Kei te mamae tonu tō tara? Me kōrero tātou mō te Vulvodynia!

Ka mamae, ka wera rānei tō tenetene i ētahi wā, arā, ō ira tangata o waho, kāore he take e kitea ana? Ki te pērā, kaua e whakakorea he mea ngāwari noa iho. Nā te mea i tēnei rā ka kōrero tātou mō te Vulvodynia, he mate e pāngia ana e te nuinga o ngā wāhine i roto i te wā puku, engari ka taea te whakahaere mēnā ka tautuhia tika.

He aha te Vulvodynia? Kia mārama tātou!

He whakarāpopototanga noa iho, ko te vulvodynia he mamae mau tonu i roto i tō vulva e toru marama, neke atu rānei, kāore he take e kitea ana. Inaianei kei te whakaaro pea koe, "Ka taea hoki te Vulvodynia e ngā mate pāwera, ngā mate kiri, me ētahi atu." Ae, he pono tēnā. Engari ehara te vulvodynia i te momo mamae motuhake. Ka taea e te mamae te tino kino, ā, ka aukati i a koe ki te mahi i ō mahi o ia rā, tae atu ki ngā mea e arohaina ana e koe. Whakaarohia te mamae o tēnā!

He aha ngā momo matua o te vulvodynia?

Ae, e rua ngā momo o te vulvodynia, i runga i te wāhi e puta ai te mamae.

1. Vulvodynia ā-rohe:

He maha ngā wā ka pā te mamae ki tētahi wāhi motuhake. Hei tauira, kei te wāhi kiri ngawari kei te taha o te pūaha o tō tara (vulvar vestibule) – te wāhi kiri ngawari i waenganui i te roto o tō labia, te wāhi e mimi ai koe (te urethra), me tō tara – kei te wāhi iti, ngawari rānei kei te tihi o tō tara e kiia nei ko te clitoris. I ētahi wā ka kiia tēnei ko te 'localized vulvar pain syndrome'.

2. Te Vulvodynia Whānui:

I ētahi wā, kāore te mamae e herea noa ki te wāhi kotahi. Tērā pea ka pā te mamae ki ngā wāhanga rerekē o tō ure i ngā wā rerekē. I ētahi wā, ka horapa te mamae puta noa i tō ure katoa.

Hei tāpiritanga, ka taea te "whakaohooho" i te mamae vulvodynia, arā, nā te pā, nā te mahi rānei i puta , kāore rānei i puta he take o waho.

He aha te pānga o te vulvodynia ki te oranga o te tangata?

He mea tēnei e pā nui atu ana ki te oranga i tō whakaaro. Whakaarohia pēnei...

• Ka uaua pea te mahi i tāu mahi nā te mamae e pā mai ana i te noho roa rawa .
• Ka taea e te mamae i te wā o te moe tāne (dyspareunia) me te kore e taea te moe tāne te whakararu i ō whanaungatanga whaiaro.
• Ka uaua pea te moe, me te noho roa i te moe .
• Ahakoa te kōwhiringa kākahu hei kakahu, he iti pea, nā te mea ka nui ake te mamae ina mau i ētahi kākahu.

Kua kitea hoki e ngā rangahau he hononga te vulvodynia ki te pouri me te manukanuka. Nō reira, ehara i te mea he mamae tinana anake, engari he taumahatanga hinengaro nui anō hoki.

Ko wai te hunga ka nui ake te tūponotanga ka pāngia e te vulvodynia? He pēhea te noa o tēnei?

Ahakoa ka pā te vulvodynia i ngā tau katoa, ko te nuinga o te wā ka kitea i roto i ngā wāhine i waenga i te 20 me te 60 tau te pakeke. Inaa, ko te vulvodynia te tino take o te dyspareunia me te mamae mau tonu o te hope i roto i ngā wāhine e whānau ana.

Heoi, he uaua ki te kī tika i tōna auau. He tokomaha te hunga e mangere ana ki te kōrero mōna, ā, kāore e rapu rongoā. Waihoki, nā te mea kāore anō kia mōhiotia te pūtake tuturu, he uaua te tautuhi i tōna mate. I ētahi wā ka pohehetia he mate, ka pohehetia rānei he mate mamae mau tonu.

He aha ngā tohu o te Vulvodynia?

He rerekē te āhua o te mamae e pāngia ana e ia tangata. He rerekē anō hoki i ia tangata, i ia tangata te āhua o te tīmatanga o te mamae, te āhua o tōna mutunga, me te wā e tino kino rawa atu ai.

He aha te mamae o tēnei vulvodynia?

Ka rerekē te mamae i roto i tō tara mai i te ngawari ki te kino . Ka pēnei te ahua:

• Pērā i te weranga
• Te wero
• Me te mea he wero ki te maripi
• Pērā i te rakuraku.
• Mata
• Te oho

Tērā pea ka pā te mamae ki te wāhi kotahi, ka neke rānei i ia wāhi ki ia wāhi, ka horapa rānei puta noa i te rohe tara katoa.

Me pēhea te tīmatanga o te mamae i te rohe tara?

Ka taea te mamae:

• Tērā pea i tīmata ohorere, ā, i mutu ohorere mō ngā marama.
• Ka taea e ia te roa mō ngā marama kāore e mutu .
• Ka taea te tīmata ohorere, kāore he take e kitea ana.
• Ka tīmata pea ina pā atu tetahi ki a koe, ina moe tāne koe, ina whakakorikori tinana koe, ina oma koe, ina hikoi koe, ina whakauru koe i te tampon, ahakoa i te wā e noho noa ana koe .

Ka taea e tētahi mahi pēnei te whakanui ake i te mamae o te tara kua pāngia kētia e koe.

He aha ngā take o te vulvodynia?

Kāore anō kia mōhiotia e ngā kairangahau te tino pūtake o te vulvodynia, engari e whakaaro ana rātou he iti noa ngā mea ka whai wāhi atu ki tēnei:

• mumura
• Ngā āhuatanga homoni
• Ngā āhuatanga ira
• Ngā raruraru neuropathic
• Ngā tauhohenga roa ki ngā mate tara o mua
• Te ngoikore, te māuiui rānei o ngā uaua o te papa pelvic
• Ngā mate pāwera, ngā riri rānei i puta mai i ngā hua kino e kino ana ki te kiri

He aha atu ngā āhuatanga e kitea whānuitia ana me te vulvodynia?

He maha ngā wā, ka kitea te hunga whai vulvodynia kei a rātou tētahi, ētahi rānei o ēnei mate mamae:

• Te mate pukupuku
• Te mamae o te pūkahukahu
• Te mate puku puku puku (IBS)
• Mate Temporomandibular (TMD) (mamae e pā ana ki ngā hononga i te rohe kauae)

Ka puta te vulvodynia i te ahotea me te manukanuka?

E whakaatu ana ngā raraunga he nui ake te tūponotanga o te hunga whai vulvodynia ki te pāngia e te ahotea nui ake, he hītori o te tukino o mua, me ētahi āhuatanga hauora hinengaro . Hei tauira:

• Manukanuka
• Te pouri
• Te mate ahotea muri-whara (PTSD)

Heoi, he uaua ki te kī tika me pēhea te hononga o ēnei āhuatanga ki te vulvodynia. Tērā pea ka nui ake te tūponotanga o te whakawhanake i te vulvodynia mēnā he mate hinengaro tōu. Tērā pea ko te pānga kino o te vulvodynia ki tō oranga ka nui ake te tūponotanga ka pāngia koe e te manukanuka, te pouri rānei.

Me pēhea te tātaritanga o te Vulvodynia?

Ka tātaritatia te vulvodynia e tō tākuta mā te whakakore i ētahi atu āhuatanga e pā ana ki tō mamae.

1. Hītori hauora me ngā tohumate: Tuatahi, ka pātai te tākuta ki a koe mō tō hītori hauora, tō hītori moepuku, me ngā pokanga kua mahia e koe. Ka pātai anō hoki rātou mō ō tohumate – kei hea te mamae, he aha te āhua, āhea te mamae o te tara, me te kaha o te mamae.

2. Whakamātautau tinana: Ka tirohia e te tākuta ō ira tangata o waho (vulva). Ka whakahaerehia hoki e ia he whakamātautau pelvis mā te whakamahi i tētahi speculum hei tirotiro i tō tenetene me tō cervix. Ko te cervix te pūaha i waenganui i tō tenetene me tō kōpū. Ka tirohia hoki e ia ō uaua o te papa pelvis hei tautuhi i ngā wāhi mamae.

3. Whakamātautau miro/whakamātautau pēhanga-ira: Ka pā mārire te tākuta ki ngā wāhi rerekē o tō tara me te miro, ā, ka pātai atu ia āhea (me te wāhi) ka pā te mamae ki a koe. He tino whai hua tēnei whakamātautau mō te tautuhi i te mamae e pā ana ki tētahi wāhi, e tata ana ki te pūaha tara (te tomokanga vulvar).

4. Ngā ūkui hei whakamātautau mō te mate:Ka taea e ēnei whakamātautau te āwhina ki te whakakore i ngā mate pēnei i ngā mate tuku iho i te taatai ​​(STI), te vaginosis huakita, me ngā mate rewena ka pā te mamae o te tara.

He tino onge pea te tono a tō tākuta i tētahi colposcopy, i tētahi biopsy rānei hei whakakore i ētahi atu āhuatanga kāore e pā ana ki te vulvodynia engari koinei pea te take o tō mamae.

Me pēhea te rongoā mō te vulvodynia?

He roa te wā e pau ana ki te rongoā i te Vulvodynia. Tērā pea ka roa te whakamātautau me te hapa kia kitea ai te rongoā, te huinga rānei o ngā rongoā e pai ana māu. I ētahi wā, kāore pea ngā rongoā e pai ana e tere tonu te mahi. He mea nui kia manawanui koe ki tāu rongoā.

Kei roto pea i ngā maimoatanga:

• Ngā rongoā ā-pā: Ka taea e koe te whakamahi i ngā kirimi me ngā hinu whakangote hei whakangote i tō rohe tara, ka taea rānei e koe te whakamahi i ngā kirimi whakaū io. Tērā pea ka tohua e tō tākuta he kirimi kei roto ko te estrogen, te estrogen rānei me te progesterone.
• Rongoā ā-waha: Ka taea te hoatu rongoā pēnei i ngā rongoā antidepressants me ngā rongoā anti-hopukupuku hei whakaiti i te mamae o te io.
• Te aukati io: Ka tūtohu pea tō tākuta i tētahi werohanga hei aukati i ngā tohu mamae mai i ō io kei tukuna ki tō roro.
• Whakaora tinana: Ka taea e te whakaora tinana te āwhina i te wetewete i te piri o ngā uaua o te papa pelvic (ngā uaua, ngā hononga, me ngā kiko honohono i roto i tō pelvis). Ka taea hoki e ia te āwhina ki te whakaiti i ngā mamae uaua, e kitea whānuitia ana i te vulvodynia. Ko te maimoatanga pea ko te totoro, te whakaroa, me te whakapakari i ngā uaua ngoikore o te papa pelvic.
• Vestibulectomy: He pai tēnei pokanga mō te hunga whai vulvodynia ā-rohe kāore anō kia aro ki ētahi atu maimoatanga noa. I roto i tēnei pokanga, ka tangohia e tō tākuta te kiko mamae i roto i tō tara.
• Te Tohutohu: Ka taea e te tohutohu takitahi, te tohutohu takirua, te rongoā ira tangata rānei te āwhina i a koe ki te whakapai ake i ngā wāhanga o tō koiora e pāngia kinotia ana e te vulvodynia, pērā i ō whanaungatanga moepuku.

He iti noa ngā raraunga e kī ana ka āwhina pea te wero ngira me te whakamoe i te ngira ki te whakaiti i te mamae e pā ana ki te vulvodynia me te wikitoria i te ngoikore o te moepuku.

Me pēhea te whakahaere i ngā tohu o te vulvodynia?

He maha ngā tikanga pai e whaia ana e koe hei pupuri i te hauora o tō ure me tō tenetene (tiaki ure) ka āwhina anō hoki i te mamae o te tenetene.

Ka taea e koe te mahi i ēnei mea hei whakahaere i te mamae:

• Kaukau ki te tote Epsom, ki te oati colloidal rānei.
• Whakamahia he hopi ngawari, kāore he kakara (he wai noa rānei) ina horoi ana i tō tara.
• Whakamahia he hopi horoi kakahu ngawari, kāore he kakara, hei horoi i te papanga e piri ana ki tō tenetene.
• Me mau kākahu o roto he mea hanga ki te miro i te awatea, ā, kaua e mau kākahu o roto i te pō.
• Tāpirihia he kōpeke matao, he pēke tiēre rānei ki tō tara (kaua e waiho kia neke atu i te 15 meneti i ia wā).
• Whakamahia he hinu whakahinuhinu kāore he kakara, kāore he kakara, ā, kāore he āhuatanga whakamatao, whakamahana rānei i te wā moe tāne.
• Ki te mea me noho roa koe, whakamahia he "tōnati" pahuka, he urunga rānei hei whakaiti i te pēhanga ki te rohe tara.
• Kia nui te moe (i waenganui i te 7-9 hāora) i ia pō.
• Whakauruhia ngā tikanga whakaiti ahotea me ngā tikanga whakangā ki roto i tō oranga o ia rā.

Kaua e mahi i ēnei mea:

• Te mau i ngā pantyhose, ngā tarau poto, ngā tarau tiini rānei kikī.
• Te whakamahi i te pepa wharepaku kakara, i ngā tampon, i ngā whakakī, i ngā arai panty rānei.
• Te mau i te kākahu kaukau mākū, i te kākahu whakangungu werawera rānei mō te wā roa rawa.
• Te horoi i te kiri, te whakamahi rānei i ngā mea whakapataritari pēnei i te deodorant me te kaukau mirumiru.
• Te eke pahikara, te eke hōiho, ngā mahi whakakori tinana rānei e pēhi ana i te rohe tara .

Ka taea te ārai i te Vulvodynia?

Engari, kāore he huarahi hei ārai i te vulvodynia.

Ka memeha rawatia rānei te vulvodynia?

Kāore i te rawaka ngā taunakitanga hei matapae i te wā (me pēhea rānei) ka pai ake ai, ka ngaro atu rānei tō vulvodynia i a ia anō. Kaua e tatari noa, me toro atu ki tō tākuta kia tīmata ai te maimoatanga hei āwhina i a koe.

Āhea koe me toro atu ki te tākuta mō te vulvodynia?

Mena kei te mamae tonu tō tara, tirohia tō kaiwhakarato ratonga hauora tuatahi, tō tākuta wahine rānei. Tērā pea ka roa te wā ki te kimi i te maimoatanga tika māu. Tērā pea me whai huarahi tiaki ā-rōpū koe mō te maimoatanga, pērā i te tākuta wahine, te kaiwhakaora tinana, te kaiwhakatakoto whakaaro rānei. Ko te tere o tō whakapā atu ki ēnei rauemi, ko te tere hoki o tō kitenga i te whakaoranga.

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

Ka taea e koe te pātai i ngā pātai penei:

• He aha ngā whakamātautau ka taea te mahi hei kimi i te pūtake o tōku mamae?
• He aha ngā mahi me karo e au ka kino ake ai ōku tohu?
• Tērā pea he hononga tōku vulvodynia ki tētahi atu mate kei a au?
• He aha ngā mahi ka taea e au te mahi kia pai ai te noho tahi me te vulvodynia?
• He aha ngā rongoā, ngā tikanga, ngā huringa āhua noho rānei e taunaki ana koe hei rongoā?

Me pēhea te rongoā i te vulvodynia? He huarahi hei whakakore wawe i tēnei?

Engari, ehara te vulvodynia i te mea e taea te whakaora i roto i te pō kotahi. Ko te maimoatanga e tika ana māu ka whakawhirinaki ki te pūtake o tō mamae. Ko te rongoā, te whakaora tinana, te tohutohu, me te pokanga he otinga pea hei whakaora i te mamae.

Mena kei te hiahia koe ki te whakamamae tonu i te mamae, ka taea e koe te pani i te rongoā whakamoe ki te wāhi e mamae ana. Heoi, hei whakamamae roa i te mamae, me mahi tahi pea koe me tō tākuta ki te kimi i te maimoatanga tika, i te huinga rānei o ngā maimoatanga.

Ko te mea nui ko te toro atu ki te tākuta mēnā kei te mamae koe i roto i tō tara. Tērā pea nā tētahi mate motuhake, nā te vulvodynia rānei i puta ai. Heoi, kei reira ētahi maimoatanga hei āwhina i a koe. I te tīmatanga, tera pea ka roa te wā ki te kimi i tētahi maimoatanga hei whakaora i a koe. Ko ngā maimoatanga e whai hua ana mō tētahi atu, kāore pea e whai hua mōu. Heoi, ko te wawe o te tīmatanga o tō rapu i ngā kōwhiringa maimoatanga, ko te pai ake mōu. Kaua e mamae noa i te mamae, kaua hoki e whakararu i tō oranga!

Whakarāpopototanga (Karere hei tango ki te kāinga)

Ko te Vulvodynia he mamae mau tonu, kāore e taea te whakamārama i roto i te tara o ngā wāhine. Ka pā nui pea ki te oranga o ia rā me te hauora hinengaro. Mā te tātaritanga tika me te maimoatanga tūroro, ka taea te whakahaere i tēnei āhuatanga. Mēnā kei a koe ēnei tohu, kaua e whakama, kaua e mataku. Rapua he awhina hauora i te wā e taea ai. Kia mahara, kāore koe i te mokemoke, ā, kei te wātea te āwhina.

` Vulvodynia, mamae tara, hauora wahine, mamae mau tonu, mamae ā-ira tangata, vulva, gynecology