Vulvovaginitis

ʻO Vulvovaginitis a i ʻole vaginitis ka pehu a i ʻole ka maʻi maʻi o ka pūpū a me ka maʻi puʻupuʻu.

ʻO Vaginitis kahi pilikia maʻamau i hiki ke hoʻopili i nā wahine a me nā kaikamahine o nā makahiki āpau.

INFECTIONS

ʻO nā maʻi hū kekahi o nā kumu maʻamau o ka vulvovaginitis i nā wahine.

• ʻO nā maʻi hū ka mea pinepine ma muli o ka fungus ʻO Candida albicans.
• ʻO Candida a me nā ʻōpala ʻē aʻe he nui e noho maʻamau i ka ʻōpū e mālama kekahi i kekahi i ke kaulike. Eia nō naʻe, piʻi aʻe ka nui o candida. ʻO kēia ke alakaʻi i kahi maʻi hū.
• Hoʻokumu pinepine nā maʻi hū i ka genital gatching, kahi mānoanoa o ka heʻe keʻokeʻo, ʻehu, a me nā ʻōuli ʻē aʻe.

Loaʻa i loko o ka ʻōpala nā huakino olakino a me nā koʻohune maikaʻi ʻole. Hiki i nā bacterial vaginosis (BV) ke ulu aʻe nā bacteria maikaʻi ʻole ma mua o ka maikaʻi o nā bacteria. Hoʻokumu paha ʻo BV i kahi hemo lahilahi, hina hina, ʻeha pelvic, a me kahi ʻala iʻa.

Hoʻolahalaha ʻia kahi ʻano liʻiliʻi o ka maʻamau e ka moekolohe. Kapa ʻia ia trichomoniasis. ʻO nā ʻōuli i loko o nā wahine e pili ana i ka genital itching, ʻona pūnana, a me ka hoʻokuʻu ʻōpū kaumaha e ʻano melemele-hina a ʻōmaʻomaʻo ke kala. Hiki paha i nā wahine ke ʻike i ke kiko ʻana o ka maʻi ma hope o ka moekolohe.

NA KUMU EKAHI

Hiki i nā kemika ke kumu i ka huehue o ka huehue i ka genital area.

• ʻO nā Spermicides a me nā ʻōpala liʻiliʻi, nā ʻano hana hoʻomalu hānau over-the-counter
• Nā wahine a me nā mea ʻala
• ʻO ka wai ʻauʻau bubble a me nā kopa
• ʻIli ʻauʻau

ʻO nā pae estrogen haʻahaʻa i nā wahine ma hope o ka menopause hiki ke hoʻomoe i ka maloʻo a me ka lahilahi o ka ʻili o ka ʻōpala a me ka puʻupuʻu. Hiki i kēia mau mea ke alakaʻi i a i ʻole ke hoʻomāinoino i ka genital itching a me ke ahi.

Nā kumu ʻē aʻe e:

• ʻO nā kapa komo paʻa a i ʻole nonabsorbent, kahi e alakaʻi ai i nā huhū wela.
• Nā kūlana ʻili.
• Hiki i nā mea e like me ka tampon nalowale ke kumu i ka hoʻonāukiuki, ka ʻūlū, a me ka hoʻokuʻu ʻana i ka ʻala ikaika.

I kekahi manawa, ʻaʻole hiki ke loaʻa ke kumu kūpono. Kapa ʻia kēia inoa ʻo vulvovaginitis nonspecific.

• Loaʻa ia i nā makahiki āpau. Eia nō naʻe, maʻa mau i nā kaikamahine ʻōpio ma mua o ka wā ʻōpio, ʻo nā kaikamahine hoʻi me ka hoʻomaʻemaʻe genital maikaʻi ʻole.
• Kuhi ia i kahi pilau, pilau-ʻōmaʻomaʻo hoʻokuʻu a me ka ukiuki o ka labia a me ka puka puka.
• Hoʻopili pinepine ʻia kēia ʻano me ka ulu nui ʻana o nā bacteria i loaʻa maʻamau i ka pahu. Hoʻolahalaha ʻia kēia mau koʻohune mai ke kiko o ke kahawai i ka holoi ʻana mai hope a i mua ma hope o ka hoʻohana ʻana i ka lua.

ʻOi aku ka maʻi o nā mea huhū ma mua o ka mea olakino olakino. Nui nā ʻōpala i kumu e ulu pono ai ka maʻi i kahi hoʻomehana, pulu, a me ka pouli. Hiki i kēia ke alakaʻi i kahi ola hou.

Pono e noʻonoʻo ʻia ka hoʻomāinoino moekolohe i nā kaikamahine ʻōpio me nā maʻi maʻamau a me nā ʻāpana hou o ka vulvovaginitis i wehewehe ʻole ʻia.

ʻO nā hōʻailona me:

• ʻO ka huhū a me ka makaʻu o ka genital area
• Hoʻonā (hoʻonāukiuki, ʻulaʻula, a me ka pehu) o ka genital area
• Hoʻokuʻu hoʻokuʻu
• Pilau ʻaʻ Ka haumia maikaʻi
• Hōʻoluʻolu a puhi paha i ka wā e mimi ai

Inā loaʻa iā ʻoe kahi maʻi hū i ka wā ma mua a ʻike i nā ʻōuli, hiki iā ʻoe ke hoʻāʻo i ka lāʻau me nā huahana over-the-counter. Eia nō naʻe, inā ʻaʻole e pau loa kāu mau hōʻailona ma kahi o hoʻokahi pule, e hoʻokaʻaʻike aku i kāu kauka. Nui nā maʻi ʻē aʻe i loaʻa nā hōʻailona like.

E hana ka mea hāʻawi i kahi hoʻokolokolo pelvic. Hōʻike paha kēia hōʻike i nā wahi ʻulaʻula, palupalu ma ka puʻupuʻu a i ʻole pūpū.

Hana pinepine ʻia kahi hoʻomākaukau pulu e ʻike ai i ka maʻi puʻupaʻa a i ʻole ka ulu nui o ka hū a i ʻole bacteria. Hoʻopili kēia i ka nānā ʻana i ka hoʻokuʻu ʻōpū ma lalo o kahi microscope. I kekahi mau hihia, hiki i kahi moʻomeheu o ka hoʻokuʻu wahine ke kōkua i ka ʻike ʻana i ka pōpō i hiki ai i ka maʻi.

Hiki ke hana ʻia kahi biopsy (kahi hōʻike o kaʻaʻaʻa) o ka wahi i hoʻonāukiuki ʻia ma ka vulva inā ʻaʻohe hōʻailona o ka maʻi.

Hoʻohana ʻia nā kalima a me nā suppositories e mālama i nā maʻi hū i ka puki. Hiki iā ʻoe ke kūʻai i ka hapa nui o lākou ma kahi kūʻai. E hāhai i nā ʻōkuhi i hiki mai me ka lāʻau āu e hoʻohana nei.

Nui nā lapaʻau ʻana no ka maloʻo o ka moʻo. Ma mua o ka mālama ʻana i kāu mau hōʻailona ponoʻī, e ʻike i kahi mea hoʻolako i hiki ke loaʻa ke kumu o ka pilikia.

Inā loaʻa iā ʻoe ka BV a i ʻole trichomoniasis, kauoha paha kāu mea hāʻawi:

• Nā lāʻau antibiotic āu e ale ai
• ʻO nā kalima Antibiotic āu e hoʻokomo ai i kāu ʻōpū

Nā lāʻau ʻē aʻe i kōkua i ka hoʻopili pū ʻana:

• Pākuʻi Cortisone
• ʻO nā pila Antihistamine e kōkua me ka makaʻu

E hoʻohana pono i ka lāʻau e like me ke kuhikuhi a hāhai i nā ʻōkuhi ma ka lepili.

Kūpono ka mālama kūpono ʻana i kahi maʻi i ka hapanui o nā hihia.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o ka vulvovaginitis
• ʻAʻole ʻoe e hoʻomaha ʻia mai ka lāʻau i loaʻa iā ʻoe no ka vulvovaginitis

E mālama i ka maʻemaʻe a me ka maloʻo o kou genital ke loaʻa iā ʻoe kahi maʻi puʻupuʻu.

• Pale i ke kopa. E holoi wale i ka wai e hoʻomaʻemaʻe iā ʻoe iho.
• Pulu i kahi mehana, wela ʻole, ʻauʻau e kōkua i kāu mau ʻōuli. Maloʻo loa ma hope.

Hōʻalo i ka douching. Nui nā wahine e hoʻomaʻemaʻe ke douche lākou, akā hana paha ia i nā ʻōuli maikaʻi aʻe no ka mea hemo ia i nā bacteria maikaʻi e hoʻopili ana i ka ʻōpū. Kōkua kēia mau bacteria i ka pale ʻana i ka maʻi.

ʻO nā ʻōlelo aʻoaʻo ʻē aʻe:

• Hōʻalo i ka hoʻohana ʻana i nā spray hygiene, nā mea ʻala, a i ʻole nā ​​pauka i ka wahi genital.
• E hoʻohana i nā pale ma kahi o nā tampons ʻoiai he maʻi kāu.
• Inā loaʻa ʻoe i ka maʻi maʻis, mālama i kāu pae kō kō i ka kaohi maikaʻi.

E ʻae i ka ea hou aʻe e hōʻea i kāu wahi genital. Hiki iā ʻoe ke hana i kēia ma:

• Ke komo nei i nā kapa komo leʻaleʻa a ʻaʻahu ʻole i ka pose hose.
• Ke komo nei i ka lole pulupulu (ma kahi o nā lole synthetic) a i ʻole ka lole komo i loko o ka ʻūlū. ʻAe ka pulupulu i ka evaporation maʻamau o ka momona a hoʻemi ʻia ka paʻa ʻana o ka wai.
• ʻAʻole komo i ka lole komo i ka pō ke hiamoe ʻoe.

Pono nā kaikamahine a me nā wahine:

• ʻIke pehea e hoʻomaʻemaʻe pono ai i ko lākou wahi ʻoiai ke ʻauʻau a ʻauʻau paha.
• E holoi pono ma hope o ka hoʻohana ʻana i ka lua. Holoi mau i mua mai a i hope.
• E holoi holoi ma mua a ma hope hoʻi o ka hoʻohana ʻana i ka lua.

Hoʻomaʻamaʻa mau i ka moekolohe palekana. E hoʻohana i ka condom e pale ai i ka hopu ʻana a hoʻolaha ʻana i nā maʻi.

Vaginitis; ʻŌpū puʻupuʻu; Ka hoʻohaunaele o ka ʻōpū; Nani kūpale ʻole

• Anatomi wahine perineal

Abdallah M, Augenbraun MH, McCormack WM. ʻO Vulvovaginitis a me ka cervicitis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 108.

ʻO Braverman PK. Urethritis, vulvovaginitis, a me ka cervicitis. I: Long SS, Prober CG, Fischer M, hua pā. Nā Kumuhana a me nā Hana o nā maʻi maʻi Pediatric. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 51.

Gardella C, Eckert LO, Lentz GM. ʻO nā maʻi maʻi genital: vulva, vagina, cervix, maʻi hōʻeha kūpilikiʻi, endometritis, a me salpingitis. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 23.

ʻO Oquendo Del Toro HM, Hoefgen HR. Vulvovaginitis. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 564.