yu de wohri boht yu likl gyal pikin in labia stik aut? Lɛ wi tɔk bɔt dɛn wan ya (Labial Adhesions)!

We yu de chenj yu smɔl titi in dayapɛt ɔ was am, yu go dɔn notis se in labia minora we de nia in vagina opin, de stik togɛda. Na nɔmal tin fɔ fil smɔl fred ɛn fred we yu si dis. Dis kin bi nyu tin fɔ bɔku mama dɛn. Bɔt nɔr wɔri, dis sik nɔr kin siriɔs. Tide, wi go tɔk bɔt dis kɔndishɔn (Labial Adhesions) insay klia ɛn simpul we.

Wetin na dɛn labial adhesion ya?

Fɔ tɔk am simpul wan, na di we aw di insay lip dɛn na di gyal in vagina, we dɛn kɔl di labia minora, de atak dɛnsɛf. lεk zip, dεn lip dεm ya kin klos togeda εn kכba di vagina opin εn sכmtεm ivin di urethra.

nכmal wan, insay gyal pikin we gεt hεlty, di insay labia dεm de na di tu say dεm na di vagina opin, εn dεn nכ de kam togεda rawnd di klitoris. Bɔt we dɛn lip dɛn ya miks, da natura l apia de chenj.

Bɔt mɛmba se dis na sik we nɔ bad ɛn bɔku tɛm i kin afɛkt yɔŋ gyal pikin dɛn. Sɔmtɛm i kin go insɛf as di pikin de gro ɛn nɔ gɛt ɛni sayn. Bɔt sɔm pikin dɛn kin nid tritmɛnt if dɛn gɛt di sik.

Dɔktɔ dɛn kin yuz bɔku ɔda nem dɛn fɔ dis sik:

• `(Labial fushɔn)`
• `(Fyuz labia)`
• `(Vajinal adheshon)`
• `(Vajinal fusing)`
• `(Synechia vulvae)` (Dis na di nem we dכkta dεn kin yus mכst)
• `(Labial aglutineshɔn)`

Udat dɛn kin afɛkt mɔ pan dis sik? Yu tink se difrɛn kayn dɛn de?

Yes, tu men kayn labia adheshon dεm de:

1. Praymari labial adhesions: Dis na wetin kin apin to yכŋ pikin dεm. Dis sik kin ɔltɛm afɛkt gyal pikin dɛn we ol bitwin 3 mɔnt ɛn 6 ia . I kin kɔmɔn mɔ bitwin di ej dɛm fɔ 1-2 ia.

2. Sεkכnd labial adheshon dεm: Dis kayn kin afekt ol uman dεm. Dis sik kin apin mɔ to uman dɛn we jɔs bɔn pikin ɔ we dɔn go tru menopause .

Jɛnɛral wan, dis sik kin afɛkt less dan tu pan 100 gyal pikin dɛm bifo dɛn rich puberty. I nɔ kin ivin apin to big pipul dɛn. Bɔt dɛn nɔ no di rayt nɔmba fɔ ɔmɔs gyal pikin dɛn kin gɛt am.

Wetin na di sayn dɛm fɔ dis?

Bɔrku tɛm, nɔr simptom nɔr de fɔ labiaplasty pan yɔŋ bebi ɔ yɔŋ gyal pikin dɛm. Bɔku tɛm dɛn kin notis am we di mama chenj in dayapɛt. Bɔt sɔntɛnde, sɔm kayn sayn dɛn kin apin. Dɛn tin ya na:

• Pen na di vagina eria:Pen kin apin, mɔ we yu sidɔm wit yu leg dɛn na di tu say dɛn na tɔys (fɔ ɛgzampul, smɔl baysikul, sisaw, ɔs we de rɔk, ɔ swing).
• I nɔ izi fɔ pis : Yu kin pis di we aw yu de drib, ɔ yu kin fil se yu urine dɔn blok ɛn i nɔ kin kɔmɔt fayn. Yu kin kray bak we yu de pis .
• Bɔku tɛm we pɔsin kin gɛt urinary tract infection (UTI).
• Dischaj we de kɔmɔt na di vagina.
• sכm pulin fכ pis kin de insay di vagina bihayn di labia.

If dis sik apin to ol uman dɛm, dɛn kin gɛt ɔda sayn dɛm wit di sem kayn sayn dɛm:

• I de it ɔ inflamɛns (vulvitis) na di vulva.
• Pen ɔ ɔda tin we nɔ kin izi fɔ yu we yu de du mami ɛn dadi biznɛs (dyspareunia) .

Aw labiaplasty kin tan lɛk?

dis kin lεk wan tכn mεmbran, כ brij fכ tisu we de kכba di vagina opin εn/כ di urethra. Sɔntɛm na smɔl gap nɔmɔ de.

Wetin mek dis de apin? Wetin na di rizin dɛn we mek dɛn de du dis?

Infakt, dɔktɔ dɛn stil nɔ dɔn fɛn di rayt tin we kin mek dis vagina dray. Bɔt naw dɛn biliv se i gɛt fɔ du wit di we aw di ɔmon we dɛn kɔl ɛstrojen de go dɔŋ .

Yu no se ɛstrojen na ɔmon we impɔtant fɔ mek gyal pikin in mami ɛn dadi biznɛs ɛn bɔn pikin dɛn we i de rich di tɛm we dɛn de bɔn pikin? Fɔ ɛgzampul:

• Tin dεm lεk di brεst we de gro, di hip we de big, εn di bכdi ia.
• Di biginin we di mɔnt de bigin.
• We uman gɛt bɛlɛ.

Bifo gyal pikin dεn rich puberty, dεn εstrojen lεvεl dεm de rili lכw. as dεn de rich puberty εn di εstrojen lεvεl dεm de inkrεs, dεn praymar labia adheshon dεm ya kin hεl fכ dεn wan.

pan ol uman dεm, dis kכndyushכn kin apin afta dεn bכn pikin כ afta dεn mεnopos. dis na biכs di εstrojen lεvεl de dכn afta yu bכn pikin. afta di mεnopos, di ovaria dεm de stכp fכ rilis di eg dεm εn di εstrojen lεvεl dεm de dכn bכku bכku wan.

Wetin mek dis kin apin to smɔl bebi dɛn?

pan yכŋ pikin dεm εn sכm pikin dεm we de sכmtεm, di labia kin stכk bak biכs fכ di skin iritashכn כltεm. Ɛgzampul dɛn:

• Vulvar dɛmatitis we gɛt di sik.
• Daypa rash / dayaper dɛmatitis.
• Wan sik we de na di skin we dɛn kɔl lichen sclerosus.

Aw dɔktɔ kin no dis?

Dɔktɔ kin no if pɔsin gɛt sik bay we i du simpul ɛgzam pan in bɔdi.yu kin no dis bay we yu egzamin di pikin in vagina eria. Dɛn kin du urine test (urinalysis) bak fɔ chɛk if yu gɛt urinary tract infection (UTI).

Yu tink se tritmɛnt de? Wetin dɛn kin du?

If yu pikin gɛt labia minora bɔt i nɔ de gɛt ɛni simptom ɔ gɛt ɛni prɔblɛm fɔ pis , di dɔktɔ kin tek "wet ɛn si" we. Dis na bikɔs wans di pikin dɔn rich di tɛm we i de bɔn ɛn bigin fɔ mek ɛstrojen, chans de fɔ mek i go we i nɔ gɛt ɛni tritmɛnt.

Bɔt if yu ɔ yu pikin gɛt sɔm sayn dɛn, yu go nid fɔ go to tritmɛnt.

Di kayn tritmɛnt dɛn we dɛn kin put pan pɔsin in bɔdi

If di labia minora de kɔba big eria, yu dɔktɔ kin gi yu wan vagina krim we gɛt ɛstrojen (conjugated estrogens vaginal cream) ɔ wan kɔtikosterɔyd krim (lɛk betamethasone 0.5%) . Yu dɔktɔ go ɛksplen ɔmɔs fɔ aplay ɛn ɔmɔs tɛm insay di de fɔ aplay.

Afta yu lip dɛn dɔn separet frɔm dɛn kɔsmɛtik ya, dɛn kin aks yu fɔ put sɔntin lɛk petrolium jeli (Vaseline®) fɔ sɔm tɛm fɔ mek di dilik skin nɔ stik bak togɛda (ri-adhering).

Manual ɔ ɔspitul separeshɔn

Sɔntɛnde, dɛn krim ya nɔ kin ebul fɔ separet big, tik tik labia. insay kes dεm we nכ kin apin, dכkta kin ebul fכ separet di labia wit in an (manual separation). Dis kin nid fɔ gɛt lokal anɛstɛsia ɛn sɔntɛm fɔ mek dɛn fil fayn.

Di tin we impɔtant pas ɔl: Jɔs lɛk aw yu de pul zip we dɔn stɔp, nɔ tray fɔ du dis na os. Na dɔktɔ we gɛt ɛkspiriɛns nɔmɔ fɔ du dis.

Dɛn kin jɔs du ɔpreshɔn if di sik so bad dat i nɔ pɔsibul fɔ pis ɛn ɔda tritmɛnt dɛn nɔ wok. Dɔn bak, we nɔ kin apin so ɔltɛm, i kin nid fɔ du ɔpreshɔn if di labia stɔp afta dɛn dɔn bɔn pikin.

Wetin wi kin du na os?

di tin we impɔtant pas ɔl na fɔ kip di pikin in vagina klin.

• εvri tεm we yu chenj yu pikin in dayapεr, was am frכm fכnt to bak fכ mek yu nכ gεt urinary tract infεkshכn (UTIs). If yu tɔk to yu pikin ɛn ɛksplen wetin mek yu de du dis, i go izi fɔ mek i du di rayt tin we i bigin fɔ go tɔylɛt fɔ insɛf.
• Klin ɔl di fold ɛn kris dɛm we de rawnd yu pikin in labia fayn fayn wan ɛn kip di eria dray ɛn nɔ gɛt mɔstɔ.
• We yu de was, was di vulva wit sop we nɔ gɛt wan bɔt ɛn klin wata we nɔ gɛt bɛtɛ wata .
• If di dɔktɔ tɛl yu fɔ du am, to da eria deYu kin masaj petrolium jeli bak saful wan.

Bak, wan mɛmba: Nɔ, ɔnda ɛni sikɔstɛms, tray fɔ separet dɛn skin fold ya yusɛf. Na dɔktɔ we gɛt ɛkspiriɛns nɔmɔ fɔ du dis.

Dis kin apin bak? We dɛn de fɔ mek i nɔ apin?

Bikɔs wi nɔ no di rayt tin we kin mek i apin, i nɔ kin izi fɔ tɔk di rayt we aw fɔ mek i nɔ apin. כltu, fכ kip di vagina εria klin εn pe atenshכn to sayn dεm fכ di skin iritashכn (e.g., di kכla we de chenj, di skin de damej, pen) kin εp fכ ridyus di risk to sכm mak.

Ivin afta dɛn dɔn trit am, chans de fɔ mek dis sik kam bak. So, kɔntinyu fɔ kip di say we yu de klin. If nid de, yuz ɔnt lɛk vatrolium jeli lɛk aw yu dɔktɔ tɛl yu.

Aw lɔng dis tin kin las?

Bɔku tɛm, we di pikin rich di tɛm we i fɔ bɔn ɛn di bɔdi bigin fɔ mek di ɔmon we dɛn kɔl ɛstrojen, dis we di vagina lip adheshon go fayn fɔ insɛf.

Ustɛm a fɔ go to dɔktɔ?

If yu si ɛnitin lɛk dis, go to yu pikin in dɔktɔ:

• if yu si se di pikin in labia de kכba di opin fכ di vagina.
• If i tan lɛk se di pikin gɛt prɔblɛm fɔ pis bikɔs ɔf di labia adhesions.
• If pen de na da eria de.
• If yu gɛt urinary tract infection (UTI) ɔltɛm.

Ustɛm yu nid fɔ go na ɔspitul (ETU) kwik kwik wan?

If yu pikin nɔ ebul fɔ pis , go na di imejensi rum we de nia yu wantɛm wantɛm.

Us kwɛstyɔn dɛn yu kin aks di dɔktɔ?

We yu go to dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• "Dɔkta, aw siriɔs dis labia adhesion mi gyal pikin gɛt?"
• "Dis nid to trit? O wi fit wet likl?"
• "If dem trit am, chans de se dis go hapun bak?"
• "Aw a fɔ tek kia ɔf mi pikin na os?"
• "Wi nid fɔ si spɛshal dɔktɔ fɔ dis (e.g., pikin dɛn urolɔjis, gaynekɔlɔjis, ɔ urɔlɔjis)?"

Di impɔtant tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

As mama ɛn papa, wi rili no bɔt di kɔmɔn sik dɛn we wi pikin dɛn kin gɛt, lɛk we dɛn yes kin at ɛn kol. Bɔt sɔntɛnde, wi kin gɛt fɔ ɛkspiriɛns tin dɛn we wi nɔ ɛva tink bɔt ɔ yɛri bɔt we wi pikin dɛn de gro. Labial adhesions kin bi wan pan dɛn.

Bɔt mɛmba se, bɔku tɛm dis na tin we nɔ bad. Bɔrku tɛm, i go go fɔ insɛf ɛn nɔr gɛt ɛni tritmɛnt. Tek tɛm wit di say we yu de chenj yu pikin in dayapɛt ɔ was am, ɛn wach fɔ ɛni sayn we de sho se i sik. If yu pikin de fil pen , .If i nɔ izi fɔ yu fɔ du dis, ɔ if yu de gɛt infekshɔn na yu urinary tract bɔku tɛm, mek shɔ se yu go to dɔktɔ fɔ advays. Da we de, yu kin gɛt kɔrɛkt diagnosis ɛn gɛt di tritmɛnt we yu nid.

Dɔn bak, nɔ fɔgɛt se, pan ɔl we i nɔ kin apin so ɔltɛm, dis sik kin afɛkt ol uman dɛn bak, mɔ di tɛm we di bɔdi in ɛstrojen lɛvɛl nɔ bɔku. If yu gɛt di sem kayn sik, tɔk to dɔktɔ.

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