Kuchokera nthawi yomwe amatha msinkhu kupita kumsinkhu ndi kusasamala, zinthu zambiri zingachepetse chilakolako
Ngati ndinu mkazi yemwe alibe chilakolako chogonana, kapena choipa kwambiri, muli ndi chikhumbo koma simungasangalale ndi kugonana chifukwa cha ululu, kuuma kwa amayi, kapena zinthu zina, simuli nokha. Zambiri mwa moyo wa mkazi zimatha kusokoneza ntchito yogonana, yomwe nthawi zambiri imayambitsa moyo wapansi kwa iye ndi mnzake. Kafukufuku akusonyeza kuti amayi 40 pa 100 alionse amakhala ndi vuto linalake la kugonana, ndipo pafupifupi 12 peresenti amafotokoza zovuta zokhudzana ndi kugonana.
Kulephera kugonana kumatanthauza vuto pa gawo lililonse la kugonana, kuyambira kuukitsidwa mpaka kuwonongeka. Zinthu zakuthupi monga matenda, opaleshoni, ndi kusintha kwa mahomoni zokhudzana ndi kusamba kwazimayi nthawi zambiri zimakhudzidwa ndi kusokonezeka kwa kugonana kwa amayi, komanso zovuta zowonjezera za mavuto a moyo ndi mavuto a ubale. Pano tikuti tikambirane zina mwazimene zimachititsa kuti mayi asakhale ndi chilakolako chogonana kapena mavuto omwe amakumana nawo pogonana.
Hysterectomy
Mankhwala osokoneza bongo ndi opaleshoni yambiri ya amayi, ndipo amayi pafupifupi 20% amafotokoza kuwonongeka kwa ntchito zogonana pambuyo pake. Mayi akhoza kukhala ndi chifuwa chonse chochotsa chiberekero, kachilombo ka HIV, kachilombo ka HIV kapena kachilombo ka HIV, komwe kumachotsa chiberekero pamene ali ndi kachilombo koyambitsa chiberekero, kapena chifuwa chachikulu chomwe chimachotsa chiberekero komanso zomangamanga monga mazira ndi mitsempha yam'mimba (angapangidwe kuti athetse khansa yobereka).
Kuchotsa chiberekero ndi mazira ochuluka kumayambitsa kuchepa kwakukulu kwa mahomoni ogonana. Mankhwala othandizira odwala omwe amatha kuwombola m'malo mwa testosterone-angathandize kubwezeretsa kugonana kwa amayi omwe ali ndi vuto la kugonana pambuyo pa opaleshoniyi. Kafukufuku amasonyeza kuti maantirogen omwe amachititsa kuti amayi azitenga magazi asamayende bwino, amatha kuuma, komanso kuti sangakwanitse.
Chithandizo cha Testosterone chingakwaniritse chilakolako cha kugonana ndi kudzutsa.
Azimayi ena amapeza kuti chiwonongekochi, amachisowa chiberekero cha chiberekero chimene amayamba nacho. Kuchotsa kachilombo ka HIV kungayambitse kusintha kwa thupi lomwe limakhalapo panthawi yovuta kugonana. Pali kusiyana kwakukulu m'kugwirana kwa kugonana pambuyo poyambitsa hysterectomy.
Vaginismus
Vaginismus ndi kupopera kosalekeza kapena kobwerezabwereza kwachitini chachitatu cha vaginja chomwe chimalepheretsa kugonana. Zimayambitsa kugonana kumakhala kowawa kapena kovuta, komanso kungateteze mayeso a pelvic.
Kawirikawiri amatha kuchiritsidwa pogwiritsira ntchito opaleshoni ya amayi owonjezera kukula, kuphatikizapo kupuma. Kupambana kwabwino kumabweretsa maanja omwe wokondedwayo akugwira nawo ntchito yochizira. Ngakhale kuchipatala kungathandize, ndikofunika kuzindikira kuti amayi ena ali ndi zibwenzi zochezeka komanso zachikondi popanda kugonana.
Peri-Kusamba Kwambiri Ndi Kusamba Kwambiri
Mzimayi akamayandikira kusamba kwa thupi amayamba kupyolera mu kusintha kwakukulu kwa mahomoni, kuphatikizapo kuwonjezeka kwa maasrogeni. Izi nthawi zambiri zimawotcha, kutentha kwa ubeni, kutuluka usiku, kusinthasintha, komanso kuchepa kwa kugonana. Testosterone imadumpha ndi msinkhu wa amuna ndi akazi, zomwe zingathenso kuchepetsa chilakolako cha kugonana kwa mkazi.
Amayi am'mawopaopausal kapena azimayi omwe amachititsa kuti azimayi azisintha, kutengeredwa kwa estrogen kungachepetse kupweteka panthawi yogonana ndikupangira mafuta odzola .
Kafukufuku wasonyeza kuti testosterone imakulitsa libido kwa amayi, kotero ngati chilakolako chanu chochepa chikhoza kuchepetsedwa ndi mahomoni, akhoza kuthetsedwa ndi testosterone. Komabe, mpaka lero, maphunzirowa agwiritsa ntchito mlingo waukulu wa testosterone, umene ukhoza kuwatsogolera kumaliseche ngati atengedwa nthawi yaitali.
Ngakhale DHEA nayenso ndi hormone yamphongo, pakhala pali zochepa zowerengera za zotsatira zake pa akazi ndipo palibe amene asonyeza kuti izo zimapangitsa kuti likhale labwino kwa amayi.
Ngati mukupita kumapeto kwa nthawi, kapena muli zaka zomwe mukutsogolera, ndipo mukuzindikira kusintha kwa kugonana, mungayesere kuyesa kuwonjezereka koyambirira kapena kusasitsa thupi, zomwe zingalimbikitse kugwirizana pakati pa inu ndi anu mnzanga. Mukhozanso kugwiritsa ntchito mafuta ndi kupewa malo opatsirana pogonana omwe amalola kulowa mkati mwakuya.
Ngakhale Icho Chikhoza Kukhala Chovuta, Pali Chiyembekezo
Kugonana kumasiyana pakati pa akazi ndi munthu aliyense, ndipo nkhawa za kugonana ndizofala. Zina zokhudzana ndi kugonana, ngakhale zowopsya, zingathe kusintha kusiyana kwa moyo wa mkazi. Kupititsa patsogolo cholinga cha kugwirizanitsa ubwenzi mmalo mokhala ndi zochitika zonse kumadzetsa kugonana kungathandize. Sizinthu zonse zokhudzana ndi kugonana kapena mavuto ndi "zovuta."
Akazi ayenera kumvetsera kusintha kwa moyo wawo wa tsiku ndi tsiku zomwe zingayambitse kugonana kosayenera. Nthawi zina mankhwala amachititsa mavuto a kugonana, njira yothetsera vutoli ingakhale yosavuta ngati kusintha mankhwala kapena kusintha mlingo.
Musaope kulankhula ndi dokotala wanu ndi mnzanuyo. Zingakhale zovuta komanso zosavuta kuti ayambe kukambirana ndi dokotala zokhudza kugonana, koma amayi ambiri amathandizidwa ngati akufuna kulankhula momasuka kwa othandizira zaumoyo kuti athe kupeza chithandizo chabwino cha vuto lawo.
> Zosowa
> Kliniki ya Cleveland. Kugonana ndi Kusamba.
> Risa Lonnée-Hoffmann ndi Ingrid Pinas. Zotsatira za Hysterectomy pa Ntchito Yogonana. Mauthenga Amakono Akugonana Amagonana. 2014 Sep 14.
> Simon JA. Kuzindikiritsa ndi kuchiza kugonana kwa amayi omwe akutsatira m "mene amachitira akazi: udindo wa estrogen. Journal of Women's Health . 2011 Oct.