I-Vaginitis ibhekisela ekuvukeleni okanye ukusuleleka kwesondo, kodwa inokuchaphazela inkunkuma, indawo engaphandle kwesini (vulvovaginitis).
I-Vaginitis kwimantombazana eselula ibonakala kakhulu xa ibhalansi eqhelekileyo yemvubelo kunye ne-bhakteria kwisisini iphazamiseka ngenxa yezizathu ezithile, ngokukrakra kweekhemikhali ngqo okanye ukuba umntwana uselula. Ii-STD zingabangela i-vaginitis.
Ukongezelela, iziganeko zokucatshukiswa kunye nokuvuvukala zinokudibaniswa nokunyuswa kobuninzi bee-curic izinwele.
I-Vulvovaginitis kwimantombazana engazange iphumelele ekufikeni komntwana kodwa kaninzi ibangela izizathu ezahlukileyo. Kule minyaka, ngenxa yokungabikho kwe-estrogen, engakhuphuki de kube yinkathi yobushushu, isikhumba ngaphakathi nakubungqingili besisini sinokuba sisincinci, sisinyanise kwaye sicatshukiswa kalula. La mabhinqa amancinci angathuthukisa iimpawu ze-vaginitis kuba awuyikusula xa ziba yimpuphu eqeqeshwe, usule ngokungafanelekanga (ukubuyela phambili phambi kwe-front-to-back), usule ngamandla okanye uthathe iibhotile zokubhaka, njl njl.
Iimpawu zeVaginitis
Iimpawu eziqhelekileyo ze-vaginitis zingaquka:
- ubuhlungu besisu , ubuhlungu okanye ukucaphuka
- ukutshatyalaliswa kwesisu
- ubomvu nokuvuvukala kwe-vulva
- kutshisa ngokucoca (i-dysuria)
- ubude (ukuchukumisa ngokuphindaphindiweyo)
- ukuphuma kumzi (ukusilela kwesibindi)
Gcina ukhumbule ukuba ukukhulelwa kwamanzi okwesisu kunokuqhelekileyo kwiminyaka engama-10 ubudala, onokuthi ufumane ukutshatyalaliswa okumhlophe, okungabonakaliyo okubizwa ngokuba yi-leukorrhea yomzimba. Ubungeke ulindele ukuba babe nezinye iimpawu ukuba babe ne-leukorrhea kuphela.
Yintoni eyenza iVaginitis
Izizathu eziqhelekileyo ze-vaginitis zingaquka:
- I-Prepubertal vaginitis - Ngokuqhelekileyo ayinasifo kwaye ishukunyiswa ngamacandelo okucoceka okucocekileyo okanye ukucaphukisa (iibhola zokuhlamba, isepha ezinzima, izambatho ezimanzi, njl.). Icandelo eligcinwe kwiphepha langasese lingakhokelela ekucaseni nasekukhutshweni.
- Izifo zesinkwa - Ebangelwa yiC Candida albicans . Izifo zesonka ziqhelekile xa umntwana wakho usanda kuthatha i-antibiotic yomlomo. Ukongezelela kwezinye iimpawu ze-vaginitis, aba bantwana banokuba nobuthakathaka obunqamlekileyo obugciniweyo obuqhelekileyo obungenasiphelo. Gcina ukhumbule ukuba izifo zesilonda sangasese azixhaphakanga kangako ngaphambi kokuba amantombazana aphelelwe ngumntwana; ziba zixhaphake ngakumbi kwiminyaka emininzi yeminyaka eselula.
- I-bacterium vaginosis - Ebangelwa ukungalingani kwiibhaktheriya eziqhelekileyo zihlala kwindawo yesini, ezinokuvelisa i-odin ye-vagin e-fishin kunye ne-vaginal-gray grey discharge.
- I-Trichomoniasis - I-STD ebangelwa i-protozoa ye- Trichomonas vaginalis , eyenza i-vaginal itching kunye ne-frothy, eluhlaza okwesibhakabhakeni ephethe isiphumo esibi.
- Ukwelashwa kwe-Chlamydia - I-STD ebangelwa yi- Chlamydia trachomatis , enokuthi ihluke ekubeni yinto engabonakaliyo yokuba nefuthe elivuthayo xa ujikeleza kunye / okanye ukukhulelwa kwesisu.
Ngelishwa, ukufumana isizathu esithile sesifo se-vaginitis okanye nokuba umntwana une-vaginitis ngamanye amaxesha kunzima kunzima. Abanye bengazi kakuhle ukuba iimpawu zabo zibangelwa yi-vaginitis kwaye zikhalaza ezinye iimpawu zokuvuthwa xa umchamo uhlasela ulusu oluvuthayo. Amanye amantombazana asenokuba noyiko lokuba uya kukhankanywa ukuba asebenze ngesondo okanye ahlazeke ukuba akhulume ngale mpawu.
Iimvavanyo ezahlukeneyo zenziwa kwiimfihlo zokukhutshwa kwamaginjini ukunceda oogqirha baxele umahluko phakathi kweentlobo ezahlukeneyo ze-vaginitis, nangona zingenako ukufumana ootitshala bezilwanyana ngaphandle kokuba zinyamekele inkoliso yabaselula. Ngokomzekelo, xa usulelo lwesisu luyabangela ukuba uginitis, udokotela wakho wezilwanyana unokwazi ukubona imvubelo ye-budding kunye ne-pseudohyphae xa ekhangele i-potassium hydroxide intaba yamanzi ye-vaginal secretions phantsi kwe-microscope.
Intaba emanzi inokukunceda ukufumanisa iiseli zamanqaku ezinqabile ze-bacterial vaginosis okanye iipasasites zokubhukuda ngeenxa zonke.
Unyango lweVaginitis
Ukunceda ngokukhawuleza kwe-vulvovaginitis, ngamanye amaxesha kunokunceda:
- uthathe i-sitz efudumeleyo, mhlawumbi kunye okanye ngaphandle kokubhaka i-soda
- sebenzisa iipakethe ze-ice, njengoko zinyamezelekile, kwindawo
- sebenzisa i-low-potency, i-headical steroid cream kwiindawo ezicaphukisayo
Olunye unyango lwe-vaginitis luxhomekeke kwisizathu esithile.
Ngokomzekelo, kubantwana abasengaphambili, i-vulvovaginitis ivame ukuphathwa ngokucoceka okucocekileyo nokusebenzisa i-creamic barrier cream, efana neVaseline okanye i-Aquaphor eziliqela ngamaxesha.
I-antibiotiki inokumiselwa, ngokuqhelekileyo, i-Augmentin okanye i-Clindamycin, ukuba iimpawu ziyaqhubeka kwaye isifo sobhintsho sisicatshulwa.
Ukuba umntwana okhulayo unesifo sovuba sesisu, uya kufuneka ukuba afune iikhosi enye yeentsuku ezi-one-atifungal, njenge-miconazole okanye i-clotrimazole cream. Ngokuqhelekileyo baya kufuneka basetyenziswe kwisini; Nangona kunjalo, iyeza zomlomo, njenge-fluconazole, ziyafumaneka ukuba awucingi ukuba umntwana wakho osemncinci uya kukunyamezela loo unyango.
I-bacterial vaginosis ingaphathwa nge-metronidazole yomlomo okanye nge-intravaginal metronidazole okanye i-clindamycin.
Ekugqibeleni, i- trichomoniasis iphathwa ngokuthe ngqo ngomlomo we-metronidazole kunye ne- chlamydia ene-antibiotic efana ne-azithromycin.
Ukuthintela iVaginitis
Ukongezelela ekukhuseleni ibhotile yebhotile kunye nokuhlambulula ucoceko olufanelekileyo (ukusula phambi kokubuyela emva emva kokutshiza), unokunceda umntwana wakho ukukhusela i-vaginitis ngokumfundisa:
- Ukuguqa ngamadolo akhe kwahlukana
- Sitshintshe iimpahla ezimanzi ngokukhawuleza kunokwenzeka, kuquka nezambatho zokusebenza
- Gwema iingubo ezinxibileyo
- Gqoka i-loose-fit, i-cotton underwear
- Gwema izinto ezicocekileyo
- Sebenzisa izisepha ezingenakuchukumisa, ezinomsoco kwaye uzihluthe kakuhle emva kokuhlamba okanye ukuhlamba
- Gwema ukufumana i-shampoo kwindawo yokuloba
- Geza uze usomile indawo yokutshatyalaliswa ngobumnene xa uvula okanye uhlamba
- Gwema i-douching, i-sprays kunye neetamponi ezivumba
Oku kunokukunceda ukuhlamba iimpahla zangaphantsi zomntwana wakho kunye ne-dawn ne-perfume-free free and avoid the softeners.
Oko Kufuneka Ukwazi NgeVaginitis
I-Vaginitis yingxaki eqhelekileyo, ngoko kubalulekile ukufunda okunye malunga nayo ukuze uthembele isiqephu sokuqala somntwana wakho okanye ubuncinane uyazi ukuba wenzeni ukuba unayo. Ukongezelela ekuqapheliseni iimpawu kunye nezizathu ze-vaginitis, kunokukunceda ukwazi ukuba:
- Iintsholongwane kufuneka zithathe ixesha lokuba zixoxwe zodwa ngaphandle komzali okanye umgcini-zincwadi ukuze zibuzwe ukuba ziyasebenza.
- Amaqabane abancinci besini kunye ne-trichomoniasis kunye ne-chlamydia kufuneka baphathwe, kwaye kufuneka bahlolwe yonke i-HIV.
- I-schenosis ye-Lichen idla ngokungaqhelekanga njenge-vaginitis.
- Ukubambelela kwe-Labial kungaba yinkxalabo ye-vaginitis, ngokukodwa i-vaginitis ephindaphindiweyo kubantwana abancinci.
- Nangona i- pinworms ingabangela i-vaginitis, kucatshangwa ukuba yintsholongwane yokuzikhupha engafuneki ukuphathwa, ngokungafani neepinworms ze-perianal.
- Unokulungiselela ubhebha kumntwana wakho ngokuxuba iipunipoli ezimbini ze-baking soda kwi-4 ukuya kuma-intshi ama-intshi amanzi kwindawo yokuhlamba.
Izifo zengqondo zezilwanyana ziyafumaneka kwimimandla emininzi ukunceda abantwana nabantwana abasebancinci abane-vaginitis engapheliyo kunye nezinye iingxaki zentsholongwane. Ngaphandle koko, uncedo olongezelelweyo okanye uluvo lwesibini, cela udokotela wakho wezilwanyana ukuba uhanjiswe kumntu omdala ongumntwana ogqirha kwaye unamava athile enakekela abantwana.
Imithombo:
Usulelo lweNtsholongwane. Ukuphunga, Gcina, MD. 2008.
Ukwenza isigqibo seMpilo yeBerman (i-Fifth Edition), ngo-2011.
UJasper JM. I-Vulvovaginitis kumntwana ongaphambi komntwana. I-Clin Ped Emerg Med, 10 (2009), iphe. 10-13
Katz: I-Gynecology epheleleyo, yesihlanu.