Ukhathazekile ngokuthi i-labia yentombazane yakho encane izophuma? Ake sixoxe ngalezi (i-Labial Adhesions)!

Ngesikhathi ushintsha inabukeni lentombazane yakho encane noma uyigeza, kungenzeka ukuthi uqaphele ukuthi i-labia minora yayo, etholakala eduze komgodi wayo wesitho sangasese sowesifazane, inamathelana. Kuvamile ukuzizwa ukhathazekile futhi wesaba uma ubona lokhu. Lokhu kungaba yinto entsha komama abaningi. Kodwa ungakhathazeki, lesi simo ngokuvamile asibi kakhulu. Namuhla, sizokhuluma ngalesi simo (Labial Adhesions) ngendlela ecacile nelula.

Yiziphi lezi zinamathiselo ze-labial?

Kalula nje, ukunamathelana kwezindebe zangaphakathi zesitho sangasese sowesifazane, okubizwa ngokuthi i-labia minora, komunye nomunye. Njengeziphu, lezi zindebe zingavaleka ndawonye futhi zimboze imbobo yesitho sangasese sowesifazane futhi ngezinye izikhathi ngisho ne-urethra.

Ngokuvamile, entombazaneni enempilo, i-labia yangaphakathi itholakala kuzo zombili izinhlangothi zomnyango wesitho sangasese sowesifazane, futhi ihlangana kuphela eduze kwe-clitoris. Kodwa uma lezi zindebe zihlangene, lokho kubukeka kwemvelo kuyashintsha.

Kodwa khumbula, lesi yisimo esingenangozi esivame ukuhlasela amantombazane amancane. Ngezinye izikhathi siyanyamalala sodwa njengoba ingane ikhula ngaphandle kwezimpawu. Kodwa-ke, ezinye izingane zingadinga ukwelashwa uma zithola izimpawu.

Odokotela basebenzisa amanye amagama amaningana kulesi simo:

• `(Ukuhlanganiswa kwe-Labial)`
• `(I-Fubia ehlanganisiwe)`
• `(Ukunamathela kwesitho sangasese sowesifazane)`
• `(Ukuhlanganiswa kwesitho sangasese sowesifazane)`
• `(Synechia vulvae)` (Leli yigama elivame ukusetshenziswa phakathi kodokotela)
• `(Ukuhlanganiswa kwe-Labial)`

Obani abathinteka kakhulu yilesi simo? Ingabe zikhona izinhlobo zaso?

Yebo, kunezinhlobo ezimbili eziyinhloko zokunamathela kwe-labia:

1. Ukunamathela okuyinhloko kwe-labial: Yilokhu okwenzeka ezinganeni ezincane. Lesi simo ngokuvamile singathinta amantombazane aphakathi kwezinyanga ezi-3 neminyaka eyi-6 . Sivame kakhulu phakathi kweminyaka eyi-1-2.

2. Ukunamathela kwesibili kwe-labial: Lolu hlobo lungathinta abesifazane asebekhulile. Lesi simo singenzeka kakhulu kwabesifazane abasanda kuthola umntwana noma abaye badlula esikhathini sokunqamuka kokuya esikhathini .

Ngokuvamile, lesi simo sithinta amantombazane angaphansi kwamabili kwayikhulu ngaphambi kokuba afinyelele ekuthombeni. Akuvamile ngisho nakubantu abadala. Kodwa-ke, akukho sibalo esiqondile sokuthi bangaki amantombazane aba naso.

Ziyini izimpawu zalokhu?

Esikhathini esiningi, azikho izimpawu ze-labiaplasty ezinganeni ezincane noma emantombazaneni amancane. Kuvame ukubonwa lapho umama eshintsha inabukeni. Kodwa-ke, ngezinye izikhathi izimpawu zingavela. Zihlanganisa:

• Ubuhlungu endaweni yesitho sangasese sowesifazane:Ubuhlungu bungaba khona, ikakhulukazi uma uhleli nemilenze yakho izinhlangothi zombili zethoyizi (isibonelo, ibhayisikili elincane, i-seesaw, ihhashi eligingqikayo, noma i-swing).
• Ubunzima bokuchama : Ungase uchame ngendlela egeleza amanzi, noma umchamo wakho ungase uzizwe uvalekile futhi ungaphumi kahle. Ungase ukhale futhi ngenkathi uchama .
• Ukutheleleka njalo kwe-urinary tract (UTIs).
• Ukuphuma koketshezi esithweni sangasese sowesifazane.
• Kungase kube nokuchama okuhlangene ngaphakathi kwesitho sangasese sowesifazane ngemuva kwe-labia.

Uma lesi simo senzeka kwabesifazane asebekhulile, bangase babe nezinye izimpawu kanye nezimpawu ezifanayo:

• Ukulunywa noma ukuvuvukala (i-vulvitis) kwe-vulva.
• Ubuhlungu noma okunye ukungakhululeki ngesikhathi socansi (i-dyspareunia) .

Ibukeka kanjani i-labiaplasty?

Lokhu kuvame ukubukeka njengolwelwesi oluncane, noma ibhuloho lezicubu elimboza imbobo yesitho sangasese sowesifazane kanye/noma i-urethra. Kungase kube nesikhala esincane kuphela.

Kungani lokhu kwenzeka? Yiziphi izizathu zalokhu?

Eqinisweni, odokotela abakayitholi imbangela eqondile yalokhu koma kwesitho sangasese sowesifazane. Kodwa-ke, okwamanje kukholakala ukuthi kuhlobene nokwehla kwezinga le-hormone i-estrogen .

Ubuwazi ukuthi i-estrogen iyi-hormone ebalulekile ekuthuthukisweni kwezinhlelo zobulili nezenzalo zentombazane njengoba ifinyelela ekuthombeni? Isibonelo:

• Izinto ezifana nokukhula kwamabele, ukukhula kwezinqe, kanye nezinwele zomzimba.
• Ukuqala kokuya esikhathini.
• Ukukhulelwa.

Ngaphambi kokuba amantombazane afinyelele ekuthombeni, amazinga awo e-estrogen aphansi kakhulu. Njengoba efika ekuthombeni futhi amazinga e-estrogen ekhuphuka, lokhu kunamathelana kwe-labia okuyinhloko kuvame ukuphola ngokwako.

Kwabesifazane asebekhulile, lesi simo singavela ngemva kokuthola umntwana noma ngemva kokunqamuka kokuya esikhathini. Lokhu kungenxa yokuthi amazinga e-estrogen ayancipha ngemva kokuthola umntwana. Ngemva kokunqamuka kokuya esikhathini, ama-ovari ayayeka ukukhulula amaqanda futhi amazinga e-estrogen ehla kakhulu.

Kungani lokhu kwenzeka ezinganeni ezincane?

Ezinganeni ezincane kanye nezingane ezincane, ama-labia nawo angabhajwa ngenxa yokucasuka kwesikhumba okuvamile. Izibonelo:

• I-dermatitis ye-Vulvar.
• Ukuqubuka kwe-diaper / i-diaper dermatitis.
• Isifo sesikhumba esibizwa ngokuthi i-lichen sclerosus.

Udokotela ukubona kanjani lokhu?

Udokotela angakwazi ukuthola isifo ngokuhlolwa okulula ngokomzimba.Lokhu kungatholakala ngokuhlola indawo yesitho sangasese somntwana. Ukuhlolwa komchamo (ukuhlolwa komchamo) nakho kungenziwa ukuze kuhlolwe ukutheleleka komgudu womchamo (UTI).

Ingabe kukhona ukwelashwa? Yini engenziwa?

Uma ingane yakho ine-labia minora kodwa ingenazo izimpawu noma inezinkinga zokuchama , udokotela angase athathe indlela ethi "linda ubone". Lokhu kungenxa yokuthi uma ingane isifinyelele ebusheni futhi iqala ukukhiqiza i-estrogen, kunethuba elihle lokuthi izophela ngaphandle kokwelashwa.

Kodwa-ke, uma wena noma ingane yakho ninezimpawu, kuzodingeka nifune ukwelashwa.

Izinhlobo zokwelapha nge-topical

Uma i-labia minora imboze indawo enkulu, udokotela wakho angase akunike ukhilimu wesitho sangasese sowesifazane oqukethe i-estrogen (ukhilimu wesitho sangasese sowesifazane ohlanganisiwe we-estrogens) noma ukhilimu we-corticosteroid (njenge-betamethasone 0.5%) . Udokotela wakho uzochaza ukuthi kufanele ufake malini nokuthi kufanele ufake kangaki ngosuku.

Ngemva kokuba izindebe zakho sezihlukene nalezi zimonyo, ungase ucelwe ukuthi ugcobe into efana ne -petroleum jelly (Vaseline®) isikhashana ukuze uvimbele isikhumba esibucayi ukuthi singanamatheli ndawonye (ukunamathela kabusha).

Ukuhlukaniswa ngesandla noma ngokuhlinzwa

Ngezinye izikhathi, lawa makhilimu angase angakwazi ukuhlukanisa ama-labia amakhulu, anamathele kakhulu. Ezimweni ezingavamile kakhulu, udokotela angase akwazi ukuhlukanisa ama-labia ngesandla (ukuhlukanisa ngesandla). Lokhu kungadinga i-anesthesia yendawo kanye nokuthulisa.

Okubaluleke kakhulu: Njengokuvula uziphu obhajwe, ungazami ukukwenza lokhu ekhaya. Udokotela onolwazi kuphela okufanele akwenze lokhu.

Ukuhlinzwa kwenziwa kuphela uma isimo sibi kakhulu kangangokuthi akunakwenzeka ukuchama futhi ezinye izindlela zokwelapha zehlulekile. Futhi, ezimweni ezingavamile, ukuhlinzwa kungadingeka uma i-labia ibambeka ngemva kokubeletha umntwana.

Yini esingayenza ekhaya?

Into ebaluleke kakhulu ukugcina indawo yesitho sangasese somntwana ihlanzekile.

• Njalo uma ushintsha inabukeni lengane yakho, sula kusukela phambili kuya emuva ukuze uvimbele ukutheleleka kwe-urinary tract (UTIs). Uma ukhuluma nengane yakho futhi uchaze ukuthi kungani wenza lokhu, cishe izokwenza into efanele uma iqala ukuya endlini yangasese yodwa.
• Hlanza yonke imigoqo kanye nemibimbi ezungeze i-labia yengane yakho kahle futhi ugcine indawo yomile futhi ingenamanzi.
• Uma ugeza, geza i-vulva ngensipho ethambile namanzi ahlanzekile, afudumele .
• Uma udokotela ekuncoma, kuleyo ndawoUngahlikihla i-petroleum jelly ngobumnene.

Futhi, isikhumbuzo: Ungazami, ngaphansi kwanoma yiziphi izimo, ukuhlukanisa lezi zimbobo zesikhumba ngokwakho. Udokotela onolwazi kuphela okufanele enze lokhu.

Ingabe lokhu kungenzeka futhi? Ingabe zikhona izindlela zokukuvimbela?

Njengoba imbangela eqondile ingaziwa, kunzima ukusho ngqo ukuthi ungayivimbela kanjani. Kodwa-ke, ukugcina indawo yesitho sangasese sowesifazane ihlanzekile nokunaka izimpawu zokucasuka kwesikhumba (isib. ukushintsha kombala, ukulimala kwesikhumba, ubuhlungu) kungasiza ekunciphiseni ingozi ngezinga elithile.

Ngisho nangemva kokwelashwa, kunethuba lokuthi lesi simo sizophinde sibuye. Ngakho-ke, qhubeka nokugcina indawo ihlanzekile. Uma kudingeka, sebenzisa amafutha okugcoba njenge-petroleum jelly njengoba kuqondiswe udokotela wakho.

Lesi simo singahlala isikhathi esingakanani?

Ezimweni eziningi, lapho ingane ifinyelela ebusheni futhi umzimba uqala ukukhiqiza i-hormone i-estrogen, lokhu kunamathela kwezindebe zesitho sangasese sowesifazane kuzothuthuka ngokwako.

Kufanele ngimbone nini udokotela?

Uma ubona into efana nale, bheka udokotela wengane yakho:

• Uma ubona ukuthi i-labia yengane imboze imbobo yesitho sangasese sowesifazane.
• Uma ingane ibonakala inenkinga yokuchama ngenxa yokunamathela kwe-labia.
• Uma kukhona ubuhlungu kuleyo ndawo.
• Uma uthola izifo zomgudu womchamo ezivame ukwenzeka (UTIs).

Kunini lapho kudingeka uye esibhedlela (ETU) ngokushesha okukhulu?

Uma ingane yakho ingakwazi ukuchama , iya ekamelweni lezimo eziphuthumayo eliseduze ngokushesha.

Yimiphi imibuzo ongayibuza udokotela?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• "Dokotela, indodakazi yami inamathela kangakanani elabini?"
• "Ingabe lokhu kudinga ukwelashwa? Noma singalinda isikhashana?"
• "Uma welashwa, ingabe kukhona ithuba lokuthi lokhu kuzophinde kwenzeke?"
• "Ngingayinakekela kanjani ingane yami ekhaya?"
• "Ingabe sidinga ukubona uchwepheshe walokhu (isib., udokotela wezifo zomchamo wezingane, udokotela wezifo zabesifazane, noma udokotela wezifo zomchamo)?"

Izinto ezibaluleke kakhulu okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

Njengabazali, siyazi kahle izifo ezivamile ezitholwa yizingane zethu, njengobuhlungu bendlebe nomkhuhlane. Kodwa ngezinye izikhathi, kufanele sibhekane nezinto esingakaze sizicabange noma sizizwe lapho izingane zethu zikhula. Ukunamathela kwe-labial kungaba ngenye yazo.

Kodwa khumbula, lesi ngokuvamile kuyisimo esingenangozi. Esikhathini esiningi, sizoziphelela ngaphandle kokwelashwa. Qaphela indawo lapho ushintsha inabukeni lomntwana wakho noma umgeza, futhi uqaphele noma yiziphi izimpawu zokugula. Uma umntwana wakho ezwa ubuhlungu ,Uma unenkinga yokwenza lokhu, noma uma uhlangabezana nokutheleleka njalo komgudu womchamo, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko. Ngaleyo ndlela, ungathola ukuxilongwa okunembile futhi uthole ukwelashwa okudingekayo.

Futhi, ungakhohlwa ukuthi, nakuba kungavamile, lesi simo singathinta nabesifazane asebekhulile, ikakhulukazi ngezikhathi lapho amazinga e-estrogen emzimbeni ephansi. Uma unezimpawu ezifanayo, khuluma nodokotela.

ukunamathela kwe - labial, i-synechia vulvae, impilo yengane, izingane zabesifazane, i-estrogen, izifo zomgudu womchamo, i-estrogen, impilo yengane, i-gynecology yezingane