Izizathu ezenzekayo zoSondo obubuhlungu, Xa kuqhelekileyo, kwaye Yintoni enokwenziwa
Ukwabelana ngesondo akufanele kube buhlungu. Nangona kunjalo, naphi na phakathi kwama-30 ukuya kuma-50 ekhulwini kwabasetyhini baya kuba nohlobo oluthile lobulili obubuhlungu ebomini babo. Ubulili obuhlungu (eyaziwa nangokuthi i-dyspareunia) inokuphazamisa ukukhulelwa . Enye, ubulili obubuhlungu bunokubonisa ukuba imeko yonyango echaphazela kakubi ukuzala kwakho. Okwesibini, isondo esibuhlungu ngokwayo singenza ukuba ukhulelwe nzima.
Ukuba awukwazi ukunyamezela ukulala ngesondo, ngokukodwa malunga nexesha lokuhamba , awuyi kukwazi ukukhulelwa.
Funda into eqhelekileyo kunye noko kungenjalo xa kuziwa kubuhlungu bezesondo, yiziphi iimeko zonyango ezinokubangela ubuhlungu obuyintlungu, kwaye kufuneka wenze ntoni xa ubhekane nale ngxaki.
Qaphela: Nangona eli nqaku lijoliswe kwiintlungu zesini kwabesetyhini, kubalulekile ukuchaza ukuba amadoda anokufumana ubuhlungu besini. Intlungu yesini kumadoda nayo ingabangela ubunzima bokukhulelwa.
Ngaba Ubuhlungu Ngethuba Lwabelana Ngesondo Lulunzima?
Ukungaxhatshazwa kwimeko yesondo kunokuqhelekileyo. Umzekelo, okokuqala umfazi alala ngesondo kunokubandakanya ukungahambi kakuhle. Oku kungabangelwa kukungazi kakuhle kunye nokuxhalaba kwababini abalingani.
Nangona kunjalo, ukuhlangana kwezesondo zokuqala akufuneki ukuba buhlungu. Inkolelo yokuba isondo ngokokuqala ngqa "kufuneka 'ibangele ubuhlungu nokuphuma kwegazi. Ngaphambi kokuqala ngesondo kunokuziva ulungile.
Esinye isizathu esivakalayo sesiganeko esibuhlungu sisenza ngesondo kwisimo esingenakulungeleka.
Izikhundla ezivumela ukugxininiswa okunzulu kunokukhokelela ekubeni umlomo wesibeleko ufikeleleke, onokubuhlungu. Ukutshintsha izikhundla okanye ukuphepha ukukhathazeka kunokusombulula le ngxaki kalula.
Esinye isizathu esingaqhelekanga sokubandezeleka ngexesha lesondo asithathi ixesha elaneleyo lokuhamba phambili. Izitho zozaliso zitshintsha ngexesha lokuvusa isondo .
Umlomo wesibeleko uphakamisa uphinde ubuyele xa uvuliwe, kwaye oku kutshintsha kwenza ulwalamano lukhulu ngakumbi.
Ngako konke okuthethi, intlungu kunye nokuhlaziywa kwesinye isikhathi akuzona izinto ezifanayo. Ubunzima obunjalo okanye obunqanda ukulala ngesinye umdlalo webhola.
Izizathu Zobuncwane Obunokubangela Ubuhlungu Obuchaphazelekayo
Ixesha lezonyango ngenxa yesini esibuhlungu kukuba i-dyspareunia. Ubulili obubuhlungu bunokuba ngumqondiso wesimo sonyango. Ezinye zezo meko zingathintela kakubi ukuzala okanye zenze ukuba nzima ukukhulelwa.
Nazi ezinye zezizathu ezinokubangela ubuhlungu obuyintlungu obuya kuba nefuthe lokuzala:
- Ubume obumile : Oku kungabikho kwintlungu encinci yintlungu ebuhlungu kakhulu, ngakumbi xa ihlanganiswe namazinga aphezulu ase-estrojeni. Ezi ntlungu zivame ukuvela kwi-vaginal entry. Ukungabikho komkhuhlane wesibeleko kungabonisa ukungalingani kwe-hormonal, kodwa kunokuthi kwenzeke ngenxa yemiphumo emibi yeyeza.
- I-Endometriosis : Ubulili obubuhlungu kunye ne-endometriosis bunokuba bubi ngakumbi kwi-ovulation kunye nexesha lokusondela kwimihla. Le ntlungu isoloko ivakalelwa ngakumbi, kunokuba ingene ekungeneni. Ezinye iimpawu ze-endometriosis zinokuquka ukuqina kwexesha lokunyuka kwesisu, intlungu yokuchama okanye ukuxhatshazwa (ngokukodwa malunga nexesha lakho), okanye ubuhlungu bukhulu bentlungu.
- Izifo ezivuthayo zengqungquthela (PID): I-PID yenye enye imbangela enesifo sobulili obubuhlungu, ngokuqhelekileyo intlungu ibonwa ngokusondeleyo xa ingenayo ukungena. Izimpawu ze-PID zingafana ne-endometriosis nezinye izifo.
- Ama-cysts ama-Ovarian : Ama-cysts amaninzi ama-ovariya aya kutshabalala ngokwawo, kodwa ama-5 kuya kwe-10 ekhulwini angadinga ukuhlinzwa. Ama-cysts ase-Ovarian akangabangela ubulili obubuhlungu, kodwa kunokuba kunzima kakhulu. I-cyst yedwa ayikho into yokuzala, kodwa i-cysts ingabangelwa zizimo (njenge- PCOS kunye ne- endometriosis ) ezithintelayo.
- I-Adhesions : I- Adhesions yimiqulu yesikhumba esakhiwe phakathi okanye ngaphakathi. Zingakhokelela kwiintlungu ngexesha lesini, kunye nokungabikho komntwana kunye nokukhulelwa komzimba okuphindaphindiweyo. Eyaziwa nangokuthi i-Asherman's syndrome, ukuxhamla kwe-uterine kungabangelwa yinkqubo ye-intrauterine, njenge-D & C, inkqubo eyenziwa ngamanye amaxesha emva kokuphuma kwesisu, okanye emva kwe-myomectomy hysteroscopic. Ukuba waqala ukuva ubuhlungu be-pelvic emva kokuhlinzwa kwe-intrauterine, vumela ugqirha wakho azi.
- I-Fibroids : I- Fibroids ayiyi-tumors ekhwelisayo ekhula okanye ngaphakathi kweendonga ze-uterine. Bangabangela ubuhlungu bobulili. I-Fibroid iyakwenzeka naphi na kwi-uterus, kodwa ezo zikhula ngomlomo wesibeleko zinokubangela ukuba ubuhlungu bube buhlungu. Zingakhokelela ekuboneni ngexesha okanye emva kwesondo.
- I-Agenesis yeVaginal : Eyaziwa nangokuthi i-Mayer-Rokitansky-Küster-Hauser (MRKH) isifo, i-agenesis yesiswini xa i-vagina ingaphuhlisi ngokupheleleyo. Akunqabile - kunye ne-1 000 kwabafazi abazalwayo benesimo-kwaye kunokubangela ubulili obubuhlungu. Uphando luyakunceda udale "neovagina," ukuvumela ubomi bobulili obuqhelekileyo. Abaninzi abasetyhini abaneli meko banemiphumo okanye ukungabikho ngokupheleleyo kwesibeleko. Abakwazi ukukhulelwa. Ukuba abanamaqanda, bangakwazi ukuba nomntwana we-biological nge-surrogacy .
- I-intact okanye i-tight hymen eninzi : I-hymen iyimbrane emancinci ejikeleza ukuvulwa kwesondo. Ayigqubuthe ngokupheleleyo i-vagin evulekile kodwa inomda omncinci owolule ngaphezu kwexesha. (Nangona kwiimeko ezinqabileyo, i-hymen iyayigubungela ngokuvakalayo.) Ngamanye amaxesha, i-hymen ayiluleki ngokwemvelo okanye ayiqhelekanga okanye iyindima ngokungavamile. Oku kunokubangela ubuhlungu obuyingozi. Oku kungalungiswa ngokuhlinzwa kwaye akusayi kuchaphazela ukuzala kwakho kwexesha elizayo.
Nangona ukungabikho kwengxaki ezinxulumene nale miqathango kungenakucinganiswa lula, intlungu ebangelwa yiyo kufuneka ilashwe ngamachiza, unyango lomzimba, utshintsho lobomi, okanye utyando.
Musa ukucinga ukuba kufuneka ufunde ukuhlala kunye nentlungu. Thetha nogqirha wakho malunga nokukhetha kwakho.
Xa ubulili obubuhlungu buzenza ukuba kunzima ukukhulelwa
Ngamanye amaxesha, isizathu sokuba isondo esibuhlungu asichaphazeli ngqo ukuzala-kodwa into yokuba ubulili bubuhlungu bangela ukuba ukukhulelwa kunzima ukuba kwenzeke. Iziganeko ezimbini eziqhelekileyo zentlungu zesondo ziyi-vulvodynia kunye ne-vaginismus.
I-Vulvodynia iyintlungu kwindawo yendawo okanye kufuphi nomnyango wesini. Intlungu ingaba nayo yonke ixesha, ngamanye amaxesha, okanye nje xa ichaphazelekayo.
Phantse ama-15 ekhulwini abafazi banamava okufikelela kwiinyanga ezintathu kwixesha lokuphila kwabo. Akucaci ukuba yintoni ebangela i-vulvodynia. Unyango luhlala ludinga ukuzama. Yintoni esebenzayo kumfazi omnye okanye angasebenzeli omnye.
Olunye uhlobo lweentlungu zesondo oluqhelekileyo luyi-vaginismus. Abafazi abane-vaginismus bavalelwa intlungu xa bengena kwi-vagina. Abanye bachaza intlungu ngokuthi "ukugqabhuka" okanye ukuvakalelwa ngathi "bayakrazulwa."
Phakathi kwama-5 no-42 ekhulwini kwabasetyhini baye babhekana ne-vaginismus. Uluhlu olubanzi lwepesenti kukuba luhlala luphantsi kwenkcazelo, okwenza kube nzima ukuphanda.) Ubume bentlungu ibonakala ngathi ikhona okanye ingaqala emva kweenyanga okanye iminyaka yeentlungu ezingenabuhlungu.
Njenge-vulvodynia, ubufazi be-vaginism asiqondi kakuhle. Kwakuye kwacatshangwa ukuba yintambo yokungazibandakanyeki kwezihlunu zesisu, ezikhokelela entlungu ngexesha lokungena. Nangona kunjalo, le ngqungquthela ibizwa ngokuba ngumbuzo.
Unyango lwemiqathango mibini inokufuna uncedo kwiingcali ezininzi. Abaqeqeshi bezonyango abanokukwazi ukuncedisa ababandakanya izifo zogqirha, abachwephesha bezonyango, iingcali zentlungu, i-therapists kunye neengqondo zengqondo.
Ukuthetha Ngeentlungu Ezibuhlungu Ngogqirha Wakho
Ngokomsebenzi oqhutywe eSweden, kuphela iipesenti ezingama-28 zabesetyhini abaneentlungu zesondo ezigqithisileyo ziye zatsho ngogqirha. Kufuneka uxoxe nodokotela wakho malunga nentlungu. Awudingi ukuhlupheka. Kukho unyango olunokwenzeka.
Xa uya kwixesha lakho lokuqokwa, lungele ukwabelana ngexesha, njani, kwaye apho libuhlungu khona. Oku kuya kunceda ugqirha wakho aqaphele isizathu esinokwenzeka. Ukuba uthetha ngentlungu kunye nogqirha wakho kuya kuba nzima, cinga ukubhala iimpendulo kule mibuzo elandelayo ngaphambi kwexesha.
- Ngaba ubulili buhlungu xa ufaka? Okanye ngaba intlungu ibe yintlungu engakumbi?
- Ukuba luhlobo olunzulu lwentlungu, ingabe isimo sokwabelana ngesondo? Ngaba ubuhlungu bubukhali okanye bubuhlungu?
- Ingaba intlungu ivela kuphela ngexesha lokwabelana ngesondo? Ngaba ufumana amaxesha athile?
- Ingaba intlungu ibonakala ihamba okanye ibuhlungu kwixesha elithile lomjikelezo wakho? Ngokomzekelo, ngaba buhlungu kakhulu malunga ne-ovulation? Okanye ujikeleze ukuya esikhathini?
- Ngaba uncelisa? Ingaba intlungu iqala emva kokubeletha?
- Ingaba intlungu ehlukileyo kuxhomekeke kwinto ethintekayo? Ngokomzekelo, ngaba uvakalelwa intlungu kwindawo yangasese, ngaphambi kokungena ngaphakathi?
- Ukuba ukungena kukubangela intlungu, ngaba kubalulekile ukuba uthathelwa kwisini? Umzekelo, unokusebenzisa iitamponi? Ngaba ukufakwa komunwe kwenzakalisa okanye kungeniswa kuphela?
- Ngaba iimvavanyo zesifo somzimba zibuhlungu, na? (Nceda xelela ugqirha wakho ukuba kunjalo, njengoko ekwazi ukwenza izinto ukwenza kube lula ngakumbi kuwe.)
- Ukuba unethemba lokukhulelwa, ngaba intlungu ikuthintele ukuba ulale ngesondo ngokukhawuleza ukuba ukhulelwe?
- Ngaba unomdla kwindlela enye yokukhetha ukukhulelwa, njenge- insemination ?
Igama elivela kwi-Verywell
Ubuhlungu ngexesha lokwebelana ngesondo akuyiyo inkohlakalo yakho. Akuyonto into omele uyihlazeke ngayo. Yimeko yonyango kwaye ayikuchazi. Ngelishwa, akuwona wonke ugqirha owaziyo ukuphendula ngokufanelekileyo okanye ukunyanga iimeko ezibuhlungu. Ukuba ugqirha akakwazi ukukunceda, okanye akakuthatheli ngokungathí sina, uye kumnye umntu. Qhubeka uthetha kude ufumane uncedo olufanelwe.
> Imithombo:
> Furukawa AP, uPatton PE, Amato P, Li H, uLeclair CM. "I-Dyspareunia kunye nokungasebenzi kwezesondo kubasetyhini abafuna unyango lwezonyango. "Fertil Steril. 2012 Dec; 98 (6): 1544-8.e2. i-doi: 10.1016 / j.fertnstert.2012.08.011. Epub 2012 Sep 6.
> Heim LJ1. "Ukuphonononga kunye nokuxilongwa ngokuhlukileyo kwe-dyspareunia. " NdingumGqirha weNtsapho . 2001 Apr 15; 63 (8): 1535-44.
> Ubuhlungu bobulili (dyspareunia). Izifo neemeko. MayoClinic.org.
> Stewart, u-Elizabeth Gunther. Ukuxilongwa ngokwahlukileyo kweentlungu zesini kwabesetyhini. UptoDate.com.
> Stewart, u-Elizabeth Gunther. Unyango lwe-vulvodynia. UptoDate.com.