Uyini iVulvodynia? Izimpawu, Izimbangela, Nokwelashwa

IVulvodynia ubuhlungu obuhlala njalo e-vulva (indawo yasemgceleni yabesifazane) obuhlala izinyanga ezintathu noma ngaphezulu ngaphandle kwesizathu esicacile sezokwelapha. Lolu khathazeko oluhlala njalo lungazizwa njengokushisa, ukukhahlela, noma ukuvuvukala okucashile, futhi luthinta izigidi zabesifazane emhlabeni jikelele.

Awuwedwa uma ubhekene nobuhlungu obungachazeki be-vulva. Nakuba i-vulvodynia ingaba yinto ecasulayo futhi eyingozi ngokomzwelo, kuyisimo sezempilo esiqondiwe esinamakhetho okuwelapha asebenzayo atholakala.

Uyini uvulvodynia?

IVulvodynia yisifo sobuhlungu esithinta i-vulva, okuhlanganisa i-labia, i-clitoris, nokuvula kwesikhumba. Ubuhlungu buvela ngaphandle kwanoma yiziphi izibonakaliso ezibonakalayo zokutheleleka, isifo sesikhumba, noma enye isimo sezempilo esiqondiwe.

Lesi simo asibiwanga ukungcola okubi, ukutheleleka okuthunyelwa ngocansi, noma noma yini oyenzile okungalungile. Kuyisimo sezempilo esisemthethweni esingathuthuka kunoma iyiphi iminyaka, nakuba kuvame ukubonakala phakathi kwabantu abasebasha nabahlanu.

Ubuhlungu bungaba buhlala njalo noma buqalwe ukubamba, futhi bungathinta imisebenzi yakho yansuku zonke, ubuhlobo, kanye nekhwalithi yempilo yakho iyonke. Ukuqonda ukuthi lesi yisimo sezempilo sangempela yisinyathelo sokuqala esibalulekile sokuthola usizo olukudedelwayo.

Ziyini izimpawu zevulvodynia?

Isimpawu esiyinhloko ubuhlungu obuhlala njalo be-vulva obuzizwa buhlukile kunokungakhululeki okuvamile. Abesifazane abaningi bayichaza njengokuzwa sengathi i-vulva yabo ihlala ivuvukala noma ilimele.

Nazi izimpawu ezivamile ongazihlangabezana nazo:

• Ukushisa noma ukukhahlela e-vulvar area
• Ukuzizwa okucashile noma okuhlungu, njengokungathi une-sunburn embi
• Ubuhlungu obuthinta noma obuhlungu
• Ubuhlungu ngesikhathi noma ngemuva kokuziphatha ngocansi
• Ukungahambi kahle lapho ufake i-tampons
• Ubuhlungu lapho uhleli, ikakhulukazi ezindaweni ezinzima
• Ukuzwela okwandisiwe kokubamba noma ukucindezela
• Ubuhlungu obukhulu ngokugqoka okubambeneyo

Ubukhulu bungashintsha kusuka ekungakhululeki okuncane kuya ebuhlungwini obukhulu obuphazamisa imisebenzi yansuku zonke. Abesifazane abathile baye baba nobuhlungu njalo, kanti abanye baye bazizwa kuphela lapho indawo ibonwa noma ngesikhathi semisebenzi ethile.

Ziyini izinhlobo zevulvodynia?

Odokotela bahlukanisa i-vulvodynia zibe izinhlobo ezimbili eziyinhloko ngokusekelwe ekutheni nokuthi ubuhlungu buvela kuphi. Ukuqonda uhlobo lwakho oluthile kusiza ukuqondisa izinqumo zokwelapha.

IVulvodynia ejwayelekile ibangela ubuhlungu kuyo yonke indawo ye-vulvar. Lo mbono uvame ukubandakanya ukushisa okuhlala njalo noma ukuhlungu okungadingi ukubamba ukuqalisa. Ukungakhululeki kungashintsha usuku lonke kodwa akunakuphela.

IVulvodynia eqingqiwe ithinta kuphela izindawo ezithile ze-vulva. Uhlobo oluvamile kakhulu yi-vestibulodynia, ebangela ubuhlungu eduze kokuvula kwesikhumba (i-vestibule). Lobu buhlungu buvamise ukubonakala kuphela lapho indawo ibonwa noma ngesikhathi semisebenzi efana nokuziphatha ngocansi noma ukufaka i-tampon.

Abesifazane abathile baye baba nohlobo olulodwa ngesikhathi esifanayo noma bangathuthukisa uhlobo olulodwa ngemuva kokuba belunye. Umhlinzeki wakho wezempilo angakusiza ukunquma ukuthi yiluphi uhlobo olukhona ngokuhlolwa okucophelelayo nokuxoxisana ngezimpawu zakho.

Yini ebangela i-vulvodynia?

Isizathu esiqinisekile se-vulvodynia asikaqondakali, kodwa abacwaningi bakholelwa ukuthi sithuthukiswa yihlanganisela yezinto kunokuba kube yisizathu esisodwa. Ubuhlungu bakho abubangelwa ukutheleleka noma isifo esithunyelwa ngocansi.

Izinto eziningi zingase zifake isandla ekuthuthukiseni i-vulvodynia:

• Ukonakala kwezinzwa noma ukuzwela okwandisiwe kwezinzwa endaweni ye-vulvar
• Ukushintsha kwe-hormonal, ikakhulukazi amazinga aphansi e-estrogen
• Izinto zofuzo ezithinta ukuqonda ubuhlungu noma ukuvuvukala
• Ukutheleleka kwangaphambili okungase kube yikho okwenze izinzwa zibe nomuzwa
• Izimpendulo ze-autoimmune ebangela ukuvuvukala
• Ukuqina kwemisipha e-pelvic floor
• Ukulimala kwangaphambili noma ukulimala endaweni ye-vulvar
• Imithi ethile ethinta umsebenzi wezinzwa

Kwezinye izimo, i-vulvodynia ingase ithuthuke ngemuva kokutheleleka okuphindaphindayo kwe-yeast, ngisho noma ukutheleleka sekwelaphiwe ngempumelelo. Ukuvuvukala okuqalayo kungase kuqalise ukuzwela okungapheli kwezinzwa okuqhubeka kubangela ubuhlungu.

Kubalulekile ukwazi ukuthi i-vulvodynia ayithwali futhi ayibangelwa ukungcola okubi noma ukuziphatha ngocansi. Lesi simo singathinta abesifazane bazo zonke izizinda nezindlela zokuphila.

Nini okumele ubona udokotela nge-vulvodynia?

Kufanele ubona umhlinzeki wezempilo uma ubhekene nobuhlungu obungachazeki be-vulva obuhlala izinsuku ezimbalwa noma ngaphezulu. Ukubheka kwangaphambi kwesikhathi nokwelashwa kungavimbela isimo ekubeni libe nomthelela omkhulu ezingeni lempilo yakho.

Funani ukunakekelwa kwezokwelapha uma uqaphela ukushisa okuhlala njalo, ukukhahlela, noma ukuzizwa okucashile endaweni yakho ye-vulvar. Ungalindi kuze kube ubuhlungu obukhulu ngaphambi kokuthola usizo, njengoba ukwelashwa kwangaphambi kwesikhathi kuvame ukuholela emiphumeleni emihle.

Hlela i-aphoyintimenti uma ubuhlungu buphazamisa imisebenzi yansuku zonke efana nokuhlala, ukuzivocavoca, noma ukugqoka izingubo ezithile. Ubunzima bobulili noma ukungakwazi ukusebenzisa i-tampons nazo zizizathu ezibalulekile zokubonisana nomhlinzeki wezempilo.

Khumbula ukuthi abaninzi abahlinzeki bezempilo bangase bangabi ngokushesha abajwayele i-vulvodynia. Ungadangali uma udokotela wokuqala owumbonayo edinga isikhathi sokuphenya isimo sakho noma akuqondisa esikhethekile.

Ziyini izinto ezikhulayo ze-vulvodynia?

Nakuba noma yisiphi isilisa singathuthukisa i-vulvodynia, izinto ezithile zingase zikhulise amathuba akho okuhlangabezana nalesi simo. Ukuqonda lezi zinto ezikhulayo kungakusiza ukubona izizathu ezingase zibe khona.

Izinto ezikhulayo ezivamile zihlanganisa:

• Umbhalo wokutheleleka okuvamile kwesikhumba, ikakhulukazi ukutheleleka kwe-yeast
• Ukushintsha kwe-hormonal ngesikhathi se-menopause noma ukuncelisa
• Ukulimala kwangaphambili kwe-vulvar noma ukulimala
• Ukukhetha kwofuzo ekuzweleni ubuhlungu
• Izimo ezithile ze-autoimmune
• Amazinga aphezulu engcindezi noma ukukhathazeka
• Umbhalo wokusebenzisa ngokocansi noma ukulimala
• Ukusebenza okungalungile kwemisipha ye-pelvic floor

Ezinye izinto ezikhulayo ezingavamile zihlanganisa imithi ethile, ikakhulukazi ukusetshenziswa kwemithi yokulwa nezifo isikhathi eside, kanye nezinguquko ezithile zofuzo ezithinta indlela umzimba wakho uqeda ngayo izibonakaliso zobuhlungu.

Ukuba nalezi zinto ezikhulayo akusho ukuthi uzokuthuthukisa i-vulvodynia. Abesifazane abaningi abanamazinga amaningi ezinto ezikhulayo abakaze babe nalesi simo, kanti abanye baye bayithuthukisa ngaphandle kwanoma yiziphi izinto ezikhulayo ezibonakalayo.

Ziyini izinhlanganisela ezingase zibe khona zevulvodynia?

Nakuba i-vulvodynia ngokwayo ingabi yingozi, ubuhlungu obuhlala njalo bungase buholele ezinhlanganisela eziningi ezithinta impilo yakho yomzimba neyengqondo. Le miphumela yesibili ivame ukudinga ukunakekelwa kanye nokuphatha ubuhlungu obukhulu.

Izinhlanganisela zomzimba zingase zithuthuke ngokuhamba kwesikhathi:

• Ukuqina kwemisipha ye-pelvic floor ngokuzigcina ekuvikelweni ebuhlungwini
• Ukutheleleka kwesibili kusuka emikhweni yokuhlambalaza eguqukile
• Ukuphazamiseka kokulala ngenxa yokungakhululeki okuhlala njalo
• Ukuncipha kwemisebenzi yomzimba nokubekezelela ukuzivocavoca
• Ukusebenza okungalungile kobulili nokuziphatha ngocansi okuhlungu

Izinhlanganisela zengqondo nezengqondo ziyabalulekile ukubhekana nazo. Ubuhlungu obuhlala njalo bungase buholele ekukhathazekeni, ukucindezeleka, nokuzizwa uhlukene. Abesifazane abaningi nabo baye baba nobunzima bobuhlobo nokuncipha kwekhwalithi yempilo.

Izindaba ezinhle ukuthi ukwelashwa okuqondile kungasiza ukuvimbela noma ukuphendula izinhlanganisela eziningi. Ukusebenza nabhlinzeki bezempilo abaqonda i-vulvodynia kungakusiza ukuphatha kokubili ubuhlungu nemiphumela yaso yesibili.

Ungavimbela kanjani i-vulvodynia?

Ngeshwa, ayikho indlela eqinisekisiwe yokuvimbela i-vulvodynia njengoba izimbangela zayo eziqondile zingakaqondakali ngokuphelele. Noma kunjalo, imikhuba ethile ingasiza ekuqedeni amathuba akho okuthuthukisa lesi simo.

Ukugcina impilo enhle ye-vulvar kuhilela imikhuba yokunakekela ephansi. Sebenzisa izifebe ezilula, ezingenasono futhi ugweme amakhemikhali aqinile noma imikhiqizo enencasa endaweni yobulwele. Khetha izingubo zangaphansi zekhotini eziphefumula futhi ugweme izingubo eziqinile uma kungenzeka.

Ukuphatha ukutheleleka ngokushesha kungasiza ekuqedeni ukuzwela kwezinzwa. Phatha ukutheleleka kwe-yeast kanye nezinye izifo zesikhumba ngokushesha nangokuphelele njengoba umhlinzeki wakho wezempilo ekuphathele.

Abesifazane abathile bathola ukuthi ukuphatha ingcindezi ngezindlela zokupumula, ukuzivocavoca, nokulala okwanele kungasiza ekuqedeni ukubhebhetheka kobuhlungu. Nakuba lezi zindlela zingakwazi ukuqinisekisa ukuvimbela, zisekela impilo yonke futhi zingase ziqede amathuba akho.

I-vulvodynia ihlonishwa kanjani?

Ukuhlonishwa kwe-vulvodynia kuhilela ukukhipha ezinye izimo ezingase zibangele izimpawu ezifanayo. Umhlinzeki wakho wezempilo uzoqhuba ukubheka okuhle ukuqinisekisa lokhu kutholwa.

Inqubo yokutholwa ivame ukuqala ngombhalo wembali yezokwelapha. Udokotela wakho uzokubuza ngezimpawu zakho, ukuthi zaqala nini, yini ebangela ubuhlungu, kanye nokuthi yiziphi izindlela zokwelapha osele uzizame.

Ukuhlolwa komzimba kulandela, lapho umhlinzeki wakho azokuhlola khona indawo yakho ye-vulvar. Bangase basebenzise i-cotton swab ukubamba izindawo ezahlukene ukuze baqonde ukuthi uzwa ubuhlungu kuphi futhi baqonde iphethini yokuhlangenwe nakho.

Udokotela wakho uzokwenza amaviki ukuze aqede ukutheleleka, kuhlanganise nokukhiqiza amabhaktheriya ne-yeast. Bangase futhi bahlole ukutheleleka okuthunyelwa ngocansi ukuqinisekisa ukuthi akuyona yona ebangela izimpawu zakho.

Kwezinye izimo, umhlinzeki wakho angase akukhuthaze i-vulvar biopsy uma eqaphela noma yiziphi izinguquko ezingavamile zesikhumba. Noma kunjalo, lokhu akudingeki ngokuvamile ukuhlonishwa kwe-vulvodynia evamile.

Yini ukwelashwa kwevulvodynia?

Ukwelashwa kwe-vulvodynia kuvame ukubandakanya ihlanganisela yezindlela ezilungiselelwe izimpawu zakho ezithile nezidingo. Abesifazane abaningi bathola impumuzo ngohlelo lokwelapha oluhlanganisiwe oluthuthukiswe nomhlinzeki wabo wezempilo.

Izinhlangano zokwelapha zivame ukuba yizindlela zokuqala zokwelapha. Udokotela wakho angase akubhalele ama-creams okuthambisa ane-lidocaine noma imithi ehlanganisiwe ehlanganisa izithako zokunciphisa ubuhlungu. Lezi zingase zinikeze impumuzo ngokushesha kwabesifazane abaningi.

Imithi yomlomo ingasiza ekulawuleni ubuhlungu obuhambisana nezinzwa. I-tricyclic antidepressants, i-anticonvulsants efana ne-gabapentin, noma ama-nerve blocks angase akhuthazwe. Le miithi isebenza ngokushintsha indlela izinzwa zakho ziqeda ngayo izibonakaliso zobuhlungu.

Ukwelashwa komzimba, ikakhulukazi ukwelashwa komzimba kwe-pelvic floor, kungaba usizo kakhulu. Uchwepheshe oqeqeshwe kahle angakufundisa ukuzivocavoca ukuze ukhulule imisipha eqinile futhi uthuthukise ukugeleza kwegazi endaweni ethintekile.

Ezinye izindlela zokwelapha zezimo ezinzima zihlanganisa:

• Ama-nerve blocks noma ukugxilwa kwe-trigger point
• I-interferon treatments efake topically
• Ukugxilwa kwe-Botox ukuze kuphumule imisipha
• Ukususa ngokusebenza inyama ethintekile (i-vestibulectomy) ezimweni ezingavamile

Izindlela zokwelapha ezihlukile njenge-acupuncture, i-biofeedback, noma i-cognitive behavioral therapy nazo zingase zinikeze impumuzo. Abesifazane abaningi bayazuza ngokuhlanganisa ukwelashwa kwezokwelapha okuvamile nalezi zindlela ezikhuthazayo.

Indlela yokuphatha i-vulvodynia ekhaya?

Amasu okunakekela ngokwakho angase ahlanganise ukwelashwa kwezokwelapha futhi akusize ukuphatha izimpawu ze-vulvodynia nsuku zonke. Lezi zindlela ezilula zingase zinikeze induduzo futhi zingase ziqede ukubhebhetheka kobuhlungu.

Imikhuba yokuhlanza ephansi iyisisekelo sokuphatha izimpawu. Sebenzisa amanzi nje noma isifebe esilula, esingenasono ukuhlanza indawo ye-vulvar. Shaya indawo yomile ngobumnene kunokuba uyigcoke, futhi cabanga ukusebenzisa umshini wokomisa izinwele ngokushisa okubandayo uma ukugqoka kungakhululeki kakhulu.

Khetha izingubo nemikhiqizo ngokucophelela ukuze unciphise ukuvuvukala. Gqoka izingubo eziphumulele, eziphefumula kanye nezingubo zangaphansi zekhotini ezingama-100%. Gwema izithambisi zezingubo, izifebe zokugeza ezinasono, kanye nanoma yimiphi imikhiqizo yokunakekela yomuntu siqu enencasa noma amakhemikhali aqinile.

Amasu okuphatha ubuhlungu angase anikeze impumuzo yansuku zonke:

• Faka ama-compresses abandayo noma ama-ice packs agqokwe ngendwangu ebushelelezi
• Thatha izimbobo ezishisayo ngamanzi nje noma i-baking soda
• Sebenzisa i-cushion enesimo sedonati lapho uhleli
• Zama amasu okupumula njengokuphefumula okujulile
• Faka imithi yokwelapha ebhaliwe njengoba kuqondiswe
• Lala ngaphandle kwezingubo zangaphansi ukuze unciphise ukugqoka

Ukuphathwa kwengcindezi kubalulekile ngokulinganayo njengoba ingcindezi ingase ibe nomthelela omubi ebuhlungwini. Ukuzivocavoca okuvamile ngaphakathi kwenqanaba lakho lokududuzeka, ukulala okwanele, kanye nemisebenzi yokunciphisa ingcindezi kungasiza ekuqedeni isizungu sobuhlungu-ingcindezi.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nohlelo lokwelapha olusebenzayo. Ukulungiselela okuhle nakho kusiza ukuthi uzizwe uqinile ngesikhathi sokuqonda okungase kube yingxoxo ebuhlungu.

Gcina idayari enemininingwane yesimpawu amasonto ambalwa ngaphambi kwe-aphoyintimenti yakho. Bhala phansi ukuthi ubuhlungu buvela nini, ubukhulu babo ngesilinganiso se-1-10, yini ebuqalayo, kanye nokuthi yini enikeza impumuzo. Lolu lwazi lusiza udokotela wakho ukuqonda iphethini yakho ethile yesimpawu.

Bhala phansi yonke imithi, izithako, kanye nezindlela zokwelapha osele uzizame, kuhlanganise nemikhiqizo yokuthengisa ngaphandle kwesikweletu. Qaphela ukuthi yiziphi ezikusiza, yiziphi ezenze izimpawu zaba zimbi, kanye nanoma yimiphi imiphumela emibi ohlangane nayo.

Lungiselela uhlu lwemibuzo okumele uyibuze udokotela wakho:

• Yiziphi izivivinyo engidinga ukuze ngiqinisekise ukuxilongwa?
• Yiziphi izindlela zokwelapha ezitholakalayo ngohlobo lwami oluthile lwe-vulvodynia?
• Kungathatha isikhathi esingakanani ukubona ukuthuthuka?
• Ingabe kunezinto engingazigwema noma ngizishintshe?
• Nini okumele ngilandele noma ngifune usizo olwengeziwe?

Cabanga ukuletha umngane othembekile noma ilungu lomndeni lokuthola ukwesekwa ngokomzwelo. Ukuba nomuntu onaye kungakusiza ukukhumbula ulwazi olukhulu futhi uzizwe ukhululekile ngesikhathi sokuhlolwa.

Iyini into ebalulekile nge-vulvodynia?

IVulvodynia iyisimo sezempilo sangempela, esingaphathwa esithinta abesifazane abaningi. Nakuba ingase ibe yinto ecasulayo futhi eyingozi ngokomzwelo, unezizathu zokuba nomthemba ngokuthola impumuzo.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi awuwedwa futhi lokhu akuyona iphutha lakho. Abesifazane abaningi baphatha ngempumelelo izimpawu ze-vulvodynia futhi babuyela empilweni ehlala njalo, esebenzayo ngokwelashwa okuqondile nokusekelwa.

Ukusebenza nabhlinzeki bezempilo abaqeqeshwe kahle kubalulekile ekuthuthukiseni uhlelo lokwelapha olusebenzayo. Ungayeke uma ukwelashwa kokuqala kungasebenzi kahle, njengoba ukuthola ihlanganisela efanele kuvame ukuthatha isikhathi nokubekezela.

Khumbula ukuthi ukuphatha i-vulvodynia kuvame ukuba inqubo ehamba kancane kunokuba kube yilokho okuphulukisayo. Ukuthuthuka okuncane kungakha ngokuhamba kwesikhathi kube impumuzo enkulu, ngakho ke gubha intuthuko ngisho noma izizwa ihamba kancane.

Imibuzo evamile ebuzwa nge-vulvodynia

Ingabe i-vulvodynia ithunyelwa ngocansi?

Cha, i-vulvodynia ayithunyelwa ngocansi futhi ayithwali. Awukwazi ukuyibamba noma uyithumelele kumlingani wakho wobulili. Nakuba abesifazane abathile baye bathuthukisa i-vulvodynia ngemuva kokutheleleka, isimo ngokwalo asibiwanga amabhaktheriya, ama-viruses, noma ezinye izinto ezithwala ukutheleleka.

Ingabe i-vulvodynia ingaphela yodwa?

Nakuba abesifazane abathile baye baba nokuthuthuka okungaqondakali, i-vulvodynia ayipheli ngokuphelele ngaphandle kokwelashwa. Ukungenelela kwangaphambi kwesikhathi kuvame ukuholela emiphumeleni emihle, ngakho kubalulekile ukufuna ukunakekelwa kwezokwelapha kunokuba ulinde izimpawu zihambe zodwa.

Ingabe ngizokwazi ukuba nobuhlobo obuvamile bobulili nge-vulvodynia?

Abesifazane abaningi abane-vulvodynia bangagcina ubuhlobo obunethezeka bobulili ngokwelashwa okuqondile nokuxhumana nabalingani babo. Ukwelashwa kuvame ukunciphisa kakhulu ubuhlungu ngesikhathi sokuziphatha ngocansi, futhi ukusebenza nomlingani wakho ukuthola izindlela ezanelisayo kungasiza ekuqondeni ubudlelwano.

Ingabe i-vulvodynia ithonya ukukhulelwa noma ukukhulelwa?

IVulvodynia ayithinti ikhono lakho lokuthola ukukhulelwa noma ukuthwala ukukhulelwa kuze kube sekupheleni. Noma kunjalo, ezinye izindlela zokwelapha zingase zidinga ukushintshwa ngesikhathi sokukhulelwa, ngakho-ke xoxa ngesimo sakho nodokotela wakho uma uhlela ukuthola ukukhulelwa noma usekhulelwe.

Ukwelashwa kwevulvodynia kuthatha isikhathi esingakanani ukusebenza?

Impendulo yokwelashwa ihluka kakhulu phakathi kwabesifazane. Abanye bayaphawula ukuthuthuka phakathi kwamasonto, kanti abanye bangadinga izinyanga eziningi ukuze bathole impumuzo enkulu. Ukwelashwa okuphumelelayo kuningi kudinga okungenani amasonto angu-6-12 okusetshenziswa okuqhubekayo ngaphambi kokuba ukwazi ukulinganisa ngokuphelele ukusebenza kwabo.