I-Postmenopausal Atrophic Vaginitis

-Delile

• Izimpawu ze-atrophy yangasese
• Izimbangela ze-atrophy yesisu
• Izici ezinobungozi ze-atrophy yesitho sangasese sowesifazane
• Izinkinga ezingaba khona
• Ukuhlonza i-atrophy yesitho sangasese sowesifazane
• Ukwelashwa kwe-atrophy yangasese
• I-estrogen yezihloko
• Ukuvimbela kanye nendlela yokuphila

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukubuka konke

I-Postmenopausal atrophic vaginitis, noma i-atrophy yesitho sangasese sowesifazane, ukuncipha kwezindonga zesitho sangasese kubangelwa amazinga e-estrogen anciphile. Lokhu kwenzeka kakhulu ngemuva kokunqamuka kokuya esikhathini.

Ukunqamuka kokuya esikhathini yisikhathi empilweni yowesifazane, imvamisa ephakathi kweminyaka yobudala engama-45 nengama-55, lapho amaqanda akhe engasakhiphi amaqanda. Uyayeka nokuba esikhathini. Owesifazane uya emuva kokuya esikhathini lapho engakaze abe nesikhathi izinyanga eziyi-12 noma ngaphezulu.

Abesifazane abane-atrophy yesitho sangasese sowesifazane banethuba elikhulu lokutheleleka okungapheli kwesitho sangasese sowesifazane kanye nezinkinga zomsebenzi womchamo. Kungenza futhi ucansi lube buhlungu.

Ngokwe-American Association of Family Physicians, kuze kufike kumaphesenti angama-40 abesifazane besifazane abasuke beyekile ukuya esikhathini banezimpawu ze-atrophic vaginitis.

Izimpawu ze-atrophy yangasese

Ngenkathi i-atrophy yesitho sangasese sowesifazane ivamile, amaphesenti angama-20 kuye kwangama-25 kuphela abesifazane abanesifo abafuna ukwelashwa kudokotela wabo.

Kwabanye besifazane, izimpawu zenzeka ngesikhathi sokuya esikhathini, noma iminyaka eholela ekunqamukeni kokuya esikhathini. Kwabanye besifazane, izimpawu zingase zingaveli kuze kudlule iminyaka, uma kwenzeka.

Izimpawu zingafaka:

• ukuncipha kwezindonga zangasese
• ukunciphisa nokuqina komsele wesitho sangasese sowesifazane
• ukungabi nomswakama wesitho sangasese sowesifazane (ukoma kwesitho sangasese sowesifazane)
• ukushiswa kwesitho sangasese sowesifazane (ukuvuvukala)
• ukubona ngemuva kocansi
• ukungakhululeki noma ubuhlungu ngesikhathi sokuya ocansini
• ubuhlungu noma ukushisa ngokuchama
• ukutheleleka okuvamile komgudu womchamo
• ukungahambisani nomchamo (ukuvuza okungazibandakanyi)

Izimbangela ze-atrophy yesisu

Imbangela ye-atrophic vaginitis ukwehla kwe-estrogen. Ngaphandle kwe-estrogen, izicubu zangasese ziyancipha futhi zome. Iba buthakathaka kancane, ithambe kalula, futhi ilimale kalula.

Ukwehla kwe-estrogen kungenzeka ngezinye izikhathi ngaphandle kokunqamuka kokuya esikhathini, kufaka phakathi:

• ngesikhathi sokuncelisa
• ngemuva kokususwa kwama-ovari (ukuya esikhathini sokuhlinzwa)
• ngemuva kwe-chemotherapy yokwelashwa komdlavuza
• ngemuva kokwelapha ngemisebe ye-pelvic ekwelashweni komdlavuza
• ngemuva kokwelashwa kwe-hormonal ekwelapheni umdlavuza webele

Ukwenza ucansi njalo kusiza ukugcina izicubu zesitho sangasese sowesifazane ziphilile. Impilo yezocansi enempilo nayo izuzisa uhlelo lokujikeleza kwegazi futhi ithuthukise impilo yenhliziyo.

Izici ezinobungozi ze-atrophy yesitho sangasese sowesifazane

Abanye besifazane basemathubeni amaningi kunabanye okuthola i-atrophic vaginitis. Abesifazane abangakaze babelethe ngokuya ocansini bathambekele kakhulu ekuqothulweni kwesitho sangasese sowesifazane kunabesifazane ababelethisa izingane zabo ngokobulili.

Ukubhema kuphazamisa ukujikeleza kwegazi, kunciphisa isitho sangasese nezinye izicubu zomoya-mpilo. Ukuncipha kwezicubu kwenzeka lapho ukugeleza kwegazi kuncipha noma kunqunyelwe. Ababhemayo nabo abasabeli kangako ekwelashweni kwe-estrogen ngohlobo lwephilisi.

Izinkinga ezingaba khona

I-atrophic vaginitis yandisa ubungozi besifazane bokuthola ukutheleleka kwesitho sangasese sowesifazane. I-Atrophy ibangela ushintsho emvelweni we-asidi wesitho sangasese sowesifazane, okwenza kube lula ukuthi amabhaktheriya, imvubelo nezinye izinto zichume.

Futhi kwandisa ubungozi bokuncipha kohlelo lokuchama (genitourinary atrophy). Izimpawu ezihambisana nezinkinga zomgudu womchamo ohlobene ne-atrophy zifaka ukuchama kaningi noma okuphuthumayo kakhulu noma umuzwa ovuthayo ngesikhathi sokuchama.

Abanye besifazane bangabuye babe nokungazibambi futhi bathole izifo eziningi zomgudu womchamo.

Ukuhlonza i-atrophy yesitho sangasese sowesifazane

Bona udokotela wakho ngokushesha uma ukuya ocansini kubuhlungu, noma ngabe uthambisa. Kufanele futhi ubone udokotela wakho uma uhlangabezana nokopha okungavamile kwesitho sangasese sowesifazane, ukuphuma, ukushisa, noma ubuhlungu.

Abanye besifazane banamahloni okuxoxa nodokotela wabo ngale nkinga esondelene nayo. Uma uhlangabezana nalezi zimpawu, kubalulekile ukuthi ufune iseluleko sikadokotela ukuze usize ukugwema izinkinga ezingaba khona ezishiwo ngenhla.

Udokotela wakho uzokubuza imibuzo ngomlando wakho wezempilo. Bazofuna ukwazi ukuthi wakushiya isikhathi esingakanani ukuya esikhathini nokuthi ngabe wake waba nomdlavuza yini. Udokotela angabuza ukuthi yini, uma ikhona, imikhiqizo yezentengiselwano noma ethengiswayo oyisebenzisayo. Amanye amakha, insipho, imikhiqizo yokugeza, okokuphunga, okokuthambisa nama-spermicides kungabhebhethekisa izitho zocansi ezizwelayo.

Udokotela wakho angakudlulisela kudokotela wezifo zabesifazane ukuze ahlolwe futhi ahlolwe ngokomzimba. Ngesikhathi sokuhlolwa kwe-pelvic, zizothinta, noma zizwe, izitho zakho ze-pelvic. Udokotela uzophinde ahlole isitho sakho sangasese sangaphandle ukuthola izimpawu zomzimba ze-atrophy, njenge:

• ulwelwesi lwesitho sangasese sowesifazane oluphaphathekile, olubushelelezi, olucwebezelayo
• ukulahlekelwa ukuqina
• izinwele ezincanyana zasendaweni yokushicilela
• izitho zangasese ezibushelelezi nezincane
• Ukwelulwa kwezicubu zokwesekwa kwesibeletho
• isitho se-pelvic prolapse (ama-bulges ezindongeni zesifazane)

Udokotela angahle oda lezi zivivinyo ezilandelayo:

• ukuhlolwa kwezitho zangasese
• ukuhlolwa kwesitho sowesifazane sangasese
• ukuhlolwa kwe-asidi yowesifazane
• ukuhlolwa kwegazi
• ukuhlolwa komchamo

Ukuhlolwa kwe-smear wukuhlolwa kwezicubu okuncane okukhutshwe ezindongeni zesitho sangasese sowesifazane. Ibheka izinhlobo ezithile zamaseli namagciwane atholakala kakhulu nge-atrophy yesitho sangasese sowesifazane.

Ukuhlola i-asidi, umucu wesikhombi sephepha ufakwa esithweni sangasese. Udokotela wakho futhi angaqoqa uketshezi lwesitho sangasese sowesifazane kulolu vivinyo.

Ungacelwa futhi ukuthi unikeze amasampula egazi nomchamo wokuhlolwa kanye nokuhlaziywa kwelabhorethri. Lezi zivivinyo zihlola izici eziningana, kufaka phakathi amazinga akho e-estrogen.

Ukwelashwa kwe-atrophy yangasese

Ngokwelashwa, kungenzeka ukuthuthukisa impilo yakho yangasese kanye nekhwalithi yakho yokuphila.Ukwelashwa kungagxila kwizimpawu noma imbangela eyimbangela.

Ama-moisturizers e-counter noma ama-lubricants asuselwa emanzini angasiza ekwelapheni ukoma.

Uma izimpawu zinzima, udokotela wakho angancoma ukwelashwa esikhundleni se-estrogen. I-Estrogen ithuthukisa ukuqina kwesitho sangasese sowesifazane kanye nomswakama wemvelo. Imvamisa isebenza emasontweni ambalwa nje. I-Estrogen ingathathwa ngokwezihloko noma ngomlomo.

I-estrogen yezihloko

Ukuthatha i-estrogen ngesikhumba kukhawulela ukuthi ingakanani i-estrogen engena egazini. Ama-estrogens ezihloko awaphathi noma yiziphi izimpawu zesistimu yokunqamuka kokuya esikhathini, njengokushisa okushisayo. Lezi zinhlobo zokwelashwa kwe-estrogen aziboniswanga ukuthi zandisa ubungozi bomdlavuza we-endometrium. Kodwa-ke, shayela udokotela wakho ngokushesha uma usebenzisa i-topical estrogen futhi uhlangabezana nokopha okungavamile kwesitho sangasese sowesifazane.

I-topical estrogen iyatholakala ngezindlela eziningi:

• Indandatho yesitho sangasese sowesifazane, njenge-Estring. I-Estring iyindandatho eguquguqukayo, ethambile efakwe engxenyeni engenhla yesitho sangasese nguwe noma udokotela wakho. Ikhipha umthamo ongaguquguquki we-estrogen futhi idinga kuphela ukushintshwa njalo ezinyangeni ezintathu. Izindandatho ze-Estrogen ngamalungiselelo e-estrogen ephezulu futhi zingandisa ingozi yowesifazane yomdlavuza we-endometrium. Kufanele ukhulume nodokotela wakho ngengozi yakho kanye nesidingo esingenzeka se-progestin.
• Ukhilimu we-estrogen sowesifazane, njenge-Premarin noma i-Estrace. Lezi zinhlobo zemithi zifakwa esithweni sangasese somuntu oyisebenzisayo ngesikhathi sokulala. Udokotela wakho angakunikeza ukhilimu nsuku zonke amasonto ambalwa, bese wehla uye kabili noma kathathu ngesonto.
• Ithebhulethi yesitho sangasese sowesifazane i-estrogen, njengeVagifem, ifakwa esithweni sangasese kusetshenziswa into yokulahla elahlwayo. Imvamisa, kunqunywa umthamo owodwa ngosuku, kamuva owehliselwa kwesinye noma kabili ngesonto.

Ukuvimbela kanye nendlela yokuphila

Ngaphezu kokuthatha umuthi, ungenza nezinguquko ezithile zendlela yokuphila.

Ukugqoka izingubo zangaphansi zikakotini nezingubo ezikhululekile kungathuthukisa izimpawu. Izingubo zikakotini ezikhululekile zithuthukisa ukusakazwa komoya ezungeze izitho zangasese, kuzenze indawo ekahle kakhulu ukuba amagciwane akhule.

Owesifazane one-atrophic vaginitis angathola ubuhlungu ngesikhathi sokuya ocansini. Kodwa-ke, ukuhlala ucansi kuthuthukisa ukujikeleza kwegazi esithweni sangasese futhi kuvuselele umswakama wemvelo. Umsebenzi wezocansi awunamthelela emazingeni e-estrogen. Kepha ngokwenza ngcono ukujikeleza kwegazi, kugcina izitho zakho zocansi ziphilile isikhathi eside. Ukuvumela isikhathi sokuvuswa ngocansi kungenza ucansi lube mnandi kakhulu.

Uwoyela kaVitamin E ungasetshenziswa futhi njengothambisa. Kukhona nobunye ubufakazi bokuthi uvithamini D wandisa umswakama esithweni sangasese. Uvithamini D ubuye usize umzimba ukuthi umunce i-calcium. Lokhu kusiza ukunciphisa noma ukuvimbela ukulahleka kwethambo kwe-postmenopausal, ikakhulukazi uma kuhlangene nokuvivinya umzimba njalo.