Zilonda zamtundu - mkazi

Zilonda kapena zotupa pa maliseche achikazi kapena kumaliseche zimatha kuchitika pazifukwa zambiri.

Zilonda zakumaloko zimatha kukhala zopweteka kapena zoyabwa, kapena sizitha kutulutsa zisonyezo. Zizindikiro zina zomwe zimakhalapo zimaphatikizaponso ululu mukakodza kapena kugonana kowawa. Kutengera chifukwa, kutuluka kumaliseche kumatha kupezeka.

Matenda omwe amafalikira kudzera mukugonana atha kuyambitsa zilonda izi:

• Herpes ndi chifukwa chofala cha zilonda zopweteka.
• Maliseche angayambitse zilonda zopanda ululu.

Matenda ochepa monga chancroid, granuloma inguinale, molluscum contagiosum, ndi syphilis amathanso kuyambitsa zilonda.

Zosintha zomwe zingayambitse khansa ya kumaliseche (vulvar dysplasia) zitha kuwoneka zoyera, zofiira, kapena zofiirira pakhosi. Maderawa atha kuyabwa. Khansa yapakhungu monga melanoma ndi basal cell ndi squamous cell carcinomas amathanso kupezeka, koma ndi ochepa.

Zina mwazomwe zimayambitsa zilonda zakumaliseche ndi monga:

• Matenda a nthawi yayitali (osatha) omwe amakhala ndi zotupa zofiira (atopic dermatitis)
• Khungu lomwe limakhala lofiira, lowawa, kapena lotupa mutakumana ndi mafuta onunkhiritsa, zotsekemera, zofewetsa nsalu, zopopera zachikazi, zodzola, mafuta, malo ogwiritsira ntchito (contact dermatitis)
• Ziphuphu kapena zotupa za Bartholin kapena glands zina
• Kuvulala kapena kukanda
• Mavairasi amtundu wa chimfine omwe angayambitse zilonda zam'mimba kapena zilonda nthawi zina

Onani wodwala musanadzichiritse. Kudzichitira nokha kumatha kupangitsa kuti wothandizirayo asavutike kupeza komwe kumayambitsa vutoli.

Kusamba kwa sitz kumatha kuthandizira kuthana ndi kuyabwa.

Ngati zilondazo zimayambitsidwa ndi matenda opatsirana pogonana, mnzanuyo angafunike kuyezetsa ndi kuchiritsidwa. Musakhale ndi zochitika zilizonse zogonana kufikira wokuthandizani atanena kuti zilondazo sizingafalikire kwa ena.

Itanani omwe akukuthandizani ngati:

• Pezani zilonda zamtundu uliwonse zosadziwika
• Sinthani zilonda zakumaliseche
• Khalani ndi kuyabwa kwa maliseche komwe sikutha ndi chisamaliro chanyumba
• Ganizirani kuti mungakhale ndi matenda opatsirana pogonana
• Mukhale ndi ululu wam'mimba, malungo, kutuluka magazi kumaliseche, kapena zizindikilo zatsopano komanso zilonda zoberekera

Wothandizira anu adzayesa. Izi nthawi zambiri zimaphatikizapo kuyesa m'chiuno. Mudzafunsidwa za zomwe mukudziwa komanso mbiri yazachipatala. Mafunso angaphatikizepo:

• Kodi zilonda zimawoneka bwanji? Kodi ili kuti?
• Munayamba liti kuzindikira?
• Kodi muli ndi zoposa 1?
• Kodi zimapweteka kapena kuyabwa? Kodi yakula?
• Kodi mudakhalapo ndi imodzi kale?
• Kodi mumagonana kangati?
• Kodi mumakhala ndi vuto pokodza kapena mukumva kuwawa mukamagonana?
• Kodi muli ndi ngalande zachilendo za nyini?

Mayesero otsatirawa akhoza kuchitika:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Kusiyanitsa kwa magazi
• Khungu kapena mucosal biopsy
• Ukazi kapena chikhalidwe chachiberekero
• Kuyesa kwazitsulo zazing'ono zazing'ono zazing'ono (phiri lonyowa)

Chithandizo chake chitha kuphatikizira mankhwala omwe mumayika pakhungu kapena kumwa pakamwa. Mtundu wa mankhwala umadalira choyambitsa.

Zilonda kumaliseche kwa mkazi

• Zilonda zamtundu (wamkazi)

Augenbraun MH. Maliseche khungu ndi zotupa za mucous. 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 106.

Frumovitz M, Bodurka DC. Matenda otupa m'mimba a lichen sclerosus, intraepithelial neoplasia, matenda a paget, ndi carcinoma. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: chap 30.

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.

Lumikizani RE, Rosen T. Matenda ochepetsa akunja akumaliseche. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 16.