Hauv kab lus, xav txog cov tsos mob ntawm kev kho mob ntawm vulvovaginitis.
Nws raug cais raws li kab mob gynecological, nws yog tus cwj pwm los ntawm cov txheej txheem inflammatory hauv mucosa ntawm qhov chaw mos thiab qhov chaw mos. Qhov no pathology tshwm sim los ntawm kev tsis ua raws li cov cai ntawm kev nyiam huv. Vim li no, kab mob ntawm qhov chaw mos nrog cov kab mob pathogenic tshwm sim. Nws tsis yog qhov nyuaj los txheeb xyuas vulvovaginitis, nws txaus tsuas yog paub txog nws cov tsos mob hauv lub sijhawm thiab pib kho. Tom ntej no, peb yuav pom tias tus kab mob no yog dab tsi, thiab tseem nrhiav seb yuav kho vulvovaginitis li cas hauv cov ntxhais thiab cov poj niam laus.
Cov kab mob tseem ceeb
Ua rau cov txheej txheem inflammatory hauv qhov chaw mos mucosa, thiab ntxiv rau, ntawm qhov chaw ntawm qhov chaw mos, cov laj thawj hauv qab no:
- Tsis ua raws li cov cai tswj kev nyiam huv.
- Kev siv sijhawm ntev ntawm cov tshuaj tua kab mob, tshwj xeeb tshaj yog corticosteroids thiab cytostatics.
- Nqus ntxuav nrogsiv cov khoom siv xab npum.
- Ncua douching ntawm lub paum phab ntsa.
- khaub ncaws tsis yooj yim thiab nruj.
- Kev mob tshwm sim los ntawm kev qhia txog ib yam khoom rau hauv qhov chaw mos.
- Qhov muaj cov kab mob ntev, piv txwv li, ntshav qab zib mellitus nrog rau kev rog, helminthias, kab mob ntawm cov kab mob genitourinary thiab lwm yam. Tag nrho lawv ua rau txo qis hauv kev tiv thaiv hauv zos.
- Npaj daim pawm ua pob khaus vim muaj cua tsis txaus nkag mus rau qhov chaw mos.
- siv tampons tsis raug.
- Qhov tshwm sim ntawm kev cuam tshuam ntawm cov ntshav ntws ntawm cov phab ntsa ntawm qhov chaw mos thiab qhov chaw mos ntawm cov poj niam uas muaj tshaj tsib caug.
- tshwm sim ntawm kev tsis haum tshuaj rau cov tshuaj, thiab ntxiv rau cov tshuaj tiv thaiv kab mob, roj nplua nyeem thiab hnab looj tes.
- Kev tiv thaiv tsis muaj zog.
- Kev txhim kho ntawm hypovitaminosis thiab beriberi.
- Qhov tshwm sim ntawm hypothermia.
Kev kis kab mob hauv qab no yog qhov ncaj qha rau kev txhim kho tus kab mob no:
- Kev kis kab mob ntau yam, piv txwv li, streptococci, staphylococci, hemophilic thiab E. coli lossis enterococci. Tsis tas li ntawd, vulvovaginitis tuaj yeem tshwm sim hauv cov poj niam vim yog cov kab mob uas kis tau los ntawm kev sib deev. Cov no suav nrog, ua ntej ntawm tag nrho cov, gonococci nrog chlamydia.
- Kab mob feem ntau yog vim cov kab mob ua rau qhov chaw mos herpes.
- Tsis tas li, tus kab mob no tuaj yeem tshwm sim vimhuman papillomavirus kab mob.
- Candida kuj yog qhov ua rau.
- Kab mob nrog protozoa: Trichomonas thiab amoebas.
- Kab mob nrog helminths: pinworms thiab roundworms.
Ua ntej tham txog kev kho mob ntawm vulvovaginitis, cia peb txheeb xyuas seb cov tsos mob twg nrog cov kab mob no.
Symptoms of disease
Tawm tsam keeb kwm ntawm pathology, tus neeg mob yuav muaj kev tsis txaus siab hauv qab no:
- pom qhov kub hnyiab ntawm qhov chaw mos.
- Kev soj ntsuam ntawm qhov paug tawm ntawm qhov chaw mos. Cov paug no tuaj yeem yog daj, ntsuab, xim av lossis cheesy.
Tus kab mob no feem ntau nrog los ntawm ntau yam zais cia. Yog hais tias tus kab mob no tshwm sim los ntawm cov kab mob, ces qhov chaw mos secretion yuav tuab heev, heterogeneous thiab purulent. Tawm tsam keeb kwm yav dhau los ntawm vulvovaginitis tshwm sim los ntawm Trichomonas, qhov tso tawm yuav muaj purulent thiab foamy cim nrog ib qho tsis kaj siab thiab fetid tsw. Cov kab mob fungal yog tus cwj pwm los ntawm kev zais ntawm curdled sib xws. Kev kho mob vulvovaginal candidiasis kuj tseem yuav nthuav tawm.
Thaum kuaj, tus kws kho mob feem ntau ua tib zoo saib xyuas cov cim hauv qab no:
- Qhov muaj qhov o thiab liab ntawm cov mucosa. Xws li kev hloov pauv tuaj yeem cuam tshuam rau lub labia, thaj tsam ntawm vestibule ntawm qhov chaw mos, thiab ntxiv rau, cov phab ntsa ntawm qhov chaw mos.
- Qhov tshwm sim ntawm kev yaig. Cov tsos mob no yog yam ntxwv ntawm herpetic thiab diphtheria hom vulvovaginitis.
- Qhov muaj npuas ntim hauv cov kua ntshiab. Cov tsos mob no tshwj xeebTus yam ntxwv ntawm herpes.
- Lub xub ntiag ntawm synechia ntawm labia minora. Feem ntau cov tsos mob no tshwm sim ntawm cov ntxhais hluas. Qhov ua rau yog muaj tus mob vulvovaginitis. Kev kho mob yuav tsum tau ua.
Mob vulvovaginitis tuaj yeem tshwm sim nrog cov tsos mob, tshwj xeeb tshaj yog nyob rau hauv cov ntxhais uas muaj hnub nyoog preschool. Tawm tsam keeb kwm no, tus me nyuam tuaj yeem dhau los ua capricious, tsis tshua muaj suab nrov thiab yuav nkees sai heev. Yog tias tus neeg mob twb muaj kev sib deev lawm, nws yuav pom cov tsos mob ntawm qhov kev xav ntawm kev sib deev, thiab ntxiv rau, yuav muaj mob thaum sib deev.
Yuav ua li cas vulvovaginitis manifests nws tus kheej hauv cov ntxhais
Vulvovaginitis yog kab mob ntawm cov kab mob hauv paus chiv keeb. Nws tus neeg sawv cev ua rau, raws li tau sau tseg ua ntej, tuaj yeem yog txhua yam ntawm cov kab mob pathogenic. Hauv qee qhov xwm txheej, vulvovaginitis yog qhov tshwm sim ntawm kev tsis haum tshuaj ntawm tus menyuam lub cev. Tawm tsam keeb kwm ntawm tus kab mob no, cov ntxhais, raws li txoj cai, muaj cov tsos mob ntawm qhov mob ntawm qhov chaw mos, thiab ntxiv rau, khaus thiab kub hnyiab tau.
Ib yam li cov poj niam laus, hauv cov ntxhais tawm tsam keeb kwm ntawm tus kab mob no, qhov tshwm sim ntawm mucous thiab purulent tawm tsis suav nrog. Tej zaum lawv yuav tsis txaus los yog ntau, tab sis feem ntau muaj cov ntxhiab tsw txawv txawv thiab tsis kaj siab nrog cov ntshav hauv lawv.
Yog cov ntxhais muaj cov tsos mob saum toj no, cov niam txiv yuav tsum nrhiavkev pab kho mob. Thaum tsis muaj kev kho kom raug, tus kab mob no tuaj yeem ua rau mob ntev. Tom qab ntawd, tus kab mob tuaj yeem ua rau muaj qhov tshwm sim ntawm synechia (lub ntsiab lus no hais txog kev sib xyaw ntawm labia), uas yuav tiv thaiv kev tso zis. Vim li no, kev sib deev lub neej yuav nyuaj rau yav tom ntej.
Kev kho mob vulvovaginitis hauv cov poj niam yuav tau tham hauv qab no.
hom kab mob vulvovaginitis
Hauv tshuaj, nws yog txoj cai los faib tus kab mob no ua ntau hom hauv qab no:
- kab mob vaginitis.
- kab mob fungal.
- Viral form.
- Atrophic vaginitis.
Tshwj xeeb vulvovaginitis, uas yog tshwm sim los ntawm cov kab mob xws li chlamydia, gonococcus, Trichomonas thiab lwm yam kab mob, raug cais cais.
Raws li cov kab mob vulvovaginitis, nws tshwm sim los ntawm kev kis kab mob ntawm lub cev nrog cov kab mob pathogenic. Thaum kuaj xyuas, cov poj niam muaj cov cim qhia nyob rau hauv daim ntawv ntawm o thiab liab ntawm lub qhov ncauj thiab qhov chaw mos phab ntsa. Cov kab mob kab mob no tshwm sim los ntawm kev khaus khaus nrog rau kev kub hnyiab thiab tawm ntawm huab cua nrog ib qho tsw ntxhiab tsw heev. Fungal vulvovaginitis feem ntau manifests nws tus kheej raws li ib tug tshwm sim ntawm reproduction ntawm candidal fungus. Ob qhov kev hloov pauv hauv qab no ntawm cov kab mob pathology no tuaj yeem ua tau:
- Daim ntawv mob ntawm vulvovaginal candidiasis yog tus cwj pwm los ntawm cov tsos mob, uas tau tshwm sim los ntawm o thiab hyperemia ntawm labia. Kuj ua taumuaj hyperemia ntawm lub vestibule ntawm qhov chaw mos thiab nws cov phab ntsa. Nyob rau tib lub sijhawm, cov neeg mob khaus khaus heev thiab kub hnyiab, thiab tso tawm yog cheesy.
- Daim ntawv mob ntev ntawm pathology yog tus cwj pwm los ntawm qhov tsis muaj zog ntawm cov tsos mob. Kev tso tawm me me yuav muaj.
Tawm tsam keeb kwm ntawm trichomonas vulvovaginitis, cov neeg mob pom cov tsos mob xws li khaus, liab liab, kub hnyiab ntawm qhov chaw mos, tawm daj daj, uas muaj ntxhiab tsw heev. Tej zaum kuj yuav muaj mob thaum sib deev. Mob kuj tseem yuav tshwm sim thaum tso zis yog tias tus kab mob tseem nrog urethritis.
Vulvovaginitis tuaj yeem tshwm sim yam tsis muaj cov tsos mob tshwm sim lossis, ntawm qhov tsis sib xws, nrog kev nce ntxiv thaum cev xeeb tub. Chlamydial vulvovaginitis yog cais raws li kev sib deev kis kab mob. Hom kab mob no yog tus cwj pwm los ntawm cov cim qhia hauv daim ntawv ntawm qhov mob hauv plab thiab nraub qaum. Tsis tas li ntawd, tej zaum yuav muaj paug nrog cov ntshav. Tej zaum asymptomatic chav kawm ntawm tus kab mob. Feem ntau cov cim qhia ntawm chlamydia yog infertility.
Tawm tsam keeb kwm ntawm atrophic vulvovaginitis, tej zaum yuav muaj qhov txo qis hauv qhov tso tawm ntawm qhov chaw mos mucus, thaum lub sij hawm tsim tawm ntawm cov kab mob yuav raug pom nyob rau saum npoo ntawm labia. Hom vulvovaginitis no feem ntau tshwm sim hauv cov poj niam uas muaj hnub nyoog tshaj tsib caug xyoo. Qhov no yog vim qhov txo qis hauv cov tshuaj estrogen thaum lub sij hawm cev xeeb tub.
Kev kuaj kab mob
Tsuas kws kho mob yuav qhia koj yuav ua li cas nrog vulvovaginitis thiab yuav ua li cas kho cov kab mob tsis zoo no. Tus kws kho mob tshwj xeeb yuav xub xam phaj tus neeg mob txog qhov muaj cov tsos mob. Tom qab ntawd, kev kuaj gynecological ntawm qhov chaw mos yuav ua rau ntawm lub rooj zaum tshwj xeeb. Thaum kawg ntawm qhov kev tshuaj ntsuam xyuas, tus kws kho mob yuav tshuaj xyuas cov kab mob bacteriological tom ntej.
Yog tias tsim nyog, tus neeg mob yuav raug tshuaj xyuas qhov kev sim siab. Txhawm rau txheeb xyuas tus neeg sawv cev ntawm tus kab mob no, cov tshuaj tiv thaiv polymerase yog tam sim no nquag siv nrog rau enzyme immunoassay. Hauv cov menyuam yaus, cov kws kho mob tau sau ntawv tshuaj xyuas lub cev kom pom cov helminths rau cov neeg mob. Ua li no, koj yuav tsum pub cov quav, uas yog ua peb zaug. Scraping kuj tau noj rau enterobiasis. Yog tias xav tau kev tshawb fawb ntxiv, kev kuaj ntshav serological tau sau tseg rau qhov muaj helminths.
txhawm rau ntsuas qhov mob ntawm lub qhov chaw mos ntawm cov menyuam ntxhais, kev tshuaj xyuas tau ua tib zoo li sai tau kom khaws cov hymen. Thaum kuaj tus me nyuam, cov iav tsis siv. Ib txoj hauv kev paub txog kev kuaj mob yog siv lub vaginoscope nruab nrog lub koob yees duab thiab lub teeb.
Yog tias tus poj niam muaj vulvovaginitis, tus kws kho mob tseem tshuaj xyuas qhov mob ntawm lub ncauj tsev menyuam, nrog rau qee yam kabmob. Thaum qhia, nws raug pom zoo kom mus kuaj colposcopy nrog rau kev kuaj ultrasound ntawm lub tsev menyuam thiab cov appendages siv lub plab lossis qhov chaw mos probes.
Tom ntej no, peb yuav pom tias yuav ua li caskho tus kab mob no rau cov poj niam thiab cov ntxhais.
Kev kho mob ntawm vulvovaginitis
Cov txheej txheem kev kho mob, ua ntej ntawm tag nrho cov, muaj nyob rau hauv kev tshem tawm ntawm lub ntsiab ua rau tus kab mob, uas yog, nyob rau hauv lub nyem ntawm inflammatory dab. Nws yog ib qho tseem ceeb kom txo tau cov tsos mob tshwm sim. Txoj kev kho mob hauv txhua kis yog xaiv tus kheej. Kev kho mob tuaj yeem ua tiav tom tsev. Nws feem ntau yog siv cov tshuaj tua kab mob hauv daim ntawv suppositories lossis ntsiav tshuaj ntawm qhov chaw mos. Cov tshuaj pleev tshwj xeeb kuj raug sau tseg. Raws li txoj cai, cov poj niam raug sau tseg cov kev kho mob hauv qab no:
- Txoj kev yooj yim tshaj plaws rau kev kho yog suppositories nrog cov ntsiav tshuaj ntawm qhov chaw mos. Feem ntau, cov tshuaj tua kab mob broad-spectrum yog siv. Tsis tas li ntawd, antiseptics yog siv. Txhawm rau kho qhov chaw mos microflora tom qab kev kho cov kab mob tua kab mob, nws raug nquahu kom siv cov khoom tshwj xeeb - probiotics.
- Tsis tas li, chav kho mob suav nrog kev siv da dej hauv qhov chaw mos. Hauv lub luag haujlwm ntawm kev daws teeb meem, hydrogen peroxide tuaj yeem siv nrog rau kev npaj ntawm "Furacilin", "Chlorhexidine" thiab "Lysozyme". Txhawm rau kom tsis txhob kub hnyiab ntawm cov mucosa, cov kws tshaj lij qhia kom ua tib zoo saib xyuas cov tshuaj.
- Raws li ib feem ntawm cov tshuaj tiv thaiv kab mob hauv kev kho mob ntawm vulvovaginitis, decoctions raws li sage, eucalyptus, calendula lossis chamomile yog siv. Nws yog ib qho tseem ceeb tsis txhob hnov qab tias pej xeem txoj kev yuav tsis pab kom daws tau qhov teeb meem. Qhov kev xaiv kho mob no tsuas yog siv rau cov dej num ntxiv.
- Tso rau cov neeg mobCov txheej txheem physiotherapeutic tau sau rau hauv daim ntawv ntawm ultraviolet irradiation ntawm perineum, electrophoresis thiab electrotherapy. Cov tswv yim kho lub cev tuaj yeem txo lub sijhawm ntawm kev kho mob los ntawm kev ua cov txheej txheem sib sib zog nqus ntawm cov ntaub so ntswg.
- Antimicrobial thiab tiv thaiv kev kho mob ntawm cov kab mob vulvovaginitis yog ntxiv los ntawm kev noj cov tshuaj vitamin complex thiab immunostimulating tshuaj. Yog tias tsim nyog, tus kws kho mob tau sau tshuaj kom tshem tawm cov tshuaj estrogen tsis txaus, thiab, ntxiv rau, kev kho cov kab mob cab. Kev huv ntawm foci ntawm tus kab mob ntev kuj tau ua. Cov tshuaj nrov tshaj plaws rau kev kho mob ntawm vulvovaginitis yuav pab koj xaiv tus kws kho mob.
Feem ntau cov no yog cov tshuaj tua kab mob:
- Hexicon.
- McMiror.
- Neo-penotran.
- Terzhinan.
Tshuaj siv los kho vulvovaginal candidiasis:
- YMiconazole.
- Thioconazole.
- YClotrimazole.
- Pimafucin.
- Nystatin.
- YButoconazole.
Cov neeg mob yuav tsum tsis txhob muaj kev sib deev. Kev rov qab sib raug zoo tuaj yeem ua tau tsuas yog thaum kho tiav.
Kev kho mob ntawm vulvovaginitis hauv cov ntxhais
Yuav kom tshem tau tus kab mob no, kev kho mob ntawm vulvovaginitis hauv cov ntxhais yuav tsum muaj nyob rau hauv qhov yuav tsum tau noj tshuaj raws li cov tshuaj tua kab mob thiab cov tshuaj tsim los kho qhov chaw mos dysbiosis.
Suppositories nrog rau cov ntsiav tshuaj qhov chaw mos rauKev kho mob ntawm vulvovaginitis hauv cov menyuam yaus tsis tau sau tseg, yog li kev siv tshuaj pleev yog nyiam. Cov txheej txheem hauv zos tau ua pov thawj lawv tus kheej zoo heev. Cov no suav nrog, ua ntej ntawm tag nrho cov, da dej nrog ntxiv ntawm cov nroj tsuag tshuaj, thiab ntxiv rau, tshuaj tua kab mob. Ntawm lwm yam, rau kev kho mob ntawm vulvovaginitis hauv cov ntxhais, ultraviolet irradiation ntawm perineum yog ua. Peb tseem to taub.
Yuav ua li cas lwm yam kev kho mob ntawm vulvovaginitis hauv cov ntxhais koom nrog?
Yog tias tus me nyuam muaj kev nyiam ua rau masturbate thiab qhia ntau yam khoom rau hauv qhov chaw mos, ces yuav tsum muaj kev sab laj nrog cov kws kho mob tshwj xeeb xws li kws kho mob hlwb, kws kho mob hlwb thiab kws kho hlwb. Qee qhov xwm txheej, cov kws kho mob tshwj xeeb tau sau cov tshuaj uas tsim los tiv thaiv kev mob neurotic thiab kev coj cwj pwm tsis zoo. Cov kws kho mob qhia cov niam txiv ntawm cov ntxhais txog cov cai yooj yim ntawm kev nyiam huv ntawm menyuam yaus thiab muab lus pom zoo txog kev xaiv cov ntaub pua chaw rau menyuam yaus thiab tshuaj ntxuav tes.
Ntxiv nrog rau kev kho mob ntawm vulvovaginitis hauv cov menyuam yaus, nws yog ib qho tsim nyog yuav tsum ua raws li kev tiv thaiv.
prophylaxis
Koj tuaj yeem tiv thaiv kev txhim kho ntawm vulvovaginitis yog tias koj ua raws li cov lus qhia tseem ceeb hauv qab no. Yog li, cov no yog:
- Kev tu cev txhua hnub ntawm thaj chaw sib raug zoo.
- Hnav tsuas yog cov ris tsho hauv qab zoo tshaj plaws uas muaj cov khoom siv ntuj xwb.
- Tsis txhob hnav khaub ncaws nruj lossis nruj.
- Tsis kam kho tshuaj tua kab mob tsis muaj laj thawj zoo.
- Kev zamnquag siv pads.
Vulvovaginitis tsis suav tias yog mob hnyav, tab sis nws tuaj yeem ua rau tsis xis nyob. Nyob rau hauv cov ntaub ntawv ntawm kev kuaj mob raws sij hawm thiab kho kom raug, cov pathology kis tau sai txaus. Tab sis nyob rau hauv tsis muaj cov ntaub ntawv yuav tsum tau koj tus kheej-medicate, txij li thaum koj tsuas tuaj yeem ua rau koj tus mob hnyav dua. Tawm tsam keeb kwm ntawm thawj cov tsos mob ntawm vulvovaginitis, cov poj niam thiab cov ntxhais yuav tsum mus ntsib kws kho mob.
Vulvovaginitis kuj kho nrog pej xeem tshuaj.
Txoj kev ua neeg
Vulvovaginitis tuaj yeem kho nrog cov zaub mov txawv:
- St. John's wort, common thyme, coltsfoot nplooj, nettle, buckthorn bark, calamus rhizome. Ib qho tincture yog npaj los ntawm kev sib xyaw ntawm cov tshuaj no, hauv qhov sib piv ntawm 1: 2: 2: 1: 1: 2. 2 tablespoons ntawm sib tov yog poured rau hauv ib lub nkoj, ncuav nrog ob khob ntawm boiling dej, insisted rau 12 teev. Noj 3 zaug ib hnub.
- Ntaus chamomile, mallow paj, sage, nplooj walnut, ntoo qhib tawv, qhov kev faib ua feem yog 5: 2: 3: 5: 2. 2 tbsp ncuav ib liter ntawm boiling dej, tsau nyob rau hauv ib tug da dej rau 30 feeb, nyem. Siv douches thiab intravaginal tampons. Lwm txoj kev kho mob ntawm vulvovaginitis yuav tsum tau ua raws li kev saib xyuas ntawm tus kws kho mob.
- kab lis kev cai flax nyom, mistletoe dawb, St. John's wort, tus tswv yug yaj lub hnab, dej kua txob nyom, ntoo qhib ntoo, willow bark, stinging nettle, tshuaj comfrey, ntiaj teb mountaineer, calendula, chamomile, nyob rau hauv ib tug ratio ntawm 1: 1, 2 tsp. l. 0.5 liv ntawm boiling dej yog poured rau hauv ib tug da dej rau 20 feeb, lim. Siv rau douching.
- Sage officinalis - 20 g, rosemary - 20 g, oak bark - 45 g, yarrow - 20 g, sib tov thiab ncuav 3 liv ntawm boiling dej. Siv ib lub douche 2 zaug ib hnub twg.
Xav txog kuj tshuaj xyuas txog kev kho mob ntawm vulvovaginitis.
Reviews
Tus kab mob no cuam tshuam ntau tus poj niam thiab cov ntxhais. Kev tshuaj xyuas txog qhov no muaj ntau. Yog tias koj mus ntsib kws kho mob raws sijhawm thiab tau txais kev kho mob, ces koj tuaj yeem tshem tawm cov tsos mob sai sai.
Kev txiav txim los ntawm kev tshuaj xyuas, tshuaj tua kab mob thiab cov tshuaj pleev ib ce pab tau zoo. Tsis tas li, pej xeem zaub mov txawv yog siv ua ke.
