Vulvodynia Chii? Zviratidzo, Zvinokonzera, Uye Kurapa

Vulvodynia chirwere chinorwadza chikamu chekunze chenhengo dzevakadzi (vulva) kwemazuva anopfuura matatu pasina chikonzero chakajeka chekurapa. Kurwadziwa uku kunogara kwenguva refu kunonzwa sekupisa, kutsva, kana kukwenya, uye kunoita kuti vakadzi vazhinji pasi rose varware.

Hausiri wega kana uri kurwadziwa nevulva usingazivi chikonzero. Kunyange zvazvo vulvodynia inogona kunetsa uye kukanganisa manzwiro, chirwere ichi chinozivikanwa chekurapa chine nzira dzinoshanda dzekurapa dziripo.

Vulvodynia Chii?

Vulvodynia chirwere chinorwadza chinokanganisa vulva, iyo inosanganisira labia, clitoris, uye muromo wevagina. Kurwadziwa kunouya pasina zviratidzo zvinooneka zvehutachiona, chirwere che ganda, kana chimwe chimiro chekurapa chinogona kuzivikanwa.

Chirwere ichi hachikonzerwi nekusachena, hutachiona hunotapurirana pabonde, kana chimwe chinhu chawakaita chakaipa. Ichi chirwere chekurapa chakakwana chinogona kuitika pazera ripi zvaro, kunyange zvazvo kazhinji chinoonekwa pakati pemakore echidiki nemakore makumi mana.

Kurwadziwa kunogona kuva nguva dzose kana kukonzera kubata, uye kunogona kukanganisa mabasa ako ezuva nezuva, hukama, uye hupenyu hwako hwese. Kunzwisisa kuti ichi chirwere chekurapa chaicho ndiyo nhanho yekutanga inokosha yekuwana rubatsiro rwaunoda.

Zviratidzo zveVulvodynia Ndezvipi?

Chiratidzo chikuru ndechekurwadziwa kwevulva kunogara kwenguva refu kunonzwa zvakasiyana nekurwadziwa kwenguva pfupi. Vakadzi vazhinji vanotsanangura sezvinonzwa sekunge vulva yavo inogara ichikwenya kana kukuvara.

Aya ndiwo mamwe ezviratidzo zvinowanzoitika zvaunogona kuona:

• Kupisa kana kutsva munzvimbo ye vulva
• Kunzwa kwekukwenya kana kurwadza, sekunge une sunburn yakaipa
• Kurwadziwa kunorwadza kana kunorwadza
• Kurwadziwa panguva kana mushure mekuita zvepabonde
• Kusagadzikana pakuisira tampons
• Kurwadziwa pakuvara, kunyanya pamusoro pemvura yakaoma
• Kuwedzera kunzwa kubata kana kumanikidza
• Kurwadziwa kunowedzera nekupfeka kwakakomba

Simba rinogona kusiyana kubva pakusagadzikana kusvika pakurwadziwa kwakanyanya kunokanganisa mabasa ezuva nezuva. Vakadzi vamwe vanonzwa kurwadziwa nguva dzose, nepo vamwe vanongonzwa chete kana nzvimbo yacho ikabatiwa kana panguva yemabasa chaiwo.

Marudzi eVulvodynia Ndezvipi?

Vanachiremba vanokamura vulvodynia kuva marudzi maviri makuru zvichienderana nekuti kurwadziwa kunouya riini uye kupi. Kunzwisisa rudzi rwako rwakakosha kunobatsira kutungamira sarudzo dzekurapa.

Generalized vulvodynia inokonzera kurwadziwa munzvimbo yese ye vulva. Rudzi urwu kazhinji runosanganisira kupisa kana kurwadziwa kunogara kwenguva refu kunoda kubata kuti kuitike. Kusagadzikana kunogona kuchinja zuva rese asi kazhinji hakuperi zvachose.

Localized vulvodynia inokanganisa nzvimbo dzakatarwa dzevulva chete. Rudzi rwakajairika ndere vestibulodynia, iyo inokonzera kurwadziwa kutenderera muromo wevagina (vestibule). Kurwadziwa uku kazhinji kunouya chete kana nzvimbo yacho ikabatiwa kana panguva yemabasa senge zvepabonde kana kuisa tampon.

Vakadzi vamwe vanonzwa marudzi ese panguva imwe chete kana kuti vanogona kuwana rudzi rumwe mushure mekuva nerumwe. Chiremba wako anogona kukubatsira kuona rudzi rwawakaita kuburikidza nekutarisa kwakanyatsojeka uye kukurukura nezviratidzo zvako.

Zvinokonzera Vulvodynia Ndezvipi?

Chikonzero chaicho chevulvodynia hachizivikanwi, asi vatsvakurudzi vanotenda kuti chinoitika kubva pakusanganiswa kwezvinhu panzvimbo pechinhu chimwe chete chinokonzera. Kurwadziwa kwako hakuitiki nekuda kwehutachiona kana chirwere chinopfuudzwa pabonde.

Zvinhu zvakati wandei zvinogona kuita kuti vulvodynia iitike:

• Kukuvadzwa kwetsoka kana kuwedzera kunzwa kwetsoka munzvimbo ye vulva
• Kuchinja kwehomoni, kunyanya kuwanda kwe estrogen yakaderera
• Zvinhu zvemagariro zvinokanganisa kunzwa kurwadziwa kana kuzvimba
• Hutachiona hwakapfuura hunogona kunge hwakaita kuti mitsipa ive yakanyanya kunzwa
• Kuita kwemuviri kunokonzera kuzvimba
• Kumanikidza kwemisungo munzvimbo yepelvic floor
• Kukuvadzwa kwapfuura kana kukuvara munzvimbo ye vulva
• Mishonga yakati wandei inokanganisa kushanda kwetsoka

Muitiro wakati wandei, vulvodynia inogona kuitika mushure mekuwanda kwehutachiona hwehutachiona, kunyangwe mushure mekurapwa kwakabudirira kwehutachiona. Kukwenya kwekutanga kunogona kutanga kunzwa kwenguva refu kwetsoka kunoramba kuchikonzera kurwadziwa.

Zvakakosha kuziva kuti vulvodynia haina kupararira uye haikonzerwi nekusachena kana zvepabonde. Chirwere ichi chinogona kukanganisa vakadzi vemarudzi ese uye mararamiro.

Rini Unofanira Kuona Chiremba weVulvodynia?

Unofanira kuona chiremba kana uchinzwa kurwadziwa kwevulva usingazivi chikonzero kwemavhiki anopfuura mashoma. Kuongororwa nekurapa pakutanga kunogona kudzivirira chirwere ichi kubva pakukanganisa hupenyu hwako zvakanyanya.

Tsvaka rubatsiro rwekurapa kana ukaona kupisa, kutsva, kana kunzwa kwekukwenya munzvimbo ye vulva. Usamirire kurwadziwa kusvika kwakanyanya usati wawana rubatsiro, sezvo kurapwa pakutanga kazhinji kunotungamira kumigumisiro iri nani.

Rongedza nguva yekuona chiremba kana kurwadziwa kuchikanganisa mabasa ezuva nezuva senge kugara, kurovedza muviri, kana kupfeka nguo dzakati.

Yeuka kuti vanachiremba vazhinji vangave vasina kuziva nezve vulvodynia. Usazvidya mwoyo kana chiremba wekutanga waona achida nguva yekutsvaga chirwere chako kana kukutuma kune nyanzvi.

Zvinhu Zvinowedzera Ngozi yeVulvodynia Ndezvipi?

Kunyangwe mukadzi upi zvake anogona kuwana vulvodynia, zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana chirwere ichi. Kunzwisisa izvi zvinhu zvinowedzera ngozi kunogona kukubatsira kuziva zvinhu zvinokonzera.

Zvinhu zvinowanzo wedzera ngozi zvinosanganisira:

• Nhoroondo yehutachiona hwevagina hunowanzoitika, kunyanya hutachiona hwehutachiona
• Kuchinja kwehomoni panguva yekuchembera kana kuyamwisa
• Kukuvadzwa kwapfuura kwevulva kana kukuvara
• Kuwedzera kunzwa kurwadziwa
• Zvimwe zvirwere zve autoimmune
• Kuwedzera kunetseka kana kuzvidya mwoyo
• Nhoroondo yekushungurudzwa pabonde kana kukuvara
• Kusashanda zvakanaka kwemisungo yepelvic floor

Mamwe mashoma ezvinhu zvinowedzera ngozi anosanganisira mishonga yakati wandei, kunyanya kushandiswa kwenguva refu kwemishonga inorwisa mabhakitiriya, uye shanduko dzakati dzemagariro dzinokanganisa nzira iyo muviri wako unogadzirisa nayo zviratidzo zvekurwadziwa.

Kuva nezvinhu izvi zvinowedzera ngozi hazvirevi kuti iwe uchava nevulvodynia. Vakadzi vazhinji vane zvinhu zvakawanda zvinowedzera ngozi havambonzwi chirwere ichi, nepo vamwe vachichiwana pasina zvinhu zvinooneka zvinowedzera ngozi.

Matambudziko Anogona Kuitika eVulvodynia Ndezvipi?

Kunyangwe vulvodynia pachayo isiri ngozi, kurwadziwa kunogara kwenguva refu kunogona kutungamira kumatambudziko akati wandei anokanganisa hutano hwako hwemuviri nepfungwa. Aya maitiro ekutanga kazhinji anoda kutarisirwa pamwe chete nekurapa kurwadziwa kukuru.

Matambudziko emuviri anogona kuitika nekufamba kwenguva:

• Kumanikidza kwemisungo yepelvic floor kubva pakudzivirira kurwadziwa
• Hutachiona hwekutanga kubva pakushanduka kwemaitiro ekusachena
• Kushaya hope nekuda kwekugara uchinzwa kusagadzikana
• Kudzikira kwemabasa emuviri uye kusashivirira kurovedza muviri
• Kusashanda zvakanaka pabonde uye zvepabonde zvinorwadza

Matambudziko epfungwa nepfungwa zvakakosha zvakafanana. Kurwadziwa kwenguva refu kunogona kutungamira pakuzvidya mwoyo, kuora mwoyo, uye kunzwa kusurukirwa. Vakadzi vazhinji vanonzwawo kuoma muhukama uye kudzikira kwehupenyu hwavo.

Mashoko akanaka ndeawo ekurapa kwakakodzera kunogona kubatsira kudzivirira kana kudzorera akawanda ematambudziko aya. Kushanda nevanachiremba vanonzwisisa vulvodynia kunogona kukubatsira kutarisira kurwadziwa uye zvinoitika zvaro.

Vulvodynia Inogona Kudzivirirwa Sei?

Zvinosuruvarisa, hapana nzira yakavimbika yekudzivirira vulvodynia sezvo zvikonzero zvayo zvisinganzwisisiki zvizere. Zvisinei, maitiro akati anogona kubatsira kuderedza mukana wako wekuwana chirwere ichi.

Kuchengetedza hutano hwakanaka hwevulva kunosanganisira maitiro akanaka ekutarisira. Shandisa sipo dzakapfava, dzisina kunhuhwirira uye dzivisa kemikari dzakasimba kana zvigadzirwa zvine kunhuhwirira munzvimbo yechiuno. Sarudza underwear yekotoni inofema uye dzivisa kupfeka kwakakomba kana zvichibvira.

Kutarisira hutachiona nekukurumidza kunogona kubatsira kudzivirira kunzwa kwetsoka. Kurapa hutachiona hwehutachiona nemamwe hutachiona hwevagina nekukurumidza uye zvizere sezvakarayirwa nechirimba wako.

Vakadzi vamwe vanowana kuti kutarisira kunetseka kuburikidza nemaitiro ekusununguka, kurovedza muviri, uye hope dzakakwana kunogona kubatsira kudzivirira kurwadziwa. Kunyange zvazvo aya maitiro asingakwanisi kuvimbisa kudzivirira, anotsigira hutano hwese uye anogona kuderedza mukana wako.

Vulvodynia Inoziviswa Sei?

Kuziva vulvodynia kunosanganisira kubvisa mamwe mamiriro anogona kukonzera zviratidzo zvakafanana. Chiremba wako achaita ongororo yakakwana kuti aone chirwere ichi.

Maitiro ekurapa kazhinji anotanga nenhoroondo yakakwana yekurapa. Chiremba wako achakuudza nezviratidzo zvako, pavakatanga, zvinokonzera kurwadziwa, uye kurapwa kwaunenge watoedza.

Kuongororwa kwemuviri kunotevera, apo chiremba wako achaongorora zvinyoro nyoro nzvimbo ye vulva yako. Vanogona kushandisa cotton swab kubata zvinyoro nyoro nzvimbo dzakasiyana kuti vaone kwaunonzwa kurwadziwa uye kuona nzira yekunzwa.

Chiremba wako achaita bvunzo kuti abvise hutachiona, kusanganisira tsika dzebhakitiriya nehutachiona. Vanogonawo kuyedza hutachiona hunotapurirana pabonde kuti vaone kuti izvi hazvisi kukonzera zviratidzo zvako.

Muitiro wakati wandei, chiremba wako anogona kukurudzira vulvar biopsy kana vakaona shanduko dzisina kujairika dzeganda. Zvisinei, izvi hazvina kukosha pakuzivisa vulvodynia yakajairika.

Kurapa kweVulvodynia Chii?

Kurapa kwevulvodynia kazhinji kunosanganisira kusanganiswa kwemaitiro akagadzirirwa zviratidzo zvako zvakakosha nezvinodiwa. Vakadzi vazhinji vanowana zororo kuburikidza nechirongwa chekurapa chakagadzirwa nechirimba wavo.

Kurapa kwepamusoro kazhinji ndiyo nzira yekutanga yekurapa. Chiremba wako anogona kunyorera mafuta anobvisa kurwadziwa ane lidocaine kana mishonga yakasanganiswa inosanganisira zvinhu zvinobvisa kurwadziwa. Izvi zvinogona kupa zororo pakarepo kune vakadzi vazhinji.

Mishonga inomezwa inogona kubatsira kutarisira kurwadziwa kwetsoka. Tricyclic antidepressants, anticonvulsants senge gabapentin, kana nerve blocks inogona kukurudzirwa. Mishonga iyi inoshanda nekushandura nzira iyo mitsipa yako inogadzirisa nayo zviratidzo zvekurwadziwa.

Kurapa kwemuviri, kunyanya kurapa kwemuviri kwe pelvic floor, kunogona kubatsira zvikuru. Nyanzvi inogona kukudzidzisa maekisesaizi ekusunungura misungo yakasimba uye kuvandudza ropa kunzvimbo yakakanganiswa.

Mamwe maitiro ekurapa ezviitiko zvakanyanya zvinosanganisira:

• Nerve blocks kana trigger point injections
• Interferon kurapa kunoshandiswa pamusoro
• Botox injections yekusunungura misungo
• Kubvisa tishu yakakanganiswa (vestibulectomy) mumamiriro ezvinhu mashoma

Kurapa kwakasiyana-siyana senge acupuncture, biofeedback, kana cognitive behavioral therapy inogona zvakare kupa zororo. Vakadzi vazhinji vanobatsirwa nekubatanidza kurapwa kwemishonga yakajairika neaya maitiro ekuwedzera.

Nzira yekutarisira Vulvodynia pamba?

Mazano ekutarisira pachako anogona kuwedzera kurapwa kwemishonga uye kukubatsira kutarisira zviratidzo zvevulvodynia zuva nezuva. Aya maitiro akanaka anogona kupa zororo uye anogona kudzivirira kurwadziwa.

Maitiro akanaka ekusachena anoshanda pakutarisira zviratidzo. Shandisa mvura yakachena kana sipo yakapfava, isina kunhuhwirira kuchenesa nzvimbo ye vulva. Pfugama nzvimbo yacho zvinyoro nyoro panzvimbo pekushambidza, uye funga kushandisa hair dryer pane imwe nzvimbo inotonhora kana kupfugama kuri kusagadzikana.

Sarudza nguo nezvigadzirwa zvakanyatsojeka kuderedza kukwenya. Pfeka nguo dzakasununguka, dzino fema uye underwear yekotoni ye100%. Dzivisa fabric softeners, scented laundry detergents, uye chero zvigadzirwa zvemunhu zvine kunhuhwirira kana kemikari dzakasimba.

Mazano ekutarisira kurwadziwa anogona kupa zororo rezuva nezuva:

• Isa compress inotonhora kana ice packs yakaputirwa nemucheka wakapfava
• Tora kugeza kwemvura inodziya nemvura yakachena kana baking soda
• Shandisa chigaro chakaita sedonati pakuvara
• Ita maekisesaizi ekusununguka senge kufema kwakadzika
• Isa mishonga yakanyorwa pamusoro sezvakarayirwa
• Rara usina underwear kuderedza kukwenya

Kutarisira kunetseka kwakakosha zvakafanana sezvo kunetseka kunogona kuwedzera kurwadziwa. Kurovedza muviri nguva dzose mukati mekumhanya kwako, hope dzakakwana, uye mabasa ekuderedza kunetseka anogona kubatsira kuputsa chikwata chekurwadziwa-kunetseka.

Ungagadzirira Sei Kune Nguva Yako Yekuona Chiremba?

Kuagadzirira nguva yako yekuona chiremba kunogona kubatsira kuve nechokwadi chekuti unowana kuongororwa kwakanyatsojeka uye chirwere chakakodzera. Kuagadzirira kwakanaka kunokubatsirawo kunzwa uine chivimbo panguva yekukurukura inogona kuva yakaoma.

Chengetedza bhuku rezviratidzo zvakadzama kwemavhiki akati usati waona chiremba. Nyora nguva yekurwadziwa, simba rayo pane chiyero che1-10, zvinokonzera, uye zvinobatsira. Aya mashoko anobatsira chiremba wako kunzwisisa nzira yako chaiyo yezviratidzo.

Nyora mishonga yese, zvinowedzerwa, uye kurapwa kwaunenge watoedza, kusanganisira zvigadzirwa zvepamusoro-counter. Cherechedza kuti ndeapi akakubatsira, akakonzera zviratidzo zvakanyanya, uye chero migumisiro yaunenge wakaona.

Gadzira runyorwa remibvunzo yekubvunza chiremba wako:

• Ndezvipi bvunzo dzandinoda kuti ndione chirwere?
• Ndezvipi nzira dzekurapa dziripo kune rudzi rwangu rwevulvodynia?
• Zvingatora nguva yakareba sei kuti ndione shanduko?
• Kune mabasa andinofanira kudzivisa kana kuchinja?
• Rini ndinofanira kutevera kana kutsvaga rubatsiro rwakawanda?

Funga kuuya neshamwari yakavimbika kana nhengo yemhuri yekutsigira manzwiro. Kuva nemunhu ari newe kunogona kukubatsira kuyeuka ruzivo rwakakosha uye kunzwa uine chivimbo panguva yekuongororwa.

Chii Chinonyanya Kukosha Nezve Vulvodynia?

Vulvodynia chirwere chekurapa chaicho, chinogona kurapwa chinoita kuti vakadzi vazhinji varware. Kunyange zvazvo zvinogona kunetsa uye kukanganisa manzwiro, une chikonzero chekuvimba nekuwana zororo.

Chinhu chakakosha chokuyeuka ndechekuti hausi wega uye izvi hazvisi mhosva yako. Vakadzi vazhinji vanotarisira zviratidzo zvevulvodynia uye vanodzoka kuhupenyu hunofadza, hunoshanda nekurapwa kwakakodzera nekutsigirwa.

Kushanda nevanachiremba vane ruzivo kwakakosha pakugadzira chirwere chakakodzera. Usarega kana kurapwa kwekutanga kuchishanda zvakanaka, sezvo kuwana kusanganiswa kwakakodzera kazhinji kunoda nguva nekutsungirira.

Yeuka kuti kutarisira vulvodynia kazhinji inzira inononoka panzvimbo pekurapa nekukurumidza. Kuvandudzwa kudiki kunogona kuvakwa nekufamba kwenguva kuva zororo rakakura, saka farai kufambira mberi kunyangwe kunonzwa kuri kunonoka.

Mibvunzo Inowanzo Bvunzwa Nezve Vulvodynia

Vulvodynia Inotapurirana Here Pabonde?

Kwete, vulvodynia haina kutapurirana pabonde uye haina kupararira. Haugoni kuitora kubva kana kuipfuudza kumudiwa wako. Kunyange zvazvo vakadzi vamwe vachiwana vulvodynia mushure mehutachiona, chirwere icho pachacho hachikonzerwi nemabhakitiriya, mavhairasi, kana mamwe majekiseni.

Vulvodynia Inogona Kupera Pachayo Here?

Kunyangwe vakadzi vamwe vachiona kuvandudzwa kwakazvimirira, vulvodynia kazhinji haipere zvachose pasina kurapwa. Kurapwa pakutanga kazhinji kunotungamira kumigumisiro iri nani, saka zvakakosha kutsvaka rubatsiro rwekurapa panzvimbo yekutarisira kuti zviratidzo zviyambe pachazvo.

Ndichakwanisa Kuita Hukama Hwakanaka Hwepabonde neVulvodynia Here?

Vakadzi vazhinji vane vulvodynia vanogona kuchengetedza hukama hwakanaka hwepabonde nekurapwa kwakakodzera uye kutaurirana nevadiwa vavo. Kurapwa kazhinji kunoderedza kurwadziwa panguva yekuita zvepabonde, uye kushanda nemudiwa wako kuwana nzira dzakakodzera kunogona kubatsira kuchengetedza hukama hwepedyo.

Vulvodynia Inokanganisa Kubereka Kana Pamuviri Here?

Vulvodynia haikanganisi mukana wako wekuva nepamuviri kana kutakura pamuviri kusvika pakuguma. Zvisinei, kurapwa kwakati kunogona kudikanwa kuchinjwa panguva yepamuviri, saka kurukurai chirwere chako nechikurapa chako kana uri kuronga kubereka kana uri nepamuviri.

Kurapa kweVulvodynia Kunotora Nguva Yakareba Sei Kushanda?

Mhinduro yekurapa inosiyana zvikuru pakati pevakadzi. Vamwe vanonzwa kuvandudzwa mukati memavhiki, nepo vamwe vachida mwedzi yakati kuti vawane zororo rakakura. Kurapwa kunonyanya kushanda kunoda kanenge mavhiki 6-12 ekushandisa nguva dzose usati waona zvachose kushanda kwavo.