Chizvaro chako chakaoma here? Chinorwadza here? Ngatikurukurei nezve (Vaginal Atrophy / Genitourinary Syndrome of Menopause - GSM)

Wakambonzwa kusagadzikana, kurwadziwa, kana kuoma munhengo yako yesikarudzi here? Unonzwa kurwadziwa panguva yebonde here? Unganzwa kunyara kutaura nezvezvinhu izvi. Zvisinei, idzi inyaya dzinonyanya kutambudza vakadzi vazhinji, asi hatitauri nezvadzo zvakanyanya, asi inyaya inoda kukurukurwa. Nhasi, tichataura nezveizvi zvakadzama .

Dambudziko iri rinonzi chii? Chii chaizvo?

Zvichitaurwa zviri nyore, iyi inyaya apo nyama dzakakomberedza nhengo yemukadzi dzinova dzakatetepa uye dzakaoma. Yaimbonzi `(Vaginal Atrophy)`. Asi ikozvino kwava kushandiswa zita idzva rezvekurapa, iro rinonzi `(Genitourinary Syndrome of Menopause)` kana `(GSM)` muchidimbu. Chikonzero chekushandisa zita idzva iri ndechekuti chirwere ichi hachingokanganisi nhengo yemukadzi chete, asiwo weti. Chinoitika apa ndechekuti membrane dzakatetepa dziri mukati menhengo yemukadzi dzinooma uye dzakatetepa. Funga nezvazvo sekunge ivhu rinotsemuka parinooma. Ichi ndicho chikonzero nei zviratidzo zvakaita sekukwenya, kupisa, uye kurwadziwa panguva yebonde zvichiitika. Kwete izvozvo chete, asi hutachiona hwemunzira yeurinary (UTIs)` uye kusagadzikana kweweti zvinogonawo kuuya nazvo. Iyi inyaya inowanzoitika paunosvika kana mushure memenopause. Chikonzero cheizvi ndechekuti huwandu hwehormone estrogen inogadzirwa nemaovari ako hunoderera. Panguva yekurapwa kwegomarara kana maovari ako paanobviswa nekuvhiyiwa, huwandu uhwu hweestrogen hunogonawo kudzikira. Kana huwandu uhwu hwehormone huchidzikira, hunogona kukonzera zviratidzo zvisingafadzi. Izvi zvinogonawo kukanganisa hupenyu hwako hwemazuva ese.

Izvi zvakajairika sei? (Zvinowanzoitika sei?)

Kutaura zvazviri, hafu yevakadzi vese vari kuenda kumwedzi vanosangana nechirwere chinozivikanwa seGenitourinary Syndrome of Menopause (GSM). Kazhinji chiratidzo chekutanga kuoma kwechikadzi . Unogona kutanga kuzviona panguva yebonde.

Ndezvipi zviratidzo zveizvi? (Zvii zviratidzo zveizvi?)

Kana uine chirwere chinonzi ``Vaginal Atrophy'' kana ``GSM'', nyama iri mumadziro emukadzi inotetepa, yakaoma, uye inobatwa nehutachiona. Ngationei zviratidzo izvi.

Zviratidzo zvechikadzi:

• Kunzwa kupisa kana kuvaviwa kwechikadzi.
• Kurwadziwa panguva yebonde. Izvi zvinonzi "Dyspareunia" mukurapa.
• Kubuda kwetsvina kusingajairiki munhengo yemukadzi (kazhinji ruvara rweyero).
• Kubuda ropa kana kuona mavanga kubva kunhengo yechikadzi, kunyanya panguva yebonde.
• Kunzwa kwekuvaviwa kwakakomberedza mazamu (nzvimbo yekunze yenhengo dzesikarudzi).

Zviratidzo zvine chekuita nehurongwa hweweti:

Dambudziko iri rinogonawo kukanganisa urinary system yako, zvichikonzera zviratidzo zvakaita se:

• Utachiona hwemunzira weti hunowanzoitika (UTIs).
• Kusakwanisa kudzora weti.
• Kuda kuita weti kakawanda kupfuura zvakajairika.
• Kuita weti kunorwadza. Izvi zvinonzi `(Dysuria)`.
• Ropa riri muweti. Izvozvo zvinonzi `(Hematuria)`.
• Kunzwa kupisa kana uchiita weti.

Sei izvi zvichiitika? Ndezvipi zvinokonzera? (Sei izvi zvichiitika? Ndezvipi zvinokonzera?)

Panguva yekuenda kumwedzi, muviri wako unoburitsa hormone shoma yeestrogen. Pasina iyi estrogen, madziro enhengo yako anogona kutetepa uye kurasikirwa nekusimba. Nhengo yako inogona kutetepa uye kupfupika. Kana huwandu hweestrogen hukadzikira, huwandu hwemvura yechisikigo yenhengo yako hunoderera, uye acid balance munhengo yako yenhengo inochinja. Zvese izvi zvinoita kuti nhengo yako yenhengo ive nyore uye ive nyore kubatwa nehutachiona. Kuwedzera panguva yekuenda kumwedzi, kune dzimwe nguva apo muviri wako unogona kurasikirwa neestrogen. Semuenzaniso:

• Kana uchiyamwisa mwana.
• Paunenge uchirapwa kenza (semuenzaniso `(Chemotherapy)`, `(radiation therapy)`).
• Kana wakambobviswa mazamu ako nekuvhiyiwa (`( Oophorectomy )`).

Muzviitiko zvakaita seizvi, kudzikira kweestrogen kunogona kukonzera chirwere chinonzi "Vaginal Atrophy".

Ndiani ari panjodzi huru yechirwere ichi?

Vakadzi vari kuenda kumwedzi ndivo vanowanzova nechirwere ichi, sezvo miviri yavo ichigadzira estrogen shoma. Zvisinei, kune zvimwe zvikonzero zvinoita kuti huwandu hweestrogen hudzikire, zvichikonzera chirwere ichi:

• Kusashanda zvakanaka kwechibereko nekuda kwekurapwa kwegomarara (Chemotherapy kana Radiation therapy).
• Kushandisa mimwe mishonga inoderedza huwandu hweestrogen . Mienzaniso inosanganisira mishonga yakaita seTamoxifen, Medroxyprogesterone, uye Nafarelin.
• Kubviswa kwemazai ekubereka (`(Oophorectomy)`).
• Mamwe marudzi emapiritsi ekudzivirira pamuviri.
• Zvimwe zvirwere zvemuviri zvinodzivirira muviri.
• Nguva yekuyamwisa .
• Kusvuta fodya .

Zvakakosha kuti, kana usingaite bonde kakawanda (uine mumwe wako kana kuti usina mumwe wako), mikana yako yekuve nechirwere chevaginal atrophy iri pakati nepakati kusvika pakanyanya. Tsvagiridzo yakaratidza kuti vanhu vanoita bonde vanowanzova nechirwere chevaginal atrophy chisina kunyanya kuipa kupfuura avo vakarega kuita bonde. Izvi zvinokonzerwa nekuti kukurudzira bonde kunowedzera kuyerera kweropa kuenda kunhengo yevaginal, izvo zvinowedzera kusimba kwenhengo yevaginal.

Ndezvipi zvinetso zvinogona kuitika nekuda kweizvi?

Kuoma kwenhengo dzepabonde (GSM) kunogona kukanganisa hupenyu hwako uye hukama hwako nemumwe wako. Zvine migumisiro yemuviri uye yepfungwa. Zviratidzo zvemuviri zvakaita sekurwadziwa, kupisa, kuvaviwa, uye kubuda ropa zvinogona kukanganisa hupenyu hwako hwese. Zvinogonawo kukanganisa pfungwa. Kana uine zviratidzo izvi, unogona kurasikirwa nechido chebonde, kurasikirwa nechido chehukama hwepedyo, kana kurasikirwa nekuzvivimba. Ndapota yeuka kuti manzwiro aya ese akajairika uye kuti chiremba wako aripo kuti akubatsire.

Izvi zvinoonekwa sei?

Chiremba anogona kuona kuti dumbu rako harina kugadzikana zvichibva pazviratidzo zvako uye kuongororwa kwechiuno, uko kunoongorora dumbu rako nemuromo wechibereko. Zviratidzo zvinowanzoonekwa panguva yekuongororwa dumbu zvinosanganisira:

• Chizvaro chemukadzi chipfupi kana kuti chakatetepa.
• Kuoma, kutsvuka, uye kuzvimba.
• Iyo yakarasikirwa nekusimba kwayo.
• Kubuda kwetsvina chena kubva muchibereko.
• Zvirwere zveganda, zvakaita semaronda uye/kana mavanga matsvuku, zvakakomberedza mazamu.
• Maronda madiki (mavanga) pedyo nepaburi remukadzi.
• Kudzikira kwehukuru hwemazamu emukadzi.

Ndedzipi bvunzo dzinoitwa kusimbisa izvi?

Vanachiremba vanowanzo ongorora shanduko dze atrophic kana GSM zvichibva pazviratidzo uye kuongororwa. Zvisinei, vanogonawo kuita bvunzo kuti vaone kana paine zvimwe zvirwere, zvakaita se:

• Kuongororwa kwepap.
• Kuyedzwa kwemuenzaniso we weti.
• Kuongororwa kweUltrasound.
• Kuyedza pH (acidity) yemukadzi (`(Vaginal pH)`).
• Kuongororwa kwehutachiona hwepanhengo yemukadzi.

Mibvunzo iyo chiremba wako angabvunza:

• Uri kuenda kumwedzi here?
• Mishonga ipi yaunoshandisa?
• Wakambova nemwana here munguva pfupi yapfuura?
• Kusangana pabonde kunorwadza here?
• Wakamboedza kushandisa mafuta ekuzora kana mafuta ekuzora aunogona kutenga ku pharmacy here?
• Wakaona here kubuda kwemvura kubva munhengo yako yesikarudzi?
• Wakaona here kubuda ropa kana kuti mavanga akafanana neropa?
• Zviratidzo izvi zvave nenguva yakareba sei zviripo?

Zvakajairika kunzwa kunyara kana uchitaura nezvezviratidzo zve `(Vaginal Atrophy)`. Asi kana uchifunga kuti une zviratidzo izvi, usanyara kuudza chiremba wako nezvazvo. Kune mishonga yakawanda inoshanda yeizvi.

Ngatitarisei marapirwo: Kurapwa nemahormone

Kurapa neestrogen uye dehydroepiandrosterone (DHEA) ndiwo mushonga wemahormone wekuderedza kusimba kwechikadzi.

Estrogen yekunze

Izvi zvinoshanda nekurapa zviratidzo zvechikadzi chete pasina kuwedzera huwandu hweestrogen muropa rako. Inogona kutorwa sekirimu, piritsi rechikadzi, kana mhete. Chiremba wako anogona kukutsanangurira imwe neimwe yenzira idzi uye kukubatsira kusarudza yakakunakira.

• Kirimu yeestrogen yekubereka: Kirimu iyi inoiswa muchibereko uchishandisa chinhu chinoishandiswa. Vanhu vazhinji vanofanirwa kuishandisa zuva nezuva kwemavhiki mashoma, vozoishandisa kaviri kana katatu pasvondo.
• Mhete yekubereka: Iyi mhete yakatetepa uye inochinjika. Chiremba wako anoiisa munhengo yako yekubereka. Inoburitsa estrogen shoma kwemwedzi mitatu. Chiremba wako anobva aibvisa oisa imwe itsva.
• Piritsi remudumbu: Iri ipiritsi diki rinopinzwa mudumbu uchishandisa applicator. Kufanana nedzimwe nzira dzekurapa neestrogen, rinotanga kushandiswa zuva nezuva, rozoderedzwa kusvika kaviri kusvika katatu pasvondo.

Kurapa Kwekutsiva Mahormone (HRT)

Izvi zvinonziwo `(Systemic estrogen therapy)`. Kana uine zvimwe zviratidzo zvekusvika pakuguma kuenda kumwedzi, zvakaita sekupisa uye kudikitira, kurapwa uku kunogona kubatsira. Uyu mushonga wepamusoro wemahormone, uye haungoendi kunhengo yemukadzi chete, asiwo kune mamwe masero mumuviri. Kana wave nemakore anopfuura gumi wapedza kuenda kumwedzi, kana kuti kana uine kuoma kwechikadzi chete, `(Local therapy)` ndiyo inowanzo shandiswa. Zvisinei, kana uchida `(Systemic hormone therapy)`, inogonawo kuva nemabhenefiti akadai sekuvandudza hutano hwenhengo yemukadzi, kuvandudza hope, kuderedza `(Hot flashes)`, uye kuvandudza mafungiro. Iwe nachiremba wako munogona kusarudza kana kurapwa uku kwakakunakirai.

Ndezvipi kurapa kusiri kwemahormone?

Iwe nachiremba wako munofanira kushanda pamwe chete kugadzira hurongwa hwekurapa chirwere chako chekushaya simba kwechikadzi. Chiremba wako achakubatsira kusarudza kuti ndeipi nzira yekurapa inoshanda zvakanyanya zvichienderana nezviratidzo zvako uye kuoma kwazvo. Kurapa kweestrogen neDHEA kunoonekwa sekwakanyanya kushanda. Zvisinei, kurapwa uku hakuna kukodzera munhu wese. Kunewo mishonga yakasiyana-siyana isingashandise mahormone inogona kushandiswa.

Mafuta Ekuwedzera Uye Anonyorovesa

Mafuta ekuzora nemafuta ekudzivirira anorapa kuoma kwechikadzi. Izvi zvinogona kuderedza kusagadzikana panguva yebonde. Unogona kutenga izvi kuchitoro chemishonga kana supermarket chiri pedyo newe. Zvinouya mumhando dzakasiyana-siyana.

• Mafuta ekuzora echikadzi anoshandiswa kuderedza kukweshana nekurwadziwa panguva yebonde. Akagadzirwa nemvura, silicone, kana mafuta. Anoshanda kwenguva pfupi chete.
• Zvinonyorovesa nhengo dzesikarudzi zvinonamira panhengo dzesikarudzi uye zvinobatsira kuchengetedza hunyoro mumasero. Izvi zvinowanzo shandiswa kamwe kusvika katatu pazuva, sezvo zvichishanda kwenguva yakareba.
• Mamwe mafuta echisikigo, akadai semafuta emuorivhi nemafuta ekokonati, anogona kushandiswawo semafuta ekuzora uye ekuisa hunyoro.

Kurapwa neLaser

Mishonga isingapindi mishonga, isingashandisi mushonga wekuvhiya inonzi CO2 lasers inonzi inobatsira pakugadzirisa nhengo dzenhengo dzenhengo, zvichiwedzera simba rayo uye kutwasuka kwayo. Zvisinei, michina iyi haisati yatenderwa neU.S. Food and Drug Administration (FDA) yekurapa kupwanyika kwenhengo dzenhengo dzenhengo dzenhengo, sezvo tsvakiridzo yenguva refu pakushandiswa kwayo ichiri shoma.

Dilators

Dilators zvishandiso zvinoshandiswa kuwedzera chibereko chemukadzi kuderedza kusagadzikana panguva yepabonde. Vanhu vazhinji vanotanga ne dilator diki vozopedzisira vaenda kune yakakura zvishoma nezvishoma.

Ospemifene (Ospemifene - Osphena®)

Osphena® ipiritsi rinotorwa zuva nezuva. Rine mabhenefiti akafanana neeestrogen, asi harina estrogen. Zvisinei, mhedzisiro yakaipa isingawanzoitika ndeyekuwedzera kwenjodzi yekugwamba kweropa. Vamwe vanhu vanogona kuwedzera kudikitira uye kupisa (kupisa), asi vanhu vazhinji havaoni zviratidzo.

Pane migumisiro/zvinetso zvinomuka kana munhu achirapwa here?

Ziva chero zviratidzo zvitsva zvinoonekwa mushure mekunge watanga kurapwa. Izvi zvinogona kusanganisira kutsamwa kweganda, kurwadziwa kwakanyanya, uye/kana kubuda kwemvura muchibereko. Taura nachiremba wako nezve chero migumisiro yakaipa. Kana uchinzwa kusagadzikana nehurongwa hwako hwekurapa, usazeza kubvunza chiremba wako nezvazvo.

Zvinotora nguva yakareba sei kurapa chirwere ichi?

Nguva inotora kurapa zviratidzo zve (GSM) inosiyana zvichienderana nenzira yaunoshandisa uye kuoma kwechirwere chako. Chiremba wako achakurukura newe zvese zvaunogona kusarudza, zvichienderana nenhoroondo yehutano hwako uye mamiriro ako. Iye achakubatsira kusarudza chirongwa chekurapa chinoshanda zvakanyanya. Rangarira kuti vanhu vazhinji vanowana kubudirira vachishandisa musanganiswa wemishonga.

Izvi zvinogona kudzivirirwa here?

Kurasikirwa neestrogen chikamu chekukwegura kwemuviri wako. Hazvigone kumiswa zvachose. Zvisinei, kune nzira dzekudzivirira kupera simba kwenhengo dzevaginal kuti dzisanyanya kuipa. Dzivisa kushandisa zvinhu zvinokuvadza nhengo dzevaginal (zvinonhuhwirira, madhayi, mashampoo, sipo, uye douching). Yeuka, kuita zvepabonde zvakanaka pakupera simba kwenhengo dzevaginal, sezvo zvichiwedzera kuyerera kweropa kuenda kunhengo dzevaginal.

Chii chandingatarisira kana ndaonekwa kuti ndine chirwere ichi?

Hamufanirwe "kungorarama" nekushaya simba kwenhengo dzemuviri. Kunyangwe muchiri kuenda kumwedzi kana kuti mushure mekupedza kuenda kumwedzi, hazvirevi kuti munofanira kutambura nezvirwere zvemudumbu (UTIs), kuvaviwa kwenhengo dzemuviri, kana kurwadziwa panguva yebonde. Kurapa kusagadzikana kwenhengo dzemuviri kunoshanda zvikuru. Musatya kuedza mishonga yakasiyana, uye shandai nachiremba wenyu kuti muwane iyo inoshanda zvakanyanya kwamuri.

Dambudziko iri rinogona kurapwa zvizere here? (Rinogona kurapwa zvizere here?)

Kupera simba kwenhengo dzemukadzi hakugone kurapwa zvachose, asi haufanirwe kurarama nekusagadzikana. Kana ukaongororwa uye ukarapwa zvakanaka, zviratidzo zvinogona kudzorwa.

Dambudziko iri rinogona kuipa here kana rikasarapwa?

Ehe, chirwere ichi chinogona kutowedzera kuipa. Ndosaka zvichikosha kuti uwane kurapwa nekukurumidza. Kana ukangowana kurapwa nekukurumidza, mukana wekuti vaginal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal abdominal. Dzimwe nguva, chirwere ichi chinogona kutonyanya kuipa zvekuti muromo wevaginal abdominal unogona kuderera zvakanyanya. Kana ukanonoka kutanga kurapwa, zvinogona kuoma kurapa.

Kugara neizvi kwakaita sei? (Kugara neizvi kwakaita sei?)

Kupera simba kwemukadzi kunogona kukanganisa zvakanyanya kwete hupenyu hwako hwepabonde chete, asiwo hupenyu hwako hwese. Zviratidzo zvakaita sekurwadziwa, kuoma, kupisa/kukwenya, mavanga, kubuda ropa, matambudziko eweti, hutachiona hweweti hunowanzoitika (UTIs), uye kubuda kweropa mumukadzi zvinogona kushungurudza uye zvinogona kukanganisa mabasa ako ezuva nezuva. Vakadzi vanosvika mumwe chete pavana vanotaura kuti kupera simba kwemukadzi kwakakanganisa zvimwe zvinhu zvehupenyu hwavo, kusanganisira kurara kwavo, hutano hwepabonde, uye kugara zvakanaka.

Ndinozvitarisira sei? (Ndingazvichengeta sei?)

Kufanana nezvimwe zvinhu zvose zvine chekuita nehutano hwako, isa hutano hwako hwepabonde pakutanga. Tsvaga rubatsiro kubva kuna chiremba wako kuti uwane mhinduro dzemibvunzo kana zvinokunetsa.

Ndinofanira kuona chiremba rini?

Kunyangwe usati wasvika panguva yekuenda kumwedzi, udza chiremba wako nezvezviratidzo zvakaita sekuoma, kurwadziwa, kupisa/kukwenya, matambudziko ekuita weti, kubuda ropa kana kubuda ropa zvisina kujairika, kana kubuda ropa kubva munhengo yechikadzi. Kana wave uchishandisa moisturizers dzinotengeswa kunze kwechitoro kwemavhiki akati wandei uye pasina kuvandudzika, unofanira kuona chiremba. Uyewo, kana uine zviratidzo zviri kukanganisa hupenyu hwako hwezuva nezuva, iva nechokwadi chekuona chiremba.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana ukaona chiremba wako, unogona kubvunza mibvunzo yakaita seiyi:

• Ndezvipi zvinhu zvamunokurudzira kuti nditenge ku pharmacy?
• Ndedzipi nzira dzekurapa dzamunokurudzira kuti ndiwane ndisina kunyorerwa nachiremba?
• Mamiriro angu ezvinhu aya ndeenguva pfupi here?
• Pane dzimwe nzira dzekurapa chirwere changu here?
• Pane njodzi dziripo here pakurapwa?
• Zvinotora nguva yakareba sei kuti munhu apore kubva pakurapwa?
• Ndine mamwe matambudziko ehutano kunze kweVaginal Atrophy here?
• Chii chimwe chandingaita kuti ndidzivise kudonha kwenhengo yangu yemudumbu kuti isanyanya kuipa?
• Ndingabatsira sei mumwe wangu?

Ndeupi musiyano uripo pakati pekushaya simba kwechikadzi nehutachiona hweyeast?

Kupera simba kwenhengo dzemuviri pamwe nezvirwere zvembiriso zvinogona kukonzera zviratidzo zvakaita sekuoma, kuvaviwa, kutsvuka, uye kurwadziwa. Zvisinei, kupera simba kwenhengo dzemuviri kunokonzerwa nekushaikwa kweestrogen, nepo hutachiona hwembiriso hunokonzerwa nehutachiona hwefungus. Saka taura nachiremba wako nezvezviratidzo zvako uye mamiriro ako ezvinhu, uye pamwe chete munogona kusarudza.

Saka, chii chinonyanya kukosha kubva pane zvatakurukura?

Kupera simba kwechikadzi chirwere chakakomba. Chinogona kukanganisa mararamiro ako, zvichikonzera kusagadzikana, kuenda kuchimbuzi kakawanda, zvirwere zvemudumbu (UTIs) kakawanda, kuzvimba, kurwadziwa panguva yebonde, nezvimwewo.

Nerombo rakanaka, kune nzira dzakawanda dzekurapa izvi, uye chiremba wako anogona kukubatsira kuwana sarudzo yakanakisa yezviratidzo zvako.

Tsvaga kurapwa. Usatya kutaura nachiremba wako nemumwe wako nezvenyaya iyi. Gara uchitevera zano rachiremba wako uye ita zvese zvaunogona kuti ugadzirise dambudziko rako. Yeuka, hausi wega, uye rubatsiro ruripo.