Ingabe uhlushwa ubuhlungu obungapheli endaweni yakho yangasese (indawo yangasese) ngaphandle kwesizathu esicacile? Kungase kuzwakale njengokusha, ukuhlaba, noma ukuqaqamba. Lobuhlungu bungenza kube nzima ngawe ukwenza imisebenzi yakho yansuku zonke futhi bungakwenza uzizwe ucindezelekile. Uma uzizwa uwedwa, ungakwazi ukukhuluma nanoma ubani ngakho, ungakwazi ukuthola ukuthi kungani kwenzeka, noma ungakwazi ukuthola ukuthi yini ebangela lokho, lesi sihloko esikhuluma ngaso namuhla sizoba sibaluleke kakhulu kuwe.
Kalula nje, iyini iVulvodynia?
I-Vulvodynia (vul-vo-dee-nia) ubuhlungu obungapheli endaweni yangaphandle yesitho sakho sangasese sowesifazane (lokho esikubiza ngokuthi 'i-vulva' ngokwezokwelapha) obuhlala izinyanga ezingaphezu kwezintathu ngaphandle kwesizathu esibonakalayo.
Manje ungase ucabange, "Le ndawo ibuhlungu ngenxa yezifo noma izifo zesikhumba." Yebo, lokho kuyiqiniso. Kodwa i-Vulvodynia ubuhlungu obuvela lapho imbangela ethile (isib., ukutheleleka kwemvubelo noma isifo sesikhumba) ingatholakali . Lobuhlungu bungaba bukhulu kangangokuthi ungase ukhathale ngezinto ozithandayo ukuzenza. Ungase ungakwazi ngisho nokucabanga ngokuya ocansini.
Ingabe zikhona izinhlobo eziyinhloko ze-vulvodynia?
Yebo, sihlukanisa lokhu kube izinhlobo ezimbili eziyinhloko kuye ngokuthi ubuhlungu buvela kuphi.
1. I-Localized Vulvodynia: Lokhu yilapho ubuhlungu buzwakala endaweni ethile yesitho sangasese sowesifazane. Ngokuvamile, lobu buhlungu buzwakala esikhumbeni esiphakathi kwe-labia yangaphakathi kanye nomnyango wesitho sangasese sowesifazane (obizwa ngokuthi i-'vulvar vestibule') noma ku-clitoris.
2. I-Vulvodynia Ejwayelekile (ubuhlungu obusakazeka kuyo yonke indawo): Lapha, ubuhlungu abugcini endaweni eyodwa kuphela. Ubuhlungu bungenzeka ezingxenyeni ezahlukene zendawo yesitho sangasese sowesifazane, ngezikhathi ezahlukene. Ngezinye izikhathi, ubuhlungu bungazwakala kuyo yonke indawo yesitho sangasese sowesifazane.
Lobuhlungu bungahlukaniswa futhi ngendlela okwenzeka ngayo. Abanye abantu bazwa ubuhlungu lapho okuthile kubathinta noma kubathinta (isib. ngesikhathi socansi, ukufaka i-tampon). Kwabanye, ubuhlungu buvela ngisho nalapho behleli nje bengenzi lutho.
Lesi simo sithinta kanjani impilo yomuntu?
I-Vulvodynia akuyona nje inkinga. Kuyinto engashintsha impilo yomuntu yonke. Cabanga nje...
- Umthelela emsebenzini: Uma usebenza ehhovisi, ungase ungakwazi ukwenza umsebenzi wakho kahle ngenxa yobuhlungu obuhambisana nokuhlala endaweni eyodwa isikhathi eside kakhulu.
- Umthelela ebudlelwaneni: Ucansi lungaba buhlungu noma lungenzeki nhlobo, okungaba nomthelela omkhulu ebudlelwaneni bakho nomyeni wakho noma umlingani wakho. Lokhu kungabangela ukucindezeleka okukhulu kwengqondo.
- Ukuphazamiseka kokulala: Ubuhlungu bungakuvimbela ukuthi ulale kahle ebusuku.
- Ithonya ekukhetheni izingubo:Angikwazi ukugqoka izingubo noma amabhulukwe ejele. Kufanele ngihlale ngikhetha izingubo ezikhululekile.
Ngenxa yakho konke lokhu, ucwaningo luthole ukuthi abantu abaningi abane-vulvodynia nabo babhekana nezinkinga zengqondo njengokucindezeleka nokukhathazeka .
Ziyini izimpawu ze-vulvodynia?
Indlela ubuhlungu obuzwiwa ngayo ihlukile kumuntu ngamunye. Indlela ubuhlungu obuqala ngayo, obuma ngayo, nobubi ngayo ingahluka kuye ngomuntu.
| Ubuhlungu buzwakala kanjani futhi nini | |
|---|---|
| Ungazizwa kanjani ubuhlungu? | |
| Njengokusha | Kufana nokusha uma uthola impuphu encane ye-chili. |
| Kuzwakala sengathi kuyacindezelwa. | Kuzwakala njengokugwazwa okubukhali. |
| Njengokulunywa. | Ubuhlungu obuhambisana nokulunywa okungabekezeleleki. |
| Kubonakala sengathi isikhumba asisekho. | Isikhumba sizizwa silimele futhi singakhululekile, njengokungathi sinqunyiwe. |
| Kuzwakala sengathi kuyashaya. | Ubuhlungu obufika ngesigqi esifana nokushaya kwenhliziyo. |
| Yiziphi izimbangela ezingaba khona zobuhlungu? | |
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Kungani lokhu kwenzeka? Yiziphi izimbangela ze-vulvodynia?
Ngeshwa, abacwaningi abakayitholi imbangela eqondile yalokhu, kodwa kunezici eziningana abacabanga ukuthi zingaba nomthelela kukho.
- Ukuvuvukala: Isimo sokuvuvukala emzimbeni.
- Izici zama-hormone: Izinguquko kuma-hormone.
- Izici zofuzo: Ukuthambekela okuzuzwa njengefa.
- Izinkinga ze-neuropathic: Kukhona umonakalo emithanjeni endaweni yesitho sangasese sowesifazane noma ukungasebenzi kahle kokusebenza kwayo.
- Imiphumela yesikhathi eside yokutheleleka okudala: Ukusabela komzimba isikhathi eside ezifweni zesitho sangasese sowesifazane zangaphambilini.
- Imisipha yephansi le-pelvic ebuthakathaka: Ukubuthaka noma ukuqaqamba okuvamile kwemisipha endaweni ye-pelvic.
- Izinto eziyingozi esikhumbeni: Ukucasuka kwesikhumba okubangelwa izinto ezifana nensipho eqinile kanye nama-perfume.
Into ebaluleke kakhulu ukuthi i-Vulvodynia ayisona isifo esithathelwana ngocansi (STI). Futhi, akuyona umdlavuza noma uphawu lomdlavuza. Ungakhathazeki ngakho.
Ungasibona kanjani lesi simo?
Uma ubona udokotela, uzokuthola ukuthi une-vulvodynia kuphela ngemva kokukhipha zonke ezinye izimbangela zobuhlungu bakho. Lokhu kungadinga ukuhlolwa okuningana.
- Umlando wezokwelapha: Udokotela uzokubuza ngezimpawu zakho (ubuhlungu bube kuphi, kanjani, nokuthi bube bude kangakanani), impilo yakho yocansi, kanye nanoma yikuphi ukuhlinzwa oke wakwenza.
- Ukuhlolwa ngokomzimba: Udokotela uzohlola indawo yakho yesitho sangasese sowesifazane futhi angasebenzisa nedivayisi ebizwa ngokuthi i-`speculum` ukuhlola isitho sakho sangasese sowesifazane kanye nomlomo wesibeletho.
- Ukuhlolwa Kokusula Kokotini: Lokhu ukuhlolwa okubaluleke kakhulu. Lapha, kusetshenziselwa ukusula ukotini omncane ukuthinta ngobumnene izindawo ezahlukene zesitho sangasese sowesifazane bese ubuza ukuthi uzizwa kuphi futhi kanjani ubuhlungu. Lokhu kwenza kube lula ukuthola indawo eqondile yobuhlungu.
- Ukuhlolwa kwezifo: Kuthathwa isampula yoketshezi oluphuma esithweni sangasese sowesifazane bese kuhlolwa izinto ezifana nezifo ezithathelwana ngocansi (STIs), i-bacterial vaginosis, noma izifo zemvubelo.
Akuvamile kakhulu, udokotela wakho angase ancome i-colposcopy noma i-biopsy, okuhlanganisa ukuthatha ingxenye encane yesikhumba bese uyihlola, ukuqinisekisa ukuthi azikho ezinye izimo zezokwelapha.
Yiziphi izindlela zokwelapha i-vulvodynia?
I-Vulvodynia ingathatha isikhathi ukwelapha. Kungathatha ukuhlola okuthile ukuthola ukwelashwa okufanele noma inhlanganisela yokwelashwa okufanele. Ngakho-ke isineke sibalulekile.
| Indlela yokwelapha | Incazelo elula |
|---|---|
| Imithi yokwelapha | Kungase kunikezwe imithi yokubulala izinzwa, imithi yokwehlisa imizwa, noma okhilimu abaqukethe i-hormone i-estrogen ukuze kuncishiswe ubuhlungu endaweni ebuhlungu. |
| Imithi yomlomo | Imithi yokucindezeleka kanye neminye imithi yokunciphisa ukuxhuzula ingasiza ekulawuleni ubuhlungu. |
| Ukuvinjwa kwemizwa | Umjovo endaweni yobuhlungu ukuze kuvinjelwe izimpawu zobuhlungu ukuthi zingafiki ebuchosheni. |
| Ukwelashwa ngokomzimba | Ukuzivocavoca okukhethekile kanye nokwelashwa ukunciphisa ukuqina kwemisipha yephansi le-pelvic, ukuyiqinisa, kanye nokunciphisa ukuqaqamba okuvamile. |
| Ukuhlinzwa (i-Vestibulectomy) | Kulabo abanobuhlungu bendawo abangakaphenduli kwezinye izindlela zokwelapha, kunconywa ukususwa kwezicubu ezibuhlungu ngokuhlinzwa. |
| Ukwelulekwa | Funa ukwelulekwa, kungaba ngabanye, njengombhangqwana, noma nochwepheshe wezocansi, ukuze uphathe umthelela walesi simo empilweni yakho nasebudlelwaneni bakho. |
Izinto ongazenza wena ukuze uphathe ubuhlungu
Ukunakekela inhlanzeko yendawo yakho yesitho sangasese sowesifazane nakho kusiza kakhulu ekulawuleni ubuhlungu.
Izinto ezinhle ongazenza:
- Geza ngamanzi afudumele anosawoti we-Epsom noma i-oatmeal ye-colloidal.
- Sebenzisa insipho engenaphunga, emnene (noma amanzi nje) ukuze ugeze indawo yesitho sangasese sowesifazane.
- Sebenzisa insipho yokuwasha izingubo engenaphunga futhi ethambile ukuze ugeze izingubo zakho zangaphansi.
- Gqoka izingubo zangaphansi ezenziwe ngokotini kuphela emini. Lala ngaphandle kwezingubo zangaphansi ebusuku.
- Uma ubuhlungu bubucayi, sebenzisa ama-compress abandayo isikhathi esingaphezu kwemizuzu eyi-15.
- Uma wenza ucansi, sebenzisa i-lubricant engenaphunga noma enongiwe, futhi engenazo izakhiwo zokupholisa noma zokufudumala.
- Uma kufanele uhlale isikhathi eside, sebenzisa umcamelo ofana "nedonathi" onciphisa ingcindezi endaweni yesitho sangasese sowesifazane.
- Lala kahle ebusuku (phakathi kwamahora angu-7-9) nsuku zonke.
Izinto okungafanele uzenze (okumelwe uzigweme nakanjani):
- Gwema ukugqoka izingubo eziqinile njengebhulukwe, ibhulukwe lebhulukwe, kanye ne-pantyhose.
- Ungasebenzisi iphepha langasese elinephunga elimnandi, ama-tampon, noma ama-pad.
- Ungagqoki izingubo zokubhukuda ezimanzi noma izingubo zokuzilolonga ezijulukayo isikhathi eside kakhulu.
- Gwema ukusula noma ukusebenzisa izinto ezinjengamakha kanye nama-bubble bath ngaphakathi kwesitho sangasese sowesifazane.
- Gwema ukuzivocavoca okucindezela indawo yesitho sangasese sowesifazane, njengokugibela ibhayisikili nokugibela ihhashi, isikhashana.
Ukuze uthole ukuthi imbangela yobuhlungu bakho yiVulvodynia noma okunye, futhi ukuze uqale ukwelashwa okufanele, kufanele nakanjani ubone udokotela. Ungahlupheki wedwa ngalobu buhlungu. Kukhona ukwelashwa kwalokhu, futhi ungathola usizo.
Umlayezo Wokuya Nawe Ekhaya
- I-Vulvodynia ubuhlungu obungapheli endaweni yesitho sangasese sowesifazane obuhlala izinyanga ezingaphezu kwezintathu ngaphandle kwesizathu esibonakalayo.
- Akulona iphutha lakho leli. Futhi akusona isifo esithelelanayo noma umdlavuza.
- Lobuhlungu bungaba nomthelela omkhulu empilweni yakho nasebudlelwaneni bakho, ngakho ungabuthathi kalula.
- Kuthatha isikhathi ukuthola isifo ngoba udokotela udinga kuqala ukuqeda zonke ezinye izimbangela.
- Kunezindlela eziningi zokwelapha ezitholakalayo. Kufanele nje ubekezele ukuze uthole ezifanele wena.
- Uma uzwa ubuhlungu obunje, ungabi namahloni noma wesabe, bonana nodokotela ofanelekayo ngokushesha okukhulu.
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