Ingabe nawe uzwa ubuhlungu endaweni ezungeze isitho sangasese sowesifazane? Ake sixoxe ngalokhu (i-Vestibulodynia)!

Ingabe ngezinye izikhathi uzizwa ubuhlungu noma ukushisa emnyango wesitho sakho sangasese sowesifazane? Lobuhlungu bungenzeka ngesikhathi socansi noma ngisho nalapho uthule. Lena inkinga evame ukungakhulunywa ngayo phakathi kwabesifazane, kodwa ithinta abantu abaningi. Ngakho-ke namuhla sizoxoxa ngalokhu ngokuningiliziwe .

Kuyini lokhu (i-Vestibulodynia)? Ake sikuqonde kalula?

Kalula nje, i-vestibulodynia ubuhlungu endaweni ezungeze isitho sakho sangasese sowesifazane, ebizwa ngokuthi i-vestibule . Lobuhlungu ngezinye izikhathi bungavela nakwezinye izingxenye zendawo yangaphandle yesitho sangasese sowesifazane ezungeze isitho sangasese sowesifazane, ebizwa ngokuthi i-vulva . Kubuhlungu obukhathazayo kakhulu, obuhlala isikhathi eside. Ngezinye izikhathi akukho sizathu esicacile esingatholakala. Udokotela wakho angase futhi abize lesi simo ngokuthi i-vulvar vestibulitis syndrome , noma (VVS) ngamafuphi.

Manje ungase uzibuze ukuthi iyini i-vulva . Iyingxenye ebonakalayo ngaphandle yesistimu yokuzala yowesifazane. Ukuze kube sobala, ivikela izitho zakho zokuzala zangaphakathi, njengesitho sakho sangasese sowesifazane, isibeletho, nama-ovari. Ivikela futhi i-urethra yakho, ipayipi lapho umchamo uphuma khona.

I-vulva yindawo ebaluleke kakhulu ekusabeleni kwakho ngokocansi kanye nokufika esimeni esifanele. Inalezi zingxenye:

• I-Clitoris
• Izindebe zangaphakathi (i-labia minora)
• Izindebe zangaphandle (i-labia majora)
• Umnyango ongena esithweni sangasese sowesifazane (i-vestibule)

Uyini umehluko phakathi kwe-(Vulvodynia) kanye ne-(Vestibulodynia)?

La magama amabili angaba yinto edidayo kancane, kodwa masigcine lokhu kulula. I-Vestibulodynia uhlobo lwesimo oluwela ngaphansi kwesigaba esikhulu se -Vulvodynia . Zombili lezi zimo zihilela ubuhlungu endaweni ye-vulva ngaphandle kwesizathu esibonakalayo.

Kunezinhlobo ezimbili eziyinhloko ze -vulvodynia :

1. I-vulvodynia evamile: Lokhu kwenzeka lapho kuba nobuhlungu obuqhubekayo ezindaweni eziningana ze -vulva , hhayi eyodwa kuphela.

2. I-vulvodynia yendawo: Kulokhu, ubuhlungu busendaweni eyodwa kuphela ye -vulva . Isibonelo, ubuhlungu emnyango wesitho sangasese sowesifazane (okuthiwa i -vestibulodynia ) noma ubuhlungu ku-clitoris (clitorodynia) . Kulezi, i-vestibulodynia, ebangelwa ukucindezeleka noma ingcindezi ethile, uhlobo oluvame kakhulu lwe -vulvodynia yendawo . Siyibiza ngokuthi i -vestibulodynia ebangelwe yi-provoked vestibulodynia .

Kuyini i-Provoked Vestibulodynia?

Njengoba igama lisho, i-provoked vestibulodynia ubuhlungu obuvela lapho kukhona ingcindezi noma ingcindezi e-vestibule yakho. Lokhu kucindezela yilokho "okuvusa" lobu buhlungu obungapheli, obungahlala isikhathi esingaphezu kwezinyanga ezintathu. Lokhu kucindezela kungabangelwa izinto ezinjengalezi:

• Ukuhlolwa kwesinqe okwenziwa udokotela.
• Uma uhleli endaweni eyodwa isikhathi eside.
• Ngesikhathi socansi.
• Uma ugqoke izingubo eziqinile (isib. ibhulukwe eliqinile).
• Uma kukhona okufakwe esithweni sangasese sowesifazane, kungaba umunwe, ipipi, i-tampon, noma ithoyizi locansi .

Cabanga nje, uNimali ungumuntu ohlala ehhovisi amahora amaningi nsuku zonke. Kwaphela izinsuku ezimbalwa ezwa umuzwa wokushisa okuncane esithweni sakhe sangasese sowesifazane. Nakuba ekuqaleni ayengenandaba, ubuhlungu banda ngemva kokuya ocansini. Wayesaba kakhulu kangangokuthi wayengenakukwazi ukutshela muntu ngakho. Kungenzeka ukuthi nawe uke waba nesipiliyoni esifanayo.

Yiziphi izinhlobo ze-Provoked Vestibulodynia?

Kunezinhlobo ezimbili eziyinhloko zalokhu futhi:

1. I-vestibulodynia ebangelwa yi-primary (congenital): Lokhu kwenzeka lapho ubuhlungu buvela khona lapho uzama ukufaka okuthile esithweni sakho sangasese okokuqala empilweni yakho (isb., lapho uya ocansini okokuqala, lapho uzama ukufaka i-tampon). Lesi yisimo sokuzalwa , okusho ukuthi singaba khona kusukela ekuzalweni.

2. I-vestibulodynia ebangelwa yi-secondary (acquired): Kulokhu, ubuhlungu buvela ezinsukwini, izinyanga, noma ngisho neminyaka ngemva kokuba ukwazile ukufaka okuthile esithweni sakho sangasese ngaphandle kobuhlungu. Lesi yisimo esikhula ngokuhamba kwesikhathi.

Ivame kangakanani i-vestibulodynia?

Eqinisweni, kulinganiselwa ukuthi cishe owesifazane oyedwa kwabane uzobhekana nohlobo oluthile lwe -vulvodynia , okuwubuhlungu e-vulva obungenambangela ecacile. Esikhathini esiningi, lobu buhlungu bubangelwa ukucindezela kwangaphandle noma ukuthinta (okubizwa ngokuthi " ukucasuka ").

Kodwa inani langempela lamacala lingase libe phezulu. Abanye abantu banamahloni okukhuluma nodokotela babo ngale nkinga. Abanye bacabanga ukuthi lokhu kuyinto engelapheki futhi okumele iphile nayo impilo yabo yonke. Kodwa akunjalo, kukhona ukwelashwa kwalokhu!

Yiziphi izimbangela ze-vestibulodynia?

Ochwepheshe abakakazi kahle ukuthi yini ebangela lokhu. Kodwa kunemibono ethile. Esinye ukuthi abanye abantu bangase babe nemizwa eminingi ye-pudendal ku -vulva . LokhuIzinzwa ze-pudendal yizo ezithumela imizwa efana nobuhlungu nenjabulo ohlelweni lwakho lwezinzwa.

Abanye abantu banesifo esibizwa ngokuthi i-neuroproliferation (esibizwa nangokuthi i-neuroproliferative vestibulodynia ). Lokhu kusho ukuthi izinzwa zabo ze-pudendal ziyazwela kakhulu. Bangase bezwe ubuhlungu obukhulu ( i-hyperalgesia ) ngisho noma bethinta kancane ( i-allodynia ). Lokhu kusabalala kwe-neuroneuro kungaba yinto ekhona lapho umuntu ezalwa noma engakhula kamuva ngenxa yomonakalo noma ukucasuka kwezinzwa.

Ubani osengozini enkulu yokuthola i-vestibulodynia?

Nakuba lesi simo singase senzeke kunoma ubani, sivame kakhulu kwabesifazane abamhlophe nabase-Asia abahlanganyela ucansi abaneminyaka ephakathi kuka-20 no-40. Singase senzeke kaningi nakwabesifazane asebedlule esikhathini sokunqamuka kokuya esikhathini futhi abanezimo ezifana nokoma kwesitho sangasese sowesifazane kanye nokuwohloka kwesitho sangasese sowesifazane .

Kungenzeka kakhulu ukuthi ube nalesi simo uma unanoma yikuphi kwalokhu okulandelayo:

• Ukusabela kokungezwani komzimba noma ukuzwela kwezinye izinsipho ezinephunga elimnandi, izihlanzi, ama-pantyliners, njll.
• Ukutheleleka kwemvubelo okungapheli .
• Izimo ezifana ne -fibromyalgia .
• Ukuthambekela kwezakhi zofuzo ebuhlungwini obungapheli, ukuvuvukala, noma ukutheleleka.
• (i-Interstitial cystitis) (isinyi esibuhlungu).
• Ubuhlungu bamalunga noma ubuhlungu bemisipha .
• Izinkinga zemizwa ezifana nokucindezeleka noma ukuphazamiseka kwengqondo okubangelwa yi-bipolar .
• Ukungasebenzi kahle kwephansi le-pelvic , ubuthakathaka noma ukuqaqamba kwemisipha.
• Ukulimala okubangelwa ukuhlukunyezwa ngokocansi (ukudlwengulwa) noma izinkinga ngesikhathi sokubeletha.

Ziyini izimpawu ze-Vestibulodynia?

I-Vestibulodynia uhlobo lobuhlungu obuhlobene nemizwa (ubuhlungu be-neuropathic) . Lobuhlungu buhlala okungenani izinyanga ezintathu. Ubuhlungu bungaba obuhlala njalo noma bungase bufike budlule (okubizwa ngokuthi yi-intermittent ).

Izimpawu eziyinhloko ze -vestibulodynia yilezi:

• Ubuhlungu obufana nommese, ukugwaza, noma ukushisa endaweni ye-vestibular .
• Ubuhlungu lapho ufaka okuthile esithweni sangasese sowesifazane, uhleli, noma wenza umsebenzi womzimba njengokugijima, ukugibela ibhayisikili, noma ukugibela ihhashi.
• Ucansi olubuhlungu (i-dyspareunia) .
• Ukuchama okubuhlungu (i-dysuria) .
• Ukuzwela, ukoma, ukubomvu, kanye nokubukeka okufana nokubuhlungu kwendawo ye-vestibule .

Yiziphi ezinye izimo ezingase zenzeke nge-Vestibulodynia?

Abanye abantu bangase babe nazo zombili lezi zimo kanye ne -Vestibulodynia :

• I-Clitorodynia: Lolu uhlobo lwe -vulvodynia olutholakala endaweni ethile . Lubonakala ngobuhlungu obukhulu ku-clitoris .
• (Vaginismus): Lokhu kwenzeka lapho imisipha yakho yesitho sangasese sowesifazane iqina futhi ifinyela ngaphandle kokuthi uqaphele noma nini lapho uzama ukufaka okuthile esitho sangasese sowesifazane.

I-Vestibulodynia itholakala kanjani?

Akukho ukuhlolwa okuqondile kokuxilonga ukuxilonga lokhu. Udokotela wakho uzolalela ngokucophelela izimpawu zakho. Ngesikhathi sokuhlolwa kwe-pelvic , udokotela wakho uzothatha i-cotton swab bese efaka ingcindezi ngobumnene ezindaweni ezahlukene ze -vulva yakho, ekubuza ukuthi kubuhlungu kangakanani.

Ungaphinda usebenzise eyodwa noma ngaphezulu yalezi zivivinyo ukuze ubone ukuthi zikhona yini ezinye izinkinga, noma uqinisekise ukuthi azikho:

• Ukuhlolwa kwegazi.
• Ukuhlolwa komchamo noma ukuhlolwa kokukhuliswa komchamo - Lokhu kwenzelwa ukuhlola izifo zomgudu womchamo (UTIs) , i-cystitis , izifo zemvubelo , kanye nezifo ezithathelwana ngocansi kanye nezifo (STDs kanye nama-STI) .
• I-Pap smear kanye, uma kudingeka , i-colposcopy - lokhu kwenziwa ukuhlola amangqamuzana angajwayelekile emlonyeni wesibeletho (i-cervical dysplasia) noma umdlavuza womlomo wesibeletho .
• I-biopsy yesikhumba - ukuhlola izifo zesikhumba.

Hlobo luni lodokotela abaphatha i-vestibulodynia?

Ngisho noma lesi simo sithinta izitho zakho zangasese, akudingeki ukuthi kube yinkinga yabesifazane. Kuzodingeka ubone ochwepheshe abahlukahlukene ukuze uthole ukwelashwa. Lokhu kufaka phakathi:

• Udokotela Wezifo Zokubeletha/udokotela Wezifo Zabesifazane (`Ob/Gyn`).
• Udokotela Wesikhumba.
• Udokotela wezinzwa.
• Uchwepheshe wokuphatha ubuhlungu.
• Udokotela wezifo zomzimba we-pelvic floor.
• Isazi sokusebenza kwengqondo, uchwepheshe wezocansi noma uchwepheshe wezokwelapha imibhangqwana.
• Uchwepheshe ohlelweni lomchamo kanye nohlelo lokuzala lwabesifazane (`Urologist` noma `ugynecologist`).

Odokotela baphatha kanjani i-vestibulodynia?

Izinhloso eziyinhloko zokwelashwa kwe -vestibulodynia yilezi:Ukunciphisa ubuhlungu nokulawula izimpawu.

Lezi izindlela zokwelapha ezingezona ezokwelapha:

• Izinhlobo zokhilimu zokuqeda ubuhlungu nokuqeda izinhlungu (`Okhilimu besikhumba ababulala izinhlungu`).
• Ukwelashwa kokuziphatha kwengqondo (i-CBT) , ukwelashwa kwemibhangqwana, noma ukwelashwa ngocansi.
• Izinguquko zendlela yokuphila - isibonelo, ukugqoka izingubo ezikhululekile kanye nezingubo zangaphansi zekotini, kanye nokungasebenzisi imikhiqizo enephunga elimnandi.
• Ukuzivocavoca phansi kwe-pelvic - isibonelo, ukuzivocavoca kwe-Kegel (ukuzivocavoca phansi kwe-pelvic) kanye namasu okubuyisela emuva .
• Ukusebenzisa izinto zokugcoba zesitho sangasese sowesifazane kanye nezinto zokukhulisa isitho sangasese sowesifazane.

Izindlela zokwelapha yilezi:

• Imithi yokucindezeleka .
• Imithi yokwelapha isifo sokuwa kanye nobuhlungu bemizwa - isib. i-gabapentin .
• Imijovo ye-botulinum toxin (Botox®) .
• Amakhrimu e-corticosteroid noma imijovo ye-steroid .
• Ama-creams angaphandle (ukwelashwa ngama-hormone) .
• Ukuvinjwa kwemizwa .
• Imithi yokuqeda ubuhlungu.

Ingabe i-Vestibulodynia ingelapheka ngokuhlinzwa?

Abanye abantu abane -vestibulodynia evuselelwe abangasabeli kwezinye izindlela zokwelapha bangase bazuze ekuhlinzweni ukuze kususwe isikhumba nezicubu ezibucayi. Lokhu kuhlinzwa kubizwa ngokuthi i-vestibulectomy . Lokhu kuvame ukunikeza impumuzo engapheli yezimpawu.

Ingabe i-Vestibulodynia ingavinjelwa?

Ngokulandela lezi zinyathelo zokunakekela i-vulva yakho, ungavimbela futhi unciphise ubuhlungu be-vulvar :

• Gwema ukusebenzisa imikhiqizo enephunga elimnandi (isib. isifutho se-femily deodorant, i-talcum powder, ama-panty liners anephunga elimnandi) endaweni yakho yokuzala.
• Ungasebenzisi izithibela-nzalo zangaphakathi kwesitho sangasese sowesifazane (isib. ama-diaphragm, izivalo zomlomo wesibeletho). Futhi, ungasebenzisi izithibela-nzalo kanye nama-foam okuvimbela-nzalo, njengoba kungabangela ukucasuka.
• Ngemva kokuchama, esikhundleni sokusebenzisa iphepha langasese, geza indawo yangasese ngamanzi avela ebhodleleni lokucinana noma i-bidet.
• Sebenzisa iphepha langasese elingacwebezelisiwe kanye nemikhiqizo yokuhlanza engaphunganga (ama-tampon, ama-pad).
• Hlala emcamelweni ofana nedonathi ukuze unciphise ingcindezi embotsheni yakho yokuzala .
• Cwilisa ebhavini elishisayo ukuze unciphise ubuhlungu.
• Geza indawo yakho yangasese ngamanzi kuphela (akukho nsipho). Ungasebenzisi i-bubble bath, usawoti wokugeza, noma amafutha okugeza.
• Gqoka izingubo zangaphansi zekotini, amabhulukwe akhululekile noma amabhulukwe amafushane. Gwema ukugqoka ama-pantyhose, ama-tight noma ama-leggings aqinile.

Yiziphi izinkinga ezingaba khona ze-vestibulodynia?

Ubuhlungu obungapheli obubangelwa yi -vestibulodynia bungaba buhlungu kakhulu futhi bube yingozi ngisho nasekufeni. Bungathinta ukuzivocavoca umzimba ngisho nokuhlala isikhathi eside.

I-Vestibulodynia ingabangela nokungasebenzi kahle kocansi . Lokhu kungathinta ikhono lakho lokujabulela ucansi, futhi kungathinta kabi ubudlelwano bakho kanye nokuzethemba kwakho. Wena nomlingani wakho ningazuza ngokukhuluma nodokotela wezifo zengqondo, njengodokotela wezifo zengqondo noma uchwepheshe wezifo zengqondo.

Uyini umbono womuntu one-vestibulodynia?

I-Vestibulodynia ivame ukuba ngcono ngokuhamba kwesikhathi (okubizwa ngokuthi i-remission ). Ngeshwa, lobu buhlungu be-vulva bungabuya (okubizwa ngokuthi i-relapse ). Ngakho-ke, kubalulekile ukulandela imiyalelo kadokotela wakho ukuze uvimbele futhi unciphise ubuhlungu be-vulva .

Kufanele ngimbone nini udokotela?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele nakanjani ubone udokotela:

• Ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane okunephunga elibi.
• Ukuluma endaweni yesitho sangasese sowesifazane.
• Ucansi olubuhlungu.
• Ukuchama okubuhlungu.
• Izimpawu zokutheleleka kwemvubelo , ukutheleleka komgudu womchamo (UTI) , noma olunye ukutheleleka.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Kungumqondo omuhle ukubuza udokotela wakho imibuzo efana nale:

• Kungani ngithole lokhu (i-Vestibulodynia) ?
• Uhlobo luni lwe -Vestibulodynia enginalo?
• Yiziphi izindlela zokwelapha enginazo?
• Ingabe kufanele ngicabangele imithi noma ukuhlinzwa?
• Ingabe kufanele ngiqaphele izimpawu zezinkinga?

Ingabe i-vestibulodynia ingabangelwa izifo ezithathelwana ngocansi (STD)?

Cha. Akukho ukuxhumana okwaziwayo phakathi kwe -vestibulodynia nezifo ezithathelwana ngocansi (STD) . Kodwa-ke, ezinye izifo ezithathelwana ngocansi, njenge -chlamydia ne -gonorrhea, zingabangela izimpawu ezifanayo, njengobuhlungu nokuvuvukala. Ngakho-ke, kubalulekile ukubona udokotela ukuze kutholakale imbangela eqondile yalezi zimpawu futhi kutholakale ukwelashwa okufanele.

Ubuhlungu be-vulvar obubangelwa yi -vestibulodynia buyinto yangempela. Ungabi namahloni okukhuluma nodokotela wakho ngokufakwa okubuhlungu noma ubuhlungu obuqhubekayo ku -vulva yakho . Ungase ube ne -vestibulodynia., okusho ukuthi ungase ube nohlobo lobuhlungu obungapheli (i-vulvodynia) e-vestibule yakho. Lobuhlungu be-vestibular buvame ukuvela ngokuzumayo futhi ngaphandle kwesizathu esibonakalayo. Bungasiza ngemithi kanye nokwelashwa okungeyona imithi.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi lokho esikhulume ngakho kukusizile ukukhumbula ezinye zezinto ezibaluleke kakhulu. I-Vestibulodynia akuyona into okufanele ube namahloni ngayo.

• Awuwedwa: ​​Awuwedwa onale nkinga. Abesifazane abaningi bahlushwa yilesi simo.
• Imbangela ingatholakala: Nakuba imbangela yazo zonke izinhlungu ingatholakali ngokushesha, imbangela ingatholakala ngokukhuluma nodokotela nokwenza izivivinyo.
• Kunezindlela zokwelapha: Lesi akusona isifo esingelapheki. Kunezindlela zokwelapha ezahlukahlukene ezitholakalayo zokunciphisa ubuhlungu nokwenza impilo ibe lula.
• Ungabi namahloni: Ungalokothi ube namahloni okukhuluma ngempilo yakho noma ukucela usizo. Udokotela ngumuntu okhona ukuzokusiza.

Ngakho-ke, uma unezinye zalezi zimpawu, sicela ubonane nodokotela ukuze uthole iseluleko. Induduzo nenjabulo yakho empilweni kubaluleke kakhulu kuwe.

I- Vestibulodynia, i-Vulvodynia, Ubuhlungu Besitho Sangasese Sowesifazane, Ubuhlungu Bocansi, I-Vulva, Impilo Yabesifazane, I-Vestibulodynia Ecasulayo