He aha te Vulvodynia? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te vulvodynia te mamae roa i roto i te vulva (te wāhi wahine o waho) e roa ana mo te toru marama iti rawa atu, kāore he take hauora mārama. Ka taea e tēnei āwangawanga tonu te āhua o te tahunga, te wero, te ngau rānei, ā, e pā ana ki te mano o ngā wāhine puta noa te ao.

Kāore koe i te kotahi anake mēnā kei te pāngia koe e te mamae vulvar kāore i te whakamārama. Ahakoa ka raruraru pea te vulvodynia, ā, ka wero pea ngā kare-a-roto, he āhuatanga hauora tēnei e mohiotia ana, ā, he maha ngā huarahi whakaora whai hua kei te wātea.

He aha te vulvodynia?

Ko te vulvodynia he mate mamae e pā ana ki te vulva, tae atu ki ngā labia, te clitoris, me te waha o te tara. Ka puta te mamae kāore he tohu o te mate, te mate kiri, tetahi atu āhuatanga hauora rānei e taea te tautuhi.

Kāore tēnei āhuatanga i puta mai i te kore o te horoi, i ngā mate e horapa ana i te taangata, tetahi mea rānei i he koe. He āhuatanga hauora pono tēnei e taea te whanake i tetahi tau, ahakoa ka puta mai i waenga i ngā tau taiohi me ngā tekau tau e wha tekau.

Ka taea te mamae tonu, te whakaoho rānei e te pa, ā, ka pā pea ki ō mahi o ia rā, ngā hononga, me te kounga o te ora. Ko te whakaaro he āhuatanga hauora pono tēnei ko te waahanga tuatahi nui ki te tiki i te awhina e hiahia ana koe.

He aha ngā tohu o te vulvodynia?

Ko te tohu matua ko te mamae vulvar tonu e rerekē ana i te āwangawanga noa. He maha ngā wāhine e whakaahua ana i te āhua o te ngau tonu o te vulva, te whara rānei.

Ko ēnei ngā tohu tino noa ka pāngia koe:

• Te tahunga, te wero rānei i te wāhi vulvar
• Te āhua ngau, te mamae rānei, me te āhua o te tahunga kino
• Te mamae pupuhi, te mamae rānei
• Te mamae i te wā, i muri rānei i te taangata
• Te āwangawanga i te wā e whakauru ana i ngā tampons
• Te mamae i te wā e noho ana, inā koa i runga i ngā papa mārō
• Te piki o te ngawari ki te pa, ki te pēhanga rānei
• Te mamae e kino ake ana me ngā kakahu pīpī

Ka taea te rerekē o te kaha mai i te āwangawanga iti ki te mamae nui e āwangawanga ana i ngā mahi o ia rā. Ko ētahi wāhine e pāngia ana e te mamae tonu, ko ētahi atu ka kite noa i te wā e pa ana te wāhi, i ngā mahi motuhake rānei.

He aha ngā momo vulvodynia?

Ka wehewehe ngā tākuta i te vulvodynia ki ngā momo e rua e hangai ana ki te wā me te wāhi e puta mai ai te mamae. Ko te mārama ki tō momo motuhake ka āwhina i ngā whakatau maimoatanga.

Ko te vulvodynia whānui e puta ai te mamae puta noa i te wāhi vulvar katoa. Ko tēnei momo e whakauru pinepine ana i te tahunga tonu, te mamae rānei kāore e hiahia kia pa ki te whakaoho. Ka taea te rerekē o te āwangawanga i te rā, engari kāore e ngaro rawa.

Ko te vulvodynia rohe e pā ana ki ngā wāhi motuhake o te vulva. Ko te momo tino noa ko te vestibulodynia, e puta ai te mamae i te taha o te waha o te tara (vestibule). Ko tēnei mamae e puta ana i te wā e pa ana te wāhi, i ngā mahi penei i te taangata, te whakauru rānei i ngā tampons.

Ko ētahi wāhine e pāngia ana e ngā momo e rua i te wā kotahi, tetahi momo rānei ka whanake i muri i tetahi atu. Ka taea e tō kaiwhakarato hauora te whakatau i te momo kei a koe mā te whakamātautau mā te kōrero hohonu ki ō tohu.

He aha ngā take o te vulvodynia?

Kāore i te mārama te take tika o te vulvodynia, engari e whakapono ana ngā kairangahau ka whanake mai i te whakakotahitanga o ngā take, kāore i te whakaoho kotahi. Kāore tō mamae i puta mai i te mate, te mate e horapa ana i te taangata rānei.

He maha ngā take ka āwhina ki te whanake i te vulvodynia:

• Te kino o ngā io, te piki rānei o te ngawari o ngā io i te wāhi vulvar
• Ngā huringa homoni, inā koa ngā taumata estrogen iti
• Ngā take ira e pā ana ki te kite i te mamae, te mumura rānei
• Ngā mate o mua ka taea te whakaoho i ngā io
• Ngā whakautu autoimmune e puta ai te mumura
• Te pēhanga uaua i te papa pelvic
• Te whara o mua, te whara rānei ki te wāhi vulvar
• Ētahi rongoā e pā ana ki te mahi io

I ētahi wā, ka taea te whanake i te vulvodynia i muri i ngā mate huhu maha, ahakoa i muri i te whakaora i ngā mate. Ka taea e te ngau tuatahi te whakaoho i te ngawari o ngā io roa e mau tonu ana te mamae.

He mea nui kia mōhio kāore te vulvodynia e horapa, kāore hoki i puta mai i te kore o te horoi, te whāinga taangata rānei. Ka taea e tēnei āhuatanga te pā ki ngā wāhine o ngā papamuri me ngā oranga katoa.

Nōhea te haere ki te tākuta mō te vulvodynia?

Me haere koe ki te kaiwhakarato hauora mēnā kei te pāngia koe e te mamae vulvar kāore i te whakamārama e roa ana i te toru wiki neke atu. Ka taea e te aromatawai me te maimoatanga wawe te aukati i te āhuatanga mai i te pā kino ki tō kounga o te ora.

Rapua te awhina hauora mēnā ka kite koe i ngā āwangawanga tahunga, wero, ngau rānei i tō wāhi vulvar. Kaua e tatari kia kaha te mamae i mua i te tiki awhina, i te mea ko te maimoatanga wawe e ārahi pinepine ana ki ngā hua pai ake.

Whakaritea he hui mēnā ka āwangawanga te mamae i ngā mahi o ia rā penei i te noho, te whakakori tinana, te kakahu rānei i ētahi kakahu. Ko ngā raruraru taangata, te kore rānei e taea te whakamahi i ngā tampons he take nui hoki hei korero ki te kaiwhakarato hauora.

Kia mahara pea kāore ngā kaiwhakarato hauora katoa e mohio tonu ki te vulvodynia. Kaua e pouri mēnā ka hiahia te tākuta tuatahi e kite ana koe ki te rapu i tō āhuatanga, ki te tuku atu rānei koe ki te tohunga.

He aha ngā take morearea mō te vulvodynia?

Ahakoa ka taea e tetahi wahine te whanake i te vulvodynia, he maha ngā take ka piki ake tō tūmanako ki te pāngia e tēnei āhuatanga. Ka taea e te mārama ki ēnei take morearea te awhina i a koe ki te mohio ki ngā whakaoho pea.

Ko ngā take morearea noa e whakauru ana:

• Te hītori o ngā mate tara maha, inā koa ngā mate huhu
• Ngā huringa homoni i te wā o te menopause, te whāngai u rānei
• Te whara o mua, te whara rānei ki te vulva
• Te whakaaro ira ki te ngawari ki te mamae
• Ētahi āhuatanga autoimmune
• Ngā taumata ahotea teitei, te manukanuka rānei
• Te hītori o te tukino taangata, te mamae rānei
• Te kore mahi o ngā uaua papa pelvic

Ko ētahi take morearea iti ake e whakauru ana i ētahi rongoā, inā koa te whakamahinga roa o ngā rongoā mate huaketo, me ngā rerekētanga ira motuhake e pā ana ki te tukatuka o tō tinana i ngā tohu mamae.

Ko te whai i ēnei take morearea kāore e tikanga ka whanake koe i te vulvodynia. He maha ngā wāhine e whai ana i ngā take morearea maha kāore e pāngia e tēnei āhuatanga, ko ētahi atu ka whanake i te koretake o ngā take morearea.

He aha ngā raruraru pea o te vulvodynia?

Ahakoa kāore te vulvodynia i te kino, ka taea e te mamae tonu te ārahi ki ngā raruraru maha e pā ana ki tō oranga tinana me tō ngākau. Ko ēnei pānga tuarua e hiahia pinepine ana ki te aro i te wā e whakaora ana i te mamae matua.

Ka taea te whanake i ngā raruraru tinana i te wā:

• Te pēhanga uaua papa pelvic mai i te tiaki i te mamae
• Ngā mate tuarua mai i ngā tikanga horoi rerekē
• Ngā raru moe na te āwangawanga tonu
• Te heke o te mahi tinana me te manawanui whakakori tinana
• Te kore mahi taangata me te taangata mamae

He mea nui te whakahaere i ngā raruraru ngākau me ngā hinengaro. Ka taea e te mamae roa te ārahi ki te manukanuka, te pouri, me ngā kare-a-roto o te motu. He maha hoki ngā wāhine e pāngia ana e te ngoikoretanga o te hononga me te heke o te kounga o te ora.

Ko te rongo pai ko te maimoatanga tika ka taea te awhina i te aukati, te whakahoki rānei i ēnei raruraru maha. Ko te mahi tahi me ngā kaiwhakarato hauora e mārama ana ki te vulvodynia ka taea te awhina i a koe ki te whakahaere i te mamae me ō pānga tuarua.

Me pēhea te aukati i te vulvodynia?

Aroha mai, kāore he huarahi kī hei aukati i te vulvodynia, i te mea kāore i te tino mārama ōna take. Engari, ka taea e ētahi mahi te awhina i te whakaiti i tō morearea ki te whanake i tēnei āhuatanga.

Ko te pupuri i te hauora vulvar pai e whakauru ana i ngā mahi tiaki ngawari. Whakamahia ngā hautai ngawari, kāore he kakara, ā, karohia ngā matū kino, ngā hua kakara rānei i te wāhi genital. Kōwhiria ngā kakahu kotonu manawa pai, ā, karohia ngā kakahu pīpī i te wā e taea ana.

Ka taea e te whakahaere i ngā mate te awhina i te aukati i te ngawari o ngā io. Whakaorangia ngā mate huhu me ētahi atu mate tara tere, tino rite ki ngā tohutohu a tō kaiwhakarato hauora.

Ko ētahi wāhine e kite ana ko te whakahaere i te ahotea mā ngā tikanga whakahaerenga, te whakakori tinana, me te moe pai ka taea te awhina i te aukati i ngā mamae. Ahakoa kāore ēnei rautaki e taea te whakamana i te aukati, ka tautokohia e rātou te hauora whānui, ā, ka taea te whakaiti i tō morearea.

Me pēhea te tautuhi i te vulvodynia?

Ko te tautuhi i te vulvodynia e whakauru ana i te whakakore i ētahi atu āhuatanga ka taea te puta mai i ngā tohu rite. Ka mahi tō kaiwhakarato hauora i te aromatawai hohonu hei whakau i tēnei tautuhi.

Ko te tukanga tautuhi e tīmata pinepine ana me te hītori hauora hohonu. Ka ui tō tākuta ki ō tohu, te wā i tīmata ai, ngā mea e whakaoho ana i te mamae, me ngā maimoatanga kua whakamātauhia e koe.

Ka whai te whakamātautau tinana, i te wā e tirotirohia ai e tō kaiwhakarato tō wāhi vulvar. Ka taea e rātou te whakamahi i te swab kotonu hei pa ngawari ki ngā wāhi rerekē hei tautuhi i te wāhi e mamae ana koe, hei whakatau rānei i te tauira o te ngawari.

Ka mahi pea tō tākuta i ngā whakamātautau hei whakakore i ngā mate, tae atu ki ngā tikanga mō ngā huaketo me ngā huhu. Ka taea hoki e rātou te whakamātautau mō ngā mate e horapa ana i te taangata hei whakarite kāore ēnei e puta mai i ō tohu.

I ētahi wā, ka tūtohutia pea e tō kaiwhakarato he biopsy vulvar mēnā ka kite rātou i ētahi huringa kiri rerekē. Engari, he iti rawa te hiahia o tēnei mō te tautuhi i te vulvodynia noa.

He aha te maimoatanga mō te vulvodynia?

Ko te maimoatanga mō te vulvodynia e whakauru pinepine ana i te whakakotahitanga o ngā huarahi e hangai ana ki ō tohu me ō hiahia motuhake. He maha ngā wāhine e kite ana i te whakaora mā te mahere maimoatanga maha-momo i whakawhanakehia me ō kaiwhakarato hauora.

Ko ngā maimoatanga topical te raina tuatahi o te rongoā. Ka taea e tō tākuta te tuhi i ngā kiri whakahaumaru e whakauru ana i te lidocaine, ngā rongoā whakakotahi rānei e whakakotahi ana i ngā kaiwhakaora mamae. Ka taea e ēnei te hoatu i te whakaora tere mō te maha o ngā wāhine.

Ka taea e ngā rongoā waha te awhina i te whakahaere i te mamae e pā ana ki ngā io. Ka taea te tūtohutia ngā antidepressants tricyclic, ngā anticonvulsants penei i te gabapentin, ngā poraka io rānei. Ko ēnei rongoā e mahi ana mā te whakarereke i te tukatuka o ō io i ngā tohu mamae.

Ka tino awhina te whakaora tinana, inā koa te whakaora tinana papa pelvic. Ka taea e te kaitiaki motuhake te whakaako i a koe i ngā whakakori hei whakahaere i ngā uaua pīpī, hei whakapai rānei i te rere o te toto ki te wāhi e pāngia ana.

Ko ētahi whiringa maimoatanga mō ngā take nui ake e whakauru ana:

• Ngā poraka io, ngā whakaurunga tohu tohu rānei
• Ngā maimoatanga interferon e whakamahia ana i runga i te topical
• Ngā whakaurunga Botox mō te whakahaerenga uaua
• Te tango pokanga o te kiko e pāngia ana (vestibulectomy) i ētahi wā

Ka taea hoki e ngā rongoā tātai penei i te acupuncture, te biofeedback, te rongoā whanonga mohio rānei te hoatu i te whakaora. He maha ngā wāhine e whai hua ana i te whakakotahitanga i ngā maimoatanga hauora noa me ēnei huarahi tāpiri.

Me pēhea te whakahaere i te vulvodynia i te kāinga?

Ka taea e ngā rautaki tiaki-whaiaro te whakakotahi i te maimoatanga hauora, te awhina rānei i a koe ki te whakahaere i ngā tohu vulvodynia i ia rā. Ka taea e ēnei huarahi ngawari te hoatu i te wāhakore, ā, ka taea te aukati i ngā mamae.

He mea nui ngā mahi horoi ngawari mō te whakahaere i ngā tohu. Whakamahia te wai noa, te hautai ngawari rānei, kāore he kakara hei horoi i te wāhi vulvar. Patuhia te wāhi maroke mā te ngawari, kaua e wiri, ā, whakaarohia te whakamahi i tetahi whakamahana makawe i runga i te taumata makariri mēnā he āwangawanga te patu.

Kōwhiria ngā kakahu me ngā hua mā te ata whakaaro hei whakaiti i te ngau. Kakahu kakahu huruhuru, manawa pai, me ngā kakahu kotonu 100%. Karohia ngā whakamāramarama kakahu, ngā hautai horoi kakahu kakara, me ētahi hua tiaki whaiaro me ngā kakara, ngā matū kino rānei.

Ka taea e ngā tikanga whakahaere mamae te hoatu i te whakaora o ia rā:

• Whakamahia ngā kāpeka makariri, ngā peihana huka rānei i tāia ki te kahu ngawari
• Tangohia ngā kaukau mahana me te wai noa, te paura tunutunu rānei
• Whakamahia he moenga porowhita i te wā e noho ana
• Whakamahia ngā tikanga whakahaerenga penei i te manawa hohonu
• Whakamahia ngā rongoā topical kua tuhia rite ki ngā tohutohu
• Moe kāore he kakahu hei whakaiti i te wiri

He mea nui te whakahaere ahotea, i te mea ka taea e te ahotea te whakaiti i te mamae. Ko te whakakori tinana noa i roto i tō taumata wāhakore, te moe pai, me ngā mahi whakaiti ahotea ka taea te awhina i te wawahi i te huringa mamae-ahotea.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui ka taea te awhina i te whakarite ka whiwhi koe i te tautuhi tika me te mahere maimoatanga whai hua. Ko te whakarite pai ka awhina hoki i a koe ki te pai ake te whakawhirinaki i te wā e kōrero ana pea.

Pupurihia he raarangi tohu hohonu mō ngā wiki maha i mua i tō hui. Tuhia te wā e puta mai ai te mamae, tō kaha i runga i te tauine 1-10, ngā mea e whakaoho ana, me ngā mea e hoatu ana te whakaora. Ka awhina tēnei mōhiohio i tō tākuta ki te mārama ki tō tauira tohu motuhake.

Tuhia ngā rongoā, ngā taapiri, me ngā maimoatanga katoa kua whakamātauhia e koe, tae atu ki ngā hua-a-te-kāinga. Kia mōhio ki ēhea i awhina, ēhea i kino ake ai ngā tohu, me ētahi pānga taha i pāngia koe.

Whakaritea he rārangi o ngā pātai hei ui ki tō tākuta:

• He aha ngā whakamātautau e hiahia ana ahau ki te whakau i te tautuhi?
• He aha ngā whiringa maimoatanga kei te wātea mō tōku momo vulvodynia motuhake?
• E hia te roa ka kite ai au i te whakapai?
• He mahi kei te hiahia ahau ki te karo, ki te whakarereke rānei?
• Nōhea ahau e whai ake ai, e rapu rānei i te awhina atu?

Whakaarohia te kawe mai i tetahi hoa whakawhirinaki, te whānau rānei mō te tautoko ngākau. Ko te whai i tetahi ki a koe ka taea te awhina i a koe ki te mahara ki ngā mōhiohio nui, ki te pai ake te whakawhirinaki i te wā o te whakamātautau.

He aha te mea nui mō te vulvodynia?

He āhuatanga hauora pono, whakaorahia te vulvodynia e pā ana ki te maha o ngā wāhine. Ahakoa ka raruraru pea, ka wero pea ngā kare-a-roto, he take kei a koe ki te tumanako ki te kite i te whakaora.

Ko te mea nui rawa kia mahara kāore koe i te kotahi anake, kāore hoki tēnei i tō he. He maha ngā wāhine e whakahaere ana i ngā tohu vulvodynia, e hoki ana ki ngā oranga wāhakore, mahi rānei me te maimoatanga tika me te tautoko.

He mea nui te mahi tahi me ngā kaiwhakarato hauora mohio mō te whakawhanake i te mahere maimoatanga whai hua. Kaua e mutu mēnā kāore te maimoatanga tuatahi e mahi pai, i te mea ko te kimi i te whakakotahitanga tika e hiahia ana ki te wā me te manawanui.

Kia mahara ko te whakahaere i te vulvodynia he tukanga whakaritea i te whakaora tere. Ka taea e ngā whakapaitanga iti te hanga i te wā ki te whakaora nui, na reira kia whakanuia te whakapai ahakoa he puhoi.

Ngā pātai e ui pinepinetia ana mō te vulvodynia

E horapa ana te vulvodynia i te taangata?

Kāore, kāore te vulvodynia e horapa i te taangata, kāore hoki e horapa. Kāore e taea e koe te hopu, te tuku rānei ki te hoa taangata. Ahakoa ka whanake ētahi wāhine i te vulvodynia i muri i ngā mate, kāore te āhuatanga i puta mai i ngā huaketo, ngā huaketo, ngā kaiwhakaoho mate rānei.

Ka taea te ngaro ake te vulvodynia?

Ahakoa ka pāngia ētahi wāhine e te whakapaitanga noa, kāore te vulvodynia e ngaro rawa atu me te kore maimoatanga. Ko te whakauru wawe e ārahi pinepine ana ki ngā hua pai ake, na reira he mea nui kia rapu awhina hauora i te mea kei te tumanako koe ka ngaro ngā tohu.

Ka taea e au te whai hononga taangata noa me te vulvodynia?

He maha ngā wāhine e whai ana i te vulvodynia ka taea te pupuri i ngā hononga taangata pai me te maimoatanga tika me te kōrero ki ō hoa. Ko te maimoatanga e whakaiti pinepine ana i te mamae i te wā o te taangata, ā, ko te mahi tahi me tō hoa hei kimi i ngā huarahi wāhakore ka taea te awhina i te pupuri i te hononga.

E pā ana te vulvodynia ki te hua, ki te hapu rānei?

Kāore te vulvodynia e pā ki tō kaha ki te hapu, ki te kawe rānei i te hapu ki te wā. Engari, ka hiahia pea ki te whakarereke i ētahi maimoatanga i te wā o te hapu, na reira korerohia tō āhuatanga ki tō tohunga obstetrician mēnā kei te whakaaro koe ki te hapu, kei te hapu rānei koe.

E hia te roa o te maimoatanga vulvodynia hei mahi?

He rerekē te whakautu maimoatanga i waenga i ngā wāhine. Ko ētahi e kite ana i te whakapai i roto i ngā wiki, ko ētahi atu ka hiahia pea ki ngā marama maha hei kite i te whakaora nui. Ko te nuinga o ngā maimoatanga whai hua e hiahia ana ki te 6-12 wiki iti rawa atu o te whakamahinga tonu i mua i te taea te aromatawai tino o ō hua.