Nhengo yako yemukadzi inonzwa yakamanikana uye yakamanikana here? Ngatitaurei nezveVaginal Stenosis.

Dzimwe nguva unonzwa sekuti nhengo yako yemukadzi yakamanikana here kana kuti yakabatikana zvishoma? Unonzwa kurwadziwa kana kusagadzikana panguva yebonde here kana uchishandisa tampon? Ungatya kana kunyara kutaura nezvazvo. Asi ichi chinhu chinogona kuitika kuvanhu vazhinji, kunyanya nezvirwere zvakasiyana-siyana. Nhasi, tichataura zvakadzama, asi zviri nyore, nezvechirwere ichi chinonzi `Vaginal Stenosis`.

Chii chinonzi `Vaginal Stenosis`? Zvichitaurwa zviri nyore...

Zvichitaurwa zviri nyore, `Vaginal Stenosis` idambudziko rekudzikira uye pamwe kuderedza kureba kwemukati menhengo yako yemukadzi . Chikonzero chikuru cheizvi kuumbwa kwenhengo dzevaginal . Waizviziva here kuti kana tikakuvara pane imwe nzvimbo mumuviri wedu, vanga rinoumbwa parinopora? Ndizvo zvazviri. Kana paine kukuvara kana kukuvara kwenhengo yemukadzi, muviri wedu unoedza kuriporesa nekugadzira nhengo dzevaginal idzi. Asi dambudziko nderekuti, nhengo dzevaginal idzi hadzina kuchinjika uye dzakatambanuka senhengo dzevaginal dzakajairika. Saka, kana chimwe chinhu chikapinda mukati menhengo yemukadzi, senge panguva yepabonde, pakuisa tampon, kana chiremba paanoongorora nhengo yemukadzi, unogona kunzwa kurwadziwa uye kusagadzikana. Dambudziko iri rinowanzoitika mushure mekusununguka, mushure mekuvhiyiwa, kana mushure mekurapa nemwaranzi kunzvimbo yepelvic (`Pelvic Radiation Therapy`).

Hamufanirwe kurarama nekurwadziwa uku nekusagadzikana. Kune mishonga yekuderedza zviratidzo zvenyu uye kuita kuti hupenyu hwenyu huve nyore.

Dambudziko iri rakajairika zvakadii?

Hapana nhamba dzinoratidza kuti izvi zvakajairika sei. Nekuti inyaya inonetsa, vamwe vanhu havadi kutaura nezvezviratidzo zvavo kana kutsvaga kurapwa. Saka, huwandu hwevanhu vane chirwere ichi hahutaurike zvakakwana. Zvisinei, chinowanzoitika kuvanhu vane zvinhu zvinogona kukonzera njodzi, seavo vakambovhiyiwa kana kurapwa nemwaranzi.

Unewo zviratidzo izvi here?

Muchirwere ichi che "Vaginal Stenosis", unogona kuona zviratidzo zvakaita se:

• Kurwadziwa panguva yebonde (`Dyspareunia`): Ichi ndicho chiratidzo chikuru kune vanhu vazhinji. Kune vamwe, kurwadziwa uku kunoita kuti zviome kuita zvepabonde zvachose.
• Kurwadziwa uye kusagadzikana kana uchiisa tampon munhengo yemukadzi.
• Kubuda ropa panguva yebonde kana mushure mebonde.
• Kunzwa kusagadzikana kana kurwadziwa panguva yekuongororwa kwechiuno nachiremba wevakadzi. Ndosaka vamwe vanhu vachitya kuenda kuna vanachiremba.
• Kuoma kwechikadzi.

Sei chirwere ichi chinonzi 'Vaginal Stenosis' chichiitika? Ndezvipi zvikonzero?

Sezvatakambokurukura, `Vaginal Stenosis' inoitika kana mavanga aumbwa munhengo yemukadzi, zvichiita kuti nhengo yemukadzi ive yakatetepa uye pfupi. Mavanga aya haana kuchinjika kana kutatamuka senhengo yemukadzi yakajairika. Fungidzira kuti pane chimwe chinhu chinotambanuka sebhandi rerabha, pane chimwe chinhu chakaita sepurasitiki yakaoma. Ndizvo zvakaita nhengo yemukadzi iyi. Saka kana chimwe chinhu chikapinda munhengo yemukadzi, kurwadziwa kunobva munhengo yemukadzi yakaoma.

Pane zvikonzero zvakawanda zvinoita kuti ganda iri rive neganda:

Kurapa Nemwaranzi

Kana kurapwa nemwaranzi kukapihwa nhengo dzechiuno (kureva nzvimbo iri pasi pedumbu), nhengo dzemukadzi dzinogona kutetepa semhedzisiro. Izvi zvinonzi radiation-induced vaginal stenosis. Dambudziko iri rinowanzoitika mushure mekurapa nemwaranzi muvakadzi vane makore anopfuura makumi mashanu. Dzimwe nguva, kushandiswa kwemishonga inorwisa kenza (chemotherapy) kunogonawo kukanganisa izvi.

Kuvhiya

Kuvhiyiwa kupi zvako kunosanganisira chibereko chako, chibereko, kana muromo wechibereko kunogona kukuvadza zvidimbu zvenhengo yemukadzi uye kukonzera mavanga. Semuenzaniso, izvi zvinosanganisira nzira dzekuvakazve uye kuvhiyiwa kwekudonha kwenhengo dzechiuno.

Kuzvara

Mavanga anogonawo kukura nekuda kwematambudziko panguva yekusununguka kwakajairika, akadai se episiotomy (kucheka kudiki pakati penhengo yemukadzi neanus) kana kubvaruka kwenhengo yemukadzi. Ndokusaka vamwe vakadzi vachinzwa sekunge nhengo yavo yemukadzi yakabatana zvishoma mushure mekusununguka. Izvi zvinogona kukonzera kurwadziwa panguva yepabonde kwemwedzi yakati wandei mushure mekusununguka.

Matambudziko Eganda

Kune zvimwe zvirwere zveganda, semuenzaniso `Lichen Sclerosus` ne`Lichen Planus`. Zvirwere izvi zvinogonawo kukonzera kuoma kwechikadzi.

Kuenda kumwedzi

Paunenge wava kusvika pakuguma kuenda kumwedzi (ndiko kuti, mushure mekunge mwedzi wako wamira kuenda kumwedzi), huwandu hwehormone inonzi estrogen mumuviri wako hunoderera. Izvi zvinogona kukonzera kuti nyama yemukati memukadzi iome uye itete. Izvi zvinonzi vaginal atrophy. Dambudziko iri dzimwe nguva rinogona kuita kuti zviratidzo zve vaginal stenosis zviwedzere kuipa.

Kashoma, stenosis yemudumbu inogonawo kuitika nekuda kwemamwe matambudziko ekuzvarwa nawo, akadai se adrenal hyperplasia.

Ndiani ane mukana mukuru wekuwana chirwere ichi?

Munhu wese ane nhengo yemukadzi anogona kuwana chirwere che'Vaginal Stenosis'. Zvisinei, uri panjodzi huru kana uine:

• Kana wakambovhiyiwa muchiuno.
• Kana pakaitwa episiotomy panguva yekusununguka kana kuti nhengo yechizvaro yakabvaruka.
• Kana wakamborapwa nemwaranzi yechiuno kana kuti chemotherapy panzvimbo yechiuno.

Dzimwe ongororo dzakaratidza kuti vanhu vanoshandisa zvigadzirwa zvefodya vari panjodzi yakakura yekuva nechirwere ichi.

Ndezvipi zvinetso zvinogona kukonzera izvi?

Kubatwa nechirwere chevaginal stenosis hakungokanganisi nhengo yako chete. Kunogona kukanganisa hupenyu hwako hwese, kwete hupenyu hwako hwepabonde chete. Ingofunga, kusakwanisa kushandisa tampon zvakanaka, kusakwanisa kuongorora nhengo yako zvakanaka, kana kusakwanisa kuita zvepabonde nemumwe wako kunogona kushungurudza zvikuru. Kana zvikasarapwa, chirwere chevaginal stenosis chinogona kuwedzera. Zvinogonawo kuoma kurapa. Saka kana uri kunzwa kurwadziwa, zvakakosha kutaura nachiremba nezvazvo.

Chiremba anoziva sei izvi?

Chiremba anogona kuona stenosis yemudumbu nekuongororwa kwechiuno uye kutaura nezvezviratidzo zvako. Unofanira kuudza chiremba wako kuti kurwadziwa kwakatanga riini, kuti ndezvipi zviitiko zvinokonzera kurwadziwa, uye nhoroondo yako yese yehutano, kusanganisira chero kuvhiyiwa uye kurapwa kwawakaitwa.

Panguva yekuongororwa kwechikadzi, chiremba achapfeka magirovhosi, oisa mafuta, oisa minwe yake muchikadzi kuti aone kuti inochinjika uye yakadzika sei. Kana uchinzwa kurwadziwa panguva yekuongororwa uku, unofanira kuudza chiremba wako . Usanetseke, vanachiremba vajaira rudzi urwu rwechinhu.

Ndeapi marapirwo eizvi? Ngationei...

Chinangwa chikuru chekurapa ndechekuita kuti mavanga acho anyatsochinjika, kana kuti zvive nyore kufamba. Chirongwa chekurapa chaunosarudza iwe nachiremba wako chinoenderana nechikonzero che stenosis yenhengo yako yemudumbu uye kuoma kwayo. Rangarira kuti kurapwa uku kunogona kutora mwedzi, kana kutoti makore. Nekuti mavanga anogona kudzoka, ungangoda chirongwa chenguva refu chekugadzirisa stenosis yenhengo yako yemudumbu.

Heano mamwe emishonga inowanikwa ye `Vaginal Stenosis`:

Zvinoderedza Kushanda Kwemukadzi

Zvinoita kuti nhengo dzesikarudzi dziwedzere kutambanudza nhengo dzesikarudzi zvishoma nezvishoma uye zvinyoro nyoro . Unotanga nechinhu chinoita kuti nhengo dzesikarudzi dziwedzere kutambanudza. Wobva waenderera mberi zvishoma nezvishoma uchienda kune chinoita kuti nhengo dzesikarudzi dziwedzere kutambanudza. Izvi zvakafanana nekurovedza muviri, uye zvinoda mwoyo murefu.

Kurapa Kwepasi Pelvic

Kurapa Pelvic Floor inzira yakanaka yekusimbisa tsandanyama dzepasi pechiuno uye kuvandudza kuyerera kweropa munzvimbo iyi. Kana wangodzidza kukwenya nekuzorodza tsandanyama dzepasi pechiuno, uchaona zviri nyore kushandisa vaginal dilator. Unogona kuwana rubatsiro kubva kuna physiotherapist nyanzvi pakuita izvi.

Kurapa Kwekutsiva Mahormone (HRT)

Kana stenosis yenhengo yako yemudumbu ichikonzerwa nekushaikwa kweestrogen, kutora estrogen kunogona kubatsira. Kune mhando dzakawanda dzeHRT - mafuta ekuzora, mapiritsi, mapetch. Izvi zvinogona kubatsira kuwedzera hunyoro uye kusimba kwenhengo yemudumbu. Zvisinei, usati watanga HRT, zvakakosha kutaura nachiremba wako nezvenjodzi nemabhenefiti.

Kuvhiya

Dzimwe nguva, chiremba wako anogona kukurudzira kuvhiyiwa kuti ukure mukana wenhengo yako yesikarudzi. Zvisinei, izvi zvinongoitwa senzira yekupedzisira, uye chete kana mamwe marapirwo asina kushanda.

Kuwedzera kune aya marapirwo makuru, kune zvimwe zvinhu zvinogona kukuunzira zororo:

• Kushandisa mafuta anogadzirwa nemvura panguva yebonde, akadai seKY® Jelly.
• Kushandisa moisturizer yechikadzi, senge Replens™, hakuna kufanana nemafuta anonhuhwirira, uye kunogona kushandiswa panguva isiri yebonde. Kunobatsira kuchengetedza nyama dzechikadzi dzakanyorova mukati mezuva rese.
• Zvichienderana nechikonzero che stenosis yemudumbu, ungadawo kuedza kurapwa ne laser.

Chinhu chinonyanya kukosha ndechekuziva zvizere nezvekurapa uku, kutaura nachiremba wako, uye kusarudza zvinokunakira. Haasi ese marapirwo anoshanda kune wese munhu.

Izvi zvichava nani here otomatiki?

Kwete. Mavanga haasi chinhu chinongopera chega chisina kurapwa. Kana chikasarapwa, chirwere ichi chinogona kuipa nekufamba kwenguva uye kukonzera kurwadziwa kwakanyanya.

Chii chaungatarisira kana uine `Vaginal Stenosis`?

Kubatwa nechirwere chevaginal stenosis kunogona kuva chirwere chinorwadza uye chinonyadzisa. Ichokwadi. Kunyangwe pasina mushonga wechigarire, unongowanikwa kamwe chete, chiremba wako anogona kukubatsira kuwana nzira dzekuchigadzirisa. Nekuti stenosis yevaginal inogona kudzoka, ungangoda kuramba uchishandisa dilators, mafuta ekuzora, kana mamwe marapirwo ekuchengetedza. Zvisinei, nekurapwa kwakakodzera, vanhu vazhinji vanoona kuvandudzika kukuru muhupenyu hwavo hwepabonde uye hupenyu hwavo hwese. Saka usazvidya moyo.

Pane nzira dzekudzivirira izvi kuti zvisaitike here?

Dzimwe nguva zvinokwanisika, asi kazhinji kacho zvinongoitika chete kana wakamborapwa nemwaranzi. Vamwe vanachiremba vanokurudzira kushandisa vaginal dilator kudzivirira stenosis yemudumbu mushure mekurapwa nekenza.

Zvisinei, kana paine kuvhiyiwa, `Vaginal Stenosis` haigoni kudzivirirwa nguva dzose. Kunyange zvazvo huwandu hwemavanga anoumbwa huchigona kuderedzwa nekushandisa `nzira dzekuvhiya dzisinganyanyi kupindira`, hahugone kubviswa zvachose.

Ndinofanira kuona chiremba rini?

Kana uchinzwa kurwadziwa panguva yebonde, paunenge uchiisa tampon, kana paunenge uchiongororwa chiuno , iva nechokwadi chekuona chiremba wako nekukasika. Iyi inogona kuva nyaya inonetsa kutaura nezvayo, asi yeuka kuti chiremba wako aripo kuti akubatsire. Kuoma kwenhengo dzemukadzi chirwere chinowanzoitika, uye zviratidzo zvako zvinogona kuderedzwa. Hapana chikonzero chekunyara kana kutya.

Ko `Vaginal Stenosis` ne`Vaginal Atrophy` zvakafanana here?

Kwete. Zviviri izvi zvine hukama, asi izvi zvinhu zviviri zvakasiyana.

• Kupera simba kwechikadzi chirwere chinoita kuti jira remukati memukadzi riome uye ritete nekuda kwekushaikwa kweestrogen. Ichi chirwere chinokonzerwa nemahormone chinowanzo kanganisa vakadzi vava kuda kuenda kumwedzi.
• Kune rumwe rutivi, `Vaginal Stenosis` inokonzerwa nemavanga anoumbwa nekuda kwezvinhu zvakaita sekuvhiyiwa, kurapwa nemwaranzi, uye kubereka mwana.

Matambudziko maviri aya ane hukama nekuti kana nyama yechikadzi ikaneta uye yaoma nekuda kwe'Vaginal Atrophy', kurwadziwa nekusagadzikana kunokonzerwa ne'Vaginal Stenosis' kunogona kuwedzera.

Kubatwa nechirwere chevaginal stenosis hakusi kungokanganisa nhengo yako chete. Kunogona kukanganisa mufaro wako, kuzvivimba, uye kutoita kuti zviomere kuva neukama hwepedyo nevadikani vako vepabonde. Kunyangwe izvi zvichigona kuva nyaya yakaoma kutaura nezvazvo pachena, kutsvaga rubatsiro kubva kuna chiremba ndicho chinhu chakanakisa chaunogona kuzviitira. Kune nzira dzakasiyana siyana dzekurapa dzinowanikwa dzekubatsira nekurwadziwa kwevaginal stenosis. Haufanire kurarama nekurwadziwa uku, uye haufanirwe kukugamuchira. Vanhu vazhinji vanoti hupenyu hwavo hwavandudzika zvakanyanya kana vawana kurapwa kwakakodzera.

Zvinhu zvinonyanya kukosha zvaunofanira kuyeuka

• Kuoma kwenhengo yemukadzi (Vaginal Stenosis) idambudziko rinoita kuti nhengo yemukadzi iite zvidimbu zvishoma uye dzimwe nguva iite zvidimbu zvishoma. Chikonzero chikuru cheizvi mavanga.
• Kana uine zviratidzo zvakaita sekurwadziwa panguva yebonde, kuoma kuisa tampon, kuoma kwechikadzi, kana kurwadziwa panguva yekuongororwa kwechikadzi, usanyara kuudza chiremba.
• Dambudziko iri rinogona kukonzerwa nekushandiswa kwemwaranzi, kuvhiyiwa, kukuvara panguva yekusununguka, zvimwe zvirwere zveganda, uye kuenda kumwedzi.
• Kune mishonga yekurapa izvi! Unogona kuwana zororo nezvinhu zvakaita se 'Dilators', 'Pelvic Floor Therapy', hormone therapy, lubricants, uye vaginal moisturizers.
• Hazvina basa kuti unyare nazvo. Chinhu chinonyanya kukosha kukumbira rubatsiro. Haufanire kutambura neizvi wega. Chiremba wako achakubatsira.

Kuvhiyiwa kweVaginal Stenosis, Kuvhiyiwa kweVaginal Stenosis, Mavanga eTishu, Marwadzo Epabonde, Kusashanda zvakanaka kwenhengo dzesikarudzi, Kuvhiyiwa kweVaginal Dilators, Kurapa neRadiation yePelvic