Vulvodynia: yintoni, iimpawu eziphambili kunye nonyango

Umxholo

• Iimpawu eziphambili
• Oonobangela beVulvodynia
• Uxilongo lwenziwa njani
• Yintoni unyango

I-Vulvodynia okanye i-vulvar vestibulitis yimeko apho kukho iintlungu ezingapheliyo okanye ukungaphatheki kakuhle kwingingqi yomfazi. Le ngxaki ibangela iimpawu ezinjengentlungu, ukucaphuka, ukuba bomvu okanye ukuhlaba kummandla wesini, yiyo loo nto ingxaki ihlala ididekile nedermatoses okanye usulelo kummandla wesini.

Ngokwesiqhelo, le ngxaki yenza ukuba unxibelelwano olusondeleyo lube buhlungu, kunye neempawu zentlungu ezinokuhlala iiyure okanye iintsuku emva kokulalana. Esi sisifo esinganyangekiyo, kwaye ke unyango lujolise ekunciphiseni iintlungu kunye nokuphazamiseka, ukuze kuphuculwe umgangatho wobomi.

Iimpawu eziphambili

Ezinye zeempawu eziphambili zeVulvodynia zibandakanya:

• Ubuhlungu ekuchukumeni nasekucaphukeni kwingingqi ye-vulva;
• Ububomvu kunye nokuqaqamba kwemvakalelo kwindawo yesini;
• Ukwanda kobuntununtunu;
• Ukuhlaba kunye nokutshisa imvakalelo kwingingqi ye-vulva;
• Ubunzima bokufaka iitampon zangasese okanye izinto zokufaka;
• Iintlungu ngexesha lokwabelana ngesondo;
• Ubunzima bokwenza imisebenzi enje ngokukhwela ihashe okanye ukukhwela ibhayisikile.

Ngokubanzi, le ngxaki yenza ukuba unxibelelwano olusondeleyo lube buhlungu, kunye neempawu zentlungu ezinokuhlala iiyure okanye iintsuku emva kokulalana. Intlungu evakalayo inokuthi okanye ingabi njalo, kwaye iimpawu zingabonakalisa ukusuka kukungonwabi kancinci ukuya kwiintlungu ezinzima ezenza kube nzima ukwenza imisebenzi esisiseko yemihla ngemihla, njengokuhlala umzekelo.

Oonobangela beVulvodynia

I-Vulvodynia inokuchaphazela abasetyhini bayo yonke iminyaka, ukusuka kwinqanaba lokufikisa ukuya exesheni.

Nangona oonobangela abakhokelela ekuveleni kwale ngxaki bengekaziwa, nangona kunjalo, kukho izinto ezithile ezinxulunyaniswa nokuvela kwale ngxaki kubandakanya:

• Intlungu ye-Neuropathic;
• Izinto zofuzo;
• Iingxaki okanye ukungasebenzi kakuhle kumgangatho we-pelvic;
• Utshintsho lwehomoni;
• Utshintsho ezindleleni zemithambo-luvo.

Ukongeza, ukubonakala kwesi sifo kukwanxulunyaniswa nezinye izinto kubandakanya i-fibromyalgia, isifo samathumbu esikruqulayo, uxinzelelo lwasemva koxinzelelo, uxinzelelo, migraine okanye i-candidiasis ephindaphindayo.

Uxilongo lwenziwa njani

Ukuchongwa kwesi sifo kunokwenziwa ngugqirha wezifo zabasetyhini, oya kuthi enze uvavanyo kunye nokuchukumisa iimviwo, achonge amanqaku athambileyo okanye iintlungu. Olu vavanyo luhlala lusenziwa kusetyenziswa umqhaphu wekotoni ukwenza uxinzelelo kumanqaku athile kummandla wesini.

Yintoni unyango

Unyango lweVulvodynia luxhomekeke kuhlobo kunye nokuqina kweempawu ezinazo, kuba akukho lonyango luchaziweyo kwesi sifo, ngenxa yoko kukho imfuneko yokutshintsha unyango kwimeko nganye.

Ke ngoko, unyango lunokubandakanya ukusebenzisa amayeza ezinto ezifana ne-lidocaine, ukuthatha amayeza omlomo anje ngeepilisi ze-estrogen, i-anti-depressants okanye i-antiepileptics eziphumlisa izihlunu, ukwenza unyango lwengqondo okanye ukululekwa ngokwesondo. Kwiimeko ezinzima kakhulu, kunokucetyiswa ukuba wenze utyando olubizwa ngokuba yi-vestibulectomy. Ukongeza, ukhathalelo lwemihla ngemihla lwendawo yesini nalo lubaluleke kakhulu, ngakumbi ukhathalelo lolusu kunye nococeko lobufazi, kuba ukusetyenziswa kweemveliso ezinobundlongondlongo okanye ezicaphukisayo kunokwenza mandundu iimpawu.

Unyango lunokuncediswa ngokwenza i-gynecological physiotherapy ngezixhobo ezinje nge-TENS yokunciphisa iintlungu kunye nokuzilolonga okuqinisa umgangatho we-pelvic, njengokuzilolonga kweKegel, iPompoarism okanye ii-cones zangasese.