Vulvovaginitis kwa ana: zimayambitsa ndi mankhwala

Matenda opweteka a ziwalo zoberekera sapezeka mwa amayi okha, komanso kwa atsikana aang'ono. Imodzi mwa matendawa ndi vulvovaginitis. Zomwe zimayambitsa ndondomeko ya matenda, zizindikiro ndi njira zake za chithandizo zidzafotokozedwa m'nkhaniyi.

Mbali za matendawa

Vulvovaginitis ndi matenda aakulu omwe amadziwika ndi kutupa kwa makoma a vagini komanso mwachindunji. Malinga ndi chiwerengero cha chiwerengero, amapezeka mu 60% mwa atsikana osakwanitsa zaka zisanu ndi zitatu. Zomwe zimayambitsa matendawa ndizosiyana. Kawirikawiri, matendawa amayamba chifukwa cha maonekedwe a umaliseche. Ana obadwa kumene, amakhala ndi zigawo zingapo za epithelium yamapapu. M'mawonekedwe ake muli glycogen, ndipo chinsinsi chili ndi asidi. Pafupifupi sabata lachinayi la moyo, kuwonetseredwa kumachitika, monga momwe isrogenic zimakhudzira thupi la amayi. Mbalame ya mucous imapangidwira, chifukwa cha tizilombo toyambitsa matenda timatha kulowa mwaufulu.

Pa nthawi ya kutha msinkhu, kupatsirana m'mimba kwa vaginito kumalimbikitsidwa, koma kale kumayang'aniridwa ndi estrogens. Kuwonongeka kosiyanasiyana ku ziwalo zamkati za thupi (kutentha, kuika thupi kunja) kusokoneza chiwerengero chokhazikika. Chotsatira chake, kuchepetsa pakati pa maselo a m'mimba ya epithelium ndi tizilombo timene timakhala mmenemo kumachepetsedwa, chiwerengero cha leukocyte ndi chinsinsi chobisika chimakula, ndipo kutentha kumakula.

Nchifukwa chiyani matenda angapezeke?

Ndondomeko yoyamba yotupa ikhoza kukhala yopatsirana komanso yopanda matenda. Pachiyambi choyamba, zomera zamoyo (gonococci, Trichomonas, bacerus bacillus, chlamydia) zimayambitsa matenda. Mphungu yotchedwa vulvovaginitis imatchedwa yeniyeni. Pachifukwa chachiŵiri, tizilombo toyambitsa matenda, mavairasi, Candida, ndi zina zotero, zimathandiza kuti matendawa apitirire. Vulvovaginitis kwa ana angayambe kusokoneza chitetezo chamagulu, ndi matenda a endocrine kapena helminthic. Apo ayi amatchedwa osasamala.

Kwa ana mpaka chaka, matendawa amatha kukhala chifukwa cha matenda ochokera kwa mayi nthawi yobereka. Sichikudziwika nthawi yomweyo, choncho njira yotupa imakhala yachilendo. Mankhwala opatsirana amatha kukhala tizilombo toyambitsa matenda omwe ali pamatumbo a mayi. Komabe, kawirikawiri chiwopsezo mwa ana osapitirira chaka chimodzi chimalimba chifukwa chosatsatira malamulo a ukhondo. Ngati mwanayo akudwala dermatitis ya atopic, yomwe pakati pa ana si yachilendo, njira yotupa ikhoza kukhala yopsereza.

Patatha chaka, mwanayo amayamba kudziwana bwino ndi dziko lozungulira. Amatha kuvulaza abambo mosavuta, kukopa zidole. Mu msinkhu wa kusukulu sukulu ndi wachinyamata, matendawa amapezeka chifukwa cha kuchepa kwa chitetezo ndi matenda, kuphatikizapo magazi ochokera kwa ena. Mu gawo la otsirizira nthawi zambiri amachititsa matronillitis aakulu, otitis ndi sinusitis.

Mycotic vulvovaginitis

Mtundu uwu wa matendawa umapezeka kawirikawiri m'misinkhu watsopano komanso atsikana omwe amamwalira. Amadziwika ndi maonekedwe a chikwangwani pamatumbo, komwe kumapezeka malo osokonezeka. Komanso, mycotic vulvovaginitis kwa ana ikhoza kuyenda limodzi ndi kuyabwa mumaliseche, kuthamanga kwa khungu.

Chithandizo chikuchitidwa kunyumba. Polimbana ndi matendawa, tikulimbikitsana kuti tigwirizane ndi njira yofooka ya sodium bicarbonate. Pazochitika zazikulu kwambiri, dokotala akhoza kuitanitsa phwando la "Levorin" mu mapiritsi kwa masiku khumi.

Trichomonas vulvovaginitis

Mtundu uwu wa matendawa umapezeka kawirikawiri kwa ana akhanda ndi atsikana pambuyo pa zaka 12, pamene epithelium yokhwima yayamba kale kupanga mukazi. Kukhalapo kwa glycogen mmenemo kumapangitsa kuti malo abwino kwambiri apitirize kuwononga parchoitiads. Zina mwa zizindikiro zikuluzikulu za matendawa zimatha kudziwika kuti mankhwala a vulvar mucosa, kutupa pang'ono. Mbali ina yodziwika ndi yochuluka kwambiri ya thovu la leucorrhoea, yomwe ili ndi fungo losasangalatsa.

Pofuna kuchiza matendawa, mankhwalawa amatchedwa "Metronidazole". Kwa odwala ang'onoang'ono amapatsidwa mapiritsi 2 kawiri pa tsiku. Trichomonas vulvovaginitis mu mwana wa zaka zisanu ndi zisanu kapena kuposera amafunika mankhwala osiyana siyana. Masiku awiri oyambirira amapereka mapiritsi awiri a "Metronidazole", ndi asanu otsatira - piritsi limodzi. Kuwombera ndi mankhwala osokoneza bongo ndiloyenera.

Viral vulvovaginitis

Mabakiteriya, kapena viral vulvovaginitis, nthawi zina amayamba ndi nthomba ndi diphtheria, komanso chifukwa cha matenda opatsirana kwambiri. Kawirikawiri zimayambitsa vutoli ndikulowa m'thupi la matenda a streptococcal. Chotsatira chake, kuyanjanitsa kwa thupi kumachepetsedwa, ndipo muyeso pakati pa zomera za vagina ndi mucosa zimasokonezeka. Njira yotupa ikudziwika ndi njira yochepetsera, mwinamwake kubwezeretsa kwa nkhanza ndi labia.

Pofuna kuchiza matendawa, kuyeretsa kwa matendawa kumawonetsedwa. Malo amodzi okhala ndi zofooka ndi ofooka njira ya sodium bicarbonate. Njirayi imalimbikitsidwa kuti ibwerezedwe tsiku lililonse mpaka zizindikiro za matendawa "bacterial vulvovaginitis" zikutha.

Mwanayo amatha kuchiritsidwa ngati muwona momwe matendawa akuonekera panthaŵi yake. Nthawi zina chitukuko chake chimayambitsa E. coli, omwe nthawi zambiri amawotchedwa mu thupi la pinworm. Zina mwa ziwonetsero za matendawa zimakhala zowawa m'mimba ya chiberekero, kuphulika kwa mabokosi akale, kutuluka kobiriwira. Pankhaniyi, mankhwalawa akukonzekera kuthetsa vuto la matendawa - pinworm. Mankhwalawa amasankhidwa payekha.

Kodi mungatani kuti muzindikire matendawa panthaŵi yake?

Kupeza kwadzidzidzi kwa vulvovaginitis ndikofunika kuti munthu ayambe kuchira mwamsanga. Zizindikiro zotsatirazi zingakhale chifukwa chothandizira dokotala:

• Kuwotcha m'deralo;
• Kusokonezeka pakutha;
• Kutulutsa kwaukhondo kuchokera kumaliseche.

Atasonkhanitsa anamnesis ndikupeza zambiri zofunika, dokotala amayamba kufufuza mwanayo. Choyamba, m'pofunika kuchotsa kukhalapo kwa thupi lachilendo mukazi, komanso kutenga mfundo zofufuzira. Pogwiritsa ntchito mankhwala osungunuka, dokotala amatenga nsabwe, koma samakhudza anthu. Ndi chithunzi chojambulidwa ndi mankhwala, kuyezetsa magazi kumaperekedwanso. Ngakhale kusiyanitsa pang'ono kuchokera ku chizoloŵezi cha zizindikiro zina kumakupangitsani inu kukayikira kuti vulvovaginitis mwa ana. Zonsezi zikuwonjezeka ku ESR, ndipo kusintha kwa chiwerengero cha leukocyte kumasonyeza kuyambika kwa njira yotupa. Malingana ndi zotsatira za kafukufuku ndi kuyezetsa thupi, adokotala amadziwitsa.

Mankhwala

Ndikofunika kupanga njira zonse zomwe zimapereka mankhwala othandiza a matendawa kwa odwala ang'onoang'ono. Pamaso a helminthic invasions ntchito "Pirantel" kapena "Vermox". Kuwopsya kwakukulu m'deralo kumatengedwa ngati chizindikiro cha kugwiritsa ntchito mankhwala osokoneza bongo komanso antihistamines (Tavegil, Diazolin). Mosasamala kanthu chomwe chimayambitsa matenda ndi njira yake, odwala ang'onoang'ono amapatsidwa chithandizo chobwezeretsa, chomwe chimakhala ndi mavitamini ndi ma immunostimulants.

Zosafunika kwenikweni kuti ana azikhala ndi ma antibayotiki ali ndi zaka. Dokotala akhoza kupereka "Ampicillin" kapena "Cefalexin". Ndalamazi zimatengedwa mwachindunji, njira ya mankhwala ndi masiku 10-14. Kuwonetseranso ndi kugwiritsira ntchito zida za m'mimba ndi mafuta odzola ("Levomekol", "Furazolidon", sintomycin emulsion) ndi vulvovaginitis kwa ana. Ndemanga za madokotala za mankhwalawa ndi zabwino kwambiri. Ngati mankhwala ophera tizilombo ndi othandiza, dokotala akhoza kupereka mankhwala ndi estrogens. Amagwiritsidwa ntchito masabata awiri kapena atatu.

Pozindikira tizilombo toyambitsa matenda a Candidae mu smear, mankhwala osokoneza bongo monga mafuta kapena "crest" ("Nystatin") amagwiritsidwa ntchito kuchiza. Thandizo la tizilombo toyambitsa matenda tizilombo toyambitsa matenda tiyenera kulimbikitsa kukanika kwa thupi ndi zotsatira za ziwalo zazing'ono komanso kupondereza ntchito yofunikira ya mabakiteriya omwe amayambitsa matendawa. Pakati pa mankhwala ogwiritsidwa ntchito, Acyclovir ndi yothandiza kwambiri.

Kuchiza Kwawo

Anthu ochiritsa amphaka amapereka maphikidwe angapo kuti athetse vutoli monga chifuwa chachikulu cha ana. Mwachitsanzo, mukhoza kupanga zitsamba zamchere. Kuti muchite izi, mutha kugwiritsa ntchito chamomile, masewera, timbewu. Ndondomeko zimalimbikitsidwa kuti zibwerezedwe tsiku ndi tsiku. Kuchiritsa kwa tiyi kuli wort St. John's. Kuti mupange, muyenera kutsanulira supuni ya tiyi ya zitsamba zouma ndi galasi la madzi otentha, tulukani kwa mphindi 15. Tengani msuzi ayenera 1/2 chikho katatu patsiku. Mankhwala osagwirizana nawo akuphatikizapo njira yaikulu ya chithandizo, ndipo musanayambe kufunikira koyambilana ndi dokotala.

Njira zothandizira

Kodi ndingakhale wotetezeka kuchokera ku matenda a mwana wa vulvovaginitis? Zomwe zimayambitsa matendawa ziyenera kudziwika kwa kholo lililonse ndikuyesera kuziletsa. Komabe, kupewa kupewa zofooketsa sikukwanira. Ndikofunika kutsatira malamulo osavuta okhudza kusamalira mwana.

1. Pambuyo pachitetezo chilichonse, madokotala amalangiza kuti asambe mwanayo pamadzi. Pambuyo pa ndondomekoyi, ziwalo zogonana ziyenera kulowetsedwa ndi chikhomo kapena thaulo yoyera.
2. Mwana ayenera kusamba tsiku ndi tsiku. Mukhoza kugwiritsa ntchito zodzoladzola za ana.
3. Ndikofunika kusintha zovala zanu zamkati tsiku ndi tsiku. Zokonda zimaperekedwa kwa nsalu zachilengedwe. Zovala zamkati zimapangitsa kuti mpweya usadutse ndipo sungatenge zinsinsi za khungu, zomwe zimapangitsa kuti zinthu zikhale bwino pakubereka kwa mabakiteriya.
4. Pofuna kuonjezera chitetezo cha mwana, adokotala amavomereza kuti ayende panja nthawi zambiri, ndi kuumitsa. Makamaka ayenera kulipidwa ku zakudya ndi kupumula.

Vulvovaginitis ndi matenda omwe chitukuko chingapewe. Ngati, ngakhale kuyesayesa konse, sikukanatheka kupeŵa matendawa, m'pofunika kuwona dokotala. Musayesere kuchiza kapena kusalabadira matenda otupa okha omwe ali ana. Zithunzi za zovuta za matendawa ndizoopsa. Matendawa ndi owopsa kwambiri ndipo angayambitse kupanga synechia, komanso zotsatira zake zoopsa.