Vulvodynia
Uhlolojikelele
I-Vulvodynia (vul-voe-DIN-e-uh) uhlobo lobuhlungu obungapheli noma ukungakhululeki eduze kwengxenye yangaphandle yezitho zangasese zesifazane, ebizwa ngokuthi i-vulva. Luhlala okungenani izinyanga ezintathu futhi alunangxenye ebonakalayo. Ubuhlungu, ukushisa noma ukuvuvukala okuhlotshaniswa ne-vulvodynia kungakwenza ungakhululeki kangangokuba ukuhlala isikhathi eside noma ukwenza ucansi kuyabe kungacabangi. Isimo singahlala izinyanga eminyakeni eminingi.
Uma unezimpawu ze-vulvodynia, ungavumeli ukuhlazeka noma ukungabikho kwezimpawu ezibonakalayo kukuvimbe ukukhuluma nodokotela wakho wezesifazane noma omunye ochwepheshe wezempilo. Ukwelashwa kunganciphisa ukungakhululeki kwakho. Futhi iqembu lakho lokunakekelwa lingase likwazi ukuthola imbangela yobhlungu lwakho. Ngakho-ke, kubalulekile ukuhlolwa yi-medical.
Izimpawu
Isimo esiyinhloko se-vulvodynia ubuhlungu e-vulva, okuhlanganisa nokungenisa kwesikhumba. Ubuhlungu bavame ukuchazwa ngokuthi yi: Ukushisa. Ukucaphuna. Ukukhahlela. Ukuba buhlungu. Ubuhlungu obukhulu. Ubuhlungu obukhulu noma obukhulu njengoba kwenziwa yikhakha. Ungase uzwe nobuhlungu, ukugcwala nokuvuvukala. Ukuthi izimpawu zenzeka kangakanani nokuthi zizwakala kuphi ngqo kuyahlukahluka kumuntu ngamunye. Ubuhlungu bakho bungase bube buhlala khona, noma bungase buye buze. Bungase buqale kuphela uma i-vulva ithintwe. Ungase uzwe ubuhlungu kuyo yonke i-vulva yakho. Lokhu kubizwa ngokuthi yi-vulvodynia ebanzi. Noma ubuhlungu bungase buqale endaweni ethile, njengoba kwenziwa yithishu ezungezile ukungenisa kwesikhumba, okuthiwa yi-vestibule. Lokhu kuyaziwa ngokuthi yi-vulvodynia eqondile, futhi kuvamile kune-vulvodynia ebanzi. Ithishu ye-vulva ingase ibukeke iphezulu noma ivuvukile. Ngokuvamile, i-vulva yakho ayibukeki ehlukile kunokujwayelekile. Uma unebuhlungu e-vulva yakho, khuluma nodokotela wakho we-gynecologist noma omunye ilungu leqembu lakho lokunakekelwa kwezempilo. Uma ungenadokotela we-gynecologist, ungase uqondiswe komunye. Ochwepheshe bezempilo kudingeka athole ukuthi ubuhlungu bakho bunesizathu esingaphathwa esingafani ne-vulvodynia, njengoba kwenziwa yi: Ukutheleleka okusebenzayo kusuka kubisi noma ebaktheriya. Isifo esithathelwanayo sobulili njenge-herpes. Isimo esihlunguphayo sesikhumba. Ukukhula kwe-vulvar. I-Genitourinary syndrome ye-menopause. Abanye abantu abangazi ukuthi bane-vulvodynia bazama ukuqeda izimpawu zabo ngokusebenzisa ukwelashwa kokutheleleka kwe-yeast ngaphandle kwesikripthi. Kodwa kubalulekile ukuhlolwa, ukuze ilungu leqembu lakho lokunakekelwa kwezempilo likunikeze ukuhlolwa futhi likuncoma ukwelashwa okulungile kuwe.
Isikhathi sokubona udokotela
Uma ubuhlungu e-vulva yakho, xoxa nodokotela wakho we-gynecology noma omunye ilungu leqembu lakho lokunakekelwa kwezempilo. Uma ungenadokotela we-gynecology, ungase uqondiswe komunye. Uchwepheshe wezempilo udinga ukuthola ukuthi ubuhlungu bakho bunomsuka ophatheka kalula ohlukile ku-vulvodynia, njengoba:
- Ukutheleleka okusebenzayo okuvela kubhaktheriya noma e-yeast.
- Isifo esithathelwana ngocansi njenge-herpes.
- Isimo sokukhubazeka kwesikhumba.
- Ukukhula kwe-vulva.
- I-Genitourinary syndrome ye-menopause. Abanye abantu abangazi ukuthi bane-vulvodynia bazama ukunciphisa izimpawu zabo ngokusebenzisa ukwelashwa kwe-yeast infection ngaphandle kwesiphakamiso. Kodwa kubalulekile ukuhlolwa, ukuze ilungu leqembu lakho lokunakekelwa kwezempilo likunikeze ukuhlolwa futhi likunikeze ukwelashwa okulungile kuwe.
Izimbangela
Odokotela abazi ukuthi yini ebangela i-vulvodynia. Izinto ezingase zidlale indima zihlanganisa:
- Ukulimala noma ukuvuvukala kwama-nerve e-vulva.
- Ukutheleleka kwangaphambili kwe-vagina.
- Ukubola okuhlungu okubizwa ngokuthi ukutheleleka okuthinta i-vulva.
- Izimo ezithile ze-genetic.
- Ukwenzakala.
- Ukushintsha kwamahomoni.
- Ukubamba noma ubuthakathaka bemisipha e-pelvic floor, esekela i-uterus, i-bladder kanye ne-bowel.
Izingqinamba
Uma ingelaphiwa, i-vulvodynia ingathinta impilo yengqondo, ubuhlobo nezinye izingxenye zokuphila kwakho.
Ubuhlungu nezinye izimpawu ze-vulvodynia kungenzeka kube nzima ukulandelela umsebenzi. Ungase uzizwe ungabi nabantu abaningi. Futhi ungase ube nezinkinga zokulala kahle.
Ukuxilongwa
Uma vulvodynia, udokotela wakho wezesifo sobufazi noma omunye ilungu leqembu lakho lokunakekelwa cishe uyokubuza imibuzo mayelana nomlando wakho wezokwelapha nowesondo. Uzobazwa futhi uma uke waba nokuhlinzwa. Ungase futhi ube nokuhlolwa okulandelayo:
- Ukuhlolwa kwesisu. Izitho zakho zangasese zangaphandle ne-vagina ziqalwa ukuze kubonwe izimpawu zokutheleleka noma ezinye izimbangela zezimpawu zakho. Isibonelo seziselo ezivela ku-vagina yakho singase siqatshelwe ukuze kuhlolwe ukutheleleka okubangelwa yi-yeast noma amabhaktheriya. Ochwepheshe bakho bezempilo bangase futhi bafake umunwe ogqokile ingqekembe ku-vagina yakho ukuze bahlole imisipha yesiswini sobufazi ukuze kubonwe ubuhlungu.
- Ukuhlolwa nge-cotton swab. I-cotton swab emanzi isebenziswa ukuze kuhlolwe ngobumnene izindawo ezithile zobuhlungu ku-vulva yakho. Uma kutholakala indawo ebuhlungu, cishe uzobazwa ukuthi uzizwa kanjani nokuthi ubuhlungu obukhulu kangakanani.
- I-Biopsy. Uma isikhumba se-vulva sibonakala sihlukile kunokujwayelekile, udokotela wakho noma udokotela wezesifo sobufazi angase akhiphe isibonelo esincane sethishu ukuze lihlolwe yi-lab.
- Ukuhlolwa kwegazi. Lokhu kungase kwenziwe ukuze kuhlolwe amazinga akho e-hormone njenge-estrogen, i-progesterone ne-testosterone.
Ukwelashwa
Ukwelapha i-vulvodynia kugxile ekunciphiseni izimpawu. Alukho ukwelapha olusebenza kuwo wonke umuntu. Kubantu abaningi, ukuhlanganiswa kokwelapha kusebenza kangcono. Kungathatha isikhathi ukuthola ukuxuba okulungile. Kungathatha nezinyanga ukuthola impumuzo.
Iqembu lakho lokunakekelwa kwempilo lingakuncoma imithi enjengale:
- Ama-anesthetic aseduze. Le mithi eqinile ingavimba ubuhlungu isikhashana. Isibonelo, ungafaka i-ointment ye-lidocaine ebizwa ngokuthi yi-anesthetic yendawo e-vulva yakho imizuzu engama-30 ngaphambi kokuba ube nobulili ukuze kube lula. Le mithi ingabangela umlingani wakho ukulahlekelwa uvalo isikhashana ngemuva kokuxhumana kobulili.
- Ukubamba imithambo yezinzwa. Lezi zithombe zinikezwa eduze komthambo wezinzwa noma iqembu lezinzwa ezinovalo. Lokhu kungasiza uma unebuhlungu obuhlala isikhathi eside obungaphenduli kokwelapha okunye.
- Amakhilimu e-hormone. Uma izimpawu zakho zihambisana nezinguquko ze-hormone, ungathola impumuzo evela ekhilimu le-estrogen eliya esibelethweni sakho. Ngezinye izikhathi kunqunywe kanye nekhilimu le-testosterone.
- Ama-antihistamine. Asetshenziswa njalo ukwelapha uketshezi, le mithi inganciphisa nokukhahlela okuvela kwi-vulvodynia. Kodwa ama-antihistamine angomile uma usuvele udlule i-menopause.
Ukuphathwa komzimba kuhlanganisa amasu ahlukahlukene anganciphisa ubuhlungu bakho futhi athuthukise ikhwalithi yempilo yakho. Lokhu kuhlanganisa:
- Ukuphathwa kwe-pelvic floor. Abantu abaningi abane-vulvodynia banokucindezeleka emiphini ye-pelvic floor, esekela i-uterus, i-bladder kanye ne-bowel. Ukuzivocavoca ukuze uqine futhi uphumule leyo miphini kungasiza ekuqedeni ubuhlungu be-vulvodynia.
Umqeqeshi wakho womzimba angakuncoma futhi ukuthi usebenzise idivayisi ekhaya ebizwa ngokuthi yi-vaginal dilator. Lokhu kuqina futhi kukhuthaza isibeletho. Kungasiza futhi ekuqedeni ukwesaba ukuba nobuhlungu ngesikhathi sobulili.
- I-Biofeedback. Lena ndlela yomzimba ingasiza ekuqedeni ubuhlungu ngokukufundisa ukuthi ungawakhulula kanjani imiphini yakho ye-pelvic. Ingakufundisa futhi ukuthi ulawule kanjani indlela umzimba wakho ophendula ngayo ezimpawu.
Ukuphathwa kwe-pelvic floor. Abantu abaningi abane-vulvodynia banokucindezeleka emiphini ye-pelvic floor, esekela i-uterus, i-bladder kanye ne-bowel. Ukuzivocavoca ukuze uqine futhi uphumule leyo miphini kungasiza ekuqedeni ubuhlungu be-vulvodynia.
Umqeqeshi wakho womzimba angakuncoma futhi ukuthi usebenzise idivayisi ekhaya ebizwa ngokuthi yi-vaginal dilator. Lokhu kuqina futhi kukhuthaza isibeletho. Kungasiza futhi ekuqedeni ukwesaba ukuba nobuhlungu ngesikhathi sobulili.
Ukukhuluma nochwepheshe kuhilela ukusebenza nochwepheshe, ongakufundisa izindlela zokubhekana nobuhlungu bakho. Izibonelo zihlanganisa:
- I-Cognitive behavioral therapy. Lena ndlela ikusiza ukuba uqaphele imicabango emibi bese uphendula ngezindlela ezisebenzayo. Uzokhuthazwa futhi ukuba ugcine idayari yobhlungu yansuku zonke. Kule dayari, ubhala lapho unezimpawu ze-vulvodynia futhi yini ebonakala iyenza ibe ngcono noma ibe sibi.
Ngezinye izikhathi, ubuhlungu be-vulvodynia bungahlobana nokungqubuzana ebuhlotsheni noma nokulimala kwangaphambili. Ukwelapha kungasiza abantu ukuba baqede lezi zinselele.
- Ukwelapha abantu abashadile noma ukwelapha ubulili. Uchwepheshe angakufundisa wena nomlingani wakho ukuthi nizoxhumana kanjani kangcono futhi nakhe ubuhlobo ngezindlela ezingagxili ebulilini. Ungafunda futhi ukuthi ungakuqeda kanjani ukwesaba ubuhlungu ngesikhathi sobulili.
I-Cognitive behavioral therapy. Lena ndlela ikusiza ukuba uqaphele imicabango emibi bese uphendula ngezindlela ezisebenzayo. Uzokhuthazwa futhi ukuba ugcine idayari yobhlungu yansuku zonke. Kule dayari, ubhala lapho unezimpawu ze-vulvodynia futhi yini ebonakala iyenza ibe ngcono noma ibe sibi.
Ngezinye izikhathi, ubuhlungu be-vulvodynia bungahlobana nokungqubuzana ebuhlotsheni noma nokulimala kwangaphambili. Ukwelapha kungasiza abantu ukuba baqede lezi zinselele.
Ukuhlinzwa kungaba ukukhetha kokwelapha uma unebuhlungu emathisini azungezile ukuvula kwesibeletho sakho, okuthiwa yi-vestibule. Ngokuvamile, ukuhlinzwa kwenziwa kuphela uma kokwelapha okunye kungasizanga.
Ukuhlinzwa kungasusa i-vestibule ebuhlungu evela e-vulva. Le nqubo ibizwa ngokuthi yi-vestibulectomy. Uma unezimpawu ze-vulvodynia kwezinye izingxenye ze-vulva yakho, ukuhlinzwa cishe akuyona indlela yokwelapha ngawe.
Uma ucabanga ukuthola le nqubo, cela iqembu lakho lokunakekelwa kwempilo ukuba lichaze zonke izinzuzo nezingozi. Ngezinye izikhathi, ukuhlinzwa kungabangela ama-scar noma ubuhlungu obukhulu.
Eminye imithi engayona ingxenye yokunakekelwa okujwayelekile kwezokwelapha ingasiza ekuqedeni izimpawu ze-vulvodynia. Lokhu kuhlanganisa:
- I-Acupuncture. Uchwepheshe oqeqeshwe ubeka izimpumputhe ezincane kakhulu ezingxenyeni ezithile zomzimba.
- I-Hypnosis. Ochwepheshe bezempilo bakuhola esimweni esishintshile sokuqaphela okungakusiza ukuthi uphumule futhi ugxile.
- Ukuqaphela nokucubungula. Ungafunda le miqondo ngokuzifundisa ngokuzivocavoca nangama-apps.
- I-Transcutaneous electrical nerve stimulation. Idivayisi ebekwe ehlathini ithumela imijikelezo yamandla kagesi ephansi endaweni ebuhlungu.
Ukuqina kuvamise ukwenza i-vulvodynia ibe sibi. Futhi ukuba ne-vulvodynia kungakubangela ukuba ube nokucindezeleka okukhulu. Imisebenzi engasiza ekuqedeni ukucindezeleka ihlanganisa i-yoga kanye nokuzindla okuqaphile.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.