Into yokuqala okufanele uyenze: thintana nodokotela wakho

Kuhlale kudingekile ukuqala ngokuhlolwa kwezokwelapha kanye nokubuyekezwa kwemithi ethathiwe. Lokhu kunganele ukuthola imbangela yobunzima bocansi. Qaphela ukuthi iphilisi lokuvimbela inzalo noma ama-anti-depressants ahlala ebandakanyeka ezinkingeni zesifiso sobulili.

I-Physiotherapy: ukuvuselelwa kwemisipha ye-pelvic

Le physiotherapist noma umbelethisi oqeqeshelwe ukuvuselelwa kwe-perineal angaba usizo ezinkingeni ezithile zocansi.

Uma kunzima ukuthola i-orgasm, ukuqeqeshwa ngamandla okuphelele kungasiza ekubuyiseni ama-orgasms, ikakhulukazi kwabesifazane abake baba nezingane, kepha nakwabesifazane asebekhulile, noma bengenazo izingane.

Uma une ubuhlungu bomzimba or i-vaginismus, Ukusebenza emisipheni yethanga le-pelvic (i-perineum) kuvame ukusebenziseka. Kodwa kungenziwa kuphela ngemuva noma ngokuhambisana nomsebenzi we-psychotherapy esimweni se-vaginismus.

izidakamizwa

Phatha izifo ezithintekayo:

Lapho ukungasebenzi kahle kubangelwa a inkinga yezempilo ethinta izitho zangasese (i-vaginitis, ukutheleleka komgudu womchamo, izifo ezithathelwana ngocansi, njll.), ukwelashwa okufanele kuyenzeka futhi ngokuvamile kunomthelela ekubuyeni kwempilo yocansi eyanelisayo. Bheka amashidi ahambisana nalezi zimo ukuze ufunde kabanzi mayelana nokwelashwa kwawo.

Imithi yokwelapha ukuphazamiseka kwesifiso

Njengamanje kukhona umuthi, i-flibanserin, othengiswe kusukela ngo-2015 ngaphansi kwegama i-Addyi® e-United States ukwelapha ukuphazamiseka kwezifiso zocansi ezitholakele futhi ezijwayelekile zabesifazane be-premenopausal. Kodwa-ke, kuyimpikiswano enkulu: ocwaningweni olwaluyivumela ukuthi limakethwe, abesifazane abathatha i-placebo baba nobuhlobo bobulili obungu-3,7 ngenyanga kanti abesifazane bathatha i-Flibanserin 4,4, okusho ukuthi baba nobulili obengeziwe obungu-0,7 ngenyanga. Ngakolunye uhlangothi, imiphumela emibi ijwayelekile (abesifazane abangama-36% ocwaningweni babike) ngamaconsi egazini, ukozela, i-syncope, isiyezi, isicanucanu noma ukukhathala. (Lo muthi ekuqaleni uvela emndenini we-anti-depressant).

Thola ukwelashwa kwamahomoni

Abesifazane okuthi, ngokuvumelana nodokotela wabo, bakhethe ukwelashwa kwamahomoni menopause  lapho bethola izimpawu zokuqala zokunqamuka kokuya esikhathini kungase kwehle noma kuphele ngisho nezimpawu zabo zokoma kolwelwesi lwamafinyila lwesitho sangasese sowesifazane. Kodwa lokhu kwelashwa akusebenzi kubo bonke abesifazane.

Abesifazane abaphethwe yi- kunciphise i-libido kuhlanganiswe a ukungasebenzi kahle kwe-hormonal, udokotela angase futhi akhiphe Testosterone, kodwa kuncane okwaziwayo ngemiphumela yesikhathi eside yalolu hlobo lokwelashwa kwamahomoni kanye nokusetshenziswa kwalo kuhlala kuseceleni futhi kunempikiswano. Isiqephu se-testosterone (I-Intrinsa®) sathengiswa, kodwa sahoxiswa emakethe ngo-2012. Sagunyazwa kwabesifazane abanesifiso socansi esincishisiwe futhi abakhipha amaqanda ngokuhlinzwa.

Ukwelashwa okusha kokungasebenzi kahle kwezocansi kwabesifazane

- I-laser ye-fractional. Isetshenziselwa ukwelapha ukoma kwesitho sangasese sowesifazane kwabesifazane abangakwazi noma abangafuni ukuzuza kumahomoni afana ne-estrogen. Kufakwa iphenyo elincanyana esithweni sangasese bese ithumela izigaxa ze-laser ezingenabuhlungu. Lokhu kubangela ukusha okuncane okuyothi, ngokuphulukisa, kuvuselele amandla e-vaginal hydration (sikhuluma ngokuvuselelwa kwesitho sangasese sowesifazane). Ezimisweni ezintathu ezihlukaniswe ngokwehlukana kwenyanga, abesifazane baphinde bathole ukugcotshwa okunethezekile. Le ndlela ibuye isetshenziswe ezingeni le-vulvar. Ivumela abesifazane abake belashelwa umdlavuza webele noma wesibeletho ukuthi baphinde bathole ucansi olunethezekile. I-laser ye-fractional vaginal ngeshwa ayisekelwa Umshwalense Wezempilo e-France futhi intengo yeseshini icishe ibe ngu-€400.

- Imvamisa yomsakazo. Uphenyo oluncane olufakwe esithweni sangasese luthumela amagagasi amaza e-radiofrequency abangela ukufudumala okuncane ekujuleni. Owesifazane uzwa imfudumalo yendawo. Lokhu kunomphumela wokuqinisa izicubu nokuvuselela amandla okuthambisa esithweni sangasese sowesifazane. Ezikhathini ezi-3 ezihlukaniswe cishe inyanga e-1, abesifazane bathola ukuthambisa okuhle, kanye nemizwa yokuthokoza eyengeziwe kanye nama-orgasms aqinile futhi alula (ngenxa yokuqina kwezicubu), futhi kaningi ukubona izinkinga zabo ezincane zomchamo zinyamalala. (ukuncinza, ukwehla okuncane okuhlupha…). I-radiofrequency ayisekelwa yi-Health Insurance futhi isabiza ngentengo ephezulu (cishe i-850 € ngeseshini).

Kungani ungenzi isikhathi sokubonana nodokotela wocansi?

Kwesinye isikhathi a indlela eyahlukene yemikhakha ehlukene, okuvumela ukungenelela kwe udokotela wobulili, kwenza kube nokwenzeka ukwelapha ukungasebenzi kahle sex^5-7 . E-Quebec, abelaphi bobulili abaningi basebenza ezikhundleni ezizimele. Kungaba njalo izikhathi zomuntu ngamunye noma izithandani. Lezi zikhathi zingasiza ukudambisa ukukhungatheka kanye nokungezwani noma izingxabano zomshado ezibangelwa ubunzima obukhona empilweni yocansi. Zizosiza futhi nokwandisa ukuzethemba, okuvame ukuhlukunyezwa ezimweni ezinjalo. 

Izindlela ezi-6 zokwelashwa kocansi:

• La ukwelashwa kwengqondo-yokuziphatha  ihlose ikakhulukazi ukugqashula umbuthano ononya wemicabango engemihle ngocansi (kanye nokuziphatha okuvela kukho) ngokuhlonza le micabango nokuzama ukuyidambisa; futhi kuhlanganisa nokuchaza izivivinyo zokuxhumana noma ukuvivinya umzimba kombhangqwana. Le ndlela yokwelashwa kwengqondo yomuntu ngamunye isiza ukuhlola nokuqonda udaba ngokuhlaziya imicabango yomuntu, lokho akulindele nezinkolelo zakhe mayelana nobulili. Lokhu kuzoncika kokuhlangenwe nakho okuphilayo, umlando womndeni, izivumelwano zomphakathi, njll. Njengezibonelo zezinkolelo eziphoqelelayo: "i-orgasm yeqiniso kuphela i-vaginal" noma "ngokugxila esifisweni sami sokulala, ngizozuza i-orgasm". Lokhu kudala ukungezwani kwangaphakathi okuthi, ngokuphambene nalokho, kunciphise ukwaneliseka ngokocansi. Uma kwenzeka ukwehla kwe-libido noma ukungakwazi ukufinyelela i-orgasm, lena yindlela ekhethwayo. Kungase futhi kube usizo uma kwenzeka ubuhlungu be-coital, ngaphezu kwe-physiotherapy. Xhumana nodokotela wezengqondo noma owelapha ngezocansi ojwayelene nale ndlela.
• Ukwelashwa kwe-trauma. Lapho owesifazane ehlukumezekile (udlame lwangaphakathi komndeni ebuntwaneni bakhe, udlame locansi, udlame lwamazwi), izindlela ezikhona manje zokuqeda umonakalo ongokwengqondo obangelwe yilokhu kuhlukumezeka: EMDR, life cycle integration (ICV), Brainspotting, EFT ... izindlela zokwelapha ezisebenzayo.
• Theindlela ehlelekile, ebheka ukusebenzelana kwabashadile kanye nomthelela wabo ekuphileni kwabo kobulili;
• THEindlela yokuhlaziya, ozama ukuxazulula izingxabano zangaphakathi emsuka wezinkinga zocansi ngokuhlaziya umcabango namaphupho avusa inkanuko;
• Theindlela ekhona, lapho umuntu ekhuthazwa khona ukuthola imicabango yabo ngobunzima babo bezocansi nokuzazi kangcono;
• theindlela yocansi-nomzimba, ecabangela umzimba wezixhumanisi ezingenakuhlukaniswa - imizwa - ubuhlakani, futhi ohlose ubulili obanelisayo kokubili komuntu ngamunye kanye nobudlelwane.

Ukuhlinzwa

Ukuhlinzwa akunandawo ekwelapheni ukungasebenzi kahle kwezocansi.

Kungenziwa kwabesifazane abane-endometriosis kanye nobuhlungu ekungeneni ukuze basuse ama-cyst ahilelekile.

Kwezinye izimo ze-vestibulitis (ubuhlungu obukhulu phakathi kwama-labia amancane amabili lapho uthintana kancane), abanye odokotela abahlinzayo baye benza i-vestibulectomies. Lokhu kuhlinzwa kwenziwa kuphela lapho zonke ezinye izindlela ezingenzeka seziphelile ngaphandle kokuthola umphumela owanelisayo.