Loaʻa i kāu kaikamahine liʻiliʻi nā pilikia vaginal? (Vulvovaginitis) - E kamaʻilio kākou e pili ana i kēia!

Ua ʻike anei ʻoe i kekahi manawa e ʻānai ana kāu kaikamahine liʻiliʻi i kona mau ʻāpana pilikino, a i ʻole he ʻulaʻula lākou? A i ʻole ʻike ʻoe i kekahi mau ʻōpala ma kona lole komo? Ke uē nei ʻo ia a i ʻole ke ʻeha nei i ka wā e mimi ai ʻo ia? He mea maʻamau loa ia no nā kaikamahine liʻiliʻi ke loaʻa i kēia ʻano ʻoluʻolu ʻole. ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau he "Vulvovaginitis". I ka ʻōlelo maʻalahi, ʻo ia ka wā e pehu ai a pehu paha ka vagina o ke kaikamahine ("vagina"") a me ka ʻaoʻao waho a puni ("vulva"").

No ke aha i loaʻa pinepine ai i nā keiki ʻōpio kēia "(Vulvovaginitis)"?

Ke noʻonoʻo nei paha ʻoe, "Auē, no ke aha lā e hana nei kēia i kaʻu kaikamahine liʻiliʻi?" Nui nā kumu no kēlā.

ʻO ka mea mua, ma mua o ka hiki ʻana o nā kaikamahine ʻōpio i ka wā ʻōpio, hana ko lākou kino i ka liʻiliʻi o ka hormone `(Estrogen)`. ʻO kēia hormone `(Estrogen)` ka mea e kōkua ai i ka mālama ʻana i ka ʻili a puni ka vagina olakino a mānoanoa. Ma muli o ka nele o `(Estrogen)`, he lahilahi loa ka ʻili a puni ka vagina o nā keiki ʻōpio a he ʻano koʻikoʻi loa. E like me ka pua rose liʻiliʻi. No laila, hiki i ka mea liʻiliʻi loa ke 'hoʻonāukiuki' koke i kēlā ʻili, ʻo ia hoʻi, lilo ia i ʻulaʻula, maneʻo, a pehu.

ʻO kekahi mea ʻē aʻe, ʻaʻohe lauoho pale o nā keiki liʻiliʻi a me nā labia momona e like me ka poʻe mākua a puni ko lākou vagina. Hāʻawi kēia i kekahi pale mai nā germs a me nā ʻōpala. Hiki ke kū mai nā pilikia ma muli o kēia nele o ka pale.

Eia kekahi, he liʻiliʻi loa ka hakahaka ma waena o ka vagina a me ka anus (kahi e hele ai ka ʻōpala) i nā keiki ʻōpio. No laila, hiki i nā germs mai ka anus, ʻoiai nā mea e hele mai me ka ʻōpala, ke komo maʻalahi i loko o ka vagina.

ʻO ka mea hope loa, ua ʻike kākou a pau e aʻo mau ana nā kamaliʻi liʻiliʻi pehea e hoʻomaʻemaʻe pono ai iā lākou iho ma ka lua. ʻAʻole paha lākou i maʻa i ka manaʻo o ka holoi ʻana mai mua a i hope. I kekahi manawa, ʻo ka holoi ʻana mai hope a i mua e hiki ai i ka bacteria mai ka ʻōpala ke komo i loko o ka vagina a i ʻole ka urethra (kahi e hele ai ka mimi ).

E noʻonoʻo, i ka hui pū ʻia ʻana o kēia mau mea a pau, pehea ka nui o ka loaʻa ʻana o kahi keiki liʻiliʻi i ka "Vulvovaginitis"? ʻO ka ʻoiaʻiʻo, ʻo ka hapa nui (ma kahi o 62%) o nā pilikia gynecological i nā kaikamahine ʻōpio he "Vulvovaginitis".

He aha nā hōʻailona o ka "(Vulvovaginitis)"?

Inā loaʻa i kāu kaikamahine ka vulvovaginitis, hiki iā ia ke loaʻa i kēia mau ʻehaʻeha o ka ʻōpū:

• ʻUlaʻula: ʻUlaʻula paha ka ʻili o ka wahine a me ka ʻili a puni.
• Maniʻo: E ʻike paha ʻoe i kāu kaikamahine e ʻānai pinepine ana i ka wahi. I kekahi manawa, ala paha ʻo ia i ka pō ma muli o kēia maniʻo.
• ʻEha, palapū, a pehu paha: E ʻeha paha ʻoe ke hoʻopā aku. I kekahi manawa e like paha me ka pehu iki.
• Ka hoʻokahe ʻana o ka ʻōpū: E ʻike paha ʻoe i kahi kahe keʻokeʻo, melemele, ʻōmaʻomaʻo, a ʻeleʻele paha e hoʻohaumia i kou lole komo. I kekahi manawa, hiki nō hoʻi ke loaʻa kahi ʻala pilau.
• Ke kahe koko ʻana o ka ʻōpū: I kekahi manawa e ʻike paha ʻoe i kekahi mau kulu koko liʻiliʻi. Hoʻokumu pinepine ʻia kēia e ka ʻeha o ka ʻili mai ke kahakaha ʻana me ka ikaika loa.
• ʻEha a ʻā paha i ka wā e mimi ai : Inā uē kāu kaikamahine a ʻeha paha i ka wā e mimi ai , he hōʻailona paha ia o kēia maʻi.

Inā loaʻa i kāu kaikamahine kekahi a ʻoi aku paha o kēia mau ʻano, he mea maikaʻi ke hopohopo iki iā ia.

He aha nā kumu nui o ka vulvovaginitis?

E like me kā mākou i kūkākūkā ai, ʻoi aku ka maʻalahi o nā keiki ʻōpio i kēia maʻi no ka mea he ʻili koʻikoʻi ko lākou ʻili. ʻO ke kumu nui ka huhū i hoʻokumu ʻia e nā kumu o waho, ʻo ia hoʻi kahi hopena alerika i kekahi mea. ʻO kēia ʻano huhū no kahi 75% o nā hihia o ka vulvovaginitis.

He aha kēia mau mea e hoʻonāukiuki ai?

• Nā lole paʻa a me nā lole komo: ʻO ke komo ʻana i nā lole paʻa, ʻoiai nā mea i hana ʻia me nā lole synthetic, hiki ke hoʻoulu i ka hou e hōʻiliʻili a hoʻopaʻa i ka makū, e hoʻonāukiuki ai.
• ʻAuʻau kopa a me nā ʻauʻau pehu: ʻO kekahi o nā kopa ʻala, nā holoi kino, a me nā ʻauʻau pehu a mākou e hoʻohana ai, aia nā kemika i hiki ke hoʻopōʻino i ka ʻili koʻikoʻi o nā keiki ʻōpio.
• Nā mea ʻala a me nā lotion: Hiki i kekahi mau lotion ʻala a me nā pauka ke hoʻonāukiuki i kēia ʻano.
• Nā mea holoi lole a me nā mea palupalu lole: Hiki i nā kemika ʻino i loko o nā mea holoi lole ke hana i nā pilikia ma ke komo ʻana i loko o nā lole a me ke komo ʻana ma ka ʻili.

Ma waho aʻe o kēia 'hoʻonāukiuki', ʻo ka hoʻomaʻemaʻe maikaʻi ʻole a me nā maʻi bacteria kekahi kumu nui o ka "Vulvovaginitis". E like me kā mākou i ʻōlelo ai ma mua, ʻoiai ʻaʻole ʻike nā keiki liʻiliʻi pehea e hoʻomaʻemaʻe pono ai iā lākou iho, hiki i ka bacteria ke komo maʻalahi i loko o ka vagina.

Eia kekahi laʻana, inā ʻaʻole holoi pono ke kaikamahine ma hope o ka mimi ʻana , hōʻiliʻili nā kulu mimi i loko o ka vagina, e hana ana i kahi kūlana maikaʻi no ka ulu ʻana o ka bacteria. Eia kekahi, inā ʻō ʻo ia i kona ihu, hoʻokomo i kona mau manamana lima i loko o kona waha, a laila hoʻopā i ka ʻāpana vagina me ka holoi ʻole i kona mau lima, hiki ke hoʻokomo ʻia nā germs.

Nā kumu ʻē aʻe

Ma waho aʻe o kēia mau kumu maʻamau, aia kekahi mau kumu ʻē aʻe o ka "Vulvovaginitis":

• Nā ilo ʻūpā: He mau ilo liʻiliʻi kēia. Noho lākou i loko o nā ʻōpū a me ka rectum o ke keiki. I ka pō, i ka wā e hiamoe ana ke keiki, waiho kēia mau ilo i nā hua a puni ka anus. Hiki i kēia ke hana i ka maneʻo nui. Hiki i kēia maneʻo ke hoʻoulu i ka huhū a puni ka vagina, e hana ai i ka vulvovaginitis.
• Nā mea ʻē: Makemake nā keiki ʻōpio e hoʻokomo i nā mea liʻiliʻi i nā ʻāpana like ʻole o ko lākou kino. I kekahi manawa, hiki i nā mea e like me nā ʻāpana pepa toilet a i ʻole nā ​​​​mea pāʻani ke paʻa i loko o ka vagina. Inā komo kekahi mea e like me kēia i loko, hiki iā ia ke hana i kahi maʻi (vulvovaginitis).
• Nā hoʻopili labial:ʻO kēia ka manawa e pili pū ai nā lehelehe waho (labia) o ka ʻōpū o ke pēpē. Hiki ke hana ʻia kēia e nā pae estrogen haʻahaʻa.
• Lichen sclerosus: He maʻi ʻili mumū kēia. Hoʻopilikia nui ia i nā ʻōpū a me ka anus. He maʻi autoimmune ia, ʻo ia hoʻi, ua manaʻo ʻia ua hoʻokumu ʻia e kahi pilikia me ka ʻōnaehana pale ponoʻī o ke kino.
• ʻO ka maʻi Candida (hū): He mea kakaikahi loa i nā kaikamahine ʻōpio ke loaʻa i nā maʻi hū, akā hiki ke hana ʻia i kekahi manawa.
• Ka hana ʻino moekolohe: He kumuhana paʻakikī kēia e kamaʻilio e pili ana, akā he mea nui e makaʻala i ia mea. Hiki ke hana ʻia ka Vulvovaginitis e nā maʻi i laha ma ke moekolohe (STI). Inā loaʻa i kahi keiki kahi STI a i ʻole he vulvovaginitis mau, kānalua paha nā kauka i ka hana ʻino moekolohe. I ia mau hihia, e hoʻāʻo pono ʻia lākou.

Pehea e ʻike pono ai inā loaʻa iā ʻoe ka `(Vulvovaginitis)`? (Diagnosis)

Inā loaʻa i kāu kaikamahine kēia mau hōʻailona, ​​ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kahi kauka keiki. E nīnau mua ke kauka iā ʻoe e pili ana i nā hōʻailona o kāu keiki. Pehea ka lōʻihi o kēia ʻeha, i nā manawa hea e hoʻonui ai, a emi iho me ka hana ʻana i kekahi mea? E nīnau pū lākou e pili ana i ke ʻano o ka hele ʻana o kāu keiki i ka lua a pehea lākou e hoʻomaʻemaʻe ai iā lākou iho. Hiki iā lākou ke nīnau e pili ana i nā ʻano kopa, shampoos, a me nā mea holoi lole a lākou e hoʻohana ai ma ka home.

A laila e hana ke kauka i kahi hoʻokolokolo kino o ka pēpē. ʻO ka hapa nui o ka hoʻokolokolo ʻana ʻo ia ka ʻaoʻao waho o ka vagina o ka pēpē. Hiki iā ʻoe ke noho i loko o ka lumi me ka pēpē, a ʻaʻole ʻeha kēia hoʻokolokolo no ka pēpē. No laila, ʻaʻohe mea e makaʻu ai.

Inā kānalua ke kauka i kahi maʻi bacteria a ʻike paha i ke kahe ʻana o ka ʻōpū, e lawe lākou i kahi laʻana liʻiliʻi (kahi `swab`) a hoʻouna aku i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Lawe ʻia kēia laʻana me kahi mea liʻiliʻi a lahilahi, ʻoi aku ka liʻiliʻi ma mua o ka Q-Tip. Hiki iā ia ke haʻi pololei inā he ʻano bacteria a inā he maʻi ʻē aʻe.

Pehea e mālama ʻia ai ka Vulvovaginitis?

I ka hapanui o nā hihia, hiki ke hoʻomaha ʻia ka vulvovaginitis i nā keiki ʻōpio me nā lāʻau lapaʻau maʻalahi ma ka home, ʻoiai inā he kumu ia o ka huhū:

• ʻO ka hoʻomoʻa ʻana i kāu pēpē i loko o ka wai mehana me ke kopa ʻole no kekahi manawa ("Soaking in a warm bath") e kōkua i ka hoʻēmi ʻana i ka mumū a me ka maneʻo.
• E hōʻalo i ka hoʻohana ʻana i nā mea e hoʻonāukiuki ai. E hoʻōki i ka hoʻohana ʻana i nā kopa ʻala, nā ʻauʻau pehu, a me nā shampoos ʻino.
• E aʻo i kāu keiki e holoi mai mua a i hope ma hope o ka mimi ʻana a me ka ʻōpala.
• I ka wā e mimi ai , e aʻo i kāu keiki e hohola ākea i ko lākou mau wāwae a kūlou i mua e mimi .I kekahi manawa hiki ke kōkua i ka hoʻohuli ʻana i ke kanaka ma kēlā ʻaoʻao o ka lua a noho ma luna.
• E ʻaʻahu i nā lole palupalu a ʻaʻole e paʻa. He mea maikaʻi loa nā lole komo i hana ʻia me ka pulupulu.
• E hoʻokuʻu iā lākou e hiamoe me ke komo ʻole o loko i ka pō. E ʻae kēia i ka ea a hōʻemi i ka paʻa ʻana o ka makū.

No ka hōʻoluʻolu ʻana i nā hōʻailona, ​​​​hiki i kāu kauka ke ʻōlelo aku i kahi emollient, e like me ka kirīmi i loaʻa ka zinc oxide (e like me Aquaphor®), a i ʻole ka kirīmi steroid. Eia nō naʻe, pono ʻoe e makaʻala loa i ka wā e hoʻohana ai i nā kirīmi steroid. E hoʻohana wale iā lākou e like me ke kuhikuhi a kāu kauka, ma ka nui a no ka lōʻihi i kuhikuhi ʻia.

Ka mālama ʻana no nā kumu ʻē aʻe:

• Inā he maʻi bacteria: E kuhikuhi ke kauka i kahi antibiotic kūpono, no ka laʻana hoʻokahi mai ka hui penicillin.
• Inā ma muli o nā ilo pinworms: E kuhikuhi ke kauka i ka lāʻau hoʻopau ilo, no ka laʻana, ʻo Mebendazole (Vermox®). Pono nā kānaka a pau o ka hale e lawe i kēia lāʻau. Eia kekahi, pono e holoi a hoʻomaloʻo pono ʻia nā wahi moe a me nā lole a pau.
• Inā ua waiho ʻia kahi mea ʻē: Inā he mea e like me ka pepa lua, hiki i ke kauka ke wehe iā ia me ka hoʻohana ʻana i ka saline sterile. Inā ʻaʻole holo pono kēlā, e kuhikuhi ʻia ʻoe i kahi kauka gynecologist pediatric.
• Nā hoʻopili labial: Ma kahi o 80% o kēia mau hihia e hoʻopau iā lākou iho me ka ʻole o ka lāʻau lapaʻau. Inā pono, hiki i kāu kauka ke ʻōlelo aku i kahi kirīmi estrogen topical, ʻo ia ka kirīmi i loaʻa ka estrogen a hoʻopili ʻia i ka ʻili.
• Lichen sclerosus: ʻO ka pahuhopu nui o ka mālama ʻana no kēia, ʻo ia ke kāohi i nā hōʻailona. Hiki i kāu kauka ke kuhikuhi i nā steroids topical a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe.
• ʻO ka maʻi Candida (hū): No ka mālama ʻana i kahi maʻi hū, hiki i kāu kauka ke kuhikuhi i kahi lāʻau antifungal topical.
• Ka hana ʻino moekolohe: Inā ua hoʻoulu ka maʻi i laha ma ke moekolohe (STI) i ka vulvovaginitis, e kuhikuhi ʻia nā lāʻau antibiotic. Eia kekahi, inā kānalua ʻia ka hana ʻino moekolohe, e hoʻomaopopo ʻia nā luna pili.

ʻO ka mea nui loa, mai hāʻawi wale i kāu keiki i ka lāʻau lapaʻau ma kāu iho. E ʻimi mau i ke kōkua lapaʻau.

Pehea e pale ai i ka ulu ʻana o ka `(Vulvovaginitis)`?

ʻOiai he maʻi maʻamau ka 'Vulvovaginitis' i nā kamaliʻi ʻōpio, aia kekahi mau mea hiki iā mākou ke hana e pale aku ai:

• E ʻaʻahu i kāu keiki i nā lole komo palupalu a me nā lole i hana ʻia mai ka pulupulu. E pale i nā lole paʻa i hana ʻia mai nā lole synthetic.
• E hoʻohana i ke kopa palupalu, ʻala ʻole a i ʻole ka wai wale nō e hoʻomaʻemaʻe i ka ʻāpana vaginal o kāu pēpē.Ua lawa ke kopa i kou ʻili i hoʻokahi manawa i ka lā. ʻO ka hoʻohana pinepine ʻana i ke kopa hiki ke hoʻomaloʻo i kou ʻili a hoʻonāukiuki.
• Ma hope o ka ʻauʻau ʻana, e hoʻomaloʻo pono i ka ʻāpana vaginal. Mai waiho pulu.
• E pale i ka hoʻohana ʻana i nā mea e hiki ai ke hoʻonāukiuki. E noho mamao aku mai ka ʻauʻau pehu, nā kopa ʻala, nā shampoos, nā mea holoi ʻino, a me nā mea palupalu lole i ka hiki.
• Mai waiho i kāu keiki i loko o kahi lole ʻauʻau pulu no ka manawa lōʻihi. E hoʻololi i ke kapa ke pau ʻoe i ka ʻauʻau ʻana.
• I ka pō, e hoʻomoe i kāu pēpē i loko o kahi lole ākea, e like me ke kapa moe, me ka ʻole o ka diaper a me ke kapa komo.

ʻO ke ala maikaʻi loa e pale aku ai i kēia, ʻo ia ke aʻo aku i kāu keiki i nā ʻano hoʻomaʻemaʻe maikaʻi . Inā ua aʻo ʻia kāu kaikamahine e hoʻohana i ka lua, e aʻo aku iā ia i kēia mau mea:

• E hoʻokaʻawale i kou mau wāwae i ka wā e mimi ai .
• E kūlou i mua e mimi . (I kekahi manawa hiki ke kōkua ke noho ke kanaka ma kēlā ʻaoʻao o ka lua.)
• E holoi mau mai mua a i hope. (He mea nui loa kēia!)
• E holoi pono i kou mau lima me ke kopa ma mua a ma hope o ka mimi ʻana . Pēlā nō hoʻi ma hope o ka ʻōpala ʻana .

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

Ma ke ʻano he makuahine, he mea maopopo ke hopohopo i ka wā e ʻulaʻula ai ka ʻōpū o kāu kaikamahine liʻiliʻi, maneʻo, a i ʻole he kahe wai. Akā e hoʻomanaʻo, he maʻi maʻamau ka vulvovaginitis i nā kaikamahine ʻōpio. ʻO ka hapa nui o ka manawa, ʻaʻole ia he mea koʻikoʻi, a ʻo ka mea paha i hoʻokumu ʻia e kekahi ʻano huhū.

ʻO ka mea mua, e ho'āʻo e ho'ōki i ka hoʻohana ʻana i nā mea e like me nā kopa ʻala a me nā ʻauʻau pehu. E aʻo i kāu keiki i nā ʻano hoʻomaʻemaʻe maikaʻi. Inā hoʻomau a ʻoi aku paha ka ʻino o nā hōʻailona o kāu keiki me kēia mau ʻanuʻu, e ʻike pono i ke kauka. Hiki i ke kauka ke ʻike i ke kūlana a kuhikuhi i ka lāʻau kūpono loa. Me ka lāʻau kūpono, e ola koke kāu kaikamahine.

ʻO ka Vulvovaginitis, kamaliʻi, vulvovaginitis pediatric, maneʻo o ka ʻōpū, kahe ʻana o ka ʻōpū, olakino o ke keiki, hoʻomaʻemaʻe, Vulvovaginitis i nā kamaliʻi, maneʻo o ka ʻōpū, kahe ʻana o ka ʻōpū, olakino o ke keiki, hoʻomaʻemaʻe