Ngaba nawe uneentlungu kwindawo ejikeleze i-vagina? Makhe sithethe ngale nto (iVestibulodynia)!

Ngaba ngamanye amaxesha uziva iintlungu okanye ukutsha emnyango welungu lakho lobufazi? Le ntlungu inokubakho ngexesha lokwabelana ngesondo okanye xa uhleli nje. Le yingxaki edla ngokungathethwa ngayo phakathi kwabasetyhini, kodwa ichaphazela abantu abaninzi. Ngoko ke namhlanje siza kuthetha ngayo ngokweenkcukacha .

Yintoni le (iVestibulodynia)? Masiyiqonde ngokulula?

Ngamafutshane, i-vestibulodynia yintlungu kwindawo ejikeleze i-vagina yakho, ebizwa ngokuba yi-vestibule . Le ntlungu ngamanye amaxesha inokubakho nakwezinye iindawo ze-vagina yangaphandle ejikeleze i-vagina, ebizwa ngokuba yi-vulva . Yintlungu ekhathazayo kakhulu, ehlala ixesha elide. Ngamanye amaxesha akukho sizathu sicacileyo sinokufunyanwa. Ugqirha wakho unokubiza le meko ngokuthi yi-vulvar vestibulitis syndrome , okanye (VVS) ngamafutshane.

Ngoku usenokuba uyazibuza ukuba yintoni i-vulva . Yinxalenye ebonakalayo ngaphandle kwenkqubo yokuzala yomfazi. Ngokuchanekileyo, ikhusela amalungu akho okuzala angaphakathi, njengelungu lakho lobufazi, isibeleko, kunye nama-ovari. Ikwakhusela i-urethra yakho, ityhubhu apho umchamo uphuma khona.

I-vulva yindawo ebaluleke kakhulu kwimpendulo yakho yesondo kunye nokufika kwakho kwinqanaba elifanelekileyo. Inala macandelo:

• I-Clitoris
• Imilebe yangaphakathi (i-labia minora)
• Imilebe yangaphandle (i-labia majora)
• Umnyango ongena kwisini (ivestibule)

Yintoni umahluko phakathi kwe (Vulvodynia) kunye ne (Vestibulodynia)?

La magama mabini anokuba yinto edidayo kancinci, kodwa masiyigcine ilula. I-Vestibulodynia luhlobo lwesifo oluwela phantsi koluhlu olukhulu lwe -Vulvodynia . Zombini ezi meko ziquka iintlungu kwindawo ye-vulva ngaphandle kwesizathu esicacileyo.

Kukho iintlobo ezimbini eziphambili ze -vulvodynia :

1. I-vulvodynia eqhelekileyo: Oku kwenzeka xa kukho intlungu engapheliyo kwiindawo ezahlukeneyo ze -vulva , kungekuphela nje kwenye.

2. I-Localized vulvodynia: Kule meko, intlungu ikwindawo enye kuphela kwi -vulva . Umzekelo, intlungu emnyango we-vagina (ebizwa ngokuba yi -vestibulodynia ) okanye intlungu kwi-clitoris (clitorodynia) . Kwezi, i-vestibulodynia, ebangelwa luxinzelelo okanye uxinzelelo oluthile, lolona hlobo luqhelekileyo lwe- localized vulvodynia . Siyibiza ngokuba yi- provoked vestibulodynia .

Yintoni iProvoked Vestibulodynia?

Njengoko igama lisitsho, i-provoked vestibulodynia yintlungu eyenzeka xa kukho uxinzelelo okanye uxinzelelo kwi-vestibule yakho. Olu xinzelelo yilo "luvuselela" le ntlungu ingapheliyo, enokuhlala ixesha elingaphezu kweenyanga ezintathu. Olu xinzelelo lunokubangelwa zizinto ezifana nezi:

• Uvavanyo lwe-pelvic olwenziwe ngugqirha.
• Xa uhleli kwindawo enye ixesha elide.
• Ngexesha lokwabelana ngesondo.
• Xa unxibe impahla ebambekayo (umz. ibhulukhwe ebambekayo).
• Xa into ifakwa kwilungu lobufazi, nokuba ngumnwe, ipenis, itampon, okanye ithoyizi lokwabelana ngesondo .

Khawucinge nje, uNimali ngumntu ohlala eofisini iiyure ezininzi yonke imihla. Kangangeentsuku ezimbalwa, waqala ukuziva ukutshisa kancinci kwisini sakhe. Nangona wayengakhathali ekuqaleni, intlungu yanda emva kokuba nesondo. Wayesoyika kangangokuba wayengenakuxelela mntu ngaloo nto. Usenokuba nawe ukhe waba namava afanayo.

Ziziphi iintlobo ze-Provoked Vestibulodynia?

Kukho iintlobo ezimbini eziphambili zale nto:

1. I-vestibulodynia ebangelwa yi-primary (congenital): Kulapho intlungu ibakho xa uzama ukufaka into kwi-vagina yakho okokuqala ebomini bakho (umz., xa ulala nomntu okokuqala, xa uzama ukufaka i-tampon). Le yimeko yokuzalwa , oko kuthetha ukuba inokubakho ukususela ekuzalweni.

2. I-vestibulodynia ebangelwa yi-Secondary (acquired): Kule meko, intlungu ibakho kwiintsuku, iinyanga, okanye kwaneminyaka emva kokuba ukwazile ukufaka into kwilungu lakho lobufazi ngaphandle kwentlungu. Le yimeko eyenzeka ngokuhamba kwexesha.

Ixhaphake kangakanani i-vestibulodynia?

Enyanisweni, kuqikelelwa ukuba malunga nomfazi omnye kwabane uya kuba nohlobo oluthile lwe -vulvodynia , oluyintlungu ekwi-vulva engenasizathu sicacileyo. Uninzi lwexesha, le ntlungu ibangelwa luxinzelelo lwangaphandle okanye ukuchukumisa (okubizwa ngokuba " kukucatshukiswa ").

Kodwa inani lamatyala lisenokuba phezulu. Abanye abantu baneentloni zokuthetha noogqirha babo ngale ngxaki. Abanye bacinga ukuba le yinto engenakuphiliswa kwaye kufuneka iphile nayo ubomi babo bonke. Kodwa akunjalo, kukho unyango lwale nto!

Zithini izizathu ze-vestibulodynia?

Iingcali azikayazi kakuhle into ebangela oku. Kodwa kukho ezinye iingcamango. Enye kukuba abanye abantu banokuba nemithambo-luvo emininzi kwi -vulva . OkuImithambo-luvo ye-pudendal yiyo ethumela iimvakalelo ezifana neentlungu kunye nolonwabo kwinkqubo yakho yemithambo-luvo.

Abanye abantu banemeko ebizwa ngokuba yi -neuroproliferation (ekwabizwa ngokuba yi -neuroproliferative vestibulodynia ). Oku kuthetha ukuba imithambo yabo ye-pudendal iba novelwano kakhulu. Basenokuva iintlungu ezigqithisileyo ( hyperalgesia ) nokuba bachukumiseke kancinci ( allodynia ). Olu phuhliso lwe-neuroproliferation lunokuba yinto ekhoyo ekuzalweni okanye enokukhula kamva ngenxa yomonakalo okanye ukucaphuka kwemithambo-luvo.

Ngubani osengozini enkulu yokufumana i-vestibulodynia?

Nangona le meko inokwenzeka nakubani na, ixhaphake kakhulu kubafazi abamhlophe nabaseAsia ababandakanyeka ngokwesondo abaphakathi kweminyaka engama-20 ukuya kwengama-40. Inokwenzeka rhoqo nakubafazi abaye badlula kwixesha lokuya exesheni kwaye baneemeko ezifana nokoma kwesini kunye nokuwohloka kwesini .

Usenokwenzeka ukuba ube nale meko ukuba unenye yezi zinto zilandelayo:

• Iimpendulo ze-allergy okanye ukuvakalelwa ziisepha ezithile ezinevumba elimnandi, iisepha zokucoca, ii-pantyliners, njl.
• Usulelo lwemvubelo olungapheliyo .
• Iimeko ezifana ne -fibromyalgia .
• Ufuzo lunokubangela iintlungu ezingapheliyo, ukudumba, okanye usulelo.
• (I-Interstitial cystitis) (isinyi esibuhlungu).
• Intlungu yamalungu okanye intlungu yemisipha .
• Iingxaki zeemvakalelo ezifana nokudakumba okanye isifo sengqondo esibizwa ngokuba yi-bipolar disorder .
• Ukungasebenzi kakuhle komgangatho we-pelvic , ubuthathaka okanye ukuqaqamba kwemisipha.
• Ukonzakala okubangelwa kukuxhatshazwa ngokwesondo (ukudlwengulwa) okanye iingxaki ngexesha lokubeleka.

Zithini iimpawu zeVestibulodynia?

I-Vestibulodynia luhlobo lwentlungu enxulumene nemithambo-luvo (intlungu ye-neuropathic) . Le ntlungu ihlala ubuncinane iinyanga ezintathu. Intlungu isenokuba yinto engapheliyo okanye isenokufika ize idlule (ebizwa ngokuba yi-intermittent ).

Iimpawu eziphambili ze -vestibulodynia zezi:

• Ukutshisa, ukuhlaba, okanye intlungu efana nemela kwindawo ye-vestibular .
• Intlungu xa ufaka into ethile kwilungu lobufazi, uhleli, okanye usenza umthambo womzimba ofana nokubaleka, ukukhwela ibhayisekile, okanye ukukhwela ihashe.
• Ukwabelana ngesondo okubuhlungu (i-dyspareunia) .
• Ukuchama okubuhlungu (i-dysuria) .
• Uvakalelo, ukoma, ukubomvu, kunye nokubonakala okubuhlungu kwendawo yevestibule .

Ziziphi ezinye iimeko ezinokwenzeka ngeVestibulodynia?

Abanye abantu banokuba nazo zombini ezi meko kunye neVestibulodynia :

• I-Clitorodynia: Olu luhlobo lwe -vulvodynia eyenzeka kwindawo ethile . Ibonakaliswa ziintlungu eziqatha kwi-clitoris .
• (I-Vaginismus): Oku kwenzeka xa izihlunu zakho zesini ziqina kwaye zifinyela ngaphandle kokuba uqaphele nanini na xa uzama ukufaka into kwisini sakho.

Ifunyanwa njani iVestibulodynia?

Akukho vavanyo lucacileyo lokuxilonga oluza kuxilonga oku. Ugqirha wakho uza kumamela ngononophelo iimpawu zakho. Ngexesha lovavanyo lwe-pelvic , ugqirha wakho uza kuthatha i-cotton swab aze afake uxinzelelo kancinci kwiindawo ezahlukeneyo ze -vulva yakho, ebuza ukuba ibuhlungu kangakanani.

Ungaqhuba olunye okanye ngaphezulu kwezi vavanyo ukuze ubone ukuba kukho naziphi na ezinye iingxaki, okanye uqinisekise ukuba azikho:

• Uvavanyo lwegazi.
• Uvavanyo lokuhlola umchamo okanye uvavanyo lokukhula komchamo - Olu lwenziwa ukujonga usulelo lwendlela yomchamo (UTIs) , i-cystitis , usulelo lwe-yeast , kunye nezifo ezidluliselwa ngesondo kunye nosulelo (ii-STD kunye nee-STIs) .
• I-Pap smear , kwaye ukuba kuyimfuneko , i-colposcopy - ezi zenzelwa ukujonga iiseli ezingaqhelekanga kwisibeleko (i-cervical dysplasia) okanye umhlaza wesibeleko .
• I-biopsy yolusu - ukujonga izifo zolusu.

Ngabaphi oogqirha abanyanga i-vestibulodynia?

Nangona le meko ichaphazela amalungu akho esini, akufuneki ukuba ibe yingxaki yezonyango. Kuya kufuneka ubone iingcali ezahlukeneyo ukuze ufumane unyango. Ezi ziquka:

• Ingcali yokubelekisa/ingcali yabasetyhini (`Ob/Gyn`).
• Ingcali yesikhumba.
• Ingcali yezifo zengqondo.
• Ingcali yokulawula iintlungu.
• Unyango lomzimba olusebenza phantsi kwepelvic.
• Ingcali yezengqondo, ingcali yezesondo okanye ingcali yezonyango yabatshatileyo.
• Ingcali kwinkqubo yomchamo kunye nenkqubo yokuzala yabasetyhini (`Urologist` okanye `urogynecologist`).

Oogqirha banyanga njani i-vestibulodynia?

Iinjongo eziphambili zonyango lwe -vestibulodynia zezi:Ukunciphisa iintlungu kunye nokulawula iimpawu.

Ezi ziindlela zonyango ezingezizo ezonyango:

• Iintlobo zeekhrimu ezithomalalisa iintlungu nezithomalalisa iintlungu (`Iikhrimu zolusu ezithomalalisa iintlungu`).
• Unyango lokuziphatha olusebenzisa ingqondo (i-CBT) , unyango lwabantu abathandanayo, okanye unyango lwesondo.
• Utshintsho kwindlela yokuphila - umzekelo, ukunxiba impahla ekhululekileyo kunye nempahla yangaphantsi yekotoni, kunye nokungasebenzisi iimveliso ezinevumba elimnandi.
• Unyango lomzimba phantsi kwepelvic - umzekelo, umthambo weKegel (umthambo phantsi kwepelvic) kunye neendlela ze -biofeedback .
• Ukusebenzisa izinto zokuthambisa zangasese kunye nezinto ezivula ulusu lwangasese.

Unyango lwezonyango lulandelayo:

• Amayeza okudakumba .
• Amayeza okunyanga isifo sokuwa kunye neentlungu zemithambo- umz. i -gabapentin .
• Iinaliti zetyhefu yeBotulinum (iinaliti zetyhefu yeBotulinum - Botox®) .
• Iikhrimu ze-corticosteroid ezisetyenziswa kwiindawo ezithile okanye iinaliti ze-steroid .
• Iikhrimu zehomoni zangaphandle (unyango lweehomoni) .
• Iibhloko zemithambo-luvo .
• Izithomalalisi zentlungu.

Ngaba iVestibulodynia inganyangeka ngotyando?

Abanye abantu abane -vestibulodynia evuselelweyo abangakhange baphendule kwezinye iindlela zonyango banokungenelwa kutyando lokususa ulusu olubuthathaka kunye nezicubu. Olu tyando lubizwa ngokuba yi-vestibulectomy . Oku kudla ngokubonelela ngokukhululeka okusisigxina kwiimpawu.

Ngaba iVestibulodynia ingathintelwa?

Ngokulandela la manyathelo okunyamekela i-vulva yakho, unokuthintela kwaye unciphise iintlungu ze-vulvar :

• Kuphephe ukusebenzisa iimveliso ezinevumba elimnandi (umz., isitshizi se-femily deodorant, umgubo we-talcum, ii-panty liners ezinevumba elimnandi) kwindawo yakho yesini.
• Musa ukusebenzisa izinto zokuthintela ukukhulelwa ezingaphakathi kwesini (umz. ii-diaphragms, ii-cervical caps). Kwakhona, musa ukusebenzisa izinto zokubulala iimbewu kunye nee-foam zokuthintela ukukhulelwa, kuba zinokubangela ukurhawuzelelwa.
• Emva kokuchama, endaweni yokusebenzisa iphepha langasese, hlamba indawo yangasese ngamanzi avela kwibhotile yokucinezela okanye i-bidet.
• Sebenzisa iphepha langasese elingangcoliswanga kunye neemveliso zococeko ezingenavumba (iitamponi, iipadi).
• Hlala phezu komqamelo omile okwedonathi ukuze unciphise uxinzelelo kwi -vulva yakho.
• Nciphisa kwibhafu eshushu ukuze unciphise iintlungu.
• Hlamba indawo yakho yangasese ngamanzi kuphela (akukho sepha). Musa ukusebenzisa i-bubble bath, ii-bath salts, okanye ii-bath oils.
• Nxiba impahla yangaphantsi yekotoni, ibhulukhwe ekhululekileyo okanye iibhulukhwe ezimfutshane. Kuphephe ukunxiba iipantyhose, iitights okanye iileggings eziqinileyo.

Ziziphi iingxaki ezinokubakho ze-vestibulodynia?

Intlungu engapheliyo ebangelwa yi -vestibulodynia inokuba yinto engathandekiyo kakhulu kwaye ide ibeke ubomi esichengeni. Ingachaphazela umthambo kunye nokuhlala ixesha elide.

I-Vestibulodynia inokubangela ukungasebenzi kakuhle ngokwesondo . Oku kunokuchaphazela ukukwazi kwakho ukonwabela isondo, kwaye kunokuchaphazela kakubi ubudlelwane bakho kunye nokuzithemba kwakho. Wena kunye neqabane lakho ninokuncedakala ngokuthetha nogqirha wengqondo, njengogqirha wengqondo odibeneyo okanye ugqirha wengqondo ojongene nesondo.

Injani imbono yomntu one-vestibulodynia?

I-Vestibulodynia idla ngokuba ngcono ngokuhamba kwexesha (ebizwa ngokuba yi -remission ). Ngelishwa, le ntlungu ye-vulva ingabuya (ebizwa ngokuba yi -relapse ). Ke ngoko, kubalulekile ukulandela imiyalelo kagqirha wakho ukuthintela nokunciphisa intlungu ye-vulva .

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana naziphi na kwezi mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha:

• Ukuphuma kwamanzi kwilungu lobufazi ngendlela engaqhelekanga kunye nevumba elibi.
• Ukurhawuzelela kwindawo yesini.
• Ukwabelana ngesondo okubuhlungu.
• Ukuchama okubuhlungu.
• Iimpawu zosulelo lwe-yeast , usulelo lwe-urinary tract (UTI) , okanye olunye usulelo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Kungcono ukubuza ugqirha wakho imibuzo efana nale:

• Kutheni le nto ndiyenze le nto (iVestibulodynia) ?
• Luhlobo luni lweVestibulodynia endinalo?
• Ziziphi iindlela zonyango endinazo?
• Ngaba ndifanele ndicinge ngamayeza okanye ngotyando?
• Ngaba kufuneka ndiqaphele iimpawu zeengxaki?

Ngaba i-vestibulodynia inokubangelwa zizifo ezidluliselwa ngesondo (ii-STD)?

Hayi. Akukho nxibelelwano lwaziwayo phakathi kwe -vestibulodynia kunye nezifo ezidluliselwa ngesondo (ii-STD) . Nangona kunjalo, ezinye izifo ezidluliselwa ngesondo, ezifana ne -chlamydia kunye ne-gonorrhea, zinokubangela iimpawu ezifanayo, njengentlungu kunye nokudumba. Ke ngoko, kubalulekile ukubona ugqirha ukuze kuchongwe unobangela ochanekileyo wezi mpawu kwaye ufumane unyango olufanelekileyo.

Intlungu ye-vulvar ebangelwa yi -vestibulodynia yinto yokwenyani. Musa ukuba neentloni ukuthetha nogqirha wakho malunga nokufakwa okubuhlungu okanye intlungu engapheliyo kwi -vulva yakho . Usenokuba ne -vestibulodynia., oko kuthetha ukuba unokuba nohlobo oluthile lwentlungu engapheliyo (i-vulvodynia) kwivestibule yakho. Le ntlungu yevestibular idla ngokuvela ngequbuliso kwaye ngaphandle kwesizathu esicacileyo. Ingancedwa ngamayeza kunye nonyango olungelulo olusebenzisa amayeza.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke ndiyathemba ukuba oko sithethe ngako kukuncedile ukukhumbula ezinye zezona zinto zibalulekileyo. I-Vestibulodynia ayisiyonto yokuba neentloni ngayo.

• Awuwedwa: Asinguwe wedwa onale ngxaki. Abafazi abaninzi banengxaki yesi sifo.
• Unobangela ungafunyanwa: Nangona unobangela wazo zonke iintlungu ungafumaneki ngoko nangoko, unobangela ungafunyanwa ngokuthetha nogqirha nokwenza uvavanyo.
• Kukho unyango: Esi asisosifo esinganyangekiyo. Kukho unyango olwahlukeneyo olufumanekayo lokunciphisa iintlungu nokwenza ubomi bube lula.
• Musa ukuba neentloni: Ungaze ube neentloni ngokuthetha ngempilo yakho okanye ukucela uncedo. Ugqirha ngumntu okhoyo ukukunceda.

Ngoko ke, ukuba unayo nayiphi na kwezi mpawu, nceda ubone ugqirha ukuze akunike iingcebiso. Intuthuzelo nolonwabo lwakho ebomini zibaluleke kakhulu kuwe.

I- Vestibulodynia, i-Vulvodynia, Intlungu Yangasese, Intlungu Yesondo, I-Vulva, Impilo Yabasetyhini, I-Vestibulodynia Evuselelweyo