Zowawa za chiwalo chachikazi chachikazi
Vulvodynia ndi ululu wopweteka kwambiri m'mimba, kunja kwa amayi. Kupweteka kapena kupweteka kulibe chifukwa chodziwikiratu ndipo kungakhudze osowa, clitoris, kapena kutseguka kwa amayi. Phyllis Mate, wothandizira mgwirizano wa bungwe la National Vulvodynia Association, amapereka chidziwitso cha chikhalidwe ichi.
International Society for the Study of Vulvovaginal Disease imatanthauzira zovuta monga matenda osachiritsika kapena kupweteka komwe kumadziwika ndi kuyaka, kupweteka, kukwiyitsa kapena kupweteka kwa chiberekero cha akazi.
Zosatha zimatanthauzidwa kukhalapo kwa miyezi itatu kapena sikisi.
Zimayambitsa
Chifukwa cha vulvodynia sichinadziwika. Zingakhale zotsatira za zifukwa zambiri. Madokotala amaganiza kuti zikhoza kuchitidwa ndi kuvulazidwa kapena kukhumudwa kwa mitsempha yomwe imapereka ndi kulandira thandizo kuchokera ku vulva; chiwonetsero chapadera kwa yisiti; kusayanjana ndi zovuta zachilengedwe; mitsempha yambiri yamakristali mu mkodzo; kapena kupopera ndi / kapena kupsa mtima kwa minofu yapansi . Palibe umboni wakuti nthendayi imayambitsa matenda kapena kuti ndi matenda opatsirana pogonana.
Zizindikiro
Zomwe zimawotcha ndizofala; Komabe, mtundu ndi zovuta za zizindikiro zomwe zimapezeka zimakhala zosiyana kwambiri. Azimayi ena amafotokoza ululu wawo ngati kukhumudwa kapena kupweteka. Vulvodynia ingakhale yopitilira kapena yophatikizapo, imaika pamalo amodzi kapena kufalikira.
Zigawo ziwiri zikuluzikulu za chikhalidwe: zowonongeka ndi zowonongeka.
Vestibulodynia ndi mtundu weniweni wa malo omwe mumapezeka.
- Zowonongeka zimakhala zowawa zomwe zimafalikira kudera lonse la vulvar. Zikhoza kupezeka mu maina a labia ndi / kapena labia minora. Nthawi zina zimakhudza clitoris, perineum, mons pubis ndi / kapena mkati mwa ntchafu. Kupweteka kungakhale kosalekeza kapena kosakhalitsa, ndipo sikuti kumayambitsidwa ndi kukhudza kapena kukakamizidwa ku zowawa. Minofu ya vulvar ingawoneke, koma nthawi zambiri, palibe zowoneka.
- Malo otchuka a malowa amapezeka kwambiri ndipo ululu uli pa malo amodzi okha, monga malo. Akazi omwe ali ndi vutoli amamva kupweteka pamene akhudzidwa kapena kupanikizika kumagwiritsidwa ntchito kumalo osungirako ziwalo (malo omwe ali pafupi ndi kutsegula kwa mkazi). Azimayi amamva kupweteka pogonana, kuika zida , kugonana kwa amayi, kukwera ma njinga, kukwera pamahatchi kapena kukwera njinga zamoto, ndi kuvala zovala zolimba monga jeans. Kawirikawiri, malo okhala ndi azimayi omwe ali ndi VVS amawotchedwa ndi ofiira.
Mosasamala kanthu za mtundu wa amayi omwe ali ndi vutoli, matendawa amachititsa kuti amayi athe kuchita zambiri komanso kuchita zochitika tsiku ndi tsiku. Kupweteka kungakhale koopsa komanso kosalephereka ndipo kumapangitsa akazi kusiya ntchito, kusiya kugonana, ndi kuchepetsa ntchito za thupi. N'zosadabwitsa kuti zolepheretsa zimenezi zimakhudza kwambiri chikhalidwe cha mkazi; Amayi ambiri amavutika maganizo chifukwa cha ululu wokhawokha komanso kugwirizana kwa maganizo ndi chikhalidwe chawo.
Kudziwa
Kutulukira kwa vulvodynia kumachitika chifukwa cholamulira zinthu zina zomwe zingayambitse ululu, monga matenda opatsirana pogonana, matenda, matenda a khungu, ndi papillomavirus . Mbiri yachipatala ya wodwalayo iyenera kuonongedwera mosamala, ndipo kufufuza kwathunthu ndi chiwerewere n'kofunikira.
Chikhalidwe chimatengedwa kuchokera kwa abambo pofuna kutulutsa zinthu monga matenda opatsirana pogonana ndi matenda. Kafukufuku wa "q-tip" nthawi zambiri amawunikira panthawi yoyezetsa. Pakati pa mayeserowa, malo osiyana siyana a nkhanza ndi zogwirira ntchito amakhudzidwa ndi swaboni ya thonje kuti azindikire malo ndi kuvutika kwa ululu wa mkazi. Ngati dokotala akuwona malo a khungu omwe amawoneka ngati akukayikira panthawi ya kuyezetsa, khungu la khungu lingayesedwe.
Kuonjezera apo, madokotala angapangitse kuti pakhale chojambulira, chomwe chimagwiritsa ntchito zipangizo zapadera kuti zifufuze zovuta kwambiri.
Chithandizo
Chifukwa chimene chimayambitsa vulvodynia sichidziwika, nthawi zambiri chithandizochi chimayesetsa kuthetsa zizindikiro komanso kupereka kupweteka kochepa.
Mankhwala osiyana amathandiza bwino akazi osiyanasiyana, kotero angapo angayesedwe kuti apeze omwe akukuthandizani. Mitundu ya mankhwala omwe angayesedwe ndi awa:
- Kuchotsa zowopsya
- Mankhwala ochepetsa ululu
- Mankhwala opangira mavitamini kuphatikizapo kirimu yam'madzi, mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana
- Thandizo la mitsempha la pansi
- Kusokoneza maganizo
- Biofeedback
- Mitsempha ya mitsempha
- Opaleshoni
- Njira zothandizira komanso zochiritsira
> Zotsatira:
> Vulvodynia. MedlinePlus. https://medlineplus.gov/ency/article/007699.htm
> Kodi Vulvodynia ndi chiyani? National Vulvodynia Association. https://www.nva.org/what-is-vulvodynia/