Vaginitis inoreva kuvhuvhuta kana utachiona hwemadzimai, asi hunogonawo kuchinja hutachiva, nzvimbo kunze kwechikadzi (vulvovaginitis).
Vaginitis muvechidiki vasikana inonyanya kuitika apo kuenzanirana kwemuviramu uye mabhakitiriya ari mumadzimai kunovhiringidzika pane chimwe chikonzero, nekutsamwa kwekemikari zvakananga kana kana wechidiki ari kuita zvepabonde. Mishonga inogona kukonzera vaginitis.
Mukuwedzera, zviitiko zvekushungurudza uye kusuruvara zvingave zvakabatanidzwa mukuwedzera kukurumbira kwekunyora mabhudzi ekubudisa.
Vulvovaginitis muvasikana vasina kumbopfuura nekupererwa asi kanowanzova nezvikonzero zvakasiyana. Pazera iri, nekuda kwekushaiwa kweserogen, iyo isingasimiri kusvika pakupera, ganda mukati uye rakapoteredza vagina rinogona kuva rakaonda, rakashata uye rinotsamwisa nyore nyore. Vasikana vaduku vanogona kukura zviratidzo zve vaginitis nokuti havapukudzi kamwe chete pavanenge vadzidziswa zvekapu, bvisa zvisina kunaka (kumashure-mberi-mberi pane mberi-kumberi), shingairira nesimba kana kutora mabhati ekugeza, nezvimwewo.
Zviratidzo zveVaginitis
Zviratidzo zvinowanzoonekwa zve vaginitis zvinogona kusanganisira:
- kunhuwa kwemudzimai , kuora kana kutsamwa
- vaginal discharge
- kubwinya uye kuzvimba kwevhu
- kupisa nekudzora (dysuria)
- nguva zhinji (kuruka kakawanda)
- kubuda ropa (kuchikoro kusvika kuchirwere chinopisa)
Ramba uchitarira kuti zvimwe zvirwere zvepamuviri zvinogona kuve zvakasununguka muvechiri kuyaruka, avo vanogona kuva nekuchena, kusina kunakidza kunonzi "physiological leukorrhea." Iwe haungatarisiri kuti vave nezvimwe zviratidzo kana vaingova neukorrhea.
Chinokonzera Vaginitis
Zvinowanzokonzera zvirwere zvinogona kusanganisira:
- Prepubertal vaginitis - Kazhinji isiri isina kupararira uye inokonzerwa netsika dzakachena dzehutsanana kana kutsamwa (bubble baths, sese yakasimba, nguo dzakasviba, nezvimwewo). Chidimbu chinogadziriswa chepurasitiki rinogonawo kukonzera kutsamwa nekubudiswa.
- Yeast infections - Inokonzerwa na Candida albicans . Mbiriso zvirwere zvakanyanya kana mwana wako achangotora mishonga inorwisa mishonga. Mukuwedzera kune zvimwe zviratidzo zve vaginitis, vana ava vanogona kuva nehupamhi, dhena rekudzivirira kwemudzimai inowanzova isina kunaka. Ramba uchiyeuka kuti vaginal mbiriso zvirwere hazvizivikanwe vasikana vasati vapera; ivo vanove vakawanzopfuura mumakore ekupedzisira ekuyaruka.
- Bacterial vaginosis - Inokonzerwa nekusawirirana mumabhakitiriya anowanzogara mumudzimai, izvo zvinogona kubudisa hove yemukati yekunakidza uye yakaonda, yakachena-grey vaginal discharge.
- Trichomoniasis - An STD iyo inokonzerwa neTrochomonas vaginalis parasitic protozoa, inokonzera kusveta kwemudzimai uye frothy, yakasvibirira mumvura yakachena.
- Chlamydia zvirwere - Dhidhiyo inokonzerwa neClamydia trachomatis , iyo inogona kubva pakusati yava nemafungiro ekuva nekunzwa kwekutsva kana uchizora uye / kana kubuda kwechikadzi.
Zvinosuruvarisa, kutsvaga chikonzero chaicho chekubinitis kana kunyange kuti mwana ane vaginitis dzimwe nguva inogona kuoma. Vamwe vangave vasina kunyatsoziva kuti zviratidzo zvavo zvinokonzerwa neve vaginitis nekunyunyutira kune dzimwe zviratidzo zvekuvhenekera kana urini ichirova ganda rinopisa. Vamwe vasikana vangave vanotya kuti vachakanganiswa kuti vanoita zvepabonde kana vanongonyara kutaura pamusoro pezviratidzo izvi.
Mitezo yakasiyana-siyana inogona kuitwa pamadziro ekudzivirira kumadzimai kubatsira vanachiremba kuti vataure musiyano pakati pemarudzi akasiyana-siyana eve vaginitis, kunyange zvazvo vangave vasisipo kune vanachiremba kunze kwekuti ivo vachinyatsotarisira zvakawanda zvevechiri kuyaruka. Somuenzaniso, kana utachiona hwehupusi hunokonzera vaginitis, mwana wako wehutachiona angagona kuona mbiriso yegidding uye pseudohyphae paakatarisa potassium hydroxide mvura yakadzivirirwa mumadzimai pasi pe microscope.
Gomo rakaoma rinogona kubatsirawo kuziva kuti chii chinokonzera masero eBacterial vaginosis kana kuti maharasi anoshambira.
Vaginitis Treatments
Nokuda kwekununurwa nekukurumidza kwevhuvovovaginitis, iyo dzimwe nguva inogona kubatsira:
- tora mvura yakashambidza yakashambadza, pamwe kana usina kana kubika soda
- zvinoshandisa ice packs, sezvinobvumirwa, munzvimbo
- shandisa humb-potency, sodhiyo steroid cream kune nzvimbo dzekutsamwa
Mimwe mishonga ye vaginitis inobva pane chinokonzera.
Semuenzaniso, muvana vekare, vulvovaginitis inowanzobatwa nehuwandu hwehutano hwakanaka uye kushandisa mutsara wezvinyorwa, zvakadai saVaseline kana Aquaphor kakawanda pazuva.
Mishonga inorwisa mabhakitiriya inogona kunyorwa, kazhinji, Augmentin kana Clindamycin, kana zviratidzo zvinoramba zvichiripo uye hutachiona hwebhakitiriya hunofungidzirwa.
Kana mukomana wechidiki ane chirwere chemuviri mbiriso, iye angangodaro aine rimwe zuva kusvika kune nhatu-yezuva remishonga inonzi antifungal mishonga, yakadai se miconazole kana clotrimazole cream. Zvichazofanira kushandiswa mumudzimai; zvisinei, mishonga yemuromo, yakadai se fluconazole, inowanikwa kana iwe usingafungi kuti mwana wako wechiduku achabvumira kurapwa uku.
Bacterial vaginosis inogona kurapwa nemuromo metronidazole kana ne intravaginal metronidazole kana clindamycin.
Pakupedzisira, trichomoniasis inowanzobatwa nemuromo metronidazole uye chlamydia ine antibiotic yakadai seAzithromycin.
Kudzivirira Vaginitis
Mukuwedzera pakudzivisa mabhati ekugeza uye kuita unhu hwakanaka (kupukunyuka kubva mberi-shure-shure mushure mokuzuka), unogona kubatsira mwana wako kudzivirira vaginitis nekumudzidzisa iye:
- Kuramba nemabvi ake kupararira zvakaparadzana
- Shanduka kunze kwezvokupfeka zvakaoma nokukurumidza sezvinobvira, kusanganisira sweaty work-out clothes
- Dzivisa zvipfeko zvakaoma
- Kupfeka zvipfeko zvakasununguka, zvepurasitiki
- Dzivisa zvinonhuwira
- Shandisa zvisiri izvo zvinosuruvarisa, sesefa zvinyoro uye uzvisuke zvakanaka mushure mekushambidza kana kutonhora
- Dzivisa kuwana shampoo munharaunda
- Shamba uye uomise chikamu chacho zvinyoro kana paanonaya kana kuti ashamba
- Dzivisa douching, mapiritsi echikadzi uye tampon dzinonhuwira
Inogonawo kubatsira kushambidza zvipfeko zvemukomana wako ne dye- uye zvinonhuwira zvisina tsvina uye kudzivirira zvigadzirwa zvekucheka.
Zvaunoda Kuziva nezveVaginitis
Vaginitis idambudziko rakajairika, saka zvakakosha kudzidza zvakawanda pamusoro payo kuitira kuti tidzivirire chikamu chekutanga chemwana wako kana kuti kuziva zvingaita kana anezvo. Mukuwedzera pakuziva zviratidzo uye zvinokonzera vaginitis, zvinogona kubatsira kuziva kuti:
- Vechidiki vanofanira kuva nenguva yekubvunzurudzwa vari voga pasina mubereki kana mutariri kuitira kuti vabvunzwe kana vachiita zvepabonde.
- Kuita zvepabonde nevechidiki ne trichomoniasis uye chlamydia inofanira kurapwa, zvakare, uye inofanira kuongororwa neHIV.
- Lichen sclerosis inowanzofungidzirwa sevasin.
- Labial adhesions inogona kunge iri kusanganisa kwe vaginitis, kunyanya kugadzirisa vaginitis muvana vaduku.
- Kunyange zvazvo pinworms inogona kukonzera vaginitis, inofungidzirwa kuva chirwere chekuzvidzivirira chisingadi kubatwa, kusiyana ne perianal pinworms.
- Iwe unogona kugadzira bhati yetiketi kumwana wako nekusanganisa mafuraji maviri ezvokubika soda mu 4 kusvika ku 5 masendimita emvura mubhati bath.
Vanachiremba gynecologists varipo munzvimbo dzakawanda kubatsira rubatsiro rwekuchengeta vana nevechiri kuyaruka vane chirwere chisingagumi kana kuti chinowanzogadzirisa uye mamwe matambudziko edzimba. Kana zvisina kudaro, kana rubatsiro rwechipiri kana kuti rwechipiri, bvunza chiremba wevana kuti utumire kune mumwe munhu ane gynecologist ane ruzivo rwekutarisira vana.
Sources:
Mushonga Wokuyaruka. Slap, Gail, MD. 2008.
Berman's Child's Decision Decision Making (Fifth Edition), 2011.
Jasper JM. Vulvovaginitis mumwana wekare. Clin Ped Emerg Med, 10 (2009), peji 10-13
Katz: Kujekesa Gynecology, 5th ed.