Isimo esibuhlungu besisu sangaphandle besifazane
I-Vulvodynia ibuhlungu obungapheliyo e-vulva, i-genitalia yangaphandle yesifazane. Ubuhlungu noma ukunganaki akubanga imbangela ecacile futhi kungathinta i-labia, i-clitoris, noma ukuvulwa kwesifazane. U-Phyllis Mate, ongumxhumanisi weNational Vulvodynia Association, uhlinzeka ngokuqonda lesi simo.
I-International Society for the Study of Vulvovaginal Disease ichaza ukuthi i-vulvodynia iyinhlekelele engavamile noma ubuhlungu obuvezwe ukushisa, ukugcoba, ukucasula noma ukuhlukumeza kobulili besifazane.
Okungahleliwe kuchazwa ukuthi sekukhona okungenani izinyanga ezintathu ukuya kweziyisithupha.
Izimbangela
Isizathu se-vulvodynia asisaziwa. Kungaba umphumela wezici eziningi. Odokotela bacacisa ukuthi kungabangelwa ukulimala noma ukucasuka kwezinzwa ezinikezela futhi zithole okokufaka kusuka ku-vulva; i-hypersensitivity yangakini ibe semvubelo; impendulo ye-allergic kuya ku-irritants yemvelo; amazinga aphezulu ama-cryalal crystals emcinini; noma i-spasm kanye / noma ukucasula kwemisipha ye- pelvic . Akukho bufakazi bokuthi i-vulvodynia ibangelwa ukutheleleka noma ukuthi isifo socansi.
Izimpawu
Imizwa yokuvutha ivame kakhulu; Kodwa-ke, uhlobo nokuqina kwezibonakaliso ezihlangenwe nakho zihlukile kakhulu. Abanye besifazane bachaza ubuhlungu babo njengokucasula noma ukuluhlaza. I-Vulvodynia ingaba njalo noma iphakathi, igxile endaweni eyodwa noma isakazeke.
I-subsets enkulu yesimo: i-vulvodynia ejwayelekile kanye ne-localized vulvodynia.
I-Vestibulodynia uhlobo oluthile lwe-vulvodynia lendawo.
- I-vulvodynia ejwayelekile eyenziwa ubuhlungu obusakazeka kuyo yonke indawo ye-vulvar. Kungaba khona emahlathini ama - labia kanye / noma ama-labia minora. Ngezinye izikhathi kuthinta i-clitoris, i-perineum, i-mons pubis kanye / noma amathanga angaphakathi. Ubuhlungu bungaba njalo noma buphakathi, futhi abuqalisi ngokuthinta noma ukucindezelwa ku-vulva. Izicubu ze-vulvar zingabonakala zivutha, kodwa ezimweni eziningi, azikho okutholakala okubonakalayo.
- I-localized vulvodynia ivame kakhulu futhi ubuhlungu bungosayithi eyodwa kuphela, njenge-vestibule. Abesifazane abane-vestibulodynia banezinhlungu uma kuthinta noma ukucindezelwa ku-vestibule (indawo ehambisana nokuvulwa kwesifazane). Abesifazane bangabhekana nobuhlungu ngokobulili , ukufaka amathoni , ukuhlolwa komzimba, ukugibela ibhayisikili, ukugibela amahhashi noma ukuhamba ngebhayisikili, nokugqoke izingubo eziqinile, ezifana ne-jeans. Ngokuvamile, igumbi labesifazane abaneVVS livutha futhi libomvu.
Kungakhathaliseki ukuthi owesifazane unjani uhlobo lwe-vulvodynia, lesi sifo sibeka ukulinganiselwa okujulile ekwenzeni owesifazane ukusebenza nokuhlanganyela emisebenzini evamile yansuku zonke. Ubuhlungu bungaba nzima kakhulu futhi bukhululekile kangangokuba kuphoqa abesifazane ukuba bayeke emsebenzini, bahlukane nobuhlobo bobulili, futhi banciphise imisebenzi yomzimba. Akumangalisi ukuthi lezi zimingcele zithinta kabi isimo somuntu wesifazane; abesifazane abaningi bacindezelekile ngenxa yobuhlungu obubonakalayo ngokwalo kanye nokuthintana kwengqondo nokuphathelene nomphakathi.
Ukuxilongwa
Ukuxilongwa kwe-vulvodynia kwenziwa ngokubheka ezinye izimo ezingabangela ubuhlungu be-vulvar, njengezifo ezithathelwana ngocansi, izifo, izifo zesikhumba kanye ne- papillomavirus yabantu . Umlando wezokwelapha wesiguli udinga ukubuyekezwa ngokucophelela, futhi ukuhlolwa okuphelele kwe-vulvar nokuhlolwa kwesifazane kuyadingeka.
Isiko ngokuvamile sithathwe esithweni sangasese ukuze sigcine izinto ezifana nezifo ezithathelwana ngocansi kanye nezifo. Isivivinyo "q-tip" sivame ukuphathwa ngesikhathi sokuhlolwa. Phakathi nalesi sivivinyo, izindawo ezihlukene ze-vulva ne-vestibule zithinteka nge-swab yekotini ukuze kunqume ukuthi indawo yenzani nobuhlungu besimame besifazane. Uma udokotela ebona izindawo zesikhumba ezibukeka zisolisayo phakathi nokuhlolwa, i-biopsy yesikhumba ingadingeka.
Ukwengeza, odokotela bangase batuse ikholpocopy , inqubo esebenzisa ithuluzi elikhethekile ukuhlola le vulva eduze kakhulu.
Ukwelapha
Ngenxa yokuthi imbangela ye-vulvodynia ayiyazi, ukwelashwa ngokuvamile kuhloswe ekunciphiseni izimpawu nokunikeza usizo oluthile lokuphumula.
Izindlela ezahlukene zokwelapha zisebenza kangcono kwabesifazane abahlukene, ngakho-ke zinganingana zingalingwa ukuthola okusebenza kahle kuwe. Izinhlobo zezokwelapha ezingase zivivinye zihlanganisa:
- Ukususa ama-irritants
- Imithi yokukhulula ubuhlungu be-Oral-relief
- Imithi yokwelapha ehlanganisa i-hormone cream, i-anesthetics yama-topical, kanye nemithi ehlanganisiwe yama-topical
- Ukwelashwa kwemisipha yepelvic floor
- I-neurostimulation
- I-Biofeedback
- Imijovo yesibindi sezinzwa
- Ukuhlinzwa
- Izindlela zokwelapha ezihambisanayo nezinye
> Imithombo:
> Vulvodynia. I-MedlinePlus. https://medlineplus.gov/ency/article/007699.htm
> Iyini iVulvodynia? I-National Vulvodynia Association. https://www.nva.org/what-is-vulvodynia/