Namuhla sizokhuluma ngenkinga abesifazane abaningi abangafuni ukukhuluma ngayo, kodwa ngezinye izikhathi bahlupheka buthule. Ingabe uzizwa sengathi isitho sakho sangasese sowesifazane siba nzima kakhulu futhi sibe buhlungu ngesikhathi socansi, noma uma ufaka into efana ne-tampon esitho sakho sangasese sowesifazane, noma mhlawumbe ngesikhathi sokuhlolwa kwesinqe ngudokotela? Khona-ke le ndaba izoba yinto ebaluleke kakhulu kuwe. Lesi simo sibizwa ngokuthi i-vaginismus.

Kuyini ukuqina kwesitho sangasese sowesifazane, noma i-vaginismus?

Kalula nje, i-vaginismus ukuqina kwemisipha ezungeze isitho sakho sangasese sowesifazane ongakwazi ukuyilawula. Njengoba nje umuntu efaka okuthile esweni lakho ngokuzumayo bese uvala amehlo akho, lokhu kuyinto engokwemvelo. Lokhu kuqina kwemisipha kwenza kube nzima ukufaka noma yini esitho sakho sangasese sowesifazane, noma kungabangela ubuhlungu obukhulu noma ukungakhululeki uma uzama ukwenza kanjalo.

Cabanga ngakho, isitho sangasese sowesifazane siyingxenye yesimiso sokuzala sowesifazane. Yindlela exhumanisa umlomo wesibeletho, ingxenye engezansi yesibeletho, nengaphandle lomzimba. Ngakho-ke, lapho le misipha iqina, ukuya ocansini, ukufaka i-tampon, noma ngisho nokuhlolwa kwesinqe ngudokotela wezifo zabesifazane kungaba buhlungu kakhulu.

Ubani ongaba nalesi simo? Sivame kangakanani?

Kunzima ukusho ukuthi lesi simo sivame kangakanani, ngoba abantu abaningi banamahloni noma besaba ukukhuluma ngaso. Abanye abantu abatsheli ngisho nodokotela babo ngaso. Ngakho-ke, kungenzeka ukuthi abesifazane abaningi bahlushwa yile nkinga kunalokho ocabanga.

Lezi zimpawu zivame ukuqala ukuvela ngesikhathi sobusha, cishe uneminyaka eyishumi nesishiyagalombili noma engamashumi amabili, lapho uqala ukuya ocansini . Noma, ungase ukubone lokhu uma uzama ukufaka i-tampon okokuqala, noma ngesikhathi sokuhlolwa kwe-pelvic ngudokotela.

Kodwa-ke, abanye besifazane bangase babe nalesi simo kamuva ekuphileni. Ngisho nangemva kweminyaka eminingi bengenazo izinkinga, lokhu kuqina kwemisipha kungavela ngokuzumayo. Abanye abantu bazwa lobu buhlungu njalo lapho okuthile kufakwa esithweni sabo sangasese sowesifazane, kanti abanye bangase bazwe lokhu kungakhululeki ngesikhathi socansi noma lapho behlolwa udokotela.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Odokotela abakakazi kahle ukuthi kungani abanye abantu beba ne-vaginismus. Kungaba yinhlanganisela yezici zomzimba, ezingokwengqondo, kanye nezocansi. Ngezinye izikhathi, izinto ezifana nokutheleleka kwesinye isinyi, izifo zomgudu womchamo (UTIs), kanye nokutheleleka kwemvubelo kungenza i-vaginismus ibe yimbi kakhulu.

Ngokuvamile, kunezizathu eziningana ezingathinta lesi simo:

• Izinkinga zokukhathazeka:Abantu abanezinkinga zempilo yengqondo njengokukhathazeka ngokweqile nokwesaba banamathuba amaningi okuba nalokhu.
• Ukulimala ngesikhathi sokubeletha: Isibonelo, izinto ezifana nokudabuka kwesitho sangasese sowesifazane.
• Ukuhlinzwa kwangaphambilini: Kungase kube ngenxa yokuhlinzwa okwenziwe esithweni sangasese sowesifazane.
• Ukwesaba noma imizwa engemihle ngocansi: Uma unokwesaba noma umuzwa ongathandeki ngocansi ngenxa yokuhlaselwa ngokocansi kwangaphambilini, ukudlwengulwa, noma ukuhlukumezeka, lokho kungaba yimbangela yalokhu.

Cabanga ngowesifazane osemusha oye waba nokuhlangenwe nakho okubi ebuntwaneni bakhe, futhi uzizwa esaba ngisho nalapho ecabanga ngocansi. Ngisho nangemva kokushada, njalo lapho ezama ukulala nomyeni wakhe, isitho sakhe sangasese sowesifazane siyaqina futhi uzwa ubuhlungu obukhulu. Akulona iphutha lakhe leli, kodwa uyahlupheka ngoba akakwazi ukutshela muntu ngakho.

Yiziphi ezinye izimo ezifana ne-vaginismus?

Ngezinye izikhathi kunezinye izimo ezingabangela izimpawu ezifana ne-vaginismus, ngakho-ke kubalulekile ukuthi udokotela akwazi ukuhlukanisa phakathi kwazo.

• Ukuwohloka kwesitho sangasese sowesifazane: Ngemva kokunqamuka kokuya esikhathini, lapho ukuya esikhathini kuphela, amazinga e-estrogen kwabesifazane ayancipha. Lokhu kubangela ukuthi ulwelwesi lwesitho sangasese sowesifazane lube luncane futhi lome. Lokhu kubizwa ngokuthi ukuwohloka kwesitho sangasese sowesifazane. Lokhu kungabangela nobuhlungu ngesikhathi socansi.
• I-Vulvar vestibulitis (eyaziwa nangokuthi i-provoked vestibulodynia): Lesi futhi yisimo esibangela ubuhlungu ngesikhathi socansi (i-dyspareunia). Ubuhlungu bungaqala ngesikhathi into ethile ifakwa esithweni sangasese sowesifazane, futhi bungaba khona naso sonke isenzo socansi.

Ziyini izimpawu zalokhu?

Uma une-vaginismus, ungase ube nezimpawu ezifana nalezi:

• Ukuzwa ubuhlungu noma ukungakhululeki lapho ufaka okuthile esithweni sangasese sowesifazane.
• Ukungakwazi ukwenza ucansi noma ukuhlola i-pelvic ngenxa yokuqina kwemisipha yesitho sangasese sowesifazane noma ubuhlungu.
• Ucansi olubuhlungu.

Uma uzwa ubuhlungu ngesikhathi socansi, noma uma uzwa ubuhlungu lapho ufaka i-tampon, akuvamile. Ngakho-ke, qiniseka ukuthi ubona udokotela bese ukhuluma ngakho.

Udokotela ukubona kanjani lokhu?

Uma ubona udokotela, bazokubuza imibuzo mayelana nezimpawu zakho, umlando wakho wezokwelapha, kanye nempilo yakho yocansi. Ngemuva kwalokho, bangase benze ukuhlolwa kwe-pelvic ukuze bahlole ezinye izinkinga kanye nokuhlola ukuqina kwemisipha. Kodwa ungakhathazeki, isikhathi esiningi, udokotela uzokwenza lokhu kuhlolwa ngendlela ekhululekile kuwe, mhlawumbe ngokufaka ukhilimu wokuhlanza ozungeze isitho sangasese sowesifazane.

Yiziphi izindlela zokwelapha lokhu?

Izindaba ezinhle ukuthi kunezindlela zokwelapha lesi simo esibizwa ngokuthi i-vaginismus! Lezi zindlela zokwelapha zisebenza kakhulu ekunciphiseni ukuqaqamba kwemisipha (reflexes) nokuqeda ukwesaba nokukhathazeka okubangela lesi simo.

Udokotela wakho angase asikisele eyodwa noma ngaphezulu yalezi zindlela zokwelapha:

• Ukwelashwa ngesikhumba: Okhilimu bokuthobisa ubuhlungu njenge-Lidocaine noma amanye amafutha anikezwe udokotela angasiza ekunciphiseni lobu buhlungu.
• Ukwelashwa ngokomzimba phansi kwe-pelvic: Kulokhu, uchwepheshe wezokwelapha ngokomzimba ukufundisa indlela yokuphumula nokulawula imisipha yakho phansi kwe-pelvic (imisipha ezungeze izitho zakho, njengesitho sakho sangasese sowesifazane kanye nesinye). Lokhu kuzivocavoca kuyasiza kakhulu.
• Ukwelashwa nge-vaginal dilator: Ama-vaginal dilator amadivayisi amise okweshubhu afika ngobukhulu obuhlukahlukene. Asetshenziselwa ukwelula kancane kancane isitho sangasese sowesifazane nokunciphisa ukuzwela ngokujwayela ukufakwa okuthile kuso. Udokotela wakho uzokukhombisa ukuthi uwasebenzisa kanjani. Bangase bakutshele kuqala ukuthi ufake ukhilimu oqeda izinhlungu esitho sangasese sowesifazane, okuzokwenza kube lula ukuwafaka.
• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): I-CBT uhlobo lokwelapha olukusiza ukuthi uqonde ukuthi imicabango yakho iyithinta kanjani imizwa yakho kanye nokuziphatha kwakho. Luyindlela yokwelapha ephumelela kakhulu ezimweni ezifana nokukhathazeka, ukucindezeleka, kanye nesifo sokucindezeleka ngemva kwenhlekelele (i-PTSD). Lungasiza futhi nge-vaginismus.
• Ukwelashwa ngocansi: Abelaphi bezocansi abaqeqeshiwe basiza abantu ngabanye kanye nemibhangqwana ukuthola kabusha injabulo yobudlelwano babo bocansi. Lokhu kungaba yindlela enhle yokuthi wena nomlingani wakho nixazulule inkinga ndawonye.

Yiziphi ezinye izinkinga lokhu okungazibangela?

I-Vaginismus ayigcini nje ngokuphazamisa impilo yakho yocansi, kodwa futhi nobuhlobo bakho nomlingani wakho. Ingathinta nempilo yakho yengqondo, ikwenze uzizwe ukhathazekile futhi ucindezelekile. Uma uzama ukukhulelwa, lesi simo singenza kube nzima kakhulu ukukhulelwa.

Ingabe ikhona indlela yokuvimbela lokhu?

Eqinisweni, njengoba singakazi kahle ukuthi yini ebangela i-vaginismus kwabanye abantu, okwamanje ayikho indlela yokuyivimbela.

Ingabe kuzokwelapheka uma kwelashwa? Uyini umbono?

Lokhu kuyinto ebaluleke kakhulu! Abantu abaningi abane-vaginismus baba ngcono ngemva kokwelashwa. Kodwa-ke, ukwelashwa okuphumelelayo kuthatha isikhathi futhi kudinga isineke.Ngeke kube ngcono ngobusuku obubodwa. Kodwa khumbula ukuthi usengaba nokuhlangenwe nakho kocansi okwanelisayo nokujabulisayo ngezinye izindlela ezingayithuthukisi isimo se-vaginismus.

Kunini lapho udinga ukubonana nodokotela?

Uma unezinye zalezi zimpawu, qiniseka ukuthi ubona udokotela:

• Ukuluma noma ukushisa endaweni yesitho sangasese sowesifazane.
• Ubuhlungu ngesikhathi socansi.
• Ubuhlungu lapho uchama (i-dysuria).
• Uketshezi olungavamile noma olunuka kabi lwesitho sangasese sowesifazane.
• Ukubomvu, ubuhlungu, noma ukuvuvukala okuzungeze isitho sangasese sowesifazane.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma uya kudokotela, ungakhohlwa ukubuza le mibuzo:

• Kungani kubuhlungu kangaka uma ngifaka okuthile?
• Yikuphi ukwelashwa okungcono kakhulu kimi?
• Ngingayenza kanjani impilo yami yocansi ibe mnandi kakhulu?
• Ingabe lesi simo se-vaginismus sizoba ngcono noma sibe sibi ngokuhamba kwesikhathi?
• Ingabe ukwesekwa kwengqondo, okungukuthi, ukwelulekwa, kungangisiza?

Khumbula, uma unenkinga yokuya ocansini ngenxa yokuqina kwesitho sangasese sowesifazane noma ubuhlungu, ungabi namahloni okukhuluma ngakho. Akudingeki uhlupheke wedwa. Kunezinkinga eziningi ezingabangela ubuhlungu ngesikhathi socansi, futhi i-vaginismus ingenye yazo. Cishe zonke lezi zinkinga zingelashwa. Ngemva kokwelashwa, izimpilo zabantu abaningi zobulili kanye nempilo yabo yengqondo ziyathuthuka kakhulu.

Ekugcineni, amaphuzu ambalwa abalulekile

I-Vaginismus yisimo esingakuthinta kokubili ngokomzimba nangokomzwelo. Akulona iphutha lakho. Kubaluleke kakhulu ukukhuluma ngokukhululekile ngalokhu nomlingani wakho ukuze nobabili nikuqonde futhi nibhekane nakho.

Isixazululo esingcono kakhulu salokhu ukuthola iseluleko sezokwelapha esifanele kanye nokwelashwa. Ungesabi noma ube namahloni okubona udokotela ubatshele inkinga yakho. Bakhona ukukusiza. Nawe unelungelo lokuphila impilo engenabuhlungu nejabulisayo.

Ukuqinisa isitho sangasese sowesifazane , i-Vaginismus, Ubuhlungu bocansi, Impilo yabesifazane, Imisipha yesitho sangasese sowesifazane, I-Gynecology, Ukwelulekwa ngokocansi