Chii Chinonzi Pelvic Floor Physical Therapist Anoda Kuti Iwe Uzive Nezve Vaginal Dilators

Zvemukati

• Dhirairi anonyanya kushandiswa nekuda kwezvikonzero zviviri.
• 1. Kurapa bonde rinorwadza.
• 2. Kutambanudza nyinyo.
• Taura nachiremba wako usati washandisa dilator.
• Mashandisiro eVaginal Dilators
• Enda unononoka uye wakadzikama - uye tarisira kusagadzikana
• Kungwarira kwakakosha.
• Zvinotora nguva kuti uone mibairo.
• Dhirairi haisi yako chete sarudzo.
• Ziva kuti hausi iwe woga unosangana nebonde rinorwadza.
• Ongororo ye

Kuenzaniswa nezvimwe zvinhu pane irwo runyorwa rwezvinhu zvaunogona kunamatira kumusoro kwako kusangana nekutsi kwemukadzi, zvinowedzeredza zvinoita kunge zvisinganzwisisike. Dzinotaridzika sedzakaita dildo ine mavara asi hadzina iwo chaiwo chaiwo echimiro chechimiro. Uye kusiyana nematoyi epabonde aunoshandisa wega kana nemumwe wako, unogona kutoona mashoma acho muhofisi yako ye-ob-gyn. Saka chii chinoitwa nemadilators emukadzi?

Pano, Krystyna Holland, DPT, wepilvic pasi murapi wepanyama uye muridzi weInclusive Care LLC, anoputsa zvese zvaunofanirwa kuziva nezvekusanganisa kwemukadzi, kusanganisira izvo zvavakanyatso gadzirirwa kuita. Kushamisika: Haisi yekukupa iyo orgasm.

Dhirairi anonyanya kushandiswa nekuda kwezvikonzero zviviri.

Vaginal dilators haishandisirwe zvikonzero zvakafanana nezvepanyama sezvakawanda matoyi epabonde nemidziyo. Pane kudaro, zvakagadzirirwa kubatsira vanhu vane vulvas kujairira kunzwa kwekutambanudza yavo yemukadzi canal, uye ivo vanowanikwa munzvimbo dzakasiyana siyana uye hupamhi, anodaro Holland.

1. Kurapa bonde rinorwadza.

Vanhu vanosangana nebonde rinorwadza rinokonzerwa ne vaginismus - mamiriro ekuti tsandanyama dzakatenderedza tsinga yemukadzi, zvichiita kuti itete - uye vanhu vane marwadzo vasina yakanangana neiyo gynecologic nyaya (kureva ovarian cysts kana endometriosis) ndivo vanonyanya kushandisa dilator, anodaro Holland. Kunze kwehutano hwepanyama, mamiriro ako epamoyo anogona kuita kuti zvepabonde zvinorwadza: Kana iwe uchinzwa kunetseka kana kutya, semuenzaniso, uropi hwako hunogona kutumira masaini kune ako epelvic tsandanyama tsinga, kutungamira mukusagadzikana panguva yepabonde, sekureva kweMayo Clinic . Kurwadziwa kwekutanga uku kunogona kuita kuti iwe utye kuti kusangana pabonde mune ramangwana kuchakuvadza, zvakare, saka muviri wako unogona kuramba uchinetsekana usati uye panguva yekupinda, uchienderera mberi nekutenderera kwemarwadzo, pakiriniki.

TL; DR: Chero kunzwa kwekutambanudza kana kumanikidza (kuburikidza neP-in-V bonde, semuenzaniso) izvo zvingangonzwa zvakanaka uye zvine mutsindo kune mumwe munhu zvinogona kududzirwa sekurwadza mune mumwe, anotsanangura Holland. "Kazhinji dilator inodzorwa nemunhu ane marwadzo, saka vanogona kuzvitaurira kuti vanoziva nehuwandu hwekutambanudza nekumanikidza, ivo vari kutonga zvachose, uye hazvifanirwe kurwadza. "anowedzera. "Vari kuyedza kugadzirisa hukama ihwohwo pakati pehuropi nehudyu kuti vakwanise kugadzirisa kunzwa kwekutambanuka kana kumanikidzwa uye zvisave zvinorwadza."

Zvakakosha kucherechedza, zvakadaro, kuti kugara uchirwadziwa kana kurwadza panguva yekusangana kunogona kuva chiratidzo cheimwe hutano mamiriro ayo asingafanire kutariswa, sekureva kweAmerican College of Obstetricians uye Gynecologists. Saka, kunamatira dilator kumusoro uko hakuite zvakanaka kana usiri kugadzirisa iyo yakakonzera marwadzo ako. "Unogona kuyedza kudzora tsandanyama zuva rese, asi kana paine chiri kuitika nenhengo dzako kana chibereko, mhasuru dzicharamba dzichichengetedza uye dzakasimba kuti dzidzivirire," anodaro Holland. Kana iwe usingakwanise kuenda kamwe chete pasina kurwadziwa, usayedze "kushanda nayo" uri wega - taura nachiremba wako, stat.

2. Kutambanudza nyinyo.

Kunze kwekubatsira kugadzira marwadzo-asina kusangana pabonde zviitiko, kusangana nekutsi kwemukadzi kusangana nekutsi kwemukadzi kunowanzo shandiswa nevanhu vane radiation radiation yekenza gynecologic uye vakadzi ve transgender vane vaginoplasty. Mumamiriro ese ari maviri, dilator inobatsira kuchengetedza matishu emukadzi uye anodzivirira kuti chibereko chirege kudzikira, anodaro Holland.

Taura nachiremba wako usati washandisa dilator.

Paunenge uchiedza dilator yevaginal iwe pachako inoita seyakapusa zvakakwana, iwe unoda kutora nguva yekuikurukura nenyanzvi usati waita. Kusvetuka danho iri kunogona kukuvadza zvakanyanya pane kunaka, kunyanya kana uine chiitiko chakashata nacho uye kukudziridza mafungiro asina kunaka kune dilators zvachose."[Kana izvozvo zvikaitika,] kunyange kungotaura nezve dilators kana kutarisa kune dilators zvinogona kuita kuti vanhu vave nemanzwiro akasimba emanzwiro ayo asingabatsiri pakudzika-kudzidzisa hurongwa hwetsinga," anodaro Holland. "Uye izvi zvinotonyanya kubhowekana nekuti tinofanira kuferefeta kuti tiri kutonga madhilata zvachose here kana kuti ingori imwe seti yemadhilata. Zvinoita kuti [kurapa] kuome zvishoma kutanga."

Mushure mekusimbisa neako ob-gyn kuti iwe wakasununguka kune chero mamiriro ekurapa anogona kukonzeresa kurwadziwa kwako, Holland inoratidza kusangana nemukati wepelvic wepanyama murapi kuti uone kana vaginal dilators ari maturusi akanakisa iwe uye kuti ungashandise sei kukodzera zvaunoda uye zvinangwa zvako. "Bonde pacharo rakagadzirwa nemunhu zvichienderana nezvauri kuunza patafura, saka zvine musoro kuti kurapwa kwako pabonde kunorwadza kungavewo kwakasarudzika," anowedzera. (Yakabatana: Izvo Zvese Mukadzi Anofanirwa Kuziva Nezve Pelvic Floor Dysfunction)

Mashandisiro eVaginal Dilators

Enda unononoka uye wakadzikama - uye tarisira kusagadzikana

Iwe haungasvetuke mumvura yakadzika yedziva nguva yako yekutanga kushambira, uye haufanirwe kunamatira 7-inch dilator kumusoro kwemukadzi wako wakaoma paunotanga kutenderera, kana. (Ouch.) Munguva yako yekutanga kuyedza kumhanya, lube up the dilator uye ako epasi matunhu, isa iyo diki diki mune yako seti, uye uisiye imomo kwemaminetsi mashoma, anodaro Holland. Paunenge uchinzwa kugadzikana neiyo dilator yakaturika mukati mako, edza kuifambisa, uchiishandisa kwemaminetsi manomwe kusvika gumi nemashanu pachikamu. Kana ichinzwa isinganakidze zvishoma, enda kune inotevera dilator saizi, wozoenderera mberi nekuwedzera saizi zvichienderana nedanho rako rekushivirira, inodaro Holland. "Nevanomesa mvura, iwe unoda kuti igare isina kugadzikana, asi isingarwadze zvinotyisa," anotsanangura.

Kana iwe usinganzwe kusagadzikana paunenge uchishandisa dilator zvachose, muviri wako hauzodzidzi kushivirira IRL. Uye kana ukatanga nedhirita rinorwadza zvakanyanya, rinoita kuti muviri wako wese ugadzikane, kana kutoita kuti ubvambuke zvishoma, unongoramba uchibatanidza kunzwa uku kwekutambanudza nekurwadziwa, anodaro Holland.

Kungwarira kwakakosha.

Kana iwe uchida kuwana zvakanyatso kubva pane yako vaginal dilator, uchafanirwa kumanikidza kumbomira pane yako Netflix show uye nekuisa pasi foni yako kana iwe uchinge waiisa. "Kune vanhu vari kuita bonde rinorwadza uye vari kuedza [kujairira] kumanzwiro iwayo ekutambanudza, kana iwe ukaisa dilator mukati uye kuzvivhiringidza iwe, hazvigoneke kuita iko kugadzirisa pakati pehuropi uye chiuno," anodaro Holland. "Zviri nani kugara uchifunga, kuita mamwe maekisesaizi ekufema zvakanyanya, uye edza kudzikisira-kudzora tsinga dzako dzinonzwira tsitsi kuti dzikubatsire kugamuchira manzwiro iwayo."

Padivi repafiripi, vanhu vari kushandisa dilator mushure mekuvhiyiwa-kusimbisa murume kana kurapwa kwegomarara vanogona kunzwa vakasununguka kubuda kunze. Muzviitiko izvi, dilator iri kushanda kuti ichinje masisitimu echikadzi anogara panzvimbo yekutanga - kuti pfungwa dzako dzirege kugadzikana nekutambanudza, anowedzera.

Zvinotora nguva kuti uone mibairo.

Kana uri kutsvaga kukurumidza kugadzirisa bonde rinorwadza, dilator yemukadzi handizvo. Munhu ari kuita zvebonde kubva kekutanga anogona kuona shanduko yakanaka mukati memavhiki matanhatu kusvika masere - kana vachishandisa dilator katatu kana kana pasvondo, anodaro Holland. "Kushandisa zvinodzikisira hakuwanzo kuita wenguva pfupi, 'Kana ndikangopfuura nepanodzikisirwa izvi nekukurumidza handimbofaniri kufunga nezvavo" mamiriro, "anodaro. Mumwe mudiwa, kuzorora kwenguva refu pakati pekuedza kunopinda, uye zvakanyanya kushushikana mamiriro ezvinhu zvese zvinogona kutungamira kune bonde rinorwadza uye, mune dzimwe nguva, kukosha kwekushandisa dilator zvakare, anodaro Holland. "Kazhinji, vanhu vazhinji vanoshandisa dilators kuti vasarwadze pabonde, kupindana kwemukati vachada kushandisa dilators zvakare muhupenyu hwavo," anowedzera.

Vaya vane vaginoplasty vari kutarisa hupenyu hwese hwekushandisa dilator, inosvika katatu kana kashanu pazuva zuva rega rega kwemwedzi mitatu yekutanga mushure mekuvhiyiwa, uyezve kakati wandei pasvondo mushure meizvozvo, anodaro Holland. Uye avo vakagashira gynecologic cancer kurapwa vanowanzo kurairwa kuti vashandise dilator kaviri kana katatu pasvondo kwemwedzi gumi nemiviri, sekureva kwechidzidzo chakaburitswa mu International Journal yeGynecological Cancer.

Dhirairi haisi yako chete sarudzo.

"Chinhu chinouya kazhinji mukushanya kwangu ndechekuti vanhu vanonzwa kunge vanosanganisa ndiyo sarudzo yavo chete kana vachiita bonde rinorwadza," anodaro Holland. "Ndinofunga kuti chii chinoitika ndechokuti vanhu vakaudzwa nemumwe mupi kana kuti vakaverenga nezvazvo uye vakaita sekuti, 'Iyi ndiyo nzira yandinoita nayo chinhu ichi.' pelvic floor - inogonawo kubatsira, anodaro. Ipo dilator ichiwedzera kushivirira kwako kutambanudza zvakakwana, bhanhire repachiuno rinobatsira kuburitsa chaiwo mapoinzi matete uye zvinangwa zvakaoma-kusvika-kusvika pamhasuru yepasviki - seye obturator internus (mhasuru yehudyu inotangira yakadzika mukati memapapiro uye inobatana kune chidya. pfupa) uye puborectalis (U-yakaumbwa mhasuru yakasungirirwa kune iyo pubic bone uye inoputira yakatenderedza rectum) - mune vanhu vane chirwere chisingaperi chepelinha, sekureva kweAmerican Society yeColon uye Rectal Surgeons.

Vamwe vanhu vanogona zvakare kushandisa avo vanodedera senge maviri-anoshanda dilators, futi. "Kana vanhu vaine vibrator dzavanofarira uye vanofarira, vane zviitiko zvakanaka nazvo, uye vanogona kuzvishandisa mukati, kazhinji ndinopa vanhu pfungwa yekuti vatange nazvo," anodaro. (FTR, mamwe majekiseni echikadzi anodedera, asi kazhinji, "vanosanganisa vanoita zvekutambisa zvepabonde," anodaro Holland.)

Zvakadaro, pane zvimwe zviitiko apo dilator inogona kuve yakanyanya kunaka sarudzo. Vanhu vane maonero asina kunaka nezve kana vakave nezviitiko zvakashata nemavibrators vanogona kunzwa kugadzikana ne-no-frills, inokurudzirwa nemishonga dilator, anodaro Holland. Uyezve, matoyi epabonde mazhinji haawanikwe muhukuru seadiki setamponi kana swab swab. Kana iriyo nzvimbo yako yekutanga, iwe ungangoda kutendeukira kune dilator.

Ziva kuti hausi iwe woga unosangana nebonde rinorwadza.

Zvichienderana nesocial media, mabhaisikopo, uye kukurukurirana neshamwari, unogona kunzwa sekunge ndiwe wega unosangana nemarwadzo nemarwadzo panguva yekusangana pabonde. Asi kutsvagurudza kunoratidza vangangoita 5 kusvika 17 muzana yevanhu vane vaginismus (iyo inowanzo kukonzera marwadzo panguva yekurara), uye ongororo yevakadzi zviuru gumi nevashanu vanoita zvepabonde vakaona kuti 7.5 muzana yevakabvunzwa vakasangana pabonde rinorwadza. "Chinhu chandinogara ndichiona, uye zvakare chimwe chinhu icho vanhu vanogona kunzwa vakasurukirwa nacho," anodaro Holland. "Vanhu vanonzwa senge, 'Ndiro vara rangu rakatyoka, mukadzi wangu wakatyoka,' uye ndinofunga vanhu vane zvakawanda zvisingagutsikane, bonde rinorwadza chaizvo iro rinokuvadza kune avo psyche nekuti vanonzwa kunge ndiyo yega sarudzo yavo."

Ndosaka Holland ichiti zvakakosha kugadzirisa kurapa kwemadzimai. "Patinotanga kutaura nezve dilators uye isu tinotanga kucherechedza kuti pane nzira dzekurapa dzevanhu vari kuita zvepabonde zvinorwadza, [unoona] pane zvinhu zvaunogona kuita nezvazvo," anotsanangura. "Unogona kutonga izvi uye pane dzakawanda sarudzo, dzandinofunga kuti dzinopa vanhu simba."

Ongororo ye