Yini I-Pelvic Floor Physical Therapist Afuna Ukwazi Ngama-Vaginal Dilators

-Delile

• Ama-dilators asetshenziselwa izizathu ezimbili.
• 1. Ukwelapha ucansi olubuhlungu.
• 2. Ukwelula isitho sangasese sowesifazane.
• Khuluma nodokotela wakho ngaphambi kokusebenzisa i-dilator.
• Indlela Yokusebenzisa I-Vaginal Dilators
• Hamba kancane futhi uzinze - futhi ulindele ukungakhululeki okuthile
• Ukucabangela kuyisihluthulelo.
• Kuthatha isikhathi ukubona imiphumela.
• Ama-dilators akuyona inketho yakho kuphela.
• Yazi ukuthi akuyena wedwa obhekene nobulili obubuhlungu.
• Buyekeza kwe-

Uma kuqhathaniswa nezinye izinto ezisohlwini lwezinto unganamathisela isitho sakho sangasese ngokuphepha, ama-dilators abonakala eyimfihlakalo kakhulu. Zibukeka zifana ne-dildo enemibala kepha azinakho ukubukeka kwangempela kobulili. Futhi ngokungafani namathoyizi ocansi owasebenzisa uwedwa noma nozakwenu, ungase ubone ambalwa awo ehhovisi lakho le-ob-gyn. Ngakho-ke yini inkinga ngama-dilators e-vaginal?

Lapha, uKrystyna Holland, DPT, udokotela wezitho zomzimba ophansi kanye nomnikazi we-Inclusive Care LLC, udiliza konke okufanele ukwazi mayelana nezihlunu zangasese, kufaka phakathi nalokho abadalelwe ukukwenza ngempela. Ukumangala: Akukhona ukukunikeza i-orgasm.

Ama-dilators asetshenziselwa izizathu ezimbili.

Ama-dilators esitho sangasese sangasese awasetshenziswanga ngezizathu ezifanayo zobulili njengamathoyizi amaningi wobulili kanye namagajethi. Esikhundleni salokho, zenzelwe ukusiza abantu abane-vulvas bajwayele umuzwa wokwelula umsele wabo wesitho sangasese sowesifazane, futhi batholakala ebangeni lobude nobubanzi obuhlukahlukene, kusho uHolland.

1. Ukwelapha ucansi olubuhlungu.

Abantu abahlangabezana nobulili obubuhlungu obudalwa yi-vaginismus - isimo lapho imisipha ezungeze i-spasm sangasese, ibangela ukuthi inciphe - nabantu abanezinhlungu ngaphandle kwenkinga ye-gynecologic ehambelana ngqo (okungukuthi ama-ovarian cysts noma i-endometriosis) abasebenzisi be-dilator abavame kakhulu, Kusho uHolland. Ngaphandle kwezimo zezempilo ezingokomzimba, isimo sakho esingokomzwelo singenza ucansi lube buhlungu: Uma uzizwa ukhathazekile noma wesaba, isibonelo, ubuchopho bakho bungathumela amasignali emisipha yakho yaphansi ye-pelvic ukuze iqinise, okuholela ekungakhululeni ngesikhathi socansi, ngokusho kweMayo Clinic. . Lobu buhlungu bokuqala bungakwenza wesabe ukuthi ukuya ocansini esikhathini esizayo kuzolimaza, ngakho-ke umzimba wakho ungase uqhubeke uqina ngaphambi nangesikhathi sokungena, uqhubeke nomjikelezo wobuhlungu, ngokomtholampilo ngamunye.

TL;DR: Noma imuphi umuzwa wokunwebeka noma ingcindezi (ngocansi lwe-P-in-V, isibonelo) ongase uzizwe ukahle futhi uthambile kumuntu oyedwa ungahunyushwa njengobuhlungu komunye, kuchaza u-Holland. "Imvamisa i-dilator ilawulwa ngumuntu onezinhlungu, ngakho-ke bangazitshela ukuthi bajwayelene naleli nani lokwelula nengcindezi, balawula ngokuphelele, futhi akufanele kube buhlungu, " uyanezela. "Bazama ukuphinda balinganise lokho kuxhumana phakathi kobuchopho babo namathambo abo ukuze bakwazi ukwamukela umuzwa wokwelula noma wokucindezela futhi kungabi buhlungu."

Kubalulekile ukuqaphela, nokho, ukuthi ukuba nobuhlungu obuvamile noma obunzima ngesikhathi sokuya ocansini kungaba uphawu lwesinye isimo sezempilo okungafanele sihambe singahloliwe, ngokusho kwe-American College of Obstetricians and Gynecologists. Ngakho-ke, ukunamathisela i-dilator lapho ngeke kusize ngalutho uma ungaxazululi imbangela yobuhlungu bakho. “Ungazama ukuqeqesha kabusha imisipha usuku lonke, kodwa uma kukhona okwenzekayo ngezitho noma emlonyeni wesibeletho, izicubu zizoqhubeka ziqaphile futhi ziqine ukuze zizivikele,” kusho uHolland. Uma ungeke uhambe ngesihlwathi esisodwa ngaphandle kobuhlungu, ungazami "ukukusebenzisa" ngokwakho - khuluma nodokotela wakho, stat.

2. Ukwelula isitho sangasese sowesifazane.

Ngaphandle kokusiza ekwakheni okuhlangenwe nakho kocansi okungenabuhlungu, izinciphisi zesitho sangasese sowesifazane zivame ukusetshenziswa ngabantu abathole ukwelashwa ngemisebe yomdlavuza we-gynecologic kanye nabesifazane be-transgender abaye baba ne-vaginoplasty. Kuzo zombili izimo, i-dilator isiza ukugcina izicubu zesitho sangasese sowesifazane zivumelana nezimo futhi ivimbele isitho sangasese sowesifazane ekuncipheni, kusho uHolland.

Khuluma nodokotela wakho ngaphambi kokusebenzisa i-dilator.

Ngenkathi uzama i-dilator yangasese ngokwakho kubonakala kulula ngokwanele, ufuna ukuthatha isikhathi sokuxoxa ngayo nochwepheshe ngaphambi kokwenza. Ukweqa lesi sinyathelo empeleni kungalimaza kakhulu kunokuhle, ikakhulukazi uma unesipiliyoni esibi ngaso futhi uthuthuke isimo sengqondo esingesihle ngabahluzi ngokuphelele."[Uma lokho kwenzeka,] ngisho nokukhuluma nje ngama-dilators noma ukubuka ama-dilators kungenza abantu babe nokusabela okunamandla okungokomzwelo okungelona usizo ekuqeqesheni phansi isimiso sezinzwa," kusho u-Holland. "Futhi lokho kuyaxaka ngempela ngoba kuzomele senze uphenyo ngokuthi sikhipha ama-dilator ngokuphelele noma uma nje kuyisethi ethile yama-dilator. Kwenza inqubo [yokwelapha] ibe nzima kancane ukuyiqala."

Ngemuva kokuqinisekisa nge-ob-gyn yakho ukuthi awukhululekile kunoma yiziphi izimo zezokwelapha ezingadala ubuhlungu bakho, uHolland uphakamisa ukuhlangana nomelaphi womzimba we-pelvic ukuthola ukuthi ama-dilator wesitho sangasese amathuluzi angcono kakhulu kuwe nokuthi ungawasebenzisa kanjani fanisa izidingo zakho nezinhloso zakho. “Ucansi uqobo lwalo lolo olwenziwe ngokwabantu ngokususelwa kulokho okuletha etafuleni, ngakho-ke kunengqondo ukuthi ukwelashwa kwakho kocansi olubuhlungu nakho kuzokwenzelwa umuntu ngamunye,” uyanezela. (Okuhlobene: Lokho Wonke Umuntu Wesifazane Okufanele Akwazi Ngokungasebenzi Komklamo Womzimba)

Indlela Yokusebenzisa I-Vaginal Dilators

Hamba kancane futhi uzinze - futhi ulindele ukungakhululeki okuthile

Ubungeke ungene endaweni ejulile echibini ngesikhathi sakho sokuqala ubhukuda, futhi akufanele unamathisele isinciphisi esingu-7-intshi phezulu esithweni sakho sangasese esomile ekuhambeni kwakho kokuqala, noma. (Eshu.) Phakathi nokuvivinya kwakho kokuqala okumbalwa, gcoba i-dilator kanye nezifunda zakho ezingaphansi, faka i-dilator encane kusethi yakho, bese uyishiya lapho imizuzu embalwa, kusho u-Holland. Lapho uzizwa ukhululekile nge-dilator elenga ngaphakathi kuwe, zama ukuyihambisa, uyisebenzise cishe imizuzu eyisikhombisa kuya kwengu-15 ngeseshini ngayinye. Uma kubonakala kungathandeki nje kancane, khuphukela kusayizi we-dilator olandelayo, bese uqhubeka nokukhulisa osayizi ngokususelwa ezingeni lakho lokubekezelelana, kuphakamisa iHolland. "Ngama-dilators, ufuna ukuthi ungakhululeki, kepha ungabi buhlungu kabi," kuchaza yena.

Uma ungazizwa ungakhululekile ngenkathi usebenzisa i-dilator nhlobo, umzimba wakho ngeke ufunde ukubekezelela i-IRL. Futhi uma uqala nge-dilator ebuhlungu ngokweqile, yenza wonke umzimba wakho ukushuba, noma ikwenze uqhume kancane, uzoqhubeka nokuhlobanisa lowo muzwa wokwelula nobuhlungu, kusho uHolland.

Ukucabangela kuyisihluthulelo.

Uma ufuna ukuthola okuningi kusihluzi sakho sangasese, kuzofanele ucindezele ikhefu embukisweni wakho weNetflix bese ubeka phansi ifoni yakho uma usuyifakile. "Kubantu abaya ocansini olubuhlungu futhi abazama [ukujwayela] lowo muzwa wokwelula, uma ufaka i-dilator bese uziphazamisa, mancane amathuba okwenza lokho kulungiswa phakathi kobuchopho nokhalo," kusho uHolland. "Kungcono ukuhlala ukhumbula, wenze izivivinyo zokuphefumula ezijulile, futhi ngokuyisisekelo uzame ukwehlisa-ukulawula isimiso sakho sezinzwa esinozwela ukuze sikusize uvumelane nalowo muzwa."

Ehlangothini lwe-flip, abantu abasebenzisa i-dilator ngemuva kokuhlinzwa okuqinisekisa ubulili noma ukwelashwa komdlavuza bangazizwa bekhululekile ukuphuma. Kulezo zimo, i-dilator isebenza ukushintsha indlela izicubu zangasese ezihlala ngayo ekuqaleni - ukuze ingqondo yakho ingakhululeki ngokwelula, uyanezela.

Kuthatha isikhathi ukubona imiphumela.

Uma ufuna ukulungiswa okusheshayo kwezocansi ezibuhlungu, i-dilator yangasese akuyona yini. Umuntu owenza ucansi olubuhlungu kusukela ngesikhathi sakhe sokuqala angabona ushintsho oluhle emasontweni ayisithupha kuya kwayisishiyagalombili - uma esebenzisa i-dilator izikhathi ezintathu kuya kwezine ngesonto, kusho u-Holland. "Ukusebenzisa ama-dilators akuyona into yesikhashana, 'Uma ngingaqeda nje lezi zihluzi ngokushesha ngeke ngiphinde ngicabange ngazo'," usho kanje. Umlingani omusha, ikhefu elide phakathi kokuzama ukungena, nezimo ezicindezelayo konke kungaholela ocansini olubuhlungu futhi, kwezinye izimo, isidingo sokusebenzisa i-dilator futhi, kusho uHolland. “Imvamisa, abantu abaningi abasebenzisa ama-dilators ukuze bangabi nazinhlungu, ukuya ocansini olungena ngaphakathi kuyodingeka basebenzise ama-dilator futhi empilweni yabo,” uyanezela.

Labo abane-vaginoplasty babheka impilo yonke yokusetshenziswa kwe-dilator, okufika kathathu kuya kahlanu ngosuku nsuku zonke ezinyangeni ezintathu zokuqala ngemva kokuhlinzwa, bese kuba izikhathi ezimbalwa ngesonto ngemva kwalokho, kusho uHolland. Futhi labo abathola ukwelashwa komdlavuza we-gynecologic ngokuvamile bayelulekwa ukuthi basebenzise i-dilator kabili noma kathathu ngesonto izinyanga ezifika kwezili-12, ngokusho kocwaningo olushicilelwe Ijenali Yamazwe Ngamazwe Yomdlavuza Wabesifazane.

Ama-dilators akuyona inketho yakho kuphela.

"Into evame ukuvela kakhulu ekuvakasheleni kwami ​​​​ukuthi abantu bazizwa sengathi ama-dilators yiwona kuphela abangakwenza uma beya ocansini olubuhlungu," kusho u-Holland. "Ngicabanga ukuthi okwenzekayo ukuthi abantu batshelwe ngomunye umhlinzeki noma bafunda ngakho futhi bafana nokuthi, 'Le yindlela engiyiphatha ngayo le nto.'" Amathuluzi e-pelvic wands - amathuluzi amise okwe-hook anikeza amandla amaningi wokwelula i-pelvic floor - nayo ingaba lusizo, usho kanjalo. Ngenkathi i-dilator inyusa ukubekezelelana kwakho ukwelula konke, induku ye-pelvic isiza ukukhipha amaphuzu athile wethenda futhi ibhekise imisipha yaphansi efinyeleleka kanzima - njenge-obturator internus (umsipha we-hip ovela ngokujulile ethangeni bese uxhuma ethangeni bone) kanye ne-puborectalis (imisipha emise okwe-U exhunywe ethanjeni le-pubic bese isonga i-rectum) - kubantu abanobuhlungu obungapheli be-pelvic, ngokusho kwe-American Society of Colon and Rectal Surgeons.

Abanye abantu bangasebenzisa futhi izidlidlizi zabo njengama-dilator asebenza kabili, futhi. “Uma abantu benamavibrator abawathandayo nabawajabulelayo, benesipiliyoni esihle ngawo, futhi bengawasebenzisa ngaphakathi, ezikhathini eziningi ngiphakamisa ukuthi abantu baqale ngalokho,” kusho yena. (I-FTR, amanye ama-dilators e-vaginal ayadlidliza, kodwa ngokuvamile, "ama-dilators enza amathoyizi ocansi ayisicefe," kusho u-Holland.)

Noma kunjalo, kunezimo ezithile lapho i-dilator ingaba inketho engcono kakhulu. Abantu abanemibono emibi noma abanokuhlangenwe nakho okubi ngama-vibrator bangazizwa bekhululeke ngokwengeziwe nge-no-frills, i-dilator enconyiwe ngokwezokwelapha, kusho iHolland. Futhi, amathoyizi amaningi ocansi awatholakali ngosayizi abancane njenge-tampon noma i-cotton swab. Uma lokho kuyisiqalo sakho, kuzodingeka ukuthi uphendukele kusihluzi.

Yazi ukuthi akuyena wedwa obhekene nobulili obubuhlungu.

Ngokusekelwe ezinkundleni zokuxhumana, amamuvi, nezingxoxo nabangani, ungase uzizwe sengathi uwena wedwa obhekene nezinhlungu ngesikhathi socansi olungena emlonyeni. Kepha ucwaningo lukhombisa ukuthi cishe amaphesenti ama-5 kuye kwayi-17 abantu bane-vaginismus (okuvame ukudala ubuhlungu ngesikhathi sokuya ocansini), kanti ucwaningo lwabesifazane abayi-15,000 abenza ucansi bathola ukuthi amaphesenti ama-7.5 wabaphenduli abahlangabezana nobulili obubuhlungu. "Yinto engiyibona njalo, futhi yinto abantu abangazizwa behlukaniswe kakhulu nayo," kusho uHolland. "Abantu bazizwa sengathi, 'Yisitho sami sangasese esaphukile, isitho sami sangasese esaphukile,' futhi ngicabanga ukuthi abantu banenqwaba yokungagcwaliseki, ucansi olubuhlungu ngempela olilimaza ingqondo yabo ngoba babona sengathi ukuphela kwento abangayenza."

Yingakho i-Holland ithi kubaluleke kakhulu ukwenza kusebenze ukusetshenziswa kwezihlunu zangasese. "Uma siqala ukukhuluma ngama-dilators futhi siqala ukubona ukuthi kunezinketho zokwelashwa kwabantu abaya ocansini olubuhlungu, [uyabona] kunezinto ongazenza ngakho," kuchaza yena. "Ungaphatha lokhu futhi kunezindlela eziningi ongakhetha kuzo, engicabanga ukuthi zinika abantu amandla."

Buyekeza kwe-