine. Pono ʻoe e ʻike i nā ʻano loea like ʻole no ka mālama ʻana. ʻO kēia mau mea:

• Kauka lapaʻau hānau keiki/kauka wahine (`Ob/Gyn`).
• Kauka ʻili.
• Kauka lolo.
• Loea hoʻokele ʻeha.
• Luna hoʻōla kino papahele pelvic.
• Kauka lapaʻau noʻonoʻo, mea lapaʻau moe kolohe a i ʻole mea lapaʻau male.
• He loea i ka ʻōnaehana mimi a me ka ʻōnaehana hānau keiki wahine (`Urologist` a i ʻole `urogynecologist`).

Pehea e mālama ai nā kauka i ka vestibulodynia?

ʻO nā pahuhopu nui o ka mālama ʻana no ka vestibulodynia :Hoʻemi i ka ʻeha a me ka kaohi ʻana i nā hōʻailona.

ʻO kēia nā lāʻau lapaʻau ʻole:

• Nā ʻano kirīmi hoʻomaha ʻeha a me nā kirīmi hoʻomāmā ('Nā kirīmi ʻili anesthetic (hoʻomāmā)').
• ʻO ka lāʻau lapaʻau noʻonoʻo (CBT) , ka lāʻau lapaʻau no nā kāne, a i ʻole ka lāʻau lapaʻau no ka moekolohe.
• Nā loli o ke ʻano o ka nohona - no ka laʻana, ke komo ʻana i nā lole palupalu a me nā lole komo pulupulu, a me ka hoʻohana ʻole ʻana i nā huahana ʻala.
• ʻO ka physiotherapy papahele pelvic - no ka laʻana, nā hoʻomaʻamaʻa Kegel (nā hoʻomaʻamaʻa papahele pelvic) a me nā ʻano hana biofeedback .
• Ke hoʻohana nei i nā lubricants vaginal a me nā dilators vaginal.

ʻO nā lāʻau lapaʻau:

• Nā lāʻau hoʻēmi kaumaha .
• Nā lāʻau lapaʻau no ka maʻi epilepsy a me ka ʻeha o ke aʻalolo - e.g. gabapentin .
• Nā inikini botulinum toxin (Botox®) .
• ʻO nā kirīmi corticosteroid topical a i ʻole nā ​​​​inikini steroid .
• Nā kirimina hormone o waho (hormone therapy) .
• Nā ālai ʻana o ke aʻalolo .
• Nā mea hoʻopau ʻeha.

Hiki ke ho'ōla ʻia ʻo Vestibulodynia me ke ʻoki kino?

Hiki i kekahi poʻe me ka vestibulodynia i hoʻonāukiuki ʻia i pane ʻole i nā lāʻau lapaʻau ʻē aʻe ke pōmaikaʻi mai ke ʻoki ʻana e wehe i ka ʻili a me nā ʻiʻo koʻikoʻi. Ua kapa ʻia kēia ʻoki ʻana he vestibulectomy . Hāʻawi pinepine kēia i ka hōʻoluʻolu mau loa o nā hōʻailona.

Hiki ke pale ʻia ʻo Vestibulodynia?

Ma ka hahai ʻana i kēia mau ʻanuʻu e mālama ai i kou vulva , hiki iā ʻoe ke pale a hōʻemi i ka ʻeha vulvar :

• Mai hoʻohana i nā huahana ʻala (e laʻa, ka deodorant spray wahine, ka pauka talcum, nā panty liner ʻala) ma kou wahi genital.
• Mai hoʻohana i nā mea pale hānau intravaginal (e.g. diaphragms, cervical caps). Eia kekahi, mai hoʻohana i nā spermicides a me nā huʻa pale hānau, no ka mea hiki iā lākou ke hoʻonāukiuki.
• Ma hope o ka mimi ʻana, ma kahi o ka hoʻohana ʻana i ka pepa toilet, e holoi i ka ʻāpana genital me ka wai mai kahi ʻōmole ʻomi a i ʻole kahi bidet.
• E hoʻohana i ka pepa lua i hoʻokeʻokeʻo ʻole ʻia a me nā huahana hoʻomaʻemaʻe ʻala ʻole (tampons, pads).
• E noho ma luna o kahi uluna ʻano donut e hōʻemi i ke kaomi ma kou vulva .
• E hoʻomoʻa i loko o ka ʻauʻau wela e hōʻemi i ka ʻeha.
• E holoi i kou wahi ʻōpū me ka wai wale nō (ʻaʻohe kopa). Mai hoʻohana i ka ʻauʻau pehu, nā paʻakai ʻauʻau, a i ʻole nā ​​​​ʻaila ʻauʻau.
• E ʻaʻahu i nā lole komo pulupulu, nā lole komo palupalu a i ʻole nā ​​​​pōkole pōkole. E pale i ke komo ʻana i nā pantyhose, nā tights a i ʻole nā ​​​​leggings paʻa.

He aha nā pilikia e hiki mai ana o ka vestibulodynia?

ʻO ka ʻeha mau loa i hoʻokumu ʻia e ka vestibulodynia hiki ke lilo i mea ʻoluʻolu ʻole a hoʻoweliweli paha i ke ola. Hiki iā ia ke hoʻopilikia i ka hoʻoikaika kino a me ka noho ʻana no ka manawa lōʻihi.

Hiki i ka Vestibulodynia ke hoʻoulu i ka hana moekolohe . Hiki i kēia ke hoʻopilikia i kou hiki ke hauʻoli i ka moekolohe, a hiki iā ia ke hoʻopilikia maikaʻi ʻole i kāu mau pilina a me ka manaʻo ponoʻī. Hiki iā ʻoe a me kāu hoa ke pōmaikaʻi mai ke kamaʻilio ʻana me kahi mea hoʻoponopono, e like me kahi mea hoʻoponopono male a i ʻole ka mea hoʻoponopono moekolohe.

He aha ka manaʻolana no kekahi me ka vestibulodynia?

Hoʻomaikaʻi pinepine ʻo Vestibulodynia i ka hala ʻana o ka manawa (i kapa ʻia he remission ). ʻO ka mea pōʻino, hiki i kēia ʻeha vulva ke hoʻi hou mai (i kapa ʻia he relapse ). No laila, he mea nui e hahai i nā ʻōlelo a kāu kauka e pale a hōʻemi i ka ʻeha vulva .

Āhea wau e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e ʻike i ke kauka:

• Ke kahe ʻana o ka ʻōpū ma ke ʻano kūpono ʻole me kahi ʻala ʻino.
• ʻO ka maneʻo ma ka ʻāpana genital.
• ʻO ka moekolohe ʻeha.
• ʻEha ka mimi ʻana.
• Nā hōʻailona o ka maʻi hū , ka maʻi ʻaʻai mimi (UTI) , a i ʻole kekahi maʻi ʻē aʻe.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

He mea maikaʻi ke nīnau i kāu kauka i nā nīnau e like me kēia:

• No ke aha i loaʻa ai iaʻu kēia (Vestibulodynia) ?
• He aha ke ʻano o Vestibulodynia iaʻu?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• Pono anei au e noʻonoʻo i ka lāʻau lapaʻau a i ʻole ke ʻoki kino?
• Pono anei au e makaʻala i nā hōʻailona o nā pilikia?

Hiki ke hana ʻia ka vestibulodynia e nā maʻi i hoʻouna ʻia ma ke ʻano moekolohe (STDs)?

ʻAʻole. ʻAʻohe pilina i ʻike ʻia ma waena o ka vestibulodynia a me nā maʻi i hoʻoili ʻia ma ke ʻano moekolohe (STD) . Eia nō naʻe, hiki i kekahi mau STD, e like me ka chlamydia a me ka gonorrhea, ke hana i nā hōʻailona like, e like me ka ʻeha a me ka mumū. No laila, he mea nui e ʻike i ke kauka e hoʻoholo i ke kumu pololei o kēia mau hōʻailona a loaʻa ka lāʻau kūpono.

He mea maoli ka ʻeha o ka vulvar i hoʻokumu ʻia e ka vestibulodynia . Mai hilahila e kamaʻilio me kāu kauka e pili ana i ka hoʻokomo ʻeha a i ʻole ka ʻeha mau i loko o kou vulva . Loaʻa paha iā ʻoe ka vestibulodynia., ʻo ia hoʻi, loaʻa paha iā ʻoe kahi ʻano ʻeha mau loa (vulvodynia) i loko o kou vestibule. Hiki pinepine mai kēia ʻeha vestibular me ka koke ʻole a me ke kumu ʻole. Hiki ke kōkua ʻia me nā lāʻau lapaʻau a me nā lāʻau lapaʻau ʻole.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, no laila ke lana nei koʻu manaʻo ua kōkua nā mea a kākou i kamaʻilio ai iā ʻoe e hoʻomanaʻo i kekahi o nā mea nui loa. ʻAʻole ʻo Vestibulodynia kahi mea e hilahila ai.

• ʻAʻole ʻoe hoʻokahi: ʻAʻole ʻoe hoʻokahi wale nō me kēia pilikia. Nui nā wahine e ʻeha nei i kēia maʻi.
• Hiki ke loaʻa ke kumu: ʻOiai ʻaʻole hiki ke loaʻa koke ke kumu o nā ʻeha a pau, hiki ke loaʻa pinepine ke kumu ma ke kamaʻilio ʻana me ke kauka a me ka hana ʻana i nā hoʻokolohua.
• Aia nā lāʻau lapaʻau: ʻAʻole kēia he maʻi hiki ʻole ke hoʻōla ʻia. Nui nā ʻano lāʻau lapaʻau e loaʻa ana e hōʻemi i ka ʻeha a hoʻomaʻalahi i ke ola.
• Mai hilahila: Mai hilahila e kamaʻilio e pili ana i kou olakino a i ʻole e noi ana i ke kōkua. ʻO ke kauka kekahi kanaka e kōkua iā ʻoe.

No laila, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻoluʻolu e ʻike i ke kauka no ka ʻōlelo aʻo. He mea nui loa kou ʻoluʻolu a me kou hauʻoli i ke ola iā ʻoe.

ʻO Vestibulodynia, Vulvodynia, ʻEha Vaginal, ʻEha Moekolohe, Vulva, Ola Kino Wahine, Vestibulodynia Hoʻonāukiuki ʻia