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Vulvar Pain: How Do You Diagnose Vulvodynia?

Sakit Vulvar: Bagaimana Anda Mendiagnosis Vulvodynia?

by Caroline Knight in Peduli

Vulvodynia ialah keadaan sakit vulva yang dicirikan oleh perasaan sakit kronik dan ketidakselesaan di kawasan vulvar, introitus atau hymenal. Kesakitan boleh nyata secara ringan atau teruk dan ia boleh berbeza dalam intensiti pada masa yang berbeza. Untuk mendiagnosis vulvodynia adalah perlu untuk bergerak melalui proses penilaian dan ujian yang berbeza. Keadaan ini terkenal sukar untuk didiagnosis, jadi sedikit kesabaran mungkin diperlukan.

Ramai penghidap vulvodynia mengalami kelembutan selepas sebarang tahap tekanan, walaupun dari sesuatu yang lembut seperti swab kapas. Maklumlah, tekanan daripada aktiviti seperti senaman atau hubungan seksual berkemungkinan memburukkan keadaan dengan ketara. Jika anda ingin mendiagnosis vulvodynia, anda perlu bersedia untuk pemeriksaan sejarah peribadi anda memastikan bahawa kesakitan anda tidak berpunca daripada sebarang kemungkinan penyebab berjangkit atau dermatologi.

Bagaimana pengamal anda akan mendiagnosis vulvodynia

Apabila pengamal penjagaan kesihatan anda cuba mendiagnosis vulvodynia, mereka akan menilai sejarah perubatan anda dengan teliti, serta sejarah seksual dan pembedahan anda. Setelah semua keabnormalan lain yang menyebabkan kesakitan diketepikan, adalah mungkin untuk menentukan kerosakan saraf atau salah tafsir tekanan oleh sistem saraf, yang merupakan penyebab vulvodynia yang paling berkemungkinan.

Mereka mungkin melihat aspek seperti:

  • Ciri-ciri kesakitan
  • Masalah usus, pundi kencing dan seksual yang berkaitan
  • Keputusan darah untuk menentukan tahap hormon (estrogen, progesteron dan testosteron)

Pada temu janji untuk mendiagnosis vulvodynia, anda akan diminta untuk mengambil bahagian dalam ujian swab kapas. Ini melibatkan penggunaan tekanan ringan melalui lekukan sekitar 5mm dengan sapuan, yang mungkin menyebabkan beberapa tahap kesakitan jika anda menghidap vulvodynia. Tekanan ini akan digunakan pada pelbagai kawasan vulva anda, manakala tindak balas kesakitan anda diukur melalui maklum balas lisan anda. Pengamal anda mungkin meminta anda menilai sensasi kesakitan pada skala.

Penghidap Vulvodynia berkemungkinan mengalami sensitiviti yang paling tinggi dalam bidang berikut:

Anda boleh merasa sakit secara spontan walaupun tanpa tekanan daripada sapuan. Anda juga berkemungkinan akan mengalami sensitiviti dalam mana-mana atau semua kawasan ini jika anda telah mencetuskan vulvodynia .


Perkara lain yang perlu diberi perhatian tentang mendiagnosis vulvodynia

Untuk mendiagnosis vulvodynia Doktor anda juga boleh melakukan pemeriksaan pelvis, yang terdiri daripada pemeriksaan visual kawasan alat kelamin luar anda untuk mengenal pasti simptom dan punca. Walaupun mungkin tiada tanda yang kelihatan, sampel sel boleh diambil untuk menolak jangkitan. Begitu juga, jika pembekal penjagaan kesihatan anda mendapati apa-apa punca kebimbangan dalam bentuk penampilan kulit yang luar biasa, mereka mungkin ingin mengambil sampel tisu untuk analisis makmal.

Sekurang-kurangnya mereka berkemungkinan akan memeriksa dengan teliti kawasan itu dengan alat pembesar. Kemerahan dan ruam di kawasan vulvar secara amnya tidak menunjukkan vulvodynia, walaupun ada kemungkinan gejala tersebut juga boleh hadir. Dalam keadaan ini, biopsi mungkin diperlukan.

Pertama sekali, mendiagnosis vulvodynia adalah proses penghapusan. Anda mungkin tidak dapat mendiagnosis vulvodynia dengan serta-merta, jadi anda boleh menerima bahawa anda mungkin perlu menghadiri temu janji susulan atau menunggu seketika untuk keputusan ujian kembali. Walau bagaimanapun, dengan kesabaran dan ketekunan anda sepatutnya dapat mendiagnosis vulvodynia - jika ia benar-benar punca kesakitan anda. Jika ya, ketahui bahawa terdapat banyak rawatan vulvodynia yang tersedia untuk anda, tetapi mencari yang sesuai untuk anda juga boleh menjadi satu proses percubaan dan kesilapan. Kami mengucapkan selamat maju jaya dalam mendapatkan diagnosis anda!

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