I-Dyspareunia inokuba sisizathu esingaqondakaliyo sokuba isondo sibuhlungu kuwe

Umxholo

• Iimpawu zeDyspareunia
• Oonobangela boMzimba kunye neNgqondo
• Ungayinyanga njani iDyspareunia
• Iingcebiso ngokujongana neDyspareunia
• Uphengululo lwe

Kuzo zonke izifo ekungekho mntu uthetha ngazo, lowo uthatha ikhekhe unokuba yi-dyspareunia. Ngaba ungevanga ngayo? Ayothusi-kodwa yintoni ngu iyamangalisa kukuba ngaphezulu kwama-40 ekhulwini kubo bonke abafazi abanamava. (Olunye uqikelelo luye phezulu ukuya kuma-60 eepesenti, ngokwe-American Academy of Family Physicians, nangona amanani aye ahluka kule minyaka idlulileyo.)

Ngokwenkcazo, i-dyspareunia ligama le-ambrela leentlungu zesini ngaphambi nje, ngexesha, okanye emva kokulalana, kodwa izizathu azihlali zicacile, kwaye azifani. Ngapha koko, ayisoloko ihlala ngokwasemzimbeni-kwiimeko ezininzi, imeko inxulunyaniswa noxinzelelo lweemvakalelo, uxinzelelo, imbali yokuxhatshazwa ngokwesondo, kunye nokuphazamiseka kwemood njengoxinzelelo kunye noxinzelelo.

Ukwabelana ngesondo kufanele ukuba uzive ulungile. Ukuba ayenzi njalo ngonaphakade, thetha nogqirha wakho. Okwangoku, ukuba ucinga ukuba i-dyspareunia inokuba netyala ngesondo esibuhlungu, qhubeka ufunda ngolwazi oluthe kratya.

Iimpawu zeDyspareunia

"Ngokuqhelekileyo, iimpawu ze-dyspareunia naluphi na uhlobo lwentlungu kwilungu lobufazi ngexesha lokwabelana ngesondo," utshilo uNavya Mysore, MD, ugqirha omnye kwezonyango. Ngokuthe ngqo, oko kuthetha:

• Iintlungu ekungeneni (nokuba zivakala kuphela ekungeneni kokuqala)
• Intlungu enzulu ngayo yonke into
• Ukutsha, ukuqaqanjelwa, okanye imvakalelo yokuthabatheka ehlala ixesha elide emva kokulalana

Nangona kunjalo, isenokungabi buhlungu ngalo lonke ixesha usabelana ngesondo, utshilo uGqirha Mysore. "Omnye umntu unokuva iintlungu iipesenti ezili-100 zexesha, kodwa omnye unokufumana kuphela ngokukhawuleza."

Oonobangela boMzimba kunye neNgqondo

"Ukucinga ukuba akukho sulelo okanye ukudumba okukhoyo, i-dyspareunia inokuba yimveliso yemeko ekhoyo," utshilo ugqirha wezocansi kunye nogqirha wamathambo uHabib Sadeghi, D.O., umbhali we Ukucoca ngokucacileyo, (obone amakhulu ezigulana zesi sifo kwindawo yakhe e-Agoura Hills, CA.)

Ezinye zezinto ezibonakalayo zedyspareunia zibandakanya:

• Isibeleko esibuyiselwe umva (esithambekileyo) okanye iprolapse yesibeleko
• Iimeko ezinjenge-uterine fibroids, ii-cysts ze-ovari okanye i-PCOS, i-endometriosis, okanye isifo se-pelvic inflammatory (PID)
• Ukukrala kwi-pelvic okanye kwingingqi ye-genital (ngenxa yotyando olufana ne-hysterectomy, i-episiotomy, kunye ne-C-sections)
• I-Atrophy ye-cranial nerve zero (CN0), ngokukaGqirha Sadeghi (ngaphezulu koku kungezantsi)
• Ukungabikho kwothambiso / ukoma
• Ukuvuvukala okanye ukuphazamiseka kwesikhumba, njenge-eczema
• I-Vaginismus
• Ufakelo lwakutsha nje lwe-IUD
• Usulelo lwebacteria, usulelo lwegwele, i-vaginosis, okanye i-vaginitis
• Utshintsho lwehomoni

Ukuqhekeka: "Malunga neepesenti ezili-12 [zezigulana ezingamabhinqa] endizibonayo zine-dyspareunia, esona sizathu siqhelekileyo sisibetho esivela kwicandelo le-C elidlulileyo, utshilo uGqirha Sadeghi. "Andiqondi ukuba yinto eyenzeka ngengozi kule mihla ukuba umntwana omnye kwabathathu azalwe nge-C-section, kwaye omnye kwabasetyhini abathathu ufumana inqanaba elithile le-dyspareunia."

Yintoni eyona nto inkulu ngokubambisa? Ngokutsho kukaDkt. Sadeghi, inokuchaphazela inkqubo ye-nervous. "Zombini izilonda zangaphakathi nangaphandle zinokuphazamisa ukuhamba kwamandla kuwo wonke umzimba," utshilo. "Okubangela umdla kukuba, eJapan, apho amacandelo e-C axhaphake kakhulu, ukusikwa kwenziwa ngokuthe nkqo, hayi ngokuthe nkqo, ukunciphisa olo phazamiseko."

U-Kecia Gaither, MD, MPH, oqinisekiswe ngebhodi ephindwe kabini kwi-ob-gyn kunye neyeza zoomama abakhulelweyo, uyavuma ukuba ukubola kumacandelo e-C kunokuba yinto enokubangela igalelo kwi-dyspareunia. Isiphene esincinci ekuphilisweni kwesikrelemnqa, esine-mucus-ngaphakathi kwesibeletho esisezantsi kakhulu kunokubangela iintlungu, ukungxamiseka kwesinyi kunye ne-dyspareunia, utshilo.

Ukwaqaphele ukuba, njengoko uGqr. Sadeghi ekhankanyile, ukusika okuthe tyaba kwe-C-section yase-U.S., ngokwethiyori, kunokubangela imiba engaphezulu kunokusikwa ngokuthe nkqo. Uye wathi yonke into ukusuka ekuphelelweni ngamanzi emzimbeni ukuya "kukungakhathalelwa kwabanye abantu" kunokuphazamisa ukuhamba kwamandla emzimbeni kunye nokuba ukwenzakala ngokwasemzimbeni okuvela kwicandelo le-cearean ngokuqinisekileyo kuya kuba sisiphazamisi esinokuba negalelo kwi-dyspareunia.

CN0: "Esinye isizathu inokuba kukuyekiswa okanye i-atrophy ye-cranial nerve zero (CN0), imithambo-luvo ethatha imiqondiso evela kwiipheromones ezifunyenwe empumlweni zize ziyibuyisele kwiindawo zobuchopho ezijongana nokuzala ngokwesondo," utshilo uGqirha Sadeghi. . Inkqubo eqinisekisa ukulungela kwethu ukwabelana ngesondo ixhomekeke kakhulu ekukhululweni kwehomoni i-oxytocin okanye ihomoni "yothando" evelisa ubudlelwane phakathi kwabantu, uyacacisa. "I-Pitocin (i-synthetic oxytocin) ilawulwa kwabasetyhini ukunyusa abasebenzi, kwaye inokuthomalalisa yonke imithambo-luvo eyi-13, kubandakanya ne-CN0, okukhokelela kwi-dyspareunia njengemiphumela."

Ngelixa i-CN0 ingakhange ifundwe ngokubanzi ebantwini, ingxelo ka-2016 yokuqokelelwa kwedatha kwi-CN0 ifumanise ukuba le nerve inokuthi iququzelele "imisebenzi ehambelana nokusingqongileyo, imisebenzi yesondo, ukuzala kunye nokuziphatha kokukhwelana." UGqr. Gaither uyakuqinisekisa oku, esithi abaphengululi bacebisa ukuba i-CN0 iyabandakanyeka ekuvuseleleni inkanuko ngokuzimeleyo okanye ngokunxibelelana nezinye iisekethe ngaphakathi kwengqondo.

Ukutshintsha kwehormonal: "Esinye sezona zizathu zixhaphakileyo kukutshintsha kwehomoni, enokubangela utshintsho kwi-pH yelungu lobufazi," utshilo uGqirha Mysore. "Umzekelo oqhelekileyo woku kukutshintsha kwi-menopause, apho isondo sinokungakhululeki kakhulu ngenxa yokuba umjelo wangasese woma kakhulu."

UVaginismus: "Enye imbangela eqhelekileyo yentlungu ngexesha lokwabelana ngesondo yi-vaginismus, oku kuthetha ukuba izihlunu ezijikeleze ukuvulwa kwe-vaginal zingena ngokuzithandela ekuphenduleni ukungena," kusho uDkt Mysore. Ukuba ufumene iziqendu ezimbalwa zesini esibuhlungu, umzekelo, izihlunu zakho zinokuphendula ngokubandayo. Uphantse wangumbono-umzimba wakho ucwangciselwe ukuthintela iintlungu, kwaye ukuba ingqondo iqala ukudibanisa isondo kunye nentlungu, izihlunu zinokuphendula ngokungathintelwanga ukuphepha ezo ntlungu, utshilo. "Okubuhlungu kukuba, oku kunokuba yimeko yesibini ekuxhatshazweni ngokwesondo okanye ukuhlaselwa ngokwesondo." (Related: Izizathu ezisi-8 zokuba unokuba neentlungu ngexesha lokwabelana ngesondo)

Izizathu zengqondo: Njengoko kuphawuliwe, ukwenzakala ngokweemvakalelo neemeko zinokuba negalelo kwisini esibuhlungu. "Izizathu zengqondo zihlala zibandakanya ukuxhatshazwa ngokomzimba okanye ngokwesondo, ukuhlazeka, okanye ezinye iintlobo zokuxhatshazwa ngokwesondo," kusho uDkt. Sadeghi.

Ungayinyanga njani iDyspareunia

Ngokuxhomekeke kwingcambu yemeko yesigulane, kukho iindlela ezininzi ezahlukeneyo zonyango. Nokuba siyintoni na isizathu, kubalulekile ukubona ugqirha wakho ukuba enze isicwangciso. Basenokukucebisa ukuba uzame izikhundla ezahlukeneyo, cinga ukusebenzisa ilube (ukunyaniseka, ubomi bokwabelana ngesondo bomntu wonke bunokwenziwa ngcono ngolube), okanye uzame ukuthatha izithomalalisi zentlungu kwangaphambili.

Kwimeko yokuqhekeka: Kwizigulane ezinezicubu ezibomvu ezibangela isondo esibuhlungu, uGqr. Sadeghi usebenzisa unyango oluthile. "Ndenza unyango kwi-scar eyaziwa ngokuba yi-integrative neural therapy (INT)," watsho uGqr. Sadeghi. Oku kwaziwa ngokuba yi-German acupuncture. Le nkqubo yenza inxeba libe ndindisholo kwaye inceda ukwaphula ukuqina kunye namandla agciniweyo ezicubu ezibomvu, uyacacisa.

Ukuba unesibeleko esithambekileyo: Ukuba intlungu yakho ibangelwa kwisibeleko esibuyiselweyo (i-tilted), unyango lomgangatho we-pelvic lolona nyango lungcono, utsho uDkt Sadeghi. Unyango lomzimba we-yep kumgangatho wakho we-pelvic, izihlunu zangasese kunye nako konke. Kubandakanya uthotho lwezinto ezenziwa ngesandla kunye nokukhutshwa kwethishu ethambileyo ukunciphisa uxinzelelo kumgangatho we-pelvic, uyachaza. Iindaba ezimnandi: Ungabona ezinye iziphumo phantse kwangoko. (Idibeneyo: Izinto ezi-5 Wonke uMfazi omele azi malunga noMgangatho wePelvic)

Ukuba ivela kwi-cranial nerve zero atrophy: "Kwimeko ye-cranial nerve zero atrophy, imisebenzi ebandakanya amanqanaba aphezulu emveliso ye-oxytocin iyacetyiswa, njengokuncancisa ukuba kwenzeka ukuba umama omtsha, kunye nomsebenzi osondeleyo ongabandakanyi ukungena," utshilo uGqirha Sadeghi.

Ukuba unokuvuvukala okanye ukoma: Unokuzama i-CBD yokuthambisa. Ngapha koko, i-lube esekwe kwi-cannabis isisisombululo kubafazi abaninzi abanamava edyspareunia kwizizathu ezininzi. Abasebenzisi batyholile malunga nokukwazi kwabo ukuguqula amava abo ezesondo, ukuphelisa iintlungu, nokubanceda bafikelele kwi-orgasm njengangaphambili. UGqr. Mysore naye wayengumthetheleli wokusebenzisa i-lubricant, kunye nokujongana nokomisa ngonyango lwe-hormone ukuba luvela kwinguqu efana nokuyeka ukuya exesheni.

Ukuba unentsholongwane: "Ezinye izimbangela zentlungu ngexesha lokwabelana ngesondo zibandakanya izifo ze-yeast, i-UTIs, okanye i-bacterial vaginosis, nganye nganye ineeprotocol zayo zonyango ekufuneka zinciphise iimpawu ezibuhlungu," kusho uDkt Mysore. "Kubantu abajongene nosulelo lwegwele okanye i-bacterial vaginosis, ndingumntu othanda kakhulu ukusebenzisa i-boric acid suppositories ukongeza kunyango ukunceda ukulungelelanisa i-pH ye-vaginal." (Idibeneyo: Isikhokelo samanyathelo ngamanyathelo sokunyanga usulelo lwegciwane lobufazi)

Ukongezelela, uDkt Mysore uncoma ukuthatha i-probiotics: "Abantu abaninzi badibanisa i-probiotics kuphela ngokuphucula ibhaktheriya emathunjini, kodwa i-probiotics inokuchaphazela ngokufanayo indawo yangasese kwaye incede ukulinganisela okanye ukubuyisela i-pH efanelekileyo," enokukhokelela kwisondo esingenantlungu.

Emva kokufakwa kwe-IUD: Abasetyhini abasandula ukufakelwa ii-IUDs nabo banamava esini esibuhlungu, utshilo uGqirha Mysore. "I-IUDs ziyi-progesterone-kuphela, kodwa kuba iihormoni zinefuthe lasekhaya, zinokutshintsha ukungqinelana kunye nomgangatho wokukhutshwa," utshilo, engakhokelela ekomeni. “[Izigulana] nazo zisenokungavelisi ukuthambisa kwendalo okuninzi,” uyacacisa, kodwa qaphela ukuba umzimba wakho kufuneka ekugqibeleni uhlengahlengise. "Kwiimeko ezininzi, umzimba uya kulungelelaniswa ngokuthe ngcembe kwaye intlungu kunye nokoma kufuneka kunciphe, kodwa luluvo oluhle ukuthetha nogqirha wakho ukuba uyaqhubeka uva iintlungu kuba ukubekwa kwe-IUD kunokucima." (Eyeleleneyo: Ngaba i-IUD yakho ikwenza ube sesichengeni ngakumbi kule meko yoyikekayo?)

Ukuba yi-vaginismus (spasming): Unyango lwe-vaginismus luhlala lubandakanya ukusebenzisa i-vaginal dilators. Ngokwesiqhelo, oku kubandakanya iseti yezinto ezimilise ubudoda ezihluka ngosayizi ukusuka kumnwe wepinki ukuya kwilungu lobudoda. Uqala ngesayizi encinci kwaye uyisebenzise yonke imihla (nge-lube eninzi!) Uyihambisa ngaphakathi nangaphandle kwelungu lobufazi de uzive ukhululekile, ngokuqhelekileyo iiveki ezimbini ukuya kwezintathu, ngaphambi kokufudukela kwisayizi elandelayo phezulu. Oku kuhamba kancinci kulungelelanise izicwili zelungu lobufazi, kwaye, ngethemba, kukhokelela emntwini ofumana iintlungu ezincinci okanye akukho zintlungu ngexesha lokungena. Umntu unokusebenzisa i-dilators yedwa okanye kunye neqabane-inzuzo yokubandakanya iqabane kukuba inkqubo inokunceda ukuphuhlisa ukuthembela kunye novelwano kubudlelwane.

Ukuba kuyingqondo: Abasetyhini abaninzi banentlungu evela kwiingxaki zengqondo-mhlawumbi ukuxhalaba kubangela ukuxinezeleka komgangatho we-pelvic. Kule meko, umzimba wakho udala ukuvalwa okusekwe kumava angokweemvakalelo.

"Ukuba i-dyspareunia yakho ivela kulo naluphi na uhlobo lokuxhatshazwa ngokwasemphefumlweni nangokweemvakalelo, soloko ufuna iingcebiso kwiingcali," utshilo uGqirha Sadeghi. Iingcebiso zakhe zicacisiwe kwincwadi yakhe, Ukucoca ngokucacileyo, egxininisa ekuphiliseni ngokweemvakalelo ukunyanga izigulo zomzimba. "Ugxininiso olukhethekileyo lubekwe ekubuyiseleni isini njengembonakaliso yothando kunye nobuhle apho kukhuselekile ukuthembela kunye nokuba sesichengeni" -into efunekayo kumaxhoba okuxhatshazwa, utsho. "Amava andibonisile ukuba xa isigulana siphila ngokwasemphefumlweni, umzimba uphendula ngcono emzimbeni kunyango."

Iingcebiso ngokujongana neDyspareunia

Kubalulekile ukuba neqabane elinomonde. UGqirha Sadeghi uyigxininisile le nto. "Bafundise kangangoko unakho malunga nezinto ohlangabezana nazo kwaye kutheni; Oku kuyakunciphisa nakuphi na ukungavisisani phakathi kwenu nobabini kwaye nibaqinisekise ukuba utshintsho kubomi benu bokwabelana ngesondo alubangelwa yiyo nantoni na abayenzayo," watsho.

Ngelixa ufuna unyango, thintela ukulala nomntu. Sebenzisa eli xesha njengethuba lokujonga zonke ezinye izinto ezintle zesondo kwinqanaba elinzulu kakhulu, utshilo uGqirha Sadeghi. "Thatha ixesha lokujonga amanqanaba amatsha okusondelelana ngaphandle koxinzelelo lokungena okwangoku. Zininzi iindlela zokwabelana ngokobuhlobo kunye neqabane ngexesha lokunyanga kwakho. Nje ukuba ukhululeke kwi-dyspareunia, ubomi bakho bezesondo buya kuba ngcono. ngenxa yayo.

Fumana ugqirha. Nokuba i-dyspareunia yakho ibangelwa yingqondo okanye ngokwasemzimbeni, ukuba nendawo ekhuselekileyo yokusebenza ngeemvakalelo zakho nengcali yezengqondo ibalulekile. Ngokucacileyo, oku kuyenzeka ngokukodwa ukuba uziva ukuba ukoyikeka kwangaphambili okanye uloyiko lokujikeleza isondo kuthintela amandla akho okukonwabela kunye nedama, kufuneka ulonwabele! (Ngoku: Ungaya njani kunyango xa usaphule i-AF)

Uphengululo lwe