E ai ki tētahi rangahau i roto i te puka Menopause, i kitea he whai hua, he haumaru hoki te whakaora taiaho CO2 microblative fractional mō te rongoā i te ngoikore o te vulvovaginal mō te wā poto.
I roto i te arotake tūtohi whakamuri, i uru mai he 139 ngā wāhine he tohumate ngoikore o te vulvovaginal, ā, i oti i a rātou ngā wā mahi taiaho e toru, e ono wiki te wehe i te wāhi mahi i te whare hauora Vulvar and Sexual Health i Prohealth, Waukesha Memorial Hospital, i Wisconsin, mai i Hanuere 2016 ki Tīhema 2019.
Neke atu i te 18 tau te pakeke o ngā tūroro katoa (te toharite o te tau 62), ā, kāore i hapū.
I te 53% o ngā tūroro (n = 74) i kitea te whakamahi tahi i te estrogen ā-pānga. I kitea te mate pukupuku o te ū i te 27% (n = 38) me te lichen sclerosus i te 22% (n = 31).
I uiuitia ngā tūroro i mua i te maimoatanga taiaho tuatahi me te tuatoru mā roto i ngā pātai e rua kua whakamanahia: te Female Sexual Function Index (FSFI) me te Vulvovaginal Symptoms Questionnaire (VSQ). I whakakīia hoki he tauine tirohanga ā-ira (VAS).
I tukuna te maimoatanga mā te tara i te tuatahi mā te whakamahi i tētahi taputapu tirotiro tara, ā, i muri mai ka mahia te maimoatanga ki te tara me tētahi taputapu ringaringa motuhake, mā te whakamahi i tētahi tauira tapawhā. I pania te Lidocaine 2% ki te kiko tara 20 meneti i mua i te maimoatanga. He rite ngā tautuhinga taiaho mō ngā maimoatanga tara me te tara ki ngā rangahau o mua.
Ko te roanga o te arotakenga toharite he 13.8 wiki.
I pai ake ngā kaute FSFI katoa: i mua i te maimoatanga 12.7 vs. i muri i te maimoatanga 19.0 (P
I whakaatuhia hoki e te VSQ he 18 o ngā pātai 21 i tino pai ake (P
Hei tāpiritanga, i whakaatu te VAS i te whakapainga nui i roto i te moepuku mamae me te maroke o te vulvar me te tara: i mua i te maimoatanga 12.7 me te 4.6, ia, ki te whakataurite ki muri i te maimoatanga 2.4 me te 1.5 (e rua P
I tua atu, 17 atu ngā wāhine i moe tāne i muri i te maimoatanga taiaho tuarua. Kāore he pānga kino nui i pūrongohia i waenga i tētahi o ngā kaiuru o te rangahau.
"I miharo mātou i te pai haere o ngā tūroro i muri i te kotahi, i te rua rānei o ngā maimoatanga," te kī a te kairangahau matua a Sarit Aschkenazi MD, MS, te kaiwhakahaere hauora i te Hōhipera Whakamaharatanga o Prohealth Waukesha. "I puta te pai haere ahakoa i roto i ngā wāhine he nui ngā tohu kāore i te aro ki te rongoā tuku iho, pērā i te estrogen ā-papa, i te hunga rānei e tango ana i ngā aukati aromatase hei ārai i te mate pukupuku o te ū. I tino harikoa mātou ki te kite i ngā wāhine he lichen sclerosis me te ngoikore o te kiri kua tino whanake e whakaatu ana i ngā tohu o te pai haere."
E whakaarohia ana ka mahi te rongoā taiaho mā te tuku pūngao ki te kiko o raro i te kiri, me te iti o te kino ki te epithelium o runga. Ka whakaoho i ngā fibroblasts ki te whakaputa i ngā muka collagen me te elastin, me te whakanui ake i te nui o te wai, ngā kopa kiri, me te matotoru o te epithelial o te kiri tara me te kiri vulvar, e ai ki a Aschkenazi.
"He rite tonu tēnei ki ngā pānga ka puta mai i te whakamahinga o te reera ki te kiri o te mata," tana kī. "Neke atu i te tekau tau te whakamahinga o te reera ki te kiri o te mata, ā, kua tuhia he haumaru. Kua whakaatuhia hoki ēnei pānga e ngā rangahau kiri. He rite tonu ēnei huringa katoa ki ngā huringa e puta ana ina kitea te estrogen i roto i te kiko i ngā taumata i mua i te paheketanga."
E whakaatu ana te taiaho he maimoatanga rerekē whai hua mō tētahi mate whānui pēnei i te ngoikore o te vulvovaginal. "He kōwhiringa hou tēnei ina kore e whai hua te estrogen, kāore rānei e hiahiatia ana," te kī a Aschkenazi.
Heoi anō, me whakahaere he rangahau matapōkere hei whakatau mārama i te whai huatanga o te maimoatanga taiaho, me te whakatau hoki i te maha o ngā wā maimoatanga tino pai, ngā wā me te auau o te whakahou i te booster.
"Ko tētahi kōwhiringa maimoatanga hei aromatawai ko te whakakotahi i te rongoā taiaho me te maimoatanga homoni ā-waha, ki te kore e āraihia, pērā i te rongoā estrogen, te dehydroepiandrosterone ā-waha (DHEA) rānei hei whakaroa i te whakapainga kiko me te whakatutuki i te pānga tahi i ngā horopeta iti iho," te kī a Aschkenazi.
Ahakoa i kitea he haumaru te rēseri i roto i ngā tūroro katoa o te rangahau, e taunaki ana a Aschkenazi kia whakamahia ngā maimoatanga tuku iho mō ngā tohumate o te ngoikore o te vulvovaginal i te tuatahi i mua i te tāpiri i te rongoā rēseri, me te whai i ngā tawhā maimoatanga hei karo i ngā pānga kino. Ko te hunga e raru ana i ēnei tohumate me pupuri tonu i te tiaki kiri mā te whakaiti i ngā mea whakapataritari kiri, ngā kākahu o roto piri, te hopi me ngā papa wahine kakara. "Mā te tāpiri i ngā whakamakuku kore-hormonal ka āwhina i te karo i te maroke e pā ana ki ngā tohumate o te paheketanga," tana kī.
Te rongoā taiaho CO2 haurua mō te ngoikore o te vulvovaginal Ataata e pā ana:
"Ko te kounga tuatahi, ko te pono hei turanga, ko te tautoko pono me te hua tahi" ko tā mātou whakaaro, kia hanga tonu ai, kia whai ai hoki i te hiranga mō Tango Huruhuru Hokohoko , Mīhini Ipl Hauora , Taiaho Mana Teitei , Ko te nuinga o ā mātou hua kua kaweake ki te tonga-mā-rāwhiti o Āhia tae atu ki Euro-Amerika, ā, kua hokona ki tō mātou whenua katoa. Ā, i runga i te kounga pai, te utu whaitake, me te ratonga pai rawa atu, he pai ngā urupare mai i ngā kiritaki o tāwāhi. Nau mai haere mai ki te whakauru mai ki a mātou mō ētahi atu huarahi me ngā painga. E mihi ana mātou ki ngā kiritaki, ki ngā rōpū pakihi me ngā hoa mai i ngā tōpito katoa o te ao ki te whakapā mai ki a mātou me te rapu mahi tahi mō ngā painga tahi.