Vagina chhehvelah pawh natna i nei em? Hemi (Vestibulodynia) chungchang hi han sawi ila!

I vagina luhnaah hian a chang chuan natna emaw, kang emaw i nei thin em? He natna hi sex hman lai emaw, i la awm lai chauh pawhin a awm thei. Hei hi hmeichhiate zingah sawi chhuah ngai loh buaina a ni fo a, mahse mi tam tak a nghawng a ni. Chuvangin vawiin hian he thu hi chipchiar deuhin kan sawi dawn a ni .

Hei hi eng nge ni (Vestibulodynia)? A awlsam zawngin i hrethiam ang u?

A awlsam zawngin, vestibulodynia chu i vagina chhehvela natna a ni a, chu chu vestibule an ti a ni. He natna hi a châng chuan vagina chhehvela pawn lam mipat hmeichhiatna hmun dang, vulva an tihah pawh a awm thei bawk. Natna buaithlak tak, rei tak daih thei a ni. A châng chuan a chhan chiang tak hmuh tur a awm lo. I doctor chuan he natna hi vulvar vestibulitis syndrome , emaw a tawi zawngin (VVS) a ti thei bawk.

Tunah chuan vulva hi eng nge ni tih i ngaihtuah mai thei. Hmeichhe nau neihna kawng pawn lam atanga hmuh theih a ni. A dik zawka sawi chuan i chhungril reproductive organs, i vagina, uterus, leh ovaries te chu a venghim a ni. Tin, i urethra , zun chhuahna tube chu a humhim bawk.

Vulva hi i sexual response leh orgasm atan a pawimawh hle. Heng a then te hi a nei a:

• Clitoris a awm
• Chhung lam hmui (labia minora) .
• Pawn lam hmui (labia majora) .
• Vagina luhna kawngkhar (vestibule) .

(Vulvodynia) leh (Vestibulodynia) te hi eng nge an danglamna?

Heng hming pahnih hi a buaithlak deuh thei a, mahse a awlsam zawngin i sawi ang u. Vestibulodynia hi natna chi khat a ni a , Vulvodynia category lian zawkah a tel a ni . Heng dinhmun pahnihah hian chhan hriat lohvin vulva area-ah natna a awm a ni.

Vulvodynia hi chi hnih a awm a, chungte chu :

1. Generalized vulvodynia: Hei hi vulva hmun engemaw zatah natna awm reng a awm a, hmun khat chauh ni lovin.

2. Localized vulvodynia: Hetah hian natna hi vulva hmun bik pakhatah chauh a awm a ni . Entirnan, vagina luhna kawngkhar natna ( vestibulodynia tia koh ) emaw, clitoris na (clitorodynia) emaw . Chung zingah chuan pressure emaw pressure emaw avanga lo awm vestibulodynia hi localized vulvodynia chi khat a ni ber a ni. Provoked vestibulodynia kan ti a ni.

Provoked Vestibulodynia tih hi eng nge ni?

A hming ang bawkin provoked vestibulodynia chu i vestibule-a pressure emaw pressure emaw a awm chuan natna a ni. He pressure hian he natna khirh tak hi a "provoke" a, thla thum aia rei a daih thei a ni. He pressure hi thil hrang hrang atanga lo awm thei a ni:

• Doctor-in pelvic exam a tih.
• Hmun khata rei tak i thut lai hian.
• Sex hman lai hian.
• Thawmhnaw tight (e.g. tight pants) i hak hunah.
• Vagina chhunga thil dah a nih chuan, kut zungtang emaw, penis emaw, tampon emaw, sex toy emaw pawh ni se .

Ngaihtuah teh, Nimali hi nitin office-a darkar tam tak thut thin a ni. Ni engemaw zat chu a hnuteah a kang deuh tan a. A tirah chuan ngaihsak lo mah se, sex a hman hnuah a natna chu a zual sauh sauh a. A hlauthawng lutuk a, tumah a hrilh thei lo. Chutiang thil chu nang pawhin i tawng ve tawh mai thei.

Provoked Vestibulodynia hi eng chi nge ni?

Hei pawh hi chi hnih lian tak a awm bawk:

1. Primary (congenital) provoked vestibulodynia: Hei hi i dam chhunga a vawi khatna atana i vagina chhunga thil dah luh tum (e.g., a vawi khatna atana sex hman lai, tampon dah tum lai) a natna lo awm hi a ni. Hei hi pianpui (congenital condition) a ni a, pian tirh atangin a awm thei tihna a ni.

2. Secondary (acquired) provoked vestibulodynia: Hetah hian natna hi a hmaa i hnute chhunga thil i luhtir theih hnu ni engemaw zat, thla tam tak emaw, kum tam tak hnuah pawh natna awm lovin a lo awm thin. Hei hi hun kal zelah a lo awm zel a ni.

Vestibulodynia hi engtiang chiahin nge a awm?

Dik tak chuan, hmeichhe pali zinga pakhat vel chuan vulvodynia chi khat emaw an tawk dawn niin an chhut a, chu chu vulva natna a ni a, a chhan hriat theih loh a ni. A tam zawkah chuan he natna hi pawn lam atanga nawrna emaw, khawih emaw (" provoked " an tih) avanga lo awm a ni.

Mahse case tak tak erawh a tam zawk mai thei. Mi thenkhat chuan he harsatna chungchang hi an doctor te biak an zak thin. Mi dangte chuan hei hi tihdam theih loh, dam chhung zawnga nunpui tur niin an ngai. Mahse chutiang chu a ni lo, hei hi enkawl dan tur a awm!

Vestibulodynia hi engte nge ni?

Mithiamte chuan hei hi eng thil nge a thlen tih chiang takin an la hre lo. Mahse theory thenkhat a awm. Pakhat chu mi thenkhat chuan vulva ah pudendal nerve an nei tam zawk thei tih hi a ni . HeiPudendal nerve te hi i nervous system ah natna leh nuam tihna ang chi sensation thawntu a ni.

Mi thenkhat chuan neuroproliferation ( neuroproliferative vestibulodynia an ti bawk) tih natna an nei thin. Chumi awmzia chu an pudendal nerve te chu a sensitive hle tihna a ni. An khawih tlemte pawhin natna nasa tak ( hyperalgesia ) an nei thei ( allodynia ). He neuroproliferation hi pian tirh atanga awm emaw, nakin lawkah nerve tihchhiat emaw, irritation emaw avanga lo awm thei emaw a ni thei.

Tute nge vestibulodynia vei theihna chance sang zawk?

Hetiang dinhmun hi tu pawhah awm thei mah se, mipat hmeichhiatna lama active white leh Asian hmeichhia kum 20 leh 40 inkar ah a awm tam ber a, hmeichhia menopause paltlang tawh leh vaginal dryness leh vaginal atrophy ang chi condition nei te ah pawh a awm tam zawk thei bawk.

A hnuaia mi hi i neih chuan he natna hi i vei theihna a sang zawk:

• Sahbawn rimtui tak tak, detergent, pantyliners, etc. thenkhat laka allergy emaw sensitivity emaw a awm chuan.
• Yeast natna rei tak awm thei .
• Fibromyalgia ang chi natna te .
• Genetic predisposition chu natna rei tak, inflammation, emaw infection emaw a awm thei.
• (Interstitial cystitis) (thinlung natna) (bladder na).
• Joint natna emaw ruh natna emaw .
• Mood disorder te chu depression emaw bipolar disorder emaw a ni thei .
• Pelvic floor dysfunction , chak lohna emaw taksa ruh natna emaw.
• Nau neih laia mipat hmeichhiatna hmansual (rape) emaw harsatna emaw avanga trauma .

Vestibulodynia natna lan chhuah dan chu engte nge ni?

Vestibulodynia hi nerve nena inzawm natna chi khat (neuropathic pain) . He natna hi thla thum tal a awm thin. Natna chu a awm reng thei a, a lo kal leh chhuak thei bawk (chu chu intermittent an ti a ni ).

Vestibulodynia natna lan chhuah dan ber chu:

• Vestibular area-a kang, hliam emaw, chemte ang maia natna.
• Vagina chhunga thil dah luh emaw, thut emaw, taksa tihchakna, tlan, cycle khalh, sakawr khalh ang chi tih hian natna.
• Inpawlna hrehawm tak (dyspareunia) .
• Zun natna (dysuria) .
• Vestibule area sensitivity, dryness, redness, leh natna ang maia lang .

Vestibulodynia natna dang eng nge lo awm theih?

Mi thenkhat chuan Vestibulodynia nen hian heng natna pahnih hi an nei thei bawk :

• Clitorodynia: Hei hi localized vulvodynia chi khat a ni bawk. A hriat theih chu clitoris natna nasa tak a ni .
• (Vaginismus): Hei hi i vagina chhunga thil dah tum apianga i vaginal muscles te chu i hriat loh pawhin a tikhauh a, a inzawm khawm thin a ni.

Engtin nge Vestibulodynia hi hmuhchhuah a nih?

Hei hi hriat theihna tur diagnostic test bik a awm lo. I doctor chuan i symptoms te chu uluk takin a ngaithla ang. During a pelvic exam , i doctor chuan cotton swab a la ang a, zawi zawiin i vulva hmun hrang hrangah pressure a pe ang a, engtiang chiahin nge a na tih a zawt ang che.

Heng test zinga pakhat emaw a aia tam emaw pawh hi i run thei bawk a, harsatna dang a awm leh awm loh i en thei bawk a, a awm lo tih chian nan:

• Thisen test a ni.
• Urinalysis emaw urine culture tests - Hengte hi urinary tract infection (UTIs) , cystitis , yeast infection , leh mipat hmeichhiatna hmanga kai theih natna leh infection (STDs leh STIs) te enfiah nan an ti thin.
• Pap smear leh, a tul chuan colposcopy - hengte hi serh chhunga cell dik lo (cervical dysplasia) emaw, serh cancer emaw enfiah nan an ti thin.
• Skin biopsy - vun natna a awm leh awm loh enfiah nan.

Eng ang doctor nge vestibulodynia hi an enkawl?

Hetiang dinhmun hian i serh (genitals) a nghawng nachungin, hmeichhe lam harsatna a nih a ngai lo. Enkawlna atan specialist hrang hrang i pan a ngai dawn a ni. Chung zingah chuan:

• Naupai enkawltu/hmeichhe lam doctor (`Ob/Gyn`).
• Vun lam doctor.
• Neurologist a ni.
• Pain management specialist a ni.
• Pelvic floor-a taksa lam enkawltu (physical therapist) a ni.
• Psychologist, sex therapist emaw nupa enkawltu emaw.
• Urinary system leh hmeichhe reproductive system lama specialist (`Urologist` emaw `urogynecologist` emaw) a ni.

Doctor-te hian vestibulodynia hi engtin nge an enkawl?

Vestibulodynia enkawlna atana thil tum berte chu:Natna tihziaawmna leh symptoms control.

Hengte hi damdawi ni lo enkawlna an ni:

• Natna tidamtu leh natna tidam thei cream chi hrang hrang (`Anesthetic (numbing) skin cream`).
• Cognitive behavioral therapy (CBT) , nupa enkawlna emaw, sex therapy emaw a ni thei.
• Nunphung thlak danglam - entirnan, thawmhnaw hrual leh cotton underwear ha, leh thil rimtui hman loh.
• Pelvic floor physiotherapy - entirnan, Kegel exercise (pelvic floor exercise) leh biofeedback technique te.
• Vaginal lubricant leh vaginal dilators hmanga siam.

Damdawi hmanga enkawl dante chu:

• Antidepressant damdawi .
• Epilepsy leh nerve natna damdawi - e.g. gabapentin a ni .
• Botulinum toxin injection (Botox®) hmanga tihdam theih a ni .
• Corticosteroid cream emaw steroid injection emaw hmanga ei tur a ni.
• Pawn lam hormone cream (hormone therapy) hmanga siam .
• Nerve block a awm thin .
• Natna tidamtu.

Vestibulodynia hi operation hmanga tihdam theih a ni em?

Provoked vestibulodynia vei thenkhat, enkawlna dang dawng lote chuan vun leh tissue sensitive tak tak te paih chhuah nan operation an nei thei a ni. He surgery hi vestibulectomy an ti a . Hei hian symptoms te chu a tawp thlengin a ti reh fo thin.

Vestibulodynia hi ven theih a ni em?

I vulva enkawl nan heng step te hi zawm hian vulva natna hi i veng thei a, i tihziaawm thei bawk:

• I genital area-ah rimtui tak tak (e.g., feminine deodorant spray, talcum powder, scented panty liners) hman loh tur.
• Intravaginal naupai venna (e.g. diaphragms, cervical caps) hmang suh. Tin, spermicide leh naupai venna foam hmang suh, a ti na thei a ni.
• Zun zawhah toilet paper hmang lovin, mipat hmeichhiatna hmun chu squeeze bottle emaw bidet emaw atanga tui hmangin silfai tur a ni.
• Toilet paper bleach loh leh sanitary product rimtui lo (tampon, pad) hmang thin ang che.
• I vulva -a pressure tihziaawmna turin doughnut ang maia pillow-ah thu rawh .
• Natna tihziaawmna turin hot tub-ah dah la.
• I genital area chu tui chauhin silfai la (sahbawn tel lovin). Bubble bath, bath salt, bath oil emaw hmang suh.
• Cotton underwear, loose pants emaw shorts emaw ha rawh. Pantyhose, tights emaw tight leggings emaw hak loh tur.

Vestibulodynia avanga harsatna awm thei te chu engte nge ni?

Vestibulodynia vanga natna rei tak hi a nuam lo hle thei a, nunna pawh a tichhe thei bawk. Exercise leh hun rei tak ṭhut pawh a nghawng thei.

Vestibulodynia hian mipat hmeichhiatna lama harsatna a thlen thei bawk . Hei hian sex nuam i tih theihna a nghawng thei a, in inlaichinna leh mahni inngaihhlutna pawh a tichhe thei bawk. Nang leh i kawppui chuan therapist, couples therapist emaw sex therapist emaw nena inbiakna neih chuan hlawkna i hmu thei ang.

Vestibulodynia vei tan chuan eng nge a hmalam hun?

Vestibulodynia hi hun kal zelah a tha chho fo thin ( remission an ti). Vanduaithlak takin he vulva natna hi a lo let leh thei ( relapse an ti). Chuvang chuan vulva natna venna leh tihziaawm nan doctor thupek zawm a pawimawh.

Engtikah nge Doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor i pan ngei ngei tur a ni:

• Vaginal discharge pangngai lo leh rimchhia.
• Genital area ah a hring chhuak thin.
• Inpawlna hrehawm tak.
• Zun na tak.
• Yeast infection , urinary tract infection (UTI) , emaw natna dang emaw chhinchhiahna.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah hetiang zawhna hi zawh a tha ang:

• Engvangin nge hetiang (Vestibulodynia) hi ka neih ?
• Eng ang Vestibulodynia nge ka neih?
• Eng enkawlna kawng nge ka neih?
• Damdawi emaw, operation emaw ka ngaihtuah tur em ni?
• Complication symptoms te hi ka hriat chian tur em ni?

Vestibulodynia hi mipat hmeichhiatna hmanga kai theih natna (STD) vang a ni thei ang em?

No. Vestibulodynia leh mipat hmeichhiatna hmanga kai theih natna (STDs) inzawmna hriat a ni lo . Mahse, STD thenkhat, chlamydia leh gonorrhea te hian symptom inang, natna leh inflammation te hi a thlen thei a ni. Chuvang chuan heng natna lan chhuah chhan dik tak hriat chian a, enkawl dan tur dik tak hmuh theih nan doctor pan a pawimawh hle.

Vestibulodynia vanga vulvar natna hi thil tak tak a ni. I doctor nen insertion natna emaw i vulva a natna awm reng emaw chungchang sawipui chu zak suh . Vestibulodynia i nei thei bawk., chu chu i vestibule-ah natna khirh tak (vulvodynia) chi khat i nei thei tihna a ni. He vestibular pain hi a lo thleng nghal a, chhan hriat lohvin a lo thleng fo thin. Damdawi leh damdawi ni lo enkawlnaah pawh a pui thei a ni.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin kan sawi tawh hian thil pawimawh tak tak i hriat reng theih ka beisei. Vestibulodynia hi zah tur a ni lo.

• Nangmah chauh i ni lo: Nangmah chauh hian he harsatna hi i nei lo. Hmeichhe tam tak chuan he natna hi an tuar a ni.
• A chhan chu zawn chhuah theih a ni: Natna zawng zawng thlentu chu hriat nghal theih ni lo mah se, a chhan chu doctor nena inbiakna leh test tih a\angin hriat theih a ni fo.
• Enkawlna a awm: Hei hi tihdam theih loh natna a ni lo. Natna tihziaawmna tur leh nun awlsam zawk nan enkawlna chi hrang hrang a awm a.
• Zak suh: I hriselna chungchang sawi emaw, tanpuina dil emaw chu zak ngai suh. Doctor chu i tanpui tura awm mi a ni.

Chuvangin, heng symptoms te hi i neih chuan doctor rawn la, thurawn la rawh. I nunah i thlamuanna leh i hlimna hi i tan a pawimawh em em a ni.

` Vestibulodynia, Vulvodynia, Vaginal Pain, Sexual Pain, Vulva, Hmeichhe hriselna, Provoked Vestibulodynia