Ngaba nawe unentlungu engapheliyo kwindawo yakho yangasese? Makhe sithethe ngeVulvodynia!

Ngaba ngamanye amaxesha uziva iintlungu okanye ukutsha kwilungu lakho lobufazi, oko kukuthi, ilungu lakho lobufazi langaphandle, ngaphandle kwesizathu esicacileyo? Ukuba kunjalo, musa ukuyithatha njengento elula loo nto. Kuba namhlanje siza kuthetha ngeVulvodynia, imeko abafazi abaninzi abajongene nayo buthule, kodwa enokulawulwa ukuba ichongiwe ngokufanelekileyo.

Yintoni iVulvodynia? Masiyiqonde ngokulula!

Ngamafutshane, i-vulvodynia yintlungu engapheliyo kwi-vulva yakho ehlala iinyanga ezintathu nangaphezulu ngaphandle kwesizathu esibonakalayo. Ngoku usenokuba ucinga, "I-Vulvodynia inokubangelwa zizifo, iimeko zesikhumba, njl.njl." Ewe, yinyani leyo. Kodwa i-vulvodynia ayilohlobo oluthile lwentlungu. Intlungu inokuba nzima kangangokuba inokukuthintela ekwenzeni imisebenzi yakho yemihla ngemihla, kwanezinto ozithandayo. Khawuthelekelele indlela ebuhlungu ngayo loo nto!

Ngaba kukho iintlobo eziphambili ze-vulvodynia?

Ewe, i-vulvodynia yahlulwe kakhulu yaba ziintlobo ezimbini, kuxhomekeke ekubeni intlungu ivela phi.

1. I-Vulvodynia ekwindawo ethile:

Intlungu idla ngokuba kwindawo ethile. Umzekelo, isenokuba kwindawo ethambileyo yesikhumba ejikeleze umngxuma wakho welungu lobufazi (i-vulvar vestibule) – indawo ethambileyo yesikhumba phakathi kwengaphakathi le-labia yakho, apho uchama khona (i-urethra), kunye nelungu lobufazi lakho – okanye kwindawo encinci, enobuthathaka phezulu kwelungu lobufazi lakho ebizwa ngokuba yi-clitoris. Oku ngamanye amaxesha kubizwa ngokuba yi-'localized vulvar pain syndrome'.

2. I-Vulvodynia eQhelekileyo:

Ngamanye amaxesha intlungu ayipheleli kwindawo enye kuphela. Usenokuziva iintlungu kwiindawo ezahlukeneyo zesitho sakho sobudoda ngamaxesha ahlukeneyo. Ngamanye amaxesha iintlungu zinokusasazeka kulo lonke isitho sakho sobudoda.

Ukongeza, iintlungu ze-vulvodynia "zinokuvuselelwa," oko kuthetha ukuba zibangelwa kukuchukumisa okanye umsebenzi, okanye "zingakhange zivuselelwe," oko kuthetha ukuba zenzeka ngaphandle kwesizathu sangaphandle.

I-vulvodynia ibuchaphazela njani ubomi bomntu?

Oku kuyinto echaphazela ubomi ngaphezu kokuba ucinga. Cinga ngale ndlela...

• Intlungu ebangelwa kukuhlala ixesha elide kakhulu inokwenza kube nzima ukwenza umsebenzi wakho.
• Intlungu ngexesha lokwabelana ngesondo (i-dyspareunia) okanye ukungakwazi ukwabelana ngesondo kunokonakalisa ubudlelwane bakho bobuqu.
• Kunokuba nzima ukulala, nokuhlala ulele ixesha elide .
• Kwanokukhetha impahla oza kuyinxiba kusenokunqongophala, njengoko ukunxiba impahla ethile kwandisa intlungu.

Uphando lukwafumanise ukuba i-vulvodynia inxulunyaniswa nokudakumba kunye nokuxhalaba. Ngoko ke ayisiyontlungu yomzimba kuphela, ikwangumthwalo omkhulu wengqondo.

Ngubani onokuba nethuba elikhulu lokufumana isifo se-vulvodynia? Sixhaphake kangakanani?

Nangona i-vulvodynia inokwenzeka nakweyiphi na iminyaka, ixhaphake kakhulu kubasetyhini abaphakathi kweminyaka engama-20 ukuya kwengama-60. Enyanisweni, i-vulvodynia yeyona nto iphambili ebangela i-dyspareunia kunye nentlungu engapheliyo ye-pelvic kubasetyhini abakwiminyaka yokuzala.

Nangona kunjalo, kunzima ukutsho ukuba ixhaphake kangakanani na. Abantu abaninzi bayathandabuza ukuthetha ngayo kwaye abafuni unyango. Kwakhona, ekubeni unobangela wayo ungaziwa, ukuyifumanisa kunokuba nzima kancinci. Ngamanye amaxesha inokubhidaniswa nesifo okanye ibhidaniswa nezinye iimeko zentlungu engapheliyo.

Zithini iimpawu zeVulvodynia?

Indlela le ntlungu eyenzeka ngayo yahlukile kumntu ngamnye. Indlela eqala ngayo intlungu, indlela ephela ngayo, kunye nokuba imbi kangakanani nayo iyahluka kumntu nomntu.

Ivakala njani le ntlungu ye-vulvodynia?

Intlungu kwindawo yakho yangasese ingahluka ukusuka kwencinci ukuya kwenkulu . Ingavakala ngolu hlobo:

• Njengokutsha
• Ukuhlaba
• Njengokuhlaba ngemela
• Njengokukrwela.
• Uburhabaxa
• Ukubethela

Le ntlungu inokuvakala kwindawo enye, isenokusuka kwenye indawo iye kwenye, okanye isasazeke kuyo yonke indawo yesini.

Ungaqala njani ukuva iintlungu kwindawo yesini?

Intlungu inokuba:

• Kusenokwenzeka ukuba iqale ngesiquphe yaza yema ngesiquphe kangangeenyanga.
• Inokuhlala iinyanga ingayeki .
• Ingaqala ngequbuliso ngaphandle kwesizathu esicacileyo.
• Ingaqala xa umntu ekuchukumisa, xa ulala nomntu, xa uzilolonga, xa ubaleka, xa uhamba, xa ufaka i-tampon, okanye xa uhleli nje .

Nasiphi na isenzo esifana nesi singenza intlungu yangaphantsi osele unayo ibe mandundu ngakumbi.

Zithini izizathu ze-vulvodynia?

Abaphandi abakayazi eyona nto ibangela i-vulvodynia, kodwa kukho izinto ezimbalwa abacinga ukuba zinokuba negalelo kuyo:

• Ukudumba
• Izinto zeHormonal
• Izinto ezibangela ufuzo
• Iingxaki ze-Neuropathic
• Iimpendulo zexesha elide kwiintsholongwane zangaphambili zesini
• Ubuthathaka okanye ukuqaqamba kwemisipha yemisipha yomgangatho we-pelvic
• Ukunganyamezelani okanye ukurhawuzelelwa okubangelwa ziimveliso ezinobungozi eluswini

Ziziphi ezinye iimeko eziqhele ukubonwa kwi-vulvodynia?

Abantu abane-vulvodynia badla ngokufunyaniswa benenye okanye ezinye zezi mpawu zentlungu:

• I-Fibromyalgia
• Isifo sesinye esibuhlungu
• I-irritable bowel syndrome (IBS)
• Isifo seTemporomandibular (TMD) (iintlungu ezinxulumene namalungu kwindawo yomhlathi)

Ngaba uxinzelelo kunye nexhala zibangela i-vulvodynia?

Idatha ibonisa ukuba abantu abane-vulvodynia banamathuba amaninzi okuba namanqanaba aphezulu oxinzelelo, imbali yokuxhatshazwa kwangaphambili, kunye neemeko ezithile zempilo yengqondo . Umzekelo:

• Ixhala
• Uxinzelelo
• Ingxaki yoxinzelelo emva kwengozi (PTSD)

Nangona kunjalo, kunzima ukutsho ngqo ukuba ezi meko zinxulumene njani ne-vulvodynia. Kusenokwenzeka ukuba ukuba nesifo sengqondo kwandisa umngcipheko wakho wokuba ne-vulvodynia. Okanye, kusenokwenzeka ukuba impembelelo embi ebangelwa yi-vulvodynia ebomini bakho ikwenza ube namathuba amaninzi okufumana ixhala okanye ukudakumba.

Ifunyaniswa Njani I-Vulvodynia?

Ugqirha wakho ufumanisa i-vulvodynia ngokukhupha ezinye iimeko ezinokubangela intlungu yakho.

1. Imbali yezonyango kunye neempawu: Okokuqala, ugqirha uza kukubuza ngembali yakho yezonyango, imbali yesondo, kunye notyando olwenzileyo. Baza kukubuza nangeempawu zakho - apho intlungu ikhoyo, ukuba injani, xa indawo yangaphantsi ibuhlungu, kwaye inzima kangakanani.

2. Uvavanyo lomzimba: Ugqirha uza kuhlola amalungu akho angaphandle (i-vulva). Uza kwenza uvavanyo lwe-pelvic esebenzisa i-speculum ukujonga amalungu akho angasese kunye nomlomo wesibeleko. Umlomo wesibeleko ngumngxuma ophakathi kwelungu lakho langasese kunye nesibeleko. Uza kuhlola nezihlunu zomgangatho we-pelvic ukuze abone naziphi na iindawo ezibuhlungu.

3. Uvavanyo lwe-cotton swab / uvavanyo lwe-point-pressure: Ugqirha uchukumisa ngobunono iindawo ezahlukeneyo zelungu lakho lesitho sangasese somfazi nge-cotton swab aze akubuze ukuba uziva nini (kwaye phi) iintlungu. Olu vavanyo luluncedo kakhulu ekuchongeni iintlungu ezikwindawo ethile, kufutshane nomngxuma welungu lesitho sangasese somfazi (i-vulvar vestibule).

4. Iiswabhu zokuvavanya usulelo:Olu vavanyo lunokunceda ekuthinteleni iimeko ezifana nezifo ezidluliselwa ngesondo (ii-STI), i-bacterial vaginosis, kunye nosulelo lwe-yeast olunokubangela iintlungu kwilungu lobufazi.

Kunqabile kakhulu, ugqirha wakho unokuyalela i-colposcopy okanye i-biopsy ukuze asuse ezinye iimeko ezingahambelaniyo ne-vulvodynia kodwa ezinokubangela intlungu yakho.

Iphathwa njani i-vulvodynia?

Unyango lweVulvodynia luthatha ixesha. Kungathatha uvavanyo kunye neempazamo ukufumana unyango okanye indibaniselwano yonyango olusebenzayo kuwe. Ngamanye amaxesha unyango olusebenzayo lusenokungasebenzi kwangoko. Kubalulekile ukuba nomonde ngonyango lwakho.

Unyango lungabandakanya:

• Amayeza okunyanga: Ungasebenzisa iikhrimu zokuthomalalisa iintlungu kunye namafutha okuthambisa ukuze uvale indawo yakho yesini, okanye ungasebenzisa iikhrimu eziqinisa imithambo-luvo. Ugqirha wakho angakunika neekhrimu eziqulethe i-estrogen okanye i-estrogen kunye ne-progesterone.
• Amayeza omlomo: Amayeza anjenge-antidepressants kunye ne-anticonvulsants anokunikwa ngomlomo ukunciphisa iintlungu zemithambo-luvo.
• Ukuvaleka kwemithambo-luvo: Ugqirha wakho unokucebisa ukuba unikwe inaliti ethintela imiqondiso yentlungu evela kwimithambo-luvo yakho ukuba ingathunyelwa engqondweni yakho.
• Unyango lomzimba: Unyango lomzimba lunokunceda ekunciphiseni ukuxinana kwemisipha yakho yomgangatho we-pelvic (imisipha, imisipha, kunye nezicubu ezidityanisiweyo kwi-pelvis yakho). Lunokunceda ekunciphiseni ukuxinana kwemisipha, okuxhaphakileyo kwi-vulvodynia. Unyango lunokubandakanya ukolula, ukwandisa, kunye nokuqinisa imisipha yomgangatho we-pelvic ebuthathaka.
• I-Vestibulectomy: Olu tyando luluncedo kubantu abane-vulvodynia ekwindawo ethile abangakhange baphendule kwezinye iindlela zonyango eziqhelekileyo. Kolu tyando, ugqirha wakho ususa izicubu ezibuhlungu kwindawo yakho yangasese.
• Ingcebiso: Ingcebiso yomntu ngamnye, ingcebiso yabantu abatshatileyo, okanye unyango lwesondo lunokukunceda uphucule iindawo zobomi bakho ezichaphazeleka kakubi yi-vulvodynia, njengobudlelwane bakho ngokwesondo.

Idatha encinci ibonisa ukuba i-acupuncture kunye ne-hypnosis zinokunceda ukunciphisa iintlungu ezinxulumene ne-vulvodynia kunye nokuphelisa ukungasebenzi kakuhle ngokwesondo.

Ungazilawula njani iimpawu ze-vulvodynia?

Imikhwa emininzi emihle oyilandelayo ukugcina i-vulva yakho kunye ne-vagina yakho ziphilile (ukhathalelo lwe-vulvar) inokunceda nakwiintlungu ze-vagina.

Ungenza ezi zinto ukulawula iintlungu:

• Hlamba ngetyuwa ye-Epsom okanye i-oatmeal ye-colloidal.
• Sebenzisa isepha engenavumba, ethambileyo (okanye amanzi nje) xa uhlamba indawo yakho yesini.
• Sebenzisa isepha yokuhlamba impahla engenavumba nethambileyo ukuhlamba ilaphu elinamathele kwilungu lobufazi bakho.
• Nxiba impahla yangaphantsi eyenziwe ngekotoni emini kwaye uhlale ungenazo iimpahla zangaphantsi ebusuku.
• Faka ii-compress ezibandayo okanye ii-gel packs kwindawo yakho yangasese (ungayishiyi ngaphezulu kwemizuzu eli-15 ngexesha).
• Sebenzisa isithambisi esingavuthiyo, esingenancasa, nesingenazo iimpawu zokupholisa okanye zokufudumala ngexesha lokwabelana ngesondo.
• Ukuba kufuneka uhlale ixesha elide, sebenzisa i-“donut” enegwebu okanye enye ikhushini ukunciphisa uxinzelelo kwindawo yelungu lobufazi.
• Lala ngokwaneleyo (phakathi kweeyure ezisi-7 ukuya kwezisi-9) ubusuku ngabunye.
• Faka iindlela zokunciphisa uxinzelelo kunye nokuphumla kubomi bakho bemihla ngemihla.

Kuphephe ukwenza ezi zinto:

• Ukunxiba i-pantyhose eqinileyo, ibhulukhwe, okanye ijini.
• Sebenzisa iphepha langasese elinevumba elimnandi, ii-tampon, ii-pads, okanye ii-panty liners.
• Ukunxiba impahla yokudada emanzi okanye yokuzilolonga ebila ixesha elide.
• Ukuhlanjwa okanye ukusebenzisa izinto ezinokubangela ukurhawuzelelwa ezifana ne-deodorant kunye ne-bubble bath.
• Ukukhwela ibhayisekile, ukukhwela ihashe, okanye ezinye iindlela zokuzilolonga ezibeka uxinzelelo kwindawo yesini .

Ngaba iVulvodynia ingathintelwa?

Ngelishwa, akukho ndlela yokuthintela i-vulvodynia.

Ngaba i-vulvodynia iya kuze iphele ngokupheleleyo?

Akukho bungqina baneleyo bokuqikelela ukuba i-vulvodynia yakho iya kuphucuka okanye iphele nini ngokwayo (okanye njani). Endaweni yokulinda nje, bona ugqirha wakho ukuze aqalise unyango olunokukunceda.

Ufanele uye nini kugqirha malunga ne-vulvodynia?

Ukuba unentlungu engapheliyo kwilungu lobufazi, bonana nomboneleli wakho oyintloko okanye ugqirha wezifo zabesifazane. Kungathatha ixesha ukufumana unyango olufanelekileyo kuwe. Unyango lunokufuna indlela yokhathalelo olusekwe kwiqela, njengogqirha wezifo zabesifazane, ingcali yezonyango zomzimba, okanye umcebisi. Okukhona uqhagamshelana nezi zixhobo ngokukhawuleza, kokukhona ungafumana isiqabu ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza imibuzo efana nale:

• Ziziphi iimvavanyo ezinokwenziwa ukuze kufunyanwe unobangela wentlungu yam?
• Zeziphi izinto ekufuneka ndiziphephe ezinokwenza iimpawu zam zibe zimbi ngakumbi?
• Ngaba i-vulvodynia yam inxulumene nenye imeko endinayo?
• Ngawaphi amanyathelo endingawathatha ukuze ndibe nobomi obusempilweni besondo xa ndine-vulvodynia?
• Ngawaphi amayeza, iinkqubo, okanye utshintsho kwindlela yokuphila olucebisayo njengonyango?

Ungayinyanga njani i-vulvodynia? Ngaba ikho indlela yokuyisusa ngokukhawuleza?

Ngelishwa, i-vulvodynia ayiyonto inokunyangeka ngobusuku obunye. Unyango olufanelekileyo kuwe luya kuxhomekeka kwisizathu esiyintloko sentlungu yakho. Amayeza, unyango lomzimba, iingcebiso, kunye notyando zonke zizisombululo ezinokukunceda uthomalalise iintlungu.

Ukuba ufuna ukuphelisa iintlungu ngokukhawuleza, ungafaka isidambisi-ntlungu kwindawo yentlungu. Nangona kunjalo, ukuze unciphise iintlungu ixesha elide, kunokufuneka usebenzisane nogqirha wakho ukuze ufumane unyango olufanelekileyo okanye indibaniselwano yonyango.

Eyona nto ibalulekileyo kukubona ugqirha ukuba unentlungu kwindawo yakho yangasese. Inokubangelwa sisifo esithile okanye yi-vulvodynia. Nangona kunjalo, kukho unyango olunokukunceda. Ekuqaleni, kungathatha ixesha ukufumana unyango olukuzisela isiqabu. Unyango olusebenzela omnye umntu lusenokungasebenzi kuwe. Nangona kunjalo, okukhona uqala ngokukhawuleza ukukhangela iindlela zonyango, kokukhona kungcono kuwe. Musa ukubandezeleka yintlungu ngokungeyomfuneko, kwaye ungabeki impilo-ntle yakho emngciphekweni!

Isishwankathelo (Umyalezo Wokuya Ekhaya)

I-Vulvodynia yintlungu engapheliyo, engachazwanga kwindawo yabasetyhini. Inokuba nefuthe elikhulu kubomi bemihla ngemihla nakwimpilo yengqondo. Ngokuchongwa ngokufanelekileyo kunye nonyango lwesigulane, le meko inokulawulwa. Ukuba unale mpawu, musa ukuba neentloni okanye ukoyika. Funa uncedo lwezonyango ngokukhawuleza. Khumbula, awuwedwa, kwaye uncedo luyafumaneka.

I- Vulvodynia, iintlungu zesini, impilo yabasetyhini, iintlungu ezingapheliyo, iintlungu zesini, ubudoda, i-gynecology