Ubulili Obubuhlungu (i-Dyspareunia) ne-Menopause: Yini i-Link?

-Delile

• Imiphumela emibi ejwayelekile yokunqamuka kokuya esikhathini
• Kungani ucansi luba buhlungu
• Ukuthola usizo
• Okubalulekile

Njengoba uhamba ukunqamuka kokuya esikhathini, amazinga e-estrogen awayo abangela izinguquko eziningi emzimbeni wakho. Izinguquko ezithweni zangasese ezibangelwa ukuntuleka kwe-estrogen zingenza ucansi lube buhlungu futhi lungakhululeki. Abesifazane abaningi babika umuzwa wokoma noma ukuqina ngesikhathi socansi, okuholela ebuhlungwini obusuka kobumnene bube bukhulu.

Ubulili obubuhlungu yisimo sezokwelapha esibizwa nge-dyspareunia. Lokho abesifazane abaningi abangaqapheli ukuthi i-dyspareunia ijwayelekile. Phakathi kwamaphesenti angu-17 kuya kwangu-45 abesifazane abasuke beyekile ukuya esikhathini bathi bayakuthola lokhu.

Ngaphandle kokwelashwa, i-dyspareunia ingaholela ekuvukeleni nasekudabukeni kwezicubu zesitho sangasese sowesifazane. Futhi, ubuhlungu, noma ukwesaba ubuhlungu, kungadala ukukhathazeka uma kukhulunywa ngokuya ocansini. Kodwa ucansi akudingeki lube ngumthombo wokukhathazeka nobuhlungu.

I-Dyspareunia yisimo sangempela sezokwelapha, futhi akudingeki ungabaze ukubona udokotela ukuze athole ukwelashwa. Nakhu ukubuka okujulile kokuxhumanisa phakathi kokunqamuka kokuya esikhathini ne-dyspareunia.

Imiphumela emibi ejwayelekile yokunqamuka kokuya esikhathini

Ukunqamuka kokuya esikhathini kungadala uhlu lokuhlanza lwezimpawu ezingakhululekile. Bonke abesifazane bahlukile, noma kunjalo, ngakho-ke isethi yezimpawu ohlangabezana nazo zingahluka kwabanye.

Izimpawu ezivame kakhulu abesifazane ababhekana nazo ngesikhathi sokuya esikhathini zihlanganisa:

• ukushisa okushisayo, ukujuluka ebusuku, nokuhlanza
• ukukhuluphala kanye nokuncipha kwemisipha
• ukuqwasha
• ukoma kwesitho sangasese sowesifazane
• ukudana
• ukukhathazeka
• ukunciphisa i-libido (ukushayela ucansi)
• isikhumba esomile
• ukwanda kokuchama
• amabele abuhlungu noma athambile
• ikhanda
• amabele angagcwali kangako
• ukuncipha kwezinwele noma ukulahleka

Kungani ucansi luba buhlungu

Izimpawu abesifazane ababhekana nazo ngesikhathi sokunqamuka kokuya esikhathini zihlobene kakhulu namazinga wehlise ama-hormone ocansi abesifazane i-estrogen ne-progesterone.

Amazinga aphansi ala mahomoni angadala ukuncipha kocwecwe oluncane lomswakama ogqoka izindonga zesitho sangasese sowesifazane. Lokhu kungadala ukuthi ulwelwesi lwesitho sangasese sowesifazane lome, lucasuke futhi luvuvuke. Ukuvuvukala kungadala isimo esibizwa ngokuthi i-vaginal atrophy (atrophic vaginitis).

Izinguquko ku-estrogen nazo zinganciphisa i-libido yakho yonke, futhi kwenze kube nzima kakhulu ukuvuselelwa ngokocansi. Lokhu kungenza kube nzima ukuthi isitho sangasese sowesifazane sigcotshwe ngokwemvelo.

Lapho izicubu zesitho sangasese sowesifazane ziba mancanyana futhi zinciphe, nazo ziyaqina futhi zilimale kalula. Ngesikhathi socansi, ukungqubuzana kungadala izinyembezi ezincane esithweni sangasese, okuholela ezinhlungwini ngesikhathi sokungena.

Ezinye izimpawu ezihambisana nokoma kwesitho sangasese sowesifazane zihlanganisa:

• ukulunywa, ukuntinyelwa, nokushiswa ezungeze isitho sangasese
• ukuzwa isidingo sokuchama kaningi
• ukuqina kwesitho sangasese sowesifazane
• ukuphuma okukhanyayo ngemuva kocansi
• ubuhlungu
• ukutheleleka kaningi komchamo
• ukungahambisani nomchamo (ukuvuza okungazibandakanyi)
• ingozi eyengeziwe yokutheleleka ngesitho sangasese sowesifazane

Kwabesifazane abaningi, ucansi olubuhlungu lungaba ngumthombo wokujabha nokukhathazeka. Ekugcineni, ungalahlekelwa yintshisekelo yokuya ocansini nhlobo. Lokhu kungaba nomthelela omkhulu ebuhlotsheni bakho nomlingani wakho.

Ukuthola usizo

Uma izimpawu zakho zinzima futhi zithinta ikhwalithi yakho yokuphila, ungesabi ukubona udokotela ukuze afunde ngemithi etholakalayo.

Udokotela wakho uzoqala ngokuncoma ukusebenzisa i-over-the-counter (OTC) yokugcoba amanzi noma i-moisturizer yangasese ngesikhathi socansi. I-lubricant kufanele ingabi namakha, ukukhishwa kwamakhambi, noma imibala yokufakelwa, ngoba lokhu kungacasula. Ungahle udinge ukuzama imikhiqizo eminingana ukuthola leyo ekusebenzelayo.

Uma usabuzwa ubuhlungu, udokotela wakho angakunikeza ukwelashwa kwe-estrogen okwenziwe kwasendaweni. Ukwelashwa kwe-Estrogen kuyatholakala ngezindlela eziningi:

• Ukhilimu wesitho sangasese sowesifazane, njenge-conjugated estrogens (i-Premarin). Lezi zikhipha i-estrogen ngqo esithweni sangasese. Zisetshenziswa kabili kathathu ngesonto. Akufanele uwasebenzise kahle ngaphambi kocansi njengothambisa ngoba angangena esikhunjeni somlingani wakho.
• Amasongo esitho sangasese sowesifazane, njengendandatho yesitho sangasese sowesifazane i-estradiol (Estring). Lokhu kufakwa esithweni sangasese bese kudedela isilinganiso esincane se-estrogen ngqo ezicutshini zesitho sangasese sowesifazane. Zidinga ukushintshwa njalo ezinyangeni ezintathu.
• Amaphilisi e-estrogen omlomo, njenge-estradiol (Vagifem). Lezi zifakwa esithweni sangasese kanye noma kabili ngesonto kusetshenziswa umfakisicelo.
• Iphilisi lomlomo le-estrogen, engaphatha ukoma kwesitho sangasese sowesifazane kanye nezinye izimpawu zokunqamuka kokuya esikhathini, njengokushisa okushisayo. Kodwa ukusetshenziswa isikhathi eside kukhulisa ingozi yamanye umdlavuza. I-estrogen yomlomo ayibekiwe kwabesifazane abake baba nomdlavuza.

Ukugcina izinzuzo zokwelashwa kwe-estrogen, kubalulekile ukuqhubeka nokuya ocansini njalo. Ukwenza kanjalo kusiza ukugcina izicubu zesitho sangasese sowesifazane ziphilile ngokwandisa ukugeleza kwegazi kuye esithweni sangasese.

Ezinye izindlela zokwelashwa zifaka i-ospemifene (Osphena) ne-prasterone (Intrarosa). I-Osphena iyithebhulethi yomlomo, kuyilapho i-Intrarosa ingukufakwa kwesitho sangasese sowesifazane. I-Osphena isebenza njenge-estrogen, kepha ayinayo i-hormone. I-Intrarosa iyi-steroid engena esikhundleni samahomoni enziwa emzimbeni.

Okubalulekile

Ucansi olubuhlungu ngesikhathi sokuya esikhathini noma ngemuva kwalo luyinkinga kubantu besifazane abaningi, futhi akukho lutho okufanele ube namahloni ngalo.

Uma ukoma kwesitho sangasese sowesifazane kuthinta impilo yakho yezocansi noma ubudlelwane bakho nomlingani wakho, sekuyisikhathi sokuthola usizo oludingayo. Uma ulinda isikhathi eside ukuphatha i-dyspareunia, umonakalo omkhulu ongawenza emzimbeni wakho. Uma ishiywe ingalashwa, ukoma kwesitho sangasese sowesifazane kungadala izilonda noma izinyembezi ezicutshini zangasese, okungenza izinto zibe zimbi kakhulu.

Udokotela noma i-gynecologist angancoma ukwelashwa ukuze uhlale phezu kwezimpawu zakho futhi akusize ubuyele empilweni yezocansi enempilo.