Ngaba isondo sihlala siyinto ebuhlungu nengakhululekanga? Ngaba uziva uneentloni ukuthetha ngaso? Asikuko nje ingxaki kuwe. Abantu abaninzi banengxaki yesi sifo. Kodwa eyona nto ilungileyo kukuba sinokunyangwa kwaye izizathu zifumaneke. Ngoko ke namhlanje, masithethe ngokukhululekileyo ngesi sifo, esibizwa ngokuba yi-dyspareunia kwisayensi yezonyango.
Ngamafutshane, yintoni i-dyspareunia?
I-Dyspareunia yimeko eqhubekayo okanye ephindaphindayo ngaphambi, ngexesha, okanye emva kokwabelana ngesondo. Nangona le meko ixhaphake kakhulu kwabasetyhini, inokuchaphazela namadoda.
Kukho iindawo ezininzi apho abafazi banokuziva khona ezi ntlungu. Abanye abantu banokuziva ngaphandle kwelungu lobufazi, kufutshane nelabia okanye umngxuma welungu lobufazi. Abanye basenokuziva iintlungu ngaphakathi emzimbeni. Umzekelo:
- Imisipha yomgangatho wepelvic
- Ulusu lomjelo wangasese
- Isibeleko
- Iiligamenti ezixhasa isibeleko
- Isisu esisezantsi
Amadoda anokuba neentlungu entlokweni yelungu lobudoda, umngxuma welungu lobudoda, amasende, okanye isinqe.
Le ntlungu ayibuhlungu nje ngokwasemzimbeni, kodwa inokuba yingozi kakhulu engqondweni. Ingakhokelela ekunciphiseni ulwalamano phakathi kwabantu ababini kunye neengxaki kulwalamano. Kungoko ke, kubaluleke kakhulu ukuthetha ngale nto.
Ukuba unale ngxaki, ugqirha wakho unokukuthumela kwingcali yezempilo yesondo, njengogqirha wezifo zabesifazane, onokufumanisa unobangela weempawu zakho aze amisele unyango olufanelekileyo.
Ngaba kukho iintlobo ezahlukeneyo zale ntlungu?
Ewe, ungahlela oku ngokwendawo oziva kuyo iintlungu. Emva koko kuya kuba lula ukufumana unobangela.
| Uhlobo lwentlungu | Inkcazo kunye nezizathu ezinokubakho |
|---|---|
| Intlungu yokungena | Oku kuvakala ekuqaleni kwesondo, oko kukuthi, xa ipenisi ifakwa kwilungu lobufazi. Intlungu ifumaneka kufutshane nomnyango welungu lobufazi. Oku kunokubangelwa lutshintsho lweehomoni, ukoma kwelungu lobufazi, ukunganyamezelani ixesha elide, usulelo, okanye ukwenzakala okuthile. |
| Intlungu yendawo | Ukuba uva iintlungu kuphela ngexesha leentlungu ezithile zesondo, isenokuba lolu hlobo. Oku kunokubangelwa ikakhulu ziingxaki zemisipha yomgangatho we-pelvic, ukoma kwe-vaginal, okanye usulelo. |
| Intlungu enzulu | Le ntlungu ivakala xa ipenisi ifakwa nzulu kwilungu lobufazi. Le ntlungu inokuba mandundu kwiindawo ezithile. Iimeko ezifana nezifo zesinyi okanye amathumbu, ukungasebenzi kakuhle komgangatho we-pelvic, kunye ne-endometriosis zinokubangela oku. |
Ingahlulwa-hlulwa ngenye indlela ngokuxhomekeke kwixesha apho intlungu ivele khona:
- Intlungu yokuqala: Oku kuthetha ukuba le ntlungu ibikho ukususela kusuku lokuqala owaqala ngalo ukwabelana ngesondo.
- Intlungu yesibini: Ukuba wabelana ngesondo ngaphandle kwentlungu ngaphambili, kwaye le ntlungu ivele kamva, yeyolu hlobo.
- Intlungu epheleleyo: Ukuba uziva intlungu ngalo lonke ixesha usenza isondo.
- Intlungu yemeko: Ukuba intlungu yenzeka ngamaxesha athile kuphela, kwiindawo ezithile, okanye namaqabane athile.
Ixhaphake kangakanani le meko?
Intlungu ngexesha lesondo ixhaphake kakhulu phakathi kwabasetyhini. Ngokwezifundo, abafazi abathathu kwaba-4 baya kuyifumana ngaxa lithile ebomini babo. Ngenxa yokuba yingongoma ebucayi kangaka, abantu abaninzi bayathandabuza ukuthetha ngayo okanye ukufuna iingcebiso zonyango. Ke ngoko, izibalo zokwenyani zinokuba phezulu kakhulu.
Le meko ixhaphake kakhulu kubasetyhini abasondelayo nasemva kokuya exesheni. Isizathu esiphambili soku kukuncipha kwehomoni i-estrogen. Le homoni ibaluleke kakhulu ekugcineni umswakama kunye nokuguquguquka kwelungu lobufazi.
Kodwa khumbula, musa ukucinga nje ukuba oku kuqhelekile njengoko ukhula. Ayizizo zonke iintlungu ezibangelwa kukwaluphala.
Zithini iimpawu zeDyspareunia?
Ukuba unentlungu ngexesha lokwabelana ngesondo, ingavakala ngendlela eyahlukileyo.
- Intlungu enokuvakala nokuba ungena kwilungu lobufazi okanye usebenzisa i-tamponIntlungu ebukhali.
- Intlungu enzulu ngexesha lokwabelana ngesondo.
- Ukutsha okanye ukuqaqamba emva kwesondo.
- Ukuqaqamba kwepelvic.
- Ukuqina kwemisipha okanye ukuqaqamba.
- Intlungu yesinyi.
Le ntlungu ingavakala ngathi kukuhlatywa, ukutsha, okanye ukucinezelwa. Inokuba kwindawo enye okanye isasazeke kuyo yonke indawo yesini.
Ingaba le ntlungu ibangela ukopha?
Ukopha igazi akusoloko kusenzeka. Ukuba wopha igazi ngexesha lokwabelana ngesondo, kusenokwenzeka ukuba kungenxa yemeko ethile yezempilo efihlakeleyo. Kusenokuba kunxulunyaniswa okanye kunganxulunyaniswa nentlungu. Nangona kunjalo, ukuba wopha igazi ngexesha lokwabelana ngesondo, kunokuba yinto eqhelekileyo, uphawu losulelo, okanye, ngokungaqhelekanga, uphawu lomhlaza, ngoko qiniseka ukuba ubona ugqirha.
Ziziphi izizathu eziphambili zoku?
Amaxesha amaninzi, eyona nto ibangela le ntlungu kukungathambisa ngokwaneleyo , oko kuthetha ukoma kwelungu lobufazi. Nangona kunjalo, usulelo, ukwenzakala, kunye neemeko ezahlukeneyo zonyango nazo zinokubangela oku.
1. Iimeko ezahlukeneyo zempilo
- I-Endometriosis: Ukukhula kwezicubu ezijikeleza ngaphakathi kwesibeleko (i-endometrium) ngaphandle kwesibeleko, kwezinye iindawo (umzekelo, iityhubhu ze-fallopian, umgodi wesisu).
- Izifo zesikhumba: Izifo zesikhumba ezifana nedermatitis ezenzeka kwindawo yesini.
- Ukungasebenzi kakuhle komgangatho we-pelvic: Iingxaki zemisipha kunye nemisipha kwi-pelvic cavity.
- Iingxaki zamathumbu: Izifo zamathumbu ezifana ne-irritable bowel syndrome (IBS), i-ulcerative colitis, kunye nesifo sikaCrohn.
- Iingxaki zesinyi: Iimeko ezifana nosulelo oluphindaphindayo lwendlela yomchamo (UTIs) kunye ne-interstitial cystitis (IC).
- Utshintsho kwihomoni: Utshintsho kwihomoni, ingakumbi ngexesha lokuphela kokuya exesheni.
- Iingxaki zenkqubo yemithambo-luvo: Iingxaki ezinxulumene nemithambo-luvo, ezifana nokuxinana kwemithambo-luvo emgogodleni.
- Oomama abancancisayo: Utshintsho lwehomoni ngexesha lokuncancisa lunokubangela ukoma kunye nentlungu kwilungu lobufazi.
- I-Vulvodynia: Intlungu yexesha elide kwindawo ejikeleze umngxuma welungu lobufazi (i-vulva).
- I-Vaginismus: Ukufinyela okuqinileyo kwezihlunu zelungu lobufazi ngokungazikhetheliyo. Oku kunokubangelwa kukwenzakala okanye ukoyika iintlungu.
2. Ukonzakala okanye ukwenzakala
- Ukulala ngesondo emva nje kotyando okanye ukuzala .
- Ukwenzakala kwilungu lobufazi okanye kwindawo ejikeleze umngxuma welungu lobufazi. Umzekelo, ukukrazuka kwelungu lobufazi ngexesha lokubeleka okanye i-episiotomy.
3. Iintsholongwane
- Usulelo lwesisu: Usulelo oluqhelekileyo olufana nosulelo lwemvubelo okanye i-bacterial vaginosis.
- Izifo ezidluliselwa ngesondo (ii-STI): Izifo ezifana neentsholongwane zesini kunye ne-herpes.
Ungayibona njani le meko?
Ugqirha wakho uza kukubuza ngembali yakho yezonyango aze enze uvavanyo lomzimba ukuzama ukufumanisa unobangela. Olu vavanyo lomzimba lungabandakanya ukuphonononga isinqe sakho, isisu, ubufazi kunye nesibeleko.
Ezi mvavanyo zilandelayo zingenziwa ukuze kufunyanwe unobangela ochanekileyo wentlungu:
- Uvavanyo lwe-pelvic: Ngeli xesha, isampuli yokukhupha ulwelo kwilungu lobufazi okanye isampuli yomchamo ingathathwa ukuze kuhlolwe ukuba kukho usulelo na.
- I-ultrasound scan: I-ultrasound edluliselwa kwisini inokufumana umfanekiso olungileyo wamalungu omzimba wakho wokuzala.
- I-Laparoscopy: Oku akwenzeki rhoqo. Le yinkqubo yotyando esebenzisa ikhamera encinci ukujonga ngaphakathi kwesisu ukuba ezinye iimvavanyo azikwazi ukufumana unobangela.
Musa ukuba neentloni ukuthetha nogqirha ngengxaki efana nale. Kuqhelekile. Khumbula, ugqirha wakho ukhe weva ezi zinto ngaphambili, kwaye bakulungele ukukunceda.
Ugqirha wakho unokukubuza imibuzo efana nale:
- Uziva phi iintlungu?
- Intlungu ivela kangaphi?
- Kudala kangakanani le ntlungu ikhona?
- Injani intlungu? (umz., ukutsha, ukuqaqamba?)
- Usebenzisa liphi iyeza?
- Ngaba wakha watyandwa ngaphambili?
Iphathwa njani?
Iindlela zonyango zixhomekeke kwisizathu sentlungu. Umzekelo, ukuba intlungu ibangelwa kukungasebenzi kakuhle komgangatho we-pelvic, unyango lomzimba lunokucetyiswa kuqala.
- Amayeza: Ukuba ukoma kwelungu lobufazi kubangelwa kukungabikho kwe-estrogen, kukho iikhrimu ezine-estrogen ezinokusetyenziswa kwilungu lobufazi. Amayeza anokumiselwa ukunyanga izifo okanye ezinye iimeko.
- Izinto zokuthambisa: Ukuba ukoma kwelungu lobufazi yeyona nto iphambili, ukusebenzisa i-lubricant esekwe emanzini okanye kwi-silicone kunokuba luncedo kakhulu.
- Amanye amacebiso: Kuphephe ukusebenzisa isepha ezinevumba elimnandi, ibhafu yamaqamza, ii-sanitary pads ezinevumba elimnandi, kunye nephepha langasese kwindawo yangasese.
Izinto onokuzenza ukuze ulawule iintlungu ekhaya
- Izithambiso ezenziwe ngamanzi okanye nge-silicone ngaphambi kokwabelana ngesondoSebenzisa i-lubricant.
- Zama ezinye izenzo zesondo okanye iindlela zokwenza izinto ezingabangela intlungu.
- Sela isithomalalisi sentlungu esithengiswa ngaphandle kwemvume kagqirha njengeparacetamol ngaphambi kokuba nesondo.
- Zinike ixesha lokuphumla nokunciphisa uxinzelelo ngaphambi kokuba wenze isondo.
- Emva kokwabelana ngesondo, faka ipakethe yomkhenkce kwindawo ejikeleze umngxuma welungu lobufazi.
Ixesha elithathayo le ntlungu liyahluka ngokuxhomekeke kwisizathu kunye nonyango. Ngamanye amaxesha ungaziva ukhululekile kwangoko emva kokuqala unyango. Ngamanye amaxesha, kungathatha ixesha ukufumana unyango olufanelekileyo.
Eyona nto ilungileyo kukuba, oku kunokuzisa isiqabu. Ngoko ke musa ukuphelelwa lithemba.
Umyalezo Wokuya Ekhaya
- Intlungu ngexesha lokwabelana ngesondo (iDyspareunia) yimeko eqhelekileyo kakhulu. Akukho mfuneko yokuba neentloni ngayo okanye ukubandezeleka wedwa.
- Le ntlungu inokubangelwa zizinto zomzimba nezengqondo, ngoko ke kubaluleke kakhulu ukufumana unobangela ochanekileyo.
- Musa ukuyityeshela le nto njengento eqhelekileyo yokwaluphala. Yonke intlungu inesizathu sayo kunye nonyango lwayo.
- Ukuba ufumana iintlungu ezintsha ngexesha lokwabelana ngesondo, ukopha, okanye ukukhupha ulwelo olungaqhelekanga kwisini, qiniseka ukuba ubona ugqirha wakho.
- Ukuthetha ngokukhululekileyo ngale nto nomlingane wakho kubaluleke kakhulu kulwalamano. Thetha ngeendlela zokuqondana kwaye wakhe ubuhlobo obungenabuhlungu.
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