I-Vulvodynia

IVulvodynia ukuphazamiseka kobuhlungu besitho sangasese. Le yindawo engaphandle yesitho sangasese sowesifazane. IVulvodynia ibanga ubuhlungu obukhulu, ukushiswa, nokuhlatywa isitho sangasese.

Imbangela ngqo ye-vulvodynia ayaziwa. Abaphenyi basebenzela ukufunda kabanzi ngalesi simo. Izimbangela zingafaka:

• Ukuthukuthela noma ukulimaza izinzwa zangasese
• Izinguquko zehomoni
• Ukusabela ngokweqile kumaseli we-vulva ekutheleleni noma ekulimaleni
• Imicu yezinzwa eyengeziwe esithweni sangasese
• Imisipha yaphansi ethambile
• Ukungezwani komzimba namakhemikhali athile
• Izici zofuzo ezidala ukuzwela noma ukusabela ngokweqile ekutheleleni noma ukuvuvukala

Izifo ezithathelwana ngocansi (STIs) AZIBANGI lesi simo.

Kunezinhlobo ezimbili eziyinhloko ze-vulvodynia:

• I-vulvodynia yasendaweni. Lokhu kubuhlungu endaweni eyodwa nje yesitho sangasese, imvamisa ukuvuleka kwesitho sangasese sowesifazane (i-vestibule). Ubuhlungu buvame ukwenzeka ngenxa yengcindezi endaweni, njengokuya ocansini, ukufaka itampon, noma ukuhlala isikhathi eside.
• I-vulvodynia ejwayelekile. Lokhu kubuhlungu ezindaweni ezahlukahlukene zesitho sangasese. Ubuhlungu buhlala buhlala njalo, ngezikhathi ezithile zokukhululeka. Ingcindezi esithweni sangasese, njengokuhlala isikhathi eside noma ukugqoka amabhulukwe aqinile kungenza izimpawu zibe zimbi kakhulu.

Ubuhlungu be-vulvar buvame:

• Cijile
• Ukushisa
• Ukulunywa
• Ukuphulula

Ungazizwa izimpawu ngaso sonke isikhathi noma kwesinye isikhathi. Ngezinye izikhathi, ungabuzwa ubuhlungu endaweni ephakathi kwesitho sakho sangasese kanye ne-anus (perineum) nasemathangeni angaphakathi.

I-Vulvodynia ingenzeka kwentsha noma kwabesifazane. Abesifazane abane-vulvodynia bavame ukukhononda ngobuhlungu ngesikhathi sokwenza ucansi. Kungenzeka ngemuva kokuya ocansini okokuqala. Noma, kungenzeka ngemuva kweminyaka yokusebenza kocansi.

Izinto ezithile zingadala izimpawu:

• Ukuya ocansini
• Ukufaka ithamponi
• Ukugqoka okuqinile ngaphansi kokugqoka noma amabhulukwe
• Ukuchama
• Ukuhlala isikhathi eside
• Ukuvivinya umzimba noma ukuhamba ngebhayisikili

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa ngokomzimba abuze imibuzo ngomlando wakho wezokwelapha. Umhlinzeki wakho angenza ukuhlolwa kwe-urinalysis ukukhipha ukutheleleka komgudu womchamo. Ungaba nokuhlolwa okunye ukukhipha ukutheleleka kwemvubelo noma isifo sesikhumba.

Umhlinzeki wakho futhi angenza isivivinyo sokotini swab. Ngalesi sivivinyo, umhlinzeki uzofaka ingcindezi emnene ezindaweni ezahlukahlukene zesitho sakho sangasese bese ekucela ukuthi ulinganise izinga lobuhlungu bakho. Lokhu kuzosiza ukukhomba izindawo ezithile zobuhlungu.

I-Vulvodynia itholakala lapho zonke ezinye izimbangela zingakhishwa.

Inhloso yokwelashwa ukunciphisa izinhlungu nokuqeda izimpawu. Akukho muthi owodwa osebenzela bonke abesifazane. Ungadinga futhi uhlobo olungaphezu kolulodwa lwezokwelapha ukuphatha izimpawu zakho.

Ungahle unikezwe imithi yokusiza ekudambiseni izinhlungu, kufaka phakathi:

• Ama-anticonvulsants
• Izidambisi
• Ama-opioid
• Ama-topical cream noma ointments, afana ne-lidocaine ointment kanye ne-estrogen cream

Ezinye izindlela zokwelapha nezindlela ezingasiza zifaka:

• Ukwelashwa ngokomzimba ukuqinisa imisipha yaphansi.
• I-Biofeedback isiza ukuqeda ubuhlungu ngokukufundisa ukuthi uphumule imisipha yakho yaphansi.
• Imijovo yamabhulokhi ezinzwa ukunciphisa ubuhlungu bezinzwa.
• Ukwelashwa kokuziphatha kwengqondo okukusiza ukubhekana nemizwa nemizwelo yakho.
• Izinguquko zokudla ukugwema ukudla ngama-oxalate, kufaka phakathi isipinashi, ama-beet, amakinati noshokoledi.
• Ukulungiswa kwesikhumba - qiniseka ukuthi uthola udokotela ojwayele ukwelapha i-vulvodynia.
• Eminye imikhuba yemithi ehambisanayo njengokuphumula nokuzindla.

IZINGUQUKO ZOKUPHILA

Izinguquko zendlela yokuphila zingasiza ekuvikeleni izimbangela ze-vulvodynia futhi zikhulule izimpawu.

• UNGAYENZI idouche noma usebenzise insipho noma uwoyela okungadala ukuvuvukala.
• Gqoka zonke izingubo zangaphansi zikakotini futhi ungasebenzisi isithambisi sendwangu ezingutsheni zangaphansi.
• Sebenzisa insipho yokuwasha isikhumba esibucayi bese ugeza kabili izingubo zakho zangaphansi.
• Gwema izingubo ezikubambayo.
• Gwema imisebenzi efaka ingcindezi esithweni sangasese, njengokuhamba ngebhayisikili noma ukugibela amahhashi.
• Gwema izitsha ezishisayo.
• Sebenzisa iphepha langasese elithambile, elingenambala futhi uhlanze isitho sakho sangasese ngamanzi apholile ngemuva kokuchama.
• Sebenzisa ama-tampons noma amapads okotini wonke.
• Sebenzisa i-lubricant encibilika emanzini ngesikhathi sokuya ocansini. Chama ngemuva kocansi ukuvimbela i-UTI, bese ugeza le ndawo ngamanzi apholile.
• Sebenzisa ukucindezela okubandayo esithweni sakho sangasese ukudambisa izinhlungu, njengokuya ocansini noma ukuzivocavoca umzimba (qiniseka ukusonga icompress ngethawula elihlanzekile - UNGAYisebenzisi ngqo esikhunjeni sakho).

UKUHLINZA

Abanye besifazane abane-vulvodynia yendawo bangadinga ukuhlinzwa ukuze kudambise izinhlungu. Ukuhlinzwa kususa isikhumba nezicubu ezithintekile ezungeze ukuvuleka kwesitho sangasese sowesifazane. Ukuhlinzwa kwenziwa kuphela uma zonke ezinye izindlela zokwelapha zehluleka.

Unganciphisa ukucindezela kokugula ngokujoyina iqembu lokusekela. Ukwabelana nabanye abanokuhlangenwe nakho okuvamile nezinkinga kungakusiza ungazizwa uwedwa.

Inhlangano elandelayo inikeza imininingwane nge-vulvodynia namaqembu osizo endawo:

• Inhlangano Kazwelonke YeVulvodynia - www.nva.org

I-Vulvodynia yisifo esiyinkimbinkimbi. Kungathatha amasonto kuya ezinyangeni ukufeza ukuphumula okuthile kobuhlungu. Ukwelashwa kungenzeka kungazinciphisi zonke izimpawu. Inhlanganisela yokwelashwa kanye nezinguquko zendlela yokuphila zingasebenza kangcono ukusiza ukuphatha lesi sifo.

Ukuba nalesi simo kungathatha ukulimala ngokomzimba nangokomzwelo. Kungadala:

• Ukudangala nokukhathazeka
• Izinkinga ebudlelwaneni bomuntu siqu
• Izinkinga zokulala
• Izinkinga ngezocansi

Ukusebenza nomelaphi kungakusiza ukubhekana kangcono nokuba nesimo esingalapheki.

Shayela umhlinzeki wakho uma unezimpawu ze-vulvodynia.

Fonela nomhlinzeki wakho uma une-vulvodynia futhi izimpawu zakho ziba zimbi kakhulu.

American College of Obstetricians and Gynecologists ’Committee on Gynecologic Practice; I-American Society yeColposcopy neCervical Pathology (ASCCP). Umbono weKomidi No 673: ubuhlungu obuqhubekayo be-vulvar. Isikhubekiso seGynecol. 2016; 128 (3): e78-e84. I-PMID: 27548558 pubmed.ncbi.nlm.nih.gov/27548558/.

UBornstein J, uGoldstein AT, uStockdale CK, et al. I-2015 ISSVD, ISSWSH, ne-IPPS terminology terminology kanye nokuhlukaniswa kobuhlungu obuqhubekayo be-vulvar kanye ne-vulvodynia. UJ Low Genit Tract Dis. 2016; 20 (2): 126-130. I-PMID: 27002677 pubmed.ncbi.nlm.nih.gov/27002677/.

UStenson AL. IVulvodynia: ukuxilongwa nokuphathwa. I-Obstet Gynecol Clin eNyakatho Am. 2017; 44 (3): 493-508. I-PMID: 28778645 pubmed.ncbi.nlm.nih.gov/28778645/.

I-Waldman SD. I-Vulvodynia. Ku: Waldman SD, ed. I-Atlas yama-Syndromes obuhlungu obujwayelekile. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 96.