He piri, he whaiti rānei tō tenetene? Me kōrero tātou mō te Vaginal Stenosis.

Kei te ahua whaiti, kei te paku piri rānei tō tara i ētahi wā? Kei te mamae, kei te kore whakamarie rānei koe i te wā e moe tāne ana, e whakamahi ana rānei i te tampon? Tērā pea ka mataku, ka whakama rānei koe ki te kōrero mō tēnei mea. Engari he mea tēnei ka pā ki te tini o te tangata, inā koa he mate hauora ētahi. I tēnei rā, ka kōrerohia e tātou tēnei mate e kiia nei ko te 'Vaginal Stenosis'.

He aha te 'Vaginal Stenosis'? He whakarāpopototanga noa iho...

Ki te kī ngāwari, ko te 'Vaginal Stenosis' he whakawhāiti, ā, he whakaiti pea i te roa o roto o tō tenetene . Ko te take matua mō tēnei ko te hanganga o te kiko whara . I mōhio koe ina whara tetahi wāhi o tō tātou tinana, ka puta he whara i a ia e ora ana? Koinei te āhua. Ina pakaru, ina whara rānei te tenetene, ka ngana tō tātou tinana ki te whakaora mā te hanga i tēnei kiko whara. Engari ko te raruraru, kāore tēnei kiko whara i te ngāwari me te totoro pērā i te kiko tenetene noa. Nō reira, ina uru tetahi mea ki roto i te tenetene, pērā i te wā moe tāne, i te wā e whakauru ana i te tampon, i te wā rānei e tirotirohia ana te tenetene e te tākuta, tera pea ka mamae koe me te kore whakamarie. He maha ngā wā ka puta tēnei āhuatanga i muri i te whānautanga, i muri i te pokanga, i muri rānei i te rongoā irahiko ki te rohe pelvic ('Pelvic Radiation Therapy').

Kāore koe e hiahia ki te noho me tēnei mamae me te kore whakamarie. He maimoatanga kei reira hei whakaiti i ō tohumate, hei whakapai ake hoki i tō oranga.

He pēhea te noa o tēnei āhuatanga?

Kāore he tatauranga mō te auau o tēnei āhuatanga. Nā te mea he kaupapa tairongo rawa atu, kāore ētahi e pai ki te kōrero mō ō rātou tohumate, ki te rapu maimoatanga rānei. Nō reira, kāore i te tino kitea te maha o ngā kēhi. Heoi, he nui ake te kitea i roto i te hunga whai take mōrearea, pērā i te hunga kua pokangahia, kua rongoatia rānei ki te irahiko.

Kei a koe anō ēnei tohu?

I roto i tēnei āhuatanga 'Vaginal Stenosis', ka pāngia pea koe e ngā tohu pēnei i:

• Te mamae i te wā moe tāne (`Dyspareunia`): Koinei te tohu matua mō te tini o te tangata. Mō ētahi, he uaua rawa te moe tāne nā te mamae.
• Te mamae me te kore whakamarie i te wā e whakaurua ana he tampon ki roto i te tenetene.
• Te toto i te wā moepuku, i muri rānei i te moepuku.
• Te mamae, te kore whakamarie rānei i te wā e tirotirohia ana te hope e te tākuta wahine. Koia te take e wehi ai ētahi ki te toro atu ki ngā tākuta.
• Te maroke o te tara.

He aha te take e puta ai tēnei 'Vaginal Stenosis'? He aha ngā take?

E ai ki tā tātou i kōrero ai i mua, ka puta te 'Vaginal Stenosis' ina puta he kiko whara i roto i te tara, ka whaiti, ka poto hoki te tara. Kāore tēnei kiko whara i te ngāwari, i te totoro rānei pērā i te kiko tara noa. Whakaarohia, hei utu mō tētahi mea e totoro ana pērā i te here rapa, he mea pērā i te kirihou mārō. Koinei te āhua o tēnei kiko whara. Nō reira, ina uru tētahi mea ki roto i te tara, ka puta te mamae mai i te kiko kua maro.

He maha ngā take e puta ai tēnei kiko koha:

Te Whakaora Irahiko

Ina tukuna te rongoā irahiko ki ngā whekau pelvic (arā, te rohe i raro i te puku), ka whaiti pea te tara hei pānga taha. Ka kiia tēnei ko te stenosis tara i puta mai i te irahiko. He tino noa tēnei āhuatanga i muri i te rongoā irahiko i roto i ngā wāhine neke atu i te 50 tau te pakeke. I ētahi wā, ka pāngia hoki tēnei e te whakamahinga o ngā rongoā ārai-matepukupuku (chemotherapy).

Pokanga

Ka taea e ngā pokanga katoa e pā ana ki tō kōpū, tō tara, tō kaki rānei te kino i ngā kiko tara, ā, ka puta he kiko koha. Hei tauira, kei roto i tēnei ko ngā tikanga hanga anō me ngā pokanga mō te hekenga o te whekau pelvic.

Whānautanga

Ka puta pea he kiko whara nā ngā raruraru i te whānautanga noa, pērā i te episiotomy (he motu iti i waenganui i te tara me te nono) me ngā haehae tara. Koia te take e ahua piri ana te tara o ētahi wāhine i muri i te whānautanga. Ka mamae pea te tara i te wā moe mō ngā marama i muri i te whānautanga.

Ngā Āhuatanga Kiri

Tērā ētahi mate kiri, hei tauira ko te 'Lichen Sclerosus' me te 'Lichen Planus'. Ka taea hoki e ēnei āhuatanga te whai wāhi ki te maroke o te tara.

Te paheketanga

I a koe e whakatata atu ana ki te menopause (arā, i muri i te mutunga o ō paheketanga o ia marama), ka heke te nui o te homoni estrogen i roto i tō tinana. Ka maroke, ka angiangi hoki te kiko o te tara. Ka kiia tēnei ko te atrophy tara. I ētahi wā ka kino ake ngā tohu o te stenosis tara i tēnei āhuatanga.

He tino onge, ka puta te stenosis o te tara nā ētahi mate whānau mai, pērā i te adrenal hyperplasia.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate?

Ka taea e te tangata whai tara te pāngia e te 'Vaginal Stenosis'. Heoi, he nui ake tō tūponotanga mēnā kei a koe:

• Mena kua pokangahia koe i te rohe pelvic.
• Mena i mahia he episiotomy i te wā e whānau ana, i pakaru rānei te tara.
• Mena kua whiwhi koe i te rongoā irahiko pelvic, i te rongoā chemotherapy rānei ki te rohe pelvic.

Kua whakaatuhia e ētahi rangahau he nui ake te mōrearea o te hunga e whakamahi ana i ngā hua tupeka ki te whakawhanake i tēnei mate.

He aha ngā raruraru ka pā mai i tēnei?

Ehara i te mea ko tō tenetene anake te pānga o te stenosis tara. Ka pā pea ki tō oranga katoa, ehara i te mea ko tō oranga moepuku anake. Whakaarohia, ko te kore e taea te whakamahi tika i te tampon, te kore e taea te tirotiro i te tara me te whakamarie, te kore rānei e taea te moe tahi me tō hoa, he tino whakarihariha. Ki te kore e rongoatia, ka kino haere te stenosis tara. Ka uaua ake hoki te rongoā. Nō reira, ki te pāngia koe e te mamae, he mea nui kia kōrero koe ki te tākuta mō tēnā.

Me pēhea te mōhio o te tākuta ki tēnei?

Ka taea e te tākuta te tātaritanga i te stenosis tara mā te whakahaere i tētahi whakamātautau pelvis me te kōrero mō ō tohu. Me kōrero koe ki tō tākuta i te wā i tīmata ai te mamae, ngā mahi e puta ai te mamae, me tō hītori hauora katoa, tae atu ki ngā pokanga me ngā maimoatanga kua mahia ki a koe.

I te wā e tirotirohia ana te tara, ka mau karapu te tākuta, ka pania he hinu whakahinuhinu, ka kuhu i ōna maihao ki roto i te tara hei tirotiro i te ngāwari me te hohonu o te tara. Mēnā ka pāngia koe e te mamae i te wā o tēnei whakamātautau, me kōrero koe ki tō tākuta . Kaua e manukanuka, kua taunga ngā tākuta ki tēnei momo mahi.

He aha ngā maimoatanga mō tēnei? Kia titiro tātou...

Ko te whāinga matua o te maimoatanga he whakangāwari ake i te neke o te kiko o te tara, he whakangāwari ake rānei i te nekehanga. Ko te mahere maimoatanga e whiriwhiria e koe me tō tākuta ka whakawhirinaki ki te take o tō pūngao tara me tōna kaha. Kia maumahara ka roa pea ēnei maimoatanga mō ngā marama, tae noa ki ngā tau. Nā te mea ka hoki anō mai te kiko o te tara, me whai mahere roa pea koe hei whakahaere i tō pūngao tara.

Anei ētahi o ngā maimoatanga e wātea ana mō te 'Vaginal Stenosis':

Ngā Whakawhanui Tara

He taputapu iti, porotaka ngā whakawhanui tara e whakamahia ana hei whakatōtō mārire i te tara. Ka tīmata koe me tētahi whakawhanui iti. Kātahi, i roto i ētahi wiki, i ētahi marama rānei, ka neke haere koe ki tētahi whakawhanui nui ake. He rite tēnei ki te whakakori tinana, ā, me manawanui koe.

Te Whakaora Papa Pelvic

He huarahi pai te Pelvic Floor Therapy hei whakapakari i ngā uaua o te papa pelvic me te whakapai ake i te rere o te toto ki te rohe. Kia mōhio koe ki te whakawhāiti me te whakangāwari i ō uaua papa pelvic, ka māmā ake te whakamahi i te dilator tara. Ka taea e koe te tiki āwhina mai i tētahi kaiwhakaora tinana tohunga mō tēnei.

Te Whakaora Whakakapinga Hormone (HRT)

Mena nā te korenga o te estrogen te take o te stenosis o te tara, tera pea ka āwhina te tango i te estrogen. He maha ngā momo HRT - he kirīmi, he pire, he pāti. Ka taea e ēnei te āwhina ki te whakanui ake i te makuku me te ngāwari o te kiko tara. Heoi, i mua i te tīmatanga o te HRT, he mea nui kia kōrero koe ki tō tākuta mō ngā mōrearea me ngā painga.

Pokanga

I ētahi wā, ka tūtohu pea tō tākuta kia pokangahia hei whakanui ake i te whakatuwheratanga o tō tara. Heoi, ka mahia tēnei hei huarahi whakamutunga anake, ā, mēnā kāore i angitu ētahi atu maimoatanga.

Haunga ēnei maimoatanga matua, tera atu anō ngā mea ka taea te whakaora i a koe:

• Te whakamahi i ngā hinu whakahinuhinu wai i te wā e moe ai, pērā i te KY® Jelly.
• Kāore te whakamahi i tētahi hinu whakamākū i te tara, pērā i te Replens™, i rite ki tētahi hinu whakahinuhinu, ā, ka taea te whakamahi i te wā kāore e moe tāne ana. Ka āwhina i te pupuri i te makuku o ngā kiko tara i te roanga o te rā.
• I runga anō i te pūtake o te pīnga o te tara, ka hiahia pea koe ki te whakamātau i te rongoā taiaho.

Ko te mea nui ko te mōhio ki ēnei maimoatanga, me kōrero ki tō tākuta, me te whiriwhiri i te mea e pai ana mōu. Kāore e pai ana ngā maimoatanga katoa mō te katoa.

Ka pai ake aunoa tēnei?

Kāo. Ehara te kiko kiri i te mea e memeha noa iho ana me te kore he maimoatanga. Ki te kore e rongoatia, ka kino haere te āhua i roto i te wā, ā, ka nui haere te mamae.

He aha ngā mea ka taea e koe te tumanako mēnā kei a koe te 'Vaginal Stenosis'?

He mamae, he whakama hoki te mate pūmau o te pūngao tara. He pono. Ahakoa kāore he rongoā tuturu, kotahi te wā mō tēnei mate, ka taea e tō tākuta te āwhina i a koe ki te kimi huarahi hei whakahaere i tēnei mate. Nā te mea ka hoki anō te pūngao tara, me whakamahi tonu pea koe i ngā whakawhāiti, i ngā hinu whakahinuhinu, i ētahi atu maimoatanga tiaki rānei. Heoi, mā te maimoatanga tika, he maha ngā tāngata e kite ana i te whakapainga nui o ō rātou oranga moepuku me te kounga whānui o te oranga. Nō reira kaua e manukanuka.

He huarahi hei ārai i tēnei mea kei tupu?

I ētahi wā ka taea, engari i te nuinga o te wā ka taea anake mēnā kua whiwhi koe i te rongoā irahiko. E taunaki ana ētahi tākuta kia whakamahia he whakawhanui tara hei ārai i te whakapūmau o te tara i muri i te maimoatanga matepukupuku.

Heoi, mēnā ka pokangahia, kāore e taea te ārai i ngā wā katoa i te 'Vaginal Stenosis'. Ahakoa ka taea te whakaiti i te nui o te kiko koha e puta mai ana mā te whakamahi i ngā 'tikanga pokanga iti rawa te whakaeke', kāore e taea te whakakore katoa.

Āhea ahau me toro atu ki te tākuta?

Ki te pāngia koe e te mamae i te wā e moe tāne ana, i te wā e whakauru ana i te tampon, i te wā rānei e tirotirohia ana te hope , kia kite tonu koe i tō tākuta. He kaupapa tairongo pea tēnei hei kōrero, engari kia maumahara kei reira tō tākuta hei āwhina i a koe. He mate noa te uaua o te tara, ā, ka taea te whakaora i ō tohumate. Kāore he take e whakama ai, e mataku ai rānei.

He rite tonu te 'Vaginal Stenosis' me te 'Vaginal Atrophy'?

Kāo. He hononga tō rāua, engari he rerekē ngā āhuatanga e rua.

• Ko te ngoikore o te tara he āhuatanga e maroke ai, e angiangi ai te arai o te tara nā te korenga o te estrogen. He āhuatanga e pā ana ki te homoni tēnei e pā pinepine ana ki ngā wāhine e tata ana ki te menopause.
• I tētahi atu taha, ko te 'Vaginal Stenosis' ka puta mai i te kiko koha e puta mai ana i ngā mahi pēnei i te pokanga, te rongoā irahiko, me te whānautanga.

He hononga ēnei āhuatanga e rua nā te mea ka ngoikore, ka maroke hoki ngā kiko o te tara nā te 'Vaginal Atrophy', ka piki ake te mamae me te kore whakamarie i puta mai i te 'Vaginal Stenosis'.

Ehara i te mea ko te whakatōtōtanga o te tara he mea e pā ana ki tō tara anake. Ka pā pea ki tō harikoa, ki tō whakapono ki a koe anō, ā, ka uaua ake te whai hononga piripono ki ō hoa moepuku. Ahakoa he kaupapa uaua tēnei ki te kōrero whānuitia, ko te rapu āwhina mai i te tākuta te mea pai rawa atu māu. He maha ngā maimoatanga e wātea ana hei āwhina i te whakatōtōtanga o te tara. Kāore koe e hiahia ki te noho me tēnei mamae, kāore hoki koe e hiahia ki te whakaae. He tokomaha te hunga e kī ana kua tino pai ake te kounga o ō rātou oranga ina kitea e rātou te maimoatanga tika.

Ngā mea tino nui me maumahara koe

• Ko te Vaginal Stenosis he whaiti, ā, i ētahi wā he whaiti o te tenetene. Ko te tino take o tēnei ko te kiko whara.
• Mena ka pā mai ngā tohu pēnei i te mamae i te wā moe tāne, te uaua ki te whakauru i te tampon, te maroke o te tara, te mamae rānei i te wā e tirotirohia ana te tara, kaua e whakamā ki te kōrero ki te tākuta.
• Ka puta pea tēnei āhuatanga i te rongoā irahiko, te pokanga, ngā whara i te wā e whānau ana, ētahi mate kiri, me te paheketanga.
• He maimoatanga kei reira mō tēnei! Ka taea e koe te whakaora mā te whakamahi i ngā mea pēnei i te 'Dilators', te 'Pelvic Floor Therapy', te rongoā homoni, ngā hinu whakahinuhinu, me ngā whakamakuku tara.
• Ehara tēnei i te mea hei whakama. Ko te mea nui ko te tono āwhina. Kāore koe e mamae ko koe anake i tēnei. Mā tō tākuta koe e āwhina.

Te Mate Pūngāwerewere o te Tara, Te Mate Pūngāwerewere o te Tara, Te Kiko o te Korokoro, Te Mamae o te Ira Tangata, Te Dyspareunia, Ngā Whakawhānui o te Tara, Te Whakaora Ira Pelvic