Izizathu Ezingenzeka Zomzimba Obuhlungu, Uma Kuvamile, Nokwenziwe
Ubulili akufanele bubuhlungu. Noma kunjalo, noma yikuphi okuphakathi kwamaphesenti angu-30 kuya kwangu-50 abesifazane bazobhekana nohlobo oluthile lobulili obubuhlungu ekuphileni kwabo. Ubulili obubuhlungu (eyaziwa nangokuthi dyspareunia) kungaphazamisa ukukhulelwa . Ngesinye, ubulili obubuhlungu bungase bubonise isimo esingokwempilo esibalulekile esingathinti ukuzala kwakho. Okwesibili, ubulili obubuhlungu ngokwayo bungenza ukukhulelwa kunzima kakhulu.
Uma ungeke ukwazi ukubekezelela ukulala ngokobulili, ikakhulukazi phakathi nesikhathi sokuvuthwa , ngeke ukwazi ukukhulelwa.
Funda ukuthi yiyiphi evamile nokuthi yini engeyona uma kuziwa ebuhlungu bezocansi, yiziphi izimo zezokwelapha ezingase zidale ubulili obubuhlungu, nokuthi yini okufanele uyenze uma ubhekene nale nkinga.
Qaphela: Nakuba lesi sihloko sigxile ebuhlungwini bobulili kwabesifazane, kubalulekile ukuchaza ukuthi amadoda angabuye azwe ubuhlungu bobulili. Ukuhlukumeza ngokobulili kumadoda kungabangela ubunzima ngokukhulelwa.
Ingabe Ubuhlungu Ngesikhathi Socansi Kungenzeka Kungavamile?
Ukungajabuli ngezikhathi ezithile ngesikhathi socansi kungaba yinto evamile. Isibonelo, okokuqala owesifazane ocansini kungase kuhlanganise ukungathandeki. Lokhu kungenzeka ngenxa yokungakwazi nokukhathazeka kokubili abalingani.
Noma kunjalo, ukuhlangana kocansi kokuqala akufanele kuphumele . Inkolelo yokuthi ubulili ngokokuqala ngqa "kufanele" kubangele ubuhlungu nokuphuza akuyiqiniso. Ngisho nesikhathi sokuqala ucansi ungazizwa kahle.
Esinye isizathu esivamile esingavamile socansi olubuhlungu ngukuya ocansini endaweni engakhululekile.
Izithuba ezivumela ukugxila okujulile kungabangela ukuba umlomo wesibeletho uqhubeke, okungaba buhlungu. Ukushintsha izikhundla noma ukugwema ukungakhathazeki kungabaxazulula le nkinga kalula.
Enye imbangela evamile yokungajabuli ngesikhathi socansi ayithathi isikhathi esanele sokuqala. Izitho zokubeletha empeleni ziyashintsha ngesikhathi sokuvuswa kocansi .
Umlomo wesibeletho usukhuphuka uphinde ubuyele lapho uvula, futhi lokhu kushintsha kwenza ubulili bukhululekile.
Ngalokhu konke okushiwo, ubuhlungu nokukhathazeka ngezikhathi ezithile akuzona izinto ezifanayo. Ubuhlungu obungaguquki noma okuvimbela ukuthi ulale ucansi kungenye umdlalo webhola.
Izimbangela Zezocansi Ezibuhlungu Ezingaba Nethonya Lokuzala
Igama lezokwelapha ngocansi olubuhlungu yilona dyspareunia. Ubulili obubuhlungu bungaba uphawu lwesimo sezempilo esingaphansi. Eminye yalezi zimo zingathinta kabi ukuzala noma yenza kube nzima ukukhulelwa.
Nazi ezinye izimbangela zokuhlukunyezwa okubuhlungu ezingase zithinte nokuzala:
- Ukoma okwemagagasi : Lokhu kungahle kube khona ukukhathazeka okuncane okubuhlungu obuhlungu obukhulu kakhulu, ikakhulu uma kuhlanganiswa namazinga aphansi e-estrogen. Lokhu buhlungu buvame ukwenzeka ekungeneni kwesisu. Ukuntuleka komkhumbi wesibeletho kungabonisa ukungalingani kwe-hormonal, kodwa kungenzeka ngenxa yemiphumela emibi yemithi.
- I-Endometriosis : Ubulili obubuhlungu ne-endometriosis bungaba bubi nakakhulu ekujikelezeni kwe-ovulation naseduze kokuya esikhathini. Lokhu ubuhlungu ngokuvamile buzwa bujulile, kunokungena ekungeneni. Ezinye izimpawu ze-endometriosis zingase zibandakanye izikhukhula ezinzima kakhulu, ubuhlungu ekunqandeni noma ukuhlukunyezwa (ikakhulukazi ezungeze isikhathi sakho), noma ubuhlungu obukhulu be-pelvic.
- Izifo Ezivuthayo Ze-Pelvic (PID): I-PID ingenye imbangela yokuhlukunyezwa ngokocansi, ngokuvamile ubuhlungu buzwa ngokujulile ngokuphambene nokungena. Izimpawu ze-PID zingafana ne-endometriosis nezinye izifo.
- Ama-cysts e-Ovarian : Ama-cysts amaningi ama-ovaria azogcina eyanyamalala ngokwawo, kodwa amaphesenti angu-5 ukuya kwangu-10 angadinga ukuhlinzwa. Ama-cysts e-ovaria awavangeli ubulili obubuhlungu, kodwa izinkinga ezingaphezulu zingakwazi. I-cyst yedwa akuyona inkinga yokuzala, kodwa ama-cysts angabangelwa izimo (njenge- PCOS ne- endometriosis ) ezithinta ukuzala.
- Ukuxhaswa : Ukuxhunywa yizinhlobonhlobo zezicubu ezakhiwe phakathi kwezitho zangaphakathi noma ngaphakathi. Zingaholela ekuhluphekeni phakathi kocansi, kanye nokungabi nabantwana kanye nokukhulelwa kwesisu okuphindaphindiwe. Eyaziwa nangokuthi i-Asherman's syndrome, ukunamathela kwe-uterine kungabangelwa izinqubo ze-intrauterine, njenge-D & C, inqubo eyenziwa ngezinye izikhathi ngemuva kokukhulelwa kwesisu, noma ngemuva kwe-myomectomy hysteroscopic. Uma uqala ukuzwa ubuhlungu be-pelvic ngemuva kokuhlinzwa kwe-intrauterine, vumela udokotela wakho azi.
- Ama-fibroids : Ama- Fibroid anezicubu ezingezona umdlavuza ezikhula noma ngaphakathi kwezindonga ze-uterine. Bangabangela ubulili obubuhlungu. Ama-fibroid angenzeka noma kuphi esibelethweni, kodwa lezo ezikhula ngomlomo wesibeletho zingabangela ubulili obubuhlungu. Kungase futhi kuholele ekuboneni ngesikhathi socansi noma ngemuva.
- I-agenesis yama-vaginal : Eyaziwa nangokuthi i-Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, i-agenesis yama-vaginal yilapho ubulili bungakhiwa ngokugcwele. Akuvamile - nabesifazane abangaba ngu-1 000 abazalwa benesimo - futhi kungabangela ubulili obubuhlungu. Ukuhlinzwa kungasiza ukudala "i-neovagina," okuvumela ukuba kube nokuphila kocansi okuvamile. Abesifazane abaningi abanalo nalesi simo banempilo noma bangabikho kwesibeletho. Abakwazi ukukhulelwa. Uma unama-ovari, angakwazi ukuba nezingane eziphilayo nge-surrogacy .
- I-intact noma i-hymen ngokukhethekile : I-hymen yimbumbane elincanyana ezungeza ukuvulwa kwesifazane. Awukufihla ngokuphelele u-vaginal evulekile kodwa unembobo encane elula ngokuhamba kwesikhathi. (Ngisho noma kwenzeka ngezikhathi ezingavamile, ama-hymen enza ngokugcwele ukuvula.) Ngezinye izikhathi, i-hymen ayiluleki ngokwemvelo noma ayijwayelekile ngokweqile noma inzima. Lokhu kungabangela ubulili obubuhlungu. Lokhu kungalungiswa ngokuhlinzwa futhi ngeke kuthinte ukuzala kwakho kwesikhathi esizayo.
Nakuba ukungabi nabantwana okuhlobene nalezi zimo kungase kungakhulumi kalula, ubuhlungu obubangelwa yibo kufanele buphathwe ngemithi, ukwelashwa ngokomzimba, izinguquko zokuphila, noma ukuhlinzwa.
Ungacabangi ukuthi kufanele ufunde ukuhlala nobuhlungu. Khuluma nodokotela wakho mayelana nezinketho zakho.
Lapho Ubulili obubuhlungu Ngokweqile Kwenza Ube Nzima Ukukhulelwa
Ngezinye izikhathi, imbangela yobulili obubuhlungu ayithinti ngokuqondile ukuzala-kodwa iqiniso lokuthi ubulili bubuhlungu kwenza ukukhulelwa kunzima kakhulu. Izimo ezimbili ezivame ukuhlukunyezwa ngokobulili ziyi-vulvodynia ne-vaginismus.
I-Vulvodynia ubuhlungu endaweni yangasese noma eduze nomnyango wesifazane. Ubuhlungu bungaba khona ngaso sonke isikhathi, ngezinye izikhathi, noma nje uma kuthintwa.
Amaphesenti angaba ngu-15 abesifazane bahlangabezana ne-vulvodynia kuze kube izinyanga ezintathu ngesikhathi sokuphila kwabo. Akucaci ukuthi yini ebangela i-vulvodynia. Ukwelashwa ngokuvamile kudinga ukuhlolwa okuthile. Okusebenza kowesifazane oyedwa kungaba noma angasebenzi kwabanye.
Esinye isimo esidabukisayo sobulili buyi-vaginismus. Abesifazane abane-vaginismus babhekana nosizi lapho bengena emgodini. Abanye bachaza ubuhlungu njengokuthi "ukudubula" noma ukuzwa sengathi "bakhishwa."
Phakathi kwamaphesenti angu-5 no-42 abesifazane baye babhekana ne-vaginismus. (Ububanzi obuningi bamaphesenti wukuthi kuvame ukuhamba ngaphansi kokubikwa, okwenze kube nzima ukucwaninga.) Isimo sobuhlungu singase sibonakale sibe khona noma singaqala emva kwezinyanga noma iminyaka yokuhlangenwe nakho okungenabuhlungu.
Njenge-vulvodynia, i-vaginismus ayiqondi kahle. Kuye kwacatshangwa ukuthi kungukuzibophezela kokuzibandakanya kwamasipha omzimba, okuholela ekubuyeni ngesikhathi sokungena. Kodwa-ke, le mbono ibizwa ngokuthi ingabaza.
Ukwelashwa kwezimo zombili kungadinga usizo oluvela ochwepheshe abaningi. Ochwepheshe bezokwelapha abangakwazi ukusiza bahlanganisa ama-gynecologists, ababelapha ngokomzimba, ochwepheshe bezinhlungu, ochwepheshe bezocansi nabachwepheshe bezengqondo.
Ukukhuluma Ngezocansi Ezibuhlungu Ngodokotela Wakho
Ngokwesifundo esenziwa eSweden, amaphesenti angu-28 kuphela abesifazane abanobuhlungu obukhulu obuphathelene nobulili abake bakhulume nodokotela babo. Kufanele ukhulume nodokotela wakho mayelana nobuhlungu bakho. Awudingi ukuhlupheka. Kukhona izindlela zokwelapha ezitholakalayo.
Uma uya endaweni yakho yokuqokwa, ulungele ukwabelana ngenkathi, kanjani, futhi kuphi okulimazayo. Lokhu kuzokusiza udokotela wakho aqonde ukuthi kungabangela yini. Uma ukukhuluma ngobuhlungu nodokotela wakho kungaba nzima kakhulu, cabanga ukubhala phansi izimpendulo zemibuzo elandelayo esikhathini esilandelayo.
- Ingabe ubulili buyalimala ngesikhathi sokungena? Noma ingabe ubuhlungu bubuhlungu obukhulu?
- Uma ngabe uhlobo olujulile lobuhlungu, ingabe isimo sezocansi sinendaba? Ingabe ubuhlungu bubukhali noma bubuhlungu?
- Ingabe ubuhlungu buvele kuphela ngesikhathi socansi? Ingabe nawe uhlangabezana nazo izikhathi ezinye futhi?
- Ingabe ubuhlungu buyabonakala buba noma bubi nakakhulu ngezikhathi ezithile zomjikelezo wakho? Isibonelo, ingabe ibuhlungu kakhudlwana ngokuzungeze i-ovulation? Noma eduze kokuya esikhathini?
- Ingabe uncelisa? Ingabe ubuhlungu buqala ngemva kokubeletha?
- Ingabe ubuhlungu buhlukile kuye ngokuthi yini ethintekayo? Isibonelo, ingabe uzwa ubuhlungu endaweni yangasese, ngaphambi kokuba ukungena kuvivinywa?
- Uma ukungenwa yilokho okubangela ubuhlungu, ingabe kunendaba ukuthi yini efakwe ngaphakathi kwesifazane? Isibonelo, ungasebenzisa amathoni? Ingabe ukungena komunwe nakho kulimaza noma ukufakwa kwe-penile kuphela?
- Ingabe izivivinyo zama-gynecological zibuhlungu futhi? (Sicela utshele udokotela wakho uma kunjalo, njengoba kungenzeka akwazi ukwenza izinto ukwenza kube lula kakhulu kuwe.)
- Uma unethemba lokukhulelwa, ingabe ubuhlungu bukuvimbele ukuba ulale ocansini njalo okwanele ukukhulelwa?
- Ingabe unesithakazelo ekukhethwa kukho okuhlukile kokukhulelwa, njengokungenayo insemination ?
Izwi elivela ku-Verywell
Ubuhlungu ngesikhathi socansi akuyona iphutha lakho. Akuyona into okufanele uyenamahloni ngayo. Kuyinto isimo sezokwelapha futhi akuchazi. Ngeshwa, akuwona wonke udokotela owaziyo ukuphendula kahle noma ukuphatha izimo zobuhlungu. Uma udokotela wakho engakwazi ukusiza, noma akuthathi ngokungathí sina, hamba komunye umuntu. Qhubeka ukhuluma kuze kube yilapho uthola usizo olufanelwe.
> Imithombo:
> Furukawa AP, Patton PE, Amato P, Li H, uLeclair CM. "I-Dyspareunia nokuhlukunyezwa ngokocansi kwabesifazane abafuna ukwelashwa kokuzala. "Fertil Steril. 2012 Dec; 98 (6): 1544-8.e2. doi: 10.1016 / j.fertnstert.2012.08.011. I-Epub 2012 Septhemba 6.
> Heim LJ1. "Ukuhlola nokuhlukana kokuhlukana kwe-dyspareunia. " Ngingu-Fam Physician . 2001 Apr 15; 63 (8): 1535-44.
> Ubulili obubuhlungu (dyspareunia). Izifo Nemibandela. MayoClinic.org.
> Stewart, u-Elizabeth Gunther. Ukuxilongwa okuhlukile kokuhlukunyezwa ngokobulili kwabesifazane. UptoDate.com.
> Stewart, u-Elizabeth Gunther. Ukwelashwa kwe-vulvodynia. UptoDate.com.