Chii chinonzi Vaginal Atrophy? Zviratidzo, Zvinokonzera, & Kurapa

Vaginal atrophy ndipo panenge masvingo emuviri wemukadzi achiita madiki, ooma, uye asingachachinji-chinji nekuda kwekuderera kwemazinga eestrogen. Iyi chirwere chinowanzoitika chinotapura vakadzi vazhinji, kunyanya panguva uye mushure memenopause, asi chinorapika zvachose uye hapana chikonzero chekunzwa kunyara nezvazvo.

Fungidzira estrogen se shamwari yepamusoro yetsinga dzemukadzi wako. Kana mazinga eestrogen akaderera, tsinga dzakapfava dzinotadza hunyoro hwavo uye kugona kwavo kuchinja, sezvinoita ganda rinogona kuoma nemakore. Izvi hazvisi chiratidzo chechinhu chiri kukanganisa iwe—iri kungova muviri wako uchibvumirana nekuchinja kwehomoni.

Ndeapi zviratidzo zvevaginal atrophy?

Zviratidzo zvevaginal atrophy zvinoonekwa zvishoma nezvishoma uye zvinogona kusiyana kubva kumunhu kuenda kune mumwe munhu. Ungacherechedza kuchinja kwakati usati waona vamwe, uye izvozvo zvakajairika zvachose.

Heano zviratidzo zvakajairika zvaunogona kuona:

• Kuuma kwemukadzi kunonzwa kusagadzikana kana kusingaperi
• Kupisa kana kunzwa kurwadziwa munzvimbo yemukadzi
• Kurwadziwa kana kusagadzikana panguva yechibereko
• Kubuda ropa kwakapfava mushure mekuita zvepabonde
• Kutsamwa kana kukwenya kutenderera muromo wemukadzi
• Kunzwa sekunge unoda kuenda kunzvimbo yekushambidza kazhinji kazhinji
• Kupisa kunzwa panguva yekushambidza
• Kuwanikwa kwezvirwere zve urinary tract

Vakadzi vamwe vanonzwawo kuti muromo wemukadzi wavo unonzwa wakasimba kana kuti wakadzikira kupfuura kare. Kubuda kwemukadzi kunogona kudzikira zvakanyanya, uye tsinga dzinogona kuoneka dzakapfava kana kuti dzakatetepa. Kuchinja uku kunoitika nekuti masvingo emukadzi ari kurasikirwa nehupamhi hwavo hwakajairika uye kugona kwavo kuchinja.

Zvakakosha kucherechedza kuti zviratidzo zvinogona kusiyana kubva pakaderera kusvika pakukonzera dambudziko. Haufaniri kuona zviratidzo zvese izvi kuti uve nevaginal atrophy, uye kuva nechimwe kana maviri zvinoramba zvichinakidza kukurukura nachiremba wako.

Chii chinokonzera vaginal atrophy?

Vaginal atrophy inoitika kunyanya nekuda kwekuderera kwemazinga eestrogen mumuviri wako. Estrogen ndiyo homoni inoramba tsinga dzemukadzi wako dzakagwinya, dzakanyorova, uye dzakapfava.

Chikonzero chakajairika ndechemenopause, ingave yakasikwa kana kuti yakakonzerwa nekurapwa kwemishonga. Panguva yekuchinja uku, maovari ako anoburitsa estrogen shoma, zvichikonzera kuchinja kwetsinga kwaunogona kuona.

Heano mamiriro makuru anogona kutanga vaginal atrophy:

• Menopause yakasikwa (inowanzoitika pakati pemakore makumi mana nemakumi mashanu)
• Kubviswa kwemaovari ese nekuvhiya
• Chemotherapy kana radiation therapy yekurapa kenza
• Mishonga yakati inodzivirira kuburitswa kweestrogen
• Kufema (nekuda kwemazinga eestrogen akaderera kwenguva pfupi)
• Mamwe marudzi ekudzora kuberekana ehormonal
• Kurapwa kweanti-estrogen kenza yemabwe

Zvishoma, zvimwe zvirwere zve autoimmune kana zvinhu zvemajini zvinogona kukanganisa mazinga eestrogen. Vakadzi vamwe vanogonawo kuona vaginal atrophy kana vakaita premature ovarian failure, apo maovari anorega kushanda vasati vava nemakore makumi mana.

Nguva uye kukomba kwezviratidzo zvinogona kusiyana zvikuru pakati pevakadi. Vamwe vanoona kuchinja mukati memwedzi mishoma mushure mekupinda menopause, nepo vamwe vasingaone zviratidzo zvakakomba kwemakore.

Rini unofanira kuona chiremba nekuda kwevaginal atrophy?

Unofanira kufunga nezvekuona chiremba wako kana zviratidzo zvevaginal zvichitadzisa kugadzikana kwako kana kuti hupenyu hwako hwakanaka. Hapana chikonzero chekusununguka kana kunzwa kunyara nezvekutaura nezvezvinetso izvi.

Zvakakosha zvikuru kuronga musangano kana uri kuona kuita zvepabonde kunorwadza kunoshanduka nemafuta ekutengesa. Chiremba wako anogona kukubatsira kuona nzira yakanakisa yekurapa mamiriro ako chaiwo.

Tsvaka rubatsiro rwekurapa nekukurumidza kana ukaona:

• Kubuda ropa kwemukadzi kwasingawanzoitika, kunyanya mushure memenopause
• Kurwadziwa kwenguva refu kwepelvic kana kuti kumanikidzwa
• Kuwanikwa kwezvirwere zve urinary tract
• Kupisa kwakanyanya kana kurwadziwa kunokanganisa mabasa ezuva nezuva
• Kubuda kwemukadzi chero kupi nekukura kwakasimba kana ruvara rusingawanzoitika

Yeuka, vaginal atrophy chirwere chekurapa chine kurapwa kwakakosha kuripo. Chiremba wako akaona izvi kakawanda kare uye anogona kupa mhinduro dzakagadzirirwa zvinodiwa nemafaro ako.

Ndeapi njodzi dzevaginal atrophy?

Zvinhu zvakati zvinogona kuwedzera mukana wako wekuwana vaginal atrophy kana kuita kuti zviratidzo zvive zvakakomba. Kunzwisisa njodzi idzi kunogona kukubatsira kugadzirira uye kutsvaka kurapwa kwakakodzera.

Njodzi huru ndeye chero mamiriro anoita kuti mazinga eestrogen adzikire mumuviri wako. Izvi zvinoita kuti menopause ive njodzi huru, asi zvimwe zviitiko zvakawanda zvinogona kuitawo basa.

Heano njodzi huru dzaungafanira kuziva:

• Kuva mushure memenopause (kwenguva yakareba kubva pamenopouse, njodzi yakakura)
• Kuva wakabviswa maovari nekuvhiya
• Kusambobereka mwana nemuviri wemukadzi
• Kusvuta (izvo zvinogona kukanganisa mazinga eestrogen uye ropa rinoyerera)
• Kushaiwa kwekuita zvepabonde kwenguva yakareba
• Kutora mishonga yakati senge antihistamines kana antidepressants
• Kuita kurapwa kenza kunokanganisa mazinga ehormone

Mamwe njodzi dzisingawanzoitika dzinosanganisira kuva nezvirwere zvakati zve autoimmune kana kunetseka kwakanyanya, izvo zvinogona kukanganisa kuburitswa kwehomoni. Vakadzi vakaita menopause isati yasvika kana kuti primary ovarian insufficiency variwo panjodzi yakakura.

Kuva nenjodzi imwe kana kupfuura hazvirevi kuti uchave nevaginal atrophy, asi zvinoreva kuti kucherechedza zviratidzo uye kukurukura nezvezano rekudzivirira nachiremba wako kungabatsira.

Ndeapi matambudziko anogona kuitika e vaginal atrophy?

Kunyangwe vaginal atrophy pachayo isiri ngozi, kuisiya isina kurapwa kunogona kutungamirira kumatambudziko anokanganisa kugadzikana kwako uye hupenyu hwako hwese. Mashoko akanaka ndeakuti matambudziko mazhinji anogona kudzivirirwa nekurapwa kwakakodzera.

Matambudziko akajairika anosanganisira hutano hwako hwemukadzi nehwepabonde. Kana tsinga dzemukadzi dzichiita madiki uye dzikaoma, dzinotambura zviri nyore kukuvara uye kuzara.

Heano matambudziko aunofanira kuziva:

• Kuwanikwa kwezvirwere zve urinary tract nekuda kwekuchinja munzvimbo yemukadzi
• Njodzi yakawedzera yezvirwere zvemuviri wemukadzi
• Kuita zvepabonde kunorwadza kunogona kuipa nekufamba kwenguva
• Kuparara duku kana kubuda ropa panguva yechibereko
• Vaginal stenosis (kuomarara kwemukadzi)
• Kudzikira kwekunakirwa kwepabonde uye matambudziko ekushamwaridzana
• Urinary incontinence kana kuwedzera kwekukurumidza

Muitiro usingawanzoitika, vaginal atrophy yakakomba inogona kutungamirira kune kuomarara kwakanyanya kwemuromo wemukadzi, zvichiita kuti bvunzo dzevakadzi kana kuita zvepabonde zvive zvakaoma kana kuti zvisingaiti. Ndosaka kurapwa kwekukurumidza kwakakosha kwazvo.

Kukanganisa kwepfungwa hakufaniri kuregererwawo. Vakadzi vazhinji vanonzwa kusava nechivimbo kana kunetseka nezvekushamwaridzana kana vachinetseka nevaginal atrophy isina kurapwa. Kugadzirisa zviratidzo zvemuviri kazhinji kunobatsira kuvandudza hutano hwepfungwawo.

Vaginal atrophy inoziviswa sei?

Kuziva vaginal atrophy kazhinji kunosanganisira bvunzo yakareruka uye kukurukura nachiremba wako. Maitiro acho anowanzoita nekukurumidza uye haana kurwadza kana achiitwa nemumwe munhu ane ruzivo.

Chiremba wako anotanga nekubvunza nezvezviratidzo zvako, nhoroondo yekurapa, uye mishonga ipi yaunotora. Kukurukura uku kunovabatsira kunzwisisa mamiriro ako chaiwo uye kubvisa zvimwe zvinokonzera.

Maitiro ekurapa kazhinji anosanganisira:

• Bvunzo yepelvic kuongorora hupamhi hwetsinga dzemukadzi uye hunyoro
• Kuongorora pH level yekubuda kwemukadzi
• Kutarisa sampuli yetsinga dzemukadzi pasi pe microscope
• Kuongorora ropa kuongorora mazinga ehormone kana zvichidiwa
• Kuongorora weti kana uri kuona zviratidzo zve urinary

Panguva yebvunzo yepelvic, chiremba wako achaongorora masvingo emukadzi zvinyoro nyoro, achitsvaka zviratidzo senge tsinga dzakatetepa, kudzikira kwekugona kuchinja, kana ruvara rwakapfava. Vangangotarisawo chero kuparara duku kana nzvimbo dzakatsamwa.

Muitiro wakati, chiremba wako anogona kukurudzira bvunzo dzakawedzerwa kubvisa zvirwere kana kuti zvimwe zvinhu zvinogona kukonzera zviratidzo zvakafanana. Maitiro ese ekurapa akagadzirirwa kuva akasununguka sezvinobvira panguva yekuwana ruzivo rwakakosha pakurapwa kwakakodzera.

Kurapa kwevaginal atrophy ndekupi?

Kurapa kwevaginal atrophy kunotarisa pakudzosa hunyoro uye kugona kuchinja kune tsinga dzemukadzi panguva yekubvisa zviratidzo zvako. Mashoko akanaka ndeakuti zvimwe zvinhu zvekurapa zvinobudirira zviripo, uye vakadzi vazhinji vanoona kubatsirwa kukuru.

Chiremba wako acashanda newe kusarudza nzira yakanakisa yekurapa zvichibva pazviratidzo zvako, hutano hwese, uye zvaunoda. Kurapa kunogona kusiyana kubva pakuchinja kwakapfava kwemararamiro kusvika kumishonga inorayirwa.

Heano zvinhu zvikuru zvekurapa zviripo:

• Vaginal moisturizers inoshandiswa nguva dzose kuchengetedza hunyoro hwetsinga
• Mafuta emvura kana silicone-based ekushandisa panguva yechibereko
• Low-dose vaginal estrogen therapy (creams, tablets, kana rings)
• Oral hormone replacement therapy mune zvimwe zviitiko
• DHEA suppositories kune vakadzi vakapfuura menopause
• Laser therapy kana kuti mamwe kurapwa kwesimba
• Kuita zvepabonde nguva dzose kana kushandisa vaginal dilators

Vaginal estrogen therapy kazhinji ndiyo kurapwa kwakanyanya kubudirira nekuti kunogadzirisa chaicho chikonzero. Kurapwa uku kunopa estrogen shoma zvakananga kune tsinga dzemukadzi nekushomeka kwakanyanya kunyorwa muropa.

Kune vakadzi vasingakwanisi kana kuti vasingadi kushandisa estrogen, sarudzo dzisingashandisi homoni senge moisturizers uye mafuta nguva dzose anogona kupa kubatsirwa kukuru. Mamwe kurapwa matsva, senge vaginal laser therapy, anoratidza tariro asi angave asina kuvharwa neinshurensi.

Chiremba wako anogona kukurudzira kutanga nezvinhu zvakapfava zvekutanga uye kuenderera kune zvimwe zvinhu kana zvichidiwa. Kurapwa kwakawanda kunoratidza kuvandudzika mukati memavhiki mashoma kusvika kumwedzi mishoma yekushandisa kwenguva dzose.

Nzira yekutungamira sei vaginal atrophy pamba?

Zvimwe zano rekutarisira pamba zvinogona kubatsira kutungamira zviratidzo zvevaginal atrophy uye kutsigira hutano hwako hwese hwemukadzi. Maitiro aya anoshanda zvakanaka kana akabatana nekurapwa kwemishonga, kwete sechinhu chinotsiva.

Kiyi yekutarisira kumba kubudirira ndeyekutsungirira uye kunyoro. Tsinga dzemukadzi wako dzinoda kutarisirwa nguva dzose uye hanya kuchengetedza hutano hwavo uye kugadzikana.

Heano mazano ekutarisira kumba aunogona kuedza:

• Shanyisa vaginal moisturizer 2-3 nguva pavhiki, kunyangwe usati uchiita zvepabonde
• Isa mafuta emvura usati waita zvepabonde
• Ramba uchiita zvepabonde kana kushandisa vaginal dilators kuchengetedza kugona kwetsinga kuchinja
• Pfeka underwear inofema, yekotoni
• Dzivisa masoseji akaoma, douches, kana zvigadzirwa zvine kunhuhwirira munzvimbo yemukadzi
• Ramba wakanyorova nekudya mvura yakawanda
• Funga nezve probiotics kutsigira hutano hwemukadzi

Paunosarudza zvigadzirwa, tsvaga izvo zvakagadzirirwa zvakananga kune tsinga dzakapfava dzemukadzi. Dzivisa chero chinhu chine kunhuhwirira, dyes, kana makemikari akaoma anogona kukonzera kukwenya.

Kuita zvepabonde nguva dzose kana kuti kuzviita kunogona kubatsira kuchengetedza ropa rinoyerera uye kugona kwetsinga kuchinja. Kana kuita zvepabonde kuchinonzwa kusagadzikana, usazvidzivirira zvachose—panzvimbo iyoyo, shandisa mafuta akawanda uye taura nemumwe wako nezvechinhu chinonzwa chakanaka.

Vakadzi vamwe vanoona kuti zvimwe zviitiko zve yoga kana kuti maekisesaizi epelvic floor anobatsira kuvandudza ropa rinoyerera kunzvimbo yepelvic, kunyangwe izvi zvisingafaniri kufungwa se kurapwa kukuru.

Ungagadzirira sei musangano wako nachiremba?

Kugadzirira musangano wako kunogona kukubatsira kubatsirwa zvakanyanya nekuona kwako uye kuve nechokwadi chekuti chiremba wako ane ruzivo rwakakwana kukubatsira zvakakodzera. Kugadzirira kwakapfava kunobatsira zvakanyanya pakukurukura kwakapfuma.

Tanga nekutevera zviratidzo zvako kwevhiki imwe kana mbiri usati waenda kumusangano wako. Cherechedza kana zvichiitika, zvakakomba sei, uye chii chinoita kuti zvive nani kana kuti zviwedzere kuipa.

Heano zvaunofanira kuunza kana kugadzirira:

• Rondedzero yemishonga yako yese iripo uye pavakatanga
• Ruzivo nezvenhoroondo yako yemwedzi uye mamiriro emenopause
• Rondedzero yakazara yemishonga uye zvinowedzerwa zvaunotora
• Mashoko nezvekuita kwako zvepabonde uye chero zvinetso zvine chekuita nazvo
• Mibvunzo yaunoda kubvunza yakanyorwa kare
• Ruzivo nezvekurapwa kwawakamboedza kare

Usazengurire kutaura nezvekuti zviratidzo zviri kukanganisa sei hupenyu hwako hwezuva nezuva, hukama, kana kuti hutano hwepfungwa. Ruzivo urwu runobatsira chiremba wako kunzwisisa kukanganisa kwakazara uye kusarudza kurapwa kwakakodzera.

Zvinobatsirawo kufunga nezvezvaunoda pakurapwa usati watanga. Uri kugamuchira hormone therapy here? Une zvinetso nezvimwe mishonga here? Ungada kutanga nezvinhu zvakapfava zvekutanga here?

Yeuka, chiremba wako aripo kubatsira, uye hapana mubvunzo unonyadzisira kana kuti usingakoshi kubvunza.

Chii chinonyanya kukosha nezve vaginal atrophy?

Vaginal atrophy chirwere chakajairika, chinorapika chinotapura vakadzi vazhinji, kunyanya panguva uye mushure memenopause. Chinhu chakakosha chokuyeuka ndechekuti haufaniri kusununguka kana kugamuchira kusagadzikana sechikamu chekukwegura.

Kurapwa kwakakosha kuripo, kubva pazvigadzirwa zvekutengesa kusvika pakurapwa kwemishonga. Vakadzi vazhinji vanoona kubatsirwa kukuru kana vakatanga kurapwa kwakakodzera, uye vazhinji vanoshuvira kuti vakatsvaka rubatsiro nekukurumidza.

Kiyi ndeyekuziva kuti iri chirwere chekurapa chine mhinduro chaiyo, kwete chimwe chinhu chaunofanira kungotakura. Kurapwa kwekukurumidza hakungopei kubatsirwa kwezviratidzo chete asi kunobatsirawo kudzivirira matambudziko anogona kuitika nekufamba kwenguva.

Usarega kunyara kukudzivisa kuwana hanya yaunoda. Vanachiremba vane ruzivo rwakakwana pakurapa vaginal atrophy uye vanoda kukubatsira kunzwa wakasununguka uye nechivimbo zvakare. Nenhanho yakakodzera, unogona kuchengetedza hutano hwemukadzi wako uye hupenyu hwakanaka mune ese nhanho dzehupenyu.

Mibvunzo inowanzo bvunzwa nezve vaginal atrophy

Vaginal atrophy inogona kudzoserwa here?

Hungu, vaginal atrophy inogona kazhinji kuvandudzwa zvakanyanya kana kuti kudzoserwa ne kurapwa kwakakodzera. Estrogen therapy inonyanya kubudirira pakudzosa hupamhi hwetsinga dzemukadzi uye hunyoro. Kunyangwe kuchinja kwakati kubva pakakomba, kwenguva refu atrophy kungave kusina kudzoserwa zvachose, vakadzi vazhinji vanoona kuvandudzika kukuru muzviratidzo uye hutano hwetsinga ne kurapwa kwenguva dzose.

Vaginal atrophy ingori dambudziko revakadzi vakwegura here?

Kwete, vaginal atrophy inogona kukanganisa vakadzi vemazera ese kana mazinga eestrogen akaderera zvakanyanya. Izvi zvinogona kuitika panguva yeku fema, nemishonga yakati, mushure mekubviswa kwemaovari, panguva yekurapa kenza, kana nemimwe nzira yekudzora kuberekana ehormonal. Zvisinei, inowanzoitika muvakadzi vakapfuura menopause nekuda kwekuderera kweestrogen kunoitika nemenopause.

Kushandisa vaginal estrogen kuchawedzera njodzi yangu yekenza yemabwe here?

Low-dose vaginal estrogen therapy ine njodzi shoma kupfuura oral hormone therapy nekuti estrogen shoma inonyorwa muropa. Ongororo iripo inoratidza kuti kushandiswa kwevaginal estrogen hakukwidzi njodzi yekenza yemabwe zvakanyanya, kunyangwe kune vakadzi vane nhoroondo yekenza yemabwe. Zvisinei, unofanira nguva dzose kukurukura njodzi dzako pachako nachiremba wako.

Ndingadzivirira sei vaginal atrophy kubva pakukura?

Kunyangwe usingakwanisi kudzivirira zvachose kuchinja kwehomoni kunotungamirira ku vaginal atrophy, unogona kutora matanho ekugadzirisa hutano hwemukadzi. Kuita zvepabonde nguva dzose, kushandisa moisturizers nguva dzose, kudzivisa makemikari akaoma, uye kusvuta zvinogona kubatsira. Vakadzi vamwe vanogona kubatsirwa nekutanga kurapwa pakutanga kwe menopause usati waona zviratidzo zvakakomba.

Zvinotora nguva yakareba sei kuti kurapwa kwevaginal atrophy kushande?

Vakadzi vazhinji vanoona kuvandudzika kwakati mukati memavhiki 2-4 ekutanga kurapwa, nekuvandudzika kuri kuramba kwemwedzi 2-3. Vaginal moisturizers inogona kupa kugadzikana nekukurumidza, nepo estrogen therapy inowanzoita kuvandudzika kwenguva refu kwemavhiki akawanda. Nguva inogona kusiyana zvichienderana nekukomba kwezviratidzo zvako uye rudzi rwekurapwa rwakashandiswa.