Yonke into okufuneka uyazi malunga neNkqubo yokuvuselela i-vaginal

Umxholo

• Yintoni ingcamango emva kokuvuselelwa kwe-vaginal, kunjalo?
• Inkqubo yokuvuselelwa kwelungu lobufazi ibandakanya ntoni?
• Ke yeyiphi imingcipheko edibene nokuvuselelwa kwelungu lobufazi?
• Kwaye i-FDA ilumkise ngokusesikweni ukuba ukuvuselelwa kwilungu lobufazi kuyingozi.
• Sisiphi isigwebo kwi-vag yakho?
• Uphengululo lwe

Ukuba ujongene nesondo esibuhlungu okanye eminye imiba yokungasebenzi kakuhle ngokwesondo-okanye ukuba ukumbono wokuba nobomi besondo obonwabisayo ngakumbi-indlela yamva nje yokuvuselela i-laser ye-vaginal inokubonakala ngathi yintonga yomlingo.

Kodwa i-FDA ilumkisa ukuba uqhaqho lokuvuselela ilungu lobufazi alukho nje inkohliso-inkqubo iyingozi ngokwenene. Apha, yonke into ofuna ukuyifumana malunga nenkqubo yokuvuselela ubufazi.

Yintoni ingcamango emva kokuvuselelwa kwe-vaginal, kunjalo?

Into yokuqala yokuqala: Ubufazi bakho sisihlunu selastiki. Uyakwazi oku kuba, nokuba awuzange ube nomntwana, uyawuqonda umlingo we-anatomical osisiseko ekufuneka ufumene into elingana nevatala emngxunyeni olingana nelamuni. Njengezinto ezininzi ezilastiki, nangona kunjalo, ilungu lobufazi lakho lingaphulukana nokunwebeka okuthile. (Eyeleleneyo: Izinto ezili-10 ongaze uzifake kwilungu lobufazi lakho)

I-FWIW, ayisiyiyo frequency (okanye ukunqongophala kwe…) isini esinokutshintsha indlela elixinene ngayo ubufazi bakho. Kukho izinto ezibini kuphela eziguqula ubungakanani belungu lobufazi: ubudala kunye nokuzala. Ukuzalwa komntwana, ngenxa yezizathu ezicacileyo. Kwaye "njengoko sikhula, amanqanaba eehomoni zethu ehla, nto leyo enokubangela ukuncipha kwamandla emisipha kunye nezicubu ezidibeneyo ezijikelezayo kwaye, ngenxa yoko, ukuqina kwelungu lobufazi," kuchaza u-Anna Cabeca, MD, umbhali we Ukulungiswa kweHormone. Xa iindonga zelungu lobufazi zibhityile ngenxa ye-estrogen encinci, enokwenza ukuba ibengathi lukhona utshintsho kububanzi, obizwa ngokuba yi-vaginal atrophy.

Abanye abantu basetyhini, uvakalelo olukhululekileyo lwanele ukubenza banqwenele ukuba babuyele ekuzaleni ngaphambi kwexesha lokuzalwa (okanye ulutsha nje). Kwaye kulapho ukuvuselelwa kwelungu lobufazi-usukelo lokunciphisa ubukhulu be-vaginal, ikakhulu ngenxa yezizathu zesondo-ingena.

Inkqubo yokuvuselelwa kwelungu lobufazi ibandakanya ntoni?

Ngelixa kukho ezinye iindlela zotyando, uninzi lwabantu (ahem, oomama abasebenza ngenene) babhekisa ekusetyenzisweni kwetekhnoloji engatyandi xa bethetha ngokuvuselelwa kwelungu lobufazi. "Ukuvuselelwa kwelungu lobufazi kufana nokuphakanyiswa kobuso kwilungu lobufazi," ucacisa uAnika Ackerman, M.D.ugqirha womchamo oseMorristown, NJ. "I-laser ye-CO2 ye-vaginal probe kunye nezixhobo ze-radio frequency zezona ntlobo zixhaphakileyo zobugcisa ezisetyenziswayo-zifakwe kwaye amandla asetyenziswa naphi na ukusuka kwimizuzu emihlanu ukuya kwe-20."

Loo mandla abangela i-microdamage kwizicubu zangasese, ezithi zikhohlise umzimba ukuba uzilungise, kuchaza uGqr Ackerman. "Ukukhula kweeseli ezintsha, i-collagen, kunye nokwakheka kwe-elastin, kunye ne-angiogenesis (ukwakheka kwemithambo yegazi emitsha) kwindawo yokulimala ikhokelela kwizicubu ezinobunzima, okwenza ukuba ubulili bube bunzima," utsho.

Ezi nkqubo zise ofisini, zingenabuhlungu, kwaye ziyakhawuleza. Ngamanye amaxesha abaguli baxela imo yendawo eshushu (ayonelanga ukuba kusetyenziswe i-anesthetics), kwaye "nabani na onamandla okunyanga ukukhanya okutshisayo [kwamabala elanga, ukuba bomvu, amabala obudala, okanye imithambo yegazi eyaphukileyo] anganoluvo lokuba ndiziva ndikwindawo yelungu lobufazi kunye nelungu lobufazi, utshilo uGqirha Cabeca. (Idibeneyo: Izibonelelo eziLwa nokuGuga zoNyango lweLigh Red)

"Ukuhlaba okuncinci, ukuvutha okulula kakhulu kunokuvakala ngexesha lenkqubo," wongezelela. Nangona "kufanelekile ukuba uphinde uqalise umsebenzi oqhelekileyo wobufazi ngaphakathi kweeyure ezingama-48, utshilo uGqirha Ackerman.

Ke yeyiphi imingcipheko edibene nokuvuselelwa kwelungu lobufazi?

Ngoko nantsi into yokubamba. Ngelixa ezi "zixhobo zisekwe kumandla" (okt, i-lasers), zitshabalalisa kwaye ziphinde zimise izicubu ze-vaginal, oku akwenzi i-vag yakho "iqine," ngokwe-se, utshilo u-Adeeti Gupta, MD, ugqirha oqinisekisiweyo webhodi kunye nomsunguli we-Walk. Kukhathalelo lwe-GYN eNew York. Endaweni yoko, inkqubo ye-laser ibangela ukuba izicwili zakho ezingaphantsi kwebhanti zitshise, zenze izicwili ezibomvu. "Oku kuyakwazi khangela njengokuqiniswa komjelo welungu lobufazi,” utshilo.

Uluvo kukuba inkqubo yokuvuselela ubufazi iya kunceda ukukhulisa umnqweno wesini kunye nokusebenza ngokwesondo, kodwa inye ingxaki: Ezi mabango zi-BS zonke, utshilo uGqirha Gupta. (Kwaye kuyafana nale mveliso, FYI: Uxolo, Le ntonga ye-Herbal yokukhupha i-Herbal ayisayi kuvuselela iLungu lakho lobufazi)

Okubi nakakhulu, abanye abaphandi baye baphakamisa inkxalabo yokuba umonakalo we-laser unokunyusa intlungu kunye neentlungu ze-urogenital ngexesha lokwabelana ngesondo, kwaye babonise ukuba asinalo nofifi ngefuthe le-laser kwi-rectum, urethra, kunye nesinyi. Kwaye abanye abantu basetyhini "bakhalaza ngenxeba kunye neentlungu emva konyango, kwaye loo nto ingatshintsha ubomi ngendlela eyoyikisayo," utshilo uFelice Gersh, MD, ob-gyn nomseki kunye nomlawuli we-Integrative Medical Group yase-Irvine, CA.

Kwaye i-FDA ilumkise ngokusesikweni ukuba ukuvuselelwa kwilungu lobufazi kuyingozi.

Ukuba oko kwakungonelanga ukukuqinisekisa, ngoJulayi ka-2018, uMkomishinala woLawulo lwezoKutya kunye noLawulo lweziyobisi uScott Gottlieb, MD, wakhupha isilumkiso esinegama elinamandla malunga nenkqubo yokuvuselela ubufazi. "Kutshanje siye sazi ngenani elikhulayo labenzi bezentengiso 'izixhobo zokuvuselela ubufazi' kwabasetyhini kwaye sibanga ukuba ezi nkqubo ziya kunyanga iimeko kunye neempawu ezinxulumene nokuyeka ukuya exesheni, ukungasebenzi komchamo, okanye umsebenzi wesondo, utshilo uGqirha Gottlieb egameni iarhente. "Ezi mveliso zinomngcipheko omkhulu kwaye abanabungqina baneleyo bokuxhasa ukusetyenziswa kwazo kwezi njongo. Siyaxhalaba kakhulu ngabasetyhini abonzakeleyo."

UGqr Gottlieb ubhala athi: "Ekuphononongeni iingxelo zeziganeko ezimbi kunye neencwadi ezipapashiweyo, sifumene iimeko ezininzi zokutshisa i-vaginal, i-scarring, intlungu ngexesha lokwabelana ngesondo, kunye nentlungu engapheliyo okanye engapheliyo. Ewe.

UGupta wongezelela ukuba, ngenxa yento ekufaneleyo, kwiimeko ezininzi, unyango "alunabungozi kakhulu," kodwa lunokubangela ukukrala kunye nokutshisa ukuba unyango alwenziwanga ngokufanelekileyo okanye ukuba umntu unobungozi, uyachaza. . Ukuthathela ingqalelo ukuba akukho zibonelelo zingqiniweyo, nokuba owona mngcipheko mncinci ubonakala ungafanelekanga.

Sisiphi isigwebo kwi-vag yakho?

Ewe kunjalo, wonke umntu wasetyhini ufuna ukugcina ubufazi obusempilweni kunye nokusebenza. Kodwa "eyona nto iphambili kukuba ubufazi, njengazo zonke izakhiwo emzimbeni, buyakuguga kwaye bajonge kwaye basebenze kancinci njengoko ixesha lihamba, utshilo uGqirha Gersh. Ukuzivocavoca komgangatho we-pelvic yindawo engcono yokuqala ekuphuculeni ukuvakalelwa kunye nomsebenzi wesini, uthi uDkt Cabeca, ngelixa i-hormone ethile inokuchaphazela ngokuqinisekileyo imisipha yangasese, i-collagen, kunye nezicubu ezidibeneyo. (Idibeneyo: Umgangatho wePelvic Exercises Wonke uMfazi (okhulelweyo okanye ongafanelekanga) ukuba ayenze)

Kodwa ukuba eneneni uphethwe yimicimbi yezonyango njengokuphuma kwilungu lobufazi okanye ukungalawuleki, "ugqirha wezifo ofanelekayo uyafuneka ukunceda ukulungisa umonakalo ngotyando, ukumisela isisombululo, okanye ukucebisa unyango lomzimba wethambo," wongeza uGqirha uGersh. "Izixhobo zonyango zokuvuselela i-vaginal azikakulungeli ixesha lokuqala."

Uphengululo lwe