Ngaba uneentlungu ezingapheliyo kwindawo yakho yangasese (kwindawo yangasese) ngaphandle kwesizathu esicacileyo? Isenokuvakala ngathi kukutsha, ukuhlaba, okanye ukurhawuzelela. Le ntlungu inokwenza kube nzima kuwe ukwenza imisebenzi yakho yemihla ngemihla kwaye inokukwenza uzive udandathekile. Ukuba uzive uwedwa, ungakwazi ukuthetha nabani na ngayo, awukwazi ukuqonda ukuba kutheni isenzeka, okanye awukwazi ukuqonda ukuba yintoni ebangela oko, esi sihloko sithetha ngaso namhlanje siya kuba sibaluleke kakhulu kuwe.
Ngamafutshane, yintoni iVulvodynia?
I-Vulvodynia (vul-vo-dee-nia) yintlungu engapheliyo kwindawo engaphandle yelungu lakho lobufazi (oko sikubiza ngokuba yi-'vulva' ngokwezonyango) ehlala ixesha elingaphezu kweenyanga ezintathu ngaphandle kwesizathu esibonakalayo.
Ngoku usenokuba ucinga, "Le ndawo ibuhlungu ngenxa yezifo okanye izifo zesikhumba." Ewe, yinyani leyo. Kodwa iVulvodynia yintlungu eyenzeka xa unobangela othile (umz., isifo semvubelo okanye isifo sesikhumba) ungafumaneki . Le ntlungu inokuba qatha kangangokuba ungade ukruquke zizinto ozithandayo ukuzenza. Usenokungakwazi nokucinga ngokwenza isondo.
Ngaba kukho iintlobo eziphambili ze-vulvodynia?
Ewe, siyahlulahlula oku kube ziintlobo ezimbini eziphambili ngokuxhomekeke apho intlungu ivele khona.
1. I-Localized Vulvodynia: Kulapho intlungu ivakala khona kwindawo ethile kwilungu lobufazi. Ngokuqhelekileyo, le ntlungu ivakala eluswini oluphakathi kwe-inner labia kunye nomnyango welungu lobufazi (obizwa ngokuba yi-'vulvar vestibule') okanye kwi-clitoris.
2. I-Generalized Vulvodynia (intlungu esasazeka kulo lonke indawo): Apha, intlungu ayipheleli kwindawo enye kuphela. Intlungu inokuvela kwiindawo ezahlukeneyo kwindawo yelungu lobufazi, ngamaxesha ahlukeneyo. Ngamanye amaxesha, intlungu inokuvakala kuyo yonke indawo yelungu lobufazi.
Le ntlungu ingahlulwa ngokwendlela eyenzeka ngayo. Abanye abantu bafumana intlungu xa into ethile ibachukumisa okanye ibachukumisa (umz., ngexesha lokwabelana ngesondo, ukufaka i-tampon). Kwabanye, intlungu iyenzeka nokuba bahleli nje bengenzi nto.
Le meko ibuchaphazela njani ubomi bomntu?
I-Vulvodynia ayisiyongxaki nje kuphela. Yinto enokuguqula ubomi bomntu bube nzima. Khawucinge nje...
- Impembelelo emsebenzini: Ukuba usebenza eofisini, usenokungakwazi ukwenza umsebenzi wakho ngokufanelekileyo ngenxa yentlungu ebangelwa kukuhlala kwindawo enye ixesha elide.
- Impembelelo kubudlelwane: Ukwabelana ngesondo kunokuba buhlungu okanye kungenzeki, nto leyo enokuba nefuthe elikhulu kubudlelwane bakho nomyeni okanye iqabane lakho. Oku kunokubangela uxinzelelo olukhulu lwengqondo.
- Ukuphazamiseka kokulala: Intlungu ingakuthintela ekulaleni kakuhle ebusuku.
- Iimpembelelo ekukhetheni impahla:Andinakunxiba impahla okanye iijini entolongweni. Ndisoloko ndikhetha impahla ekhululekileyo.
Ngenxa yako konke oku, uphando lufumanise ukuba abantu abaninzi abane-vulvodynia banengxaki yengqondo efana nokudakumba kunye nokuxhalaba .
Zithini iimpawu ze-vulvodynia?
Indlela le ntlungu eyenzeka ngayo yahlukile kumntu ngamnye. Indlela eqala ngayo, eyeka ngayo, neyathi yanda ngayo inokwahluka ukusuka kumntu ukuya komnye.
| Intlungu ivakala njani kwaye nini | |
|---|---|
| Ungayiva njani intlungu? | |
| Njengokutsha | Kufana nokutsha xa ufumana umgubo omncinci wetshili. |
| Ivakala ngathi iyacinezelwa. | Ivakala ngathi kukuhlatywa kabukhali. |
| Njengokurhawuzelelwa. | Intlungu eza nokurhawuzelelwa okunganyamezelekiyo. |
| Kubonakala ngathi ulusu alusekho. | Ulusu luziva lulimele kwaye lungakhululekanga, ngokungathi lunqunyulwe. |
| Ivakala ngathi iyabetha. | Intlungu eza ngesingqi esifana nokubetha kwentliziyo. |
| Ziziphi izinto ezinokubangela iintlungu? | |
| |
Kutheni oku kusenzeka? Zithini izizathu ze-vulvodynia?
Ngelishwa, abaphandi abakafumani sizathu siqinisekileyo soku, kodwa kukho izinto ezininzi abacinga ukuba zinokuba negalelo kuko.
- Ukudumba: Imeko yokudumba emzimbeni.
- Izinto ezibangela iihomoni: Utshintsho kwiihomoni.
- Izinto ezibangela ufuzo: Yinto ebangela ufuzo.
- Iingxaki ze-Neuropathic: Kukho umonakalo kwimithambo-luvo kwindawo yesini okanye ukungasebenzi kakuhle kwayo.
- Iziphumo zexesha elide zosulelo oludala: Impendulo yexesha elide yomzimba kwiintsholongwane zangaphambili zesini.
- Imisipha yomgangatho we-pelvic ebuthathaka: Ukubuthathaka okanye ukuqaqamba rhoqo kwemisipha kwindawo ye-pelvic.
- Izinto eziyingozi eluswini: Ukurhawuzelelwa lusu okubangelwa zizinto ezifana neesepha ezirhabaxa kunye neziqholo.
Eyona nto ibalulekileyo kukuba iVulvodynia ayisosifo esidluliselwa ngesondo (STI). Kwakhona, ayisosifo somhlaza okanye uphawu lomhlaza. Musa ukukhathazeka ngayo.
Ungayibona njani le meko?
Xa ubona ugqirha, uza kukufumanisa ukuba une-vulvodynia kuphela emva kokuba ekhuphe zonke ezinye izinto ezinokubangela intlungu yakho. Oku kungabandakanya iimvavanyo ezininzi.
- Imbali yezonyango: Ugqirha uza kukubuza ngeempawu zakho (apho, njani, kwaye ixesha elingakanani intlungu ikhona), ubomi bakho besondo, kunye naluphi na utyando olwenzileyo.
- Uvavanyo lomzimba: Ugqirha uza kuhlola indawo yakho yangaphantsi kwaye angasebenzisa isixhobo esibizwa ngokuba yi-'speculum' ukujonga ingaphakathi lakho kunye nomlomo wesibeleko.
- Uvavanyo lweCotton Swab: Olu luvavanyo olubaluleke kakhulu. Apha, kusetyenziswa i-cotton swab encinci ukuchukumisa ngobunono iindawo ezahlukeneyo zelungu lobufazi nokubuza ukuba uziva phi kwaye njani intlungu. Oku kwenza kube lula ukufumana indawo echanekileyo yentlungu.
- Uvavanyo losulelo: Kuthathwa isampulu yolwelo oluphuma kwilungu lobufazi ize ivavanywe izinto ezifana nezifo ezidluliselwa ngesondo (ii-STI), i-bacterial vaginosis, okanye izifo ze-yeast.
Kunqabile kakhulu, ugqirha wakho unokucebisa i-colposcopy okanye i-biopsy, equka ukuthatha ulusu oluncinci uze uluhlolisise, ukuqinisekisa ukuba akukho ezinye iimeko zempilo.
Ziziphi iindlela zonyango lwe-vulvodynia?
I-Vulvodynia ingathatha ixesha ukunyanga. Kungathatha uvavanyo oluthile ukuze ufumane unyango olufanelekileyo okanye indibaniselwano yonyango olukulungeleyo. Ngoko ke umonde ubalulekile.
| Indlela yonyango | Ingcaciso elula |
|---|---|
| Amayeza asetyenziswa kwiindawo eziphathwayo | Ii-anesthetics, amayeza okuthomalalisa imithambo-luvo, okanye iikhrimu ezine-hormone ye-estrogen zinokunikwa ukuze kuthomalaliswe indawo ebuhlungu. |
| Amayeza omlomo | Ii-antidepressants kunye nezinye ii-anticonvulsants zinokunceda ekulawuleni iintlungu. |
| Ukuvalwa kwemithambo-luvo | Ukufakwa kwenaliti kwindawo yentlungu ukuze kuthintelwe imiqondiso yentlungu ukuba ingafiki engqondweni. |
| Ulungiso lwenyama | Ukuzilolonga kunye nonyango oluthile lokunciphisa ukuxinana kwemisipha yomgangatho we-pelvic, ukuyiqinisa, kunye nokunciphisa ukuqaqamba rhoqo. |
| Utyando (iVestibulectomy) | Kwabo banentlungu yendawo abangakhange baphendule kwezinye iindlela zonyango, kucetyiswa ukuba kususwe izicubu ezibuhlungu ngotyando. |
| Ingcebiso | Funa ingcebiso, nokuba ngumntu ngamnye, njengesibini, okanye nogqirha wezesondo, ukuze ulawule impembelelo yale meko kubomi bakho nakubudlelwane bakho. |
Izinto onokuzenza wena ukulawula iintlungu
Ukunyamekela ucoceko lwendawo yakho yangasese kunceda kakhulu ekulawuleni iintlungu.
Izinto ezilungileyo onokuzenza:
- Hlamba emanzini afudumeleyo anetyuwa ye-Epsom okanye i-oatmeal ye-colloidal.
- Sebenzisa isepha engenavumba, ethambileyo (okanye amanzi nje) ukuhlamba indawo yelungu lobufazi.
- Sebenzisa isepha yokuhlamba impahla engenavumba, ethambileyo ukuze uhlambe impahla yakho yangaphantsi.
- Nxiba iimpahla zangaphantsi ezenziwe ngekotoni kuphela emini. Lala ungenazo iimpahla zangaphantsi ebusuku.
- Xa intlungu inzima, faka ii-compress ezibandayo zingadluli kwimizuzu eli-15.
- Ukuba ulala nomntu, sebenzisa isithambisi esingavumbanga okanye esingenancasa, kwaye esingenazo iimpawu zokupholisa okanye zokufudumeza.
- Ukuba kufuneka uhlale ixesha elide, sebenzisa umqamelo ofana "nedonathi" onciphisa uxinzelelo kwindawo yelungu lobufazi.
- Lala kakuhle ebusuku (phakathi kweeyure ezisi-7-9) yonke imihla.
Izinto ekungamele uzenze (kufuneka ngokuqinisekileyo uziphephe):
- Kuphephe ukunxiba impahla ebambekayo efana neebhulukhwe, iijini, kunye neepantyhose.
- Musa ukusebenzisa iphepha langasese elinevumba elimnandi, ii-tampons, okanye ii-pad.
- Musa ukunxiba iimpahla zokudada ezimanzi okanye iimpahla zokuzilolonga ezibila ixesha elide.
- Kuphephe ukuhlafuna okanye ukusebenzisa izinto ezifana neziqholo kunye neebhafu zamaqamza ngaphakathi kwilungu lobufazi.
- Musa ukwenza umthambo obeka uxinzelelo kwindawo yesini, njengokukhwela ibhayisekile nokukhwela ihashe, okwethutyana.
Ukuze ufumane ukuba ingaba imbangela yentlungu yakho yiVulvodynia okanye yinto enye, kwaye ukuze uqale unyango olufanelekileyo, ngokuqinisekileyo kufuneka ubone ugqirha. Musa ukubandezeleka wedwa ngale ntlungu. Kukho unyango lwale nto, kwaye ungafumana uncedo.
Umyalezo Wokuya Ekhaya
- I-Vulvodynia yintlungu engapheliyo kwindawo yesini ehlala ixesha elingaphezu kweenyanga ezi-3 ngaphandle kwesizathu esibonakalayo.
- Asikuko oku okubangela ingxaki. Kwaye oku akusosifo esosulelayo okanye umhlaza.
- Le ntlungu inokuba nefuthe elikhulu kubomi bakho nakubudlelwane bakho, ngoko ke musa ukuyithatha lula.
- Kuthatha ixesha ukwenza uxilongo kuba ugqirha kufuneka aqale asuse zonke ezinye izizathu.
- Kukho unyango oluninzi olufumanekayo. Kufuneka ube nomonde ukuze ufumane olukulungeleyo.
- Ukuba unentlungu enje, ungabi nantloni okanye ungoyiki, bonana nogqirha ofanelekileyo ngokukhawuleza.
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