Health Library

Vulvodynia

Pfupiso

Vulvodynia (vuruvodyiniya) chirwere chinorwadza kana kusagadzikana kwenguva refu kunenge kuri kunze kwechikamu chemukadzi, chinonzi vulva. Inogara kwemwedzi mitatu kana kupfuura uye haina chikonzero chakajeka. Kurwadziwa, kupisa kana kukwenya kunobatanidzwa nevulvodynia zvinogona kukusiya usina kugadzikana zvekuti kugara kwenguva refu kana kuita zvepabonde zvinenge zvisingaiti. Dambudziko iri rinogona kugara kwemwedzi kusvika kumakore.Kana uine zviratidzo zvevulvodynia, usarega kunyara kana kusavapo kwezviratidzo zvinooneka kukumisa kutaura nachiremba wevakadzi kana mumwe mushandi wehutano. Kurapwa kunogona kuderedza kusagadzikana kwako. Uye timu yako yekutarisira inogona kuwana chikonzero chekurwadziwa kwako. Saka, zvakakosha kuongororwa nachiremba.

Zviratidzo

Chirwere chikuru che vulvodynia kurwadziwa kwepamuviri, kunosanganisira kuvhurwa kwevhgina. Kurwadziwa kazhinji kunorondedzerwa se: Kupisa. Kushatirwa. Kubaya. Kusviba. Kurwadziwa. Kurwadziwa kwakapinza kana kwakaita senhamba. Unogonawo kunzwa kurwadziwa, kuzvimba nekukura. Kazhinji zviratidzo zvinoitika uye nzvimbo chaiyo yavanonzwa inosiyana kubva kune munhu. Kurwadziwa kwako kungave kuripo nguva dzose, kana kungauya nekubuda. Kungangoerekana kwakanyanya kana vulva ikabatwa. Unogona kunzwa kurwadziwa muvulva yako yese. Izvi zvinonzi vulvodynia yakapararira. Kana kurwadziwa kungangoerekana kwakanyanya munzvimbo yakati, senge tishu yakapoteredza kuvhurwa kwevhgina, inonzi vestibule. Izvi zvinozivikanwa se vulvodynia yakatarwa, uye yakajairika kupfuura rudzi rwakapararira. Tishu ye vulva inogona kutaridzika yakatsvuka kana yakazvimba. Kazhinji, vulva yako haitaridziki zvakasiyana nemazuva ose. Kana uine kurwadziwa muvulva yako, taura nachiremba wako wevakadzi kana nhengo imwe yechikwata chehutano hwako. Kana usina chiremba wevakadzi, unogona kutumirwa kune mumwe. Munyanzvi wehutano anofanira kuona kana kurwadziwa kwako kune chikonzero chinorapika icho chakasiyana ne vulvodynia, sekunge: Kuwanda kwehutachiona kubva kuhutachiona hwehutachiona kana mabhakitiriya. Chirwere chinopfuudzwa nepabonde sekunge herpes. Chimiro che ganda rinopisa. Kukura kwevulva. Genitourinary syndrome ye menopause. Vamwe vanhu vasina kuziva kuti vane vulvodynia vanoedza kudzikamisa zviratidzo zvavo nekushandisa kurapwa kwehutachiona hwehutachiona pasina kurapwa. Asi zvakakosha kuongororwa, kuitira kuti nhengo yechikwata chehutano hwako ikugone kukupa bvunzo uye kukurudzira kurapwa kwakakodzera kwauri.

Nguva yekunoona chiremba

Kana uine marwadzo munzvimbo yako yevanhukadzi, taura nachiremba wevakadzi kana mumwe nhengo yekiriniki yako. Kana usina chiremba wevakadzi, ungatumirwa kune mumwe. Munyanzvi wehutano anofanira kuona kana marwadzo ako aine chikonzero chinorapika icho chiri kusiyana ne vulvodynia, sekunge:

Hutachiona hunoshanda kubva kuhutachiona hwehutachiona kana mabhakitiriya.
Hosha inotapuriranwa pabonde seherpes.
Zvinetso zve ganda rinopisa.
Kukura kwevulva.
Genitourinary syndrome ye menopause. Vamwe vanhu vasina kuziva kuti vane vulvodynia vanoedza kudzikamisa zviratidzo zvavo nekushandisa kurapwa kwehutachiona hwehutachiona pasina mushonga. Asi zvakakosha kuongororwa, kuitira kuti nhengo yekiriniki yako ikugone kukupa bvunzo uye kukurudzira kurapwa kwakakodzera kwauri.

Zvinokonzera

Nyanzvi hadzizivi zvinokonzera vulvodynia. Zvinhu zvingaita basa zvinosanganisira:

Kukuvadzwa kana kutsamwiswa kwemasumbu emu vulva.
Hutachiona hwekare hwemukati.
Kurwadziwa kwekuzvimba kunonzi kuzvimba kunokanganisa vulva.
Zvimwe zvirwere zvemagwenya.
Allergies.
Kushanduka kwehomoni.
Kuita kwemisumbu kana kushaya simba mu pelvic floor, inotsigira chibereko, bhara, nemboro.

Matambudziko

Pasina kurapwa, vulvodynia inogona kukanganisa utano hwepfungwa, hukama nemamwe mativi ehupenyu hwako.

Kurwadziwa nezvimwe zviratidzo zve vulvodynia zvinogona kuita kuti zviome kuchengetedza basa. Unogona kunzwa kushoma kwebasawo. Uye unogona kunetseka kurara zvakanaka.

Kuongorora

Kana uine vulvodynia, gynecologist yako kana imwe nhengo yekutarisira kwako ichakubvunza mibvunzo nezve nhoroondo yako yezvehutano neyepabonde. Uchabvunzwawo kana wakamboita kuvhiya.

Unogonawo kuita izvi:

Kuongororwa kwe pelvic. Zviberekero zvako zvekune imwe kunze nevhina zvinotarwa kuti zvine chirwere here kana zvimwe zvinokonzera zviratidzo zvako. Sampuli yesero kubva muvhina yako inogona kutorwa kuongororwa chirwere chinokonzerwa nehutachiona hwehwai kana mabhakitiriya. Munyanzvi wehutano hwako anogonawo kupinza chigunwe chakapfeka giraovu muvhina yako kuongorora tsandanyama dzepasi pe pelvic kuti dzine kusagadzikana here.
Kuongororwa kwe swab yechikwereti. Swab yechikwereti yakanyorova inoshandiswa kuongorora zvinyoro nyoro nzvimbo dzine marwadzo muvulva yako. Kana nzvimbo inorwadza ikawanikwa, iwe uchabvunzwa kuti inonzwa sei uye inorwadza zvakadii.
Biopsy. Kana ganda re vulva richiratidzika zvakasiyana nemazuva ose, chiremba wako kana gynecologist anogona kubvisa sampuli duku yetsandu kuti iongororwe nelaboratori.
Kuongororwa kweropa. Izvi zvinogona kuitwa kuongorora mazinga ehormone dzakadai se estrogen, progesterone ne testosterone.

Kurapa

Kurapa kweVulvodynia kunonyanya kukoshesa kudzikisa zviratidzo. Hapana kurapa kumwe kunoshanda munyaya dzose. Kune vazhinji vanhu, kusanganiswa kwezviyero zvekurapa ndiko kunonyanya kushanda. Zvinogona kutora nguva kuti uwane musanganiswa wakakodzera. Zvinogona kutorawo mwedzi kuti uwane zororo.

Timu yako yekutarisira utano inogona kukurudzira mishonga yakadai se:

Anesthetics emunzvimbo. Mishonga iyi ine simba inogona kudzivirira kurwadziwa kwenguva pfupi. Semuenzaniso, unogona kuisa mafuta eanesthetic emunzvimbo anonzi lidocaine pamusoro pevulva yako maminetsi makumi matatu usati wabatana pabonde kuti zvive nyore. Mishonga iyi inogona kuita kuti mudiwa wako arege kunzwa kwenguva pfupi mushure mekubatana pabonde.
Nerve blocks. Aya mapfuti anoiswa pedyo ne nerve kana boka re nerves rinonzwa kurwadziwa. Izvi zvinogona kubatsira kana uine kurwadziwa kwenguva refu kunopindura kune dzimwe nzira dzekurapa.
Creams dzeHormone. Kana zviratidzo zvako zvakabatana nekuchinja kwehomoni, unogona kuwana zororo kubva kune estrogen cream inopinda mumukati mevagina yako. Dzimwe nguva inorayirwa pamwe chete ne testosterone cream.
Antihistamines. Kazhinji anoshandiswa kurapa marariya, mishonga iyi inogona kuderedzawo kukwenya kubva ku vulvodynia. Asi antihistamines inogona kuoma kana wapfuura menopause.

Kurapa kwemuviri kunosanganisira nzira dzakasiyana-siyana dzinogona kudzikisa kurwadziwa kwako uye kuvandudza hupenyu hwako. Izvi zvinosanganisira:

Kurapa kwe pelvic floor. Vanhu vazhinji vane vulvodynia vane kuoma mumhasuru dze pelvic floor, inotsigira chibereko, bhara uye ura. Kudzidzira kunotendera uye kunozorodza mhasuru idzodzo kunogona kubatsira kudzikisa kurwadziwa kwe vulvodynia.

Chiremba wako wemukomberedzo anogona kukurudzirawo kuti ushandise chishandiso kumba chinonzi vaginal dilator. Izvi zvinotendera uye zvinokurudzira vagina. Zvinogonawo kubatsira kudzikisa kutya kwekurwadziwa panguva yekubata pabonde.
Biofeedback. Iyi nzira yemukomberedzo inogona kubatsira kudzikisa kurwadziwa nekukudzidzisa maitiro ekusunungura mhasuru dzako dze pelvic. Inogonawo kukudzidzisa kudzora maitiro emuviri wako kune zviratidzo.

Kurapa kwe pelvic floor. Vanhu vazhinji vane vulvodynia vane kuoma mumhasuru dze pelvic floor, inotsigira chibereko, bhara uye ura. Kudzidzira kunotendera uye kunozorodza mhasuru idzodzo kunogona kubatsira kudzikisa kurwadziwa kwe vulvodynia.

Chiremba wako wemukomberedzo anogona kukurudzirawo kuti ushandise chishandiso kumba chinonzi vaginal dilator. Izvi zvinotendera uye zvinokurudzira vagina. Zvinogonawo kubatsira kudzikisa kutya kwekurwadziwa panguva yekubata pabonde.

Kurapa kutaura kunosanganisira kushanda nemunhu anokurapa, anogona kukudzidzisa nzira dzekukunda kurwadziwa kwako. Mienzaniso inosanganisira:

Cognitive behavioral therapy. Iyi nzira inokubatsira kuona pfungwa dzisina kunaka uye kupindura munzira dzinoshanda. Iwe uchakurudzirwawo kuchengeta dhayari yekurwadziwa kwezuva nezuva. Mudhayari, unonyora kana uine zviratidzo zve vulvodynia uye zvinoratidzika kuti zvinowedzera kana kudzikisa.

Dzimwe nguva, kurwadziwa kwe vulvodynia kunogona kubatana nekusawirirana muhukama kana nekukuvadzwa kwapfuura. Kurapa kunogona kubatsira vanhu kushanda pane izvi zvinetso zvakare.
Kurapa kwevakaroorana kana kurapa pabonde. Munhu anokurapa anogona kukudzidzisa iwe nemumwe wako maitiro ekukurukura zvakanaka uye kuvaka hukama munzira dzisinganyanyi kukoshesa pabonde. Unogonawo kudzidza maitiro ekudzikisa kutya kwekurwadziwa panguva yekubata pabonde.

Cognitive behavioral therapy. Iyi nzira inokubatsira kuona pfungwa dzisina kunaka uye kupindura munzira dzinoshanda. Iwe uchakurudzirwawo kuchengeta dhayari yekurwadziwa kwezuva nezuva. Mudhayari, unonyora kana uine zviratidzo zve vulvodynia uye zvinoratidzika kuti zvinowedzera kana kudzikisa.

Dzimwe nguva, kurwadziwa kwe vulvodynia kunogona kubatana nekusawirirana muhukama kana nekukuvadzwa kwapfuura. Kurapa kunogona kubatsira vanhu kushanda pane izvi zvinetso zvakare.

Kuopereta kunogona kuva sarudzo yekurapa kana uine kurwadziwa munyama inotenderedza kuvhurwa kwevagina yako, inonzi vestibule. Kazhinji kazhinji, kuopereta kunoitirwa kana dzimwe nzira dzekurapa dzisina kubatsira.

Kuopereta kunogona kubvisa tishu inorwadza ye vestibule kubva ku vulva. Maitiro acho anonzi vestibulectomy. Kana uine zviratidzo zve vulvodynia mune dzimwe nzvimbo dze vulva yako, kuopereta hazvisi sarudzo yekurapa kwauri.

Kana uri kufunga nezvekuita iyi opresheni, bvunza timu yako yekutarisira utano kuti udzidze zvese zvakanaka nezvakaipa. Dzimwe nguva, kuopereta kunogona kutungamira pakukuvadzwa kana kurwadziwa kwakanyanya.

Mamwe kurapa asiri chikamu chekutarisira kwemishonga inogona kubatsira kudzikisa zviratidzo zve vulvodynia. Izvi zvinosanganisira:

Acupuncture. Munhu akadzidziswa anoisa zvinyorwa zvidiki zvakanyanya mune dzimwe nzvimbo dzemuviri.
Hypnosis. Munyanzvi wehutano anokutungamira munzvimbo yakasiyana yekuziva inogona kukubatsira kusununguka uye kuisa pfungwa.
Kuziva uye kufungisisa. Unogona kudzidza aya maitiro kuburikidza nekuzvidzidzisa nekuita uye neapp.
Transcutaneous electrical nerve stimulation. Chishandiso chinowanikwa paganda chinoendesa mazariro emagetsi emagetsi munzvimbo inorwadza.

Kumanikidzwa kunowanzoita kuti vulvodynia iwedzere. Uye kuva ne vulvodynia kunogona kukonzera kuti uve nekumanikidzwa kwakawanda. Mabasa anogona kubatsira kudzikisa kushushikana anosanganisira yoga uye kufungisisa kwemindfulness.

Address: 506/507, 1st Main Rd, Murugeshpalya, K R Garden, Bengaluru, Karnataka 560075

Chiziviso: August ipuratifomu yemashoko ehutano uye mhinduro dzayo haisi zano rekurapa. Gara uchibvunza nyanzvi yezvekurapa ine rezinesi pedyo newe usati waita chero shanduko.

Yakagadzirwa muIndia, kune nyika

Mitemo

Zvakavanzika