Vaginitis mu Ana & Achinyamata

Vaginitis imatanthawuza kutupa kapena matenda a chiberekero, komabe zingakhudze nthendayi, malo omwe ali kunja kwa chikazi (vulvovaginitis).

Vaginitis m'masewera achichepere kawirikawiri amapezeka pamene yisiti yambiri ndi mabakiteriya amatha kugwedezeka chifukwa cha zifukwa zina, mwakumva mankhwala osokoneza bongo kapena ngati achinyamata akugonana. Matenda opatsirana pogonana angayambitse kuginitis.

Kuonjezera apo, zizindikiro za kukhumudwa ndi kutupa zikhoza kugwirizanitsidwa ndi kuwonjezeka kwa kutulutsa tsitsi.

Vulvovaginitis kwa atsikana omwe sanapite msinkhu koma nthawi zambiri amakhala ndi zifukwa zosiyanasiyana. Pa msinkhu uwu, chifukwa cha kusowa kwa estrogen, yomwe siimakula kufikira utatha msinkhu, khungu ndi m'mimba mwazomwe zimakhala zochepa, zosakhwima ndi zosavuta. Atsikana awa angapangitse zizindikiro za vaginitis chifukwa sakupukuta kamodzi ataphunzitsidwa bwino, kupukuta molakwika (kumbuyo kutsogolo kumbuyo kutsogolo), kupukuta mwamphamvu kapena kutenga madzi osambira, ndi zina zotero.

Zizindikiro za Vaginitis

Zizindikiro zofala za vaginitis zingakhale monga:

• kuyabwa kwa amayi , kupweteka kapena kukwiya
• kumaliseche kwa amayi
• Kufiira ndi kutupa kwa zinyama
• Kutentha ndi kuyambitsa (dysuria)
• kawirikawiri (kukodza mobwerezabwereza)
• kutuluka m'magazi (kumapeto kwa kutupa kwakukulu)

Kumbukirani kuti kumaliseche kwa m'mimba kumakhala kosavuta kwa achinyamata, omwe angakhale ndi zofiira zoyera, zosasunthika zotchedwa "thupi la leukorrhea." Simungaganizire kuti ali ndi zizindikiro zina ngati atangokhala ndi leukorrhea.

Chimene Chimachititsa Vaginitis

Zomwe zimayambitsa matendawa zimakhala monga:

• Prepubertal vaginitis - Kawirikawiri osati yopatsirana komanso chifukwa cha kusayera kapena kusokonezeka kwabwino (mababu opunduka, sopo zovuta, zovala zowononga, etc.). Chidutswa cha mapepala a chimbudzi chingapangitsenso kukhumudwa ndi kutaya.
• Matenda a yisiti - Amayambitsa alubida a Candida . Matenda a yisiti ali ofala ngati mwana wanu atangomva mankhwala osokoneza bongo. Kuphatikiza pa zizindikiro zina za vaginitis, ana awa akhoza kukhala ndi nthendayi yakuda, yomwe imakhala yopanda phindu. Kumbukirani kuti mawere a yisiti ndi ochepa kwambiri asanafike msinkhu atsikana; iwo amakhala ofala kwambiri mu zaka zapakati pake.

• Mabakiteriya vaginosis - Amayambitsa kusayenerera kwa mabakiteriya amene amakhala mumimba ya abambo, yomwe ikhoza kutulutsa ubweya wa abambo ndi ubweya wofewa.
• Trichomoniasis - Matenda opatsirana pogonana omwe amayamba chifukwa cha Trichomonas vaginalis parasitic protozoa, yomwe imayambitsa kuyabwa kwa umuna ndi kutentha kwapakati kwa vaginali komwe kumakhala ndi fungo loipa.
• Chlamydia matenda - Matenda opatsirana pogonana omwe amachititsa Chlamydia trachomatis , yomwe imatha kukhala yodziwika kuti imakhala yotentha pamene ikukwera ndi / kapena kumaliseche.

Mwatsoka, kupeza chifukwa chenicheni cha vaginitis kapena ngakhale kuti mwana ali ndi vaginitis nthawi zina zimakhala zovuta. Ena sangadziwe bwino kuti zizindikiro zawo zimayambitsidwa ndi vaginitis ndi kudandaula zambiri za zizindikiro za mkodzo pamene mkodzo umagunda khungu. Atsikana ena akhoza kuwopa kuti adzakayikira kuti akuchita zogonana kapena amanyazi kulankhula za zizindikirozi.

Mayesero osiyanasiyana akhoza kuthandizidwa pazinsinsi za amayi kuti athandize madokotala kudziwa kusiyana pakati pa mitundu yosiyanasiyana ya vaginitis, ngakhale kuti sangathe kupezeka kwa ana pokhapokha atasamalira achinyamata ambiri. Mwachitsanzo, pamene matenda a yisiti akuyambitsa vaginitis, dokotala wanu wa ana akhoza kuona yisiti yopanda masamba ndi pseudohyphae poyang'ana potaziyamu hydroxide mpweya wothira m'mimba mwa microscope.

Mtengo wouma ungathandizenso kudziwa maselo othandizira a bacterial vaginosis kapena majeremusi akusambira pozungulira.

Vaginitis Mankhwala

Pofuna kuthandizira mwamsanga za vulvovaginitis, nthawi zina zingathandize kuti:

• Tengani madzi otentha otentha, mwina kapena opanda soda
• gwiritsani ntchito mapupala a ayezi, monga ololedwa, kumalo
• gwiritsani ntchito potency, mankhwala opangira steroid zonunkhira kumadera okwiyitsa

Mankhwala ena a vaginitis amadalira chifukwa chenicheni.

Mwachitsanzo, mu ana omwe ali ndi chithandizo chamankhwala, vulvovaginitis nthawi zambiri amachiritsidwa ndi ukhondo wabwino ndikugwiritsira ntchito zonunkhira, monga Vaseline kapena Aquaphor kangapo patsiku.

Mankhwala opha tizilombo amatha kuuzidwa, kawirikawiri, Augmentin kapena Clindamycin, ngati zizindikiro zikupitirirabe ndipo akuyembekezeredwa kuti akudwala matenda a bakiteriya .

Ngati mwana wachinyamata ali ndi kachilombo ka yisiti, ndiye kuti adzafunika mankhwala amodzi a masiku atatu kapena atatu, monga mankhwala a miconazole kapena clotrimazole. Zidzakhala zofunikira kugwiritsidwa ntchito mmimba; Komabe, mankhwala achamwa, monga fluconazole, alipo ngati simukuganiza kuti wachinyamatayo akulekerera chithandizochi.

Bacterial vaginosis akhoza kuchiritsidwa ndi oral metronidazole kapena ndi intravaginal metronidazole kapena clindamycin.

Pomalizira, trichomoniasis amachiritsidwa ndi oral metronidazole ndi chlamydia ndi antibiotic ngati azithromycin.

Kupewa Vaginitis

Kuwonjezera pa kupeŵa kusambira ndi kuyeretsa (kupukuta kutsogolo ndi kumbuyo) mutatha kuthandiza mwana wanu kuteteza vaginitis mwa kumuphunzitsa:

• Kugwedeza ndi mawondo ake kufalikira kwambiri
• Sinthani zovala zowonongeka mwamsanga, kuphatikizapo zovala zowopsya
• Pewani zovala zolimba
• Valani zovala zowonongeka
• Pewani mankhwala odula
• Gwiritsani ntchito sopo, osapsa mtima, ndi kuwasambitsa bwino mukatha kusamba kapena kusamba
• Peŵani kupeza shampoo pamalo ovuta
• Sambani ndi kuumitsa malo obisala pang'onopang'ono pamene akuwotha kapena akusamba
• Pewani kupopera, kupopera akazi ndi zopopera zokoma

Zingathandizenso kusamba zovala za mwana wanu ndi chovala chopanda utoto komanso mankhwala osapaka mafuta komanso kupewa zofewa.

Zimene Mukuyenera Kudziwa Zokhudza Vaginitis

Vaginitis ndi vuto lofala, kotero ndikofunikira kuphunzira zambiri za izo kuti muteteze choyamba cha mwana wanu kapena kudziwa zomwe angachite ngati ali nacho. Kuwonjezera pa kuzindikira zizindikiro ndi zifukwa za vaginitis, zingathandize kudziwa kuti:

• Achinyamata ayenera kukhala ndi nthawi yofunsidwa ndekha popanda kholo kapena wothandizira kuti athe kufunsa ngati akugonana.
• Achinyamata omwe ali ndi achinyamata omwe ali ndi trichomoniasis ndi chlamydia ayenera kupatsidwa chithandizo, ndipo ayenera kuyesedwa kuti ali ndi HIV.
• Lichen sclerosis nthawi zambiri samadziwika ngati vaginitis.
• Kugwirizana kwa Labial kungakhale kuphwanya kwa vaginitis, makamaka kubwereza vaginitis kwa ana aang'ono.
• Ngakhale kuti pinworms ikhoza kuyambitsa vaginitis, imalingalira kuti ndi matenda omwe amalephera kudziletsa, mosiyana ndi mapiritsi a perianal.
• Mukhoza kukonzekera kusambira mwana wanu mwa kusakaniza supuni ziwiri za soda mu madzi osambira.

Matenda a zachipatala amapezeka m'madera ambiri kuthandiza kusamalira ana ndi achinyamata omwe ali ndi matenda osapatsirana osagwiritsidwa ntchito nthawi zonse kapena mavuto ena amthupi. Kupanda kutero, kwa thandizo lina kapena lingaliro lachiwiri, funsani dokotala wanu wamankhwala kuti atumizidwe kwa mkala wamwamuna wamkulu yemwe ali ndi zochitika zina kusamalira ana.

_Zotsatira:

_{Medicine Wachikulire. Slap, Gail, MD. 2008.}

_{Chisankho cha Berman Kuchiza (Kupanga Chachisanu), 2011.}

_{Jasper JM. Vulvovaginitis mu mwana woyamba. Clin Ped Emerg Med, 10 (2009), masamba 10-13}

_{Katz: Gynecology Comprehensive, 5th ed.}