Kodi ndichifukwa chiyani ndili ndi zotupa kapena mozungulira nyini yanga?

Zamkati

• Zizindikiro zotupa m'mimba
• Ziphuphu zamaliseche zimayambitsa ndi chithandizo chamankhwala
• Lumikizanani ndi dermatitis
• Vininitis
• Psoriasis
• Molluscum contagiosum
• Nkhanambo
• Nsabwe zapamimba
• Zilonda zam'mimba
• Chindoko
• Maliseche maliseche
• Matenda a Neurodermatitis
• Zilonda zam'mimba
• Chotupa cha Bartholin
• Ndere zamatsenga
• Sclerosus ya ndere
• Zimayambitsa zina kuyabwa nyini
• Ziphuphu kuzungulira nyini
• Ziphuphu pa maliseche
• Ziphuphu pa labia
• Mankhwala opatsirana pogonana kunyumba
• Nthawi yoti muwonane ndi dokotala
• Kuzindikira zotupa zamaliseche
• Kupewa zilonda zapakhosi
• Kutenga

Kutupa m'dera lanu loberekera kumatha kukhala ndi zifukwa zosiyanasiyana, kuphatikizapo kukhudzana ndi dermatitis, matenda kapena matenda amthupi, ndi tiziromboti. Ngati simunakhalepo ndi zotupa kapena kuyabwa pamenepo, ndibwino kukaonana ndi dokotala.

Chithandizo chimasiyanasiyana, kutengera chifukwa cha zotupa. Mankhwala apanyumba amathanso kutulutsa zizindikilozo.

Zizindikiro zotupa m'mimba

Kawirikawiri, kuphulika kwa ukazi kumamvanso kusasangalala komanso kuyabwa. Zizindikiro zanu zitha kukulirakulira mukayamba kuderalo.

Zizindikiro za kuthamanga kwa ukazi zingaphatikizepo:

• kuyabwa, kuyaka, kapena kukwiya
• ziphuphu, matuza, zilonda, kapena zilonda
• khungu lomwe laphimbidwa (lofiira, lofiirira, kapena lachikasu)
• zigamba za khungu lakuthwa
• kutupa
• kupweteka pokodza kapena kugonana
• kumaliseche
• fungo
• malungo
• kupweteka kwanuko
• ma lymph node owonjezera

Ziphuphu zamaliseche zimayambitsa ndi chithandizo chamankhwala

Zambiri zomwe zimayambitsa zotupa kumaliseche sizowopsa pamankhwala ndipo zimatha kuchiritsidwa. Koma nthawi zina vuto lalikulu limakhala lalikulu kapena losachiritsika.

Lumikizanani ndi dermatitis

Lumikizanani ndi dermatitis ndiye chifukwa chofala kwambiri cha totupa kumaliseche. Malinga ndi a, imayang'anira pafupifupi 50% ya milandu ya kuyabwa kumaliseche kwa amayi achikulire. Zitha kukhudzanso ana.

Nthawi zambiri, kulumikizana ndi dermatitis komwe kumachitika chifukwa cha zotengera zakhungu pakhungu monga kuyeretsa kapena zopangira khungu, kapena zovala.

Zizindikiro zake ndi izi:

• kuyabwa pang'ono mpaka kutentha kwambiri
• kufiira
• kutupa
• kuyabwa ndi kusasamba
• kupweteka pogonana kapena kugwiritsa ntchito tampon

Matenda a steroids amagwiritsidwa ntchito pochizira kutupa. Izi zimaphatikizapo hydrocortisone yotsika kapena mlingo waukulu wa triamcinolone acetonide. Izi siziyenera kugwiritsidwa ntchito nthawi yayitali, chifukwa zimachepetsa khungu.

Zikakhala zovuta, wothandizira zaumoyo akhoza kukupatsani mankhwalawa ngati jakisoni. Nthawi zina, mankhwala opatsirana pogonana amatha kuperekedwa kuti azitha kupweteka.

Vininitis

Vaginitis amatchedwanso vulvovaginitis pamene maliseche akukhudzidwa. Velise ndi gawo lakunja la maliseche ozungulira kutsegulira kwa nyini.

Malinga ndi Centers for Disease Control (CDC), izi ndi zomwe zimayambitsa vaginitis kwambiri:

• Bakiteriya vaginitis amapezeka pamene mabakiteriya ena amachulukitsa ndikusintha kuchuluka kwa bakiteriya kumaliseche kwanu.
• Matenda a yisiti (Kandida) Nthawi zambiri zimaphatikizapo bowa Candida albicans. Nthawi zambiri mumakhala ndi bowa m'dera lanu loberekera. Koma pali zinthu zina zomwe zingayambitse kuchepa kwa mabakiteriya abwino (Lactobacillus) mu nyini yanu, kulola Kandida kukula kwambiri.
• Trichomoniasis (trich) imayambitsidwa ndi tiziromboti ta protozoan Trichomonas vaginalis. Wofalitsa munthu ndi munthu kudzera mukugonana.

Zizindikiro za vaginitis ndi monga:

• kuyabwa
• kusintha kwa ukazi kumaliseche
• kupweteka pokodza kapena pogonana
• magazi ukazi

Zizindikiro zina zimakhudza mtundu wa matendawa:

• Matenda a bakiteriya nthawi zambiri amakhala ndi kutuluka kwa chikaso kapena imvi komwe kumatha kununkhiza ngati nsomba.
• Matenda a yisiti atha kukhala ndi zotuluka zoyera zomwe zimawoneka ngati kanyumba tchizi.
• Trichomoniasis imatha kukhala ndi fungo lamphamvu komanso kutulutsa chikasu chachikasu. Malinga ndi CDC, za anthu omwe ali ndi kachilombo alibe zizindikiro zilizonse.

Matenda a yisiti amathandizidwa ndi owonjezera-owerengera (OTC) kapena mankhwala ophera fungayi.

Matenda a bakiteriya amathandizidwa ndi mankhwala opha tizilombo kapena antibacterial cream.

Trichomoniasis imachiritsidwa ndi maantibayotiki, monga metronidazole (Flagyl) kapena tinidazole (Tindamax).

Psoriasis

Psoriasis ndimomwe zimakhudzira khungu, kuphatikiza kumaliseche. Zilonda za Psoriasis pa maliseche ndizofala kwambiri mwa ana kuposa achikulire. Sizimakhudza mkatikati mwa nyini.

Ananenanso kuti azimayi omwe ali ndi psoriasis nthawi zambiri amakhala ndi kuyabwa kumaliseche.

National Psoriasis Foundation ikuyerekeza kuti pakati pa gawo limodzi mwa magawo atatu alionse a anthu omwe ali ndi psoriasis nthawi ina amakhala ndi psoriasis yamaliseche.

Kuphatikiza pa kuyabwa, palinso zikwangwani zofananira m'dera lamaliseche, popanda kukulitsa. Izi zitha kukhalanso m'dera la anal.

Psoriasis nthawi zambiri imachiritsidwa pamutu ndi mphamvu zochepa za corticosteroids. Muthanso kuyesa mankhwala opepuka.

Molluscum contagiosum

Molluscum contagiosum ndi kachilombo ka HIV kamene kamakhudza khungu. Zimapatsirana ndipo zimafalikira kudzera kukhudzana, kuphatikizapo kugonana.

Zizindikiro zake zimaphatikizapo ziphuphu pakati pa 2 ndi 5 millimeters (mm) m'mimba mwake zomwe zimakhala ndi izi:

• ndi ozungulira komanso olimba
• amakhala ndi cholowa pakati
• ayambitse zauthupi
• imatha kukhala yofiira komanso yotupa
• zitha kuyabwa

Kachilomboka kamangokhala pakhungu. Kwa anthu ambiri athanzi, ziphuphu zimatha pakapita nthawi popanda chithandizo. Izi zikachitika, matendawa sakhalanso opatsirana.

Nthawi zina, njira zakuchipatala zitha kugwiritsidwa ntchito kuchiza matendawa.

Nkhanambo

Kutupa kwa mphere kumayambitsidwa ndi mite Ma Sarcoptes scabiei, chomwe chimaboola pakatikati pa khungu lanu kuti chiikire mazira. Khungu limachita ndi nthata limatulutsa mabampu ofiira ofiira kwambiri omwe amanyinyirika kwambiri.

Tizilombo toyambitsa matendawa timafalikira mosavuta kwa munthu wina, kuphatikizapo kugonana. Muthanso kutenga nthata kuchokera kuzovala zodwala, matawulo, kapena zofunda.

Chizindikiro chachikulu cha mphere ndi kuwuma kwambiri, makamaka usiku. Kukanda kungatsegule khungu ku matenda a bakiteriya.

Mankhwala ochiritsira mphere ndi mankhwala a mphere.

Nsabwe zapamimba

Nsabwe zapapubulu ndi tizirombo tating'onoting'ono tomwe timayambitsa ubweya wam'mimba m'dera loberekera. Amadyetsa magazi amunthu.

Amafalikira pogonana. Muthanso kuwapeza atakumana ndi zofunda, matawulo, kapena zovala za munthu amene ali ndi nsabwe.

Nsabwe siziphatika kumaliseche, koma zimatha kupangitsa kuti maliseche amveke. Tizilombo tomwe timakhala ngati nkhanu titha kuwoneka, ndipo mutha kuwona mazira (nits) awo.

Nsabwe zapagulu nthawi zambiri zimachiritsidwa ndi mankhwala a OTC, monga permethrin (Nix).

Zilonda zam'mimba

Matenda a maliseche amayamba chifukwa cha ma virus a herpes simplex, omwe nthawi zambiri amakhala 2 (HSV-2). Ndi amodzi mwa matenda opatsirana pogonana omwe amapezeka kwambiri.

Mukakhala ndi kachilomboka, kamakhala mkati mwa mitsempha ya thupi lanu ndipo imatha kuyambitsa matenda amtsogolo. Matenda omwe amapezeka nthawi zambiri amakhala ocheperako komanso amafupikitsa.

Zizindikiro zimawoneka patatha masiku anayi kapena asanu mutagonana. Amakhala ndi zotupa zazing'ono, zopweteka, kapena zotentha komanso zotupa kuzungulira kumaliseche, matako, ndi anus zomwe zimatha milungu itatu.

Zilondazi zikhoza kuphulika, kutuluka mafinya, ndi kutumphuka. Nyini yanu itha kukhala yotupa, yotupa, komanso yopweteka.

Izi ndi zizindikiro za matenda opatsirana pogonana:

• zotupa zamatenda zotupa
• malungo
• mutu ndi kupweteka kwa thupi

Palibe mankhwala a herpes, koma mankhwala monga acyclovir (Zovirax), famciclovir, kapena valacyclavir (Valtrex) atha kuthetsa kuopsa kwa kubuka kwa matenda ndikuchepetsa nthawi yomwe imatha.

Chindoko

Chindoko ndi matenda opatsirana pogonana omwe amayamba chifukwa cha bakiteriya Treponema pallidum. Ndi matenda opita patsogolo omwe ali ndi magawo anayi, ndipo amalepheretsa ngakhale kupha ngati sanalandire chithandizo.

Munthawi yoyamba ya chindoko, malo opatsirana amapezeka pachilonda chaching'ono chotchedwa chancre. Nthawi zambiri imawonekera patatha milungu itatu kapena inayi kutengera kufalikira kwa mabakiteriya.

Chancre sichimva kupweteka koma imafalikira kwambiri. Chifukwa sichopweteka, nthawi zina chimakhala chosazindikira. Chancre imatha pambuyo pafupifupi milungu itatu, koma mabakiteriya akupitilizabe kufalikira mthupi lanu.

Mu gawo lachiwiri la chindoko, pali zotupa, kuphatikizapo kumaliseche kwanu. Zizindikiro zina ndizo:

• kutopa
• malungo
• zotupa zam'mimba zotupa
• mutu ndi kupweteka kwa thupi
• kuonda
• kutayika tsitsi

Chindoko amachiritsidwa ndi penicillin kapena maantibayotiki ena kwa anthu omwe amadwala penicillin.

Maliseche maliseche

Ziphuphu zopatsirana kwambiri zimayambitsidwa ndi mitundu ina ya papillomavirus ya anthu (HPV). Iwo ndi amodzi mwa matenda opatsirana pogonana.

Nthawi zambiri amawoneka m'magulu, koma atha kukhala amodzi. Zitha kupezeka mkamwa mwako, pakhosi, kapena kumatako. Ali ndi mikhalidwe yambiri:

• Mtundu, zimasiyana kuchokera ku kuwala (kofiyira mnofu ndi ngale) mpaka mdima (wofiirira, wotuwa, kapena bulauni).
• Zilondazo zimatha kukhala zazing'ono kukula kwakukulu, kuzungulira kapena mawonekedwe athyathyathya.
• Kapangidwe kamasiyana mosiyanasiyana mpaka kosalala.

Ngakhale kuti nthawi zambiri imakhala yopanda ululu, imatha kukhala yayikulu, kukwiya, kapena kuyabwa.

Nthawi zambiri, ziwalo zoberekera zimatha zokha zisanathe chaka, chifukwa chake mungafune kudikirira. Kuchiza njerewere kumatha kuchepa, koma kachilomboka kamakhalapobe. Mankhwala omwe amagwiritsidwa ntchito pochizira ma warts ndi awa:

• imiquimod (Aldara)
• podophyllin (Podocon-25) ndi podofilox (Condylox)
• trichloroacetic acid, kapena TCA

Dokotala amathanso kuchotsa njerewere pochita odwala.

Matenda a Neurodermatitis

Neurodermatitis ndi khungu loyabwa lomwe limatchedwanso lichen simplex chronicus. Sizopatsirana. Ikhoza kukula kulikonse m'thupi lanu. M'dera loberekera, nthawi zambiri limakhudza kumaliseche.

Kukanda kumawonjezera kuyabwa ndipo kumaganiziridwa kuti kumakwiyitsa kutha kwamitsempha mdera lomwe mukukanda. Minyewa ija kenako imawoneka ngati ikukuwuzani kuti pali kuyabwa.

Zomwe zimayambitsa sizidziwika, koma neurodermatitis imatha kuyambitsidwa ndi kulumidwa ndi tizilombo kapena kupsinjika. Zitha kupezekanso pamtundu wina, monga kukhudzana ndi dermatitis kapena matenda ashuga.

Mukapitiliza kukanda chikazi cha kumaliseche, malowo amakhala akuda komanso achikopa (lichenified).

Neurodermatitis imathandizidwa ndi OTC kapena mankhwala akuchipatala kuti athetse kuyabwa.

Zilonda zam'mimba

Zilonda za Vulvar ndi zilonda zomwe zimapezeka mderali. Zitha kukhala zopweteka kwambiri kapena zopweteka.

Zomwe zimayambitsa matenda opatsirana pogonana, komanso matenda a bakiteriya kapena mafangasi. Zomwe zimayambitsa matendawa ndi monga:

• psoriasis
• zochita mankhwala
• zoopsa zogonana
• Behçet syndrome (matenda osadziwika omwe amadzichitira okhaokha)

Zilonda za Vulvar zimatha kuyamba kuwoneka ngati zotupa, zotupa, kapena khungu losweka. Zizindikiro zina ndizo:

• kupweteka kapena kusapeza bwino
• kuyabwa
• kutuluka kapena kutuluka
• pokodza kowawa kapena kovuta
• ma lymph node owonjezera
• malungo

Chithandizo chidzadalira chifukwa cha chilondacho.

Chotupa cha Bartholin

Chotupa cha Bartholin ndikutupa kochepa pachimodzi mwazigawo zomwe zimatulutsa madzi amadzimadzi mbali iliyonse yamitsempha ya abambo.

Chotupacho chimadzaza ndimadzimadzi pamene chovulalacho chavulala kapena kutenga kachilombo.Chotupacho chimatha kutenga kachilombo ndikudzaza mafinya, ndikupanga chotupa.

Chotupa cha Bartholin nthawi zambiri chimakhala chopweteka komanso chimakula pang'onopang'ono. Pakhoza kukhala kutupa ndi kufiira pafupi ndi kutsegula kwa nyini, ndi kusapeza nthawi yogonana kapena zochitika zina.

Chithandizo chitha kuphatikizira kupweteka kwa OTC kapena njira yakunja yochotsera chotupacho.

Ndere zamatsenga

zotsatira za chitetezo chanu cha mthupi polimbana ndi khungu lanu kapena maselo am'mimba, kuphatikizapo kumaliseche. Matenda a khungu awa siopatsirana.

Zizindikiro zake ndi izi:

• kuyabwa, kuyaka, kupweteka, ndi kupweteka
• kufiira kapena mabampu otulutsa mawonekedwe
• zotupa za khungu lokhala ndi lacy, malire oyera
• zipsera komanso zosasangalatsa panthawi yogonana

Ndondomeko ya lichen imachiritsidwa ndi ma topical steroids. Chithandizo cha nthawi yayitali chimalimbikitsidwa mu mtundu wa erosus planus, chifukwa pali chiopsezo chochepa cha squamous cell carcinoma.

Sclerosus ya ndere

Lichen sclerosus ndiyosowa ndipo nthawi zambiri imakhudza kokha kumaliseche. Zimachitika makamaka mwa atsikana omwe amabereka msanga komanso azimayi omwe amabereka ana atatha msinkhu.

Amadziwika ndi chikwangwani choyera chokhala ndi mawonekedwe asanu ndi atatu kuzungulira kumaliseche ndi kumatako.

Kwa ana, nthawi zina zimatha zokha. Mwa akuluakulu, sangachiritsidwe. Koma zizindikiro zake zimatha kuchiritsidwa ndi ma topical corticosteroids kapena mankhwala omwe amachititsa kuti chitetezo cha mthupi chitetezeke monga pimecrolimus (Elidel).

Zimayambitsa zina kuyabwa nyini

• zovala kapena zovala zamkati zolimba kwambiri
• Kukwiya chifukwa chometa ubweya
• shaft shaft yomwe imatenga kachilombo ndikupanga chotupa chofiira
• kunenepa kwambiri (mapangidwe akhungu olumikizana kumawonjezera mikangano ndi thukuta, zomwe zimayambitsa kukwiya kwamaliseche)

Ziphuphu kuzungulira nyini

Zomwe zimayambitsa ziphuphu kuzungulira nyini ndikulumikizana ndi dermatitis ndi vaginitis.

Kusokonezeka kwa nyini kungayambitsenso ndi chotupa cha Bartholin.

Ziphuphu pa maliseche

Kuthamanga pamaliseche kumatha kukhala:

• neurodermatitis
• psoriasis
• Ziphuphu zam'mimba
• nsungu

Ziphuphu pa labia

Zinthu zambiri zimatha kuyambitsa kutupa ndi kufiira kwa labia wanu ("milomo" mozungulira nyini), kuphatikiza:

• chifuwa
• matenda a bakiteriya kapena yisiti
• katatu
• kusowa mafuta nthawi yogonana

Mankhwala opatsirana pogonana kunyumba

Ngati kuthamanga kwanu kukupatsirana, kambiranani ndi dokotala za nthawi yomwe mungagone bwino. Kambiranani za momwe mungapewere matenda ena opatsirana. Ngati muli ndi pakati, funsani za kufalitsa kwa mwana wanu.

Kuyimitsa kuyabwa ndikofunikira kwambiri. Kukanda kumakulitsa zidzolo.

• Chotsani chilichonse chomwe chingakwiyitse khungu lanu, monga zotsekemera ndi sopo, mapepala owumitsa, ufa wa talcum, ndi mafuta a khungu.
• Valani zovala zamkati ndi zovala zamkati za thonje, ndipo pewani zinthu zopangira.
• Musagwiritse ntchito zopopera kapena zokometsera kumaliseche (pokhapokha dokotala atakuuzani).
• Gwiritsani ntchito mafuta onunkhira opanda fungo kuti musamaume.
• Gwiritsani ntchito mafuta a kokonati ndi mafuta a tiyi, omwe ali ndi zida zowononga.
• Gwiritsani ntchito boric acid suppositories, yomwe imathandizanso polimbana ndi yisiti ndi matenda a bakiteriya.
• Yesani compress yozizira kuti muchepetse kuyabwa. Zithandizanso kuti corticosteroid ilowetse khungu lanu bwino.
• Sambani oatmeal.
• Idyani yogurt ndi zikhalidwe zomwe zingakuthandizeni kupewa matenda a yisiti.
• Gwiritsani ntchito maantibiotiki ngati mukumwa mankhwala opha tizilombo.
• Pukutani kuchokera kutsogolo kupita kumbuyo mukakhala ndi matumbo.
• Gwiritsani ntchito njira yotchinga, monga makondomu, panthawi yogonana.

Nthawi yoti muwonane ndi dokotala

Ndibwino kukawona dokotala ngati simunakhalepo ndi vuto la nyini kale. Mwinanso mungafune kufunsa dokotala wa khungu (dermatologist) kapena katswiri wamatenda opatsirana omwe angakhale ndi chidziwitso chambiri pamatenda osiyanasiyana, kuphatikiza matenda opatsirana pogonana.

Zomwe zimayambitsa kuphulika kwanu zitadziwika ndipo mutha kupeza yankho labwino, mutha kudzichitira nokha zotulukazo.

Kuzindikira zotupa zamaliseche

Dokotala amakupimitsani ndikutenga mbiri yakudwala. Angathe kuzindikira chomwe chikuyambitsa poyang'ana pa kuthamanga kwanu.

Dokotala atha kutenga swab m'deralo ngati pali zotuluka m'mimba, kapena khungu kapena khungu kuti ayang'ane maselo omwe ali ndi microscope. Adzatha kuwona tiziromboti ngati nkhanambo, kapena kuzindikira maselo a psoriasis pansi pa microscope.

Kuyezetsa magazi kungagwiritsidwe ntchito kuzindikira herpes simplex kapena syphilis.

Mutha kutumizidwa kwa a gynecologist, dermatologist, kapena katswiri wamatenda opatsirana kuti akuthandizeni.

Kupewa zilonda zapakhosi

Kukhala ndi ukhondo ndikofunikira. Momwemonso kukhala ndi chakudya chopatsa thanzi komanso moyo wabwino. Kukhala ndi mawonekedwe abwino kungakuthandizeni kupewa matenda.

Mutha kuthandiza kupewa matenda opatsirana pogonana mwa:

• kugwiritsa ntchito njira zolepheretsa pogonana, monga makondomu kapena madamu a mano
• kusamalira matenda opatsirana pogonana omwe alipo
• osagawana matawulo ndi zovala zomwe mwina zakumana ndi chotupa chotseguka
• kupewa zopweteka (ngati muli ndi dermatitis)

Kutenga

Ziphuphu kumaliseche zimachiritsidwa, ndipo zizindikilo zimatha kuchepetsedwa ndi mankhwala ndi zithandizo zapakhomo. Nthawi zina, matenda oyambilira (monga herpes kapena psoriasis) samakhala ndi mankhwala, koma zizindikilozo zitha kuthandizidwa ndi mankhwala.

Ndikofunika kuti muwone dokotala kuti azindikire ndikuthandizira zomwe zimayambitsa vuto lanu. Nthawi zina mumayenera kugwira ntchito ndi dokotala pakapita nthawi kuti mupeze njira yoyenera yothandizira inu komanso kupewa kuti zotupazo zisabwererenso.