Vulvodynia: ndi chiyani, zizindikiro zazikulu ndi chithandizo

Zamkati

• Zizindikiro Zazikulu
• Zomwe zimayambitsa Vulvodynia
• Momwe Kuzindikira Kumapangidwira
• Chithandizo chake ndi chiyani

Vulvodynia kapena vulvar vestibulitis ndi vuto lomwe limakhala lopweteka kapena lopweteka m'dera la mkazi. Vutoli limayambitsa zizindikilo monga kupweteka, kupsa mtima, kufiira kapena kuluma m'chiberekero, ndichifukwa chake vutoli nthawi zambiri limasokonezedwa ndi ma dermatoses kapena matenda m'dera loberekera.

Nthawi zambiri, vutoli limapangitsa kukhudzana kwambiri kukhala kopweteka, ndi zizindikilo zowawa zomwe zimatha kukhala maola kapena masiku mutagonana. Ichi ndi matenda omwe alibe mankhwala, chifukwa chake chithandizochi chimalimbikitsa kuchepetsa kupweteka komanso kusapeza bwino, kuti moyo ukhale wabwino.

Zizindikiro Zazikulu

Zina mwazizindikiro zazikulu za Vulvodynia ndi izi:

• Ululu wokhudza kukhudza ndi mkwiyo m'dera lamaliseche;
• Kufiira ndi kumva ululu m'dera loberekera;
• Kuchuluka tilinazo;
• Kumenyedwa ndi kutentha m'dera lamaliseche;
• Zovuta pakulowetsa ma tampons azimayi kapena olembetsa;
• Zowawa panthawi yogonana;
• Zovuta kuchita zinthu monga kukwera pamahatchi kapena kupalasa njinga.

Nthawi zambiri, vutoli limapangitsa kukhudzana kwambiri kukhala kopweteka, ndi zizindikilo zowawa zomwe zimatha kukhala maola kapena masiku mutagonana. Kupweteka komwe kumamvekera kumatha kukhala kosakhala kosalekeza, ndipo zizindikilozo zimatha kuwonekera kuchokera pakumva kusowa pang'ono mpaka kupweteka kwambiri komwe kumapangitsa kukhala kovuta kuchita zinthu zofunika tsiku ndi tsiku, monga kukhala mwachitsanzo.

Zomwe zimayambitsa Vulvodynia

Vulvodynia imatha kukhudza azimayi amisinkhu yonse, kuyambira unyamata mpaka kusintha.

Ngakhale zoyambitsa zomwe zimayambitsa vuto ili sizikudziwika, komabe, pali zinthu zina zomwe zimakhudzana ndikubwera kwa vutoli monga:

• Ululu wa m'mitsempha;
• Zinthu zobadwa nazo;
• Mavuto kapena zovuta m'chiuno;
• Mahomoni amasintha;
• Kusintha kwa mitsempha.

Kuphatikiza apo, kuwonekera kwa matendawa kumalumikizidwanso ndi zinthu zina kuphatikizapo fibromyalgia, matumbo opweteka, kupsinjika pambuyo povulala, kukhumudwa, migraine kapena candidiasis yabwinobwino.

Momwe Kuzindikira Kumapangidwira

Kuzindikira kwa matendawa kumatha kupangidwa ndi azimayi azachipatala, omwe adzayang'anitsitsa ndikukhudza mayeso, kuti adziwe mfundo zachikondi kapena zowawa. Kufufuza uku kumachitidwa nthawi zambiri pogwiritsa ntchito swab ya thonje kuti ikakamize pazinthu zina zachiwerewere.

Chithandizo chake ndi chiyani

Chithandizo cha Vulvodynia chimadalira mtundu ndi kukula kwa zizindikiritso zomwe zimakumana nazo, chifukwa palibe chithandizo chamankhwala chomwe chimafotokozedwera, chifukwa chake pakufunika kusintha njira zochiritsira.

Chifukwa chake, chithandizo chitha kuphatikizira kugwiritsa ntchito mankhwala apakhungu monga lidocaine, kumwa mankhwala apakamwa monga mapiritsi a estrogen, antidepressants kapena antiepileptics omwe amatsitsa minofu, kuchita psychotherapy kapena upangiri wogonana. Pazovuta kwambiri, mwina atha kulimbikitsidwa kuti achite opaleshoni yotchedwa vestibulectomy. Kuphatikiza apo, kusamalira tsiku ndi tsiku maliseche ndikofunikanso, makamaka chisamaliro cha khungu ndi ukhondo wa maliseche, popeza kugwiritsa ntchito mankhwala aukali kapena okwiyitsa kumatha kukulitsa zizindikilozo.

Chithandizochi chitha kuthandizidwanso ndikuchita matenda azachipatala azachipatala ndi zida monga TENS zochepetsera kupweteka ndi zolimbitsa thupi zomwe zimalimbitsa pakhosi, monga Kegel masewera, Pompoarism kapena ma cone azimayi.