Kodi nthawi zina mumamva kupweteka kapena kutentha m'mimba mwanu, kutanthauza kuti, kumaliseche kwanu kwakunja, popanda chifukwa chomveka? Ngati ndi choncho, musaganize kuti ndi chinthu chosavuta. Chifukwa lero tikambirana za Vulvodynia, vuto lomwe akazi ambiri amakumana nalo mwakachetechete, koma lomwe lingathetsedwe ngati litadziwika bwino.
Kodi Vulvodynia ndi chiyani? Tiyeni timvetse mosavuta!
Mwachidule, vulvodynia ndi ululu wosatha mu vulva yanu womwe umakhala kwa miyezi itatu kapena kuposerapo popanda chifukwa chomveka. Tsopano mwina mukuganiza kuti, "Vulvodynia ingayambitsenso matenda, matenda a pakhungu, ndi zina zotero." Inde, ndi zoona. Koma vulvodynia si mtundu wina wa ululu. Ululu ukhoza kukhala woopsa kwambiri moti ungakulepheretseni kuchita ntchito zanu za tsiku ndi tsiku, ngakhale zinthu zomwe mumakonda. Tangoganizirani momwe zimavutitsira!
Kodi pali mitundu ikuluikulu ya vulvodynia?
Inde, vulvodynia imagawidwa m'magulu awiri, kutengera komwe ululu umachitika.
1. Vulvodynia Yomwe Ili M'dera Lililonse:
Nthawi zambiri ululu umakhala pamalo amodzi. Mwachitsanzo, ukhoza kukhala pamalo ofewa a khungu lozungulira khomo lanu la nyini (vulvar vestibule) - malo ofewa a khungu pakati pa mkati mwa labia yanu, komwe mumakodza (urethra), ndi nyini yanu - kapena pamalo ang'onoang'ono, osavuta kumva pamwamba pa nyini yanu otchedwa clitoris. Izi nthawi zina zimatchedwa 'localized vulvar pain syndrome'.
2. Vulvodynia yodziwika bwino:
Nthawi zina ululu sumangokhala mbali imodzi yokha. Mutha kumva ululu m'mbali zosiyanasiyana za maliseche anu nthawi zosiyanasiyana. Nthawi zina ululuwo ukhoza kufalikira m'maliseche anu onse.
Kuphatikiza apo, ululu wa vulvodynia ukhoza "kukwiyitsidwa," kutanthauza kuti umayamba chifukwa cha kukhudza kapena kuchitapo kanthu, kapena "wosakwiyitsidwa," kutanthauza kuti umachitika popanda chifukwa china chilichonse chakunja.
Kodi vulvodynia imakhudza bwanji moyo wa munthu?
Ichi ndi chinthu chomwe chimakhudza moyo kuposa momwe mungaganizire. Taganizirani motere...
- Kupweteka komwe kumabwera chifukwa chokhala nthawi yayitali kungapangitse kuti zikhale zovuta kuchita ntchito yanu.
- Ululu panthawi yogonana (dyspareunia) kapena kulephera kugonana kungawononge ubale wanu ndi munthu.
- Zingakhale zovuta kugona, komanso kugona kwa nthawi yayitali .
- Ngakhale kusankha zovala zoti muvale kungakhale kochepa, chifukwa kuvala zovala zina kumawonjezera ululu.
Kafukufuku wapezanso kuti vulvodynia imagwirizanitsidwa ndi kupsinjika maganizo ndi nkhawa. Choncho sikuti ndi ululu wakuthupi wokha, komanso ndi mtolo waukulu wamaganizo.
Ndani amene ali ndi mwayi waukulu wopeza vulvodynia? Kodi ndi yofala bwanji?
Ngakhale kuti vulvodynia imatha kuchitika pa msinkhu uliwonse, imapezeka kwambiri mwa akazi azaka zapakati pa 20 ndi 60. Ndipotu, vulvodynia ndiye chifukwa chachikulu cha dyspareunia ndi ululu wosatha wa m'chiuno mwa akazi a msinkhu wobereka.
Komabe, n'zovuta kunena momwe matendawa amachitikira kawirikawiri. Anthu ambiri safuna kulankhula za matendawa ndipo safuna chithandizo. Komanso, popeza chifukwa chenicheni sichikudziwikabe, kupeza matendawa kungakhale kovuta pang'ono. Nthawi zina amatha kusokonezedwa ndi matenda kapena matenda ena opweteka nthawi yayitali.
Kodi zizindikiro za Vulvodynia ndi ziti?
Mmene ululu uwu umachitikira zimasiyana kwa munthu aliyense. Mmene ululu umayambira, momwe umathera, komanso pamene wafika poipa kwambiri zimasiyananso malinga ndi munthu ndi munthu.
Kodi ululu uwu wa vulvodynia umamveka bwanji?
Ululu m'malo mwa nyini yanu ukhoza kukhala wochepa mpaka wovuta kwambiri . Ungamveke motere:
- Monga kupsa
- Kuluma
- Monga kubaya ndi mpeni
- Monga kukanda.
- Kupsa
- Kugunda
Ululu uwu ukhoza kumveka pamalo amodzi, ukhoza kusuntha kuchokera pamalo ena kupita kwina, kapena ukhoza kufalikira kumaliseche konse.
Kodi mungayambe bwanji kumva kupweteka m'dera la nyini?
Ululu ukhoza kukhala:
- Mwina zinayamba mwadzidzidzi ndipo zinasiya mwadzidzidzi kwa miyezi ingapo.
- Ikhoza kukhala miyezi ingapo popanda kuima .
- Zingayambe mwadzidzidzi popanda chifukwa chomveka.
- Zingayambe munthu akakukhudzani, mukagonana, mukamachita masewera olimbitsa thupi, mukamathamanga, mukamayenda, mukamayika tampon, kapena mukakhala pansi .
Zochita zilizonse ngati izi zitha kukulitsa ululu womwe uli nawo kale m'mimba.
Kodi ndi zifukwa ziti zomwe zimayambitsa vulvodynia?
Ofufuza sakudziwabe chomwe chimayambitsa vulvodynia, koma pali zinthu zingapo zomwe akuganiza kuti zingayambitse izi:
- Kutupa
- Zinthu zokhudzana ndi mahomoni
- Zinthu zokhudzana ndi majini
- Mavuto a mitsempha
- Zotsatira za nthawi yayitali ku matenda am'mimba omwe adachitika kale
- Kufooka kapena kupweteka kwa minofu ya minofu ya pansi pa chiuno
- Ziwengo kapena kukwiya komwe kumachitika chifukwa cha zinthu zoopsa zomwe zimavulaza khungu
Ndi matenda ena ati omwe amapezeka nthawi zambiri ndi vulvodynia?
Kawirikawiri, anthu omwe ali ndi vulvodynia amapezeka ndi chimodzi kapena zingapo mwa zizindikiro zina za ululu:
- Fibromyalgia
- Matenda opweteka a chikhodzodzo
- Matenda a m'mimba okwiya (IBS)
- Matenda a temporomandibular (TMD) (ululu wokhudzana ndi mafupa m'dera la nsagwada)
Kodi kupsinjika maganizo ndi nkhawa zimayambitsa vulvodynia?
Deta ikusonyeza kuti anthu omwe ali ndi vulvodynia ali ndi mwayi waukulu wokhala ndi nkhawa zambiri, mbiri yakale yozunzidwa, komanso matenda ena amisala . Mwachitsanzo:
- Nkhawa
- Kuvutika maganizo
- Matenda ovutika maganizo pambuyo pa zoopsa (PTSD)
Komabe, n'zovuta kunena momwe matendawa amagwirizanirana ndi vulvodynia. N'zotheka kuti kukhala ndi vuto la maganizo kumawonjezera chiopsezo chanu chokhala ndi vulvodynia. Kapena, mwina zotsatira zoyipa zomwe vulvodynia imabweretsa pa moyo wanu zikukupangitsani kukhala ndi nkhawa kapena kuvutika maganizo.
Kodi Vulvodynia Imapezeka Bwanji?
Dokotala wanu amazindikira matenda a vulvodynia mwa kuchotsa matenda ena omwe angayambitse ululu wanu.
1. Mbiri ya matenda ndi zizindikiro zake: Choyamba, dokotala adzakufunsani za mbiri yanu ya matenda, mbiri ya kugonana, ndi opaleshoni yomwe mudachitapo. Adzakufunsaninso za zizindikiro zanu - komwe ululu uli, momwe umamvekera, nthawi yomwe malo obisika a m'mimba amapweteka, komanso momwe amakulira.
2. Kuyezetsa thupi: Dokotala adzayesa ziwalo zanu zakunja (vulva). Adzayesanso ziwalo za m'chiuno pogwiritsa ntchito speculum kuti ayese ziwalo zanu zamkati ndi chiberekero. Chiberekero ndi malo otseguka pakati pa chiberekero chanu ndi chiberekero. Adzayesanso minofu ya pansi pa chiuno chanu kuti adziwe malo aliwonse opweteka.
3. Kuyesa thonje / kuyesa kupanikizika kwa magazi: Dokotala amakhudza pang'onopang'ono madera osiyanasiyana a nyini yanu ndi thonje ndipo amakufunsani nthawi (ndi komwe) mukumva ululu. Kuyesa kumeneku ndi kothandiza kwambiri pozindikira ululu womwe umapezeka pamalo amodzi, pafupi ndi khomo la nyini (vulvar vestibule).
4. Ma swabs oyesera matenda:Mayeso awa angathandize kuchotsa matenda monga matenda opatsirana pogonana (STIs), bacterial vaginosis, ndi matenda a yisiti omwe angayambitse kupweteka kwa nyini.
Kawirikawiri, dokotala wanu angakupatseni colposcopy kapena biopsy kuti athetse matenda ena omwe sali okhudzana ndi vulvodynia koma omwe angayambitse ululu wanu.
Kodi vulvodynia imachiritsidwa bwanji?
Chithandizo cha vulvodynia chimatenga nthawi. Zingatenge nthawi kuti mupeze chithandizo kapena kuphatikiza kwa mankhwala omwe angakuthandizireni. Nthawi zina mankhwala omwe angagwire ntchito sangagwire ntchito nthawi yomweyo. Ndikofunikira kukhala oleza mtima ndi chithandizo chanu.
Mankhwala angaphatikizepo:
- Mankhwala opaka pakhungu: Mungagwiritse ntchito mafuta odzola oletsa ululu ndi mafuta odzola kuti musamachite dzanzi m'malo mwanu oberekera, kapena mungagwiritse ntchito mafuta oletsa mitsempha. Dokotala wanu angakupatseninso mafuta odzola omwe ali ndi estrogen kapena estrogen ndi progesterone.
- Mankhwala Omwedwa: Mankhwala monga mankhwala oletsa kuvutika maganizo ndi mankhwala oletsa kugwidwa ndi khunyu angaperekedwe pakamwa kuti achepetse ululu wa mitsempha.
- Kutsekeka kwa mitsempha: Dokotala wanu angakulangizeni jakisoni yomwe imaletsa zizindikiro za ululu kuchokera ku mitsempha yanu kuti zisatumizidwe ku ubongo wanu.
- Kuchiza ndi thupi: Kuchiza ndi thupi kungathandize kumasula kulimba kwa minofu ya pansi pa chiuno (minofu, mitsempha, ndi minofu yolumikizana m'chiuno). Kungathandizenso kuchepetsa kupweteka kwa minofu, komwe kumachitika kawirikawiri ndi vulvodynia. Chithandizo chingaphatikizepo kutambasula, kutambasula, ndi kulimbitsa minofu yofooka ya pansi pa chiuno.
- Kuchotsa maliseche: Opaleshoni iyi ndi yothandiza kwa anthu omwe ali ndi vuto la vulvodynia omwe sanalandire chithandizo china chofala. Pa opaleshoni iyi, dokotala wanu amachotsa minofu yopweteka m'dera lanu la kumaliseche.
- Uphungu: Uphungu wa munthu payekha, uphungu wa maanja, kapena chithandizo cha kugonana chingakuthandizeni kukonza madera a moyo wanu omwe akukhudzidwa ndi vulvodynia, monga maubwenzi anu ogonana.
Deta yochepa ikusonyeza kuti acupuncture ndi hypnosis zingathandize kuchepetsa ululu wokhudzana ndi vulvodynia ndikuthetsa vuto la kugonana.
Kodi mungatani kuti muchepetse zizindikiro za vulvodynia?
Makhalidwe ambiri abwino omwe mumatsatira kuti maliseche anu ndi nyini yanu zikhale zathanzi (chisamaliro cha maliseche) angathandizenso ndi ululu wa nyini.
Mukhoza kuchita zinthu izi kuti muchepetse ululu:
- Sambani ndi mchere wa Epsom kapena oatmeal ya colloidal.
- Gwiritsani ntchito sopo wofewa komanso wopanda fungo (kapena madzi okha) potsuka malo anu oberekera.
- Gwiritsani ntchito sopo wofewa wofewa komanso wopanda fungo lonunkhira kuti mutsuke nsalu yomwe yamatirira kumaliseche kwanu.
- Valani zovala zamkati za thonje zokha masana ndipo musavale zovala zamkati usiku.
- Pakani ma compress ozizira kapena ma gel pack kumaliseche anu (musasiye kwa mphindi zoposa 15 nthawi imodzi).
- Gwiritsani ntchito mafuta odzola omwe alibe fungo, kukoma, komanso opanda mphamvu zoziziritsira kapena kutentha panthawi yogonana.
- Ngati mukuyenera kukhala pansi kwa nthawi yayitali, gwiritsani ntchito thovu lotchedwa "donut" kapena pilo ina kuti muchepetse kupanikizika kwa malo oberekera.
- Mugone mokwanira (pakati pa maola 7-9) usiku uliwonse.
- Phatikizani njira zochepetsera kupsinjika maganizo ndi kupumula m'moyo wanu watsiku ndi tsiku.
Pewani kuchita zinthu izi:
- Kuvala mathalauza olimba, mathalauza, kapena jinzi.
- Kugwiritsa ntchito mapepala a chimbudzi onunkhira, ma tampons, ma pad, kapena ma panty liners.
- Kuvala zovala zosambira zonyowa kapena zolimbitsa thupi zotuluka thukuta kwa nthawi yayitali.
- Kupukuta kapena kugwiritsa ntchito zinthu zomwe zingakwiyitse khungu monga deodorant ndi bafa ya thovu.
- Kukwera njinga, kukwera pahatchi, kapena kuchita masewera olimbitsa thupi ena omwe amaika mphamvu pa nyini .
Kodi Vulvodynia ingapewedwe?
Mwatsoka, palibe njira yopewera vulvodynia.
Kodi vulvodynia idzatheratu?
Palibe umboni wokwanira woneneratu nthawi yomwe (kapena momwe) vulvodynia yanu idzachira kapena kutha yokha. M'malo mongoyembekezera, onani dokotala wanu kuti ayambe kulandira chithandizo chomwe chingakuthandizeni.
Kodi muyenera kupita kwa dokotala liti pankhani ya vulvodynia?
Ngati mukumva kupweteka kosalekeza kwa nyini, onani dokotala wanu wamkulu kapena dokotala wa matenda a akazi. Zingatenge nthawi kuti mupeze chithandizo choyenera. Chithandizo chingafunike njira yothandizirana ndi gulu, monga dokotala wa matenda a akazi, katswiri wa zamaganizo, kapena mlangizi. Mukalumikizana mwachangu ndi zinthuzi, mupeza mpumulo mwachangu.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?
Mungathe kufunsa mafunso monga awa:
- Ndi mayeso otani omwe angachitike kuti apeze chomwe chikuyambitsa ululu wanga?
- Ndi zochita ziti zomwe ndiyenera kupewa zomwe zingapangitse kuti zizindikiro zanga ziwonjezeke?
- Kodi vulvodynia yanga ingakhale yogwirizana ndi vuto lina lomwe ndili nalo?
- Kodi ndi njira ziti zomwe ndingachite kuti ndikhale ndi moyo wathanzi wogonana ndi vulvodynia?
- Ndi mankhwala, njira, kapena kusintha kwa moyo komwe mumalimbikitsa ngati chithandizo?
Kodi mungachiritse bwanji vulvodynia? Kodi pali njira yochotsera vutoli mwachangu?
Mwatsoka, vulvodynia si chinthu chomwe chingachiritsidwe usiku wonse. Chithandizo choyenera kwa inu chidzadalira chomwe chimayambitsa ululu wanu. Mankhwala, chithandizo cha thupi, uphungu, ndi opaleshoni zonse ndi njira zomwe zingakuthandizeni kuchepetsa ululu.
Ngati mukufuna kuchepetsa ululu nthawi yomweyo, mutha kugwiritsa ntchito mankhwala oletsa ululu pamalo omwe mukumva ululu. Komabe, kuti muchepetse ululu kwa nthawi yayitali, mungafunike kugwira ntchito ndi dokotala wanu kuti mupeze chithandizo choyenera kapena kuphatikiza mankhwala osiyanasiyana.
Chofunika kwambiri ndikuonana ndi dokotala ngati muli ndi ululu m'dera lanu la kumaliseche. Zingayambitsidwe ndi matenda enaake kapena vulvodynia. Komabe, pali mankhwala omwe angakuthandizeni. Poyamba, zingatenge nthawi kuti mupeze chithandizo chomwe chingakupatseni mpumulo. Mankhwala omwe amagwira ntchito kwa wina sangagwire ntchito kwa inu. Komabe, mukayamba kufunafuna njira zothandizira mwachangu, zimakhala bwino kwa inu. Musavutike ndi ululuwo mosafunikira, ndipo musaike moyo wanu pachiwopsezo!
Chidule (Uthenga Wopita Nawo Kunyumba)
Vulvodynia ndi ululu wosatha komanso wosamvetsetseka womwe umapezeka m'mimba mwa akazi. Ukhoza kukhala ndi zotsatirapo zazikulu pa moyo watsiku ndi tsiku komanso thanzi la maganizo. Ndi matenda oyenera komanso chithandizo choyenera cha wodwala, vutoli lingathe kuthetsedwa. Ngati muli ndi zizindikiro izi, musachite manyazi kapena mantha. Pitani kuchipatala mwachangu momwe mungathere. Kumbukirani, simuli nokha, ndipo thandizo lilipo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Vulvodynia ndi matenda opatsirana pogonana (STD)?
Ayi ndithu! Iyi si matenda a bakiteriya kapena bowa (monga matenda a yisiti). Ndi vuto lopweteka lomwe limayambitsa kuyabwa, kutentha, kapena kupweteka kwa ziwalo zoberekera zakunja (vulva) kwa akazi ambiri, zomwe zimatha miyezi itatu (popanda mayeso a zachipatala).
💬 Izi zikachitika, kodi zimakupwetekani kwambiri moti simungathe ngakhale kuvala pa pad?
Inde! Azimayi ena amamva ululu uwu pokhapokha ngati pali kupanikizika pamalopo (monga, akavala mathalauza olimba, kuyika tampon, kapena kuchita zogonana). Ena amatha kumva kutentha ndi kupweteka kumeneku popanda kupanikizika kulikonse, ngakhale atakhala pansi.
💬 Kodi pali mankhwala ochiritsira izi?
Popeza chifukwa chenicheni cha matendawa sichinapezeke, palibe mankhwala 100%. Komabe, mankhwala ochepetsa ululu (monga Amitriptyline), mafuta odzola mano, ndi mankhwala ochizira pansi pa chiuno amatha kuletsa ululuwu ndikukuthandizani kukhala ndi moyo wabwinobwino.
` Vulvodynia, ululu wa m'mimba, thanzi la akazi, ululu wosatha, ululu wogonana, maliseche, matenda a akazi











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