Obukyala bwo buwulira nga bunywezeddwa ate nga bufunda? Ka twogere ku bulwadde bwa Vaginal Stenosis.

Oluusi owulira ng’obukyala bufunda oba bunywezeddwa katono? Ofuna obulumi oba obutabeera bulungi nga weegatta oba ng’okozesa tampon? Oyinza okutya katono oba okuswala okukyogerako. Naye kino kiyinza okutuuka ku bantu bangi naddala nga balina embeera z’obulamu ezimu. Leero, tugenda kwogera mu bujjuvu, naye mu ngeri ennyangu ennyo, ku mbeera eno eyitibwa `Vaginal Stenosis`.

`Obulwadde bw'obukyala` kye ki? Mu ngeri ennyangu...

Mu ngeri ennyangu, `Vaginal Stenosis` kwe kufunda era nga kiyinzika okuba nga kikendeeza ku buwanvu bw'obukyala bwo obw'omunda . Ensonga enkulu lwaki kino kibaawo kwe kutondebwa kw'ebitundu by'enkovu . Obadde okimanyi nti bwe tuba n’obuvune awalala mu mubiri gwaffe, enkovu ekolebwa nga bwe ewona? Bwe kityo bwe kiri. Bwe wabaawo okwonooneka oba obuvune ku bukyala, omubiri gwaffe gugezaako okubuwonya nga gukola ekitundu kino eky’enkovu. Naye ekizibu kiri nti, ekitundu kino eky’enkovu tekikyukakyuka era tekiwanvuwa ng’ekitundu ky’obukyala ekya bulijjo. N’olwekyo ekintu bwe kiyingira munda mu bukyala, gamba ng’okwegatta, ng’oyingiza tampon, oba omusawo bw’akola okukebera obukyala, oyinza okuwulira obulumi n’obutabeera bulungi. Embeera eno etera okubaawo oluvannyuma lw’okuzaala, oluvannyuma lw’okulongoosebwa, oba oluvannyuma lw’okujjanjaba amasannyalaze okutuuka mu kitundu ky’ekisambi (`Pelvic Radiation Therapy`).

Tolina kubeera na bulumi buno n’obutabeera bulungi. Waliwo obujjanjabi okukendeeza ku bubonero bwo n’okufuula obulamu bwo obweyagaza.

Embeera eno ya bulijjo etya?

Tewali bibalo ku ngeri kino gye kitera okubaawo. Olw’okuba mulamwa gwa maanyi nnyo, abantu abamu tebaagala kwogera ku bubonero bwabwe oba okunoonya obujjanjabi. N’olwekyo, omuwendo gw’abalwadde tegutegeezebwa bulungi. Kyokka, kisinga kubeera mu bantu abalina ensonga z’akabi, gamba ng’abo abalongooseddwa oba abalongooseddwa oba obujjanjabi obw’amasannyalaze.

Naawe olina obubonero buno?

Mu mbeera eno eya `Vaginal Stenosis`, oyinza okufuna obubonero nga:

• Obulumi nga beegatta (`Dyspareunia`): Kano ke kabonero akakulu eri abantu bangi. Abamu obulumi buno buzibuwalira nnyo okwegatta n’akatono.
• Obulumi n’obutabeera bulungi ng’oyingiza tampon mu bukyala.
• Okuvaamu omusaayi nga weegatta oba oluvannyuma lw’okwegatta.
• Okuwulira nga tolina mirembe oba okulumwa ng’okeberebwa ekisambi ekikolebwa omusawo w’abakyala. Eno y’ensonga lwaki abantu abamu batya okugenda mu basawo.
• Okukala kw’obukyala.

Lwaki kino `Vaginal Stenosis` kibaawo? Biki ebivaako?

Nga bwe twayogeddeko emabegako, `Vaginal Stenosis` ebaawo ng’ebitundu by’enkovu bitondeddwa mu bukyala, ekifuula obukyala obufunda era obumpi. Ekitundu kino eky’enkovu tekigonvu oba tekigolola ng’ekitundu ky’obukyala ekya bulijjo. Teebereza nti mu kifo ky’ekintu ekiwanvuwa ng’akapiira, waliwo ekintu ekiringa obuveera obukalu. Bw’atyo ekitundu kino eky’enkovu bwe kiri. Kale ekintu bwe kigenda mu bukyala, obulumi buva mu bitundu ebikalubye.

Waliwo ensonga eziwerako lwaki ekitundu kino eky’enkovu kikola:

Obujjanjabi bw’amasannyalaze (Radiation Therapy).

Obujjanjabi bw’amasannyalaze bwe buweebwa ebitundu by’omu kifuba (i.e. ekitundu wansi w’olubuto), obukyala busobola okufunda ng’ekizibu. Kino kiyitibwa okusannyalala kw’obukyala okuva ku masanyalaze. Embeera eno etera okubeerawo naddala oluvannyuma lw’okujjanjabwa n’amasannyalaze mu bakyala abasukka mu myaka 50. Oluusi, okukozesa eddagala eriweweeza ku kookolo (chemotherapy) nakyo kiyinza okukosa kino.

Okuloongoosa

Okulongoosa kwonna okuzingiramu nnabaana, obukyala oba omumwa gwa nnabaana kuyinza okwonoona ebitundu by’obukyala n’okuleeta enkovu. Okugeza, kino kizingiramu enkola y’okuddamu okuzimba n’okulongoosa ekitundu ky’omu kifuba ekigwa.

Okuzaala

Ebitundu by’enkovu nabyo bisobola okuva ku bizibu ebiva mu kuzaala okwa bulijjo, gamba nga episiotomy (akasala akatono akakolebwa wakati w’obukyala n’obukyala) oba amaziga g’obukyala. Eno y’ensonga lwaki abakyala abamu bawulira ng’obukyala bunywezeddwa katono nga bamaze okuzaala. Kino kiyinza okuvaako obulumi nga beegatta okumala emyezi nga bamaze okuzaala.

Embeera z’olususu

Waliwo endwadde z’olususu ezimu, okugeza `Lichen Sclerosus` ne `Lichen Planus`. Embeera zino nazo zisobola okuvaako obukyala okukala.

Okuva mu nsonga

Bw’osemberera ekiseera ky’okugenda mu nsonga (kwe kugamba, oluvannyuma lw’okugenda mu nsonga buli mwezi), emiwendo gy’obusimu obuyitibwa estrogen mu mubiri gwo gikendeera. Kino kiyinza okuvaako ebitundu by’obukyala okukala n’okugonvuwa. Kino kiyitibwa okuzimba obukyala. Embeera eno oluusi esobola okwongera obubonero bw’okusannyalala kw’obukyala.

Tekitera nnyo, okusannyalala kw’obukyala nakyo kuyinza okubaawo olw’obuzibu obumu obuzaalibwa nabwo, gamba ng’okusannyalala kw’ekibumba.

Ani asinga okulwala embeera eno?

Omuntu yenna alina obukyala asobola okulwala `Vaginal Stenosis`. Wabula oli mu bulabe bwa maanyi singa oba olina:

• Bw’oba ​​olongooseddwa mu kitundu ky’ekisambi.
• Singa episiotomy yakolebwa nga bazaala oba obukyala bwakutuse.
• Bw’oba ​​ofunye obujjanjabi bw’amasannyalaze g’ekifuba oba eddagala eriweebwa mu kitundu ky’ekisambi.

Okunoonyereza okumu kulaga nti abantu abakozesa ebintu ebikolebwa mu taaba nabo bali mu bulabe obw’okufuna embeera eno.

Kino kiyinza okuleeta bizibu ki?

Okusannyalala kw’obukyala tekukosa bukyala bwokka. Kiyinza okukosa obulamu bwo bwonna, so si bulamu bwo obw’okwegatta bwokka. Lowooza ku butasobola kukozesa bulungi tampon, obutasobola kukola kukebera bukyala mu ngeri eyeeyagaza, oba obutasobola kwegatta na munno kiyinza okukunyiiza ddala. Singa tebujjanjabwa, okusannyalala kw’obukyala kuyinza okweyongera. Era kiyinza okuba ekizibu ennyo okujjanjaba. Kale bw’oba ​​olina obulumi bwonna, kikulu okwogera n’omusawo ku nsonga eyo.

Omusawo kino akitegeera atya?

Omusawo asobola okuzuula obulwadde bw’okusannyalala kw’obukyala ng’akukebera ekisambi n’ayogera ku bubonero bwo. Olina okutegeeza omusawo wo ddi obulumi lwe bwatandika, emirimu ki egireeta obulumi, n’ebyafaayo byo byonna eby’obujjanjabi, omuli n’okulongoosebwa kwonna n’obujjanjabi bwonna bw’obadde ofunye.

Mu kiseera ky’okukebera obukyala, omusawo ajja kwambala ggalavu, asiize ekizigo, n’okuyingiza engalo ze mu bukyala okukebera engeri gye bugonvuwamu n’obuziba. Bw’oba ​​owulira obulumi bwonna mu kukeberebwa kuno, olina okutegeeza omusawo wo . Teweeraliikiriranga, abasawo bamanyidde ekintu eky'ekika kino.

Bujjanjabi ki obukolebwa ku kino? Ka tulabe...

Ekigendererwa ekikulu eky’obujjanjabi kwe kufuula ebitundu by’enkovu ebigonvu, oba okwanguyirwa okutambula. Enteekateeka y’obujjanjabi ggwe n’omusawo gy’olonda ejja kusinziira ku kivaako okusannyalala kw’obukyala n’obuzibu bwakwo. Kijjukire nti obujjanjabi buno buyinza okutwala emyezi, oba n’emyaka. Olw’okuba ebitundu by’enkovu bisobola okuddamu, oyinza okwetaaga enteekateeka ey’ekiseera ekiwanvu okusobola okuddukanya okusannyalala kw’obukyala bwo.

Bino bye bimu ku bujjanjabi obuliwo ku `Vaginal Stenosis`:

Ebigaziya obukyala

Ebyuma ebigaziya obukyala biba bitonotono, nga bya ssiringi nga bikozesebwa okugolola obukyala mpola mpola . Otandika n’akawoowo akatono aka dilator. Oluvannyuma, mu wiiki oba emyezi mitono, mpolampola ogenda ku dilator ennene. Kino kiringa dduyiro, era kyetaagisa obugumiikiriza obutono.

Obujjanjabi bwa Pelvic Floor

Pelvic Floor Therapy ngeri nnungi nnyo ey’okunyweza ebinywa by’omu kifuba n’okulongoosa entambula y’omusaayi mu kitundu. Bw’omala okuyiga engeri y’okukonziba n’okuwummuza ebinywa by’omu kifuba, ojja kukwanguyira okukozesa ekyuma ekigaziya obukyala. Osobola okufuna obuyambi okuva ew’omusawo omukugu mu by’omubiri ku kino.

Obujjanjabi bw’okukyusa obusimu (HRT) .

Singa okusannyalala kw’obukyala kwo kuva ku butabeera na estrogen, okumira estrogen kiyinza okukuyamba. Waliwo ebika bya HRT bingi - ebizigo, empeke, ebipapula. Bino bisobola okuyamba okwongera obunnyogovu n’obugumu bw’ebitundu by’obukyala. Wabula nga tonnatandika HRT, olina okwogera n’omusawo wo ku bulabe n’emigaso.

Okuloongoosa

Oluusi, omusawo ayinza okukuwa amagezi okulongoosebwa okugaziya ekifo ky’obukyala. Wabula kino kikolebwa ng’ekisembayo kyokka, era singa obujjanjabi obulala tebukola.

Ng’oggyeeko obujjanjabi buno obukulu, waliwo n’ebirala ebiyinza okukuleetera obuweerero:

• Okukozesa ebizigo ebiva mu mazzi nga weegatta, gamba nga KY® Jelly.
• Okukozesa eddagala erifukirira obukyala, nga ReplensTM, tekiba ng’ekizigo, era osobola okukikozesa nga tolina kwegatta. Ayamba okukuuma ebitundu by’obukyala nga binnyogovu olunaku lwonna.
• Okusinziira ku kivaako okusannyalala kw’obukyala, oyinza n’okugezaako obujjanjabi bwa layisi.

Ekisinga obukulu kwe kumanyisibwa mu bujjuvu ku bujjanjabi buno, okwogera n’omusawo wo, n’okulonda ekisinga okukukolera. Obujjanjabi bwonna tebukola ku buli muntu.

Kino kinaatereera mu ngeri ey’otoma?

Nedda.Ebitundu by’enkovu si kintu ekijja okugenda ku bwakyo nga tewali bujjanjabi. Singa embeera eno tegijjanjabwa, embeera eyinza okweyongera okumala ekiseera n’eyongera okulumwa.

Kiki ky'oyinza okusuubira singa oba olina `Vaginal Stenosis`?

Obulwadde bw’okusannyalala mu bukyala buyinza okuba embeera eruma era eswaza. Kituufu. Wadde nga tewali ddagala lya lubeerera, ery’omulundi gumu, omusawo asobola okukuyamba okufuna engeri gy’oyinza okubuddukanyaamu. Olw’okuba okuzimba obukyala kuyinza okuddamu, kiyinza okwetaagisa okugenda mu maaso n’okukozesa ebigaziya, ebizigo oba eddagala eddala eriddaabiriza. Wabula singa bafuna obujjanjabi obutuufu, abantu bangi balaba enkulaakulana ennene mu bulamu bwabwe obw’okwegatta n’omutindo gw’obulamu okutwalira awamu. Kale teweeraliikiriranga.

Waliwo engeri y’okuziyiza kino okubaawo?

Oluusi kisoboka naye ebiseera ebisinga kibaawo singa oba waakafuna obujjanjabi obw’amasannyalaze. Abasawo abamu bagamba okukozesa ekyuma ekigaziya obukyala okuziyiza okusannyalala kw’obukyala oluvannyuma lw’okujjanjabwa kookolo.

Wabula singa wabaawo okulongoosebwa, `Vaginal Stenosis` bulijjo tesobola kuziyizibwa. Newankubadde obungi bw’ebitundu by’enkovu ebikola busobola okukendeezebwa nga tukozesa `enkola z’okulongoosa ezitayingirira nnyo`, tebusobola kuggyibwawo ddala.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​ofuna obulumi ng’ogenda okwegatta, ng’oyingiza tampon, oba ng’okeberebwa ekisambi , kakasa nti olaba omusawo wo amangu ago. Guno guyinza okuba omulamwa ogw’amaanyi gw’oyinza okwogerako naye jjukira nti omusawo wo aliwo okukuyamba. Okusannyalala kw’obukyala mbeera ya bulijjo, era obubonero bwo busobola okuwona. Tewali nsonga lwaki tuswala oba okutya.

`Vaginal Stenosis` ne `Vaginal Atrophy` kintu kimu?

Nedda, byombi bikwatagana, naye zino mbeera bbiri ez’enjawulo.

• Okukendeera kw’obukyala mbeera ng’oluwuzi lw’obukyala lukalu ne lugonvu olw’obutaba na ‘estrogen’. Eno mbeera eyeekuusa ku busimu obutera okukwata abakyala abasemberera okuva mu nsonga.
• Ate `Vaginal Stenosis` eva ku bitundu by’enkovu ebitondebwawo olw’ebintu ng’okulongoosebwa, obujjanjabi obw’amasannyalaze, n’okuzaala.

Embeera zino ebbiri zikwatagana kubanga ebitundu by’obukyala bwe binafuwa n’okukala olw’obulwadde bwa `Vaginal Atrophy`, obulumi n’obutabeera bulungi ebiva ku `Vaginal Stenosis` bisobola okweyongera.

Okusannyalala kw’obukyala si kintu kyokka ekikosa obukyala bwo. Kiyinza okukosa essanyu lyo, okwekkiririzaamu, era n’okukaluubiriza okubeera n’enkolagana ey’oku lusegere n’abo be weegatta. Wadde nga guno guyinza okuba omulamwa omuzibu okwogerako mu lwatu, okunoonya obuyambi okuva eri omusawo kye kintu ekisinga obulungi ky’oyinza okwekolera. Waliwo obujjanjabi obuwerako obusobola okuyamba ku kusannyalala kw’obukyala. Tolina kubeera na bulumi buno, era tolina kubukkiriza. Abantu bangi bagamba nti omutindo gw’obulamu bwabwe gutereera nnyo nga bamaze okufuna obujjanjabi obutuufu.

Ebintu ebikulu by’olina okujjukira

• Obulwadde bwa Vaginal Stenosis buba bufunda n’oluusi okufunda kw’obukyala. Ekisinga okuvaako kino bye bitundu by’enkovu.
• Bw’oba ​​olina obubonero ng’okulumwa ng’ogenda okwegatta, okukaluubirirwa okuyingiza tampon, okukala kw’obukyala, oba okulumwa ng’ogenda okwekebejja obukyala, tokwatibwa nsonyi otegeeze omusawo.
• Embeera eno eyinza okuva ku bujjanjabi bw’amasannyalaze, okulongoosebwa, obuvune ng’azaala, endwadde z’olususu ezimu, n’okuggwaamu amaanyi mu nsonga.
• Waliwo obujjanjabi ku kino! Osobola okufuna obuweerero n'ebintu nga `Dilators`, `Pelvic Floor Therapy`, obujjanjabi bw'obusimu, ebizigo, n'ebifukirira obukyala.
• Kino si kintu kya kuswala. Ekisinga obukulu kwe kusaba obuyambi. Tolina kubonaabona ng’oyita mu kino kyokka. Omusawo wo ajja kukuyamba.

` Okusannyalala mu bukyala, Okusannyalala mu bukyala, Enkovu, Obulumi mu kwegatta, Dyspareunia, Okugaziya obukyala, Pelvic Radiation Therapy