Kei te mamae anō hoki koe i te rohe e karapoti ana i te tenetene? Me kōrero tātou mō tēnei (Vestibulodynia)!

Ka pāngia koe e te mamae, e te wera rānei i te tomokanga o tō tara? Ka pā pea tēnei mamae i te wā e moe ai, i te wā rānei e noho puku ana koe. He raruraru tēnei kāore i te kōrerohia i waenga i ngā wāhine, engari he maha ngā tāngata e pāngia ana. Nō reira, i tēnei rā ka kōrerohia e tātou tēnei me ētahi atu taipitopito .

He aha tēnei (Vestibulodynia)? Kia mārama noa iho?

I te whakarapopototanga, ko te vestibulodynia he mamae i te rohe e karapoti ana i tō tara, e kiia nei ko te vestibule . I ētahi wā ka puta anō hoki tēnei mamae i ētahi atu wāhanga o te rohe ira tangata o waho e karapoti ana i te tara, e kiia nei ko te vulva . He mamae tino hoha, he mamae roa. I ētahi wā kāore e kitea he take mārama. Ka karanga pea tō tākuta i tēnei mate ko te vulvar vestibulitis syndrome , ko te (VVS) rānei hei whakarapopototanga.

Tērā pea kei te whakaaro koe he aha te vulva . Koinei te wāhanga e kitea ana i waho o te pūnaha whakaputa uri o te wahine. Hei whakamārama, ka tiakina e ia ō whekau whakaputa uri o roto, pērā i tō tara, tō kōpū, me ō whekau. Ka tiakina hoki e ia tō urethra , te ngongo e puta ai te mimi.

He wāhi tino nui te ure mō tō urupare moepuku me tō orgasm. Ko ēnei ngā wāhanga:

• Te kiore
• Ngā ngutu o roto (labia minora)
• Ngā ngutu o waho (labia majora)
• Te tomokanga ki te tenetene (vestibule)

He aha te rerekētanga i waenganui i (Vulvodynia) me (Vestibulodynia)?

He āhua pōhēhē pea ēnei ingoa e rua, engari kia māmā noa iho. Ko te Vestibulodynia he momo mate e taka ana ki raro i te kāwai whānui o te Vulvodynia . E rua ngā mate e pā ana ki te mamae i te rohe vulva , kāore he take e kitea ana.

E rua ngā momo matua o te vulvodynia :

1. Te vulvodynia whānui: Koinei te wā e mau tonu ana te mamae i ētahi wāhi o te vulva , kaua i te kotahi anake.

2. Vulvodynia ā-rohe: I roto i tēnei, ko te mamae kei tētahi wāhi motuhake o te vulva . Hei tauira, ko te mamae i te tomokanga ki te tara (e kiia nei ko te vestibulodynia ) te mamae rānei i roto i te clitoris (clitorynia) . O ēnei, ko te vestibulodynia, e puta mai ana i tētahi pēhanga, i tētahi pēhanga rānei, te momo vulvodynia ā-rohe tino noa. E kiia ana ko te vestibulodynia i whakaohokia .

He aha te Vestibulodynia i Whakaohokia?

E ai ki te ingoa, ko te vestibulodynia i whakaohokia he mamae e puta ana ina pēhia, ina pēhia rānei tō vestibule. Ko tēnei pēhanga te mea e "whakaoho" ana i tēnei mamae mau tonu, ka roa pea mō te neke atu i te toru marama. Ka puta pea tēnei pēhanga i ngā mea pēnei i:

• He whakamātautau hope e mahia ana e te tākuta.
• Ina noho koe i te wāhi kotahi mō te wā roa.
• I te wā moe tāne.
• Ina mau ana i ngā kākahu piripono (hei tauira, ngā tarau piripono).
• Ina whakauruhia tetahi mea ki roto i te tara, ahakoa he maihao, he ure, he tampon, he taonga takaro rānei.

Whakaarohia, ko Nimali tētahi tangata e noho ana i te tari mō ngā hāora i ia rā. Mō ētahi rā, ka tīmata ia ki te rongo i te wera iti i roto i tōna tara. Ahakoa kāore ia i aro i te tīmatanga, ka piki ake te mamae i muri i te moe tāne. Nā te nui o tōna mataku, kāore i taea e ia te kōrero ki tētahi. Tērā pea kua pā ki a koe tētahi wheako rite.

He aha ngā momo Vestibulodynia i whakapataritarihia?

E rua ngā momo matua o tēnei hoki:

1. Te vestibulodynia tuatahi (whanau mai): Koinei te wā ka puta te mamae ina ngana koe ki te whakauru i tetahi mea ki roto i tō tara mō te wā tuatahi o tō ao (hei tauira, i te wā e moe ai koe mō te wā tuatahi, i te wā e ngana ana koe ki te whakauru i te tampon). He mate whānau mai tēnei, arā, ka taea te noho mai i te whānautanga.

2. Te vestibulodynia tuarua (kua whiwhihia): I roto i tēnei, ka puta te mamae i ngā rā, i ngā marama, i ngā tau rānei i muri i tō āheinga ki te whakauru i tētahi mea ki roto i tō tara me te kore he mamae. He āhuatanga tēnei ka puta i roto i te wā.

He pēhea te noa o te vestibulodynia?

Ina hoki, e kiia ana ko te kotahi i roto i te whā o ngā wāhine ka pāngia e tētahi momo vulvodynia , arā, he mamae i roto i te vulva kāore he take mārama. I te nuinga o te wā, ka puta tēnei mamae i te pēhanga o waho, i te pā rānei (e kiia ana ko te " whakaoho ").

Engari tera pea he nui ake te maha o ngā keehi. E whakama ana ētahi ki te kōrero ki ā rātou tākuta mō tēnei raruraru. E whakaaro ana ētahi he mea tēnei e kore e taea te rongoā, ā, me noho tonu mō te toenga o ō rātou oranga. Engari ehara i te mea koinā te āhua, he rongoā kei reira mō tēnei!

He aha ngā take o te vestibulodynia?

Kāore anō kia tino mōhiotia e ngā tohunga te take o tēnei. Engari kei reira ētahi ariā. Ko tētahi, tera pea he nui ake ngā io pudendal o ētahi tāngata i roto i te vulva . Ko tēneiKo ngā io pudendal ngā mea e tuku ana i ngā kare ā-roto pēnei i te mamae me te koa ki tō pūnaha io.

Kei ētahi tāngata he āhuatanga e kiia nei ko te neuroproliferation (e kiia ana hoki ko te neuroproliferative vestibulodynia ). Ko te tikanga o tēnei ka tino tairongo ō rātou io pudendal . Ka pāngia pea rātou e te mamae nui ( hyperalgesia ) ahakoa te pā iti noa ( allodynia ). Tērā pea ka puta mai tēnei neuroproliferation i te whānautanga mai, ka puta rānei i muri mai nā te kino, te riri rānei o ngā io.

Ko wai kei te mōrearea nui ake ki te whakawhanake i te vestibulodynia?

Ahakoa ka taea e te tangata te pā mai tēnei āhuatanga, he mea tino noa i roto i ngā wāhine mā me ngā wāhine Āhia e moe tāne ana i waenga i te 20 me te 40 tau te pakeke. Ka taea hoki e tēnei te pā mai i roto i ngā wāhine kua pāngia e te menopause , ā, he āhuatanga pēnei i te maroke o te tara me te ngoikore o te tara .

He nui ake te tūponotanga ka pāngia koe e tēnei mate mēnā kei a koe tētahi o ēnei e whai ake nei:

• Ngā mate pāwera , ngā aro rānei ki ētahi hopi kakara, hopi horoi, pantyliner, me ētahi atu.
• Ngā mate rewena mau tonu .
• Ngā āhuatanga pēnei i te fibromyalgia .
• Te āheinga ira ki te mamae mau tonu, te mumura, te mate pāwera rānei.
• (Pīpī interstitial) (pūkahukahu mamae).
• Te mamae o ngā hononga, te mamae rānei o ngā uaua me ngā wheua .
• Ngā mate kare ā-roto pērā i te pouri , te mate bipolar rānei.
• Te ngoikore o te papa o te hope , te ngoikore, te māuiui rānei o ngā uaua.
• Ngā whara i puta mai i te tūkino ā-ira tangata (te tāwharau) me ngā raruraru i te wā e whānau ana.

He aha ngā tohu o te Vestibulodynia?

Ko te Vestibulodynia he momo mamae e pā ana ki ngā io (mamae neuropathic) . E toru marama te roa o tēnei mamae. Tērā pea ka mau tonu te mamae, ka haere mai, ka haere atu rānei (e kiia ana ko te wā poto ).

Ko ngā tohu matua o te vestibulodynia ko:

• He mamae wera, he wero, he mamae maripi rānei i te rohe vestibular .
• Te mamae i te wā e whakauru ana i tētahi mea ki roto i te tara, i te noho, i te mahi rānei i ngā mahi ā-tinana pēnei i te oma, te eke pahikara, te eke hōiho rānei.
• Te mamae o te moe tāne me te wahine (dyspareunia) .
• Te mimi mamae (dysuria) .
• Te tairongo, te maroke, te whero, me te āhua mamae o te wāhi tomokanga .

He aha atu ngā āhuatanga ka pā mai me te Vestibulodynia?

Tērā pea ka pāngia ētahi tāngata e ēnei āhuatanga e rua me te Vestibulodynia :

• Clitorodynia: He momo vulvodynia ā-rohe anō hoki tēnei. Ko tōna āhua he mamae nui i roto i te clitoris .
• (Vaginismus): Koinei te wā e kikī ana, e kōpiri ana hoki ō uaua tara, engari kāore koe e mōhio i te wā e ngana ana koe ki te whakauru i tētahi mea ki roto i tō tara.

Me pēhea te tautuhi i te Vestibulodynia?

Kāore he whakamātautau tātaritanga motuhake hei tautuhi i tēnei. Ka whakarongo pai tō tākuta ki ō tohumate. I te wā e tirotirohia ana te hope , ka tangohia e tō tākuta he miro miro ka pēhi mārire i ngā wāhi rerekē o tō ure , me te pātai atu he aha te mamae.

Ka taea hoki e koe te whakahaere i tētahi, i ētahi rānei o ēnei whakamātautau hei tirotiro mēnā he raruraru anō kei reira, hei whakarite rānei kāore he raruraru:

• Ngā whakamātautau toto.
• Ngā whakamātautau mimi , ngā whakamātautau ahurea rānei - Ka mahia ēnei hei tirotiro mō ngā mate mimi (UTI) , te cystitis , ngā mate rewena, me ngā mate me ngā mate pāwera e tukuna ana e te taatai ​​(Ngā Mate Tuku Iho me ngā Mate Whakatupu Iho) .
• Te Pap smear , ā, ki te tika , te colposcopy - ka mahia ēnei hei tirotiro mō ngā pūtau rerekē i roto i te cervix (cervical dysplasia) me te mate pukupuku cervix rānei.
• Kohikohi kiri - hei tirotiro mō ngā mate kiri.

He aha ngā momo tākuta e rongoā ana i te vestibulodynia?

Ahakoa ka pā tēnei mate ki ō ira tāne, kāore e tika kia waiho hei raruraru wahine. Me toro atu koe ki ngā tohunga maha hei rongoā. Kei roto i ēnei ko:

• Tākuta whānau/tākuta wahine (`Ob/Gyn`).
• Tākuta kiri.
• Tohunga roro.
• Tohunga whakahaere mamae.
• Kaiwhakaora tinana o te papa pelvic.
• He tohunga hinengaro, he kaiwhakaora ira tangata, he kaiwhakaora rānei mō ngā tāne me ngā wāhine.
• He tohunga mō te pūnaha mimi me te pūnaha whakaputa uri wahine (`Urologist`, `urogynecologist` rānei).

Me pēhea te rongoā a ngā tākuta i te vestibulodynia?

Ko ngā whāinga matua o te maimoatanga mō te vestibulodynia ko:Te whakaiti i te mamae me te whakahaere i ngā tohu.

Ko ēnei ngā maimoatanga kore-rongoā:

• Ngā momo kirīmi whakamamae mamae me te whakangāwari ('Kirimi kiri whakangāwari').
• Te whakaora whanonga hinengaro (CBT) , te whakaora takirua, te whakaora ira tangata rānei.
• Ngā huringa āhua noho - hei tauira, te mau i ngā kākahu taratara me ngā kākahu o roto miro, me te kore e whakamahi i ngā hua kakara.
• Te whakaora tinana o te papa o te hope - hei tauira, ngā mahi Kegel (ngā mahi whakangungu papa o te hope) me ngā tikanga urupare koiora .
• Te whakamahi i ngā hinu whakahinuhinu tara me ngā mea whakawhanui i te putanga o te tara.

Ko ngā maimoatanga rongoā ko:

• Ngā rongoā ārai pouri .
• Ngā rongoā mō te mate haurangi me te mamae io - hei tauira, te gabapentin .
• Ngā werohanga paitini botulinum (ngā werohanga paitini botulinum - Botox®) .
• Ngā kirimi corticosteroid ā-waha, ngā werohanga steroid rānei.
• Ngā kirimi homoni o waho (whakaora homoni) .
• Ngā aukati io .
• Ngā rongoā whakamamae mamae.

Ka taea te rongoā i te Vestibulodynia mā te pokanga?

Ko ētahi tāngata kua pāngia e te vestibulodynia kāore anō kia aro ki ētahi atu maimoatanga, ka whai hua pea i te pokanga hei tango i te kiri me te kiko tairongo. Ka kiia tēnei pokanga he vestibulectomy . He maha ngā wā ka whakaora tūturu i ngā tohumate.

Ka taea te ārai i te Vestibulodynia?

Mā te whai i ēnei mahi hei tiaki i tō vulva , ka taea e koe te ārai me te whakaiti i te mamae o te vulva :

• Āta karohia te whakamahi i ngā hua kakara (hei tauira, te rehu deodorant wahine, te paura taruku, ngā raina panty kakara) ki tō wāhi ira tangata.
• Kaua e whakamahi i ngā ārai hapūtanga ā-roto i te tara (hei tauira, ngā diaphragm, ngā potae waha kōpū). Kaua hoki e whakamahi i ngā patu parāoa me ngā pahuka ārai hapūtanga, nā te mea ka taea e ēnei te whakariri.
• I muri i te mimi, kaua e whakamahi i te pepa wharepaku, engari horoia te wāhi ira tangata ki te wai mai i te pounamu pēhi, ki te bidet rānei.
• Whakamahia he pepa wharepaku kāore i whakama, me ngā hua horoi kore kakara (ngā tampon, ngā whakatārewatanga).
• Noho ki runga i tētahi urunga āhua tōnati hei whakaiti i te pēhanga ki tō ure .
• Rukuhia ki roto i te kaukau wera hei whakaiti i te mamae.
• Horoia tō ira tangata ki te wai anake (kaua e whakamahi i te hopi). Kaua e whakamahi i te kaukau mirumiru, i te tote kaukau, i te hinu kaukau rānei.
• Mauria he kākahu o roto miro, he tarau koretake, he poto poto rānei. Kaua e mau i ngā pantyhose, ngā tights, ngā reke rānei he kikī.

He aha ngā raruraru ka pā mai i te vestibulodynia?

Ka tino kore whakamarie te mamae mau tonu e puta mai ana i te vestibulodynia , ā, ka mōrearea pea te ora. Ka pā pea ki te whakakori tinana, tae atu ki te noho mō te wā roa.

Ka taea hoki e te Vestibulodynia te whakararu i te mahi moepuku . Ka pā tēnei ki tō kaha ki te pārekareka ki te moepuku, ā, ka pā kino hoki ki ō whanaungatanga me tō whakaaro ki a koe anō. Tērā pea ka whai hua koe me tō hoa mā te kōrero ki tētahi kaiwhakaora hinengaro, pērā i tētahi kaiwhakaora hinengaro mō ngā tāne me ngā wāhine, i tētahi kaiwhakaora hinengaro moepuku rānei.

He aha te tirohanga mō te tangata whai vestibulodynia?

Ka pai haere te Vestibulodynia i te roanga o te wā (e kiia ana ko te remission ). Engari, ka hoki mai anō pea tēnei mamae o te vulva (e kiia ana ko te relapse ). Nō reira, he mea nui kia whai i ngā tohutohu a tō tākuta hei ārai me te whakaiti i te mamae o te vulva .

Āhea ahau me toro atu ki te tākuta?

Mena ka pāngia koe e tētahi o ēnei tohu, me toro atu koe ki te tākuta:

• He rerenga rerekē o te tara me te haunga kino.
• Te mākūkū i te rohe ira tangata.
• Te moe tahi mamae.
• Te mimi mamae.
• Ngā tohu o te mate rewena , te mate mimi (UTI) , tētahi atu mate rānei.

He aha ngā pātai me pātai atu e au ki taku tākuta?

He mea pai kia pātai atu koe ki tō tākuta i ēnei pātai:

• He aha ahau i whakawhanake ai i tēnei (Vestibulodynia) ?
• He aha te momo Vestibulodynia kei a au?
• He aha ngā kōwhiringa maimoatanga kei a au?
• Me whakaaro ahau ki te rongoā, ki te pokanga rānei?
• Me mōhio ahau ki ngā tohu o ngā raruraru?

Ka taea te whakaputa i te vestibulodynia e ngā mate tuku iho (STD)?

Kāo. Kāore he hononga e mōhiotia ana i waenga i te vestibulodynia me ngā mate tuku iho i te taatai ​​(STD) . Heoi, ko ētahi STD, pērā i te chlamydia me te gonorrhea, ka taea te whakaputa i ngā tohu rite, pērā i te mamae me te mumura. Nō reira, he mea nui kia kite i te tākuta kia kitea ai te tino take o ēnei tohu me te whiwhi maimoatanga tika.

He mamae tūturu te vulva i puta mai i te vestibulodynia . Kaua e whakama ki te kōrero ki tō tākuta mō te mamae o te whakaurunga, te mamae tonu rānei i roto i tō vulva . Tērā pea he vestibulodynia tōu., ko te tikanga tera pea he momo mamae mau tonu (vulvodynia) kei roto i tō whare tomokanga. He maha ngā wā ka puta ohorere mai tēnei mamae whare tomokanga , kāore hoki he take e kitea ana. Ka taea te āwhina mā te rongoā me ngā maimoatanga kore-tarukino.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, ko tāku tumanako kua āwhina i a koe ngā mea kua kōrerohia e tātou kia maumahara ki ētahi o ngā mea tino nui. Ehara te Vestibulodynia i te mea hei whakama.

• Kāore koe i te mokemoke: ​​Ehara i te mea ko koe anake te tangata e pāngia ana e tēnei raruraru. He maha ngā wāhine e pāngia ana e tēnei mate.
• Ka kitea he pūtake: Ahakoa kāore e taea te kimi tonu i te pūtake o ngā mamae katoa, he maha ngā wā ka kitea he pūtake mā te kōrero ki te tākuta me te whakahaere whakamātautau.
• He maimoatanga kei reira: Ehara tēnei i te mate e kore e taea te rongoā. He maha ngā maimoatanga e wātea ana hei whakaiti i te mamae, hei whakangāwari ake hoki i te oranga.
• Kaua e whakama: Kaua rawa e whakama ki te kōrero mō tō hauora, ki te tono āwhina rānei. He tangata kei reira te tākuta hei āwhina i a koe.

Nō reira, ki te pāngia koe e ēnei tohu, me toro atu ki te tākuta mō ētahi tohutohu. He mea tino nui ki a koe tō whakamarie me tō harikoa i te ao.

` Vestibulodynia, Vulvodynia, Mamae Tara, Mamae Ira Tangata, Vulva, Hauora Wahine, Vestibulodynia Whakaohooho