Vulvovaginitis

Vulvovaginitis kapena vaginitis ndikutupa kapena matenda amphongo ndi nyini.

Vaginitis ndi vuto lomwe limakhudza amayi ndi atsikana azaka zonse.

Matenda

Matenda a yisiti ndi amodzi mwazomwe zimayambitsa kufooka kwa amayi.

• Matenda a yisiti nthawi zambiri amakhala chifukwa cha bowa Candida albicans.
• Candida ndi majeremusi ena ambiri omwe nthawi zambiri amakhala kumaliseche amakhala ogwirizana. Komabe, nthawi zina kuchuluka kwa candida kumawonjezeka. Izi zimabweretsa matenda yisiti.
• Matenda a yisiti nthawi zambiri amayambitsa kuyabwa kumaliseche, kutulutsa koyera koyera kumaliseche, zotupa, ndi zizindikilo zina.

Nyini nthawi zambiri imakhala ndi mabakiteriya athanzi komanso mabakiteriya opanda thanzi. Bacterial vaginosis (BV) imachitika mabakiteriya owopsa kuposa mabakiteriya athanzi. BV imatha kuyambitsa kutuluka kofiyira, imvi kumaliseche, kupweteka kwa m'chiuno, ndi fungo la nsomba.

Mtundu wochepa kwambiri wa vaginitis umafalikira ndi kugonana. Amatchedwa trichomoniasis. Zizindikiro mwa amayi zimaphatikizapo kuyabwa kumaliseche, kununkhira kwa ukazi, ndi kutuluka kwachikazi kwakukulu komwe kumatha kukhala kwachikasu kapena imvi. Amayi amathanso kuwona ukazi atagonana.

ZOYAMBITSA ZINA

Mankhwala amatha kuyambitsa ziphuphu kumaliseche.

• Spermicides ndi masiponji azimayi, omwe ndi njira zowerengera zakulera
• Mankhwala opopera akazi ndi mafuta onunkhiritsa
• Malo osambira a bubble ndi sopo
• Mafuta odzola

Maseŵera otsika a estrogen mwa amayi atatha kusamba amatha kuyambitsa ukazi komanso kupindika kwa khungu la nyini ndi kumaliseche. Izi zitha kuyambitsa kapena kukulitsa kuyabwa ndikumayaka maliseche.

Zina mwa zifukwa zake ndi izi:

• Zovala zolimba kapena zosavomerezeka, zomwe zimapangitsa kuti pakhale kutentha.
• Mavuto akhungu.
• Zinthu monga tampon yotayika zingayambitsenso kukwiya, kuyabwa, ndi kutulutsa kwamphamvu.

Nthawi zina, chifukwa chenicheni sichimapezeka. Izi zimatchedwa nonspecific vulvovaginitis.

• Zimachitika m'mibadwo yonse. Komabe, ndizofala kwambiri mwa atsikana achichepere asanakule msinkhu, makamaka atsikana omwe alibe ukhondo.
• Zimayambitsa kutuluka kwafungo lonunkhira, kobiriwira bulauni komanso kukwiya kwa labia ndi kutsegula kwa ukazi.
• Matendawa nthawi zambiri amalumikizidwa ndi kukula kwambiri kwa mabakiteriya omwe amapezeka mchipindacho. Mabakiteriyawa nthawi zina amafalikira kuchokera kumtunda kupita kumaliseche mwa kupukuta kuchokera kumbuyo kupita kutsogolo mutatha kugwiritsa ntchito chimbudzi.

Minofu yonyansidwa imatha kutenga kachilomboka kuposa minofu yathanzi. Tizilombo tambiri tomwe timayambitsa matenda timakula bwino pamalo otentha, achinyezi komanso amdima. Izi zitha kuperekanso kuchira kwanthawi yayitali.

Kugwiriridwa kuyenera kuganiziridwa mwa atsikana achichepere omwe ali ndi matenda achilendo komanso magawo obwereza a vulvovaginitis osadziwika.

Zizindikiro zake ndi izi:

• Kuyabwa ndi kuyabwa kumaliseche
• Kutupa (kuyabwa, kufiira, ndi kutupa) kumaliseche
• Kutulutsa kumaliseche
• Fungo lanyini loyipa
• Kusamva bwino kapena kutentha pamene mukukodza

Ngati mudakhalapo ndi matenda a yisiti m'mbuyomu ndipo mumadziwa zizindikilo zake, mutha kuyesa chithandizo chamankhwala ogulitsira. Komabe, ngati zizindikiro zanu sizingathe pafupifupi sabata limodzi, kambiranani ndi omwe akukuthandizani. Matenda ena ambiri ali ndi zizindikiro zofananira.

Wothandizirayo adzayesa m'chiuno. Mayesowa atha kuwonetsa malo ofiira, ofewa kumaliseche kapena kumaliseche.

Kukonzekera konyowa kumachitika nthawi zambiri kuti azindikire matenda amtundu kapena kuchuluka kwa yisiti kapena mabakiteriya. Izi zikuphatikiza kuwunika kutuluka kwa ukazi pansi pa maikulosikopu. Nthawi zina, chikhalidwe cha kutuluka kwamaliseche chitha kuthandiza kupeza kachilombo komwe kamayambitsa matendawa.

Biopsy (kuyesa kwa minofu) yamalo okwiya pamaliseche atha kuchitidwa ngati palibe zizindikiro zakupatsirana.

Zokometsera kapena zotsekera zimagwiritsidwa ntchito pochiza matenda a yisiti kumaliseche. Mutha kugula zambiri pamsika. Tsatirani malangizo omwe adabwera ndi mankhwala omwe mukugwiritsa ntchito.

Pali mankhwala ambiri owuma kumaliseche. Musanagwiritse ntchito matenda anu nokha, onani omwe akukupatsani omwe angapeze chifukwa cha vutoli.

Ngati muli ndi BV kapena trichomoniasis, wothandizira anu akhoza kukupatsani:

• Maantibayotiki omwe mumameza
• Mankhwala opha tizilombo omwe mumayika mu nyini yanu

Mankhwala ena omwe angathandize ndi awa:

• Kirimu cha Cortisone
• Mapiritsi a Antihistamine othandizira kuyabwa

Onetsetsani kuti mukugwiritsa ntchito mankhwalawo monga momwe mukufunira ndikutsatira malangizo omwe alembedwa.

Chithandizo choyenera cha matenda chimagwira ntchito nthawi zambiri.

Itanani omwe akukuthandizani ngati:

• Muli ndi zizindikiro za vulvovaginitis
• Simumapeza mpumulo kuchipatala chomwe mumalandira cha vulvovaginitis

Sungani maliseche anu kukhala oyera komanso owuma mukakhala ndi vaginitis.

• Pewani sopo. Ingotsuka ndi madzi kuti mudziyeretse.
• Zilowerere mu bafa ofunda, osati otentha kuti muthandizire zizindikiro zanu. Ziume bwinobwino pambuyo pake.

Pewani douching. Amayi ambiri amadzimva kuti ndi aukhondo akamatsuka, koma zitha kupangitsa kuti zizindikilo zizikhala zoyipa chifukwa zimachotsa mabakiteriya athanzi omwe amayala kumaliseche. Mabakiteriyawa amathandiza kuteteza kumatenda.

Malangizo ena ndi awa:

• Pewani kugwiritsa ntchito mankhwala opangira ukhondo, mafuta onunkhiritsa, kapena ufa pamalo oberekera.
• Gwiritsani ntchito mapepala m'malo mwa matamponi mukadwala.
• Ngati muli ndi matenda ashuga, sungani kuchuluka kwa shuga m'magazi anu.

Lolani mpweya wambiri kuti ufike kumaliseche anu. Mungathe kuchita izi:

• Kuvala zovala zothina komanso osavala payipi.
• Kuvala zovala zamkati za thonje (m'malo mwa nsalu zopangira) kapena kabudula wamkati yemwe amakhala ndi thonje pakhota. Thonje limalola nthunzi kukhala yabwinobwino kuti chinyezi chikule.
• Osamavala zovala zamkati usiku mukagona.

Atsikana ndi amayi ayeneranso:

• Dziwani momwe mungatsukitsire maliseche awo posamba kapena kusamba.
• Pukutani bwino mutagwiritsa ntchito chimbudzi. Nthawi zonse pukutani kuchokera kutsogolo kupita kumbuyo.
• Sambani bwinobwino musanapite kuchimbudzi komanso mukatha.

Nthawi zonse muzichita zogonana motetezeka. Gwiritsani ntchito kondomu kuti mupewe kutenga kapena kufalitsa matenda.

Nyini; Ukazi kutupa; Kutupa kwa nyini; Vaginitis osadziwika

• Matenda azimayi amphongo

Abdallah M, Augenbraun MH, McCormack WM. Vulvovaginitis ndi cervicitis. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 108.

(Adasankhidwa) Braverman PK. Urethritis, vulvovaginitis, ndi cervicitis. Mu: Long SS, Prober CG, Fischer M, eds. Mfundo ndi Zochita za Matenda Opatsirana a Ana. 5th ed. Philadelphia, PA: Elsevier; 2018: chap 51.

Gardella C, Eckert LO, Lentz GM. Matenda opatsirana pogonana: maliseche, nyini, khomo pachibelekeropo, matenda owopsa, endometritis, ndi salpingitis. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: chap 23.

Oquendo Del Toro HM, Hoefgen HR. Vulvovaginitis. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 564.