Ingabe nawe unesihlungu esingapheli endaweni yakho yesitho sangasese sowesifazane? Ake sixoxe nge-Vulvodynia!

Ingabe ngezinye izikhathi uzizwa ubuhlungu noma ukushisa esithweni sakho sangasese, okungukuthi, izitho zakho zangasese zangaphandle, ngaphandle kwesizathu esicacile? Uma kunjalo, ungakuthathi njengento elula. Ngoba namuhla sizokhuluma ngeVulvodynia, isimo abesifazane abaningi ababhekana naso buthule, kodwa esingaphathwa uma sihlonzwa kahle.

Iyini i-Vulvodynia? Masiyiqonde kalula!

Kalula nje, i-vulvodynia ubuhlungu obungapheli embotsheni yakho yesisu obuhlala izinyanga ezintathu noma ngaphezulu ngaphandle kwesizathu esibonakalayo. Manje ungase ucabange, "I-Vulvodynia ingabangelwa nayizifo, izimo zesikhumba, njll." Yebo, lokho kuyiqiniso. Kodwa i-vulvodynia akuyona uhlobo oluthile lobuhlungu. Ubuhlungu bungaba bukhulu kangangokuthi bungakuvimba ekwenzeni imisebenzi yakho yansuku zonke, ngisho nezinto ozithandayo. Cabanga ukuthi lokho kubuhlungu kangakanani!

Ingabe zikhona izinhlobo eziyinhloko ze-vulvodynia?

Yebo, i-vulvodynia ihlukaniswe kakhulu ngezinhlobo ezimbili, kuye ngokuthi ubuhlungu buvela kuphi.

1. I-Vulvodynia Esendaweni:

Ngokuvamile ubuhlungu butholakala endaweni ethile. Isibonelo, kungaba sendaweni ebucayi yesikhumba ezungeze umgodi wakho wesitho sangasese sowesifazane (i-vulvar vestibule) – indawo ebucayi yesikhumba phakathi kwengaphakathi le-labia yakho, lapho uchama khona (i-urethra), kanye nesitho sangasese sowesifazane – noma endaweni encane, ebucayi phezulu kwesitho sakho sowesifazane sowesifazane ebizwa ngokuthi i-clitoris. Lokhu ngezinye izikhathi kubizwa ngokuthi 'i-localized vulvar pain syndrome'.

2. I-Vulvodynia Ejwayelekile:

Ngezinye izikhathi ubuhlungu abugcini endaweni eyodwa kuphela. Ungase uzizwe ubuhlungu ezingxenyeni ezahlukene zesitho sakho sowesifazane ngezikhathi ezahlukene. Ngezinye izikhathi ubuhlungu bungasakazeka kulo lonke isitho sakho sowesifazane sowesifazane.

Ngaphezu kwalokho, ubuhlungu be-vulvodynia bungavuselelwa, okusho ukuthi bubangelwa ukuthinta noma umsebenzi, noma "bungavuselelwa," okusho ukuthi kwenzeka ngaphandle kwesizathu sangaphandle.

I-vulvodynia iyithinta kanjani impilo yomuntu?

Empeleni lokhu kuyinto ethinta impilo kakhulu kunalokho ongase ukucabange. Cabanga ngakho ngale ndlela...

• Ubuhlungu obuhambisana nokuhlala isikhathi eside kakhulu bungenza kube nzima ukwenza umsebenzi wakho.
• Ubuhlungu ngesikhathi socansi (i-dyspareunia) noma ukungakwazi ukuya ocansini kungalimaza ubudlelwano bakho bomuntu siqu.
• Kungaba nzima ukulala, nokuhlala ulele isikhathi eside .
• Ngisho nokukhetha izingubo ozozigqoka kungase kube kuncane, njengoba ukugqoka izingubo ezithile kwandisa ubuhlungu.

Ucwaningo luthole nokuthi i-vulvodynia ihlotshaniswa nokucindezeleka nokukhathazeka. Ngakho-ke akuyona nje ubuhlungu bomzimba, kodwa futhi ingumthwalo omkhulu wengqondo.

Ubani onamathuba amaningi okuthola i-vulvodynia? Ivame kangakanani?

Nakuba i-vulvodynia ingenzeka kunoma yimuphi ubudala, ivame ukutholakala kwabesifazane abaneminyaka ephakathi kuka-20 no-60. Eqinisweni, i-vulvodynia iyimbangela ehamba phambili ye-dyspareunia kanye nobuhlungu obungapheli be-pelvic kwabesifazane abaneminyaka yokuzala.

Kodwa-ke, kunzima ukusho ukuthi kuvame kangakanani. Abantu abaningi bayanqikaza ukukhuluma ngakho futhi abafuni ukwelashwa. Futhi, njengoba imbangela yakho ingaziwa, ukukuthola kungaba nzima kancane. Ngezinye izikhathi kungaphanjaniswa nokugula noma kuphanjaniswe nezinye izimo zobuhlungu obungapheli.

Ziyini izimpawu ze-Vulvodynia?

Indlela ubuhlungu obuzwiwa ngayo ihlukile kumuntu ngamunye. Indlela ubuhlungu obuqala ngayo, indlela obuphela ngayo, kanye nokuthi bubuhlungu kangakanani, kuyahlukahluka kuye ngomuntu nomuntu.

Ubuhlungu be-vulvodynia buzwakala kanjani?

Ubuhlungu endaweni yakho yesitho sangasese sowesifazane bungahluka kusukela kobuncane kuya kobukhulu . Bungazwakala kanje:

• Njengokusha
• Ukuhlaba
• Njengokugwaza ngommese
• Njengokuklwebha.
• Ubuluhlaza
• Ukubhoboza

Lobuhlungu bungase buzwakale endaweni eyodwa, bungase busuke kwenye indawo buye kwenye, noma bungase busakazeke kuyo yonke indawo yesitho sangasese sowesifazane.

Ungaqala kanjani ukuzwa ubuhlungu endaweni yesitho sangasese sowesifazane?

Ubuhlungu bungaba:

• Kungenzeka ukuthi kwaqala ngokuzumayo futhi kwaphela ngokuzumayo izinyanga eziningi.
• Kungahlala izinyanga ngaphandle kokuyeka .
• Kungaqala ngokuzumayo ngaphandle kwesizathu esibonakalayo.
• Kungaqala lapho othile ekuthinta, lapho wenza ucansi, lapho uzivocavoca, lapho ugijima, lapho uhamba, lapho ufaka i-tampon, noma ngisho nalapho uhleli nje .

Noma yimuphi umsebenzi onjengalona ungabhebhethekisa noma yibuphi ubuhlungu besitho sangasese sowesifazane osunabo kakade.

Ziyini izimbangela ze-vulvodynia?

Abacwaningi abakayazi imbangela eqondile ye-vulvodynia, kodwa kunezinto ezimbalwa abacabanga ukuthi zingaba nomthelela kuyo:

• Ukuvuvukala
• Izici zama-hormone
• Izici zofuzo
• Izinkinga ze-neuropathic
• Ukusabela kwesikhathi eside ekuthelelekeni kwangasese ngaphambilini
• Ubuthakathaka noma ukuqaqamba kwemisipha yemisipha yephansi le-pelvic
• Ukungezwani komzimba noma ukucasuka okubangelwa imikhiqizo eqinile eyingozi esikhumbeni

Yiziphi ezinye izimo ezivame ukubonakala nge-vulvodynia?

Ngokuvamile, abantu abane-vulvodynia batholakala benesinye noma ngaphezulu salezi zimpawu zobuhlungu:

• I-Fibromyalgia
• Isifo sesinye esibuhlungu
• I-irritable bowel syndrome (IBS)
• Isifo se-temporomandibular (TMD) (ubuhlungu obuhlobene namalunga endaweni yomhlathi)

Ingabe ukucindezeleka nokukhathazeka kubangela i-vulvodynia?

Idatha ikhombisa ukuthi abantu abane-vulvodynia banamathuba amaningi okuba namazinga aphezulu okucindezeleka, umlando wokuxhashazwa esikhathini esidlule, kanye nezimo ezithile zempilo yengqondo . Isibonelo:

• Ukukhathazeka
• Ukucindezeleka
• Isifo sokucindezeleka ngemva kokucindezeleka (PTSD)

Kodwa-ke, kunzima ukusho ngqo ukuthi lezi zimo zihlobene kanjani ne-vulvodynia. Kungenzeka ukuthi ukuba nesimo sempilo yengqondo kwandisa ingozi yakho yokuthola i-vulvodynia. Noma, kungenzeka ukuthi umthelela omubi i-vulvodynia enawo empilweni yakho ukwenza kube lula ukuthi ube nokukhathazeka noma ukucindezeleka.

Itholakala Kanjani I-Vulvodynia?

Udokotela wakho uxilonga i-vulvodynia ngokukhipha ezinye izimo ezingase zibangele ubuhlungu bakho.

1. Umlando wezokwelapha kanye nezimpawu: Okokuqala, udokotela uzokubuza ngomlando wakho wezokwelapha, umlando wezocansi, kanye nokuhlinzwa okwenzile. Bazokubuza nangezimpawu zakho - ukuthi ubuhlungu bukuphi, ukuthi bunjani, ukuthi indawo yesitho sangasese sowesifazane ibuhlungu nini, nokuthi inzima kangakanani.

2. Ukuhlolwa ngokomzimba: Udokotela uzohlola izitho zakho zangasese zangaphandle (i-vulva). Uzophinde enze ukuhlolwa kwe-pelvic esebenzisa i-speculum ukuhlola isitho sakho sangasese sangasese kanye nesibeletho. Isibeletho siyindawo evulekile phakathi kwesitho sakho sangasese sangasese kanye nesibeletho. Uzophinde ahlole imisipha yakho yaphansi kwesibeletho ukuze abone noma yiziphi izindawo ezibuhlungu.

3. Ukuhlolwa kwe-cotton swab / ukuhlolwa kwengcindezi ye-point-pressure: Udokotela uthinta ngobumnene izindawo ezahlukene zesitho sakho sangasese sowesifazane nge-cotton swab bese ebuza ukuthi uzizwa nini (futhi kuphi) ubuhlungu. Lokhu kuhlolwa kuwusizo kakhulu ekuboneni ubuhlungu obutholakala endaweni eyodwa, eduze komgodi wesitho sangasese sowesifazane (i-vulvar vestibule).

4. Ama-swabs okuhlola ukutheleleka:Lezi zivivinyo zingasiza ekuvimbeleni izimo ezifana nezifo ezithathelwana ngocansi (STIs), i-bacterial vaginosis, kanye nezifo zemvubelo ezingabangela ubuhlungu esithweni sangasese sowesifazane.

Akuvamile kakhulu, udokotela wakho angayala i-colposcopy noma i-biopsy ukuze anqume ezinye izimo ezingahlobene ne-vulvodynia kodwa ezingase zibangele ubuhlungu bakho.

Iphathwa kanjani i-vulvodynia?

Ukwelashwa nge-Vulvodynia kuthatha isikhathi. Kungathatha ukuzama namaphutha ukuthola ukwelashwa noma inhlanganisela yokwelashwa okukusebenzelayo. Ngezinye izikhathi ukwelashwa okusebenzayo kungase kungasebenzi ngokushesha. Kubalulekile ukuba nesineke ngokwelashwa kwakho.

Ukwelashwa kungafaka:

• Imithi yokwelapha: Ungasebenzisa okhilimu bokubulala izinzwa kanye namafutha okugcoba ukuze uvale indawo yakho yesitho sangasese sowesifazane, noma ungasebenzisa okhilimu abaqinisa imizwa. Udokotela wakho angase futhi akunike okhilimu abaqukethe i-estrogen noma i-estrogen kanye ne-progesterone.
• Imithi yomlomo: Imithi efana nemithi yokucindezeleka kanye nemithi yokubulala izinzwa inganikezwa ngomlomo ukuze kuncishiswe ubuhlungu bemizwa.
• Ukuvinjwa kwemizwa: Udokotela wakho angase ancome umjovo ovimba izimpawu zobuhlungu ezivela emithanjeni yakho ukuthi zingathunyelwa ebuchosheni bakho.
• Ukwelashwa ngokomzimba: Ukwelashwa ngokomzimba kungasiza ekukhululeni ukuqina kwemisipha yakho yephansi le-pelvic (imisipha, imisipha, kanye nezicubu ezixhumeneyo e-pelvis yakho). Kungasiza futhi ekunciphiseni ukuqaqamba kwemisipha, okuvamile nge-vulvodynia. Ukwelashwa kungafaka ukwelula, ukwelula, kanye nokuqinisa imisipha yephansi le-pelvic ebuthakathaka.
• Ukuhlinzwa kwe-Vestibulectomy: Lokhu kuhlinzwa kuyasiza kubantu abane-vulvodynia yendawo abangazange basabele kwezinye izindlela zokwelapha ezivamile. Kulokhu kuhlinzwa, udokotela wakho ususa izicubu ezibuhlungu endaweni yakho yesitho sangasese sowesifazane.
• Ukwelulekwa: Ukwelulekwa komuntu ngamunye, ukwelulekwa kwemibhangqwana, noma ukwelashwa ngocansi kungakusiza ukuthi uthuthukise izindawo zempilo yakho ezithinteke kabi yi-vulvodynia, njengobudlelwano bakho bocansi.

Idatha elinganiselwe iphakamisa ukuthi i-acupuncture kanye ne-hypnosis kungasiza ekunciphiseni ubuhlungu obuhambisana ne-vulvodynia futhi kunqobe ukungasebenzi kahle kocansi.

Ungazilawula kanjani izimpawu ze-vulvodynia?

Imikhuba eminingi emihle oyilandelayo ukuze ugcine i-vulva yakho kanye nesitho sangasese sowesifazane kuphilile (ukunakekelwa kwe-vulvar) nakho kungasiza ngobuhlungu besitho sangasese sowesifazane.

Ungenza lezi zinto ukuze uphathe ubuhlungu:

• Geza nge-Epsom salt noma i-colloidal oatmeal.
• Sebenzisa insipho engenaphunga, emnene (noma amanzi nje) uma ugeza indawo yakho yesitho sangasese sowesifazane.
• Sebenzisa insipho yokuwasha izingubo engenaphunga futhi ethambile ukuze ugeze indwangu enamathele esithweni sakho sangasese sowesifazane.
• Gqoka izingubo zangaphansi ezigqokwe ngokotini kuphela emini bese ugqoka izingubo zangaphansi ebusuku.
• Faka ama-compress abandayo noma ama-gel packs endaweni yakho yesitho sangasese sowesifazane (ungawashiyi imizuzu engaphezu kwengu-15 ngesikhathi).
• Sebenzisa igrisi engenaphunga, engenaso isinongo, futhi engenazo izakhiwo zokupholisa noma zokufudumala ngesikhathi socansi.
• Uma kufanele uhlale isikhathi eside, sebenzisa i-“donut” ye-foam noma enye i-cushion ukuze unciphise ingcindezi endaweni yesitho sangasese sowesifazane.
• Lala ngokwanele (phakathi kwamahora angu-7-9) njalo ebusuku.
• Faka izindlela zokunciphisa ukucindezeleka kanye nokuphumula empilweni yakho yansuku zonke.

Gwema ukwenza lezi zinto:

• Ukugqoka amabhulukwe aqinile, amabhulukwe noma amabhulukwe ebhulukwe.
• Ukusebenzisa iphepha langasese elinephunga elimnandi, ama-tampon, ama-pad, noma ama-panty liners.
• Ukugqoka izingubo zokubhukuda ezimanzi noma izingubo zokuzilolonga ezijulukayo isikhathi eside kakhulu.
• Ukuhlanza noma ukusebenzisa izinto ezibangela ukucasuka njenge-deodorant kanye ne-bubble bath.
• Ukugibela ibhayisikili, ukugibela ihhashi, noma ezinye izivivinyo ezicindezela indawo yesitho sangasese sowesifazane .

Ingabe i-Vulvodynia ingavinjelwa?

Ngeshwa, ayikho indlela yokuvimbela i-vulvodynia.

Ingabe i-vulvodynia izoke iphele ngokuphelele?

Abukho ubufakazi obanele bokubikezela ukuthi i-vulvodynia yakho izothuthuka noma izophela nini yodwa (noma kanjani). Esikhundleni sokulinda nje, bona udokotela wakho ukuze aqale ukwelashwa okungakusiza.

Kufanele ubonane nini nodokotela mayelana ne-vulvodynia?

Uma unesihlungu esingapheli sangasese sowesifazane, bonana nomhlinzeki wakho wokunakekelwa oyinhloko noma udokotela wezifo zabesifazane. Kungathatha isikhathi ukuthola ukwelashwa okufanele. Ukwelashwa kungadinga indlela yokunakekelwa esekelwe eqenjini, njengodokotela wezifo zabesifazane, uchwepheshe wezokwelapha ngokomzimba, noma umeluleki. Uma usheshe uxhumane nalezi zinsiza, kulapho ungathola khona impumuzo ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza imibuzo efana nale:

• Yiziphi izivivinyo ezingenziwa ukuthola imbangela yobuhlungu bami?
• Yimiphi imisebenzi okufanele ngiyigweme engenza izimpawu zami zibe zimbi kakhulu?
• Ingabe i-vulvodynia yami ihlobene nesinye isimo enginaso?
• Yiziphi izinyathelo engingazithatha ukuze ngibe nokuphila kocansi okunempilo ngine-vulvodynia?
• Yimiphi imithi, izinqubo, noma izinguquko zendlela yokuphila ozincomayo njengokwelashwa?

Ungayilapha kanjani i-vulvodynia? Ingabe ikhona indlela yokuyiqeda ngokushesha?

Ngeshwa, i-vulvodynia akuyona into engelapheka ngobusuku obubodwa. Ukwelashwa okufanele wena kuzoncika embangela eyisisekelo yobuhlungu bakho. Imithi, ukwelashwa ngokomzimba, ukwelulekwa, kanye nokuhlinzwa konke kuyizixazululo ezingaba khona ezingakulethela ukukhululeka ebuhlungwini.

Uma udinga ukuqeda ubuhlungu ngokushesha, ungafaka umuthi wokubulala izinzwa endaweni yobuhlungu. Kodwa-ke, ukuze uqede ubuhlungu isikhathi eside, kungadingeka ukuthi usebenzisane nodokotela wakho ukuthola ukwelashwa okufanele noma inhlanganisela yokwelashwa.

Into ebaluleke kakhulu ukubona udokotela uma uzwa ubuhlungu endaweni yakho yesitho sangasese sowesifazane. Kungabangelwa yisifo esithile noma yi-vulvodynia. Kodwa-ke, kunezindlela zokwelapha ezingakusiza. Ekuqaleni, kungathatha isikhathi ukuthola ukwelashwa okukulethela impumuzo. Izindlela zokwelapha ezisebenzela omunye umuntu zingase zingakusebenzeli. Kodwa-ke, uma uqala ngokushesha ukufuna izindlela zokwelapha, kungcono kuwe. Ungahlupheki ngobuhlungu ngokungadingekile, futhi ungabeki inhlalakahle yakho engozini!

Isifinyezo (Umyalezo Wokuya Nawe Ekhaya)

I-Vulvodynia ubuhlungu obungapheli, obungachazeki endaweni yesitho sangasese sabesifazane. Bungaba nomthelela omkhulu empilweni yansuku zonke nasempilweni yengqondo. Ngokuhlonza kahle nokwelashwa kwesiguli, lesi simo singalawulwa. Uma unalezi zimpawu, ungabi namahloni noma wesabe. Funa usizo lwezokwelapha ngokushesha okukhulu. Khumbula, awuwedwa, futhi usizo luyatholakala.

I- Vulvodynia, ubuhlungu besitho sangasese sowesifazane, impilo yabesifazane, ubuhlungu obungapheli, ubuhlungu bocansi, i-vulva, i-gynecology