Vulvodynia

ʻO Vulvodynia kahi maʻi ʻeha o ka vulva. ʻO kēia ka wahi i waho o ka genital o ka wahine. Hoʻokumu ʻo Vulvodynia i ka ʻeha nui, ka ʻā ʻana, a me ka ʻū ʻana o ka vulva.

ʻAʻole ʻike ʻia ke kumu kūpono o ka vulvodynia. Ke hana nei nā mea noiʻi e aʻo hou e pili ana i ke ʻano. Nā kumu e komo pū paha:

• ʻO ka huhū a hōʻeha paha i nā aʻalolo o ka pūpū
• Hoʻololi Hormonal
• ʻO ka overreaction i nā hunaola o ka vulva i ka maʻi a i ʻole ʻeha
• ʻO nā olonā keu i ka puʻupuʻu
• Nā mākala pelvic nāwaliwali
• Nā maʻi āpau i kekahi mau kemika
• ʻO nā kumu genetic e kumu i ka noʻonoʻo a i ʻole ka overreaction i ka maʻi a i ʻole ka mumū

ʻO nā maʻi i lawe ʻia i ka moekolohe (STI) MAI kumu i kēia ʻano.

Aia he ʻano nui ʻelua o ka vulvodynia:

• ʻO vulvodynia kūloko. He ʻeha kēia i hoʻokahi wale nō wahi o ka puʻupuʻu, ʻo ka maʻa mau o ka wehe ʻana o ka ʻōpū (vestibule). Kū pinepine ka ʻeha ma muli o ke kaomi ma ka wahi, e like me ka moekolohe ʻana, ka hoʻokomo ʻana i kahi tampon, a i ʻole ka noho lōʻihi ʻana.
• ʻO vulvodynia nui. ʻO kēia ka ʻeha ma nā wahi like ʻole o ka vulva. Paʻa mau ka ʻeha, me kekahi mau manawa o ka hoʻomaha. ʻO ke kaomi ʻana i ka vulva, e like me ka noho lōʻihi ʻana a i ʻole ke komo ʻana i ka palule paʻa hiki ke hōʻino ʻia nā ʻōuli.

ʻO ka ʻeha vulvar pinepine:

• ʻOi loa
• Hoʻā ʻana
• Kāwili
• Pākuʻi

ʻIke paha ʻoe i nā ʻōuli i nā manawa āpau a i ʻole kekahi o ka manawa wale nō. I kekahi manawa, ʻeha paha ʻoe i ka ʻeha ma ka wahi ma waena o kāu ʻōpala a me anus (perineum) a me nā ʻūhā o loko.

Hiki paha ʻo Vulvodynia i nā ʻōpio a i nā wahine paha. Hoʻopiʻi pinepine nā wahine me ka vulvodynia i ka ʻeha i ka wā o ka moekolohe. Hiki paha ia ma hope o ka moekolohe ʻana i ka manawa mua. A i ʻole, hiki paha ia ma hope o nā makahiki o ka moekolohe.

Hiki i kekahi mau mea ke hoʻonāukiuki i nā ʻōuli:

• Moekolohe
• Hoʻokomo i kahi tampon
• Ke paʻa paʻa ma lalo o ka lole a palule paha
• Mimi
• Noho no ka manawa lōʻihi
• Hoʻomaʻamaʻa a paikikala paha

E hana i kāu mea mālama ola i kahi hoʻokolohua kino a nīnau i nā nīnau e pili ana i kāu moʻolelo olakino. Hana paha kāu mea lawelawe i kahi urinalysis e kāpae i kahi maʻi urinary tract. Loaʻa paha iā ʻoe nā hoʻokolohua ʻē aʻe e hoʻopau i kahi maʻi hū a i ʻole ka maʻi ʻili.

Hana paha kāu mea hāʻawi i ka hoʻāʻo swab pulupulu. I loko o kēia hoʻokolohua, e hoʻopili ka mea hāʻawi i nā kaomi mālie i nā wahi like ʻole o kāu vulva a noi iā ʻoe e helu i kāu pae ʻeha. E kōkua kēia i ka ʻike ʻana i nā kikoʻī o ka ʻeha.

ʻIke ʻia ʻo Vulvodynia ke hoʻokaʻawale ʻia nā kumu kumu ʻē aʻe āpau.

ʻO ka pahuhopu o ka mālama ʻana e hōʻemi i ka ʻeha a hōʻoluʻolu i nā ʻōuli. ʻAʻohe mea lapaʻau e hana no nā wahine āpau. Pono paha ʻoe i hoʻokahi ʻano lapaʻau e mālama i kāu mau ʻōuli.

Kau ʻia ʻoe i nā lāʻau e kōkua ai i ka ʻeha, a ʻo:

• Nā Anticonvulsants
• Nā Antidepressants
• Opioids
• ʻO nā kalima kumulāʻau a mea hamo paha, e like me ka hamo lidocaine a me ka kirima estrogen

Nā mālama a me nā hana ʻē aʻe i kōkua i ka hoʻopili pū ʻana:

• Hoʻoikaika kino e hoʻoikaika i nā mākala pelvic papahele.
• Kōkua ʻo Biofeedback e hōʻoluʻolu i ke ʻeha ma ke aʻo ʻana iā ʻoe e hoʻomaha i kou mau puʻupuʻu pelvic.
• Nā inikū o nā poloka nerve e hoʻēmi i ka ʻeha o ke aʻa.
• Hoʻomaʻamaʻa i ka hana pilikino e kōkua iā ʻoe e hana me kou mau manaʻo a me kou mau manaʻo.
• Hoʻololi nā papaʻai i nā meaʻai me nā oxalates, e like me ka milo, nā beets, nā peanuts, a me nā kokoleka.
• Acupuncture - e ʻike pono i kahi loea e kamaʻāina me ka mālama ʻana i ka vulvodynia.
• Nā hana lapaʻau kōkua kōkua ʻē aʻe e like me ka hoʻomaha a me ka noʻonoʻo ʻana.

NA OLELO OLA

Hiki i nā loli nohona ke kōkua i ka pale ʻana i nā hoʻonāukiuki vulvodynia a hōʻoluʻolu i nā ʻōuli.

• MAI douche a hoʻohana i nā kopa a i ʻole nā ​​aila e hoʻonāukiuki paha.
• E komo i nā lole pulupulu āpau a mai hoʻohana i ka palupalu lole ma luna o ka lole malalo.
• E hoʻohana i ka holoi holoi lole no ka ʻili lahilahi a holoi pālua i kou kapa komo.
• Hōʻalo i nā lole paʻa paʻa.
• Hōʻalo i nā hana e hoʻokau i ka vulva, e like me ka paikikala a holo lio paha.
• Hōʻalo i nā paipu wela.
• E hoʻohana i ka pepa wili palupalu ʻaʻole i pena ʻia a holoi i kou kino me ka wai anuanu ma hope o ka mimi ʻana.
• E hoʻohana i nā tampon a pau a me ka pale.
• E hoʻohana i kahi lubricant hiki ke hoʻoheheʻe ʻia i ka wai i ka wā o ka moekolohe. Urination ma hope o ka moekolohe e pale ai i kahi UTI, a holoi i ka wahi me ka wai anuanu.
• E hoʻohana i kahi kaomi anuanu ma luna o kāu vulva e hōʻoluʻolu i ka ʻeha, e like me ma hope o ka moekolohe a me ka hoʻoikaika kino (e hoʻopili pono i ka compress i kahi kāwele maʻemaʻe - mai hoʻopili pololei i kou ʻili).

NA MEA HANA

Pono paha kekahi mau wahine me ka vulvodynia kūloko i ke ʻoki e hoʻomaha ai i ka ʻeha. Lawe ke ʻoki i ka ʻili i hoʻopilikia ʻia a me nā ʻaʻa a puni ka wehe ʻana o ka ʻōpū. Hana wale ke ʻoki kino inā holo pono ʻole nā ​​lāʻau ʻē aʻe āpau.

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

Hāʻawi ka hui aʻe i ka ʻike e pili ana i ka vulvodynia a me nā hui kākoʻo kūloko.

• ʻAhahui Vulvodynia National - www.nva.org

ʻO Vulvodynia kahi maʻi paʻakikī. E hala ana paha he mau pule i mau mahina e loaʻa ai ka ʻoluʻolu ʻeha. ʻAʻole hiki ke hoʻomaʻamaʻa i nā hōʻailona āpau. Hiki ke hana ʻoi aku kahi hui o nā mālama a me nā loli nohona e kōkua maikaʻi i ka mālama ʻana i ka maʻi.

Hiki i kēia ʻano ke lawe i ke kino a me ka naʻau kaumaha. Hiki iā ia ke kumu:

• Kaumaha a me ka pīhoihoi
• Nā pilikia i ka pilina pilikino
• Pilikia hiamoe
• Nā pilikia me ka moekolohe

ʻO ka hana ʻana me kahi mea hoʻoponopono hiki ke kōkua iā ʻoe e hana maikaʻi me ka loaʻa ʻana o kahi maʻi mau.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka vulvodynia.

Kāhea pū i kāu mea hāʻawi inā loaʻa iā ʻoe ka vulvodynia a hele a ʻoi aku ka maikaʻi o kāu mau ʻōuli.

Ke KulanuiʻAmelika o nā Obstetricians a me nā Kōmike Gynecologists 'ma Gynecologic Practice; ʻAmelika Hui Pū ʻIa no Colposcopy a me Cerology Pathology (ASCCP). Manaʻo Kōmike No 673: ʻeha mau i ka ʻeha. ʻO Obstet Gynecol. 2016; 128 (3): e78-e84. PMID: 27548558 pubmed.ncbi.nlm.nih.gov/27548558/.

Bornstein J, Goldstein AT, Stockdale CK, et al. 2015 ISSVD, ISSWSH, a me ka IPPS consensus terminology a me ka hoʻohālikelike ʻana o ka ʻehaʻeha mau loa a me ka vulvodynia. J Low Genit Tract Dis 2016; 20 (2): 126-130. PMID: 27002677 pubmed.ncbi.nlm.nih.gov/27002677/.

ʻO Stenson AL. Vulvodynia: ʻike a me ka hoʻokele. ʻO Obstet Gynecol Clin ʻAkau ʻAkau. 2017; 44 (3): 493-508. PMID: 28778645 pubmed.ncbi.nlm.nih.gov/28778645/.

Waldman SD. Vulvodynia. I: Waldman SD, hoʻoponopono. Nā Atlas o nā Syndrome Pain maʻamau. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 96.