I vaginal area-ah pawh natna awm reng i nei em? Vulvodynia chungchang hi han sawi ila!

I vagina, chu chu i pawn lam genitalia-ah hian chhan hriat lohvin a na emaw, kang emaw i nei \hin em? Chutiang a nih chuan thil awlsam tak angin hnawl suh. A chhan chu vawiin hian Vulvodynia chungchang kan sawi dawn a, chu chu hmeichhe tam takin ngawi renga an tawrh thin, mahse uluk taka hriat chian chuan enkawl theih a ni.

Vulvodynia chu eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, vulvodynia hi i vulva-a natna rei tak a ni a, thla thum emaw a aia rei emaw chhung a awm a, a chhan hriat loh a ni. Tunah chuan, "Vulvodynia hi natna hrik, vun natna, etc. vang pawh a ni thei," tih hi i ngaihtuah mai thei. Ni e, chu chu a dik a ni. Mahse vulvodynia hi natna chi khat bik a ni lo. A natna chu a nasat em avangin i nitin hnathawh, i duhzawng thilte pawh a titawp thei che a ni. Chu chu a lungchhiatthlâk êm êm tih han ngaihtuah teh!

Vulvodynia chi hrang hrang a awm em?

Ni e, vulvodynia hi chi hnih ah then a ni ber a, a natna awmna hmun a zirin.

1. Vulvodynia awmna hmuna awm:

Vawi tam tak chu natna chu hmun bik pakhatah a awm thin. Entirnan, i vaginal opening vel vun nalh takah (vulvar vestibule) – i labia chhung lam, i zun na hmun (urethra), leh i vagina inkar vun nalh takah emaw – i vagina chunglam hmun te tak te, sensitive tak, clitoris an tih ah emaw pawh a ni thei. Hei hi `localized vulvar pain syndrome` an ti \hin.

2. Vulvodynia tlangpui: 1.1.

A châng chuan a natna hi hmun khatah chauh a awm lo. I vulva hmun hrang hrangah a natna hi hun hrang hrangah i hre thei. A châng chuan i vulva pumpuiah natna hi a darh thei bawk.

Tin, vulvodynia natna hi "provoked" a ni thei a, chu chu khawih emaw thiltih emaw avanga lo awm tihna a ni a, "unprovoked" tihna a ni bawk a, chu chu pawn lam thil awm lo tihna a ni.

Engtin nge vulvodynia hian mi nun a nghawng?

Hei hi a takah chuan i ngaihtuah aiin nun a nghawng nasa zawk a ni. Hetiang hian han ngaihtuah teh...

• Rei lutuk thut avanga natna lo thleng hian i hna thawh a ti harsa thei hle.
• Sex hman laia natna (dyspareunia) emaw, sex hman theih lohna emaw hian mimal inlaichinna a tichhe thei a ni.
• Mut chu a harsa thei a, rei tak mut pawh a harsa thei bawk .
• Thawmhnaw hak tur thlan pawh a tlem thei a, thawmhnaw thenkhat hak hian natna a tizual a ni.

Research pawhin vulvodynia hi depression leh anxiety nen a inzawm tih hmuhchhuah a ni bawk. Chuvangin taksa natna mai a ni lo va, rilru phurrit lian tak a ni bawk.

Tute nge vulvodynia vei tam zawk? Engtiang chiahin nge a hluar?

Kum eng pawhah vulvodynia hi awm thei mah se, hmeichhia kum 20 leh 60 inkar zingah hmuhchhuah tam ber a ni a, a nihna takah chuan vulvodynia hi nau neih kum lama hmeichhiate zingah dyspareunia leh chronic pelvic pain thlentu ber a ni .

Mahse, engtiang chiahin nge a hluar tih erawh sawi a har khawp mai. Mi tam tak chuan sawi an hreh a, inenkawlna an zawng lo. Tin, a chhan dik tak hriat a la nih loh avangin diagnose pawh a harsa deuh thei bawk. A châng chuan natna anga ngaih sual emaw, natna khirh tak dang anga ngaih sual emaw pawh a ni thei.

Vulvodynia natna lan chhuah dan chu engte nge ni?

He natna kan tawn dan hi mi tin tan a inang lo. Natna intan dan te, a tawp dan te, a nasat ber lai te pawh hi mi hrang hrangah a inang lo.

He vulvodynia natna hi engtin nge a awm?

I vaginal area ah natna hi a na lo atanga na tak thlengin a awm thei . Hetiang hian a awm thei:

• Kangmei ang maiin
• Stinging a awm
• Chemte hmanga chil chhak ang mai
• Scratching ang maiin.
• Rawness a ni
• Throbbing zet mai

He natna hi hmun khatah hriat theih a ni a, hmun khat atanga hmun dangah a kal thei a, a nih loh leh vaginal area pumpuiah a darh thei bawk.

Engtin nge vaginal area-ah natna i hriat tan theih ang?

A natna chu hetiang hi a ni thei:

• A intan thut a, thla tam tak chhung chu a tawp nghal mai thei.
• Thla tam tak chhung chu a tawp thei lo .
• A chhan hriat lohvin a intan nghal thei .
• Miin a khawih che lai te, sex i hman lai te, exercise i tih lai te, i tlan lai te, i kal lai te, tampon i dah lai te, a nih loh leh i thut mai mai lai te pawhin a intan thei a ni .

Hetiang thiltih eng pawh hian i vaginal pain i neih tawh chu a ti na zual thei a ni.

Vulvodynia hi engte nge ni?

Researcher-te chuan vulvodynia awm chhan dik tak hi an la hre lo a, mahse a thlentu nia an ngaih thil tlemte a awm a:

• Pun
• Hormone lam thil a ni
• Genetic factors atanga lo chhuak a ni
• Neuropathic lama harsatna a awm
• Hun rei tak chhunga vaginal infection lo awm tawhte
• Pelvic floor muscle chak lohna emaw muscle spasm emaw a awm
• Allergy emaw irritation emaw, vun tichhe thei thil khauh tak tak avanga lo awm

Vulvodynia natna dang engte nge hmuh tur awm?

Vawi tam tak chu vulvodynia vei te hi heng natna dang pakhat emaw a aia tam emaw hi an vei tih hmuhchhuah a ni:

• Fibromyalgia natna a ni
• Bladder natna (bladder syndrome) natna nei
• Irritable bowel syndrome (IBS) natna hi a awm thei lo.
• Temporomandibular disorder (TMD) (jaw area-a ruh inzawmna nena inzawm natna) .

Stress leh lungkhamna hian vulvodynia a thlen em?

Data atanga a lan dan chuan vulvodynia vei te hian stress level sang zawk an nei tam zawk a, tun hmaa tihduhdahna an tawh tawh a, rilru lam hriselna lama harsatna engemaw zat an nei tam zawk bawk . Entir nan:

• Hlauhthawnna
• Lungngaihna
• Post-traumatic stress disorder (PTSD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk.

Mahse, heng natna te hi vulvodynia nen hian engtin nge an inzawm tih erawh sawi chian a harsa hle. Rilru lam hriselna lama harsatna i neih hian vulvodynia vei theihna a tipung thei a ni. A nih loh leh, vulvodynia-in i nunah nghawng ṭha lo a neih avangin lungkhamna emaw, lungngaihna emaw i nei tam zawk tihna a ni thei bawk.

Engtin nge Vulvodynia hi hriat chhuah a nih?

I doctor chuan i natna thlentu tur thil dang a paih chhuak a, vulvodynia a ni tih a hmuchhuak a ni.

1. Medical history leh symptoms: A hmasain doctor chuan i medical history, sexual history leh surgery i neih tawhte a zawt ang che. I natna lan chhuah dan – khawiah nge a natna, eng ang nge a nih, engtikah nge i vaginal area a na tih leh a nasat dan te pawh an zawt bawk ang.

2. Taksa enfiah: Doctor in i pawn lam serh (vulva) a enfiah ang. I vagina leh cervix enfiah nan speculum hmangin pelvic exam a nei bawk ang. Cervix hi i vagina leh uterus inkar kawngkhar a ni. I pelvic floor muscle te pawh a enfiah ang a, a natna hmun a hriat theih nan.

3. Cotton swab test / point-pressure testing: Doctor chuan i vagina hmun hrang hrang chu cotton swab hmangin zawi zawiin a khawih a, engtikah nge (leh khawiah nge) i natna i hriat tih a zawt thin. He test hi hmun khata awm, vaginal opening (vulvar vestibule) bula awm natna hriat theihna atan a tangkai hle.

4. Infection test na tur swab: 1.1.Heng test te hian sexually transmitted infection (STIs), bacterial vaginosis, leh yeast infection te, vaginal pain thlen thei te chu a paih chhuak thei a ni.

A tlem hle a, i doctor chuan vulvodynia nena inzawm lo, mahse i natna thlentu tur natna dang a awm loh nan colposcopy emaw biopsy emaw a ti thei a ni.

Vulvodynia hi engtin nge enkawl a nih?

Vulvodynia enkawl hian hun a duh a. I tana tha tur enkawlna emaw, enkawlna inzawmkhawm emaw hmuh theih nan trial and error engemaw zat a ngai mai thei. A châng chuan enkawlna ṭha tak takte chuan hna a thawk nghâl lo thei bawk. I enkawl danah dawhtheih a pawimawh.

Enkawlna hrang hrangte chu:

• Topical medications: I vaginal area numb turin anesthetic cream leh ointment i hmang thei a, nerve-stabilizing cream i hmang thei bawk. I doctor chuan estrogen emaw estrogen leh progesterone emaw awmna cream a pe thei bawk.
• Damdawi ei: Damdawi antidepressant leh anticonvulsants te chu ka hmanga pek theih a ni a, chu chuan nerve natna a tiziaawm thei a ni.
• Nerve block: I doctor chuan i nerve atanga natna signal lo chhuak chu i thluaka a thawn chhuah loh nan shot i ei tir thei ang.
• Physical therapy: Physical therapy hian i pelvic floor muscles (i pelvis chhunga muscle, ligaments leh connective tissue) te tightness chu a tizau thei a ni. Vulvodynia-a awm fo thin muscle spasm tihziaawmna atan pawh a pui thei bawk. Enkawlnaah hian pelvic floor muscle chak lote chu tihzauh, sei leh tihchak te pawh a tel thei.
• Vestibulectomy: He surgery hi localized vulvodynia vei, enkawlna pangngai dang dawng lo tan chuan a tangkai hle. He surgery-ah hian i doctor chuan i vaginal area-a tissue natna awm chu a la chhuak thin.
• Counselling: Mimal counseling, nupa counseling emaw, sex therapy emaw hian i nunah vulvodynia-in a nghawng \ha lo lam, i mipat hmeichhiatna hman dan ang chite chu a ti \ha thei a ni.

Data tlemte chuan acupuncture leh hypnosis hian vulvodynia nena inzawm natna tihziaawmna leh sexual dysfunction hnehna a pui thei tih a tarlang.

Vulvodynia natna lan chhuah dan hi engtin nge kan enkawl ang?

I vulva leh vagina hrisel taka awm theihna tura i tih dan tha tam tak (vulvar care) hian vaginal pain a pui thei bawk.

Natna enkawl nan heng thilte hi i ti thei ang:

• Epsom salt emaw colloidal oatmeal emaw hmangin inbual rawh.
• I vaginal area i sil dawnin sahbawn rimtui lo, mild (or tui chauh) hmang ang che.
• I vagina-a puan inzawm chu silfai nan rimtui lo, mild laundry detergent hmang ang che.
• Nitin all-cotton underwear ha la, zanah underwear tel lovin kal rawh.
• I vaginal area-ah cold compress emaw gel pack emaw hnawih la (a vawi khatah minute 15 aia rei dah loh tur).
• Lubricant rimtui lo, thlum lo, sex hman laiin cooling leh warming property nei lo hmang rawh.
• Hun rei tak i thut a ngai a nih chuan foam “donut” emaw cushion dang hmangin vaginal area-a pressure tihziaawmna tur a ni.
• Zan tin mut tawk (darkar 7-9 inkar) thin ang che.
• I nitin nunah stress tihziaawmna leh chawlh hahdamna hmanrua te dah tel bawk ang che.

Heng thilte hi tih loh tur :

• Pantyhose tight tak tak, pants, jeans emaw ha.
• Toilet paper rimtui tak tak, tampon, pad, emaw panty liner hmanga siam.
• Swimsuit hnim emaw workout thawmhnaw thawmhnaw hnim hring emaw rei lutuk ha.
• Douche emaw, deodorant leh bubble bath ang chi irritants awm thei hman emaw.
• Cycle khalh, sakawr khalh, a nih loh leh exercise dang, vaginal area tichhe thei .

Vulvodynia hi ven theih a ni em?

Vanduaithlak takin vulvodynia ven dan tur a awm lo.

Vulvodynia hi a bo vek dawn em ni?

I vulvodynia chu engtikah nge (a nih loh leh engtin nge) a lo ṭhat ang emaw, a mah chauhin a bo ang tih sawi theihna tur evidence a tling lo. Nghah mai ai chuan i doctor hmu la, i tanpui thei tur enkawlna tan tir rawh.

Vulvodynia chungchangah hian engtikah nge doctor i hmuh ang?

Vaginal pain i neih reng chuan i primary care provider emaw gynecologist emaw pan rawh. I tana enkawlna dik tak zawn nan hun engemaw chen a la ngai mai thei. Enkawlna atan chuan team-based care approach a ngai thei a, chu chu gynecologist, physical therapist, emaw counselor emaw a ni thei. Heng resources te nen hian i inzawm thuai poh leh hahdamna i hmu thuai thei ang.

Doctor hnenah eng zawhna nge ka zawh ang?

Hetiang zawhna hi i zawt thei ang:

• Ka natna chhan hriat tumin eng test nge tih theih ang?
• Ka natna lan chhuahna tizual thei thil eng thiltih nge ka pumpelh tur?
• Ka vulvodynia hi ka natna dang nen a inzawm thei ang em?
• Vulvodynia natna hrisel tak ka neih theih nan eng step nge ka tih theih ang?
• Eng damdawi nge, kalphung, a nih loh leh nunphung tihdanglamna chu enkawlna atan i rawt?

Vulvodynia hi engtin nge kan tihdam theih ang? Chu chu rang taka tihbo theih dan a awm em?

Vanduaithlak takin vulvodynia hi zan khata tihdam theih thil a ni lo. I tana tha tur enkawlna chu i natna chhan bulpuiah a innghat ang. Damdawi, taksa lam enkawlna, counseling, leh surgery te hi natna tihziaawmna thlen thei tur solution awm thei zawng zawng a ni.

Natna tihziaawmna nghal i mamawh chuan i natna hmunah topical anesthetic i hnawih thei bawk. Mahse, hun rei tak chhung natna tihziaawmna atan chuan i doctor nen thawk hovin enkawlna dik tak emaw, enkawlna dik tak emaw i zawn a ngai mai thei.

A pawimawh ber chu i vaginal area-ah natna i neih chuan doctor pan a ni. Natna bik vang emaw, vulvodynia vang emaw pawh a ni thei. Mahse, i tanpui thei tur enkawlna a awm. A tirah chuan, hahdamna thlen thei damdawi zawn nan hun engemaw chen a ngai mai thei. Mi dang tana \ha thei enkawlnate chu i tan a \ha lo mai thei. Mahse, enkawlna kawng i zawn hma poh leh i tan a tha zawk. A tul lovah natna chu tuar suh la, i hriselna pawh hlauhawmah dah suh!

Thupui tawi (Take-Home Message) 1.1.

Vulvodynia hi hmeichhiate vaginal area-a natna rei tak, sawifiah theih loh a ni. Nitin nun leh rilru hriselnaah nghawng lian tak a nei thei a ni. Diagnosis dik tak leh damlo enkawl a nih chuan he natna hi enkawl theih a ni. Heng symptoms te hi i neih chuan zak leh hlau suh. Damdawi lam pan vat rawh. Nangmah chauh i ni lo tih hre reng la, tanpuina a awm bawk.

` Vulvodynia, vaginal pain, hmeichhe hriselna, chronic pain, sexual pain, vulva, gynecology