I-Dyspareunia Ingase Ibe Isizathu Esingaqondakali Ucansi Olubuhlungu Kuwe

-Delile

• Izimpawu ze-Dyspareunia
• Izimbangela Ezingokomzimba Nezengqondo
• Ungayiphatha Kanjani iDyspareunia
• Amathiphu Wokubhekana Ne-Dyspareunia
• Buyekeza kwe-

Kuzo zonke izifo okungakhulunywa ngazo, lesi esithatha ikhekhe singase sibe yi-dyspareunia. Awuzwanga ngakho? Lokho akumangazi-kodwa yini kuyinto okumangazayo ukuthi ngaphezulu kwamaphesenti angama-40 abo bonke abesifazane bayakuthola. (Ezinye izilinganiso zifinyelela phezulu ngamaphesenti angu-60, ngokwe-American Academy of Family Physicians, nakuba izibalo ziye zahlukahluka ngokuhamba kweminyaka.)

Ngencazelo, i-dyspareunia iyigama lesambulela lezinhlungu zangasese ngaphambi nje, ngesikhathi, noma ngemva kokulala, kodwa izimbangela azihlali zicacile, futhi azifani. Eqinisweni, akuhlali kungokwenyama-ezimweni eziningi, lesi simo sixhunyaniswe nokuhlukumezeka ngokomzwelo, ingcindezi, umlando wokuhlukunyezwa ngokocansi, nokuphazamiseka kwemizwelo njengokukhathazeka nokudangala.

Ucansi kufanele luzizwe lumnandi. Uma kungenjalo njalo, khuluma nodokotela wakho. Okwamanje, uma ucabanga ukuthi i-dyspareunia kungaba yicala locansi lwakho olubuhlungu, qhubeka ufundele eminye imininingwane.

Izimpawu ze-Dyspareunia

"Ngokujwayelekile, izimpawu ze-dyspareunia zinoma yiluphi uhlobo lobuhlungu esithweni sangasese ngesikhathi socansi olungena ngaphakathi," kusho uNava Mysore, MD, udokotela oyedwa wezokwelapha. Ngokuqondile, lokho kusho ukuthi:

• Ubuhlungu ekungeneni (ngisho noma buzwakala kuphela ekungeneni kokuqala)
• Ubuhlungu obujulile ngawo wonke ama-thrust
• Ukushisa, ukuqaqamba, noma imizwa yokuthwebula ehlala isikhathi eside ngemuva kocansi

Nokho, kungase kungabi buhlungu njalo lapho uya ocansini, kusho uDkt. Mysore. "Umuntu oyedwa angase azwe ubuhlungu ngamaphesenti angu-100, kodwa omunye angase azizwe ngezikhathi ezithile."

Izimbangela Ezingokomzimba Nezengqondo

"Uma ucabanga ukuthi akukho ukutheleleka noma ukuvuvukala, i-dyspareunia ingaba umkhiqizo wesimo esivele sikhona," kusho isazi sezocansi esiqinisekisiwe nodokotela we-osteopathic uHabib Sadeghi, D.O., umbhali we Ukuhlanza Okucacile, (ngubani obone amakhulu eziguli zalesi sifo ekusebenzeni kwakhe e-Agoura Hills, CA.)

Ezinye izimbangela ezingokomzimba ze-dyspareunia zihlanganisa:

• Isibeletho esibuyekeziwe (esitshekile) noma isibeletho esibelethwayo
• Izimo ezifana ne-uterine fibroids, ama-ovarian cysts noma i-PCOS, i-endometriosis, noma isifo sokuvuvukala kwe-pelvic (PID)
• Ukuqhekeka esifundeni se-pelvic noma esithweni sangasese (ngenxa yokuhlinzwa njenge-hysterectomy, episiotomy, kanye ne-C-section)
• I-Atrophy of cranial nerve zero (CN0), ngokusho kukaDkt. Sadeghi (ngaphezulu kulokhu ngezansi)
• Ukushoda kokugcotshwa/ukoma
• Ukuvuvukala noma ukuphazamiseka kwesikhumba, njenge-eczema
• I-Vaginismus
• Ukufakwa kwe-IUD kwakamuva
• Ukutheleleka kwamagciwane, ukutheleleka ngemvubelo, i-vaginosis, noma i-vaginitis
• Izinguquko zehomoni

Kuyakhipha: "Cishe amaphesenti angu-12 [eziguli zesifazane] engizibona zine-dyspareunia, imbangela evame kakhulu isibazi se-C-section yangaphambili," kusho uDkt. Sadeghi. "Angicabangi ukuthi kuyinhlanhla kulezi zinsuku ukuthi ingane eyodwa kwezintathu izalwa nge-C-section, futhi owesifazane oyedwa kwabathathu uba nezinga elithile le-dyspareunia."

Yini inkinga enkulu ngokuba nezibazi? NgokukaDkt.Sadeghi, kungathinta uhlelo lwezinzwa. "Kokubili ukusikeka kwangaphakathi nangaphandle kungaphazamisa ukuhamba kwamandla emzimbeni wonke," esho. "Kuyathakazelisa ukuthi e-Japan, lapho i-C-section ingavamile kakhulu, ukusika kwenziwa ngokuqondile, hhayi ngokuvundlile, ukuze kuncishiswe ukuphazamiseka okunjalo."

U-Kecia Gaither, M.D., M.P.H., onebhodi eligunyazwe kabili emithini ye-ob-gyn kanye ne-fetal-fetal, uyavuma ukuthi izibazi ezivela ekusikeni kwe-C-section kungaba isici esingaba nomthelela ku-dyspareunia. "I-mucocele-iphutha elincane ekwelapheni kwesibazi, eliqukethe amafinyila-ngaphakathi kwesibeletho esiphansi kakhulu esishubile kungadala ubuhlungu, ukuphuthuma kwesinye, ne-dyspareunia," esho.

Uphinde waphawula ukuthi, njengoba uDkt. Sadeghi asho, ukusikwa okuvundlile kwe-U.S. C-sections, ngokombono, kungabangela izinkinga eziningi kunokusikeka okuqondile. Uthe konke kusuka ekuphelelweni amanzi emzimbeni kuya "kokunganaki abanye abantu" kungaphazamisa ukuhamba ngamandla emzimbeni nokuthi ukuhlukumezeka ngokomzimba okuvela engxenyeni yokuhlinzwa ngokuqinisekile kuzoba yisiphazamiso esingaba nomthelela ku-dyspareunia.

CN0: "Esinye isizathu kungaba ukuvalwa noma i-atrophy ye-cranial nerve zero (CN0), inzwa ethatha amasiginali avela kuma-pheromones atholwe ekhaleni bese iwadlulisela ezindaweni zobuchopho ezisebenza ngokukhiqiza kabusha ngokocansi," kusho uDkt. Sadeghi . Inqubo enciphisa ukulungela kwethu ukuya ocansini incike kakhulu ekukhishweni kwehormone oxytocin noma "love" hormone eyenza abantu bahlangane, uyachaza. "I-Pitocin (i-synthetic oxytocin) inikezwa abesifazane ukuze ibangele ukuzala, futhi ingaphazamisa yonke imizwa ye-cranial engu-13, kuhlanganise ne-CN0, okuholela e-dyspareunia njengomphumela."

Nakuba i-CN0 ingazange ifundwe kabanzi kubantu, umbiko we-2016 mayelana nokuqoqwa kwedatha ku-CN0 wathola ukuthi le nerve ingase iqondise "imisebenzi eguquguqukayo yemvelo, umsebenzi wocansi, ukuziphatha kokuzala nokukhwelana." UDkt Gaither ukuqinisekisile lokhu, eqaphela ukuthi abacwaningi basikisela ukuthi i-CN0 iyabandakanyeka ekuvuseleleni ukuvusa ngokuzimela noma ngokuxhumana namanye amasekethe angaphakathi kobuchopho.

Ukushintshwa kwehormonal: “Enye yezimbangela ezivame kakhulu ukushintsha kwamahomoni, okungaholela ekushintsheni kwe-pH yokuphuma kwezitho zangasese,” kusho uDkt. Mysore. "Isibonelo esihle salokhu ukushintshela esikhathini sokuya esikhathini, okuyilapho ucansi lungase lungakhululeki ngoba umsele wesitho sangasese sowesifazane usoma kakhulu."

I-Vaginismus: "Enye imbangela ejwayelekile yezinhlungu ngesikhathi socansi i-vaginismus, okusho ukuthi imisipha ezungeze ukuvuleka kwesitho sangasese ngokuhlangana ngokuzithandela ukuphendula ukungena," kusho uDkt Mysore. Uma uhlangabezane neziqephu ezimbalwa zocansi olubuhlungu, isibonelo, imisipha yakho ingasabela ngokubanda. "Cishe yinto ongayicabangi-umzimba wakho uhlelelwe ukugwema izinhlungu, futhi uma ubuchopho buqala ukuhlobanisa ucansi nobuhlungu, imisipha ingaphendula ngokungazibandakanyi ukugwema lobo buhlungu," esho. "Ngeshwa, lokhu kungaba yisimo esingemuva kokuhlukunyezwa ngokocansi noma ukuhlukunyezwa ngokocansi." (Related: Izizathu eziyi-8 zokuthi kungani ungaba nobuhlungu ngesikhathi socansi)

Izimbangela ezingokwengqondo: Njengoba kuphawuliwe, ukuhlukumezeka ngokomzwelo nezimo kungase kube nomthelela ebulilini obubuhlungu. "Izimbangela ezingokwengqondo ngokuvamile zihilela ukuhlukunyezwa ngokomzimba noma ngokocansi, ukuhlazeka, noma ezinye izinhlobo zokuhlukumezeka ngokomzwelo okuhlobene nocansi," kusho uDkt. Sadeghi.

Ungayiphatha Kanjani iDyspareunia

Ngokuya ngomsuka wesimo sesiguli, kunezindlela eziningi ezahlukahlukene zokwelashwa. Kungakhathalekile ukuthi iyini imbangela, kubalulekile ukubona udokotela wakho ukuthi enze uhlelo. Bangakuncoma ukuthi uzame izikhundla ezahlukahlukene, ucabangele ukusebenzisa i-lube (ngokuthembeka, impilo yomuntu wonke wobulili ingenziwa ngcono yi-lube), noma ukuzama ukuthatha okudambisa izinhlungu kusengaphambili.

Endabeni yokulimala: Ezigulini ezinezicubu ezibomvu ezibangela ucansi olubuhlungu, uDkt. Sadeghi usebenzisa ukwelashwa okukhethekile. "Ngilapha isibazi esaziwa nge-integrative neural therapy (INT)," kusho uDkt Sadeghi. Lokhu kwaziwa nangokuthi yi-German acupuncture. Le nqubo indikaza isibazi futhi isiza ukwehlisa ukuqina namandla agciniwe wesicubu sesibazi, uyachaza.

Uma unesibeletho esitshekile: Uma ubuhlungu bakho bungenxa yesibeletho esibuyisiwe (esitshekile), i-pelvic floor therapy iyindlela yokwelapha engcono kakhulu, kusho uDkt. Sadeghi. Ukwelashwa kwe-yep-physical kwesitezi sakho se-pelvic, imisipha yesitho sangasese sangasese nakho konke. Kubandakanya uchungechunge lwezinto ezenziwa ngesandla kanye nokukhishwa kwezicubu ezithambile ukuze kunciphise ukungezwani esitezi se-pelvic, uyachaza. Izindaba ezinhle: Ungabona imiphumela ethile cishe ngokushesha. (Okuhlobene: Izinto Ezi-5 Wonke Umuntu Owesifazane Okufanele Azazi Ngephansi Kwakhe Pelvic)

Uma kusuka ku-cranial nerve zero atrophy: "Ezimweni ze-cranial nerve zero atrophy, kunconywa imisebenzi ebandakanya amazinga aphezulu wokukhiqizwa kwe-oxytocin, njengokuncelisa ingane ibele uma kwenzeka iba ngumama omusha, kanye nemisebenzi esondelene kakhulu engabandakanyi ukungena kwangempela," kusho uDkt Sadeghi.

Uma unokuvuvukala noma ukoma: Ungazama i-lubricant ye-CBD. Eqinisweni, i-lube esuselwa ku-cannabis ibe yisixazululo sabesifazane abaningi ababhekane ne-dyspareunia evela kwizimbangela eziningi. Abasebenzisi bajabulile mayelana nekhono layo lokuguqula umuzwa wabo wocansi, ukuqeda ubuhlungu, futhi ubasize bafinyelele i-orgasm kunanini ngaphambili. UDkt. Mysore ubebuye abe ngummeli wokusebenzisa i-lubricant, kanye nokubhekana nokoma nge-hormone therapy uma kuvela ekushintsheni njengokuya esikhathini.

Uma une-infection: "Ezinye izimbangela zobuhlungu ngesikhathi socansi zibandakanya ukutheleleka ngemvubelo, ama-UTIs, noma i-bacterial vaginosis, ngayinye enezinqubo zayo zokwelashwa okufanele zinciphise izimpawu ezibuhlungu," kusho uDkt Mysore. "Kubantu abahlangabezana noma abajwayele ukutheleleka ngemvubelo noma i-bacterial vaginosis, ngingumlandeli omkhulu wokusebenzisa ama-boric acid suppositories ngaphezu kokwelapha ukusiza ukulinganisela i-pH yesitho sangasese sowesifazane." (Okuhlobene: Umhlahlandlela Wezinyathelo Ngezinyathelo Ukwelapha Ukutheleleka Kwemvubelo Yobufazi)

Ngaphezu kwalokho, uDkt. Mysore uncoma ukuthatha ama-probiotic: "Abantu abaningi bahlobanisa ama-probiotic nokuthuthukisa amabhaktheriya emathunjini, kepha ama-probiotic nawo angathinta imvelo yesitho sowesifazane sangasese futhi asize ukulinganisela noma ukubuyisa i-pH efanele," okungaholela ocansini olungenabuhlungu.

Ngemuva kokufakwa kwe-IUD: “Abesifazane abasanda kufakwa ama-IUD nabo bangabhekana nocansi olubuhlungu,” kusho uDkt. Mysore. “Ama-IUD ane-progesterone kuphela, kodwa njengoba ama-hormone esebenza endaweni, angakwazi ukushintsha ukungaguquguquki kanye nekhwalithi yokuphuma,” kusho yena, okungaholela ekomeni. "[Iziguli] futhi kungenzeka ukuthi azikhiqizi ukuthambisa okungokwemvelo okungaka," uyachaza, kodwa qaphela ukuthi umzimba wakho kufanele ugcine ulinganisela ekugcineni. "Ezimweni eziningi, umzimba uzolinganisa kancane kancane futhi ubuhlungu nokoma kufanele kwehle, kepha umqondo omuhle ukukhuluma nodokotela wakho uma uqhubeka nokuzwa ubuhlungu ngoba ukubekwa kwe-IUD kungenzeka kungasebenzi." (Okuhlobene: Ngabe i-IUD Yakho Ikwenza Utholakale Kakhulu Kulesi Simo Esesabekayo?)

Uma kuyi-vaginismus (spasming): Ukwelashwa kwe-vaginismus kuvame ukufaka ukusebenzisa izixhumi zesitho sangasese sowesifazane. Ngokuvamile, lokhu kuhilela iqoqo lezinto ezimise okwephallic ezinobukhulu ukusuka kumunwe ophinki ukuya epipini eliqondile. Uqala ngosayizi omncane kakhulu futhi uyisebenzise nsuku zonke (nge-lube eningi!) uyihambisa futhi uyikhiphe esithweni sangasese uze uzizwe ukhululekile, ngokuvamile amasonto amabili kuya kwamathathu, ngaphambi kokuthuthela kusayizi olandelayo phezulu. Lokhu kulungisa kabusha izicubu zesitho sangasese kancane kancane, futhi, ngethemba, kuholela kumuntu ozwa ubuhlungu obuncane noma angabutholi nhlobo ngesikhathi sokungena. Umuntu angasebenzisa ama-dilators eyedwa noma nomlingani-inzuzo yokubandakanya umlingani ukuthi le nqubo ingasiza futhi ekwakheni ukwethembana nozwela ebudlelwaneni.

Uma kungokwengqondo: Abesifazane abaningi banobuhlungu obubangelwa ukuvinjelwa kwengqondo-mhlawumbe ukukhathazeka kubangela ukungezwani kwe-pelvic floor. Kulokhu, umzimba wakho udala ukuvinjelwa okusekelwe kokuhlangenwe nakho okungokomzwelo.

"Uma i-dyspareunia yakho ivela kunoma yiluphi uhlobo lokuhlukunyezwa kwengqondo noma ngokomzwelo, funa njalo ukwelulekwa kochwepheshe," kusho uDkt. Sadeghi. Iziphakamiso zakhe zichazwe kabanzi encwadini yakhe, Ukuhlanza Okucacile, egxile ekwelapheni ngokomzwelo ukwelapha ukugula okungokomzimba. "Kugcizelelwa ngokukhethekile ukuhlela kabusha ubulili njengendlela yokubonisa uthando nobuhle lapho kuphephile ukwethenjwa nokuba sengozini" -into ebalulekile kwabasinde ekuhlukunyezweni, uthi. "Okuhlangenwe nakho kungikhombisile ukuthi lapho isiguli silapha emoyeni, umzimba uphendula kangcono emzimbeni ekwelashweni."

Amathiphu Wokubhekana Ne-Dyspareunia

Kubalulekile ukuba nomlingani onesineke. UDkt Sadeghi ugcizelele leli phuzu. "Bafundiseni ngokusemandleni enu ngalokho enibhekana nakho nokuthi kungani; Lokhu kuzonciphisa noma yikuphi ukungezwani phakathi kwenu nobabili futhi kubaqinisekise ukuthi uguquko empilweni yenu yocansi alubangelwa noma yini abayenzayo," usho kanje. kusho.

Ngenkathi ufuna ukwelashwa, gwema ukuya ocansini. "Sebenzisa lesi sikhathi njengethuba lokuhlola zonke ezinye izici ezinhle zocansi ezingeni elijule kakhulu," kusho uDkt. Sadeghi. "Zinike isikhathi sokuhlola amazinga amasha okusondelana ngaphandle kwengcindezi yokungena ebusa isikhathi. Ziningi izindlela zokwabelana nozakwenu ngesikhathi senqubo yakho yokuphulukisa. Uma usukhululekile ku-dyspareunia, impilo yakho yocansi izoba ngcono kakhulu ngakho. "

Thola umelaphi. Kungakhathaliseki ukuthi i-dyspareunia yakho ibangelwa ngokwengqondo noma ngokomzimba, ukuba nendawo ephephile yokusebenzisa imizwa yakho nochwepheshe wezengqondo kubalulekile. Ngokusobala, lokhu kuqala ukudlala uma uzwa ukuthi ukuhlukumezeka kwangaphambilini noma ukwesaba ucansi oluzungezile kuvimbela ikhono lakho lokukujabulela-nodama, kufanele ukujabulele! (Manje: Ungaya Kanjani Ekwelapheni Uma Uphukile I-AF)

Buyekeza kwe-