Ukuwohloka Kwe-vajina? Izimpawu, Izimbangela, Nokwelashwa

Ukuwohloka kwe-vajina kwenzeka lapho izindonga ze-vajina ziqala ukuba zimfushane, zombe, futhi zingabi nazo izinto ezithambile ngenxa yokwehla kwamandla e-estrogen. Lesi simo esivamile sihlupha abesifazane abaningi, ikakhulukazi ngesikhathi nangemva kwe-menopause, kodwa siyaphiliswa futhi akukho sizathu sokuzizwa uhluphekile.

Cabanga nge-estrogen njengomngane omuhle kakhulu wezicubu zakho ze-vajina. Uma amazinga e-estrogen ehlala phansi, izicubu ezincane zilahlekela ukufuma kwazo kwemvelo nokuthambile, njengoba isikhumba singaba sikhulu ngokweminyaka. Lokhu akuyona uphawu lokuthi kukhona okungalungile ngawe—kuyisimo somzimba wakho esiphendula ekuthathweni kwemizimba.

Ziyini izimpawu zokuwohloka kwe-vajina?

Izimpawu zokuwohloka kwe-vajina zikhula kancane kancane futhi zingase zihluke kumuntu nomuntu. Ungase uqaphele izinguquko ezithile ngaphambi kwezinye, futhi lokho kuyinto evamile.

Nazi izimpawu ezivamile ongazihlangabezana nazo:

• Ukoma kwe-vajina okuzizwa kungakhululekile noma okuqhubekayo
• Ukushisa noma ukuvutha endaweni ye-vajina
• Ubuhlungu noma ukungakhululeki ngesikhathi socansi
• Ukuphuma igazi kancane ngemva kokuzijabulisa
• Ukukhahlela noma ukuvuvukala eduze kokuvuleka kwe-vajina
• Ukuzizwa sengathi udinga ukuya emathisini njalo
• Ukushisa lapho uya emathisini
• Ukutheleleka okuphindaphindayo kwe-urinary tract

Abanye abesifazane baqaphela ukuthi ukuvula kwe-vajina kwabo kuqina noma kuncane kunangaphambili. Ukukhishwa kwe-vajina kungase kwehle kakhulu, futhi izicubu zingase zibonakale zicwebezele noma zimfushane. Lezi zinguquko zenzeka ngoba izindonga ze-vajina ziyalahlekelwa ubukhulu bazo bemvelo nokuthambile.

Kubalulekile ukuqaphela ukuthi izimpawu zingase zibe zithambile kuya ezinzima. Awudingi ukuhlangabezana nazo zonke lezi zimpawu ukuze ube nokuwohloka kwe-vajina, futhi ukuba noyedwa noma ababili kusafanele uxoxe nodokotela wakho.

Yini ebangela ukuwohloka kwe-vajina?

Ukuwohloka kwe-vajina kwenzeka ikakhulu ngenxa yokwehla kwamandla e-estrogen emzimbeni wakho. I-estrogen iwuhormone olugcina izicubu zakho ze-vajina ziphilile, zifume, futhi zithambile.

Imbangela evamile yi-menopause, kungakhathaliseki ukuthi kwenzeka ngokwemvelo noma kubangelwa ukwelashwa kwezokwelapha. Ngesikhathi sale nqubo, ama-ovari akho akhiqiza kancane i-estrogen, okubangela izinguquko zezicubu ongaziqaphela.

Nazi izimo eziyinhloko ezingabangela ukuwohloka kwe-vajina:

• I-menopause yemvelo (evame ukwenzeka eminyakeni yakho engu-40 kuya kwengu-50)
• Ukususwa kwe-ovari zombili ngokusebenza
• I-chemotherapy noma i-radiation therapy yokwelapha umdlavuza
• Imithi ethile evinya i-estrogen
• Ukubhebhetheka (ngenxa yokwehla kwamandla e-estrogen okwesikhashana)
• Izindlela ezithile zokulawula ukubeletha ze-hormonal
• Ukwelashwa kwe-anti-estrogen ngomdlavuza wamabele

Ngokungavamile, izimo ezithile ze-autoimmune noma izici ze-genetic zingathinta amazinga e-estrogen. Abanye abesifazane bangase bahlangabezane nokuwohloka kwe-vajina uma benesifo se-ovarian failure, lapho ama-ovari ayeka ukusebenza ngaphambi kweminyaka engu-40.

Isikhathi nobunzima bezimpawu zingase zihluke kakhulu phakathi kwabesifazane. Abanye baqaphela izinguquko ezinyangeni ezimbalwa ngemva kokungena kwi-menopause, kanti abanye bangase bangabi nazimpawu ezinkulu iminyaka eminingi.

Nini okufanele ubone udokotela ngokuwohloka kwe-vajina?

Kufanele ucabange ukuya kudokotela wakho uma izimpawu ze-vajina zithinta induduzo yakho noma ikhwalithi yokuphila kwakho. Akukho sizathu sokuhlala uthule noma uzizwe uhluphekile ngokuxoxa ngalezi zinkathazo.

Kubalulekile ukwenza i-appointment uma uhlangabezana nobuhlungu ngesikhathi socansi obungaphuli nge-lubricants ezithengiswa ngaphandle kwesikripthi. Udokotela wakho angakusiza ukuthola indlela yokwelapha engcono kakhulu yesimo sakho.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uqaphela:

• Ukuphuma igazi okungavamile kwe-vajina, ikakhulukazi ngemva kwe-menopause
• Ubuhlungu noma ukucindezela e-pelvic oluqhubekayo
• Ukutheleleka okuphindaphindayo kwe-urinary tract
• Ukushisa okukhulu noma ubuhlungu obuphazamisa imisebenzi yansuku zonke
• Ukuphuma kwe-vajina okunuka kabi noma umbala ongavamile

Khumbula, ukuwohloka kwe-vajina kuyisimo sezokwelapha esinokwelashwa okuphumelelayo. Udokotela wakho ubonile lokhu izikhathi eziningi ngaphambili futhi angakunikeza izisombululo ezifanele izidingo zakho nezifiso zakho.

Ziyini izici ezingaholela ekuwohlokeni kwe-vajina?

Izici ezithile zingandisa amathuba akho okuthola ukuwohloka kwe-vajina noma zenze izimpawu zibe zimbi kakhulu. Ukuqonda lezi zici ezingaholela ekuwohlokeni kwe-vajina kungakusiza ukuba ulungiselele futhi ufune ukunakekelwa okufanele.

Isici esiyinhloko esingabangela ukuwohloka kwe-vajina yisimo esibangela ukwehla kwamandla e-estrogen emzimbeni wakho. Lokhu kwenza i-menopause ibe yisici esibaluleke kakhulu esingabangela ukuwohloka kwe-vajina, kodwa ezinye izimo zingase zifake isandla.

Nazi izici eziyinhloko okufanele uzazi:

• Ukuba ngemva kwe-menopause (esikhathini eside ngemva kwe-menopause, amathuba aphezulu)
• Ukuba ususiwe ama-ovari ngokusebenza
• Ukuba awukaze ubelethe nge-vajina
• Ukubhema (okungathinta amazinga e-estrogen nokugeleza kwegazi)
• Ukungahlangani ngokobulili isikhathi eside
• Ukusebenzisa imithi ethile njenge-antihistamines noma i-antidepressants
• Ukuba uthole ukwelashwa komdlavuza okuthinta amazinga e-hormone

Ezinye izici ezingavamile ezingabangela ukuwohloka kwe-vajina zihlanganisa ukuba nezifo ezithile ze-autoimmune noma ukuba noxinzelelo olukhulu, okungathinta ukukhiqizwa kwe-hormone. Abesifazane abaye baba ne-menopause ngaphambi kwesikhathi noma i-primary ovarian insufficiency nabo baphezu kwamathuba aphezulu.

Ukuba nesici esisodwa noma ngaphezulu esingabangela ukuwohloka kwe-vajina akusho ukuthi uzoba nokuwohloka kwe-vajina, kodwa kusho ukuthi ukunaka izimpawu nokuxoxa ngezindlela zokuvimbela nodokotela wakho kungaba usizo.

Ziyini izinhlanganisela ezingaba khona zokuwohloka kwe-vajina?

Nakuba ukuwohloka kwe-vajina ngokwako kungabi yingozi, ukushiya kungaphathwa kungabangela izinhlanganisela ezithinta induduzo yakho nokuphila kwakho konke. Izindaba ezinhle ukuthi izinhlanganisela eziningi zingavikeleka ngokwelashwa okufanele.

Izinhlanganisela ezivamile zihlanganisa impilo yakho ye-urinary neye-sexual. Uma izicubu ze-vajina ziqala ukuba zimfushane futhi zombe, ziba lula ukulimala nokutheleleka.

Nazi izinhlanganisela okufanele uzazi:

• Ukutheleleka okuphindaphindayo kwe-urinary tract ngenxa yezinguquko endaweni ye-vajina
• Amathuba aphezulu okutheleleka kwe-vajina
• Ubuhlungu ngesikhathi socansi obungase bube sibi ngokuhamba kwesikhathi
• Ukuqhekeka okuncane noma ukuphuma igazi ngesikhathi socansi
• I-vaginal stenosis (ukuqina kwe-vaginal canal)
• Ukuhlala phansi kwaneliso lobulili nezingxabano zobulili
• Ukungenisa amanzi noma ukukhuphuka kokucindezela

Kwezinye izikhathi, ukuwohloka okukhulu kwe-vajina kungabangela ukuqina okukhulu kokuvuleka kwe-vajina, okwenza ukuhlolwa kwe-gynecological noma ukuhlangana ngokobulili kube nzima kakhulu noma kungenzeki. Kungakho ukwelashwa kwasekuqaleni kubalulekile kangaka.

Ithonya lezingqondo akufanele lihlale lingabonakali. Abesifazane abaningi bahlangabezana nokulahlekelwa ukuzethemba noma ukukhathazeka ngokuhlangana ngokobulili uma behlangabezana nokuwohloka kwe-vajina okungaphathwa. Ukulungisa izimpawu zomzimba kuvame ukusiza ekuthuthukiseni impilo yengqondo.

Ukuwohloka kwe-vajina kuhlonzwa kanjani?

Ukuhlonzwa kokwohloka kwe-vajina kuvame ukubandakanya ukuhlolwa okulula nokuxoxa nodokotela wakho. Inqubo ivame ukuba isheshayo futhi ayibuhlungu uma yenziwa yisazi esinobuchwepheshe.

Udokotela wakho uzoqala ngokubuza ngezimpawu zakho, umlando wezokwelapha, nanoma iyiphi imithi oyisebenzisayo. Le ngxoxo iyabasiza ukuqonda isimo sakho futhi bakhiphe ezinye izimbangela ezingaba khona.

Inqubo yokuhlola ivame ukubandakanya:

• Ukuhlolwa kwe-pelvic ukuhlola ubukhulu bezicubu ze-vajina nokufuma
• Ukuhlola amazinga e-pH okukhishwa kwe-vajina yakho
• Ukubuka isampula yezicubu ze-vajina ngaphansi komkhiqizo
• Izivivinyo zegazi ukuhlola amazinga e-hormone uma kudingeka
• Izivivinyo zomgogodla uma uhlangabezana nezimpawu ze-urinary

Ngesikhathi sokuhlolwa kwe-pelvic, udokotela wakho uzoqala ukuhlola izindonga ze-vajina, efuna izimpawu ezifana nokuqina kwezicubu, ukwehla kokuthambile, noma umbala ocwebezelayo. Bangase futhi bahlole noma yikuphi ukuqhekeka okuncane noma izindawo ezivuvukile.

Kwezinye izikhathi, udokotela wakho angase ancomele ukuhlolwa okwengeziwe ukuqeda ukutheleleka noma ezinye izimo ezingabangela izimpawu ezifanayo. Inqubo yonke yokuhlola yenzelwe ukuba ibe lula ngangokunokwenzeka ngenkathi iqoqa ulwazi olufanele ukwelashwa okuphumelelayo.

Yikuphi ukwelashwa kokwohloka kwe-vajina?

Ukwelashwa kokwohloka kwe-vajina kugxile ekubuyiseni ukufuma nokuthambile kwezicubu ze-vajina ngenkathi kuqeda izimpawu zakho. Izindaba ezinhle ukuthi kukhona izinketho eziningi zokwelapha ezisebenzayo, futhi abesifazane abaningi bathola impumuzo enkulu.

Udokotela wakho uzohlangana nawe ukukhetha indlela yokwelapha engcono kakhulu ngokuya ngezimpawu zakho, impilo yakho yonke, nezifiso zakho. Ukwelashwa kungase kube ukuguqula indlela yokuphila elula kuya emithi yesikripthi.

Nazi izinketho eziyinhloko zokwelapha ezitholakalayo:

• I-vaginal moisturizers esetshenziswa njalo ukuze kugcinwe ukufuma kwezicubu
• I-lubricants yamanzi noma i-silicone ngesikhathi socansi
• Ukwelashwa kwe-estrogen ye-vajina ephansi (amakhrimu, amathebulethi, noma ama-rings)
• Ukwelashwa kwe-hormone replacement therapy kwezinye izikhathi
• I-DHEA suppositories kwabesifazane abase-postmenopausal
• Ukwelashwa nge-laser noma ezinye izindlela zokwelapha
• Ukuhlangana ngokobulili njalo noma ukusebenzisa i-vaginal dilators

Ukwelashwa kwe-estrogen ye-vajina kuvame ukuba yindlela yokwelapha ephumelelayo kakhulu ngoba kubhekana ngqo nesizathu esiyinhloko. Lezi zindlela zokwelapha zinikeza amazinga amancane e-estrogen ngqo ezicubeni ze-vajina ngokungeniswa okuncane egazini.

Kwabesifazane abangakwazi noma abangathandi ukusebenzisa i-estrogen, izinketho ezingenawo ama-hormone njenge-moisturizers ne-lubricants ezingavamile zingakunikeza impumuzo enkulu. Ezinye izindlela ezintsha, njenge-vaginal laser therapy, zibonisa ithemba kodwa zingase zingagcinwa yinshurensi.

Udokotela wakho angase ancome ukuba uqale ngezindlela ezilula kuqala bese uqhubekela kwezinye izinketho uma kudingeka. Ukwelashwa okuningi kubonisa ukuthuthuka ezinyangeni ezimbalwa kuya ezinyangeni ezimbalwa zokusetshenziswa okuqhubekayo.

Indlela yokuphatha ukuwohloka kwe-vajina ekhaya?

Izindlela eziningi zokunakekela ekhaya zingasiza ekulawuleni izimpawu zokuwohloka kwe-vajina nokusekela impilo yakho ye-vajina yonke. Lezi zindlela zisebenza kangcono uma zihlanganiswa nokwelashwa kwezokwelapha, hhayi njengokushintshwa kwakho.

Ukuze ulawule kahle ukuwohloka kwe-vajina ekhaya, kufanele ube nokuzinikela nokuthambile. Izicubu zakho ze-vajina zidinga ukunakekelwa njalo nokunakekelwa ukuze zigcine impilo yazo nenduduzo.

Nazi izindlela zokunakekela ekhaya ongazama:

• Sebenzisa i-vaginal moisturizer izikhathi eziyi-2-3 ngesonto, ngisho noma ungalali ngokobulili
• Faka i-lubricants yamanzi ngaphambi kokuzijabulisa
• Hlala uhlangana ngokobulili noma usebenzise i-vaginal dilators ukuze ugcine ukuthambile kwezicubu
• Gqoka i-underwear ephilile, yekotoni
• Gwema izifebe ezinzima, ama-douches, noma imikhiqizo enuka kabi endaweni yobulwane
• Hlala unamanzi amaningi ngokunisela amanzi amaningi
• Cabanga nge-probiotics ukuze usekele impilo ye-vajina

Uma ukhetha imikhiqizo, funani leyo eyenzelwe ngokukhethekile izicubu ze-vajina ezinzima. Gwema noma yini enuka kabi, imibala, noma amakhemikhali anzima angase abangele ukuvuvukala.

Ukuhlangana ngokobulili njalo noma ukuzithinta kungasiza ekuqinisiseni ukugeleza kwegazi nokuthambile kwezicubu. Uma ukuhlangana ngokobulili kungakhululeki, ungakugwemi ngokuphelele—esikhundleni salokho, sebenzisa i-lubricant eningi futhi uxoxe nomlingani wakho ngalokho okuzizwa kukhululekile.

Abanye abesifazane bathola ukuthi izikhundla ezithile ze-yoga noma ukuzivocavoca kwe-pelvic floor kuyasiza ekuthuthukiseni ukugeleza kwegazi endaweni ye-pelvic, nakuba lokhu kungafanele kubhekwe njengokwelashwa okuyinhloko.

Kufanele ulungiselele kanjani i-appointment yakho nodokotela?

Ukulungiselela i-appointment yakho kungakusiza ukuthola okuningi ekuhambeleni kwakho futhi kuqinisekise ukuthi udokotela wakho unelonke ulwazi olufanele ukukusiza ngokuphumelelayo. Ukuzilungiselela kancane kuhamba ibanga elikhulu ekuthuthukiseni ingxoxo.

Qala ngokulandelela izimpawu zakho isonto noma amabili ngaphambi kwe-appointment yakho. Qaphela ukuthi zenzeka nini, zibuhlungu kangakanani, futhi yini ebonakala iyenza ibe ngcono noma ibe sibi.

Nansi okufanele ukulethe noma ukulungiselele:

• Uhlu lwezimpawu zakho zonke zamanje nokuthi zaqala nini
• Ulwazi ngomlando wakho wokuya ezinyangeni nesisimo se-menopause
• Uhlu oluphelele lwemithi nezinye izinto oyisebenzisayo
• Imininingwane ngokuhlangana kwakho ngokobulili nanoma yiziphi izinkathazo ezihlobene nakho
• Imibuzo ofuna ukuyibuza ebhaliwe kusengaphambili
• Ulwazi ngokwelashwa okudlule okuye wazzama

Ungangabazi ukuxoxa ngendlela izimpawu ezithinta ngayo impilo yakho yansuku zonke, ubuhlobo, noma impilo yakho yengqondo. Lolu lwazi lusisiza udokotela wakho ukuqonda umthelela ophelele futhi akhethe ukwelashwa olufanele.

Kusiza futhi ukucabanga ngezifiso zakho zokwelashwa kusengaphambili. Uyavulekele yini ukwelashwa kwe-hormone? Unawo yini ukukhathazeka ngemithi ethile? Ungathanda yini ukuqala ngokwelashwa okuqaphayo kuqala?

Khumbula, udokotela wakho ulapho ukukusiza, futhi akukho mbuzo ohluphekayo noma ongabalulekile ukubuza.

Iyiphi into ebaluleke kakhulu ngokuwohloka kwe-vajina?

Ukuwohloka kwe-vajina kuyisimo esivamile, esiphiliswayo esithinta abesifazane abaningi, ikakhulukazi ngesikhathi nangemva kwe-menopause. Into ebaluleke kakhulu okumele uyikhumbule ukuthi awudingi ukuhlala uthule noma wamukele ukungakhululeki njengengxenye yokuguga.

Ukwelashwa okuphumelelayo kutholakala, kusukela emikhiqizweni elula ethengiswa ngaphandle kwesikripthi kuya ekwelapheni yesikripthi. Abesifazane abaningi bathola impumuzo enkulu uma beqala ukwelashwa okufanele, futhi abaningi bafisa ukuba babefuna usizo ngokushesha.

Into ebaluleke kakhulu ukuqaphela ukuthi lesi yisimo sezokwelapha esinezisombululo zangempela, hhayi into okumele uyithwale nje. Ukwelashwa kwasekuqaleni akukhiphi nje izimpawu kodwa futhi kusiza ekuvimbeleni izinhlanganisela ezingase zikhule ngokuhamba kwesikhathi.

Ungavumeli ukuhlupheka kukuvimbele ekutholeni ukunakekelwa okufanele. Abahlinzeki bezempilo bayazi kahle ukwelapha ukuwohloka kwe-vajina futhi bafuna ukukusiza uzizwe ukhululekile futhi uqinile futhi. Nendlela efanele, ungagcina impilo yakho ye-vajina nekhalithi yokuphila kwakho kuzo zonke izigaba zokuphila.

Imibuzo evame ukubuzwa ngokuwohloka kwe-vajina

Ingabe ukuwohloka kwe-vajina kungabuyekezwa?

Yebo, ukuwohloka kwe-vajina kuvame ukuthuthukiswa noma kubuyiselwe ngokwelashwa okufanele. Ukwelashwa kwe-estrogen kupumelela kakhulu ekubuyiseni ubukhulu bezicubu ze-vajina nokufuma. Nakuba ezinye izinguquko ezivela ekuwohlokeni okukhulu, okwesikhathi eside zingase zingabuyekezwa ngokuphelele, abesifazane abaningi bathola ukuthuthuka okukhulu ezimpawu nasempilweni yezicubu ngokwelashwa okuqhubekayo.

Ingabe ukuwohloka kwe-vajina kuyinkinga kwabesifazane abadala kuphela?

Cha, ukuwohloka kwe-vajina kungathinta abesifazane banoma iyiphi iminyaka uma amazinga e-estrogen ehlala phansi kakhulu. Lokhu kungenzeka ngesikhathi sokubhebhetheka, ngemithi ethile, ngemva kokususa ama-ovari, ngesikhathi sokwelashwa komdlavuza, noma ngezindlela ezithile zokulawula ukubeletha ze-hormonal. Noma kunjalo, kuvame kakhulu kwabesifazane abase-postmenopausal ngenxa yokwehla kwemvelo kwe-estrogen okwenzeka nge-menopause.

Ingabe ukusebenzisa i-estrogen ye-vajina kuzokwandisa amathuba ami omdlavuza wamabele?

Ukwelashwa kwe-estrogen ye-vajina ephansi kunamahloni amancane kakhulu kunokwelashwa kwe-hormone therapy ngomlomo ngoba i-estrogen encane kakhulu ingeniswa egazini. Ucwaningo lwamanje lubonisa ukuthi ukusetshenziswa kwe-estrogen ye-vajina akwandisi kakhulu amathuba omdlavuza wamabele, ngisho kwabesifazane abaye baba nomdlavuza wamabele. Noma kunjalo, kufanele uhlale uxoxa ngezici zakho ezingaholela ekuwohlokeni kwe-vajina nodokotela wakho.

Ngingavimbela kanjani ukuwohloka kwe-vajina ukuba kungakhule?

Nakuba ungakwazi ukugwema ngokuphelele izinguquko ze-hormonal eziholela ekuwohlokeni kwe-vajina, ungathatha izinyathelo zokuqinisisa impilo ye-vajina. Ukuhlangana ngokobulili njalo, ukusebenzisa i-moisturizers njalo, ukugwema amakhemikhali anzima, nokungabemi kungasiza konke. Abanye abesifazane bangase bazuze ekuqaleni kokwelashwa ekuqaleni kwe-menopause ngaphambi kokuba izimpawu ezinkulu zikhule.

Kuthatha isikhathi esingakanani ukwelashwa kokwohloka kwe-vajina ukuze kusebenze?

Abesifazane abaningi baqaphela ukuthuthuka okuthile ezinyangeni eziyi-2-4 ngemva kokuqala ukwelashwa, ngokuthuthuka okuqhubekayo ezinyangeni eziyi-2-3. I-vaginal moisturizers ingakunika induduzo ngokushesha, kanti ukwelashwa kwe-estrogen kuvame ukubonisa ukuthuthuka kancane ezinyangeni ezimbalwa. Isikhathi singase sihluke kuye ngobunzima bezimpawu zakho nohlobo lokwelashwa olusetshenziswayo.