Chinthu choyamba kuchita: funsani dokotala

Nthawi zonse ndikofunikira kuti muyambe ndi kuyezetsa magazi komanso kuwunikanso mankhwala omwe atengedwa. Izi zikhoza kukhala zokwanira kupeza chifukwa cha vuto la kugonana. Dziwani kuti mapiritsi olerera kapena antidepressants nthawi zonse amakhala ndi vuto la chilakolako chogonana.

Physiotherapy: kukonzanso minofu ya m'chiuno

Le physiotherapist kapena mzamba woyenerera kukonzanso mtsempha wa m'mimba atha kukhala othandiza pazovuta zina zogonana.

Zikavuta kufika pachimake, maphunziro amphamvu a perineal amatha kuthandizira kubwezeretsanso ma orgasm, makamaka kwa amayi omwe ali ndi ana, komanso amayi achikulire, ngakhale opanda ana.

Ngati muli ndi kupweteka kwa coitali or vaginismus, ntchito pa minofu ya m`chiuno pansi (perineum) zambiri zothandiza. Koma zikhoza kuchitika pambuyo kapena mofanana ndi psychotherapy ntchito pa nkhani ya vaginismus.

Mankhwala

Chitani matenda omwe akukhudzidwa:

Pamene kulephera kumabwera chifukwa cha a vuto la thanzi zomwe zimakhudza ziwalo zoberekera (vaginitis, matenda a mkodzo, matenda opatsirana pogonana, ndi zina zotero), chithandizo choyenera chimatheka ndipo nthawi zambiri chimathandizira kubwereranso kwa moyo wogonana wokwanira. Onani masamba okhudzana ndi izi kuti mudziwe zambiri zamankhwala awo.

Mankhwala ochizira matenda olakalaka

Pakalipano pali mankhwala, flibanserin, omwe akhala akugulitsidwa kuyambira 2015 pansi pa dzina lakuti Addyi® ku United States kuti athetse vuto lachilakolako chogonana chomwe chimapezeka komanso chodziwika bwino mwa amayi omwe ali ndi mimba. Komabe, ndizotsutsana kwambiri: mu phunziro lomwe linalola kuti ligulitsidwe, amayi omwe amatenga placebo anali ndi kugonana kwa 3,7 pamwezi ndipo amayi omwe amatenga Flibanserin 4,4, mwachitsanzo 0,7 kugonana kowonjezereka pamwezi. Kumbali inayi, zotsatira zake zimakhala zofala (36% ya amayi omwe ali mu phunziroli adanenedwa) ndi madontho a kuthamanga kwa magazi, kugona, syncope, chizungulire, nseru kapena kutopa. (Mankhwalawa amachokera kubanja la antidepressant).

Dziwani chithandizo cha mahomoni

Azimayi omwe, mogwirizana ndi dokotala wawo, amasankha mankhwala m'thupi kusintha kwa thupi  pamene iwo anakumana woyamba zizindikiro za kusintha kwa thupi akhoza kuchepa kapena kutha zizindikiro za dryness wa ukazi mucous zimagwira ntchito zosiyanasiyana. Koma mankhwalawa sagwira ntchito mwa amayi onse.

Azimayi akudwala adachepetsa libido zogwirizana ndi a kusowa kwa mahomoni, adokotala angaperekenso testosterone, koma zochepa zomwe zimadziwika za zotsatira za nthawi yaitali za mtundu uwu wa mankhwala a mahomoni ndipo kugwiritsidwa ntchito kwake kumakhalabe malire komanso kutsutsana. Chigamba cha testosterone (Intrinsa®) chinagulitsidwa, koma chinachotsedwa pamsika ku 2012. Analoledwa kwa amayi omwe ali ndi chilakolako chogonana chochepa komanso omwe mazira awo amachotsedwa ndi opaleshoni.

Zatsopano zochizira matenda okhudzana ndi kugonana kwa akazi

- Gawo la laser. Amagwiritsidwa ntchito pochiza kuyanika kwa ukazi mwa amayi omwe sangathe kapena sakufuna kupindula ndi mahomoni onga estrogen. Kafufuzidwe kakang'ono kamene kamayikidwa kumaliseche ndikutumiza kugunda kwa laser kosapweteka. Izi zimayambitsa kuyaka kwazing'ono komwe, kuchiritsa, kumapangitsa kuti ukazi ukhale ndi mphamvu (tikulankhula za kubwezeretsanso ukazi). Mu magawo atatu motalikirana kwa mwezi umodzi, amayi amapezanso mafuta abwino. Njirayi imagwiritsidwanso ntchito pamlingo wa vulvar. Zimalola amayi omwe adalandira chithandizo cha khansa ya m'mawere kapena ya chiberekero kuti ayambenso kugonana momasuka. Laser yachikazi yachikazi mwatsoka sichimathandizidwa ndi Health Insurance ku France ndipo mtengo wagawo uli pafupi € 400.

- Mawayilesi pafupipafupi. Kapende kakang'ono kamene kamayikidwa mu nyini kumatulutsa mafunde a radiofrequency omwe amachititsa kutentha pang'ono kukuya. Mayiyo akumva kutentha komweko. Izi zimakhala ndi zotsatira zomangitsa minyewa komanso kutsitsimutsa nyini yopangira mafuta. Mu magawo atatu patali mwezi umodzi, amayi amapeza zodzoladzola zabwino, komanso kumva kosangalatsa komanso kukhazikika kwamphamvu komanso kosavuta (chifukwa chakumangika kwa minofu), ndipo nthawi zambiri amawona zovuta zawo zazing'ono zamkodzo zimatha. (kunjenjemera, dontho laling'ono lomwe limavutitsa ...). Ma radiofrequency samathandizidwa ndi Health Insurance ndipo akadali pamtengo wokwera (pafupifupi 3 € pagawo lililonse).

Bwanji osapangana ndi dokotala wogonana?

Nthawi zina a multidisciplinary njira, zomwe zimapereka mpata kulowererapo kwa a wazachipatala, zimapangitsa kuti zitheke kukanika kugonana^5-7 . Ku Quebec, madokotala ambiri ochizira kugonana amagwira ntchito mwachinsinsi. Zitha kukhala magawo awiri kapena awiri. Magawowa atha kuthandiza kuchepetsa kukhumudwa ndi mikangano kapena mikangano ya m'banja yomwe imabwera chifukwa cha zovuta zomwe zimachitika m'moyo wakugonana. Adzathandizanso kuonjezera kudzidalira, komwe nthawi zambiri kumagwiritsidwa ntchito molakwika pazochitika zoterezi. 

Njira 6 zochizira kugonana:

• La chidziwitso-makhalidwe mankhwala  cholinga chake makamaka kuthetsa malingaliro oipa okhudzana ndi kugonana (ndi makhalidwe omwe amayamba chifukwa cha izo) pozindikira malingalirowa ndikuyesera kuwathetsa; Zikuphatikizaponso kulangiza zolimbitsa thupi zoyankhulirana kapena zolimbitsa thupi za banja. Njira ya munthu aliyense payekhapayekhayi imathandiza kufufuza ndi kumvetsetsa nkhaniyi pofufuza maganizo a munthuyo, ziyembekezo zake ndi zikhulupiriro za kugonana. Izi zidzadalira zomwe zakhala zikuchitika, mbiri ya banja, misonkhano yamagulu, ndi zina zotero. Monga zitsanzo za zikhulupiriro zokakamiza: "chowonadi chokhacho chimakhala ndi ukazi" kapena "poyang'ana pa chikhumbo changa chofuna cum, ndidzakwaniritsa orgasm". Izi zimapanga mikangano yamkati yomwe, m'malo mwake, imachepetsa kukhutira pakugonana. Pakachitika kuchepa kwa libido kapena kulephera kufikira orgasm, iyi ndiyo njira yokondedwa. Zitha kukhala zothandiza ngati kupweteka kwa coital, kuphatikiza pa physiotherapy. Funsani katswiri wa zamaganizo kapena katswiri wodziwa kugonana wodziwa bwino njirayi.
• Chithandizo cha trauma. Mzimayi akazunzidwa (nkhanza za m'mabanja ali mwana, nkhanza zogonana, nkhanza zapakamwa), njira zomwe zilipo kuti zithetse mavuto omwe amabwera chifukwa cha zowawa izi: EMDR, Life cycle Integration (ICV), Brainspotting, EFT ... mankhwala ochiritsira.
• Thenjira mwadongosolo, yomwe imayang'ana kuyanjana kwa okwatirana ndi zotsatira zake pa moyo wawo wa kugonana;
• THEnjira yowunikira, amene amayesa kuthetsa mikangano yamkati pa chiyambi cha mavuto okhudzana ndi kugonana mwa kusanthula malingaliro ndi malingaliro oipa;
• Thenjira kukhalapo, pamene munthuyo amalimbikitsidwa kuti adziwe momwe amaonera zovuta zogonana komanso kuti adzidziwe bwino;
• ndikugonana ndi thupi, yomwe imaganizira za thupi losagwirizana - maganizo - luntha, ndipo cholinga chake ndi kugonana kokhutiritsa aliyense payekha komanso ubale.

Opaleshoni

Opaleshoni ilibe malo aliwonse pochiza matenda okhudzana ndi kugonana.

Itha kuchitidwa mwa amayi omwe ali ndi endometriosis ndi ululu pakulowa kuti achotse zotupa zomwe zimakhudzidwa.

Nthawi zina vestibulitis (kupweteka kwambiri pakati pa labia minora pa kukhudza pang'ono), madokotala ena opaleshoni apanga vestibulectomies. Maopaleshoniwa amangochitika pamene njira zina zonse zomwe zingatheke zatha popanda kupeza zotsatira zokhutiritsa.