{"id":25561,"date":"2021-07-22T20:00:57","date_gmt":"2021-07-22T18:00:57","guid":{"rendered":"https:\/\/www.drardi.com\/?p=874"},"modified":"2021-07-22T20:00:57","modified_gmt":"2021-07-22T18:00:57","slug":"dyspareunia-kontakti-i-dhimbshem","status":"publish","type":"post","link":"https:\/\/drardi.com\/shop\/dyspareunia-kontakti-i-dhimbshem\/","title":{"rendered":"Dyspareunia – Kontakti i dhimbsh\u00ebm"},"content":{"rendered":"

Dispareunia \u00ebsht\u00eb termi q\u00eb em\u00ebrton dhimbjen e vazhdueshme n\u00eb zon\u00ebn gjenitale ose n\u00eb pjes\u00ebn e legenit p\u00ebrgjat\u00eb kryerjes s\u00eb marr\u00ebdh\u00ebnieve. Dhimbja mund t\u00eb jet\u00eb e fort\u00eb dhe intense. Mund t\u00eb ndodh\u00eb para, gjat\u00eb, ose pas kryerjes s\u00eb marr\u00ebdh\u00ebnieve seksuale. Disparuenia haset m\u00eb shpesh te grat\u00eb. Shkaqet e mundshme jan\u00eb t\u00eb shumta, por mund t\u00eb trajtohet.<\/p>\n

\u00c7far\u00eb e shkakton dispareunin\u00eb?<\/strong><\/p>\n

Dispareunia mund t\u00eb vij\u00eb prej shkaqeve t\u00eb ndryshme, duke p\u00ebrfshir\u00eb k\u00ebtu probleme fizike ose faktor\u00eb emocional\u00eb.<\/p>\n

Nd\u00ebr shkaktar\u00ebt fizik\u00eb t\u00eb dispareunis\u00eb p\u00ebrmendim:<\/strong><\/p>\n

    \n
  1. That\u00ebsia vaginale prej menopauz\u00ebs, lindjes, gjidh\u00ebnies, medikamenteve t\u00eb caktuara, ose eksitimit t\u00eb pamjaftuesh\u00ebm para aktit.<\/li>\n
  2. Probleme me l\u00ebkur\u00ebn q\u00eb shkaktojn\u00eb ul\u00e7era, \u00e7arje, kruarje, ose djegie.<\/li>\n
  3. Infeksione si myku ose ato t\u00eb traktit urinar.<\/li>\n
  4. D\u00ebmtime ose trauma nga procesi i lindjes, aksidente, episiotomi, histerektomi, ose operacione kirurgjikale n\u00eb zon\u00ebn e legenit.<\/li>\n
  5. Vulvodynia, ose dhimbje e p\u00ebrq\u00ebndruar n\u00eb zon\u00ebn e vulv\u00ebs.<\/li>\n
  6. Vaginitis, ose inflamacion i vagin\u00ebs.<\/li>\n
  7. Vaginismus, ose tkurrje spontane e muskujve t\u00eb murit vaginal.<\/li>\n
  8. Endometrioza<\/li>\n
  9. Cystitis (infeksioni i vezik\u00ebs urinare)<\/li>\n
  10. S\u00ebmundja inflamatore e legenit.<\/li>\n
  11. Fibroide t\u00eb mitr\u00ebs.<\/li>\n
  12. Sindroma e zorr\u00ebs s\u00eb irrituar.<\/li>\n
  13. Rrezatimi dhe kimioterapia.<\/li>\n<\/ol>\n

     <\/p>\n

    Faktor\u00eb q\u00eb ulin d\u00ebshir\u00ebn seksuale ose ndikojn\u00eb n\u00eb aft\u00ebsin\u00eb p\u00ebr t\u2019u eksituar mund gjithashtu t\u00eb shkaktojn\u00eb dispareuni. Nd\u00ebr k\u00ebta faktor\u00eb p\u00ebrmendim:<\/strong><\/p>\n

      \n
    1. Stresin, q\u00eb mund t\u00eb rezultoj\u00eb n\u00eb tkurrjen e muskujve t\u00eb legenit.<\/li>\n
    2. Frik\u00eb, ndjesi faji ose turp\u00ebrimi t\u00eb lidhura me seksin.<\/li>\n
    3. Probleme me imazhin.<\/li>\n
    4. Barna si kontraceptiv\u00ebt.<\/li>\n
    5. Problemet me partnerin.<\/li>\n
    6. Gjendje sh\u00ebndet\u00ebsore si kanceri, artriti, diabeti, ose s\u00ebmundje t\u00eb tiroides.<\/li>\n
    7. Historik i abuzimit seksual ose p\u00ebrdhunimit.<\/li>\n<\/ol>\n

      Cilat jan\u00eb simptomat e dispareunis\u00eb?<\/strong><\/p>\n

      Dhimbja prej dispareunis\u00eb varion dhe mund t\u00eb ndihet:<\/p>\n

        \n
      1. N\u00eb vagin\u00eb, uretra, ose fshik\u00ebz.<\/li>\n
      2. P\u00ebrgjat\u00eb penetrimit.<\/li>\n
      3. P\u00ebrgjat\u00eb ose pas aktit.<\/li>\n
      4. N\u00eb zon\u00ebn e legenit p\u00ebrgjate aktit.<\/li>\n
      5. Pas kryerjes s\u00eb marr\u00ebdh\u00ebnieve normale pa dhimbje.<\/li>\n
      6. Vet\u00ebm me partner ose rrethana specifike.<\/li>\n
      7. N\u00eb rastet e p\u00ebrdorimit t\u00eb tamponit.<\/li>\n
      8. E shoq\u00ebruar me ndjesi djegieje ose kruarjeje.<\/li>\n
      9. E shoq\u00ebruar me dhimbje t\u00eb ngjashme me ato menstrualet.<\/li>\n<\/ol>\n

        Cil\u00ebt jan\u00eb m\u00eb t\u00eb rrezikuar p\u00ebr dispareunia? <\/strong><\/p>\n

        Si burrat, edhe grat\u00eb mund t\u00eb p\u00ebrjetojn\u00eb dispareunia, megjithat\u00eb haset m\u00eb shpesh n\u00eb gjinin\u00eb fem\u00ebrore. Dispareunia renditet nd\u00ebr problemet m\u00eb t\u00eb zakonshme n\u00eb gra n\u00eb periudh\u00ebn postmenopausale.<\/p>\n

         <\/p>\n

        Rreth 75% e grave p\u00ebrjetojn\u00eb dhimbje p\u00ebrgjat\u00eb aktit t\u00eb pakt\u00ebn nj\u00eb her\u00eb, duke iu referuar Kolegjit Amerikan t\u00eb Obstet\u00ebrve dhe Gjinekolog\u00ebve. Risku \u00ebsht\u00eb m\u00eb i lart\u00eb n\u00ebse:<\/p>\n

          \n
        1. Merrni medikamente q\u00eb sjellin si efekt that\u00ebsin\u00eb vaginale.<\/li>\n
        2. Keni nj\u00eb infeksion viral ose bakterial.<\/li>\n
        3. Gjendeni n\u00eb periudh\u00ebn postmenopausale.<\/li>\n<\/ol>\n

          Si diagnostikohet dyspareunia?<\/strong><\/p>\n

          Teste t\u00eb caktuara e ndihmojne mjekun t\u00eb identifikoj\u00eb dhe diagnostikoj\u00eb dispareunin\u00eb. Zakonisht mjeku e nis duke krijuar nj\u00eb historik t\u00eb plot\u00eb mjek\u00ebsor dhe seksual t\u00eb pacientit. Pyetje q\u00eb mund t\u00eb prisni jan\u00eb:<\/p>\n

            \n
          1. Kur dhe ku ndjeni dhimbje?<\/li>\n
          2. Cil\u00ebt partner\u00eb ose pozicione ju shkaktojn\u00eb dhimbje?<\/li>\n
          3. A ju shkaktojn\u00eb dhimbje edhe aktivitete t\u00eb tjera t\u00eb p\u00ebrditshme?<\/li>\n
          4. A \u00ebsht\u00eb partneri juaj i gatsh\u00ebm t\u2019ju mb\u00ebshtes\u00eb?<\/li>\n
          5. A jeni n\u00eb dijeni t\u00eb gjendjeve t\u00eb tjera sh\u00ebndet\u00ebsore q\u00eb mund t\u00eb jen\u00eb duke kontribuar n\u00eb dhimbjen tuaj?<\/li>\n<\/ol>\n

            Nj\u00eb ekzaminim i legenit \u00ebsht\u00eb gjithashtu i zakonsh\u00ebm p\u00ebr diagnostikimin e sakt\u00eb. P\u00ebrgjat\u00eb k\u00ebsaj procedure, mjeku do t\u00eb kontrolloj\u00eb zon\u00ebn e jashtme dhe t\u00eb brendshme t\u00eb legenit p\u00ebr shenja t\u00eb:<\/p>\n

              \n
            1. That\u00ebsis\u00eb.<\/li>\n
            2. Inflamacionit ose infeksionit.<\/li>\n
            3. Problemeve anatomike.<\/li>\n
            4. Lythave gjenital\u00eb.<\/li>\n
            5. D\u00ebmtimeve.<\/li>\n
            6. Masave anormale.<\/li>\n
            7. Endometriosis<\/li>\n<\/ol>\n

               <\/p>\n

              Ekzaminimi i brendsh\u00ebm (internal) b\u00ebhet me an\u00eb t\u00eb nj\u00eb speculum, pajisje e cila p\u00ebrdoret edhe p\u00ebr t\u00eb kontrolluar vagin\u00ebn gjat\u00eb nj\u00eb Pap testi. Mjeku gjithashtu mund t\u00eb p\u00ebrdor\u00eb nj\u00eb tampon pambuku p\u00ebr t\u00eb ushtruar trysni n\u00eb zona t\u00eb ndryshme t\u00eb vagin\u00ebs, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb p\u00ebrcaktoj\u00eb vendndodhjen e dhimbjes.<\/p>\n

              Mjeku mund t\u00eb k\u00ebrkoj\u00eb kryerjen e testeve shtes\u00eb si:<\/p>\n

                \n
              1. Ultratinguj t\u00eb zon\u00ebs s\u00eb legenit.<\/li>\n
              2. Test p\u00ebr kontrollin e infeksioneve.<\/li>\n
              3. Test urine.<\/li>\n
              4. Test alergjie.<\/li>\n
              5. K\u00ebshillim psikologjik p\u00ebr prezencen e shkaktar\u00ebve emocional\u00eb.<\/li>\n<\/ol>\n

                Si trajtohet dispareunia?<\/strong><\/p>\n

                Medikamente<\/strong><\/p>\n

                Trajtimi i dispareunis\u00eb bazohet n\u00eb shkaktarin e dhimbjes. N\u00ebse dhimbja vjen si pasoj\u00eb e nj\u00eb infeksioni ose shkaktar\u00ebve t\u00eb tjer\u00eb fizik\u00eb, mjeku mund t\u00eb zgjedh\u00eb ta trajtoj\u00eb at\u00eb me:<\/p>\n

                  \n
                1. Antibiotik\u00eb<\/li>\n
                2. Antifungal\u00eb<\/li>\n
                3. Kortikosteroid\u00eb topikal\u00eb ose t\u00eb injektuesh\u00ebm.<\/li>\n<\/ol>\n

                  N\u00ebse barna t\u00eb caktuara jan\u00eb duke ju sjelle that\u00ebsi vaginale, mjeku mund t\u00eb vendos\u00eb p\u00ebr ndryshimin e recet\u00ebs. Medimakente alternative mund gjithashtu t\u00eb ndihmojn\u00eb n\u00eb rikthimin e lubrikimit natyral dhe reduktimin e dhimbjes.<\/p>\n

                  Nivelet e ulta t\u00eb estrogjenit mund t\u00eb shkaktojn\u00eb dispareuni n\u00eb disa gra. Tableta, kremra, ose nj\u00eb unaz\u00eb fleksible, mund t\u00eb b\u00ebjn\u00eb t\u00eb mundur clirimin e nj\u00eb doze t\u00eb rregullt estrogjeni n\u00eb vagin\u00eb.<\/p>\n

                   <\/p>\n

                  Trajtimi n\u00eb sht\u00ebpi<\/strong><\/p>\n

                  Trajtimet e m\u00ebposhtme mund t\u00eb ndihmojn\u00eb n\u00eb reduktimin e simptomave t\u00eb dispareunis\u00eb:<\/p>\n

                    \n
                  1. P\u00ebrdorimi i lubrifikant\u00ebve q\u00eb treten n\u00eb uj\u00eb.<\/li>\n
                  2. Kryerja e marr\u00ebdh\u00ebnieve kur ju dhe partneri juaj ndiheni gati.<\/li>\n
                  3. Komunikimi i hapur me partnerin n\u00eb lidhje me dhimbjen e p\u00ebrjetuar.<\/li>\n
                  4. Shkarkimi i fshik\u00ebz\u00ebs para kryerjes s\u00eb marr\u00ebdh\u00ebnieve.<\/li>\n
                  5. Dushi para kryerjes s\u00eb marr\u00ebdh\u00ebnieve<\/li>\n
                  6. Aplikimi i akullit n\u00eb vulva p\u00ebr t\u00eb qet\u00ebsuar djegien pas seksit.<\/li>\n<\/ol>\n

                    Terapit\u00eb alternative<\/strong><\/p>\n

                    Mjeku mund t\u2019ju rekomandoj\u00eb terapin\u00eb, ku p\u00ebrfshihen terapia e desensitizimit ose terapia e seksit. N\u00eb terapin\u00eb e desensitizimit, do t\u00eb m\u00ebsoni rreth teknikave t\u00eb relaksimit t\u00eb vagin\u00ebs, si ushtrimet e Kegelit, t\u00eb cilat reduktojn\u00eb dhimbjen.<\/p>\n

                    N\u00eb terapin\u00eb e seksit, do t\u00eb m\u00ebsoni sesi t\u00eb rivendosni intimitetin dhe t\u00eb p\u00ebrmir\u00ebsoni komunikimin me partnerin tuaj.<\/p>\n

                    Parandalimi i dispareunis\u00eb<\/strong><\/p>\n

                    N\u00eb fakt, nuk ka asnj\u00eb parandalim specific i dispareunis\u00eb. Megjithat\u00eb, hapat e m\u00ebposht\u00ebm mund t\u00eb ndihmojn\u00eb n\u00eb zvog\u00eblimin e rrezikut p\u00ebr dhimbje p\u00ebrgjat\u00eb aktit:<\/p>\n

                      \n
                    1. Pas lindjes, pritja e t\u00eb pakt\u00ebn gjasht\u00eb jav\u00ebve para rifillimit t\u00eb aktivitetit seksual.<\/li>\n
                    2. P\u00ebrdorimi i lubrifikant\u00ebve t\u00eb tretsh\u00ebm n\u00eb uj\u00eb n\u00eb rastet kur that\u00ebsia vaginale paraqitet si problem.<\/li>\n
                    3. Higjiena<\/li>\n
                    4. Mosshmangia e kontrolleve mjek\u00ebsore rutin\u00eb.<\/li>\n
                    5. Parandalimi i s\u00ebmundjeve seksualisht t\u00eb transmetueshme me an\u00eb t\u00eb p\u00ebrdorimit t\u00eb prezervativ\u00ebve ose barrierave t\u00eb tjera.<\/li>\n
                    6. Inkurajimi i lubrifikimit vaginal natyral me an\u00eb t\u00eb koh\u00ebs s\u00eb mjaftueshme t\u00eb stimulimit para kryerjes s\u00eb aktit.<\/li>\n<\/ol>\n

                      Dr. Ardi Prushi<\/p>\n

                      P\u00ebrshtati: Ajna Gjyla<\/p>\n

                      \u00a0<\/strong><\/p>\n

                       <\/p>\n","protected":false},"excerpt":{"rendered":"

                      Dispareunia \u00ebsht\u00eb termi q\u00eb em\u00ebrton dhimbjen e vazhdueshme n\u00eb zon\u00ebn gjenitale ose n\u00eb pjes\u00ebn e legenit p\u00ebrgjat\u00eb kryerjes s\u00eb marr\u00ebdh\u00ebnieve. Dhimbja mund t\u00eb jet\u00eb e fort\u00eb dhe intense. Mund t\u00eb ndodh\u00eb para, gjat\u00eb, ose pas kryerjes s\u00eb marr\u00ebdh\u00ebnieve seksuale. Disparuenia haset m\u00eb shpesh te grat\u00eb. Shkaqet e mundshme jan\u00eb t\u00eb shumta, por mund t\u00eb trajtohet. […]<\/p>\n","protected":false},"author":1,"featured_media":23859,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[237],"tags":[278,236],"class_list":["post-25561","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gjinekologji","tag-dispareunia-dhimbje-gjate-kontaktit-seks-idhimbshem-kam-dhimbje-gjate-kontaktit-seksit","tag-obstetrike-gjinekologji-obgyn-obsgjin-drardi-drprushi-drardiprushi-obstetergjinekolog-shtatzenia"],"yoast_head":"\nDyspareunia - Kontakti i dhimbsh\u00ebm - Intimacy<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dyspareunia - Kontakti i dhimbsh\u00ebm - Intimacy\" \/>\n<meta property=\"og:description\" content=\"Dispareunia \u00ebsht\u00eb termi q\u00eb em\u00ebrton dhimbjen e vazhdueshme n\u00eb zon\u00ebn gjenitale ose n\u00eb pjes\u00ebn e legenit p\u00ebrgjat\u00eb kryerjes s\u00eb marr\u00ebdh\u00ebnieve. Dhimbja mund t\u00eb jet\u00eb e fort\u00eb dhe intense. Mund t\u00eb ndodh\u00eb para, gjat\u00eb, ose pas kryerjes s\u00eb marr\u00ebdh\u00ebnieve seksuale. Disparuenia haset m\u00eb shpesh te grat\u00eb. Shkaqet e mundshme jan\u00eb t\u00eb shumta, por mund t\u00eb trajtohet. 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