Vulvodynia of Vulvodinea en Fibromyalgia is twee toestande by vroue wat soms oorvleuel.
Vulvodynia is chroniese pyn in die vulva (die buitenste gedeelte van die vroulike geslagsorgane). Dit kan manifesteer as brand, irritasie of enige kombinasie van pyn; veroorsaak ernstige ongemak tydens oefen, seks hê en selfs gaan sit. Pyn kan wissel van matig tot ernstig, algemeen of gelokaliseerd, en spontaan of tydens kontak.
Fibromialgie is intussen ‘n chroniese siekte wat onder meer konstante en algemene liggaamspyn, moegheid, slaapstoornisse veroorsaak.
Daar is bekend dat hierdie chroniese pyntoestande nie gediagnoseer is nie, en daar word selfs geglo dat dit verband hou.
‘N Onlangse studie wat in die vaktydskrif Obstetrics & Gynecology gepubliseer is, het aan die lig gebring dat vroue met Vulvodynia ‘n 2 tot 3 keer hoër risiko het om ook ander chroniese pyntoestande te ontwikkel, soos prikkelbare dermsindroom, interstisiële sistitis en fibromialgie.
Daar word ook geglo dat vroue met vulva-pyn geïrriteerde dermsindroom kan ontwikkel wat ook verband hou met fibromialgie.
Daar word beraam dat tot 11% van vroue met fibromialgie ook vulvodinie het.
Alhoewel Vulvodynia algemeen by fibromialgie voorkom , moet opgemerk word dat dit nie ‘n simptoom is nie, maar ‘n onafhanklike toestand wat op sigself gediagnoseer en behandel moet word.
Soos in fibromialgie , kom die pyn en ongemak van Vulvodynia nie van enige ooglopende bron nie ; die weefsels lyk gesond, daar is geen infeksie nie en daar is geen skade wat die skuld kan gee nie, maar dit beteken nie dat dit nie regtig is nie.
Kenners weet nie honderd persent van die oorsake van fibromialgie nie en daar is onsekerheid oor die oorsake van Vulvodynia. Sommige dokters meen dat vulva-pyn ‘n manifestasie van fibromialgie is.
Navorsers weet nie presies waarom Vulvodynia algemeen by fibromialgie voorkom nie, maar ‘n prominente teorie is dat albei ‘n gemeenskaplike onderliggende meganisme het: sentrale sensitisering.
In sentrale sensitisering word die senuweestelsel (brein en rugmurg) oorsensitief vir onaangename stimuli. Dit kan druk, geraas, reuke en chemikalieë insluit, soms is die vel ook betrokke.
‘N Studie wat in 2012 gedoen is oor die toestande van Vulvodynia en het getoon dat gevoelens van nietigheid erger was by vroue wat ook aan fibromialgie ly.
SIMPTOME
Die simptome van vulvodynia kan insluit:
- Brand of jeuk
- Jeuk
- Sensitiwiteit
- ‘N Gevoel asof ek rou is
- Algemene pyn
OORSAKE
Die oorsake van vulvodynia is nie presies bekend nie, maar sommige faktore wat ‘n rol kan speel in die voorkoms daarvan, is geïdentifiseer, soos:
- Infeksies
- Hormonale faktore
- Metaboliese afwykings
- Probleme in urologie
- Veranderings in vaginale PH
- Emosionele spanning
In die ernstigste gevalle kan dit seksuele lewe, intieme higiëne en selfs kontak met klere onmoontlik maak, wat die lewenskwaliteit van die vrou beïnvloed, benewens depressiefaktore.
TIPES VULVODINIA
Vulvodynia word geklassifiseer in:
- Vulvar vestibulitis ; dit word gekenmerk deur ongemak en oorsensitiwiteit in die vulvar voorportaal. Daar is pyn in ‘n spesifieke vulva-streek of in die voorportaal (interne en sentrale gedeelte van die vulva) van ‘n brandende, intense irritasie, wat gewoonlik veroorsaak word deur kontak, druk of stimulasie van ‘n ander aard op daardie anatomiese vlak.
- Disestetiese Vulvodynia ; Dit veroorsaak pyn in die vulva, van die pubis tot die stertbeen, gewoonlik is die hele area rooi.
AANBEVELINGS VIR DIE BEHANDELING VAN VULVODINIA
- Dra katoen onderklere
- Vermy geurige seep, gebruik hipoallergeen seep
- Dien plaaslike verdowingsmiddels toe in geval van pynlike krisis
- Plaaslike hormoonterapie in die geval van pasiënte ouer as 40 jaar
- Spesiale oefeninge vir die bekken
- Psigoterapie
- Alternatiewe behandelings
Het u fibromialgie? Het u enige ongemak in u intieme omgewing gevoel?
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