Ingaba i-vaginal yakho ivakala iqinile kwaye imxinwa? Masithethe nge-Vaginal Stenosis.

Ngaba ngamanye amaxesha uziva ngathi isini sakho sinciphile okanye siqinile? Ngaba uziva iintlungu okanye ukungakhululeki ngexesha lokwabelana ngesondo okanye xa usebenzisa i-tampon? Usenokuba noloyiko okanye iintloni ukuthetha ngayo. Kodwa le yinto enokwenzeka kubantu abaninzi, ingakumbi xa benengxaki ezithile zempilo. Namhlanje, siza kuthetha ngokweenkcukacha, kodwa ngokulula, ngale meko ibizwa ngokuba yi-'Vaginal Stenosis'.

Yintoni i-'Vaginal Stenosis'? Ngamafutshane...

Ngamafutshane, i-'Vaginal Stenosis' kukuncitshiswa kwaye mhlawumbi kukunciphisa ubude bangaphakathi kwelungu lakho lobufazi . Isizathu esiphambili soku kukwakheka kwezicubu zesilonda . Ubusazi na ukuba xa sinomonzakalo kwindawo ethile emzimbeni wethu, kuvela isilonda njengoko siphola? Yiyo loo nto kunjalo. Xa kukho umonakalo okanye ukwenzakala kwilungu lobufazi, umzimba wethu uzama ukuliphilisa ngokwenza eli lungu lobufazi. Kodwa ingxaki kukuba, eli lungu lobufazi aliguquguquki kwaye alinatyisi njengelungu lobufazi eliqhelekileyo. Ke ngoko, xa into ingena ngaphakathi kwilungu lobufazi, njengakwixesha lokwabelana ngesondo, xa ufaka i-tampon, okanye xa ugqirha esenza uvavanyo lobufazi, unokuziva iintlungu kunye nokungonwabi. Le meko idla ngokuvela emva kokubeleka, emva kotyando, okanye emva konyango lwe-radiation kwindawo ye-pelvic (`Pelvic Radiation Therapy`).

Akunyanzelekanga ukuba uphile nale ntlungu nokungonwabi. Kukho unyango lokunciphisa iimpawu zakho nokwenza ubomi bakho bube mnandi ngakumbi.

Ixhaphake kangakanani le meko?

Akukho zibalo-manani malunga nokuba oku kuqheleke kangakanani. Ngenxa yokuba yingongoma ebucayi kangaka, abanye abantu bayathandabuza ukuthetha ngeempawu zabo okanye ukufuna unyango. Ngenxa yoko, inani lamatyala alixelwanga ngokwaneleyo. Nangona kunjalo, kuqheleke kakhulu kubantu abaneengxaki zomngcipheko, njengabo baye batyandwa okanye banyangwa ngemitha.

Ngaba nawe unazo ezi mpawu?

Kule meko ye-`Vaginal Stenosis`, unokufumana iimpawu ezifana nezi:

• Intlungu ngexesha lokwabelana ngesondo (`Dyspareunia`): Olu luphawu oluphambili kubantu abaninzi. Kwabanye, le ntlungu yenza kube nzima kakhulu ukwabelana ngesondo.
• Intlungu kunye nokungakhululeki xa kufakwa i-tampon kwilungu lobufazi.
• Ukopha ngexesha okanye emva kokwabelana ngesondo.
• Ukuziva ungakhululekanga okanye ubuhlungu xa uhlolwa isinqe ngugqirha wezifo zabesifazane. Yiyo loo nto abanye abantu besoyika ukuya koogqirha.
• Ukoma kwesisu.

Kutheni le nto isenzeka le `Vaginal Stenosis`? Zithini izizathu?

Njengoko besikhe sathetha ngaphambili, i-'Vaginal Stenosis' yenzeka xa izicubu zesilonda zisenzeka kwilungu lobufazi, nto leyo eyenza ilungu lobufazi libe lincinci kwaye libe lifutshane. Le zicubu zesilonda aziguquguquki okanye zinwebeke njengezicubu eziqhelekileyo zesilonda. Khawuthelekelele ukuba endaweni yento enwebeka njengebhanti yerabha, kukho into efana neplastiki eqinileyo. Yiyo loo nto le zicubu zesilonda zinjalo. Ngoko ke xa into ingena kwilungu lobufazi, intlungu ivela kwizicubu eziqinileyo.

Kukho izizathu ezahlukeneyo zokuba kutheni le ntsholongwane ikhula:

Unyango lweMisebe

Xa unyango lwemitha lunikwa amalungu omzimba esinqeni (oko kukuthi, indawo engaphantsi kwesisu), isini singancipha njengesiphumo esingesiso. Oku kubizwa ngokuba yi-radiation-induced vaginal stenosis. Le meko ixhaphake kakhulu emva konyango lwemitha kubafazi abangaphezu kweminyaka engama-50 ubudala. Ngamanye amaxesha, ukusetyenziswa kwamayeza okulwa nomhlaza (i-chemotherapy) nako kunokuchaphazela oku.

Utyando

Naluphi na utyando olubandakanya isibeleko sakho, isini, okanye umlomo wesibeleko lunokonakalisa izicwili zesini kwaye lubangele izilonda. Umzekelo, oku kuquka iinkqubo zokwakha ngokutsha kunye notyando lokuphuma kwamalungu esitho se-pelvic.

Ukuzalwa komntwana

Izicwili zesikhumba nazo zinokuvela ngenxa yeengxaki ngexesha lokubeleka okuqhelekileyo, njenge-episiotomy (ukusika okuncinci phakathi kwelungu lobufazi kunye ne-anus) okanye ukukrazuka kwelungu lobufazi. Yingakho abanye abafazi bevakalelwa kukuba ilungu lobufazi babo liqinile emva kokubeleka. Oku kunokubangela intlungu ngexesha lokwabelana ngesondo kangangeenyanga emva kokubeleka.

Iimeko Zolusu

Kukho ezinye izifo zesikhumba, umzekelo 'iLichen Sclerosus' kunye ne 'Lichen Planus'. Ezi meko zinokubangela ukoma kwelungu lobufazi.

Ukuya exesheni

Njengoko usondela ekupheliseni ukuya exesheni (oko kukuthi, emva kokuba ixesha lakho lokuya exesheni liyekile), amanqanaba omzimba wakho ehomoni i-estrogen ayehla. Oku kunokubangela ukuba izicwili zesini zome kwaye zibe ncinci. Oku kubizwa ngokuba yi-vaginal atrophy. Le meko ngamanye amaxesha inokwenza iimpawu ze-vaginal stenosis zibe mandundu.

Kunqabile kakhulu, i-stenosis yesini inokwenzeka ngenxa yeengxaki ezithile zokuzalwa, ezifana ne-adrenal hyperplasia.

Ngubani onokuba nethuba elikhulu lokufumana le meko?

Nabani na one-vaginal Stenosis unokufumana i-'Vaginal Stenosis'. Nangona kunjalo, usemngciphekweni omkhulu ukuba unayo:

• Ukuba ukhe watyandwa kwindawo ye-pelvic.
• Ukuba kwenziwe i-episiotomy ngexesha lokubeleka okanye i-vagina ikrazukile.
• Ukuba ufumene unyango lwemitha yesinqe okanye i-chemotherapy kwindawo yesinqe.

Ezinye izifundo zibonise ukuba abantu abasebenzisa iimveliso zecuba nabo basengozini enkulu yokuba nale meko.

Zeziphi iingxaki ezinokubangela oku?

I-stenosis yesitho sangasese sowesifazane ayichaphazeli nje kuphela isitho sangasese somfazi. Ingachaphazela ubomi bakho bonke, kungekuphela nje ubomi bakho besondo. Cinga nje, ukungakwazi ukusebenzisa i-tampon ngokufanelekileyo, ukungakwazi ukwenza uvavanyo lwesitho sangasese somfazi ngokukhululeka, okanye ukungakwazi ukulala neqabane lakho kunokuba yinto ecaphukisayo kakhulu. Ukuba ayinyangwa, i-stenosis yesitho sangasese somfazi ingaba mandundu. Kunokuba nzima ukunyanga. Ngoko ke ukuba uva intlungu, kubalulekile ukuthetha nogqirha ngayo.

Ugqirha uyibona njani le nto?

Ugqirha unokuxilonga i-vaginal stenosis ngokwenza uvavanyo lwe-pelvic aze athethe ngeempawu zakho. Ufanele uxelele ugqirha wakho ukuba intlungu iqale nini, zeziphi izinto ezibangela intlungu, kunye nembali yakho epheleleyo yezonyango, kuquka naluphi na utyando kunye nonyango oye walwenza.

Ngexesha lovavanyo lwesitho sangasese sowesifazane, ugqirha uza kunxiba iiglavu, afake i-lubricant, aze afake iminwe yakhe kwisitho sangasese sowesifazane ukujonga ukuba sithambile kwaye sinzulu kangakanani. Ukuba uziva iintlungu ngexesha lovavanyo, ngokuqinisekileyo kufuneka uxelele ugqirha wakho . Ungakhathazeki, oogqirha baqhelene nolu hlobo lwento.

Zithini iindlela zonyango zoku? Makhe sibone...

Injongo ephambili yonyango kukwenza izicubu zesilonda zibe bhetyebhetye ngakumbi, okanye kube lula ukuzishukumisa. Isicwangciso sonyango osikhethayo wena nogqirha wakho siya kuxhomekeka kwisizathu se-stenosis yakho yesibeleko kunye nobunzima bayo. Khumbula ukuba olu nyango lunokuthatha iinyanga, okanye iminyaka. Ngenxa yokuba izicubu zesilonda zinokuphinda zibuye, unokufuna isicwangciso sexesha elide sokulawula i-stenosis yakho yesibeleko.

Nazi ezinye iindlela zonyango ezikhoyo ze-'Vaginal Stenosis':

Ii-Dilators zeVaginal

Ii-dilator zesini zizixhobo ezincinci, ezisilinda ezisetyenziselwa ukolula isini kancinci nangokucothayo . Uqala nge-dilator encinci. Emva koko, kwiiveki okanye kwiinyanga ezimbalwa, kancinci kancinci udlulela kwi-dilator enkulu. Oku kufana nokuzilolonga, kwaye kufuna umonde omncinci.

Unyango lomgangatho wePelvic

Unyango lwePelvic Floor yindlela entle yokuqinisa izihlunu zomgangatho wepelvic kunye nokuphucula ukuhamba kwegazi kuloo ndawo. Wakuba ufunde indlela yokuzicutha nokuphumza izihlunu zakho zomgangatho wepelvic, kuya kuba lula ukusebenzisa i-vaginal dilator. Ungafumana uncedo kwingcali ye-physiotherapist koku.

Unyango Lokutshintshwa Kwehomoni (HRT)

Ukuba i-stenosis yesitho sakho sangasese sowesifazane ibangelwa kukungabikho kwe-estrogen, ukuthatha i-estrogen kunokunceda. Kukho iintlobo ezininzi ze-HRT - iikhrimu, iipilisi, iipatches. Ezi zinokunceda ukwandisa ukufuma kunye nokuqina kwezicubu zesitho sangasese sowesifazane. Nangona kunjalo, ngaphambi kokuba uqale i-HRT, kubalulekile ukuthetha nogqirha wakho malunga neengozi kunye neenzuzo.

Utyando

Ngamanye amaxesha, ugqirha wakho unokucebisa utyando lokwandisa umngxuma welungu lobufazi bakho. Nangona kunjalo, oku kwenziwa kuphela njengesisombululo sokugqibela, kwaye kuphela xa ezinye iindlela zonyango zingasebenzanga.

Ukongeza kwezi ndlela zonyango ziphambili, kukho nezinye izinto ezinokukunika isiqabu:

• Ukusebenzisa izithambisi ezisekelwe emanzini ngexesha lokwabelana ngesondo, ezifana neKY® Jelly.
• Ukusebenzisa isithambisi solusu lwesini, esifana neReplens™, akufani nesithambisi, kwaye singasetyenziswa ngexesha lokwabelana ngesondo. Kunceda ukugcina izicubu zesini zimanzi imini yonke.
• Ngokuxhomekeke kwisizathu se-stenosis yesini, ungazama nonyango lwe-laser.

Eyona nto ibalulekileyo kukwazi ngokupheleleyo ngezi ndlela zonyango, uthethe nogqirha wakho, uze ukhethe eyona ikulungeleyo. Ayizizo zonke iindlela zonyango ezisebenzela wonke umntu.

Ngaba oku kuya kuba ngcono ngokuzenzekelayo?

Hayi. Izicubu ezibuhlungu azizizo eziya kuphela ngaphandle konyango. Ukuba azinyangwa, imeko inokuba mandundu ngokuhamba kwexesha kwaye ibangele iintlungu ezingakumbi.

Yintoni onokuyilindela ukuba une-'Vaginal Stenosis'?

I-stenosis yesitho sangasese sowesifazane inokuba yimeko ebuhlungu nebangela iintloni. Yinyani leyo. Nangona kungekho nyango luhlala luhleli, oluya kuba kanye, ugqirha wakho unokukunceda ufumane iindlela zokuyilawula. Ngenxa yokuba i-stenosis yesitho sangasese somfazi inokuphinda ivele, unokufuna ukuqhubeka usebenzisa ii-dilators, ii-lubricants, okanye ezinye iindlela zokulungisa. Nangona kunjalo, ngonyango olufanelekileyo, abantu abaninzi babona ukuphucuka okukhulu kubomi babo besondo kunye nomgangatho wobomi babo bonke. Ngoko ke ungakhathazeki.

Ngaba zikho iindlela zokuthintela oku ukuba kungenzeki?

Ngamanye amaxesha kunokwenzeka, kodwa uninzi lwexesha kwenzeka kuphela xa usandul’ ukufumana unyango lwe-radiation. Abanye oogqirha bacebisa ukusebenzisa i-vaginal dilator ukuthintela i-vaginal stenosis emva konyango lomhlaza.

Nangona kunjalo, xa kusenzeka utyando, i-'Vaginal Stenosis' ayinakuthintelwa rhoqo. Nangona ubungakanani bezicubu ezibomvu ezibangelwayo bunokunciphisa ngokusebenzisa 'iindlela zotyando ezingenelelayo kancinci', azinakususwa ngokupheleleyo.

Ndifanele ndimbone nini ugqirha?

Ukuba uva iintlungu ngexesha lokwabelana ngesondo, xa ufaka i-tampon, okanye xa uvavanywa isinqe , qiniseka ukuba ubona ugqirha wakho ngoko nangoko. Le inokuba yingongoma ebucayi onokuthetha ngayo, kodwa khumbula ukuba ugqirha wakho ukhona ukukunceda. I-stenosis yesitho sangasese sowesifazane yimeko eqhelekileyo, kwaye iimpawu zakho zinokuthomalaliswa. Akukho sizathu sokuba neentloni okanye ukoyika.

Ngaba i-'Vaginal Stenosis' kunye ne-'Vaginal Atrophy' ziyafana?

Hayi. Ezi zimbini ziyazalana, kodwa ezi ziimeko ezimbini ezahlukeneyo.

• Ukuwohloka kwesisu yimeko apho ulwelo lwesisu luba lomile kwaye lubhitye ngenxa yokunqongophala kwe-estrogen. Le yimeko enxulumene neehomoni edla ngokuchaphazela abafazi abasondela ekupheliseni ukuya exesheni.
• Kwelinye icala, i-'Vaginal Stenosis' ibangelwa zizicwili ezibangelwa zizinto ezifana notyando, unyango lwemitha, kunye nokuzala.

Ezi meko zimbini zihlobene kuba xa izicwili zesini ziba buthathaka kwaye zomile ngenxa ye-'Vaginal Atrophy', iintlungu kunye nokungonwabi okubangelwa yi-'Vaginal Stenosis' kunokwanda.

I-stenosis yesitho sangasese sowesifazane ayisiyonto nje echaphazela isitho sangasese somfazi. Ingachaphazela ulonwabo lwakho, ukuzithemba, kwaye yenze kube nzima ukuba nolwalamano olusondeleyo namaqabane akho esondo. Nangona oku kunokuba yingongoma enzima ukuyithetha ngokukhululekileyo, ukufuna uncedo kugqirha yeyona nto ilungileyo onokuzenzela yona. Kukho unyango oluninzi olufumanekayo ukunceda kwi-stenosis yesitho sangasese somfazi. Akunyanzelekanga ukuba uphile nale ntlungu, kwaye akufuneki uyamkele. Abantu abaninzi bathi umgangatho wobomi babo uphucuke kakhulu xa befumana unyango olufanelekileyo.

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule

• I-Vaginal Stenosis kukuncitshiswa kwelungu lobufazi kwaye ngamanye amaxesha ukuncitshiswa kwalo. Eyona nto ibangela oku kukuvaleka kwezicubu.
• Ukuba uneempawu ezifana neentlungu ngexesha lokwabelana ngesondo, ubunzima bokufaka i-tampon, ukoma kwelungu lobufazi, okanye intlungu ngexesha lovavanyo lwelungu lobufazi, musa ukuba neentloni kwaye uxelele ugqirha.
• Le meko inokubangelwa lunyango lwemitha, utyando, ukwenzakala ngexesha lokubeleka, ezinye izifo zolusu, kunye nokuya exesheni.
• Kukho unyango loku! Ungafumana isiqabu ngezinto ezifana ne-'Dilators', 'Pelvic Floor Therapy', unyango lwehomoni, izinto zokuthambisa, kunye nezinto zokuthambisa i-vaginal.
• Akukho nto inokuba neentloni ngayo le nto. Eyona nto ibalulekileyo kukucela uncedo. Akunyanzelekanga ukuba ubandezeleke wedwa kule meko. Ugqirha wakho uza kukunceda.

I- Vaginal Stenosis, i-Vaginal Stenosis, i-Scar Tissue, iintlungu zesondo, i-Dyspareunia, i-Vaginal Dilators, unyango lwe-pelvic radiation