Kei te mamae tonu koe i tō rohe ira tangata (rohe ira tangata) kāore he take e kitea ana? Tērā pea ka rite ki te wera, te wero, te ngau rānei. Ka uaua pea te mahi i ngā mahi o ia rā nā tēnei mamae, ā, ka pouri pea koe. Ki te mea kei te noho mokemoke koe, kāore e taea te kōrero ki tētahi mōna, kāore e taea te mārama he aha te take, kāore rānei e taea te mārama he aha te take, he mea nui tēnei kaupapa e kōrerohia ana e tātou i tēnei rā ki a koe.
He aha te tikanga o Vulvodynia?
Ko te Vulvodynia (vul-vo-dee-nia) he mamae mau tonu i te taha o waho o tō tenetene (e kiia nei e te rongoā ko te 'vulva') e roa ana mō te neke atu i te toru marama, kāore he take e kitea ana.
Inaianei pea kei te whakaaro koe, "He mamae tēnei wāhi nā te mate pāwera, nā te mate kiri rānei." Ae, he pono tēnā. Engari ko te Vulvodynia he mamae e puta ana ina kore e kitea he take motuhake (hei tauira, he mate rewena, he mate kiri rānei) . Ka tino kino rawa atu tēnei mamae, ā, ka hoha pea koe ki ngā mea e pai ana koe ki te mahi. Tērā pea kāore e taea e koe te whakaaro ki te moe tāne.
He aha ngā momo matua o te vulvodynia?
Āe, ka wehea tēnei kia rua ngā momo matua i runga i te wāhi e puta ai te mamae.
1. Vulvodynia Ā-Rohe: Koinei te wā e pāngia ai te mamae i tētahi wāhi motuhake o te tara. I te nuinga o te wā, ka pāngia te kiri i waenganui i te labia o roto me te whakatuwheratanga tara (e kiia nei ko te 'vulvar vestibule') i roto rānei i te clitoris.
2. Te Vulvodynia Whānui (te mamae e horapa ana puta noa i te rohe): I konei, kāore te mamae e herea ki te wāhi kotahi. Ka puta te mamae ki ngā wāhanga rerekē o te rohe tara, i ngā wā rerekē. I ētahi wā, ka pā te mamae puta noa i te rohe tara katoa.
Ka taea hoki te whakarōpū i tēnei mamae mā te āhua o tōna putanga. Ka pāngia ētahi e te mamae ina pā tetahi mea ki a rātou (hei tauira, i te wā moe tāne, i te wā e whakauru ana i te tampon). Mō ētahi atu, ka pā te mamae ahakoa kei te noho noa rātou, kāore he mahi.
He pēhea te pānga o tēnei āhuatanga ki te oranga o te tangata?
Ehara i te mamae noa te Vulvodynia. He mea ka taea te huri i te oranga katoa o te tangata. Whakaarohia...
- Te pānga ki te mahi: Ki te mahi koe i roto i te tari, tērā pea kāore e taea e koe te mahi tika i tāu mahi nā te mamae e pā mai ana i te noho roa i te wāhi kotahi.
- Pānga ki ngā whanaungatanga: Ka mamae pea, ka kore rānei e taea te moe tāne, ā, ka pā nui tēnei ki tō whanaungatanga ki tō hoa rangatira, ki tō hoa rangatira rānei. Ka pāngia pea koe e te ahotea hinengaro nui.
- Te raruraru moe: Ka kore pea koe e moe pai i te pō e te mamae.
- Ngā awe ki te whiriwhiri i ngā kākahu:Kāore e taea e au te mau kākahu, te mau tarau rānei i roto i te whare herehere. Me whiriwhiri tonu e au ngā kākahu koretake.
Nā ēnei mea katoa, kua kitea e ngā rangahau he maha ngā tāngata whai vulvodynia e pāngia ana e ngā raruraru hinengaro pērā i te pouri me te manukanuka .
He aha ngā tohu o te vulvodynia?
He rerekē te āhua o te mamae e pā ana ki ia tangata, ki ia tangata. Ka rerekē anō hoki te āhua o te tīmatanga, te mutunga, me te kino haere o te mamae i ia tangata, i ia tangata.
| Me pēhea te mamae me te wā e pāngia ai | |
|---|---|
| Me pēhea e taea ai e koe te rongo i te mamae? | |
| Pērā i te weranga | He rite ki te werawera ina whiwhi koe i te paura tiri iti. |
| E pēhia ana te āhua. | He rite ki te wero koi. |
| Pērā i te mākūkū. | He mamae e haere tahi ana me te mākati e kore e taea te manawanui. |
| Te āhua nei kua ngaro te kiri. | Ka whara te kiri, ka kore e pai, me te mea kua motu. |
| E pā ana te āhua me te mea kei te patu. | He mamae e puta mai ana i te manawataki pērā i te patu o te ngākau. |
| He aha ngā tino take o te mamae? | |
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He aha tēnei ka puta ai? He aha ngā take o te vulvodynia?
Engari, kāore anō kia kitea e ngā kairangahau tētahi tino take mō tēnei, engari he maha ngā āhuatanga e whakaaro ana rātou ka whai wāhi pea ki tēnei.
- Mumura: He āhua mumura i roto i te tinana.
- Ngā āhuatanga homoni: Ngā huringa o ngā homoni.
- Ngā āhuatanga ira: He āhuatanga tuku iho.
- Ngā raruraru neuropathique: He kino ngā io o te tara, he hapa rānei o tā rātou mahi.
- Ngā pānga roa o ngā mate urutā tawhito: He urupare roa a te tinana ki ngā mate urutā tara o mua.
- Ngā uaua o te papa pelvic kua ngoikore: Te ngoikore, te auau rānei o ngā uaua o te rohe pelvic.
- Ngā mea kino ki te kiri: Te riri o te kiri e puta mai ana i ngā mea pēnei i ngā hopi me ngā hinu kakara kino.
Ko te mea nui, ehara a Vulvodynia i te mate tuku iho (STI). Ehara hoki i te mate pukupuku, ehara hoki i te tohu o te mate pukupuku. Kaua e manukanuka.
Me pēhea te mohio ki tēnei āhuatanga?
Ina kite koe i te tākuta, ka tātaritatia koe e ia he vulvodynia i muri i te whakakorenga i ngā take katoa o tō mamae. Tērā pea he maha ngā whakamātautau hei whakauru atu.
- Hītori hauora: Ka pātai atu te tākuta ki a koe mō ō tohumate (kei hea, e pēhea ana, me te roa o te mamae), tō oranga moepuku, me ngā pokanga kua mahia e koe.
- Whakamātautau tinana: Ka tirohia e te tākuta tō rohe tara, ā, ka whakamahia pea e ia tētahi taputapu e kiia nei ko te 'spectulum' hei tirotiro i tō tara me tō kaki.
- Whakamātautau Miro: He whakamātautau tino nui tēnei. I konei, ka whakamahia he miro iti hei pā mārire ki ngā wāhi rerekē o te tara, ka pātai atu ki hea, me pēhea hoki te mamae e pā ana ki a koe. Mā tēnei ka māmā ake te kimi i te wāhi tika o te mamae.
- Te whakamātautau mō ngā mate urutā: Ka tangohia he tauira o te toto o te tara, ka whakamatautauria mō ngā mate pēnei i te mate pāwera i te taatai (STI), te mate pūkahukahu kitakita, te mate rewena rānei.
He tino onge pea te tūtohutanga a tō tākuta i tētahi colposcopy, i tētahi biopsy rānei, arā, ko te tango i tētahi wahi iti o te kiri ka tirotiro, kia mōhio ai kāore he mate hauora kē atu.
He aha ngā maimoatanga mō te vulvodynia?
Ka roa pea te wā e rongoatia ai te Vulvodynia. Tērā pea ka hiahiatia he whakamātautau hei kimi i te maimoatanga tika, i te huinga rānei o ngā maimoatanga māu. Nō reira, ko te manawanui te mea nui.
| Tikanga maimoatanga | He whakamārama māmā |
|---|---|
| Ngā rongoā ā-papa | Tērā pea ka hoatu he rongoā whakamoe, he rongoā whakamarie io, he kirīmi rānei kei roto te homoni estrogen hei whakangāwari i te wāhi mamae. |
| Rongoā ā-waha | Ka taea e ngā rongoā ārai pouri me ētahi rongoā ārai i te haurangi te āwhina ki te whakahaere i te mamae. |
| Te aukati io | He werohanga ki te wāhi e mamae ana hei aukati i ngā tohu mamae kei tae atu ki te roro. |
| Te whakaora tinana | Ngā mahi whakakori tinana me ngā maimoatanga motuhake hei whakaiti i te kikī o ngā uaua o te papa pelvic, hei whakapakari i aua uaua, hei whakaiti hoki i ngā mamae auau. |
| Pokanga (Vestibulectomy) | Mō te hunga e pāngia ana e te mamae ā-rohe, ā, kāore anō kia pai ki ētahi atu maimoatanga, e taunakihia ana kia tangohia te kiko mamae mā te pokanga. |
| Te Whakatakotoranga | Rapua he tohutohu, takitahi, takirua rānei, he kaiwhakaora ira tangata rānei, hei whakahaere i te pānga o tēnei mate ki tō oranga me ō whanaungatanga. |
Ngā mea ka taea e koe te mahi māu ake hei whakahaere i te mamae
He tino āwhina te tiaki i te akuaku o tō tara ki te whakahaere i te mamae.
Ngā mea pai hei mahi:
- Kaukau i roto i te wai mahana me te tote Epsom, te oati colloidal rānei.
- Whakamahia he hopi ngawari, kāore he kakara (he wai noa rānei) hei horoi i te rohe tara.
- Whakamahia he hopi horoi kakahu ngawari, kāore he kakara, hei horoi i ō kākahu o roto.
- Me mau kākahu o roto i te awatea he miro anake. Me moe kaua he kākahu o roto i te pō.
- Ki te tino kaha te mamae, me tāpiri he kōpeke matao mō te kore e neke atu i te 15 meneti.
- Ki te moe tāne koe, whakamahia he hinu whakahinuhinu kāore he kakara, kāore hoki he kakara, ā, kāore he āhuatanga whakamatao, whakamahana rānei.
- Ki te mea me noho roa koe, whakamahia he urunga pēnei i te "tōnati" hei whakaiti i te pēhanga ki te rohe tara.
- Kia pai te moe i te pō (i waenganui i te 7-9 hāora) i ia rā.
Ngā mea kāore e tika ana kia mahia (me karo rawa):
- Āta karohia te mau i ngā kākahu piripono pērā i te tarau, te tīni me te pantyhose.
- Kaua e whakamahia he pepa wharepaku kakara, he tampon, he paraikete rānei.
- Kaua e mau i ngā kākahu kaukau mākū, i ngā kākahu whakangungu werawera rānei mō te wā roa rawa.
- Āta karohia te horoi i te kiri, te whakamahi rānei i ngā mea pēnei i te hinu kakara me te kaukau mirumiru ki roto i te tenetene.
- Mō tētahi wā, me karo i ngā mahi whakakori tinana e pēhi ana i te tara, pērā i te eke pahikara me te eke hōiho.
Kia tino mōhio ai koe mēnā ko te Vulvodynia te pūtake o tō mamae, he mea kē atu rānei, ā, kia tīmata ai te maimoatanga tika mōna, me toro atu koe ki te tākuta. Kaua e mamae ko koe anake me tēnei mamae. He maimoatanga kei reira mō tēnei, ā, ka taea e koe te tiki āwhina.
Karere Tangohia ki te Kāinga
- Ko te Vulvodynia he mamae mau tonu i te rohe tara e roa ana mō te neke atu i te 3 marama, kāore he take e kitea ana.
- Ehara tēnei i tōu he. Ā, ehara tēnei i te mate pipiri, i te mate pukupuku rānei.
- Ka pā nui tēnei mamae ki tō oranga me ō whanaungatanga, nō reira kaua e whakahawea.
- He roa te wā e hiahiatia ana hei tautuhi i te mate nā te mea me whakakore tuatahi e te tākuta ngā take katoa.
- He maha ngā maimoatanga e wātea ana. Me manawanui noa koe kia kitea ai te mea tika māu.
- Ki te pāngia koe e te mamae pēnei, kaua e whakama, kaua e mataku, me toro atu ki tētahi tākuta whai tohu i te wā e taea ai.
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