Izilonda zangasese - ibhinqa

Izilonda okanye izilonda kwilungu lobufazi okanye kwilungu lobufazi zinokwenzeka ngezizathu ezininzi.

Izilonda eziseswini zinokuba buhlungu okanye urhawuzelele, okanye zingenakho ukuveza zimpawu. Ezinye iimpawu ezinokubakho zibandakanya iintlungu xa uchama okanye usabelana ngesondo kabuhlungu. Kuxhomekeka kwisizathu, ukubakho kwilungu lobufazi kungakho.

Usulelo olusasazeka ngokudibana ngokwesondo kunokubangela ezi zilonda:

• I-Herpes ngunobangela oqhelekileyo wezilonda ezibuhlungu.
• Iimfazwe zangasese zingabangela izilonda ezingenabuhlungu.

Izifo ezingaqhelekanga ezinje nge-chancroid, i-granuloma inguinale, i-molluscum contagiosum, kunye negcushuwa nazo zinokubangela izilonda.

Utshintsho olukhokelela kumhlaza we-vulva (i-vulvar dysplasia) lunokubonakala njengamabala amhlophe, abomvu, okanye ansundu kwi-vulva. Ezi ndawo zingarhawuzelela. Umhlaza wolusu onjenge-melanoma kunye ne-basal cell kunye ne-squamous cell carcinomas nayo inokufumaneka, kodwa ayixhaphakanga.

Ezinye izizathu eziqhelekileyo zezilonda zomzimba zibandakanya:

• Ixesha elide (elingapheliyo) lolusu olubandakanya irhash ebomvu (i-atopic dermatitis)
• Ulusu oluba bomvu, lube buhlungu, okanye ludumbe emva kokudibana neziqholo, iisepha, izicofisi zamalaphu, izifafazi zamabhinqa, amafutha okuthambisa, iikhrim, iidouches (qhagamshelana nedermatitis)
• Ama-cysts okanye amathumba eBartholin okanye amanye amadlala
• Umothuko okanye imikrwelo
• Iintsholongwane zohlobo lwe-Flu ezinokubangela izilonda kumalungu angasese okanye izilonda kwezinye iimeko

Jonga umboneleli wezempilo ngaphambi kokuba uzinyange. Ukuzinyanga ngokwakho kungenza kube nzima kumnikezeli ngeenkonzo ukuba afumane oyena nobangela wengxaki.

Ibhafu ye-sitz inokunceda ekunciphiseni ukurhawuzelela kunye nokuqhekeka.

Ukuba izilonda zibangelwa lusulelo olosulela ngokwabelana ngesondo, iqabane lakho owabelana nalo ngesondo linokufuna ukuvavanywa nokunyangwa ngokunjalo. Awunalo naluphi na uhlobo lwezenzo zesondo de umboneleli wakho athi izilonda azisenako ukusasazeka kwabanye.

Fowunela umnikezeli wakho ukuba:

• Fumana nasiphi na isifo somzimba esingachazwanga
• Utshintsho kwisifo sangasese
• Ngaba ukurhawuzelela amalungu esini okungahambi kunye nokhathalelo lwasekhaya
• Cinga ukuba unokuba nosulelo olosulela ngokwabelana ngesondo
• Unentlungu yomzimba, umkhuhlane, ukopha kwilungu lobufazi, okanye ezinye iimpawu kunye nezilonda kumalungu esini

Umboneleli wakho uya kwenza uvavanyo lomzimba. Oku kuhlala kubandakanya uviwo lwe-pelvic. Uya kubuzwa malunga neempawu zakho kunye nembali yonyango. Imibuzo inokubandakanya:

• Isilonda sijongeka njani? Ifumaneka phi?
• Uyiqaphele nini okokuqala?
• Unayo ngaphezulu kwe-1?
• Ngaba ibuhlungu okanye iyarhawuzelela? Ngaba ikhule ngakumbi?
• Ngaba wakha wanayo ngaphambili?
• Uhlala usabelana ngesondo rhoqo kangakanani?
• Ngaba unengxaki yokuchama okanye iintlungu xa usabelana ngesondo?
• Ngaba unayo i-drainage engaqhelekanga?

Olu vavanyo lulandelayo lunokwenziwa:

• Gcwalisa ubalo lwegazi (CBC)
• Umahluko wegazi
• Ulusu okanye i-mucosal biopsy
• Ubufazi okanye inkcubeko yomlomo wesibeleko
• Uvavanyo lokufihlwa kwemfihlo yelungu lobufazi (intaba emanzi)

Unyango lunokubandakanya amayeza owabeka kulusu okanye uwathathe ngomlomo. Uhlobo lweyeza luxhomekeke kwisizathu.

Izilonda kwilungu lobufazi

• Izilonda zomfazi (obhinqileyo)

I-Augenbraun MH. Ulusu lwamalungu omzimba kunye nezilonda zemifinya. 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 106.

IFrumovitz M, iBodurka DC. Izifo ze-Neoplastic ze-vulva: i-lichen sclerosus, i-intraepithelial neoplasia, isifo se-paget, kunye ne-carcinoma. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 30.

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.

Qhagamshela i-RE, iRosen T. Izifo ezinqamlezileyo zangaphandle. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 16.