Kab mob pathologies ntawm qhov chaw mos ntawm qhov chaw mos pom tsis tau tsuas yog nyob rau hauv cov poj niam, tab sis kuj nyob rau hauv me me ntxhais. Ib qho kab mob no yog vulvovaginitis. Cov laj thawj tseem ceeb ntawm cov txheej txheem pathological, nws cov ntaub ntawv thiab cov txheej txheem ntawm kev kho mob yuav tau tham hauv kab lus no.
Tus yam ntxwv ntawm tus kab mob
Vulvovaginitis yog ib yam kab mob loj uas tshwm sim los ntawm o ntawm phab ntsa ntawm qhov chaw mos thiab qhov chaw mos nws tus kheej. Raws li kev txheeb cais, nws raug kuaj pom hauv 60% ntawm cov neeg mob hauv cov menyuam yaus hnub nyoog qis dua 8 xyoo. Cov laj thawj rau kev txhim kho ntawm cov txheej txheem pathological txawv. Feem ntau, tus kab mob no yog vim lub anatomical nta ntawm cov qauv ntawm qhov chaw mos mucosa. Nyob rau hauv cov me nyuam mos, nws yog them nrog ob peb txheej ntawm squamous epithelium. Glycogen yog tam sim no nyob rau hauv nws cov muaj pes tsawg leeg, thiab qhov zais cia muaj cov tshuaj tiv thaiv acidic. Kwv yees li ntawm plaub lub lim tiam ntawm lub neej, desquamation ntawm lub epithelium yog pom, txij li thaum cov tshuaj estrogenic cuam tshuam los ntawm leej niam cov kab mob tsis tu ncua. Lub pob mucus ua thinner, vim tias cov microbes tuaj yeem nkag mus rau hauv lub cev ywj siab.
Thaum sib deevmaturation, lub epithelialization ntawm qhov chaw mos nce ntxiv, tab sis twb nyob rau hauv tus ntawm nws tus kheej estrogens. Ntau yam kev raug mob ntawm qhov chaw mos mucosa (hlawv, kev taw qhia ntawm lub cev txawv teb chaws) cuam tshuam qhov kev tshuav nyiaj li cas. Yog li ntawd, qhov sib npaug ntawm cov hlwb ntawm lub epithelium ntawm qhov chaw mos thiab cov kab mob uas nyob hauv nws yog destabilized, tus naj npawb ntawm leukocytes thiab secretion ua rau nce, thiab o tshwm sim.
Vim li cas thiaj muaj mob ntxiv?
Cov txheej txheem inflammatory uas tau pib tuaj yeem kis tau thiab tsis kis. Hauv thawj kis, cov kab mob pathogenic (gonococci, Trichomonas, tubercle bacillus, chlamydia) ua rau tus kab mob. Xws li vulvovaginitis yog hu ua tshwj xeeb. Nyob rau hauv rooj plaub thib ob, conditionally pathogenic microorganisms, kab mob, candida, thiab lwm yam pab mus rau txoj kev loj hlob ntawm tus kab mob. Vulvovaginitis hauv cov menyuam yaus tuaj yeem tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev txo qis hauv kev tiv thaiv kab mob, nrog rau cov kab mob endocrine lossis helminthic ntxeem tau. Txwv tsis pub, nws yog hu ua non-specific.
Nyob rau cov menyuam yaus hnub nyoog qis dua ib xyoos, tus kab mob no tuaj yeem tshwm sim los ntawm kev kis tus kabmob los ntawm leej niam thaum yug menyuam. Nws tsis tau kuaj pom tam sim ntawd, yog li cov txheej txheem inflammatory qee zaum dhau mus. Cov kab mob ua rau tus kab mob tuaj yeem yog txhua yam kab mob uas muaj nyob rau hauv cov mucous daim nyias nyias ntawm leej niam qhov chaw mos. Txawm li cas los xij, feem ntau vulvovaginitis nyob rau hauv cov menyuam yaus hnub nyoog qis dua ib xyoos muaj kev loj hlob vim tsis ua raws li cov cai ntawm kev nyiam huv. Yog hais tias tus me nyuam raug kev txom nyem los ntawm atopic dermatitis, uas tsis tshua muaj tshwm sim ntawm cov me nyuam mos, cov txheej txheem inflammatory tej zaum yuav ua xua.
Tom qab ib xyoos, tus menyuam pib sib ntsibnrog lub ntiaj teb ib puag ncig. Nws tuaj yeem ua mob rau qhov chaw mos tau yooj yim los ntawm kev ntxig cov khoom ua si rau hauv nws. Nyob rau hauv lub hnub nyoog preschool thiab theem pib, tus kab mob tshwm sim vim qhov txo qis hauv kev tiv thaiv kab mob thiab kab mob nrog rau cov ntshav ntws los ntawm lwm cov foci. Cov tom kawg feem ntau yog mob tonsillitis, otitis thiab sinusitis.
YMycotic vulvovaginitis
hom kab mob no feem ntau kuaj pom hauv cov menyuam yug tshiab thiab cov ntxhais hluas hnub nyoog. Nws yog tus cwj pwm los ntawm cov tsos ntawm cov quav hniav curdled ntawm qhov chaw mos, nyob rau hauv qhov chaw eroded pom. Tsis tas li ntawd, mycotic vulvovaginitis nyob rau hauv cov menyuam yaus tuaj yeem nrog khaus ntawm qhov chaw mos, tawm ntawm daim tawv nqaij.
Kev kho mob feem ntau ua tom tsev. Txhawm rau tiv thaiv tus kab mob, nws raug nquahu kom douche nrog cov tshuaj tsis muaj zog ntawm sodium bicarbonate. Hauv qhov tshwj xeeb, tus kws kho mob tuaj yeem sau tshuaj Levorin ntsiav tshuaj rau 10 hnub.
YTrichomonas vulvovaginitis
Daim ntawv kab mob no feem ntau kuaj pom hauv cov menyuam yug tshiab thiab cov ntxhais tom qab 12 xyoos, thaum cov epithelium paub tab twb tsim nyob rau hauv qhov chaw mos. Lub xub ntiag ntawm glycogen hauv nws ua rau qhov chaw zoo tshaj plaws rau parasitizing Trichomonas. Ntawm cov tsos mob tseem ceeb ntawm cov txheej txheem pathological, ib tus tuaj yeem paub qhov txawv ntawm hyperemia ntawm lub qhov ncauj mucosa, me edema. Lwm tus yam ntxwv feature yog copious frothy leucorrhoea, uas muaj ib tug tsis kaj siab tsw.
Metronidazole yog siv los kho tus kab mob. Rau cov neeg mob menws tau muab tshuaj 2 ntsiav tshuaj ob zaug ib hnub. Trichomonas vulvovaginitis hauv tus menyuam hnub nyoog 5 xyoos thiab laus dua yuav tsum muaj kev kho mob sib txawv. Thawj ob hnub muab 2 ntsiav tshuaj ntawm "Metronidazole", thiab tom ntej no 5 - ib ntsiav tshuaj txhua. Nco ntsoov douche nrog tshuaj tua kab mob.
YViral vulvovaginitis
Kab mob, lossis kab mob vulvovaginitis, qee zaum tshwm sim nrog cov kab mob me thiab kab mob diphtheria, nrog rau kev tawm tsam keeb kwm ntawm cov kab mob ua pa nyuaj. Feem ntau, nws ua rau yog nkag mus rau hauv lub cev ntawm tus kab mob strepto-staphylococcal. Yog li ntawd, lub reactivity ntawm lub cev poob, thiab qhov sib npaug ntawm cov paj ntawm qhov chaw mos thiab nws cov mucosa cuam tshuam. Cov txheej txheem inflammatory yog tus cwj pwm los ntawm kev kawm me ntsis, qhov liab ntawm qhov chaw mos thiab labia tau.
Kev kho mob ntawm foci ntawm tus kab mob yog qhia rau kev kho tus kab mob. Hauv zos douching nrog cov tshuaj tsis muaj zog ntawm sodium bicarbonate yog tshuaj. Cov txheej txheem raug pom zoo kom rov ua dua txhua hnub kom txog thaum ploj tag ntawm cov tsos mob ntawm tus kab mob "bacterial vulvovaginitis".
Ib tug menyuam tuaj yeem kho tau yog tias pom tus kab mob tshwm sim raws sijhawm. Qee lub sij hawm nws txoj kev loj hlob yog provoked los ntawm Escherichia coli, uas yog feem ntau nkag mus rau hauv lub cev los ntawm pinworms. Ntawm qhov tshwm sim ntawm pathology, muaj khaus khaus hauv qhov chaw mos, thickening ntawm qhov quav quav, tawm daj-ntsuab. Nyob rau hauv cov ntaub ntawv no, kev kho mob yog aimed ntawm kev rhuav tshem cov culprit ntawm tus kab mob - pinworms. Kev kho yog xaiv tus kheej.
Yuav ua li cas thiaj paub tus kab mob raws sijhawm?
Kev kuaj mob raws sijhawm ntawm vulvovaginitis yogguarantee ntawm ib tug ceev rov qab. Cov tsos mob hauv qab no tej zaum yuav yog vim li cas mus ntsib kws kho mob:
- kub hnyiab ntawm qhov chaw mos;
- tsis xis nyob thaum tso zis;
- paj paug qhov chaw mos.
Tom qab sau cov anamnesis thiab tau txais cov ntaub ntawv tsim nyog, tus kws kho mob pib tshuaj xyuas tus menyuam. Ua ntej tshaj plaws, nws yog ib qho tsim nyog yuav tsum tsis suav nrog lub cev txawv teb chaws hauv qhov chaw mos, thiab tseem yuav tsum coj cov khoom siv rau kev soj ntsuam microscopic tom ntej. Siv lub swab dipped nyob rau hauv saline, tus kws kho mob siv ib tug swab, tab sis nws tsis kov lub hymen. Nrog rau daim duab tsis pom kev kho mob, ib qho kev kuaj ntshav ntxiv tau raug sau tseg. Txawm tias me ntsis sib txawv los ntawm cov qauv ntawm qee qhov ntsuas ua rau nws muaj peev xwm xav tias vulvovaginitis hauv cov menyuam yaus. Ob qho kev nce hauv ESR thiab kev hloov pauv ntawm cov leukocytes qhia qhov pib ntawm cov txheej txheem inflammatory. Raws li cov txiaj ntsig ntawm kev kuaj mob thiab kuaj lub cev, tus kws kho mob ua qhov kuaj pom.
kev kho mob
Nws yog ib qho tsim nyog los sau tag nrho cov txheej txheem uas muab kev kho mob zoo rau cov neeg mob hluas. Nyob rau hauv lub xub ntiag ntawm helminthic invasions, Pirantel los yog Vermox yog siv. Kev khaus hnyav hauv qhov chaw mos yog suav tias yog ib qho kev qhia rau kev siv tshuaj sedatives thiab antihistamines (Tavegil, Diazolin). Txawm hais tias qhov ua rau ntawm tus kab mob thiab nws cov chav kawm, cov neeg mob me tau muab tshuaj kho kom muaj zog, uas suav nrog kev noj cov vitamins thiab immunostimulants.
Tsis yog vulvovaginitis hauvcov menyuam yaus xav tau tshuaj tua kab mob hauv cov hnub nyoog ntau npaum. Tus kws kho mob yuav muab tshuaj Ampicillin lossis Cephalexin. Cov nyiaj no tau txais los ntawm qhov ncauj, kev kho mob yog 10-14 hnub. Kuj pom tau tias yog kev siv cov tshuaj pleev qhov chaw mos thiab cov tshuaj pleev tshwj xeeb ("Levomekol", "Furazolidone", synthomycin emulsion) rau vulvovaginitis hauv cov menyuam yaus. Kev tshuaj xyuas cov kws kho mob txog cov tshuaj no yog qhov zoo heev. Yog tias kev kho tshuaj tua kab mob tsis zoo, tus kws kho mob yuav sau tshuaj nrog estrogens. Lawv siv tau ob mus rau peb lub lis piam.
Thaum cov kab mob ntawm cov genus Candidae pom nyob rau hauv smear, tshuaj tua kab mob nyob rau hauv daim ntawv ntawm cov tshuaj pleev los yog cream (Nystatin) yog siv rau kev kho mob. Kev kho mob ntawm tus kab mob vulvovaginitis yuav tsum yog txhawm rau txhawm rau ua kom lub cev tiv thaiv cov teebmeem ntawm cov kab mob pathogenic thiab inhibiting qhov tseem ceeb ntawm cov kab mob uas ua rau tus kab mob. Ntawm cov tshuaj siv, Acyclovir yog qhov zoo tshaj plaws.
Kev kho mob hauv tsev
Cov kws kho neeg pej xeem muaj ntau yam zaub mov txawv los tawm tsam cov kab mob xws li vulvovaginitis hauv cov menyuam yaus. Piv txwv li, koj tuaj yeem ua tshuaj ntsuab tshuaj ntsuab. Chamomile, sage, mint yog haum rau qhov no. Cov txheej txheem raug pom zoo kom rov ua dua txhua hnub. St. John lub wort tshuaj yej muaj ib tug kho nyhuv. Txhawm rau npaj nws, koj yuav tsum ncuav ib teaspoon ntawm cov nyom qhuav nrog ib khob dej npau, tawm rau 15 feeb. Noj ib decoction yuav tsum yog 1/2 khob peb zaug ib hnub twg. Kev kho tsis yog ib txwm siv yog ib qho ntxiv rau lub ntsiab ntawm kev kho mob, thiabua ntej pib, koj yuav tsum sab laj nrog kws kho mob.
ntsuas kev tiv thaiv
Puas muaj peev xwm tiv thaiv tus menyuam los ntawm kev kuaj mob "vulvovaginitis"? Txhua tus niam txiv yuav tsum paub qhov ua rau ntawm cov txheej txheem pathological thiab sim tiv thaiv lawv. Txawm li cas los xij, nws tsis txaus tsuas yog kom tsis txhob muaj qhov ua rau muaj tus kab mob. Yuav tsum ua raws li cov cai yooj yim rau kev saib xyuas tus menyuam.
- Tom qab txhua qhov kev tso quav, cov kws kho mob pom zoo kom ntxuav tus menyuam hauv dej ntws. Tom qab cov txheej txheem, qhov chaw mos yuav tsum tau blotted nrog ib daim pawj los yog ib daim phuam huv.
- Koj yuav tsum da dej koj tus menyuam txhua hnub. Koj siv tau cov tshuaj pleev ib ce me nyuam.
- Nws yog ib qho tseem ceeb uas yuav tau hloov koj cov ris tsho hauv qab txhua hnub. Nws yog qhov zoo dua los muab kev nyiam rau cov khoom ua los ntawm ntuj fabrics. Synthetic ris tsho hauv qab tsis tso cai rau huab cua dhau mus thiab tsis nqus daim tawv nqaij secretions, uas ua rau muaj kev haum xeeb rau kev loj hlob ntawm cov kab mob.
- txhawm rau txhawm rau txhawm rau tiv thaiv tus menyuam, cov kws kho mob pom zoo kom taug kev ntau zaus hauv huab cua ntshiab, tawv. Kev saib xyuas tshwj xeeb yuav tsum tau them rau tus menyuam txoj kev noj haus thiab so kom txaus.
Vulvovaginitis yog ib yam kab mob tiv thaiv tau. Yog tias, txawm tias txhua qhov kev siv zog, nws tsis tuaj yeem zam tus kab mob, koj yuav tsum sab laj nrog kws kho mob. Tsis txhob sim kho lossis tsis quav ntsej vulvovaginitis hauv cov menyuam yaus ntawm koj tus kheej. Cov duab ntawm cov teeb meem ntawm cov txheej txheem pathological txhawb kev ntshai. Tus kab mob no txaus ntshai heev thiab tuaj yeem ua rau tsim cov synechia,nrog rau qhov tshwm sim loj dua.
