Dyspareunia na iya zama Babban Dalilin Dalilin Yin Jima'i Yana da Raɗaɗi a gare ku

Wadatacce

• Alamomin Dyspareunia
• Dalilin Jiki da Ilimin Hankali
• Yadda ake Maganin Dyspareunia
• Nasihu don Ma'amala da Dyspareunia
• Bita don

Daga cikin cututtukan da babu wanda ya yi magana game da shi, wanda ke ɗaukar cake ɗin na iya zama dyspareunia kawai. Ba ku ji labarin ba? Wannan ba abin mamaki bane-amma menene shine Abin mamaki shine sama da kashi 40 cikin ɗari na duk mata suna fuskantar hakan. (Wasu ƙididdiga sun kai kashi 60 cikin ɗari, a kowace Cibiyar Nazarin Likitocin Iyali ta Amurka, kodayake ƙididdiga ta bambanta a cikin shekaru.)

Ta hanyar ma'ana, dyspareunia kalma ce ta laima don ciwon jinsi kafin, lokacin, ko bayan saduwa, amma dalilan ba koyaushe suke bayyana ba, kuma ba iri ɗaya bane. A zahiri, ba koyaushe yake cikin jiki ba-a lokuta da yawa, yanayin yana da alaƙa da raunin tunani, damuwa, tarihin cin zarafin jima'i, da rikicewar yanayi kamar damuwa da bacin rai.

Jima'i ya kamata ya ji dadi. Idan ba haka ba har abada, yi magana da likitan ku. A halin yanzu, idan kuna tunanin dyspareunia na iya zama laifi don jima'i mai raɗaɗi, ci gaba da karantawa don ƙarin bayani.

Alamomin Dyspareunia

"Yawanci, alamun dyspareunia kowane nau'i ne na ciwo a cikin farji yayin jima'i," in ji Navya Mysore, MD, wani Likitan Likita. More musamman, wannan yana nufin:

• Ciwo a cikin shigar azzakari (koda kuwa an ji shi kawai a farkon shigarwa)
• Jin zafi tare da kowane turawa
• Ƙona, ƙuna, ko motsin motsin rai wanda ke daɗe na tsawon lokaci bayan saduwa

Koyaya, maiyuwa bazai zama mai raɗaɗi a duk lokacin da kuka yi jima'i ba, in ji Dokta Mysore. "Mutum ɗaya na iya jin zafi kashi 100 na lokaci, amma wani na iya fuskantar shi kwatsam."

Dalilin Jiki da Ilimin Hankali

"Da alama babu kamuwa da cuta ko kumburin da ke akwai, dyspareunia na iya zama farkon yanayin da ake ciki," in ji ƙwararren masanin ilimin jima'i da likitan osteopathic Habib Sadeghi, DO, marubucin Tsabtace Tsabtace, (wanda ya ga ɗaruruwan marasa lafiya don wannan cuta a aikin sa a Agoura Hills, CA.)

Wasu dalilai na jiki na dyspareunia sun haɗa da:

• Mahaifa mai lankwasawa (mai lankwasa) ko faduwar mahaifa
• Yanayi kamar fibroids na mahaifa, kumburin ovarian ko PCOS, endometriosis, ko cutar kumburin ƙashi (PID)
• Raɗaɗi a cikin ƙashin ƙugu ko yankin al'aura (saboda tiyata kamar hysterectomy, episiotomy, da C-sassan)
• Atrophy na cranial nerve zero (CN0), a cewar Dr. Sadeghi (ƙari akan wannan a ƙasa)
• Rashin man shafawa/bushewa
• Kumburi ko rashin lafiyar fata, kamar eczema
• Vaginismus
• Saka IUD na kwanan nan
• Kwayoyin cututtuka, cututtukan yisti, vaginosis, ko vaginitis
• Hormonal canje -canje

Scarring: "Kimanin kashi 12 cikin ɗari na [mata marasa lafiya] da nake gani suna da dyspareunia, tare da abin da ya fi yawa shine tabo daga sashin C na baya," in ji Dokta Sadeghi. "Ba na tsammanin daidaituwa ne a kwanakin nan cewa ɗayan jarirai uku ana haife su ta hanyar C-section, kuma ɗaya cikin mata uku suna fuskantar wani matakin dyspareunia."

Mene ne babban abin da ya shafi tabo? A cewar Dakta Sadeghi, zai iya yin tasiri ga tsarin juyayi. "Dabarun ciki da na waje na iya tarwatsa kwararar makamashi a cikin jiki," in ji shi. "Abin sha'awa shine, a Japan, inda sassan C-ba su da yawa, ana yin katsewar a tsaye, ba a kwance ba, don rage irin wannan rikice-rikice."

Kecia Gaither, MD, MPH, wanda ke da tabbataccen jirgi biyu a cikin ob-gyn da likitan mahaifa, ya yarda cewa tabo daga rabe-raben sashen C na iya zama mai ba da gudummawa ga dyspareunia. "Mukalla-ƙaramin lahani a cikin warkar da tabo, wanda ke ɗauke da ƙuduri a cikin raunin mahaifa mai ƙarancin wuce gona da iri na iya haifar da ciwo, gaggawa cikin mafitsara, da dyspareunia," in ji ta.

Har ila yau, ta lura cewa, kamar yadda Dr. Sadeghi ya ambata, ƙaddamarwa a kwance na sassan C-US na iya, a ka'idar, ya haifar da batutuwa fiye da ƙaddamarwa a tsaye. Ta ce komai daga bushewar ruwa zuwa “rashin kulawa da sauran mutane” na iya rushe kwararar kuzari a cikin jiki kuma rauni na zahiri daga sashin tiyata zai kasance mai kawo cikas wanda zai iya ba da gudummawa ga dyspareunia.

CN0: "Wani dalili na iya zama kashewa ko atrophy na cranial nerve zero (CN0), jijiyar da ke ɗauke da sigina daga pheromones da aka karɓa a cikin hanci kuma yana mayar da su zuwa sassan kwakwalwa waɗanda ke hulɗa da haifuwar jima'i," in ji Dokta Sadeghi . Tsarin da ke haifar da shirye -shiryen mu na jima'i ya dogara sosai kan sakin oxytocin na hormone ko kuma "kauna" hormone wanda ke haifar da haɗin dan adam, in ji shi. "Pitocin (oxytocin synthetic) ana gudanar da shi ga mata don haifar da aiki, kuma yana iya lalata duk jijiyoyin jijiyoyin jini 13, gami da CN0, wanda ke haifar da dyspareunia a matsayin sakamako mai lalacewa."

Duk da yake CN0 ba a yi nazari sosai a cikin mutane ba, rahoton 2016 game da tarin bayanai akan CN0 ya gano cewa wannan jijiyar na iya daidaitawa "ayyukan daidaita yanayin muhalli, aikin jima'i, haifuwa da halayen jima'i." Dokta Gaither ya tabbatar da hakan, lura da cewa masu binciken sun ba da shawarar cewa CN0 na da hannu wajen haifar da tashin hankali ko dai da kansa ko ta hanyar mu'amala da sauran da'irori a cikin kwakwalwa.

Hormonal canje-canje: "Daya daga cikin abubuwan da ke haifar da canjin shine canjin hormonal, wanda zai iya haifar da canji a cikin pH na sirrin farji," in ji Dokta Mysore. "Misalin al'ada na wannan shine canzawa zuwa menopause, wanda shine lokacin da jima'i zai iya zama rashin jin daɗi saboda canal na farji ya fi bushewa."

Vaginismus: "Wani abin da ke haifar da jin zafi yayin jima'i shine vaginismus, ma'ana tsokoki a kusa da buɗe farji ba tare da son rai ba suna yin kwangila don mayar da martani," in ji Dokta Mysore. Idan kun taɓa fuskantar abubuwa biyu na jima'i mai raɗaɗi, alal misali, tsokarku na iya amsawa ta daskarewa. "Kusan reflex ne - an tsara jikin ku don guje wa ciwo, kuma idan kwakwalwa ta fara danganta jima'i da zafi, tsokoki na iya mayar da martani ba da gangan ba don kauce wa wannan ciwo," in ji ta. "Abin takaici, wannan kuma na iya zama yanayin sakandare na cin zarafin jima'i ko cin zarafin jima'i." (Dangane: Dalilai 8 Da Ya Sa Zaku Iya Yin Ciwo Yayin Jima'i)

Dalilan tunani: Kamar yadda aka sani, raunin motsin rai da yanayi na iya ba da gudummawa ga jima'i mai raɗaɗi. "Abubuwan da ke haifar da ilimin halin ɗabi'a galibi sun haɗa da cin zarafin jiki ko lalata, kunya, ko wasu nau'ikan cututtukan da ke da nasaba da jima'i," in ji Dokta Sadeghi.

Yadda ake Maganin Dyspareunia

Dangane da tushen yanayin mai haƙuri, akwai hanyoyi daban -daban na magani. Ko da menene tushen dalilin, yana da mahimmanci don ganin likitan ku don ƙirƙirar tsari. Suna iya ba da shawarar ku gwada matsayi daban -daban, yi la'akari da amfani da lube (gaskiya, rayuwar jima'i na kowa na iya zama mafi kyau ta hanyar lube), ko don ƙoƙarin ɗaukar masu rage zafi a gaba.

A cikin hali na scarring: Ga marasa lafiya da ke da tabo da ke haifar da jima'i mai zafi, Dr. Sadeghi yana amfani da takamaiman magani. "Ina yin magani a kan tabo da aka fi sani da integrative neurotherapy (INT)," in ji Dokta Sadeghi. Wannan kuma ana kiranta acupuncture na Jamus. Wannan hanyar tana warkar da tabo kuma yana taimakawa rushe wasu daga cikin tsaurin da kuzarin makamashi na tabon, ya bayyana.

Idan kuna da mahaifa mai lankwasa: Idan ciwon ku ya faru ne saboda koma baya (mai lankwasawa), farfajiyar bene shine mafi kyawun magani, in ji Dokta Sadeghi. Yep-jiki far for your pelvic kasa, farji tsokoki da duka. Ya ƙunshi jerin magudi na hannu da sakin nama mai taushi don rage tashin hankali a cikin ƙashin ƙugu, in ji shi. Labari mai dadi: Kuna iya ganin wasu sakamako kusan nan da nan. (Mai dangantaka: Abubuwa 5 da Kowace Mace Ya Kamata Ta Sani Game Da Dandalin Pelvic)

Idan yana daga jijiyar jijiyoyin jiki atrophy: "A cikin yanayin jijiyoyin jijiyoyin jijiyoyin jiki, ana ba da shawarar ayyukan da suka haɗa da babban matakin samar da oxytocin, kamar shayarwa idan mutum ya zama sabuwar uwa, da kuma ayyukan da ke da alaƙa da gaske waɗanda ba su haɗa da shigar azzakari ba," in ji Dokta Sadeghi.

Idan kuna da kumburi ko bushewa: Kuna iya gwada mai na CBD. A zahiri, lube na tushen cannabis shine mafita ga mata da yawa waɗanda suka sami dyspareunia daga dalilai masu yawa. Masu amfani sun yi tsokaci game da ikonsa na canza kwarewar jima'i, kawar da ciwo, da taimaka musu samun damar shiga inzali kamar ba a taɓa yi ba. Dokta Mysore ya kasance mai ba da shawara don amfani da man shafawa, kazalika da magance bushewa tare da maganin hormone idan ya samo asali daga sauyawa kamar menopause.

Idan kana da kamuwa da cuta: "Sauran abubuwan da ke haifar da jin zafi yayin jima'i sun haɗa da cututtukan yisti, UTIs, ko vaginosis na kwayan cuta, waɗanda kowannensu yana da ka'idoji na kansa don magani wanda yakamata ya rage alamun ciwo mai raɗaɗi," in ji Dokta Mysore. "Ga mutanen da ke fuskantar ko kamuwa da cututtukan yisti ko vaginosis na kwayan cuta, ni babban mai son yin amfani da kayan maye na boric acid ban da magani don taimakawa daidaita pH na farji." (Mai dangantaka: Jagorar Mataki-Mataki don Magance Ciwon Yisti na Farji)

Bugu da kari, Dokta Mysore ya ba da shawarar shan probiotics: "Mutane da yawa suna alakanta probiotics kawai tare da inganta ƙwayoyin cuta a cikin hanji, amma probiotics na iya yin illa ga yanayin farji da taimakawa daidaita ko dawo da pH da ya dace," wanda zai iya haifar da jima'i mara jin zafi.

Bayan shigar da IUD: "Matan da aka riga aka dasa su na IUD na iya fuskantar jima'i mai raɗaɗi," in ji Dokta Mysore. "IUDs sune progesterone-kawai, amma tunda hormones suna da tasirin gida, yana iya canza daidaituwa da ingancin fitarwa," in ji ta, wanda zai iya haifar da bushewa. "[Masu lafiya] kuma maiyuwa ba sa samar da man shafawa na halitta sosai," in ji ta, amma lura cewa ya kamata jikin ku ya sake sakewa. "A mafi yawan lokuta, jiki a hankali zai sake daidaitawa kuma zafi da bushewar ya kamata su ragu, amma yana da kyau ku yi magana da likitan ku idan kun ci gaba da samun ciwo tunda ana iya kashe wurin IUD." (Mai dangantaka: Shin IUD ɗin ku yana sa ku zama masu saurin kamuwa da wannan yanayin mai ban tsoro?)

Idan farji ne (spasming): Maganin vaginismus galibi ya haɗa da amfani da dilators na farji. Yawanci, wannan ya haɗa da salo na abubuwa masu siffa irin na mutum-mutumi waɗanda girmansu ya bambanta daga yatsa mai ruwan hoda zuwa azzakari madaidaiciya. Za ku fara da ƙaramin girman kuma ku yi amfani da shi kowace rana (tare da ɗimbin yawa!) Yana motsa shi a ciki da waje ta farji har sai kun ji daɗi, yawanci makonni biyu zuwa uku, kafin ƙaura zuwa girman na gaba. Wannan sannu a hankali yana sake fasalin ƙwayar farji, kuma, da fatan, yana kaiwa ga mutumin da ke fuskantar ƙarancin ko rashin jin zafi yayin shigar azzakari. Mutum na iya amfani da dilators shi kaɗai ko tare da abokin tarayya-fa'idar haɗawa da abokin tarayya shine cewa tsarin zai iya taimakawa wajen haɓaka aminci da tausayawa cikin alaƙar.

Idan yana da hankali: Mata da yawa suna da zafi wanda ke fitowa daga toshewar tunani-watakila damuwa yana haifar da tashin hankali na bene. A wannan yanayin, jikin ku a zahiri yana haifar da toshe dangane da ƙwarewar motsin rai.

"Idan dyspareunia ɗin ku ya samo asali ne daga kowane nau'in cin zarafi na tunani ko tunani, koyaushe ku nemi shawarar kwararru," in ji Dr. Sadeghi. An ba da cikakken shawarwarinsa a cikin littafinsa, Tsabtace Tsabtace, wanda ke mai da hankali kan warkar da motsin rai don magance cututtukan jiki. "An ba da fifiko na musamman kan sake fasalin jima'i a matsayin nuna soyayya da kyakkyawa inda ba za a amince da shi ba kuma a zama mai rauni"-wani abu da ke da mahimmanci ga waɗanda suka tsira daga cin zarafin, in ji shi. "Kwarewa ya nuna min cewa lokacin da mara lafiya ke warkar da motsin rai, jiki yana ba da amsa mafi kyau ta jiki ga magani."

Nasihu don Ma'amala da Dyspareunia

Yana da mahimmanci a sami abokin tarayya mai haƙuri. Dakta Sadeghi ya nanata wannan batu. "Ku ilmantar da su gwargwadon iyawar ku game da abubuwan da kuke fuskanta da kuma dalilin da ya sa; Wannan zai rage duk wani tashin hankali a tsakanin ku biyu kuma ya tabbatar musu da cewa canjin rayuwar ku na jima'i ba saboda wani abu da suke yi ba ne," in ji shi. ya ce.

Yayin da kuke neman magani, ku guji saduwa. "Yi amfani da wannan lokacin a matsayin dama don gano duk wasu kyawawan al'amuran jima'i a kan matakin zurfi," in ji Dokta Sadeghi. "Theauki lokaci don bincika sabbin matakan kusanci ba tare da matsi na kutsawa da ke mamaye lokacin ba. Akwai hanyoyi da yawa don raba kusanci tare da abokin tarayya yayin aikin warkar da ku. Da zarar kun kubuta daga dyspareunia, rayuwar jima'i za ta kasance mafi kyau domin shi."

Nemo mai ilimin hanyoyin kwantar da hankali. Ko da kuwa ko dyspareunia ta haifar da hankali ko ta jiki, samun ingantacciyar hanyar fita don yin aiki ta hanyar motsin zuciyar ku tare da ƙwararren mai hankali yana da mahimmanci. A bayyane yake, wannan ya shigo cikin wasa musamman idan kuna jin cewa rauni na baya ko fargabar da ke kewaye da jima'i yana hana ikon jin daɗin sa-da dammit, yakamata ku more shi! (Yanzu: Yadda ake Je zuwa Therapy Lokacin da Aka Karye AF)

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