Ingabe isitho sakho sangasese sowesifazane sizwakala siqinile futhi sincane? Ake sixoxe nge-Vaginal Stenosis.

Ingabe ngezinye izikhathi uzizwa sengathi isitho sakho sangasese sowesifazane sinciphile noma siqinile kancane? Ingabe uzwa ubuhlungu noma ukungakhululeki ngesikhathi socansi noma uma usebenzisa i-tampon? Ungase wesabe noma ube namahloni ukukhuluma ngakho. Kodwa lokhu kuyinto engenzeka kubantu abaningi, ikakhulukazi ngezinkinga ezithile zempilo. Namuhla, sizoxoxa ngokuningiliziwe, kodwa kalula, ngalesi simo esibizwa ngokuthi i-'Vaginal Stenosis'.

Kuyini i-'Vaginal Stenosis'? Kalula nje...

Kalula nje, i-'Vaginal Stenosis' iwukuncipha futhi mhlawumbe ukuncipha kobude bengaphakathi lesitho sakho sangasese sowesifazane . Isizathu esiyinhloko salokhu ukwakheka kwezicubu zesibazi . Ubuwazi ukuthi uma sinokulimala endaweni ethile emzimbeni wethu, kwakheka isibazi njengoba siphola? Yilokho okwenzekayo. Uma kukhona umonakalo noma ukulimala kwesitho sangasese sowesifazane, umzimba wethu uzama ukusiphulukisa ngokudala lesi sibazi. Kodwa inkinga iwukuthi, lesi sibazi asiguquguquki futhi asinwebeki njengezicubu zesitho sangasese sowesifazane ezivamile. Ngakho-ke, lapho into ethile ingena ngaphakathi kwesitho sangasese sowesifazane, njengasesikhathini socansi, lapho ufaka i-tampon, noma lapho udokotela ehlola isitho sangasese sowesifazane, ungase uzizwe ubuhlungu nokungakhululeki. Lesi simo sivame ukwenzeka ngemva kokubeletha, ngemva kokuhlinzwa, noma ngemva kokwelashwa ngemisebe endaweni yesitho sangasese sowesifazane ('Pelvic Radiation Therapy').

Akudingeki uphile nalolu buhlungu nokungakhululeki. Kunezindlela zokwelapha zokunciphisa izimpawu zakho nokwenza impilo yakho ibe ntofontofo.

Sivame kangakanani lesi simo?

Azikho izibalo zokuthi lokhu kuvame kangakanani. Ngenxa yokuthi kuyindaba ebucayi kangaka, abanye abantu bayanqikaza ukukhuluma ngezimpawu zabo noma ukufuna ukwelashwa. Ngakho-ke, inani lamacala alibikwa kakhulu. Kodwa-ke, kuvame kakhulu kubantu abanezici eziyingozi, njengalabo abaye bahlinzwa noma baphathwa ngemisebe.

Ingabe nawe unalezi zimpawu?

Kulesi simo se-'Vaginal Stenosis', ungase ube nezimpawu ezifana nalezi:

• Ubuhlungu ngesikhathi socansi (`Dyspareunia`): Lolu uphawu oluyinhloko kubantu abaningi. Kwabanye, lobu buhlungu benza kube nzima kakhulu ukuya ocansini nhlobo.
• Ubuhlungu nokungakhululeki lapho ufaka i-tampon esithweni sangasese sowesifazane.
• Ukopha ngesikhathi noma ngemva kocansi.
• Ukuzizwa ungakhululekile noma ubuhlungu ngesikhathi sokuhlolwa kwe-pelvic okwenziwa udokotela wezifo zabesifazane. Yingakho abanye abantu besaba ukuvakashela odokotela.
• Ukoma kwesitho sangasese sowesifazane.

Kungani kwenzeka le `Vaginal Stenosis`? Ziyini izimbangela?

Njengoba sesixoxile ngaphambili, i-'Vaginal Stenosis' yenzeka lapho kwakheka izicubu zesilonda esithweni sangasese sowesifazane, okwenza isitho sangasese sowesifazane sibe sincane futhi sibe sifushane. Lesi silonda asiguquguquki noma asinwebeki njengezicubu zesilonda ezivamile. Cabanga ukuthi esikhundleni sento enwebeka njengebhande lerabha, kukhona into efana nepulasitiki eqinile. Yilokho lesi silonda esinjalo. Ngakho-ke uma okuthile kungena esithweni sangasese sowesifazane, ubuhlungu buvela ezicutshini eziqinile.

Kunezizathu eziningana ezenza lokhu kuqubuka kwezicubu:

Ukwelashwa Ngemisebe

Uma ukwelashwa ngemisebe kunikezwa izitho zangasese (okungukuthi indawo engaphansi kwesisu), isitho sangasese singancipha njengomphumela ongemuhle. Lokhu kubizwa ngokuthi i-radiation-induced vaginal stenosis. Lesi simo sivame kakhulu ngemva kokwelashwa ngemisebe kwabesifazane abangaphezu kweminyaka engu-50. Ngezinye izikhathi, ukusetshenziswa kwemithi yokulwa nomdlavuza (i-chemotherapy) nakho kungathinta lokhu.

Ukuhlinzwa

Noma yikuphi ukuhlinzwa okubandakanya isibeletho sakho, isitho sangasese sowesifazane, noma umlomo wesibeletho kungalimaza izicubu zesitho sangasese sowesifazane futhi kubangele izicubu zesilonda. Isibonelo, lokhu kuhlanganisa izinqubo zokwakha kabusha kanye nokuhlinzwa kokuncipha kwezitho zesitho sangasese sowesifazane.

Ukubeletha

Izicubu zezibazi zingavela futhi ngenxa yezinkinga ngesikhathi sokubeletha okuvamile, njenge-episiotomy (ukusika okuncane phakathi kwesitho sangasese sowesifazane ne-anus) noma ukudabuka kwesitho sangasese sowesifazane. Yingakho abanye besifazane bezwa sengathi isitho sabo sangasese sowesifazane siqinile kancane ngemva kokubeletha. Lokhu kungabangela ubuhlungu ngesikhathi socansi izinyanga eziningi ngemva kokubeletha.

Izimo Zesikhumba

Kunezinye izifo zesikhumba, isibonelo i-'Lichen Sclerosus' kanye ne-'Lichen Planus'. Lezi zimo zingaba nomthelela ekomeni kwesitho sangasese sowesifazane.

Ukunqamuka kokuya esikhathini

Njengoba usondela ekunqamukeni kokuya esikhathini (okungukuthi, ngemva kokuyeka ukuya esikhathini kwakho kwanyanga zonke), amazinga omzimba wakho e-hormone i-estrogen ayancipha. Lokhu kungabangela ukuthi izicubu zesitho sangasese sowesifazane zome futhi zibe zincane. Lokhu kubizwa ngokuthi i-vaginal atrophy. Lesi simo ngezinye izikhathi singenza izimpawu ze-vaginal stenosis zibe zimbi kakhulu.

Akuvamile kakhulu, i-stenosis yesitho sangasese sowesifazane ingenzeka ngenxa yezifo ezithile zokuzalwa, njenge-adrenal hyperplasia.

Ubani onamathuba amaningi okuthola lesi simo?

Noma ubani one-vaginal Stenosis angaba ne-'Vaginal Stenosis'. Kodwa-ke, usengozini enkulu uma unalokhu:

• Uma uke wahlinzwa endaweni ye-pelvic.
• Uma kwenziwa i-episiotomy ngesikhathi sokubeletha noma isitho sangasese sowesifazane sidabukile.
• Uma uke wathola ukwelashwa ngemisebe ye-pelvic noma i-chemotherapy endaweni ye-pelvic.

Ezinye izifundo zikhombisile ukuthi abantu abasebenzisa imikhiqizo kagwayi nabo basengozini enkulu yokuthola lesi simo.

Yiziphi izinkinga ezingabangelwa yilokhu?

I-stenosis yesitho sangasese sowesifazane ayithinti nje kuphela isitho sangasese sowesifazane. Ingathinta impilo yakho yonke, hhayi impilo yakho yocansi kuphela. Cabanga nje, ukungakwazi ukusebenzisa i-tampon kahle, ukungakwazi ukwenza ukuhlolwa kwesitho sangasese sowesifazane ngokunethezeka, noma ukungakwazi ukuya ocansini nomlingani wakho kungaba yinto ekhungathekisayo ngempela. Uma ingelashwa, i-stenosis yesitho sangasese sowesifazane ingaba yimbi kakhulu. Kungaba nzima futhi ukwelapha. Ngakho-ke uma uzwa ubuhlungu, kubalulekile ukukhuluma nodokotela ngakho.

Udokotela ukubona kanjani lokhu?

Udokotela angakwazi ukuthola i-stenosis yesitho sangasese sowesifazane ngokwenza ukuhlolwa kwe-pelvic nokukhuluma ngezimpawu zakho. Kufanele utshele udokotela wakho ukuthi ubuhlungu buqale nini, ukuthi yimiphi imisebenzi ebangela ubuhlungu, kanye nomlando wakho wezokwelapha ophelele, okuhlanganisa noma yikuphi ukuhlinzwa noma ukwelashwa oke wakwenza.

Ngesikhathi sokuhlolwa kwesitho sangasese sowesifazane, udokotela uzogqoka amagilavu, afake i-lubricant, bese efaka iminwe yakhe esitho sangasese sowesifazane ukuze ahlole ukuthi sithambile futhi sijule kangakanani. Uma uzwa ubuhlungu phakathi nalokhu kuhlolwa, kufanele utshele udokotela wakho nakanjani. Ungakhathazeki, odokotela sebejwayele lolu hlobo lwento.

Yiziphi izindlela zokwelapha lokhu? Ake sibone...

Umgomo oyinhloko wokwelashwa ukwenza izicubu zesibazi ziguquguquke kalula, noma kube lula ukuzihambisa. Uhlelo lokwelashwa olukhethwa nguwe nodokotela wakho luzoncika embangweni we-stenosis yesitho sakho sangasese sowesifazane kanye nobunzima baso. Khumbula ukuthi lokhu kwelashwa kungathatha izinyanga, noma ngisho neminyaka. Ngenxa yokuthi izicubu zesibazi zingaphinde zibuye, ungadinga uhlelo lwesikhathi eside lokuphatha i-stenosis yesitho sakho sangasese sowesifazane.

Nazi ezinye zezindlela zokwelapha ezitholakalayo ze-'Vaginal Stenosis':

Ukunciphisa Isitho Sangasese Sowesifazane

Ama-dilator esitho sangasese sowesifazane amadivayisi amancane, ayindilinga asetshenziselwa ukwelula isitho sangasese sowesifazane kancane kancane . Uqala nge-dilator encane. Bese, ngemva kwamasonto noma izinyanga ezimbalwa, kancane kancane udlulela ku-dilator enkulu. Lokhu kufana nokuzivocavoca umzimba, futhi kudinga ukubekezela okuncane.

Ukwelashwa Kwephansi Le-Pelvic

Ukwelashwa Ngezinsika Zesinqe kuyindlela enhle yokuqinisa imisipha yephansi le-pelvic nokuthuthukisa ukugeleza kwegazi endaweni. Uma usufunde ukuthi ungayifinyeza kanjani futhi uyiphumuze imisipha yakho yephansi le-pelvic, uzothola kulula ukusebenzisa i-vaginal dilator. Ungathola usizo kuchwepheshe we-physiotherapist ngalokhu.

Ukwelashwa Kokufaka Ama-hormone (HRT)

Uma i-stenosis yesitho sakho sangasese sowesifazane ibangelwa ukuntuleka kwe-estrogen, ukuthatha i-estrogen kungasiza. Kunezinhlobo eziningi ze-HRT - okhilimu, amaphilisi, ama-patches. Lokhu kungasiza ekwandiseni umswakama kanye nokunwebeka kwezicubu zesitho sangasese sowesifazane. Kodwa-ke, ngaphambi kokuqala i-HRT, kufanele ukhulume nodokotela wakho ngezingozi nezinzuzo.

Ukuhlinzwa

Ngezinye izikhathi, udokotela wakho angase akuncome ukuhlinzwa ukuze kwandiswe imbobo yesitho sakho sangasese sowesifazane. Kodwa-ke, lokhu kwenziwa kuphela njengesinyathelo sokugcina, futhi kuphela uma ezinye izindlela zokwelapha zingasebenzi.

Ngaphezu kwalezi zindlela zokwelapha eziyinhloko, kunezinye izinto ezingakulethela impumuzo:

• Ukusebenzisa amafutha okugcoba asekelwe emanzini ngesikhathi socansi, njenge-KY® Jelly.
• Ukusebenzisa i-moisturizer yesitho sangasese sowesifazane, njenge-Replens™, akufani nokugcoba, futhi kungasetshenziswa ngesikhathi socansi olungeyona eyocansi. Kusiza ukugcina izicubu zesitho sangasese sowesifazane zimanzi usuku lonke.
• Kuye ngokuthi imbangela ye-stenosis yesitho sangasese sowesifazane ibangelwa yini, ungase ufune nokuzama ukwelashwa nge-laser.

Into ebaluleke kakhulu ukuba nolwazi oluphelele ngalezi zindlela zokwelapha, ukhulume nodokotela wakho, bese ukhetha ukuthi yikuphi okusebenzela kahle kakhulu. Akuzona zonke izindlela zokwelapha ezisebenzela wonke umuntu.

Ingabe lokhu kuzothuthuka ngokuzenzakalelayo?

Cha. Izicubu zezibazi aziyona into ezophela yodwa ngaphandle kokwelashwa. Uma ingelashwa, lesi simo singaba sibi kakhulu ngokuhamba kwesikhathi futhi sibangele ubuhlungu obukhulu.

Yini ongayilindela uma une-'Vaginal Stenosis'?

I-stenosis yesitho sangasese sowesifazane ingaba yisimo esibuhlungu nesihlazisayo. Kuyiqiniso. Nakuba kungekho ukwelashwa okuhlala njalo, kanye kuphela, udokotela wakho angakusiza ukuthola izindlela zokuyiphatha. Ngenxa yokuthi i-stenosis yesitho sangasese sowesifazane ingabuya, kungase kudingeke uqhubeke nokusebenzisa ama-dilator, ama-lubricant, noma ezinye izindlela zokulungisa. Kodwa-ke, ngokwelashwa okufanele, abantu abaningi babona intuthuko enkulu empilweni yabo yocansi kanye nekhwalithi yokuphila iyonke. Ngakho-ke ungakhathazeki.

Ingabe zikhona izindlela zokuvimbela lokhu ukuthi kungenzeki?

Ngezinye izikhathi kungenzeka, kodwa isikhathi esiningi kuba kuphela uma usanda kuthola ukwelashwa ngemisebe. Abanye odokotela batusa ukusebenzisa i-vaginal dilator ukuvimbela i-vaginal stenosis ngemva kokwelashwa ngomdlavuza.

Kodwa-ke, uma kwenzeka ukuhlinzwa, i-'Vaginal Stenosis' ayinakuvinjelwa ngaso sonke isikhathi. Nakuba inani lezibazi ezakhayo lingancishiswa ngokusebenzisa 'izindlela zokuhlinzwa ezingangenisi kakhulu', alikwazi ukususwa ngokuphelele.

Kufanele ngimbone nini udokotela?

Uma uzwa ubuhlungu ngesikhathi socansi, lapho ufaka i-tampon, noma lapho uhlolwa i-pelvic , qiniseka ukuthi ubona udokotela wakho ngokushesha. Lokhu kungaba yindaba ebucayi okufanele ukhulume ngayo, kodwa khumbula ukuthi udokotela wakho ukhona ukuzokusiza. I-stenosis yesitho sangasese sowesifazane yisimo esivamile, futhi izimpawu zakho zingadamba. Asikho isizathu sokuba namahloni noma sokwesaba.

Ingabe i-'Vaginal Stenosis' kanye ne-'Vaginal Atrophy' ziyinto efanayo?

Cha. Lezi zibili zihlobene, kodwa lezi yizimo ezimbili ezihlukene.

• Ukuwohloka kwesitho sangasese sowesifazane yisimo lapho ulwelwesi lwesitho sangasese sowesifazane luba lomile futhi lube luncane ngenxa yokuntuleka kwe-estrogen. Lesi yisimo esihlobene nama-hormone esivame ukuthinta abesifazane abasondela ekunqamukeni kokuya esikhathini.
• Ngakolunye uhlangothi, i-'Vaginal Stenosis' ibangelwa yizibazi ezibangelwa izinto ezifana nokuhlinzwa, ukwelashwa ngemisebe, kanye nokubeletha.

Lezi zimo ezimbili zihlobene ngoba lapho izicubu zesitho sangasese sowesifazane ziba buthakathaka futhi zomile ngenxa ye-'Vaginal Atrophy', ubuhlungu nokungakhululeki okubangelwa yi-'Vaginal Stenosis' kunganda.

I-stenosis yesitho sangasese sowesifazane akuyona nje into ethinta isitho sangasese sowesifazane. Ingathinta injabulo yakho, ukuzethemba, futhi yenze kube nzima nokuba nobudlelwano obuseduze nabalingani bakho bocansi. Nakuba lokhu kungaba yindaba enzima ukukhuluma ngayo ngokukhululekile, ukufuna usizo kudokotela kuyinto engcono kakhulu ongayenza wena. Kunezindlela eziningana zokwelapha ezitholakalayo zokusiza nge-stenosis yesitho sangasese sowesifazane. Akudingeki uphile nalolu buhlungu, futhi akudingeki ukwamukele. Abantu abaningi bathi izinga labo lokuphila lithuthuke kakhulu uma sebethole ukwelashwa okufanele.

Izinto ezibaluleke kakhulu okudingeka uzikhumbule

• I-Vaginal Stenosis iwukuncishiswa kwesitho sangasese sowesifazane futhi ngezinye izikhathi ukuncishiswa kwaso. Imbangela eyinhloko yalokhu izicubu zesilonda.
• Uma unezimpawu ezifana nobuhlungu ngesikhathi socansi, ubunzima bokufaka i-tampon, ukoma kwesitho sangasese sowesifazane, noma ubuhlungu ngesikhathi sokuhlolwa kwesitho sangasese sowesifazane, tshela udokotela, ungabi namahloni.
• Lesi simo singabangelwa ukwelashwa ngemisebe, ukuhlinzwa, ukulimala ngesikhathi sokubeletha, ezinye izifo zesikhumba, kanye nokunqamuka kokuya esikhathini.
• Kunezindlela zokwelapha lokhu! Ungathola impumuzo ngezinto ezifana ne-'Dilators', 'Pelvic Floor Therapy', ukwelashwa ngama-hormone, amafutha okugcoba, kanye nama-moisturizer esitho sangasese sowesifazane.
• Lokhu akulona ihlazo. Into ebaluleke kakhulu ukucela usizo. Akudingeki ubhekane nalokhu wedwa. Udokotela wakho uzokusiza.

I - stenosis Yesitho Sangasese Sowesifazane, Ukuqina Kwesitho Sangasese Sowesifazane, Izibazi Zezicubu, Ubuhlungu Bocansi, I-Dyspareunia, I-Dilators Yesitho Sangasese Sowesifazane, Ukwelashwa Ngemisebe Yesitho Sangasese Sowesifazane