Isini esibuhlungu (iDyspareunia) kunye nokuyeka ukuya exesheni: Yintoni ikhonkco?

Umxholo

• Iziphumo ebezingalindelekanga eziqhelekileyo zokuyeka ukuya exesheni
• Kutheni isondo liba buhlungu
• Ukufumana uncedo
• Umgca wezantsi

Njengoko uhamba ngokuyeka ukuya exesheni, ukuhla kwamanqanaba e-estrogen kubangela utshintsho oluninzi emzimbeni wakho. Utshintsho kwizicubu zomfazi ezibangelwa kukungabikho kwe-estrogen kunokwenza ukuba isondo libe buhlungu kwaye lingonwabisi. Abasetyhini abaninzi baxela imvakalelo yokoma okanye ukuqina ngexesha lokwabelana ngesondo, okukhokelela kwiintlungu ezisusela kubumnene ziye kubukhali.

Isini esibuhlungu yimeko yonyango ebizwa ngokuba yi-dyspareunia. Yintoni uninzi lwabasetyhini olungayiqondiyo kukuba iDyspareunia ixhaphake ngokufanelekileyo. Phakathi kwe-17 kunye ne-45 yepesenti yabasetyhini abasemva kokuya exesheni bathi banamava ngayo.

Ngaphandle konyango, i-dyspareunia inokukhokelela kukudumba kunye nokukrazula kwezicubu zangasese. Ngaphezulu, iintlungu, okanye uloyiko lwentlungu, kunokubangela uxinzelelo xa kufikwa ekulalaneni ngesondo. Kodwa isini akufuneki sibe ngumthombo woxinzelelo kunye nentlungu.

I-Dyspareunia yimeko yokwenyani yonyango, kwaye akufuneki uthandabuze ukuya kugqirha ukuze ufumane unyango. Nanku ukujonga okunzulu kunxibelelwano phakathi kokuyeka ukuya exesheni kunye ne-dyspareunia.

Iziphumo ebezingalindelekanga eziqhelekileyo zokuyeka ukuya exesheni

Ukuyeka ukuya exesheni kunokubangela ukuba uluhlu lweempawu ezingathandekiyo. Wonke umntu wasetyhini wahlukile, nangona kunjalo, iiseti zeempawu ohlangabezana nazo zinokwahluka kwabanye.

Ezona mpawu zixhaphakileyo abantu ababhinqileyo ababa nazo ngexesha lokuya exesheni kubandakanya:

• kushushu, ukubila ebusuku, kunye nokugungxula
• ukutyeba kunye nokulahleka kwemisipha
• ukuphuthelwa
• ukoma kwilungu lobufazi
• ukudakumba
• ixhala
• ukunciphisa i-libido (ukuqhuba ngesondo)
• isikhumba esomileyo
• ukwanda komchamo
• amabele abuhlungu okanye athambileyo
• intloko ebuhlungu
• amabele mancinci agcwele
• ukucheba iinwele okanye ilahleko

Kutheni isondo liba buhlungu

Iimpawu ezifunyanwa ngabasetyhini ngexesha lokuyeka ukuya exesheni ikakhulu zinxulumene namanqanaba ancitshisiweyo ama-hormone esini sabasetyhini kunye neprogesterone.

Amanqanaba asezantsi ala mahomoni anokubangela ukuncitshiswa kobume obuncinci bokufuma obudibanisa iindonga zangasese. Oku kunokubangela ukuba ulusu lwelungu lobufazi lome, lucaphukise, kwaye luvuyeke. Ukudumba kunokubangela imeko ebizwa ngokuba yi-vaginal atrophy (atrophic vaginitis).

Utshintsho kwi-estrogen lunokunciphisa kwakhona i-libido yakho iyonke, kwaye yenze kube nzima ngakumbi ukuvuselelwa ngokwesondo. Oku kunokwenza ukuba kube nzima kwilungu lobufazi ukuba lithanjiswe ngokwendalo.

Xa izicwili zelungu lobufazi ziya zoma kwaye zibhitye kancinci, iba yitshiphu kwaye yenzakale ngokulula. Ngexesha lokwabelana ngesondo, ukungqubana kunokubangela iinyembezi ezincinci kwilungu lobufazi, ezikhokelela kwintlungu ngexesha lokungena.

Ezinye iimpawu ezinxulunyaniswa nokoma komfazi zibandakanya:

• ukurhawuzelela, ukuhlaba, kunye nokutsha ujikeleze indawo yangasese
• Ndiva isidingo sokuchama rhoqo
• ukuqina kwilungu lobufazi
• ukuphuma kancinci emva kokwabelana ngesondo
• Ukukhathazeka
• ukusuleleka rhoqo kumchamo
• ukungahambi kakuhle komchamo (ukuvuza okungafunekiyo)
• ukwanda kwengozi yosulelo lobufazi

Kubafazi abaninzi, isini esibuhlungu sinokubangela iintloni kunye noxinzelelo. Ekugqibeleni, unokuphulukana nomdla wokulala ngesondo kwaphela. Oku kunokuba nefuthe elibi kubudlelwane bakho neqabane lakho.

Ukufumana uncedo

Ukuba iimpawu zakho zinzima kwaye zichaphazela umgangatho wobomi bakho, musa ukoyika ukubona ugqirha ukuze afunde ngamayeza akhoyo.

Ugqirha wakho uya kuqala acebise ukusebenzisa i-over-the-counter (OTC) i-lubricant esekwe emanzini okanye isithambisi selungu lobufazi ngexesha lokwabelana ngesondo. Izinto zokuthambisa kufuneka zingabikho iziqholo, izicatshulwa zemifuno, okanye imibala engeyiyo, njengoko zinokucaphukisa. Kuya kufuneka uzame iimveliso ezininzi ukufumana eyona ikusebenzelayo.

Ukuba usenentlungu, ugqirha wakho unokumisela unyango lwe-estrogen lwasekhaya. Unyango lwe-Estrogen lufumaneka ngeendlela ezininzi:

• Iikhrim zangasese, ezinje ngokudibana kwe-estrogens (Premarin). Oku kukhulula i-estrogen ngqo kwilungu lobufazi. Zifakwa kabini kathathu ngeveki. Akufanele uzisebenzise ngokufanelekileyo ngaphambi kwesondo njengesithambisi kuba zinokungena kulusu lweqabane lakho.
• Amakhonkco lobufazi, ezinjenge-estradiol iringi yelungu lobufazi (i-Estring). Oku kufakwa kwilungu lobufazi kwaye kukhulule idosi esezantsi ye-estrogen ngqo kwizicwili zangasese. Kufuneka zitshintshwe rhoqo emva kweenyanga ezintathu.
• Amacwecwe e-estrogen yomlomo, Njenge-estradiol (Vagifem). Ezi zibekwa kwilungu lobufazi kube kanye okanye kabini ngeveki kusetyenziswa isixhobo.
• Ipilisi ye-estrogen yomlomo, ezinokunyanga ukoma kwelungu lobufazi kunye nezinye iimpawu zokuyeka ukuya exesheni, njengokukhanya okutshisayo. Kodwa ukusetyenziswa kwexesha elide kuphakamisa umngcipheko wee-cancer ezithile. I-estrogen yomlomo ayimiselwanga kwabasetyhini abanomhlaza.

Ukugcina izibonelelo zonyango lwe-estrogen, kubalulekile ukuqhubeka nokwabelana ngesondo rhoqo. Ukwenza njalo kunceda ukugcina izicubu zangasese zisempilweni ngokwandisa ukuhamba kwegazi kwilungu lobufazi.

Olunye ukhetho lonyango lubandakanya i-ospemifene (i-Osphena) kunye ne-prasterone (Intrarosa). I-Osphena yithebhulethi yomlomo, ngelixa i-Intrarosa sisongezo sangasese. I-Osphena isebenza njenge-estrogen, kodwa ayinayo i-hormone. I-Intrarosa yi-steroid etshintsha iihomoni ezenziwe ngesiqhelo emzimbeni.

Umgca wezantsi

Ukwabelana ngesondo okubuhlungu ngexesha okanye emva kokuyeka ukuya exesheni yingxaki kubafazi abaninzi, kwaye akukho nto uneentloni ngayo.

Ukuba ukoma kwelungu lobufazi kuchaphazela ubomi bakho ngokwesondo okanye ubudlelwane bakho neqabane lakho, lixesha lokuba ufumane uncedo olufunayo. Xa ulinde ukunyanga i-dyspareunia, umonakalo ongayenza emzimbeni wakho. Ukuba ishiywe inganyangwa, ukoma kwilungu lobufazi kunokubangela izilonda okanye iinyembezi kwizicwili zangasese, ezinokwenza izinto zibe mandundu.

Ugqirha okanye ugqirha wamazinyo unokucebisa unyango ukuze uhlale phezu kweempawu zakho kwaye akuncede ubuyele kubomi besondo obuphilileyo.