Kurapa kurwadziwa kwepachiviri kwevakadzi kunogona kunge kwakaoma. Izvi zvinokonzerwa nokuti kurwadziwa kwevakadzi kwepelvic kunowanzooma kuongorora. Nemhaka yekuti kune mamiriro akawanda zvakadai anogona kukonzera kurwadziwa kwemudzimai, uye nekuti mishonga kune umwe neumwe yakasiyana-siyana, kuwana kurapwa kunoshanda iwe kunogona kutora nguva, uyewo kumwe kuedza uye kukanganisa.
Kana iwe uri mukadzi, uye iwe unotambura nekurwadziwa kusingaperi kwepilvic, heano mamwe emhando dzemhando dzaunogona kutarisira.
Hormone Therapy for Pelvic Pain
Madzimai ekurwadziwa kweplvicvic sezvakaita endometriosis kana uterine fibroids , iyo inokonzerwa nekusava nekunyanyisa kwemaviri uye mukati maro nhengo dzinobereka, kurapwa kwemasimoni kunogona kupa rubatsiro. Mimwe mienzaniso inosanganisira:
- Kudyarwa kwepiritsi , iyo inogona kutonga (kana kumisa, zvichienderana nekutorwa kwadzo) kumwedzi kunopera. Izvi zvinogona kubatsira kuderedza marwadzo akabatanidzwa ne endometriosis, zvisinei, kurapwa uku kunowanzobudirira chero bedzi mapiritsi anotorwa.
- Progesterone uye progestin , iyo inoshanda sepiritsi yekuberekwa kwepiritsi kuderedza kana kumira kumwedzi kunyura. Vanodzivisawo estrogen, iyo inogona kubatsira kudzivirira uterine fibroids kubva pakukura mune vamwe vakadzi. Zvisinei, havasi nguva dzose vanobudirira mukudzivirira kukura kwe fibroid.
- GnRH agonist , kana gonadotropin-kubudisa hormone agonists, kwenguva pfupi kutumira muviri kuva mamiriro evanhu vanokwanisa kubatsira kuronga endometriosis zviratidzo. Inogonawo kubatsira kubvisa fibroids nekudzivirira isrogen uye inowanzoshandiswa kusati yashanda nenzira iyi. GnRH agonist inowanzoshandiswa kwenguva pfupi.
- Mamwe mahomoni , akadai se antiprogestins uye anosarudza estrogen receptor modulators, anogonawo kushandiswa kubatsira kubvisa uterine fibroids, kunyange pasina uchapupu hunoratidza asi hunobudirira pane dzimwe nzira dzokurapa. Danocrine yakave yakashandiswawo zvose uterine fibroid uye kuti uchengetedze endometriosis, zvisinei, migumisiro yaro (achena, kuwedzera, kuora musoro, kupera uye inzwi rinoshanduka) zvinowedzera kuwedzera zvingangoita zvingabatsira.
Mishonga inorwisa mabhakitiririya yePelvic Pain Pain
Kune vakadzi vane kurwadziwa kwepfungwa kunokonzerwa nePID, kana chirwere chinoputira kupisa , mishonga inorwisa mabhakitiriya inogona kuva mhinduro. Mishonga inorwisa mabhakitiriya yePID inogona kushandiswa mumuromo kana nejojo, uye inowanzopiwa muviri. Izvi ndezvokuti nguva inokosha mukurapa PID isati yatungamirira kuhutu hwemavara. Mushure meizvi, kuvhiyiwa kunogona kuva imwe chete nzira.
Over-the-Counter kana Chirairo Painkillers yePelvic Pain Women
Painkillers vanogona kutarisa zviratidzo zvekunyorovesa kwevakadzi vakadzirira maronda. Painkillers inogona kunyorwa kune mamiriro ezvinhu akadai senyuchi , uterine fibroids, endometriosis uye kubatana kwepachevic kusagadzikana . Zvimwe zvinowanzotaurwa kana kuti zvinorayirwa kuti zvipfeko zvekurwadziwa kwevakadzi zvinosanganisira:
- NSAIDs uye acetaminophen zvinogona kushandiswa kudzora marwadzo anokonzerwa nekubatana kwepachevic, unterine fibroids, uye endometriosis. Vanowanzoshanda chete kana marwadzo ari munyoro. NSAID haifaniri kutorwa nevakadzi vane pamuviri.
- Anodzvinyirira uye anticonvulsants anogona kubatsira kutarisa kurwadziwa kunosangana ne vulvodynia, iyo inonyanya kuoma kubata, nekuda kwekutambudzika kwavo kunodzivirira nzira.
- Opioids inogona kushandiswa kudzora zvirwere zvinorwadza mumamiriro ekurwadziwa kwakanyanya kwepelvic, zvakadai se endometriosis iyo isina kupindura zvakanaka kune dzimwe nzira dzekurapa, kana chikafu.
Painkillers kazhinji haasi iyo inonyanya kukosha mukurapa kurwadziwa kwevakadzi kusingaperi, sezvo vachida kudzora zviratidzo pane dambudziko chaiyo. Nemhaka yeizvi, painkillers inowanzobatanidzwa nemamwe nzira yekurapa.
Kurapa Kwepanyama Kwevamwe Pelvic Pain
Mamwe madzimai ekurwadziwa kweplavic, zvakadai se vulvodynia uye kusagadzikana kwepachevic kusagadzikana, zvinogona kuvandudzwa nekurapwa kwepanyama. Nyanzvi dzepanyama dzinonyanya kukoshesa hutano hwevakadzi dzinogona kupa zvinotevera:
- Pelvic pasi uye musimboti wekusimbisa
- Kudzidziswa pamuviri wemagetsi kudzivirira zvimwe kuwedzera kwekurwadziwa
- Kutsigira kugunzva kana kusunga
Kuvhiya kweVasikana vePelvic Pain
Mune zvimwe zviitiko zvekurwadziwa kwepachiviri kwevakadzi, chirwere chinogona kudiwa kuti chirape chikonzero chechirwere. Vakadzi vane uterine fibroids uye endometriosis vasina kumbobvuma kuhutachiona hwemahomoni vangada kuvhiyiwa. Vakadzi vane PID avo vanorapwa maantibhakitiriya vasina kubatira vangadawo kupindira kwokuvhiya. Mhando dzekuvhiya dzinowanzoshandiswa kurapa marwadzo evanhukadzi dzinosanganisira:
- Laparoscopy . Inowanzoitwa sechirongwa chekupedzisira chependometriosis, laparoscopy inosanganisira kuita zviduku zvishoma mumimba uye kushandisa zviduku zvishoma kuti ubvise zvikamu zvepumetrial uye / kana zvigunwe zvepID kubva paPID.
- Myomectomy . A myomectomy inosanganisira kubvisa mishonga kubva muchibereko apo pasiya yakasara isina kumira. Inogona kushandiswa mukurapa uterine fibroids, zvisinei, pane dzimwe nguva, fibroids inogona kudzoka mushure mekuvhiyiwa.
- Hysterectomy . A hysterectomy inosanganisira kubvisa chikamu kana kuti yese yechibereko uye zvinogona kusanganisira kubvisa mavhai uye mamwe matukisi akavhara chibereko. Inonzi hysterectomy inogona kushandiswa pamatambudziko akareba endometriosis kana uterine fibroids.
- Chirwere chepelvic chivharo, kubvisa kana kubviswa . Mune zvimwe zviitiko zvekutambudzika kwakanyanya kusingapindi kune dzimwe nzira dzokurapa, kudzivirira kana kuparadzwa kwemisungo yepachevic kunogona kubatsira zviratidzo zvekurwadziwa. Iko kurapwa kunogona kushandiswa kune vulvodynia kana endometriosis.
Ndedzipi Kurapa Kwandichawana Nokuda Kwepfungwa Dzangu?
Nemhaka yokuti kune zvakawanda zvakakonzera zvinokonzera kurwadziwa kweplonde, kuwana kurapa kwakanaka kungave kwakaoma. Nenzira yakawanda, vanachiremba vanotanga nemishonga isingakanganisi, yakadai semishonga, uye kufambira mberi sezvinodiwa kusvikira zviratidzo zviri pasi pesimba.
Mishonga inogona kushandiswa pachayo pachavo, kana mukusanganiswa kwakasiyana. Zvichienderana nekuongorora kwako, chiremba wako achagadzira mushonga chaiwo iwe.
Sources:
Nzvimbo dzeDaase Control uye Kudzivirira. Chirwere Chirwere Chirwere Chirwere - CDC Fact Sheet. http://www.cdc.gov/std/PID/STDFact-PID.htm
The Merck Manuals Online Medical Library. Uterine Fibroids. http://www.merckmanuals.com/professional/genitourinary-disorders/acute-kidney-injury/acute-kidney-injury-aki
Mitchell DA, Esler DM. Pelvic Instability - Painful Pelvic Girdle muKubata. Australian Physician Physician. 2009 Jun; 38 (6): 409-10
National Institute of Child Health and Human Development. Chii chinonzi Endometriosis? http://www.nichd.nih.gov/publications/pubs/endometriosis/sub2.cfm#what
National Vulvodynia Association. NezveVulvodynia: Kurapa. http://www.nva.org/about_vulvodynia/treatment.html
Matombo W, Cheong YC, Howard FM. Zvinyorwa zvekurapa kusingaperi kwepelvic kurwadziwa kwevakadzi. Cochrane Database yekuongorora kwakarongeka 2007, Nyaya 4. Art. Kwete: CD000387. DOI: 10.1002 / 14651858.CD000387.