Vulvodynia

Vulvodynia ndi matenda opweteka a maliseche. Awa ndi malo akunja akumaliseche kwa mkazi. Vulvodynia imayambitsa kupweteka kwambiri, kuwotcha, ndi mbola yamaliseche.

Zomwe zimayambitsa vvvodynia sizikudziwika. Ochita kafukufuku akuyesetsa kuti adziwe zambiri za vutoli. Zoyambitsa zingaphatikizepo:

• Kupsa mtima kapena kuvulaza mitsempha ya maliseche
• Kusintha kwa mahomoni
• Kuchulukitsitsa m'maselo am'mimba kumatenda kapena kuvulala
• Mitundu ina yamitsempha yamaliseche
• Minofu yofooka ya m'chiuno
• Nthendayi ndi mankhwala enaake
• Zomwe zimayambitsa matenda zimayambitsa kukhudzidwa kapena kukhumudwa kwambiri ndi matenda kapena kutupa

Matenda opatsirana pogonana SANGABWERETSE izi.

Pali mitundu iwiri ikuluikulu ya vulvodynia:

• Zovuta zapanyumba. Uku ndikumva kuwawa m'dera limodzi lokha la maliseche, nthawi zambiri kumakhala kutsegula kwa nyini (khonde). Kupweteka kumachitika nthawi zambiri chifukwa chapanikizika m'deralo, monga kugonana, kuyika tampon, kapena kukhala nthawi yayitali.
• Zovuta zonse. Izi ndizopweteka m'malo osiyanasiyana a maliseche. Kupweteka kumakhala kosalekeza, nthawi zina kupumula. Kupanikizika kumaliseche, monga kukhala nthawi yayitali kapena kuvala mathalauza olimba kumatha kukulitsa zizindikilo.

Zowawa zam'mimba nthawi zambiri zimakhala:

• Lakuthwa
• Kuwotcha
• Kuyabwa
• Kupundula

Mutha kumva zizindikiro nthawi zonse kapena nthawi zina. Nthawi zina, mutha kumva kupweteka m'dera pakati pa nyini ndi anus (perineum) komanso ntchafu zamkati.

Vulvodynia imatha kupezeka mwa achinyamata kapena mwa akazi. Amayi omwe ali ndi vuto lankhanza nthawi zambiri amadandaula za zowawa panthawi yogonana. Zitha kuchitika mutagonana koyamba. Kapenanso, zitha kuchitika patatha zaka zambiri zogonana.

Zinthu zina zimatha kuyambitsa zizindikilo:

• Kugonana
• Kuyika tampon
• Kuvala zolimba pansi povala kapena mathalauza
• Kukodza
• Kukhala nthawi yayitali
• Kuchita masewera olimbitsa thupi kapena kupalasa njinga

Wothandizira zaumoyo wanu adzakuyesani ndikufunsani mafunso okhudza mbiri yanu yazachipatala. Omwe amakupatsani mwayi atha kuchita kukodza kuti asatenge matenda amkodzo. Mutha kukhala ndi mayeso ena kuti muchepetse matenda a yisiti kapena matenda apakhungu.

Woperekanso wanu atha kuyesa mayeso a thonje. Pakayesedwe kano, woperekayo adzagwiritsa ntchito kupanikizika pang'ono kumadera anu akumaliseche ndikukufunsani kuti muyese ululu wanu. Izi zidzakuthandizani kuzindikira madera ena akumva kuwawa.

Vulvodynia imapezeka ngati zonse zomwe zingayambitse zichotsedwa.

Cholinga cha mankhwalawa ndikuchepetsa ululu ndikuchepetsa zizindikiritso. Palibe chithandizo chamankhwala chomwe chimagwira ntchito kwa amayi onse. Mwinanso mungafunike chithandizo chamtundu umodzi kuti muchepetse matenda anu.

Mutha kupatsidwa mankhwala othandizira kuthetsa ululu, kuphatikizapo:

• Ma anticonvulsants
• Mankhwala opatsirana
• Opioids
• Mafuta okongoletsa, monga mafuta a lidocaine ndi kirimu ya estrogen

Mankhwala ndi njira zina zomwe zingathandize ndi izi:

• Thandizo lakuthupi lolimbitsa minofu ya m'chiuno.
• Biofeedback imathandiza kuthetsa ululu pokuphunzitsani kumasula minofu yanu ya m'chiuno.
• Jekeseni wa mitsempha yothetsera kupweteka kwa mitsempha.
• Chidziwitso chamakhalidwe kuti chikuthandizire kuthana ndi momwe mukumvera komanso momwe mumamvera.
• Zakudya zimasintha kupewa zakudya ndi oxalates, kuphatikiza sipinachi, beets, mtedza, ndi chokoleti.
• Kutema mphini - onetsetsani kuti mwapeza dokotala wodziwa kuchiza vulvodynia.
• Zochita zina zowonjezera monga kupumula ndi kusinkhasinkha.

ZINTHU ZIMASINTHA

Kusintha kwa moyo kumatha kuthandiza kupewa zoyambitsa vutoli ndikuchepetsa zizindikilo.

• MUSAMADETSE kapena kugwiritsa ntchito sopo kapena mafuta omwe angayambitse kutupa.
• Valani zovala zamkati zonse za thonje ndipo musagwiritse ntchito zofewetsa nsalu pa kabudula wamkati.
• Gwiritsani ntchito mankhwala ochapira zovala pakhungu lanu ndipo muzitsuka zovala zanu zamkati kawiri.
• Pewani zovala zothina.
• Pewani zochitika zomwe zimakakamiza maliseche, monga kupalasa njinga kapena kukwera mahatchi.
• Pewani malo otentha.
• Gwiritsani ntchito pepala la chimbudzi lofewa, losasamba ndi kutsuka maliseche anu ndi madzi ozizira mukakodza.
• Gwiritsani ntchito ma tampon kapena ma pads onse.
• Gwiritsani ntchito mafuta osungunuka m'madzi panthawi yogonana. Kodzani mutagonana kuti muteteze UTI, ndikutsuka malowo ndi madzi ozizira.
• Gwiritsani ntchito compress yozizira pakhosi lanu kuti muchepetse ululu, monga mutagonana kapena kuchita masewera olimbitsa thupi (onetsetsani kuti mukukulunga compress mu chopukutira choyera - MUSAGWIRITSE molunjika pakhungu lanu).

KUGWIDWA

Amayi ena omwe ali ndi vuto lakomweko amatha kuchita opaleshoni kuti athetse ululu. Kuchita opaleshoniyo kumachotsa khungu ndi zotupa kuzungulira khungu. Opaleshoni imachitika pokhapokha ngati mankhwala ena onse alephera.

Mutha kuchepetsa nkhawa zamankhwala ndikulowa nawo gulu lothandizira. Kugawana ndi ena omwe akumana ndi mavuto omwe akukumana nawo kungakuthandizeni kuti musamve nokha.

Bungwe lotsatirali limapereka chidziwitso chokhudza vulvodynia ndi magulu othandizira am'deralo:

• Msonkhano wa National Vulvodynia - www.nva.org

Vulvodynia ndi matenda ovuta. Zitha kutenga milungu mpaka miyezi kuti mukwaniritse ululu. Chithandizo sichingachepetse zizindikiro zonse. Kuphatikiza kwa mankhwala ndi kusintha kwa moyo kumatha kugwira ntchito bwino kuthana ndi matendawa.

Kukhala ndi vutoli kumatha kuvulaza thupi komanso kupweteketsa mtima. Itha kuyambitsa:

• Kukhumudwa ndi nkhawa
• Mavuto muubwenzi wapamtima
• Mavuto ogona
• Mavuto ndi kugonana

Kugwira ntchito ndi othandizira kungakuthandizeni kuthana ndi matenda aakulu.

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za vulvodynia.

Komanso itanani omwe akukuthandizani ngati muli ndi vuto la maliseche ndipo matenda anu akukula kwambiri.

American College of Obstetricians and Gynecologists 'Committee on Gynecologic Practice; American Society for Colposcopy ndi Cervical Pathology (ASCCP). Malingaliro a Komiti No 673: kupweteka kosalekeza kwa vagar. Gynecol Woletsa. 2016; 128 (3): e78-e84. PMID: 27548558 pubed.ncbi.nlm.nih.gov/27548558/.

Bornstein J, Goldstein AT, Stockdale CK, ndi al. 2015 ISSVD, ISSWSH, ndi IPPS matchulidwe amawu ndi magawano amalingaliro opitilira a vulvar ndi vulvodynia. J Low Genit Thirakiti Dis. 2016; 20 (2): 126-130. PMID: 27002677 adatulutsidwa.ncbi.nlm.nih.gov/27002677/.

Stenson AL. Vulvodynia: kuzindikira ndi kuwongolera. Chipatala cha Gynecol North Am. 2017; 44 (3): 493-508. [Adasankhidwa] PMID: 28778645 pubed.ncbi.nlm.nih.gov/28778645/.

Waldman SD. Vulvodynia. Mu: Waldman SD, mkonzi. Atlas of Common Pain Syndromes. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 96.