Kodi nyini yanu imamveka yolimba komanso yopapatiza? Tiyeni tikambirane za Vaginal Stenosis.

Kodi nthawi zina mumamva ngati nyini yanu yachepa kapena yothina pang'ono? Kodi mumamva kupweteka kapena kusasangalala panthawi yogonana kapena mukamagwiritsa ntchito tampon? Mutha kuchita mantha pang'ono kapena kuchita manyazi kulankhula za izi. Koma izi ndi zomwe zingachitikire anthu ambiri, makamaka ndi matenda ena. Lero, tikambirana mwatsatanetsatane, koma mwachidule, za vutoli lotchedwa `Vaginal Stenosis`.

Kodi `Vaginal Stenosis` ndi chiyani? Mwachidule...

Mwachidule, `Vaginal Stenosis` ndi kuchepa kwa kutalika kwa mkati mwa nyini yanu. Chifukwa chachikulu cha izi ndi kupangika kwa minofu ya chilonda . Kodi mukudziwa kuti tikakhala ndi kuvulala kwinakwake m'thupi lathu, chilonda chimapangidwa pamene chikuchira? Umu ndi momwe zimakhalira. Pakakhala kuwonongeka kapena kuvulala kwina kwa nyini, thupi lathu limayesetsa kuchichiritsa mwa kupanga minofu ya chilonda iyi. Koma vuto ndilakuti, minofu ya chilonda iyi si yosinthasintha komanso yotambasuka ngati minofu yachibadwa ya nyini. Chifukwa chake, chinthu chikalowa mkati mwa nyini, monga panthawi yogonana, poika tampon, kapena dokotala akamayesa nyini, mungamve kupweteka komanso kusasangalala. Matendawa nthawi zambiri amapezeka mutabereka, mutatha opaleshoni, kapena mutatha kugwiritsa ntchito radiation ku dera la m'chiuno (`Pelvic Radiation Therapy`).

Simuyenera kukhala ndi ululu ndi kusasangalala kumeneku. Pali mankhwala ochepetsa zizindikiro zanu ndikupangitsa moyo wanu kukhala wabwino.

Kodi vutoli ndi lofala bwanji?

Palibe ziwerengero zosonyeza momwe izi zilili zofala. Chifukwa chakuti ndi nkhani yovuta kwambiri, anthu ena safuna kulankhula za zizindikiro zawo kapena kufunafuna chithandizo. Chifukwa chake, chiwerengero cha milandu sichimafotokozedwa mokwanira. Komabe, izi zimachitika kwambiri kwa anthu omwe ali ndi zinthu zoopsa, monga omwe adachitidwa opaleshoni kapena kulandira chithandizo cha radiation.

Kodi inunso muli ndi zizindikiro izi?

Mu vuto la `Vaginal Stenosis` ili, mutha kuwona zizindikiro monga:

• Ululu panthawi yogonana (`Dyspareunia`): Ichi ndiye chizindikiro chachikulu kwa anthu ambiri. Kwa ena, ululuwu umapangitsa kuti zikhale zovuta kwambiri kugonana.
• Ululu ndi kusasangalala mukayika tampon mu nyini.
• Kutuluka magazi panthawi yogonana kapena pambuyo pogonana.
• Kumva kusasangalala kapena kupweteka pamene dokotala wa matenda a chiberekero akumuyesa. Ichi ndichifukwa chake anthu ena amaopa kupita kwa madokotala.
• Kuuma kwa nyini.

N’chifukwa chiyani ‘Vaginal Stenosis’ imeneyi imachitika? Kodi zimayambitsa chiyani?

Monga tafotokozera kale, `Vaginal Stenosis' imachitika pamene minofu ya chilonda imapanga mu nyini, zomwe zimapangitsa kuti nyini ikhale yopapatiza komanso yaifupi. Minofu ya chilonda iyi si yosinthasintha kapena yotambasuka ngati minofu yachibadwa ya nyini. Tangoganizani kuti m'malo mwa chinthu chomwe chimatambasuka ngati lamba, pali chinthu chonga pulasitiki yolimba. Umu ndi momwe minofu ya chilonda iyi ilili. Choncho chinthu chikalowa mu nyini, ululu umachokera ku minofu yolimba.

Pali zifukwa zingapo zomwe zimapangitsa kuti minofu iyi ipangike:

Chithandizo cha X-ray

Pamene chithandizo cha radiation chiperekedwa ku ziwalo za m'chiuno (monga malo omwe ali pansi pa mimba), nyini imatha kuchepetsedwa ngati zotsatira zoyipa. Izi zimatchedwa radiation-induced vaginal stenosis. Vutoli limapezeka makamaka akazi azaka zopitilira 50 akalandira chithandizo cha radiation. Nthawi zina, kugwiritsa ntchito mankhwala oletsa khansa (chemotherapy) kungakhudzenso izi.

Opaleshoni

Opaleshoni iliyonse yomwe imagwiritsa ntchito chiberekero chanu, nyini, kapena khomo lachiberekero ikhoza kuwononga minofu ya m'chiberekero ndikuyambitsa zipsera. Mwachitsanzo, izi zikuphatikizapo njira zomangiranso ziwalo za m'chiuno ndi opaleshoni yochepetsa ziwalo za m'chiuno.

Kubereka

Zilonda zimathanso kuchitika chifukwa cha mavuto omwe amabwera chifukwa cha kubereka kwabwinobwino, monga episiotomy (kudula pang'ono pakati pa nyini ndi thako) kapena kung'ambika kwa nyini. Ichi ndichifukwa chake akazi ena amamva ngati nyini yawo yalimba pang'ono akabereka. Izi zingayambitse ululu panthawi yogonana kwa miyezi ingapo akabereka.

Matenda a Khungu

Pali matenda ena a pakhungu, monga `Lichen Sclerosus` ndi `Lichen Planus`. Matendawa angayambitsenso kuuma kwa nyini.

Kusamba

Pamene mukuyandikira kusamba (ndiko kuti, mukatha kusamba mwezi uliwonse), kuchuluka kwa mahomoni otchedwa estrogen m'thupi lanu kumachepa. Izi zingayambitse minofu ya m'chiberekero kukhala youma komanso yopyapyala. Izi zimatchedwa vaginal atrophy. Matendawa nthawi zina angapangitse zizindikiro za vaginal stenosis kukhala yoipa kwambiri.

Kawirikawiri, stenosis ya m'mimba imatha kuchitika chifukwa cha matenda ena obadwa nawo, monga adrenal hyperplasia.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Aliyense amene ali ndi nyini akhoza kukhala ndi `Vaginal Stenosis`. Komabe, muli pachiopsezo chachikulu ngati muli ndi:

• Ngati mwachitidwa opaleshoni m'chiuno.
• Ngati opaleshoni ya episiotomy inachitidwa panthawi yobereka kapena ngati nyini yang'ambika.
• Ngati mwalandira chithandizo cha radiation ya m'chiuno kapena chemotherapy m'chigawo cha m'chiuno.

Kafukufuku wina wasonyeza kuti anthu omwe amagwiritsa ntchito zinthu zopangidwa ndi fodya nawonso ali pachiwopsezo chachikulu chotenga vutoli.

Kodi izi zingayambitse mavuto otani?

Matenda a stenosis a m'mimba samangokhudza nyini yanu yokha. Amatha kukhudza moyo wanu wonse, osati moyo wanu wogonana wokha. Tangoganizani, kusagwiritsa ntchito tampon bwino, kusakhoza kuchita mayeso a nyini momasuka, kapena kusagona ndi mnzanu kungakhale kokhumudwitsa kwambiri. Ngati sanalandire chithandizo, matenda a stenosis a m'mimba amatha kuipiraipira. Zingakhalenso zovuta kuchiza. Chifukwa chake ngati mukumva kupweteka kulikonse, ndikofunikira kulankhula ndi dokotala za izi.

Kodi dokotala amazindikira bwanji izi?

Dokotala akhoza kuzindikira vuto la stenosis ya m'mimba mwa kuchita mayeso a m'chiuno ndikukambirana za zizindikiro zanu. Muyenera kuuza dokotala wanu nthawi yomwe ululu unayamba, zochita zomwe zimayambitsa ululu, ndi mbiri yanu yonse yachipatala, kuphatikizapo opaleshoni iliyonse ndi chithandizo chomwe mudalandirapo.

Pa nthawi yoyezetsa nyini, dokotala adzavala magolovesi, adzapaka mafuta odzola, ndikuyika zala zake mu nyini kuti awone ngati zili zofewa komanso zakuya. Ngati mukumva kupweteka kulikonse panthawi yoyezetsa iyi, muyenera kuuza dokotala wanu . Musadandaule, madokotala azolowera izi.

Kodi mankhwala a izi ndi otani? Tiyeni tiwone...

Cholinga chachikulu cha chithandizo ndikupangitsa kuti minofu ya chilonda ikhale yosinthasintha, kapena yosavuta kusuntha. Ndondomeko ya chithandizo yomwe inu ndi dokotala wanu mungasankhe idzadalira chifukwa cha stenosis ya m'mimba mwanu komanso kuopsa kwake. Kumbukirani kuti chithandizochi chingatenge miyezi, kapena zaka. Popeza minofu ya chilonda ikhoza kubwereranso, mungafunike dongosolo la nthawi yayitali kuti muchepetse stenosis ya m'mimba mwanu.

Nazi zina mwa njira zomwe zingagwiritsidwe ntchito pochiza matenda a Vaginal Stenosis:

Kuchepetsa Nyini

Zipangizo zotambasula nyini ndi zipangizo zazing'ono zozungulira zomwe zimagwiritsidwa ntchito kutambasula nyini pang'onopang'ono komanso mofatsa . Mumayamba ndi chotambasula chaching'ono. Kenako, pakatha milungu ingapo kapena miyezi ingapo, pang'onopang'ono mumapita ku chotambasula chachikulu. Izi zili ngati masewera olimbitsa thupi, ndipo zimafuna kuleza mtima pang'ono.

Chithandizo cha Pansi pa Pelvic

Chithandizo cha Pansi pa Pelvic ndi njira yabwino yolimbikitsira minofu ya pansi pa chiuno ndikukweza kuyenda kwa magazi m'derali. Mukaphunzira momwe mungachepetsere ndikupumula minofu yanu ya pansi pa chiuno, mupeza kuti ndizosavuta kugwiritsa ntchito chowonjezera cha vaginal. Mutha kupeza thandizo kuchokera kwa katswiri wa physiotherapist pankhaniyi.

Chithandizo Chosintha Mahomoni (HRT)

Ngati vuto la stenosis ya m'mimba mwanu limayamba chifukwa cha kusowa kwa estrogen, kumwa estrogen kungathandize. Pali mitundu yambiri ya HRT - mafuta odzola, mapiritsi, ndi ma patches. Izi zingathandize kuwonjezera chinyezi ndi kusinthasintha kwa minofu ya m'mimba. Komabe, musanayambe HRT, ndikofunikira kulankhula ndi dokotala wanu za zoopsa ndi zabwino zake.

Opaleshoni

Nthawi zina, dokotala wanu angakulangizeni opaleshoni kuti akulitse kutsegula kwa nyini yanu. Komabe, izi zimachitika pokhapokha ngati njira yomaliza, komanso pokhapokha ngati njira zina sizinagwire ntchito.

Kuwonjezera pa mankhwala akuluakulu awa, palinso zinthu zina zomwe zingakupatseni mpumulo:

• Kugwiritsa ntchito mafuta odzola okhala ndi madzi pogonana, monga KY® Jelly.
• Kugwiritsa ntchito mafuta odzola m'mimba, monga Replens™, sikofanana ndi mafuta odzola, ndipo kungagwiritsidwe ntchito popanda kugonana. Kumathandiza kuti minofu ya m'mimba ikhale yonyowa tsiku lonse.
• Kutengera ndi chomwe chimayambitsa stenosis ya m'mimba, mungafunenso kuyesa chithandizo cha laser.

Chofunika kwambiri ndikudziwa bwino za mankhwala awa, lankhulani ndi dokotala wanu, ndikusankha omwe akukuthandizani. Si mankhwala onse omwe amagwira ntchito kwa aliyense.

Kodi izi zidzasintha zokha?

Ayi. Zilonda si chinthu chomwe chingachokere chokha popanda chithandizo. Ngati sichichiritsidwa, vutoli likhoza kuipiraipira pakapita nthawi ndikupangitsa ululu wowonjezereka.

Kodi mungayembekezere chiyani ngati muli ndi `Vaginal Stenosis`?

Matenda a stenosis m'mimba amatha kukhala vuto lopweteka komanso lochititsa manyazi. Ndi zoona. Ngakhale kuti palibe mankhwala okhazikika, omwe amachiritsidwa kamodzi kokha, dokotala wanu angakuthandizeni kupeza njira zothetsera vutoli. Chifukwa stenosis m'mimba imatha kubwereranso, mungafunike kupitiriza kugwiritsa ntchito ma dilator, mafuta odzola, kapena njira zina zosamalira. Komabe, ndi chithandizo choyenera, anthu ambiri amawona kusintha kwakukulu m'moyo wawo wogonana komanso moyo wawo wonse. Choncho musadandaule.

Kodi pali njira zopewera izi kuti zisachitike?

Nthawi zina zimatheka, koma nthawi zambiri zimakhala choncho pokhapokha ngati mwalandira chithandizo cha radiation posachedwapa. Madokotala ena amalimbikitsa kugwiritsa ntchito vaginal dilator kuti mupewe stenosis ya vaginal mutalandira chithandizo cha khansa.

Komabe, ngati opaleshoni yachitika, `Vaginal Stenosis` singathe kupewedwa nthawi zonse. Ngakhale kuti kuchuluka kwa minofu ya zipsera zomwe zimapangidwa kungachepe pogwiritsa ntchito `njira zochepetsera pang'ono opaleshoni`, sikungathe kuthetsedwa kwathunthu.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukumva kupweteka panthawi yogonana, poika tampon, kapena poyesa m'chiuno , onetsetsani kuti mwaonana ndi dokotala nthawi yomweyo. Nkhani imeneyi ingakhale yovuta kukambirana, koma kumbukirani kuti dokotala wanu alipo kuti akuthandizeni. Matenda a stenosis m'mimba ndi vuto lofala, ndipo zizindikiro zanu zimatha. Palibe chifukwa chochitira manyazi kapena mantha.

Kodi `Vaginal Stenosis` ndi `Vaginal Atrophy` ndi chinthu chimodzi?

Ayi. Awiriwa ndi ofanana, koma izi ndi zochitika ziwiri zosiyana.

• Kufooka kwa nyini ndi vuto lomwe mkati mwa nyini mumakhala wouma komanso wopyapyala chifukwa cha kusowa kwa estrogen. Imeneyi ndi vuto lokhudzana ndi mahomoni lomwe nthawi zambiri limakhudza akazi omwe akuyandikira kusamba.
• Kumbali inayi, `Vaginal Stenosis` imayamba chifukwa cha zipsera zomwe zimachitika chifukwa cha zinthu monga opaleshoni, chithandizo cha radiation, ndi kubereka.

Matenda awiriwa ndi ofanana chifukwa pamene minofu ya m'chiberekero imakhala yofooka komanso youma chifukwa cha `Vaginal Atrophy`, ululu ndi kusasangalala komwe kumachitika chifukwa cha `Vaginal Stenosis` zimatha kuwonjezeka.

Matenda a stenosis a m'mimba si chinthu chomwe chimakhudza maliseche anu okha. Amatha kusokoneza chisangalalo chanu, kudzidalira, komanso kupangitsa kuti zikhale zovuta kukhala ndi ubale wapamtima ndi okondedwa anu ogonana nawo. Ngakhale kuti nkhaniyi ingakhale yovuta kukambirana momasuka, kufunafuna thandizo kwa dokotala ndiye chinthu chabwino kwambiri chomwe mungachite nokha. Pali njira zingapo zothandizira stenosis ya m'mimba. Simuyenera kukhala ndi ululu uwu, komanso simuyenera kuuvomereza. Anthu ambiri amanena kuti moyo wawo wasintha kwambiri akapeza chithandizo choyenera.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira

• Nyini ya Stenosis ndi kuchepa kwa nyini ndipo nthawi zina kuchepa kwake. Chifukwa chachikulu cha izi ndi zipsera.
• Ngati muli ndi zizindikiro monga kupweteka panthawi yogonana, kuvutika kuyika tampon, kuuma kwa nyini, kapena kupweteka panthawi yoyezetsa nyini, musachite manyazi ndipo uzani dokotala.
• Vutoli lingayambitsidwe ndi chithandizo cha radiation, opaleshoni, kuvulala panthawi yobereka, matenda ena a pakhungu, komanso kusamba.
• Pali mankhwala ochizira izi! Mutha kupeza mpumulo ndi zinthu monga `Dilators`, `Pelvic Floor Therapy`, mankhwala a mahomoni, mafuta odzola, ndi zodzoladzola za m'mimba.
• Palibe chifukwa chochitira manyazi ndi izi. Chofunika kwambiri ndikupempha thandizo. Simuyenera kuvutika nokha ndi izi. Dokotala wanu adzakuthandizani.

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