Dyspareunia Itha Kukhala Chifukwa Chodabwitsa Kugonana Ndikumakupweteketsani

Zamkati

• Zizindikiro za Dyspareunia
• Zomwe Zimayambitsa Thupi ndi Maganizo
• Momwe Mungachiritsire Dyspareunia
• Malangizo Okuthana ndi Dyspareunia
• Onaninso za

Mwa matenda onse omwe palibe amene amalankhula, omwe amatenga keke atha kukhala dyspareunia. Kodi simunamve za izi? Izi sizosadabwitsa-koma chiyani ndi Chodabwitsa n'chakuti oposa 40 peresenti ya amayi onse amakumana nawo. (Ziwerengero zina zimafika 60%, malinga ndi American Academy of Family Physicians, ngakhale ziwerengero zasintha pazaka zambiri.)

Mwakutanthawuza, dyspareunia ndi ambulera yokhudza kupweteka kwa maliseche nthawi isanakwane, nthawi, kapena pambuyo pogonana, koma zoyambitsa sizimveka bwino nthawi zonse, kapena sizofanana. M'malo mwake, sinthawi zonse zakuthupi - nthawi zambiri, matendawa amalumikizidwa ndi kupsinjika maganizo, kupsinjika maganizo, mbiri ya nkhanza zogonana, ndi kusokonezeka maganizo monga nkhawa ndi kuvutika maganizo.

Kugonana kumayenera kumva bwino. Ngati sichoncho nthawi zonse, lankhulani ndi dokotala wanu. Pakadali pano, ngati mukuganiza kuti dyspareunia akhoza kukhala chifukwa cha kugonana kwanu kowawa, pitirizani kuwerenga kuti mumve zambiri.

Zizindikiro za Dyspareunia

"Nthawi zambiri, zisonyezo za dyspareunia ndi mtundu uliwonse wa zowawa kumaliseche panthawi yogonana," akutero Navya Mysore, MD, dokotala wina wa Medical. Mwachindunji, izi zikutanthauza:

• Ululu wolowera (ngakhale utangomva koyamba)
• Ululu wozama ndi kukankha kulikonse
• Kuwotcha, kupweteka, kapena kupweteka komwe kumatenga nthawi yayitali mutagonana

Komabe, sizingakhale zopweteka nthawi zonse pamene mukugonana, akutero Dr. Mysore. "Munthu m'modzi amatha kumva kuwawa nthawi 100%, koma wina amangomva izi mwa apo ndi apo."

Zomwe Zimayambitsa Thupi ndi Maganizo

"Pongoganiza kuti palibe matenda kapena kutupa komwe kulipo, dyspareunia ikhoza kukhala chifukwa cha vuto lomwe lilipo kale," akutero katswiri wazogonana komanso dokotala wa mafupa a Habib Sadeghi, D.O., wolemba za Kuyeretsa Koyera, (omwe adawona mazana a odwala chifukwa cha matendawa pakuchita kwake ku Agoura Hills, CA.)

Zina mwazifukwa zakuthupi za dyspareunia ndi izi:

• Chiberekero chobwerera kumbuyo (chopendekeka) kapena kutuluka kwa chiberekero
• Zinthu monga uterine fibroids, ovarian cysts kapena PCOS, endometriosis, kapena matenda otupa m'chiuno (PID)
• Kupweteka m'chiuno kapena kumaliseche (chifukwa cha maopaleshoni monga hysterectomy, episiotomy, ndi C-sections)
• Atrophy of cranial nerve zero (CN0), malinga ndi Dr. Sadeghi (zambiri pansipa)
• Kupanda kondedwe / kuuma
• Kutupa kapena matenda a khungu, monga chikanga
• Vaginismus
• Kuyika kwaposachedwa kwa IUD
• Matenda a bakiteriya, matenda a yisiti, vaginosis, kapena vaginitis
• Kusintha kwa mahomoni

Zosokoneza: "Pafupifupi 12% ya [azimayi odwala] omwe ndimawawona ali ndi dyspareunia, chifukwa chofala kwambiri kukhala chilonda cha C-gawo lapitalo," akutero Dr. Sadeghi. "Sindikuganiza kuti zangochitika mwangozi masiku ano kuti mwana m'modzi mwa atatu aliwonse amabadwa kudzera pa C-gawo, ndipo m'modzi mwa azimayi atatu amakhala ndi vuto la dyspareunia."

Kodi vuto lalikulu ndi zipsera ndi chiyani? Malinga ndi Dr. Sadeghi, zimatha kukhudza dongosolo lamanjenje. "Zipsera zamkati ndi zakunja zimatha kusokoneza kuyenda kwa mphamvu mthupi lonse," akutero. "Chosangalatsa ndichakuti, ku Japan, komwe magawo a C sakhala ofala kwambiri, amatumbulira mozungulira, osakhazikika, kuti muchepetse kusokonekera kumeneku."

Kecia Gaither, M.D., M.P.H., yemwe ali ndi mbiri yotsimikizika pachipatala cha ob-gyn ndi maternal-fetal medicine, akuvomereza kuti zilonda zapang'onopang'ono za C-gawo zikhoza kuchititsa dyspareunia. "Mcocelecele-chilema chochepa pochiritsa bala, chomwe chimakhala ndi ntchofu-mkati mwa chiberekero chotsika kwambiri cha uterine chimatha kupweteka, kufulumira kwa chikhodzodzo, ndi dyspareunia," adatero.

Ananenanso kuti, monga a Dr. Sadeghi adanenera, kudula kwa zigawo za US C kumatha kuyambitsa zovuta zambiri kuposa kung'ung'uza. Anatinso chilichonse kuyambira kuchepa kwa madzi m'thupi mpaka "kunyalanyaza kwa anthu ena" kumatha kusokoneza kuyenderera kwamphamvu mthupi ndikuti kupwetekedwa mwakuthupi komwe kumasiyidwa kungasokoneze komwe kungapangitse dyspareunia.

CN0: "Chifukwa china chingakhale kutsekedwa kapena atrophy ya cranial nerve zero (CN0), mitsempha yomwe imatenga zizindikiro kuchokera ku pheromones zomwe zimalandiridwa pamphuno ndikuzibwezeretsanso kumadera a ubongo omwe amakhudzana ndi kubereka kwa kugonana," akutero Dr. Sadeghi. . Njira zomwe zimatipangitsa kukhala okonzeka kugonana zimatengera kwambiri kutulutsa kwa hormone oxytocin kapena "chikondi" chomwe chimapangitsa kuti anthu azigwirizana, akufotokoza. "Pitocin (synthetic oxytocin) amapatsidwa kwa azimayi kuti akakamize kugwira ntchito, ndipo amatha kupeputsa mitsempha yonse ya 13, kuphatikiza CN0, zomwe zimapangitsa dyspareunia ngati zotsatira zake."

Ngakhale CN0 sinaphunzirepo zambiri mwa anthu, lipoti la 2016 lakusonkhanitsa kwa CN0 lapeza kuti mitsempha iyi imatha kuyang'anira "ntchito zosintha zachilengedwe, zochitika zogonana, ziwalo zoberekera komanso mating." Dr. Gaither adatsimikizira izi, powona kuti ofufuzawo akuti CN0 imathandizira kuyambitsa chidwi chodziyimira pawokha kapena mwa kulumikizana ndi ma circuits ena muubongo.

Kusintha kwa Hormonal: "Chimodzi mwa zifukwa zomwe zimafala kwambiri ndi kusintha kwa mahomoni, komwe kungayambitse kusintha kwa pH ya ukazi," adatero Dr. Mysore. "Chitsanzo choyambirira cha izi ndi kusintha kwa kusintha kwa msambo, ndipamene nthawi yogonana imatha kukhala yovuta kwambiri chifukwa ngalande ya abambo imakhala yowuma kwambiri."

Vaginismus: "China chomwe chimayambitsa zowawa panthawi yogonana ndi vaginismus, kutanthauza kuti minofu yozungulira kutseguka kwa ukazi imangotuluka mosavomerezeka polowera," adatero Dr. Mysore. Ngati mwakumana ndi zochitika zingapo zogonana zopweteka, mwachitsanzo, minofu yanu imatha kuzizira. "Ndipafupifupi lingaliro-thupi lanu limapangidwa kuti lipewe zowawa, ndipo ngati ubongo uyamba kuyanjanitsa zogonana ndi zowawa, minofu imatha kuchitapo kanthu mopewetsa ululuwo," akutero. "Zachisoni, izi zitha kukhalanso mkhalidwe wachiwiri kuzunzidwa kapena kugwiriridwa." (Zogwirizana: Zifukwa 8 Zomwe Mungakhalire Ndi Zowawa Pakugonana)

Zoyambitsa zamaganizidwe: Monga taonera, kupwetekedwa mtima ndi mikhalidwe ingathenso kuyambitsa kugonana kowawa. Dr. Sadeghi anati: “Nthawi zambiri zinthu zimene zimachititsa kuti munthu azivutika maganizo ndi kugwiriridwa, kuchitiridwa manyazi, kapena kupwetekedwa mtima chifukwa cha kugonana.

Momwe Mungachiritsire Dyspareunia

Kutengera muzu wa momwe wodwala aliri, pali njira zingapo zochiritsira. Mosasamala zomwe zimayambitsa, ndikofunikira kuwona dokotala wanu kuti apange dongosolo. Angakulimbikitseni kuti muyese malo osiyanasiyana, ganizirani kugwiritsa ntchito lube (moona mtima, moyo wa kugonana wa aliyense ukhoza kupangidwa bwino ndi lube), kapena kuyesa kumwa mankhwala ochepetsa ululu pasadakhale.

Pankhani ya scarring: Kwa odwala omwe ali ndi zilonda zopweteka zomwe zimayambitsa kugonana kowawa, Dr. Sadeghi amagwiritsa ntchito mankhwala. "Ndimapanga chithandizo pachilonda chotchedwa integrative neural therapy (INT)," adatero Dr. Sadeghi. Izi zimadziwikanso kuti ku Germany kutema mphini. Njirayi imapangitsa khungu kuti lisamayende bwino ndipo imathandizira kuwononga kulimba ndi mphamvu yosungidwa ya chilondacho, akufotokoza.

Ngati muli ndi chiberekero chopendekeka: Ngati ululu wanu umabwera chifukwa cha chiberekero chobwerera (chopendekeka), chithandizo chapansi cha pelvic ndicho chithandizo chabwino kwambiri, akutero Dr. Sadeghi. Yep-mankhwala ochiritsira pansi pa pelvic yanu, minofu yakumaliseche ndi zonse. Zimakhudza zochitika zingapo pamanja ndikutulutsa minofu yofewa kuti muchepetse zovuta zapakhosi, akufotokozera. Uthenga wabwino: Mutha kuwona zotsatira nthawi yomweyo. (Zokhudzana: 5 Zinthu Zomwe Mkazi Wonse Amayenera Kudziwa Pansi Pake Pelvic)

Ngati akuchokera ku cranial nerve zero atrophy: "Pazochitika za cranial nerve zero atrophy, ntchito zomwe zimaphatikizapo kuchuluka kwa oxytocin kupanga zimalimbikitsidwa, monga kuyamwitsa ngati mayi watsopano, ndi ntchito zapamtima kwambiri zomwe sizimaphatikizapo kuloŵa kwenikweni," akutero Dr. Sadeghi.

Ngati muli ndi kutupa kapena kuuma: Mutha kuyesa mafuta a CBD. M'malo mwake, lube wokhala ndi cannabis ndi yankho kwa azimayi ambiri omwe adakumana ndi dyspareunia pazambiri zoyambitsa. Ogwiritsa ntchito adadandaula za kuthekera kwake kosintha zomwe amakumana nazo pakugonana, kuthetsa ululu, ndikuwathandiza kupeza orgasm kuposa kale. Dr. Mysore analinso wothandizira kugwiritsa ntchito mafuta odzola, komanso kuthana ndi kuuma ndi mankhwala a mahomoni ngati amachokera ku kusintha kwa thupi monga kusintha kwa thupi.

Ngati muli ndi matenda: "Zina zomwe zimapweteka panthawi yogonana zimaphatikizapo matenda a yisiti, UTIs, kapena bacterial vaginosis, omwe aliyense ali ndi ndondomeko zawo zothandizira mankhwala omwe ayenera kuchepetsa zizindikiro zowawa," adatero Dr. Mysore. "Kwa anthu omwe akukumana ndi matenda opatsirana yisiti kapena bacterial vaginosis, ndimakonda kugwiritsa ntchito ma boric acid suppositories kuwonjezera pa chithandizo chothandizira pH ya nyini." (Zokhudzana: Ndondomeko Yothandizira Pachitsanzo cha Matenda a Yisiti Kumaliseche)

Kuphatikiza apo, Dr. Mysore amalimbikitsa kumwa maantibiotiki: "Anthu ambiri amaganiza kuti maantibiobio amangotulutsa mabakiteriya m'matumbo, koma maantibiotiki amathanso kukhudza chilengedwe cha abambo ndikuthandizira kuchepetsa kapena kubwezeretsa pH yoyenera," yomwe imatha kubweretsa kugonana kosapweteka.

Pambuyo poika IUD: "Amayi omwe adangobzalidwa ma IUD amathanso kukumana ndi zowawa zakugonana," atero Dr. Mysore. "Ma IUD ndi progesterone okha, koma popeza mahomoni amakhala ndi mphamvu yakomweko, amatha kusintha kusasinthasintha komanso kutulutsa kwake," adatero, zomwe zitha kuyambitsa kuuma. “[Odwala] angakhalenso sakupanga mafuta achilengedwe ochuluka,” iye akufotokoza motero, koma zindikirani kuti thupi lanu liyenera kuyambiranso. "Nthawi zambiri, thupi lidzasintha pang'onopang'ono ndipo ululu ndi kuuma ziyenera kuchepa, koma ndibwino kuti muyankhule ndi dokotala ngati mukupitirizabe kumva ululu chifukwa kuika kwa IUD kungakhale kozimitsa." (Zogwirizana: Kodi IUD Yanu Imakupangitsani Kutengeka Ndi Zowopsa Izi?)

Ngati ndi vaginismus (kuphipha): Chithandizo cha vaginismus nthawi zambiri chimaphatikizapo kugwiritsa ntchito ma dilator a nyini. Nthawi zambiri, izi zimaphatikizapo zinthu zamtundu wa phallic zomwe zimakhala zazikulu kuchokera ku chala cha pinki kupita ku mbolo yowongoka. Mumayamba ndi kakang'ono kwambiri ndikugwiritsa ntchito tsiku lililonse (ndi mafuta ambiri!) Kuyisunthira mkati ndi kunja kwa nyini mpaka mutakhala omasuka, makamaka milungu iwiri kapena itatu, musanasunthe kukula kwina. Izi zimayambitsanso minofu ya abambo, ndipo mwachiyembekezo, imamupangitsa munthuyo kumva kupweteka pang'ono kapena kulira panthawi yolowera. Munthu atha kugwiritsa ntchito zonunkhira yekha kapena ndi mnzake-phindu lokhala ndi mnzake ndikuti njirayi ingathandizenso kukulitsa kudalirana ndi kumvana muukwati.

Ngati zili zamaganizidwe: Amayi ambiri amakhala ndi zowawa zomwe zimadza chifukwa cha kutsekeka kwamaganizidwe-mwina nkhawa zimayambitsa kupsinjika kwa m'chiuno. Pamenepa, thupi lanu likupanga kutsekeka potengera zomwe zakuchitikirani.

"Ngati dyspareunia yanu imachokera ku mtundu wina uliwonse wamisala kapena malingaliro, nthawi zonse funani upangiri waluso," atero Dr. Sadeghi. Malingaliro ake afotokozedwa mwatsatanetsatane m'buku lake, The Clarity Cleanse, yomwe imayang'ana kwambiri kuchiritsa kwamalingaliro kuchiza matenda akuthupi. "Kulimbikitsidwa kwakukulu ndikubwezeretsanso kugonana monga chisonyezero cha chikondi ndi kukongola pomwe kuli koyenera kudalira ndikukhala osatetezeka" - chinthu chomwe ndichofunikira kwa omwe adapulumuka, akutero. "Zomwe zandichitikira zandisonyeza kuti wodwalayo akachira m'maganizo, thupi limavomera kuchipatala."

Malangizo Okuthana ndi Dyspareunia

Ndikofunika kukhala ndi mnzanu wodwala. Dr. Sadeghi anatsindika mfundo imeneyi. "Aphunzitseni momwe mungathere pazomwe mukukumana nazo komanso chifukwa chiyani; Izi zithetsa kusamvana kulikonse pakati panu ndikuwatsimikizira kuti kusintha kwa moyo wanu wogonana sikuchitika chifukwa cha chilichonse chomwe akuchita," adatero adatero.

Pamene mukufuna chithandizo, pewani kugonana. "Gwiritsani ntchito nthawi ino ngati mwayi wofufuzira zina zonse zokongola zakugonana mozama kwambiri," akutero Dr. Sadeghi. "Tengani nthawi yofufuza milingo yatsopano yaubwenzi popanda kukakamiza kulowa mkati molamulira nthawiyo. Pali njira zambiri zogawana ubwenzi ndi mnzanu panthawi ya machiritso anu. Mukakhala opanda dyspareunia, moyo wanu wogonana udzakhala wabwinoko. chifukwa cha ichi. "

Pezani wothandizira. Mosasamala kanthu kuti dyspareunia yanu imayambika m'maganizo kapena mwakuthupi, kukhala ndi njira yotetezeka yogwiritsira ntchito malingaliro anu ndi katswiri wa zamaganizo ndikofunikira. Mwachiwonekere, izi zimagwira ntchito makamaka ngati mukumva kuti kupwetekedwa mtima kapena mantha am'mbuyomu okhudzana ndi kugonana kukulepheretsani kusangalala nazo-ndipo dammit, muyenera kusangalala nazo! (Tsopano: Momwe Mungapitire Ku Therapy Mukasweka AF)

Onaninso za