I-Postmenopausal Atrophic Vaginitis

Umxholo

• Iimpawu zedlala lobufazi
• Unobangela yoma lobufazi
• Imiba yomngcipheko we-atrophy yelungu lobufazi
• Iingxaki ezinokubakho
• Ukuchonga i-atrophy yelungu lobufazi
• Unyango lwe-atrophy yelungu lobufazi
• Imixholo ye-estrogen
• Uthintelo kunye nendlela yokuphila

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ushwankathelo

I-Postmenopausal atrophic vaginitis, okanye i-atrophy yelungu lobufazi, kukuncipha kweendonga zelungu lobufazi okubangelwa kukuncipha kwamanqanaba e-estrogen. Oku kwenzeka kakhulu emva kokuyeka ukuya exesheni.

Ukuyeka ukuya exesheni lixesha kubomi bomfazi, ngesiqhelo phakathi kweminyaka engama-45 nama-55, xa amaqanda akhe engasawakhuphi amaqanda. Uyeka nokuba sexesheni. Umntu obhinqileyo usexesheni emva kokuba engakhange abe sexesheni kangangeenyanga ezili-12 okanye ngaphezulu.

Abasetyhini abane-atrophy yelungu lobufazi banethuba elikhulu losulelo olungapheliyo lobufazi kunye neengxaki zomsebenzi wokuchama. Inokwenza ukuba neentlobano zesini kube buhlungu.

Ngokwe-American Association of Family Physicians, ukuya kuma-40 ekhulwini kwabasetyhini emva kokumisa ukuya esikhathini banempawu ze-atrophic vaginitis.

Iimpawu zedlala lobufazi

Ngelixa i-atrophy yelungu lobufazi ixhaphakile, kuphela ngama-20 ukuya kuma-25 eepesenti yabasetyhini abanempawu abafuna unyango kugqirha wabo.

Kwamanye amabhinqa, iimpawu zenzeka ngexesha lokuphela kwexesha, okanye iminyaka ekhokelela ekuphumeni kwexesha. Kwamanye amabhinqa, iimpawu zisenokungabonakali de kube semva kweminyaka, ukuba zikhona.

Iimpawu zingabandakanya:

• ukuncipha kweendonga zangasese
• ukunciphisa kunye nokuqinisa umjelo welungu lobufazi
• ukungabikho komswakama lobufazi (ukoma kwilungu lobufazi)
• ukutshisa kwilungu lobufazi (ukudumba)
• ukubona emva kokwabelana ngesondo
• ukungonwabi okanye iintlungu ngexesha lokwabelana ngesondo
• intlungu okanye ukutshisa ngokuchama
• ukosuleleka rhoqo kumchamo
• ukungahambi kakuhle komchamo (ukuvuza okungafunekiyo)

Unobangela yoma lobufazi

Unobangela we-atrophic vaginitis kukuhla kwe-estrogen. Ngaphandle kwe-estrogen, izicubu zelungu lobufazi ziyaqina kwaye zome. Iyancipha, ithambe ngakumbi, kwaye yenzakale ngokulula.

Ukuhla kwe-estrogen kunokwenzeka ngamanye amaxesha ngaphandle kokuyeka ukuya exesheni, kubandakanya:

• Ngexesha lokuncancisa
• emva kokususwa kwama-ovari (ukuya exesheni kotyando)
• emva kwekhemotherapy kunyango lomhlaza
• emva kwonyango lwe-pelvic radiation kunyango lomhlaza
• emva konyango lwehomoni kunyango lomhlaza wamabele

Imisebenzi yesondo rhoqo iyanceda ukugcina izicwili kwilungu lobufazi zisempilweni. Ubomi obuphilileyo besini buyaxhamla kwinkqubo yokujikeleza kwegazi kunye nokuphucula impilo yentliziyo.

Imiba yomngcipheko we-atrophy yelungu lobufazi

Abanye abantu basetyhini banokwenzeka ngakumbi kunabanye ukufumana i-atrophic vaginitis. Abasetyhini abangazange bazalele ubufazi bathambekele ngakumbi kwi-atrophy yelungu lobufazi kunabafazi abazise abantwana babo kwilungu lobufazi.

Ukutshaya kuphazamisa ukujikeleza kwegazi, kuthintela ubufazi kunye nezinye izicubu zeoksijini. Ukuncipha kwethishu kwenzeka apho ukuhamba kwegazi kuyehla okanye kuthintelwe. Iintshayi nazo aziphenduli kangako kunyango lwe-estrogen kwifom yeepilisi.

Iingxaki ezinokubakho

I-Atrophic vaginitis yonyusa umngcipheko kumfazi wokufumana usulelo lobufazi. I-Atrophy ibangela utshintsho kwimeko ye-asidi yelungu lobufazi, yenze kube lula ukuba ibhaktiriya, igwele kunye nezinye izinto zikhule.

Ikwonyusa umngcipheko we-urrrr atrophy (genitourinary atrophy). Iimpawu ezinxulunyaniswa neengxaki zendlela yokuchama e-atrophy kubandakanya ukuchama rhoqo okanye ngokungxamisekileyo okanye ukuvutha ngexesha lokuchama.

Abanye abantu basetyhini banokuba nokungaziphathi kakuhle kunye nokufumana usulelo oluninzi lomchamo.

Ukuchonga i-atrophy yelungu lobufazi

Jonga ugqirha wakho kwangoko ukuba ukuba neentlobano zesini kubuhlungu, nokuba kukuthambisa. Kuya kufuneka ubonane nogqirha wakho ukuba unengxaki yokopha kwilungu lobufazi ngokungaqhelekanga, ukuphuma, ukutshisa, okanye ukukhathazeka.

Abanye abantu basetyhini baneentloni zokuthetha nogqirha wabo ngale ngxaki isondeleyo. Ukuba ufumana ezi mpawu, kubalulekile ukuba ufune iingcebiso kugqirha ukunceda ukunqanda iingxaki ezinokubakho ezichazwe apha ngasentla.

Ugqirha wakho uya kukubuza imibuzo malunga nembali yakho yezempilo. Bazokufuna ukwazi ukuba kudala kangakanani uyeke ukuya exesheni nokuba wakhe wanomhlaza. Ugqirha usenokubuza ukuba yeyiphi na, ukuba ikhona, into oyithengisayo okanye oyithengisayo. Ezinye iziqholo, iisepha, iimveliso zebhafu, izinto zokuhambisa amayeza, izinto zokuthambisa kunye ne-spermicides zinokuwenza mandundu amalungu esini.

Ugqirha wakho angakuthumela kwi-gynecologist ukuze ufumane iimvavanyo kunye novavanyo lomzimba. Ngexesha lokuvavanywa kwe-pelvic, baya kuthi palpate, okanye bazive, amalungu akho e-pelvic. Ugqirha uya kujonga kwakhona amalungu akho angasese angaphandle kwiimpawu ze-atrophy, ezifana:

• ulusu olumhlophe, olugudileyo, nolukhazimlayo
• ukulahleka kwe-elasticity
• zincinci iinwele ze-pubic
• egudileyo, ebhityileyo amalungu angasese angaphandle
• ukolulwa kwethishu yenkxaso yesibeleko
• I-pelvic organ prolapse (iibundges kwiindonga zelungu lobufazi)

Ugqirha unokuyalela ezi mvavanyo zilandelayo:

• uviwo lwe-pelvic
• uvavanyo lobufazi
• uvavanyo lobufazi lobufazi
• uvavanyo lwegazi
• uvavanyo lomchamo

Uvavanyo lwe-smear luvavanyo oluncinci lweethishu olukhutshiwe kwiindonga zelungu lobufazi. Ijonge iintlobo ezithile zeeseli kunye neebhaktiriya ezixhaphake kakhulu kwi-atrophy yelungu lobufazi.

Ukuvavanya i-asidi, iphepha lesalathiso sephepha lifakwa kwilungu lobufazi. Ugqirha wakho unokuqokelela iimfihlo zangasese kolu vavanyo.

Unokucelwa ukuba ubonelele ngeesampulu zegazi kunye nomchamo kuvavanyo lwaselebhu kunye nohlalutyo. Ezi mvavanyo zijonga izinto ezininzi, kubandakanya amanqanaba e-estrogen.

Unyango lwe-atrophy yelungu lobufazi

Ngonyango, kunokwenzeka ukuba uphucule impilo yakho yelungu lobufazi kunye nomgangatho wobomi bakho. Unyango lunokugxila kwiimpawu okanye oyena nobangela.

Izithambisi ezingaphezulu kwekhawuntareni okanye izinto zokuthambisa ezisekwe emanzini zinokunceda ukunyanga ukoma.

Ukuba iimpawu zinzima, ugqirha wakho unokucebisa unyango lwe-estrogen. I-Estrogen iphucula ukuqina kwesini kunye nokufuma kwendalo. Ihlala isebenza kwiiveki nje ezimbalwa. I-Estrogen inokuthathwa ngokwezihloko okanye ngomlomo.

Imixholo ye-estrogen

Ukuthatha i-estrogen ngomda wolusu ukuba ingakanani i-estrogen engena egazini. Izihloko ze-estrogens azinyangi naziphi na iimpawu zenkqubo yokuyeka ukuya exesheni, njengokukhanya okushushu. Ezi ntlobo zonyango lwe-estrogen aziboniswanga ukuba zonyusa umngcipheko womhlaza we-endometrium. Nangona kunjalo, biza ugqirha wakho ngoko nangoko ukuba usebenzisa umxholo we-estrogen kwaye unamava okopha okungaqhelekanga kwilungu lobufazi.

Imixholo ye-estrogen iyafumaneka ngeendlela ezininzi:

• Iringi ye-estrogen yelungu lobufazi, njenge-Estring. I-Estring iringi eguqukayo, ethambileyo efakwe kwinxalenye ephezulu yelungu lobufazi nguwe okanye ngugqirha wakho. Ikhupha idosi engapheliyo ye-estrogen kwaye ifuna ukubuyiselwa kuphela emva kweenyanga ezintathu. Amakhonkco e-Estrogen ngamalungiselelo e-estrogen yedosi ephezulu kwaye anokunyusa umngcipheko womfazi kumhlaza we-endometrium. Kuya kufuneka uthethe nogqirha wakho malunga nomngcipheko kunye nesidingo esinokwenzeka seprogesin ngokunjalo.
• Ikrimu ye-estrogen yelungu lobufazi, efana ne-Premarin okanye i-Estrace. Ezi ntlobo zamayeza zifakwa kwilungu lobufazi kunye nesicelo ngexesha lokulala. Ugqirha wakho unokumisela ikrimu yonke imihla iiveki ezimbalwa, emva koko wehle uye kabini okanye kathathu ngeveki.
• Ithebhulethi ye-estrogen yelungu lobufazi, efana neVagifem, ifakwe kwilungu lobufazi kusetyenziswa isixhobo esilahlwayo. Ngokwesiqhelo, idosi enye ngemini imiselwa ekuqaleni, ethi emva koko yehle iye kwelinye okanye amaxesha amabini ngeveki.

Uthintelo kunye nendlela yokuphila

Ukongeza ekuthatheni amayeza, ungenza utshintsho oluthile kwindlela yakho yokuphila.

Ukunxiba iimpahla zangaphantsi zomqhaphu kunye neempahla ezikulungeleyo kunokuziphucula iimpawu. Impahla yomqhaphu ekhululweyo iphucula ukujikeleza komoya ujikeleze amalungu esini, ibenze indawo efanelekileyo ukuba ibacteria ikhule.

Umfazi one-atrophic vaginitis unokufumana iintlungu ngexesha lokwabelana ngesondo. Nangona kunjalo, ukuhlala usabelana ngesondo kukonyusa ukujikeleza kwegazi kwilungu lobufazi kwaye kukhuthaza ukufuma kwendalo. Umsebenzi wesondo awunampembelelo kumanqanaba e-estrogen. Kodwa ngokuphucula ukujikeleza kwegazi, kugcina amalungu akho esini esempilweni ixesha elide. Ukuvumela ixesha lokuvuselelwa ngokwesondo kunokwenza ukuba ukwabelana ngesondo kube lula ngakumbi.

I-Vitamin E yeoyile ingasetyenziswa njengesithambisi. Kukho ubungqina bokuba ivithamin D yonyusa ukufuma kwilungu lobufazi. UVitamin D ukwanceda umzimba ukuba uthathe i-calcium. Oku kunceda ukucothisa okanye ukuthintela ukulahleka kwethambo le-postmenopausal, ngakumbi xa kudityaniswa nokuzilolonga rhoqo.