Zomwe Wothandizira Pansi pa Pelvic Floor Amafuna Kuti Mudziwe Zokhudza Vaginal Dilators

Zamkati

• Ma Dilator amagwiritsidwa ntchito pazifukwa ziwiri.
• 1. Kuchiza zowawa zogonana.
• 2. Kutambasula nyini.
• Lankhulani ndi dokotala musanagwiritse ntchito dilator.
• Momwe Mungagwiritsire Ntchito Ma Vaginal Dilators
• Pitani pang'onopang'ono komanso mosakhazikika - ndipo yembekezerani zovuta
• Kulingalira ndikofunika.
• Zimatenga nthawi kuti muwone zotsatira.
• Ma dililator si njira yanu yokhayo.
• Dziwani kuti si inu nokha amene mukukumana ndi zowawa zogonana.
• Onaninso za

Poyerekeza ndi zinthu zina zomwe zili pamndandanda wazinthu zomwe mutha kumata kumaliseche kwanu, zotsekemera zimawoneka ngati zodabwitsa kwambiri. Amawoneka ofanana ndi dildo yokongola koma alibe mawonekedwe ofanana ndi abambo. Ndipo mosiyana ndi zoseweretsa zakugonana zomwe mumagwiritsa ntchito panokha kapena ndi mnzanu, mutha kuwona ena mwa iwo muofesi yanu. Ndiye pali vuto lanji ndi ma dilator a vaginal?

Apa, Krystyna Holland, DPT, wogwirizira m'chiuno komanso wokhala ndi Inclusive Care LLC, amawononga zonse zomwe muyenera kudziwa zokhudza zotsekemera za amayi, kuphatikizapo zomwe adachita kuti achite. Kudabwitsidwa: Sikuti ndikupatseni chilala.

Ma Dilator amagwiritsidwa ntchito pazifukwa ziwiri.

Zoyambitsa ukazi sizigwiritsidwa ntchito pazifukwa zofananira monga zoseweretsa ndi zida zamagetsi zambiri. M'malo mwake, amapangidwa kuti athandize anthu omwe ali ndi maliseche kuti azolowere kumverera kwa kutambasula ngalande ya nyini, ndipo amapezeka muutali ndi m'lifupi, akutero Holland.

1. Kuchiza zowawa zogonana.

Anthu omwe amakumana ndi zowawa zakugonana zomwe zimayambitsidwa ndi vaginismus - mkhalidwe womwe minofu yozungulira nyini imachepa, ndikupangitsa kuti ikhale yopapatiza - komanso anthu omwe amamva kupweteka popanda vuto lachikazi (ie ovarian cysts kapena endometriosis) ndi omwe amagwiritsa ntchito kwambiri dilator, akuti Holland. Kuwonjezera pa matenda, thanzi lanu lingapangitse kugonana kukhala kowawa: Mwachitsanzo, ngati mukukumana ndi nkhawa kapena mantha, ubongo wanu ungatumize zikwangwani ku minofu yanu ya m'chiuno kuti imitseke, zomwe zimabweretsa mavuto pa nthawi yogonana, malinga ndi Mayo Clinic . Kupweteka koyamba kumeneku kumatha kukupangitsani kukhala amantha kuti zakugonana mtsogolo zidzakupweteketsani, nawonso, kuti thupi lanu lipitilize kufalikira nthawi isanakwane komanso polowera, kupitiliza kupweteka, pachipatala.

TL; DR: Kumverera kwina kulikonse kapena kukakamizidwa (kudzera pa P-in-V kugonana, mwachitsanzo) komwe kumamveka bwino komanso kokomera munthu m'modzi kumatha kutanthauziridwa kukhala kowawa kwa wina, akufotokoza Holland. "Nthawi zambiri dilator imayang'aniridwa ndi munthu amene akumva kuwawa, kuti athe kudzidziwitsa okha kuti amadziwa kutambasula ndi kupanikizika, ali ndi mphamvu zowalamulira, ndipo siziyenera kukhala zopweteka, " akuwonjezera. "Akuyesera kubwezeretsanso kulumikizana komwe kulipo pakati paubongo wawo ndi mafupa awo kuti athe kuthana ndikumangika kapena kukakamizidwa kuti zisakhale zopweteka."

Ndikofunika kuzindikira, komabe, kuti kumva kupweteka pafupipafupi kapena koopsa panthawi yogonana kungakhale chizindikiro cha matenda ena omwe sayenera kuchotsedwa, malinga ndi American College of Obstetricians and Gynecologists. Chifukwa chake kumata dilator kumtunda sikungakuthandizeni ngati simukuyankha zomwe zimakupweteketsani. "Mutha kuyesa kubwezeretsa minofu tsiku lonse, koma ngati pali china chake chikuchitika ndi ziwalo zanu kapena khomo lachiberekero, minofu ipitilizabe kuyang'anira ndikulimba kuti muwateteze," akutero Holland. Ngati simungathe kupita kamodzi popanda kupweteka, musayese "kuzigwiritsa ntchito" nokha - lankhulani ndi dokotala wanu, stat.

2. Kutambasula nyini.

Kupatula pakuthandizira kupanga zokumana nazo zogonana zopanda zopweteka, ma dilator a ukazi nthawi zambiri amagwiritsidwa ntchito ndi anthu omwe adalandira chithandizo cha radiation cha khansa ya gynecologic ndi azimayi a transgender omwe adachitidwapo vaginoplasty. M'magawo onse awiriwa, dilator imathandiza kuti nyini zizisinthasintha komanso kuti nyini isachepetse, atero Holland.

Lankhulani ndi dokotala musanagwiritse ntchito dilator.

Pomwe kuyesa nokha ukazi kumawoneka kosavuta, mukufuna kukhala ndi nthawi yocheza ndi akatswiri musanatero. Kudumpha sitepe iyi kukhoza kuvulaza kwambiri kuposa zabwino, makamaka ngati simunachitepo kanthu ndikukhala ndi maganizo oipa pa ma dilators palimodzi."[Ngati izi zitachitika,] ngakhale kungolankhula za dilator kapena kuyang'ana dilators kungapangitse anthu kukhala ndi malingaliro amphamvu kwambiri omwe sali othandiza pakuchepetsa dongosolo lamanjenje," akutero Holland. "Ndipo izi ndizopweteketsa chifukwa ndiye kuti tiyenera kuchita kafukufuku kuti tione ngati tikulamula opangira zida zonse kapena ngati ali ndi ma dilators. Zimapangitsa kuti [mankhwalawa] azivuta kuyamba."

Atatsimikizira ndi ob-gyn wanu kuti mulibe matenda omwe angakuchititseni kupweteka, Holland akupempha kuti akumane ndi dokotala wodziwa zachipatala kuti adziwe ngati zochepetsera ukazi ndizo zida zabwino kwambiri kwa inu komanso momwe mungagwiritsire ntchito. ziyenerere zosowa zanu ndi zolinga zanu. "Kugonana pakokha kumakhala kwamunthu payekha malinga ndi zomwe mukubwera nazo patebulo, ndiye ndizomveka kuti chithandizo chanu chakugonana kowawa chikhale chamunthu payekha," akuwonjezera. (Zokhudzana: Zomwe Mkazi Aliyense Ayenera Kudziwa Zokhudza Kuwonongeka kwa Pelvic Floor)

Momwe Mungagwiritsire Ntchito Ma Vaginal Dilators

Pitani pang'onopang'ono komanso mosakhazikika - ndipo yembekezerani zovuta

Simungadumphire kumapeto kwenikweni kwa dziwe nthawi yanu yoyamba kusambira, ndipo simuyenera kumangirira chopukutira cha 7-inchi kumtunda kwanu kouma koyamba, mwina. (Ouch.) Pakuyesa kwanu koyambirira, sungunulani dilator ndi madera anu akumunsi, ikani dilator yaying'ono kwambiri mu seti yanu, ndikuisiya mmenemo kwa mphindi zingapo, akutero Holland. Mukakhala omasuka ndi dilator ikulendewera mkati mwanu, yesetsani kuyisuntha, mukuigwiritsa ntchito kwa mphindi zisanu ndi ziwiri kapena 15 pagawo lililonse. Ngati zikuwoneka kuti sizikusangalatsani pang'ono, pitani pakukula kotsatira kwa dilator, kenako pitilizani kukulitsa kukula kutengera kulekerera kwanu, akutero Holland. "Ndi ma dilators, mumafuna kuti zikhale zosasangalatsa, koma osati zowawa kwambiri," akufotokoza.

Ngati simukumana ndi vuto lililonse mukamagwiritsa ntchito chosakanizira, thupi lanu siliphunzira kulekerera IRL. Ndipo ngati mungayambe ndi dilator yomwe imapweteka kwambiri, imakupangitsani thupi lanu lonse, kapena kukupangitsani kung'ambika pang'ono, mupitilizabe kumangokhalira kumva kupweteka, akutero Holland.

Kulingalira ndikofunika.

Ngati mukufuna kupindula kwambiri ndi ukazi wanu, muyenera kuyika kaye pulogalamu yanu ya Netflix ndikuyika foni yanu mukangoyiyika. "Kwa anthu omwe akugonana mowawa ndipo akuyesera [kutengera] kumverera kotambasula, ngati mutayika dilator ndikudzisokoneza, sizingatheke kukonzanso ubongo ndi pelvis," akutero Holland. "Ndi bwino kukhala osamala, kuchita masewera olimbitsa thupi kupuma, ndikuyesera kuchepetsa-kuwongolera dongosolo lanu lamanjenje lachifundo kuti likuthandizeni kutengera malingaliro amenewo."

Kumbali ina, anthu omwe akugwiritsa ntchito dilator pambuyo pochita opaleshoni yotsimikizira kuti ndi amuna kapena akazi kapena khansa amatha kukhala omasuka. M'machitidwe amenewa, dilator ikugwira ntchito yosintha momwe nyini imakhalira poyambira - kuti malingaliro anu asamveke bwino, akuwonjezera.

Zimatenga nthawi kuti muwone zotsatira.

Ngati mukuyang'ana kukonza mwamsanga kugonana kowawa, dilator ya nyini sichoncho. Munthu yemwe wakhala akugonana movutikira kuyambira nthawi yoyamba amatha kuwona kusintha kwabwino mkati mwa milungu isanu ndi umodzi kapena isanu ndi itatu - ngati akugwiritsa ntchito dilator katatu kapena kanayi pa sabata, akutero Holland. "Kugwiritsa ntchito ma dilator sikuti kumakhala kwakanthawi, 'Ndikangodutsa opangira awa mwachangu sindiyeneranso kuganizira za iwo," akutero. Wokondedwa watsopano, kupuma kwautali pakati pa zoyesayesa zolowera, komanso zovuta kwambiri zimatha kuyambitsa kugonana kowawa ndipo, nthawi zina, kufunika kogwiritsanso ntchito dilator, akutero Holland. "Nthawi zambiri, anthu ambiri omwe amagwiritsa ntchito zotsekemera kuti asamve kupweteka, kugonana kosalolera kumafunikiranso kugwiritsa ntchito zotsekerazo m'moyo wawo," akuwonjezera.

Omwe ali ndi vaginoplasty akuyang'ana nthawi yogwiritsira ntchito dilator, mpaka katatu kapena kasanu patsiku tsiku lililonse kwa miyezi itatu yoyambirira atachitidwa opaleshoni, kenako kangapo sabata pambuyo pake, atero Holland. Ndipo omwe adalandira chithandizo cha khansa ya gynecologic amalangizidwa kuti agwiritse ntchito dilator kawiri kapena katatu pa sabata kwa miyezi 12, malinga ndi kafukufuku wofalitsidwa mu International Journal of Gynecological Cancer.

Ma dililator si njira yanu yokhayo.

"Chinthu chomwe chimabwera nthawi zambiri ndikamacheza ndikuti anthu amawona ngati zotumphukira ndizo njira yawo yokhayo ngati agonana zowawa," atero Holland. "Ndikuganiza kuti zomwe zimachitika ndikuti anthu auzidwa ndi wothandizira wina kapena amawerenga za izi ndipo ali ngati, 'Umu ndi m'mene ndimachitira izi.'" Zipangizo zopangidwa ndi zingwe zopangidwa ndi zingwe zomwe zimapereka mwayi wambiri kutambasulira pansi m'chiuno - angakhalenso opindulitsa, iye anati. Ngakhale dilator imakulitsa kulolerana kwanu kuti kutambasulike konsekonse, kandodo ka m'chiuno kamathandizira kutulutsa mfundo zazing'ono zomwe zimakhudzanso minofu ya m'chiuno - monga obturator internus (mnofu wam'chiuno womwe umayambira mkati mwa m'chiuno ndikulumikizana ndi ntchafu fupa) ndi puborectalis (minofu yooneka ngati U yomwe imamangiriridwa ku pubic fupa ndikukulunga mozungulira rectum) - mwa anthu omwe ali ndi ululu wopweteka kwambiri wa m'chiuno, malinga ndi American Society of Colon and Rectal Surgeons.

Anthu ena amathanso kugwiritsa ntchito ma vibrator awo ngati ma dilator ogwirira ntchito pawiri, nawonso. "Ngati anthu ali ndi ma vibrator omwe amakonda komanso kusangalala nawo, amakhala ndi zokumana nazo zabwino, ndipo amatha kuzigwiritsa ntchito mkati, nthawi zambiri ndimati anthu ayambe ndi izi," akutero. (FTR, ma dilators ena amanjenje amanjenjemera, koma nthawi zambiri, "ma dilators amapanga zoseweretsa zogonana," akutero Holland.

Komabe, pali nthawi zina pamene chosinthira chingakhale njira yabwino kwambiri. Anthu omwe ali ndi malingaliro olakwika kapena omwe adakumana ndi zoyipa ndi ma vibrator amatha kukhala omasuka ndi mankhwala osalimbikitsa, osakanikirana ndi zamankhwala, atero Holland. Kuphatikiza apo, zoseweretsa zambiri zogonana sizipezeka m'miyeso yaying'ono ngati tampon kapena swab swab. Ngati ndiye poyambira, muyenera kutembenukira ku dilator.

Dziwani kuti si inu nokha amene mukukumana ndi zowawa zogonana.

Kutengera zanema, makanema, komanso kucheza ndi anzanu, mungamve ngati kuti ndi inu nokha amene mukumva zowawa mukamagonana. Koma kafukufuku amasonyeza kuti pafupifupi 5 mpaka 17 peresenti ya anthu ali ndi vaginismus (yomwe nthawi zambiri imayambitsa ululu panthawi yogonana), ndipo kafukufuku wa amayi ogonana a 15,000 anapeza kuti 7.5 peresenti ya omwe anafunsidwa adakumana ndi kugonana kowawa. "Ndichinthu chomwe ndimachiwona nthawi zonse, komanso ndi chinthu chomwe anthu amamva kuti ali kutali," akutero Holland. "Anthu amamva ngati, 'Ndi maliseche anga omwe aswedwa, ndi nyini yanga yomwe yathyoledwa,' ndipo ndikuganiza kuti anthu ali ndi zosakwanira kwenikweni, zogonana zopweteka zomwe zimawononga psyche yawo chifukwa amamva ngati ndiyo njira yawo yokhayo."

Ndicho chifukwa chake Holland akuti ndikofunikira kuti zikhalidwe za ukazi zizigwiritsidwa ntchito nthawi zonse. "Tikayamba kulankhula za zotsekemera ndipo timayamba kuzindikira kuti pali njira zochiritsira anthu omwe akuchita zachiwerewere, [mukuzindikira] pali zomwe mungachite," akufotokoza. "Mutha kuyang'anira izi ndipo pali zosankha zingapo, zomwe ndikuganiza kuti zimapatsa mphamvu anthu."

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