Ingabe ucansi luvame ukuba yinto ebuhlungu nengakhululekile? Ingabe uzizwa unamahloni ukukhuluma ngakho? Lokhu akuyona nje inkinga kuwe. Abantu abaningi bahlushwa yilesi simo. Kodwa into engcono kakhulu ukuthi singelashwa futhi izimbangela zingatholakala. Ngakho-ke namuhla, ake sixoxe ngokukhululekile ngalesi simo, esibizwa ngokuthi i-dyspareunia kwisayensi yezokwelapha.
Kalula nje, kuyini i-dyspareunia?
I-Dyspareunia yisimo esiqhubekayo noma esiphindaphindayo ngaphambi, ngesikhathi, noma ngemva kocansi. Nakuba lesi simo sivame kakhulu kwabesifazane, singathinta nabesilisa.
Kunezindawo eziningana lapho abesifazane bengazizwa khona lobu buhlungu. Abanye abantu bangase babuzwe ngaphandle kwesitho sangasese sowesifazane, eduze kwe-labia noma imbobo yesitho sangasese sowesifazane. Abanye bangase bezwe ubuhlungu ngaphakathi emzimbeni. Isibonelo:
- Imisipha yaphansi ye-pelvic
- Isikhumba somsele wangasese
- Isibeletho
- Ama-ligaments asekela isibeletho
- Isisu esingezansi
Amadoda angase azwe ubuhlungu ekhanda lepenisi, emphinjeni wepenisi, emasendeni, noma ethangeni.
Lobuhlungu abubuhlungu ngokomzimba kuphela, kodwa futhi bungaba yingozi kakhulu ngokwengqondo. Bungaholela ekunciphiseni ukusondelana phakathi kwabashadile nezinkinga ebudlelwaneni. Ngakho-ke, kubaluleke kakhulu ukukhuluma ngalokhu.
Uma unale nkinga, udokotela wakho angakudlulisela kuchwepheshe wezempilo yezocansi, njengodokotela wezifo zabesifazane, ongakwazi ukuthola imbangela eyisisekelo yezimpawu zakho futhi anqume ukwelashwa okufanele kakhulu.
Ingabe kunezinhlobo ezahlukene zalobu buhlungu?
Yebo, ungahlukanisa lokhu ngokwendawo ozwa ubuhlungu kuyo. Khona-ke kuzoba lula ukuthola imbangela.
| Uhlobo lobuhlungu | Incazelo kanye nezimbangela ezingaba khona |
|---|---|
| Ubuhlungu bokungena | Lokhu kuzwakala ekuqaleni kocansi, okungukuthi, lapho ipenisi ifakwa esithweni sangasese sowesifazane. Ubuhlungu butholakala eduze komgodi wesitho sangasese sowesifazane. Lokhu kungabangelwa izinguquko zamahomoni, ukoma kwesitho sangasese sowesifazane, ukungezwani komzimba isikhathi eside, izifo, noma ukulimala okuthile. |
| Ubuhlungu besimo | Uma uzwa ubuhlungu kuphela ngesikhathi sokulalana okuthile, kungaba yilolu hlobo. Lokhu kungabangelwa kakhulu yizinkinga zemisipha yephansi le-pelvic, ukoma kwesitho sangasese sowesifazane, noma izifo. |
| Ubuhlungu obujulile | Lobuhlungu buzwakala uma ipenisi ifakwa ngokujulile esithweni sangasese sowesifazane. Lobuhlungu bungaba bubi kakhulu kwezinye izindawo. Izimo ezifana nezifo zesinyi noma zamathumbu, ukungasebenzi kahle kwephansi le-pelvic, kanye ne-endometriosis kungabangela lokhu. |
Kungahlukaniswa ngenye indlela kuye ngesikhathi ubuhlungu buqala ngaso:
- Ubuhlungu obuyinhloko: Lokhu kusho ukuthi lobu buhlungu bukhona kusukela ngosuku lokuqala owaqala ngalo ukuya ocansini.
- Ubuhlungu besibili: Uma wake walala nomuntu ngaphandle kobuhlungu ngaphambili, bese lobu buhlungu buvela kamuva, bungobalolu hlobo.
- Ubuhlungu obuphelele: Uma uzwa ubuhlungu njalo uma uya ocansini.
- Ubuhlungu besimo: Uma ubuhlungu buvela ngezikhathi ezithile kuphela, ezimweni ezithile, noma kubalingani abathile.
Sivame kangakanani lesi simo?
Ubuhlungu ngesikhathi socansi buvame kakhulu phakathi kwabesifazane. Ngokusho kocwaningo, abesifazane abathathu kwabayi-4 bazobhekana nakho ngesikhathi esithile empilweni yabo. Ngenxa yokuthi kuyindaba ebucayi kangaka, abantu abaningi bayanqikaza ukukhuluma ngayo noma ukufuna iseluleko sezokwelapha. Ngakho-ke, izibalo zangempela zingase zibe ziphakeme kakhulu.
Lesi simo sivame ukubonakala kwabesifazane abasondela kanye nasebefinyelele esikhathini sokuya esikhathini. Isizathu esiyinhloko salokhu ukwehla kwe-hormone i-estrogen. Le hormone ibaluleke kakhulu ekugcineni umswakama kanye nokuguquguquka kwesitho sangasese sowesifazane.
Kodwa khumbula, ungacabangi nje ukuthi lokhu kuyinto evamile njengoba ukhula. Akuzona zonke izinhlungu ezibangelwa ukuguga.
Ziyini izimpawu ze-Dyspareunia?
Uma uzwa ubuhlungu ngesikhathi socansi, kungazwakala ngendlela ehlukile.
- Ubuhlungu obungazwakala ngisho noma ungena esithweni sangasese sowesifazane noma usebenzisa i-tamponUbuhlungu obukhulu.
- Ubuhlungu obujulile ngesikhathi socansi.
- Umuzwa wokushisa noma ubuhlungu ngemva kocansi.
- Ukuqaqamba kwe-pelvic.
- Ukuqina kwemisipha noma ukuqaqamba.
- Ubuhlungu besinye.
Lobuhlungu bungazwakala njengokugwazwa, ukusha, noma umuzwa wokucindezelwa. Bungaba endaweni eyodwa noma busakazeke kuyo yonke indawo yesitho sangasese sowesifazane.
Ingabe lobu buhlungu bubangela ukopha?
Ukopha igazi akuhlali kwenzeka. Uma wopha igazi ngesikhathi socansi, kungaba ngenxa yesimo sezempilo esiyimfihlo. Kungase kuhlotshaniswe noma kungahlotshaniswa nobuhlungu. Kodwa-ke, uma wopha igazi ngesikhathi socansi, kungaba yinto evamile, uphawu lokutheleleka, noma, ngokungavamile, uphawu lomdlavuza, ngakho qiniseka ukuthi ubona udokotela.
Yiziphi izizathu eziyinhloko zalokhu?
Ngokuvamile, imbangela eyinhloko yalobu buhlungu ukungagcobi ngokwanele , okusho ukoma kwesitho sangasese sowesifazane. Kodwa-ke, ukutheleleka, ukulimala, kanye nezimo zezokwelapha ezahlukahlukene nakho kungadala lokhu.
1. Izimo zezokwelapha ezahlukahlukene
- I-Endometriosis: Ukukhula kwezicubu ezimboze ingaphakathi lesibeletho (i-endometrium) ngaphandle kwesibeletho, kwezinye izindawo (isibonelo, amapayipi e-fallopian, umgodi wesisu).
- Izifo zesikhumba: Izifo zesikhumba ezifana ne-dermatitis ezenzeka endaweni yesitho sangasese.
- Ukungasebenzi kahle kwephansi le-pelvic: Izinkinga ngemisipha kanye nemisipha emgodini we-pelvic.
- Izinkinga zamathumbu: Izifo zamathumbu ezifana ne-irritable bowel syndrome (IBS), i-ulcerative colitis, kanye nesifo sikaCrohn.
- Izinkinga zesinyi: Izimo ezifana nokutheleleka kwe-urinary tract okuphindaphindiwe (UTIs) kanye ne-interstitial cystitis (IC).
- Izinguquko zama-hormone: Izinguquko zama-hormone, ikakhulukazi ngesikhathi sokuya esikhathini.
- Izinkinga zesimiso sezinzwa: Izinkinga ezihlobene nezinzwa, njengokucindezelwa kwemizwa emgogodleni.
- Omama abancelisayo: Izinguquko zama-hormone ngesikhathi sokuncelisa zingabangela nokoma kwesitho sangasese sowesifazane kanye nobuhlungu.
- I-Vulvodynia: Ubuhlungu besikhathi eside endaweni ezungeze umgodi wesitho sangasese sowesifazane (i-vulva).
- I-Vaginismus: Ukufinyela kwemisipha yesitho sangasese sowesifazane okuzimele, okuqinile. Lokhu kungabangelwa ukulimala kwangaphambilini noma ukwesaba ubuhlungu.
2. Ukulimala noma ukulimala
- Ukuya ocansini ngokushesha ngemva kokuhlinzwa noma ukubeletha .
- Ukulimala kwesitho sangasese sowesifazane noma indawo ezungeze umgodi wesitho sangasese sowesifazane. Isibonelo, ukudabuka kwesitho sangasese sowesifazane ngesikhathi sokubeletha noma i-episiotomy.
3. Ukutheleleka
- Ukutheleleka kwesitho sangasese sowesifazane: Ukutheleleka okuvamile njengokutheleleka kwemvubelo noma i-bacterial vaginosis.
- Izifo ezithathelwana ngocansi (STIs): Izifo ezifana nezinhlungu zesitho sangasese sowesifazane kanye ne-herpes.
Ungasibona kanjani lesi simo?
Udokotela wakho uzokubuza ngomlando wakho wezokwelapha futhi enze ukuhlolwa ngokomzimba ukuze azame ukuthola imbangela. Lokhu kuhlolwa ngokomzimba kungafaka phakathi ukuhlola i-pelvis yakho, isisu, isitho sangasese sowesifazane kanye nesibeletho.
Ukuhlolwa okulandelayo kungenziwa ukuthola imbangela eqondile yobuhlungu:
- Ukuhlolwa kwe-pelvic: Ngalesi sikhathi, kungase kuthathwe isampula yoketshezi oluphuma esithweni sangasese sowesifazane noma isampula yomchamo ukuze kuhlolwe ukutheleleka.
- Ukuskena kwe-Ultrasound: I-ultrasound ye-transvaginal ingathola isithombe esihle sezitho zohlelo lwakho lokuzala.
- I-Laparoscopy: Lokhu akuvamile ukwenziwa. Lena inqubo yokuhlinzwa esebenzisa ikhamera encane ukuhlola ingaphakathi lesisu uma ezinye izivivinyo zingakwazi ukuthola imbangela.
Ungabi namahloni okukhuluma nodokotela ngenkinga efana nale. Kujwayelekile. Khumbula, udokotela wakho uke wezwa lezi zinto ngaphambili, futhi bakhona ukuzokusiza.
Udokotela wakho angase akubuze imibuzo efana nale:
- Uzwa kuphi ubuhlungu?
- Ubuhlungu buvela kangaki?
- Sekuyisikhathi esingakanani lobu buhlungu bukhona?
- Ubuhlungu bunjani? (isib., ukusha, ukuqaqamba?)
- Usebenzisa muphi umuthi?
- Uke wahlinzwa ngaphambilini?
Iphathwa kanjani?
Izinketho zokwelapha zincike embangeni yobuhlungu. Isibonelo, uma ubuhlungu bubangelwa ukungasebenzi kahle kwephansi le-pelvic, ukwelashwa ngokomzimba kunganconywa kuqala.
- Imithi: Uma ukoma kwesitho sangasese sowesifazane kubangelwa ukuntuleka kwe-estrogen, kunezikhilimu eziqukethe i-estrogen ezingafakwa esitho sangasese sowesifazane. Imithi ingase inikezwe futhi ukwelapha izifo noma ezinye izimo.
- Izithambisi: Uma ukoma kwesitho sangasese sowesifazane kuyimbangela eyinhloko, ukusebenzisa isithambisi esisekelwe emanzini noma esisekelwe ku-silicone kungaba usizo kakhulu.
- Amanye amathiphu: Gwema ukusebenzisa insipho enamakha, ibhavu lokugeza elinamabhamuza, ama-sanitary pad anephunga elimnandi, kanye nephepha langasese endaweni yokuzala.
Izinto ongazenza ukuze uphathe ubuhlungu ekhaya
- Izithambisi ezisekelwe emanzini noma e-silicone ngaphambi kocansiSebenzisa i-lubricant.
- Zama eminye imisebenzi yocansi noma izimo zocansi ezingabangeli ubuhlungu.
- Phuza umuthi wokuqeda izinhlungu otholakala ngaphandle kwemithi njenge-paracetamol ngaphambi kokuya ocansini.
- Zinike isikhathi sokuphumula nokunciphisa ukucindezeleka ngaphambi kokuya ocansini.
- Ngemva kocansi, faka iphakethe leqhwa endaweni ezungeze umgodi wesitho sangasese sowesifazane.
Ukuthi lobu buhlungu buhlala isikhathi esingakanani kuyahlukahluka kuye ngembangela kanye nokwelashwa. Ngezinye izikhathi ungase uzizwe ukhululekile ngokushesha ngemva kokuqala ukwelashwa. Ngezinye izikhathi, kungathatha isikhathi ukuthola ukwelashwa okufanele.
Ingxenye engcono kakhulu ukuthi, lokhu kungaletha impumuzo. Ngakho ungalilahli ithemba.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu ngesikhathi socansi (i-Dyspareunia) buyinto evamile kakhulu. Akudingeki ukuba namahloni ngakho noma ukuhlupheka wedwa.
- Lobuhlungu bungabangelwa yizici zomzimba nezengqondo, ngakho-ke kubaluleke kakhulu ukuthola imbangela eqondile.
- Ungakushayi indiva lokhu njengengxenye evamile yokuguga. Ubuhlungu bonke bunembangela kanye nekhambi.
- Uma uzwa ubuhlungu obusha ngesikhathi socansi, ukopha, noma ukukhishwa koketshezi olungavamile esithweni sangasese sowesifazane, qiniseka ukuthi ubona udokotela wakho.
- Ukukhuluma ngokukhululekile ngalokhu nomlingani wakho kubaluleke kakhulu ebudlelwaneni. Khuluma ngezindlela zokuqondana nokwakha ukusondelana okungenabuhlungu.
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