I-Vaginitis ibhekisela ukuvuvukala noma ukutheleleka kobulili, kepha kungathinta nesikhumba, indawo engaphandle kwesifazane (vulvovaginitis).
I-Vaginitis emantombazaneni amantombazane asetshenzwa kakhulu lapho kwenzeka ibhalansi evamile yemvubelo namabhaktheriya emkhatsini wesifazane kuphazanyiswa ngenxa yezizathu ezithile, ngokucasuka ngokuqondile kwamakhemikhali noma uma intombazane ishaya ucansi. Ama-STD angabangela i-vaginitis.
Ngaphezu kwalokho, amacala okucasuka nokuvuvukala angase ahlotshaniswe nokuphakama kwezinwele zokushicilela.
I-Vulvovaginitis emantombazaneni engazange aphumelele ekukhuleni kodwa kaningi izimbangela ezihlukahlukene. Kule minyaka yobudala, ngenxa yokungabi nesifo se-estrogen, engakhulumi kuze kube yilapho sekukhulelwa, isikhumba ngaphakathi nasendaweni esungeze isiswini singaba mncane, sicele futhi sithukuthele kalula. Amantombazane amancane angase ahlakulele izimpawu ze-vaginitis ngoba angasisuli uma seziqeqeshwa ngamanzi, asule ngokungalungile (emuva kuya phambili esikhundleni sokubuyela emuva), sula ngamandla noma uthathe amabhati wokubhukuda, njll.
Izimpawu zeVaginitis
Izimpawu ezivame kakhulu ze-vaginitis zingabandakanya:
- ukuhlunga kwesisu , ukucasuka noma ukucasula
- ukukhishwa kwesisu
- ubomvu nokuvuvukala kwe-vulva
- evutha ukuchama (i-dysuria)
- imvamisa (ukuvuthisa kaningi)
- ukuphuma kwegazi (ukuvutha kwesibindi)
Khumbula ukuthi ukuphuma komzimba wesisu kungajwayelekile kubantu abasha, abangase babe nokukhishwa okumhlophe, okungenaswidi okuthiwa "i-leukorrhea yokuphila." Ngeke ulindele ukuthi babe nezinye izimpawu uma nje bane-leukorrhea.
Yini eyenza i-Vaginitis
Izimbangela ezijwayelekile ze-vaginitis zingabandakanya:
- I-prepubertal vaginitis - Ngokuvamile engeyona isandulela ngculaza futhi ibangelwa amasu angcolile noma ukucasula (amabhuku okugeza, izinsipho ezinzima, izingubo ezimanzi, njll). Uhlamvu olugcinwe ephepheni langezindlu zangasese lungadala futhi kuthukuthele futhi kukhishwe.
- Izifo zesisindo - Kubangelwa ama- Candida albicans . Izifo zesisindo zivame kakhulu uma ingane yakho isanda kuthatha imithi yokwelapha yomlomo. Ngaphandle kwezinye izimpawu ze-vaginitis, lawa bantwana angase abe nokuthuthwa kwamanzi okwesibhakabhaka okumhlophe okuvame ukungabi nalutho. Gcina engqondweni ukuthi izifo zesisu semvubelo ayitholakali kakhulu ngaphambi kokuba amantombazane afike ekukhuleni; ziba zivame kakhulu eminyakeni eyiminyaka eyadlula.
- I-bacterial vaginosis - Kubangelwa ukungalingani kwamabhaktheriya avame ukuhlala emkhathini, okungaveza iphunga lesiswini sangasese kanye nomswakama omzimba omhlophe, omhlophe.
- I-Trichomoniasis - I-STD eyabangelwa i-protozoa ye- Trichomonas vaginalis , eyabangela ukuvuthwa kwe-vaginal kanye ne-frothy, eluhlaza okwesibhakabhaka oluhlaza okwesibhakabhaka okunomsoco omubi.
- Ukwelashwa kwe-Chlamydia - I-STD ebangelwa yi- Chlamydia trachomatis , engase ihluke ekubeni yinkimbinkimbi yokuba nomzwa ovuthayo uma uchama futhi / noma ukuphuma komzimba.
Ngeshwa, ukuthola imbangela ethile ye-vaginitis noma ngisho nokuthi ingane ine-vaginitis ngezinye izikhathi kungase kube nzima. Abanye bangase bangaqapheli ngokugcwele ukuthi izimpawu zabo zibangelwa i-vaginitis futhi bakhononde ngaphezulu izimpawu zomchamo uma umchamo uhlasela isikhumba esivulekile. Amanye amantombazane angase asabe ukuthi bazocatshangwa ukuthi bahlanganyele ngokocansi noma bajabhe ukukhuluma ngalezi zimpawu.
Izivivinyo ezihlukahlukene zingenziwa ekuvinjweni kwamagciwane ukuze kutholakale odokotela ukutshela umehluko phakathi kwezinhlobo ezahlukene ze-vaginitis, nakuba zingase zingatholakali ezinganeni zezingane ngaphandle uma zizinakekela ngokukhethekile intsha eningi. Isibonelo, uma ukutheleleka kwemvubelo kubangela i-vaginitis, udokotela wezingane wakho angase abone imvubelo ye-budding ne-pseudohyphae lapho ebuka i-potassium hydroxide enezintambo zokuvimbela izidakamizwa ngaphansi kwe-microscope.
Intaba emanzi ingasiza ekuboneni amangqamuzana ezinkomba ze-bacterial vaginosis noma ama-parasite egeleza nxazonke.
Ukwelashwa kweVaginitis
Ukuze uthole usizo olusheshayo lwe-vulvovaginitis, ngezinye izikhathi lingasiza:
- uthatha ukugeza okufudumele, noma nge-baking soda noma ngaphandle kokubhaka
- sebenzisa amaphakethe e-ice, njengokubekezela, endaweni
- sebenzisa ukhilimu ophansi, ukhilimu we-steroid ephezulu wezindawo ezicasulayo
Ezinye zokwelashwa nge-vaginitis zixhomeke esibangweni esithile.
Isibonelo, ezinganeni zangaphambili, i-vulvovaginitis ivame ukuphathwa ngokuhlanzeka okuhlanzekile futhi isebenzise i-barrier cream barrier, njenge-Vaseline noma i-Aquaphor izikhathi eziningana ngosuku.
Ama-antibiotic angase abekwe, ngokuvamile, i-Augmentin noma i-Clindamycin, uma izimpawu ziqhubeka futhi kugwetshwe ukutheleleka kwama-bacterium .
Uma ingane esemusha isifo sesisu semvubelo yesisu, khona-ke cishe kuzodinga inkambo eyodwa-kuya kwezinsuku ezintathu zemithi ye-antifungal ye-topical, njenge-miconazole noma i-clotrimazole cream. Ngokuvamile kuzodingeka zisetshenziswe kulesiswini; Kodwa-ke, imithi yomlomo, njenge-fluconazole, iyatholakala uma ungacabangi ukuthi ingane yakho encane iyobekezelela leyo yokwelashwa.
I-bacterial vaginosis ingaphathwa nge-metronidazole yomlomo noma nge-intravaginal metronidazole noma i-clindamycin.
Okokugcina, i- trichomoniasis ngokuvamile iphathwa nge-metronidazole yomlomo ne- chlamydia ene-antibiotic efana ne-azithromycin.
Ukuvimbela i-Vaginitis
Ngaphandle kokugwema amabhati wokubhukuda nokusebenzisa ukuhlanzeka okuhlanzekile (ukusula kusuka ngaphambi kokuya ngemva kokuchama), ungasiza ingane yakho ivimbele i-vaginitis ngokumfundisa:
- Ukuguqa ngamadolo akhe kusakaze kabanzi
- Shintsha izingubo ezimanzi ngokushesha ngangokunokwenzeka, kufaka phakathi izingubo zokukhishwa kwe-sweaty
- Gwema izingubo eziqinile
- Gqoka izibopho ezingaphansi kokugqoka, izambatho zikotini
- Gwema imikhiqizo enomsoco
- Sebenzisa izinsipho ezingenakusoza, ezinomsoco bese uzihlanza kahle emva kokugeza noma ukugeza
- Gwema ukuthola i-shampoo endaweni yangasese
- Geza bese uyomisa indawo ye-vulva kahle lapho evula noma egeza
- Gwema i-douching, i-sprays yesifazane namathoni amnandi
Kungasiza futhi ukugeza izingubo zangaphansi kwengane yakho nge-detergent ye-dae ne-perfume futhi ugweme izintambo zokuthambisa.
Okudingeka Ukwazi Nge-Vaginitis
I-Vaginitis yinkinga evamile, ngakho-ke kubalulekile ukuthi ufunde kabanzi ngakho ukuze uvikele isiqephu sokuqala kwengane yakho noma okungenani ukuthi kufanele ukwenze uma enayo. Ngaphezu kokubona izimpawu nezimbangela ze-vaginitis, kungasiza ukwazi ukuthi:
- Intsha kufanele inesikhathi esithile sokuxoxwa yedwa ngaphandle komzali noma umlondolozi ukuze baceliwe uma bezocansi.
- Abalingani bobulili abasha abane-trichomoniasis ne-chlamydia kufanele baphathwe futhi, futhi kufanele bonke bahlolwe i-HIV.
- I-Lichen sclerosis ivame ukungaphathwa kabi njenge-vaginitis.
- Ukubambelela kwe-Labial kungaba yinkinga ye-vaginitis, ikakhulukazi i-vaginitis evamile ezinganeni ezincane.
- Nakuba amaprotworms angabangela i-vaginitis, kucatshangwa ukuthi iyisifo sofuba esinganqamuki esingadingeki siphathwe, ngokungafani nezimpungushe ze-perianal.
- Ungalungisa i- sitz bath for ingane yakho ngokuxuba amabili wezipuni we-baking soda ngamasentimitha angu-4 kuya kwangu-5 ebhukwini lokugeza.
Ababelethisi bezinsana zezingane basatholakala ezindaweni eziningi ukusiza ukunakekela izingane nentsha encane ene-vaginitis engapheli noma ehlala njalo nezinye izinkinga zemizimba. Uma kungenjalo, ukuze uthole usizo olwengeziwe noma umbono wesibili, cela udokotela wezingane ukuthi uthumele umjozi wezifo zomzimba omdala onokuhlangenwe nakho okunye okunakekela izingane.
Imithombo:
Imithi Yama-Adolescent. Slap, Gail, MD. 2008.
Ukwenza Isinqumo Sezingane ZaseBerman (Edition Edition), 2011.
UJasper JM. I-Vulvovaginitis enganeni engaphambi kokuzalwa. Clin Ped Emerg Med, 10 (2009), iphe. 10-13
Katz: Ukuzivocavoca Okuphelele, 5th ed.