IVulvovaginitis

I-Vulvovaginitis okanye i-vaginitis kukudumba okanye kukusuleleka kwilungu lobufazi kunye nelungu lobufazi.

I-Vaginitis yingxaki eqhelekileyo enokuthi ichaphazele abasetyhini kunye namantombazana ayo yonke iminyaka.

AMAGALELO

Usulelo lwegwele sesinye sezizathu eziqhelekileyo ze-vulvovaginitis kubafazi.

• Usulelo lwegwele luhlala lubangelwa ngundo ICandida albicans.
• I-Candida kunye nezinye iintsholongwane ezihlala kwilungu lobufazi zigcinana zilingana. Nangona kunjalo, ngamanye amaxesha inani le-candida liyanda. Oku kukhokelela kusulelo lwegwele.
• Usulelo lwegwele luhlala lubangela ukurhawuzelelwa kwilungu lobufazi, ukukhutshwa okumhlophe okumhlophe, ukukhawuleza kunye nezinye iimpawu.

Ilungu lobufazi liqulathe iibhaktheriya ezisempilweni kunye neebhaktiriya ezingenampilo. I-bacterial vaginosis (BV) yenzeka xa ibhaktiriya engenampilo ngakumbi kuneebhaktheriya ezisempilweni. I-BV inokubangela ukukhutshwa okuncinci, okungwevu kwilungu lobufazi, iintlungu zangasese, kunye nevumba lentlanzi.

Uhlobo olungaqhelekanga lobufazi lusasazeka ngokudibana ngokwesondo. Ibizwa ngokuba yi-trichomoniasis. Iimpawu kwabasetyhini zibandakanya ukurhawuzelela amalungu esini, ivumba lobufazi, kunye nokukhutshwa okunzima kwilungu lobufazi elinokuba mthubi-ngwevu okanye luhlaza ngombala. Abasetyhini banokufumana ukubonwa kwilungu lobufazi emva kokwabelana ngesondo.

EZINYE IZizathu

Iikhemikhali zinokubangela irhashalala erhawuzayo kwindawo yesini.

• Iipermicides kunye neziponji zangasese, ezizezona ndlela zokulawula ukuzalwa
• Ukutshiza kwabasetyhini kunye neziqholo
• Iibhafu zebhafu kunye neesepha
• Amafutha omzimba

Amanqanaba asezantsi e-estrogen kwabasetyhini emva kokuyeka ukuya exesheni kunokubangela ukoma kwilungu lobufazi kunye nokuncipha kolusu lobufazi kunye nobufazi. Ezi zinto zinokukhokelela okanye zenze mandundu ukurhawuzelela komzimba kunye nokutsha.

Ezinye izizathu zibandakanya:

• Impahla yokunxiba okanye engabambisiyo ekhokelela kurhashalala lobushushu.
• Iimeko zesikhumba.
• Izinto ezinje ngetampon elahlekileyo zinokubangela ukucaphuka, ukurhawuzelela, kunye nokukhutshelwa ngokuqinileyo.

Ngamanye amaxesha, esona sizathu asifumaneki. Oku kubizwa ngokuba yi-nonspecific vulvovaginitis.

• Iyenzeka kuwo onke amaqela eminyaka. Nangona kunjalo, ixhaphake kakhulu kumantombazana amancinci ngaphambi kokufikisa, ngakumbi amantombazana anokuziphatha okucocekileyo.
• Ibangela ukuphuma okumdaka, umbala o-mdaka-luhlaza kunye nokucaphuka kwe-labia kunye nokuvulwa kwelungu lobufazi.
• Le meko ihlala inxulunyaniswa nokukhula okuthe kratya kweebhaktheriya ezifumaneka esitulweni. Ezi bhaktheriya ngamanye amaxesha zisasazeka ukusuka kwi-rectum ukuya kwindawo yesini ngokusula ukusuka ngasemva ukuya ngaphambili emva kokusebenzisa indlu yangasese.

Izicubu ezicaphukisayo kunokwenzeka ukuba zosulelwe kunezihlunu ezisempilweni. Iintsholongwane ezininzi ezibangela usuleleko ziyachuma kwindawo efudumeleyo, emanzi, nasebumnyameni. Oku kunokukhokelela ekubuyiseleni ixesha elide.

Ukuxhatshazwa ngokwesondo kufuneka kuthathelwe ingqalelo kumantombazana amancinci anezifo ezingaqhelekanga kunye neziqendu eziphindaphindiweyo ze-vulvovaginitis engachazwanga.

Iimpawu zibandakanya:

• Ukurhawuzelela kunye nokurhawuzelela indawo yesini
• Ukudumba (ukucaphuka, ukuba bomvu, kunye nokudumba) kwendawo yesini
• Ukukhutshwa kwilungu lobufazi
• Ivumba elibi lelungu lobufazi
• Ukuphazamiseka okanye ukutshisa xa uchama

Ukuba ukhe wosuleleko lwegwele kwixa elidlulileyo kwaye uyazazi iimpawu, ungazama unyango ngeemveliso ezithengiswa ekhawuntareni. Nangona kunjalo, ukuba iimpawu zakho azihambi ngokupheleleyo malunga neveki, nxibelelana nomboneleli wakho wezempilo. Ezinye izifo ezininzi zineempawu ezifanayo.

Umboneleli uya kwenza uviwo lwe-pelvic. Olu viwo lunokubonisa indawo ebomvu, yethenda kwilungu lobufazi okanye lobufazi.

Ukulungiswa okumanzi kudla ngokwenziwa ukuchonga usulelo lobufazi okanye ukugqithisa kwemvubelo okanye ibhaktheriya. Oku kubandakanya ukuvavanya ukukhutshwa kwilungu lobufazi phantsi kwemicroscope. Ngamanye amaxesha, inkcubeko yokukhutshwa kwilungu lobufazi inokunceda ukufumana intsholongwane ebangela usulelo.

I-biopsy (kuvavanyo lwethishu) yendawo ekucaphukisayo kuyo inokwenziwa ukuba akukho zimpawu zosulelo.

Iikhrim okanye ii-suppositories zisetyenziselwa ukunyanga usulelo lwegwele kwilungu lobufazi. Ungathenga uninzi lwazo kwi-counter. Landela umkhombandlela oza neliyeza ulisebenzisayo.

Zininzi iindlela zonyango lokoma kwelungu lobufazi. Ngaphambi kokuba unyange iimpawu zakho ngokwakho, jonga umboneleli onokufumana unobangela wengxaki.

Ukuba unayo i-BV okanye i-trichomoniasis, umboneleli wakho unokumisela:

• Iipilisi zeAntibiotic oziginyayo
• Izithambisi ze-Antibiotic ozifaka kwilungu lakho lobufazi

Amanye amayeza anokunceda:

• Ukhilimu weCortisone
• Iipilisi ze-Antihistamine zokunceda ukurhawuzelela

Qiniseka ukuba usebenzisa iyeza kanye njengoko umiselweyo kwaye ulandele imiyalelo kwileyibhile.

Unyango olufanelekileyo losulelo lusebenza kwiimeko ezininzi.

Fowunela umnikezeli wakho ukuba:

• Unempawu ze-vulvovaginitis
• Awufumani kuncedo kunyango olufumanayo ngenxa ye-vulvovaginitis

Gcina indawo yakho yesini icocekile kwaye yomile xa une-vaginitis.

• Gwema isepha. Vasa nje ngamanzi ukuze uzicoce.
• Gxobhoza kwindawo efudumeleyo, engatshisiyo, yokunceda iimpawu zakho. Yoma kakuhle emva koko.

Kuphephe ukudibana. Abasetyhini abaninzi baziva becocekile xa besitya, kodwa inokwenza ukuba iimpawu zibe mbi ngakumbi kuba isusa ibacteria esempilweni emgceni welungu lobufazi. Ezi bhaktheriya zinceda ukukhusela kusulelo.

Ezinye iingcebiso zezi:

• Gwema ukusebenzisa izitshizi zempilo, iziqholo, okanye umgubo kwindawo yesini.
• Sebenzisa iiphedi endaweni yeetampon ngelixa usulelo.
• Ukuba unesifo seswekile, gcina inqanaba leswekile esegazini kulawulo olufanelekileyo.

Vumela umoya omninzi ukuba ufike kwindawo yakho yesini. Unokwenza oku ngo:

• Ukunxiba iimpahla ezikhululekileyo kwaye unganxibanga umbhobho wepanty.
• Ukunxiba iimpahla zangaphantsi zomqhaphu (endaweni yamalaphu okwenziwa) okanye iimpahla zangaphantsi ezinombala wekotoni kwindawo yokugcina ukutya. Umqhaphu uvumela ngumphunga oqhelekileyo wokufuma ukuze kunciphise ukufuma.
• Ukunganxibi iimpahla zangaphantsi ebusuku xa ulele.

Amantombazana nabasetyhini kufuneka:

• Yazi indlela yokucoceka ngokufanelekileyo indawo yabo yesini ngelixa uhlamba okanye uhlamba.
• Sula ngokufanelekileyo emva kokusebenzisa indlu yangasese. Soloko usula ngaphambili uye ngasemva.
• Hlamba ngocoselelo ngaphambi nasemva kokusebenzisa indlu yangasese.

Soloko usenza isondo elikhuselekileyo. Sebenzisa iikhondom ukunqanda ukubamba okanye ukusasaza izifo.

Ukudumba; Ukudumba kwilungu lobufazi; Ukudumba kwelungu lobufazi; I-vaginitis engacacanga

• I-anatomy yomntu obhinqileyo

UAbdallah M, u-Augenbraun MH, uMcCormack WM. IVulvovaginitis kunye ne-cervicitis. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 108.

IBraverman PK. Urethritis, vulvovaginitis, kunye ne-cervicitis. Ku: I-SS ende, iProber CG, uFischer M, ii-eds. Imigaqo kunye nokuziqhelanisa nezifo ezosulelayo zabantwana. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2018: isahluko 51.

UGardella C, uEckert LO, uLentz GM. Usulelo lwamalungu esini sangasese: ubufazi, ubufazi, umlomo wesibeleko, isifo sokudakumba esinetyhefu, i-endometritis, kunye ne-salpingitis. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 23.

I-Oquendo Del Toro HM, iHoefgen HR. IVulvovaginitis. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 564.