Vaginismus

Vaginismus ndi kuphipha kwa minofu yozungulira nyini yomwe imachitika motsutsana ndi chifuniro chanu. Kuphipha kumapangitsa nyini kukhala yopapatiza kwambiri ndipo kumatha kuletsa mchitidwe wogonana komanso mayeso azachipatala.

Vaginismus ndimavuto azakugonana. Ili ndi zifukwa zingapo zomwe zingayambitse, kuphatikiza:

• Zovuta zakugonana zakale kapena kuzunzidwa
• Zinthu zamaganizidwe
• Kuyankha komwe kumachitika chifukwa cha kupweteka kwakuthupi
• Kugonana

Nthawi zina palibe chifukwa chomwe chingapezeke.

Vaginismus ndichinthu chachilendo.

Zizindikiro zazikulu ndi izi:

• Kulowerera kumaliseche kovuta kapena kowawa panthawi yogonana. Kulowera kumaliseche sikungatheke.
• Ukazi kumaliseche panthawi yogonana kapena kuyesa m'chiuno.

Amayi omwe amakhala ndi vaginismus nthawi zambiri amakhala ndi nkhawa yokhudza kugonana. Izi sizikutanthauza kuti sangadzutse chilakolako chogonana. Amayi ambiri omwe ali ndi vutoli amatha kukhala ndi ziphuphu pamene clitoris imalimbikitsidwa.

Kuyezetsa magazi m'chiuno kungatsimikizire matendawa. Mbiri ya zamankhwala komanso kuyezetsa thupi kwathunthu kumafunikira kuti mupeze zina zomwe zimayambitsa zowawa pogonana (dyspareunia).

Gulu lazachipatala lopangidwa ndi azimayi azachipatala, othandizira zamankhwala, komanso othandizira azakugonana atha kuthandizira pakuthandizira.

Chithandizochi chimaphatikizapo kuphatikiza mankhwala, maphunziro, upangiri, ndi zolimbitsa thupi monga kupweteka kwa m'chiuno komanso kupumula (Kegel).

Omwe amakupatsirani chithandizo angakulimbikitseni kulandira jakisoni wa mankhwala kuti athandize kupumula minofu ya nyini.

Zochita zokulitsa ukazi pogwiritsa ntchito zotulutsa pulasitiki ndizoyenera. Njirayi imathandiza kuti munthuyo asamakhudzidwa kwambiri ndi maliseche. Zochitazi ziyenera kuchitidwa motsogoleredwa ndi wogonana, wodwalayo, kapena wothandizira ena. Therapy iyenera kuphatikizira wokondedwayo ndipo pang'onopang'ono imatha kuyambitsa kukhudzana kwambiri. Kugonana kumatha kumapeto.

Mupeza zambiri kuchokera kwa omwe amakupatsani. Mitu ingaphatikizepo:

• Thupi lachiwerewere
• Nthawi yogonana
• Zikhulupiriro zabodza zokhudza kugonana

Amayi omwe amathandizidwa ndi akatswiri azakugonana nthawi zambiri amatha kuthana ndi vutoli.

Kulephera kugonana - vaginismus

• Matupi achikazi oberekera
• Zifukwa zogonana zopweteka
• Matenda achikazi oberekera (m'ma sagittal)

Cowley DS, Lentz GM.Zokhudza mtima za matenda achikazi: kukhumudwa, nkhawa, PTSD, mavuto akudya, zovuta zakugwiritsa ntchito mankhwala, odwala "ovuta", zogonana, kugwiririra, chiwawa cha okondedwa, komanso chisoni. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 9.

Kocjancic E, Iacovelli V, Acar O. Kugonana komanso kulephera kwa mkazi. Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, olemba. Campbell-Walsh-Wein Urology. Wolemba 12. Philadelphia, PA: Elsevier; 2021: mutu 74.

Swerdloff RS, Wang C. Kulephera kugonana. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 123.