Vulvodynia

IVulvodynia sisifo esibuhlungu somntu obhinqileyo. Lo ngummandla ongaphandle wamalungu esini sowasetyhini. I-Vulvodynia ibangela iintlungu eziqatha, ukutshisa kunye nokuhlatywa komzimba.

Oyena nobangela we-vulvodynia awaziwa. Abaphandi basebenzela ukufunda ngakumbi ngale meko. Izizathu zingabandakanya:

• Ukurhawuzelela okanye ukwenzakala kwimithambo-luvo yelungu lobufazi
• Utshintsho lwehomoni
• Ukunyanzelwa kwiiseli zangaphambi kosulelo okanye ukonzakala
• Imisonto eyongezelelweyo ye-nerve kwi-vulva
• Imisipha yomzimba we-pelvic ebuthathaka
• Izaliwa ngumzimba kwiikhemikhali ezithile
• Izinto zemfuza ezibangela ubuntununtunu okanye ukugqithisa kusulelo okanye ukudumba

Izifo ezosulela ngokwabelana ngesondo MAZINGABANGELI le meko.

Zimbini iintlobo eziphambili ze-vulvodynia:

• I-vulvodynia yendawo. Le yintlungu kwindawo enye ye-vulva, ihlala ivulwa kwilungu lobufazi (iveranda). Iintlungu zihlala zenzeka ngenxa yoxinzelelo kwindawo leyo, njengokwabelana ngesondo, ukufaka itampon, okanye ukuhlala ixesha elide.
• I-vulvodynia ngokubanzi. Le yintlungu kwiindawo ezahlukeneyo zomntu obhinqileyo. Intlungu ihlala ihleli, ngamanye amaxesha isiqabu. Uxinzelelo kwilungu lobufazi, njengokuhlala ixesha elide okanye ukunxiba iibhulukhwe ezomeleleyo kunokwenza iimpawu zibe mandundu.

Intlungu ye-vulvar ihlala:

• Ubukhali
• Ukutsha
• Ukurhawuzelela
• Ukubetha

Unokuziva iimpawu ngalo lonke ixesha okanye elinye lamaxesha. Ngamanye amaxesha, unokuva iintlungu kwindawo ephakathi kobufazi kunye ne-anus (perineum) nakumathanga angaphakathi.

I-Vulvodynia inokwenzeka kulutsha okanye kwabasetyhini. Abasetyhini abane-vulvodynia bahlala bekhalaza ngentlungu ngexesha lokwabelana ngesondo. Inokwenzeka emva kokulalana okokuqala. Okanye, inokwenzeka emva kweminyaka yokwabelana ngesondo.

Izinto ezithile zinokubangela iimpawu:

• Isondo
• Ukufaka itampu
• Ukunxiba ngokuqinileyo phantsi kokunxiba okanye ibhulukhwe
• Ukuchama
• Ndihleli ixesha elide
• Ukuzivocavoca okanye ukuhamba ngebhayisikile

Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba kwaye abuze imibuzo malunga nembali yakho yezonyango. Umboneleli wakho unokwenza uvavanyo lokuchama ukukhupha usulelo lomchamo. Unokuba nolunye uvavanyo lokuthintela usulelo lwegwele okanye isifo solusu.

Umboneleli wakho naye unokwenza uvavanyo lwekotoni swab. Ngexesha lovavanyo, umboneleli uya kufaka uxinzelelo olunobunono kwiindawo ezahlukeneyo zesini sakho kwaye akucele ukuba ulinganise inqanaba lentlungu yakho. Oku kuya kunceda ekuchongeni iindawo ezithile zentlungu.

I-Vulvodynia ifunyaniswa xa zonke ezinye izizathu ezinokubakho zingafakwanga.

Injongo yonyango ukunciphisa iintlungu kunye nokunciphisa iimpawu. Akukho lunyango lusebenzayo kubo bonke abantu basetyhini. Kananjalo unokufuna olunye uhlobo lonyango ukulawula iimpawu zakho.

Unokumiselwa amayeza okunceda ukunciphisa iintlungu, kubandakanya:

• IiAnticonvulsants
• Ukudakumba
• Iipioids
• Izithambiso zezihloko okanye ioyile, enje ngeoyile ye-lidocaine kunye nokhilimu we-estrogen

Olunye unyango kunye neendlela ezinokukunceda zibandakanya:

• Unyango lomzimba ukomeleza izihlunu zomgangatho we-pelvic.
• I-Biofeedback inceda ekunciphiseni iintlungu ngokukufundisa ukuba uphumle izihlunu zomgangatho we-pelvic.
• Inaliti yeebhloko zemithambo ukunciphisa iintlungu zentliziyo.
• Ukunyanga ngokuziphatha ngendlela eyiyo ukukunceda ujongane neemvakalelo zakho kunye neemvakalelo zakho.
• Ukutshintsha ukutya kukuthintela ukutya nge-oxalates, kubandakanya isipinatshi, ii-beet, amandongomane kunye neetshokholethi.
• Unyango - qiniseka ukuba ufumana ugqirha oqheleneyo nokunyanga i-vulvodynia.
• Ezinye iindlela zonyango ezincedisayo ezinje ngokuphumla kunye nokucamngca.

UTSHINTSHO KWIMPILO

Utshintsho kwindlela yokuphila lunokunceda ukuthintela i-vulvodynia ezibangela kunye nokunciphisa iimpawu.

• SUKUYENZILE idouche okanye usebenzise iisepha okanye ioyile ezinokubangela ukudumba.
• Nxiba zonke iimpahla zangaphantsi zomqhaphu kwaye ungasebenzisi isithambisi selaphu kwiibhulukhwe zangaphantsi.
• Sebenzisa isepha yokuhlamba ulusu olubuthathaka kwaye uhlambe impahla yakho yangaphantsi kabini.
• Ziphephe iimpahla ezikungqongileyo.
• Yiphephe imisebenzi ebeka uxinzelelo kwilungu lobufazi, njengokuhamba ngebhayisikile okanye ukukhwela amahashe.
• Gwema iibhafu ezishushu.
• Sebenzisa iphepha langasese elithambileyo, nelinemibala kwaye uhlambe ubumanzi bakho ngamanzi apholileyo emva kokuchama.
• Sebenzisa zonke iithoni zekotoni okanye iiphedi.
• Sebenzisa i-lubricant enyibilikayo emanzini ngexesha lokwabelana ngesondo. Chama emva kwesondo ukuthintela i-UTI, kwaye uhlambe indawo leyo ngamanzi apholileyo.
• Sebenzisa icompress ebandayo kwilungu lakho lobudoda ukuthomalalisa iintlungu, ezinje emva kokulalana okanye ukwenza imithambo (qiniseka ukusonga icompress kwitawuli ecocekileyo- SUKUYISETYENZISE ngqo kulusu lwakho).

UKUGQIBELA

Abanye abantu basetyhini abane-vulvodynia yendawo banokufuna uqhaqho ukunciphisa iintlungu. Utyando lususa ulusu oluchaphazelekayo kunye nezicubu ezijikeleze ukuvulwa kwelungu lobufazi. Ugqirha lwenziwa kuphela ukuba zonke ezinye iindlela zonyango aziphumeleli.

Ungaluphelisa uxinzelelo lokugula ngokujoyina iqela lenkxaso. Ukwabelana nabanye abanamava afanayo kunye neengxaki kunokukunceda ungaziva ulilolo.

Lo mbutho ulandelayo ubonelela ngolwazi malunga ne-vulvodynia kunye namaqela enkxaso yendawo:

• Umbutho weSizwe weVulvodynia - www.nva.org

IVulvodynia sisifo esinzima. Kungathatha iiveki ukuya kwiinyanga ukufezekisa isiqabu sentlungu. Unyango alunakukunciphisa zonke iimpawu. Indibaniselwano yonyango kunye notshintsho kwindlela yokuphila zinokusebenza ngcono ukunceda ukulawula isifo.

Ukuba nale meko kungathatha ukubola emzimbeni nangokweemvakalelo. Inokubangela:

• Uxinzelelo kunye noxinzelelo
• Iingxaki kubudlelwane bomntu
• Iingxaki zokulala
• Iingxaki ngesondo

Ukusebenza nonyango kunokukunceda ujongane kangcono nemeko engapheliyo.

Tsalela umnxeba umboneleli wakho ukuba uneempawu zobufazi.

Fowunela umnikezeli wakho ukuba une-vulvodynia kwaye iimpawu zakho ziya zisiba mandundu.

Ikholeji yaseMelika yoQeqeshiso kunye neKomiti yamaGynecologists 'kwiGynecologic Practice; Umbutho waseMelika weColposcopy kunye neCatholic Pathology (ASCCP). Uluvo lweKomiti No 673: iintlungu eziqhubekayo ze-vulvar. IGynecol ebambekayo. Ngo-2016; 128 (3): e78-e84. IINKCUKACHA: 27548558 pubmed.ncbi.nlm.nih.gov/27548558/.

UBornstein J, uGoldstein AT, uStockdale CK, et al. I-2015 ISSVD, ISSWSH, kunye ne-IPPS yesigama sesivumelwano kunye nokuhlelwa kwentlungu eqhubekayo ye-vulvar kunye ne-vulvodynia. J Iphetshana lesini elisezantsi Dis. Ngo-2016; 20 (2): 126-130. IINKCUKACHA: 27002677 pubmed.ncbi.nlm.nih.gov/27002677/.

UStenson AL. IVulvodynia: ukufumanisa isifo kunye nolawulo. Iklinikhi yeGynecol Clin North Am. Ngo-2017; 44 (3): 493-508. IINKCUKACHA: 28778645 pubmed.ncbi.nlm.nih.gov/28778645/.

Waldman SD. Vulvodynia. Ku: Waldman SD, ed. IiAtlas zeSyndromes zobuhlungu obuqhelekileyo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 96.