Wan sɔd we de mek yu fil pen wantɛm wantɛm na di vagina eria? I kin bi se na Lipschütz Ɔlsa! Mek wi tok.

Yu dɔn gɛt wan pen we de mek yu fil pen wantɛm wantɛm na yu vagina, dat na yu ‘prayvet pat’? Yu kin fil taya smɔl ɛn taya, wit fiva. Pan ɔl we yu no to yusɛf se dis nɔto mami ɛn dadi biznɛs, yu stil de fred bad bad wan ɛn shem. Yu kin fred fɔ tɛl yu mama, yu kin fred fɔ tɛl yu padi, ɛn yu nɔ go ebul fɔ imajin wetin apin. If na so i bi, dis kin bi wan sik wae nɔr kin bɔrku bɔt nɔr kin rili frayd wae dɛn kɔl ‘Lipschütz Ulcer’. Lɛ wi tɔk bɔt dis ditayli tide, insay wan rilaks we.

Wetin na Lipschütz Ɔlsa? Fɔ tɔk am simpul wan...

Lipschitz ɔlsa na wan sik we nɔ kin apin so ɔltɛm bɔt i kin rili pen we kin apin na di vagina. Di tin we impɔtant pas ɔl na dat dɛn nɔ kin gɛt mami ɛn dadi biznɛs. Dat min se dɛn nɔto sik we pɔsin kin gɛt we i du mami ɛn dadi biznɛs. Yu go fil fri smɔl we yu yɛri dis, nɔto so?

Wan ɔ mɔ pan dɛn sos ya kin de mɔ na yu vulva, mɔ di insay labia minora. bכt sכmtεm dεn kin apia bak na di כta labia majora, di vagina opin, כ di urethra. Dɛn sos ya kin kam wit sɔm sayn dɛm bak lɛk fiva ɛn taya.

dεn kכl am bak ‘non-sexually acquired genital ulcerations’ εn ‘ulcus vulvae acutum’. Dɛn gi dis nem to dis ɔlsa afta di dɔktɔ Bɛnjamin Lipschutz, we bin fɔs tɔk bɔt am.

Di bɛst tin na dat, bɔku tɛm dɛn wund ya kin wɛl fɔ dɛnsɛf , bɔku tɛm insay tu to siks wik. Bɔt bikɔs yu nɔ go ebul fɔ bia di pen ɛn di prɔblɛm we yu de fil, dɔktɔ dɛn kin ɛp yu fɔ kɔntrol dɛn sayn dɛn de.

Aw Lipschütz Ɔlsa nɔ kin bɔku? Udat kin gɛt am mɔ?

I nɔ izi fɔ mek di wan dɛn we de stɔdi bɔt dis tɔk klia wan aw dis kin apin, bɔt dɛn no se i nɔ kin apin so ɔltɛm . Dat min se nɔto sɔntin we yu kin si bɔku tɛm. Bɔt i kin afɛkt gyal pikin dɛn mɔ, mɔ:

• Fɔ di wan dɛn we nɔ rich 20 ia yet.Wan stɔdi dɔn sho se di avɛrej ej fɔ bigin fɔ sik na lɛk 15. Dat min se if yu na yɔŋ pɔsin, i fayn fɔ no bɔt dis.
• Fɔ di wan dɛn we nɔ de du mami ɛn dadi biznɛs. Dat min se, di wan dɛn we nɔ du mami ɛn dadi biznɛs wit dɛn mɔt, anal ɔ vagina fɔ tri mɔnt ɔ mɔ.

Na smɔl pipul dɛn nɔmɔ dɛn kin ripɔt bɔt Lipschitz ɔlsa pan man dɛn. We dɛn kin apin, di ɔlsa kin apin na di skrotum.

So if yu yɔŋ ɛn nɔ de du mami ɛn dadi biznɛs tumɔs, i impɔtant fɔ mek yu nɔ panik we yu gɛt sɔri lɛk dis, bikɔs nɔto sik we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs.

Wetin na di sayn dɛm fɔ Lipschütz Ɔlsa?

di men simptom na big, pen, dip sore na di surface of di labia (כ sכmtεm enisay na di vulva). Bɔku tɛm, di wund kin kɔmɔt kwik kwik wan, ɛn i kin apin wantɛm wantɛm . I kin fayn tide ɛn afta dat i kin gɛt sɔri di nɛks de.

Yu kin fil fayn, jɔs lɛk aw yu go fil wit wan vayral infɛkshɔn we dɛn kɔl mononucleosis (mono), ɔ jɔs lɛk aw yu go fil wit nɔmal flu. I kin kam wit sɔm sayn dɛm lɛk:

• Fiva (sɔntɛm di bɔdi kin fil lɛk se i dɔn flash) .
• Bɔdi de at ɛn jɔyn pen (i kin fil lɛk se yu gɛt wan bɔtul na yu bɔdi) .
• Taya (fɔ fil se yu nɔ ebul fɔ du ɛnitin) .
• di limf no dεm we swεla na di nεk εn di armpit dεm (lεk sכm sכm sכm bכdi dεm we yu kin fil na di an) .
• Trot we de at ɔ tonsil we swel
• Kɔf ɔ chɛst tayt
• Pen we yu de pis (dysuria) (lɛk infekshɔn na yu urinary tract) .

If yu gɛt dɛn kayn sik ya, i impɔtant fɔ go to dɔktɔ fɔ no di rayt tin, bikɔs dɛn sayn ya kin tan lɛk ɔda sik dɛn.

Aw Lipschütz Ɔlsa tan lɛk?

Naw lɛ wi luk aw dis ɔlsa tan. Tipikli, Lipschitz ɔlsa gɛt dɛn kayn tin ya:

• Di shep na rawnd, i nɔ rich 1 sɛntimita in dayamita. (Dat na lɛk di sayz we smɔl kɔyn gɛt)
• i kin si am mכst na di vulva, spεshal wan di insay pat pan di labia minora.
• Wan klia eria de na di midul pan di wund. Dis kin gɛt tisu we dɔn day ɔ we dɔn pwɛl (nɛkrɔsis). Dis kin mek di sɛntrɔm pan di wund tan lɛk grey ɔ blak, lɛk smɔl bɔn. Sɔntɛnde, if dis sɛnt mek wan krɔkrɔs, i kin tan lɛk grey ɔ blak bak.
• Di ed pat pan di wund kin bi rɛd-pɔpul ɛn sɔntɛnde i kin tan lɛk se i dɔn swel.
• Klin say de bitwin di sɛntrɔm ɛn di ed pat pan di wund.

Bɔku tɛm, yu kin si tu kayn lɛsin dɛn ya, we de fes dɛnsɛf, ɛn we simɛtrik baylatɛral. Lɛk ‘kis lɛsin dɛn’. dat min se, di lεsin dεm de fכm na di rayt εn lεft labia, usay dεn de mit.

Wetin mek Lipschütz Ɔlsa kin apin? Wetin na di kɔz?

Dɔktɔ dɛn stil nɔ ebul fɔ tɔk di rayt tin we kin mek pɔsin gɛt Lipschitz ɔlsa.Bɔt dɛn tink se i gɛt fɔ du wit infɛkshɔn lɛk di Epstein-Barr vayrɔs (EBV), ɔ ɔda vayral ɔ baktriyal infɛkshɔn. Tink bɔt am, sɔntɛm yu imyun sistɛm go ɔva riak to wan infɛkshɔn ɔ vayrɔs, ɛn dis lɛsin kin fɔm as a rizulta. I tan lek se likl "war" de go insaid yu bodi.

Sɔm pan di vayrɔs ɔ baktri dɛm we dɛn dɔn no se de mek Lipshitz ɔlsa na:

• Saytomɛgalovayrɔs (CMV) .
• Influenza A ɛn influenza B - na dɛn vayrɔs ya we de mek pɔsin gɛt kɔmɔn kol.
• Mumps we de mek pɔsin gɛt bɔdi
• Salmonella - Dis na baktri we de mek yu bɛlɛ at pwɛl.
• Maykoplasma we gɛt di sik
• Grup A Streptococcus - na baktri we de mek yu trot infεkshכn
• Covid-19 (COVID-19) we gɛt fɔ du wit am.

Bɔt bɔku tɛm, no klia histri nɔ de bɔt wan vayrɔs ɔ infɛkshɔn we dɛn jɔs dɔn gɛt, so dis na smɔl mistek.

Yu tink se Lipschütz Ɔlsa kin pas?

Dis na prɔblɛm we bɔku pipul dɛn gɛt. Nɔ. Lipschitz ɔlsa nɔ kin skata tru di bɔdi we pɔsin kin tɔch ɔ di wata we de na di bɔdi. So nid nɔ de atɔl fɔ wɔri bɔt fɔ infɛkt ɔda pɔsin jɔs bikɔs yu gɛt dɛn. Yu nɔ go ebul fɔ spre am bay we yu tɔch pɔsin we gɛt dɛn ɔ yuz tawɛl we dɛn yuz.

Ɛni spɛshal risk de fɔ dis?

Ɛnibɔdi we gɛt vagina kin gɛt Lipschitz ɔlsa. Bɔt we yu nɔ rich 20 ia yet ɛn we yu gɛt wan vayral ɔ baktri infɛkshɔn we yu jɔs dɔn (insay sɔm wiks) kin mek yu gɛt mɔ prɔblɛm. Dis min se i kin kam pan am jɔs lɛk aw yu dɔn gɛt kol ɔ flu.

Us kɔmplikɛshɔn kin apin bikɔs ɔf Lipschütz Ɔlsa?

Lipschitz ɔlsa nɔ kin mek yu gɛt lɔng tɛm wɛlbɔdi prɔblɛm. Bɔku tɛm, dɛn kin wɛl fɔ dɛnsɛf. Bɔt sɔntɛnde, dɛn tin ya kin apin:

• Ska: If di wund big ɔ dip, di kɔlɔ kin chenj na di skin na da say de afta i dɔn wɛl, ɛn lɛf smɔl ska. Bɔt, dis nɔ kin rili notis.
• Pɔrsin wae de fil bad: De wund kin mek pɔrsin fil pen ɛn i kin mek yu nɔr de du tin ɛvride, fɔ go skul, ɛn fɔ ple. Bikɔs na sik we nɔ kin apin so ɔltɛm, sɔntɛnde dɛn kin mistek kɔl am se na sik we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs wit ɔda pɔsin (STI). Dis kin mek pipul dɛn wɔri bɔku tɛm, dɛn kin shem, ɛn dɛn nɔ kin gɛt bɛtɛ rɛspɛkt fɔ dɛnsɛf. Yu kin fil se yu de fred, "O, a gɛt sɔntin we siriɔs?"
• Nɔ ebul fɔ pas urine (Urinary retention):Dis nɔ kin apin so ɔltɛm, bɔt i kin dipen pan di say we di wund de, i kin mek i nɔ izi fɔ pis ɛn mek yu nɔ de pis. If dis apin, dɛn kin nid fɔ put kateta (na tiub we dɛn kin yuz fɔ pul urine) fɔ ɛmti di blad.

Bɔt mɛmba se dɛn prɔblɛm ya nɔ kin apin so ɔltɛm. Bɔrku pipul dɛn kin wɛl ɛn nɔr kin gɛt ɛni prɔblɛm.

Aw dɔktɔ go no se i gɛt Lipschütz Ɔlsa?

Dɔktɔ go fɔs lisin to yu sayn dɛm ɛn du wan vijual ɛgzamin fɔ yu vagina eria. Dɛn go aks bak bɔt yu wɛl bɔdi istri we yu jɔs gɛt, inklud ɛni sik we yu jɔs gɛt frɔm vayrɔs ɔ baktri (lɛk fiva, kol, trot we de at).

Bɔku tɛm, dɛn go fɔs pul di tin dɛn we kin mek pɔsin gɛt ɔlsa na di bɔdi. fכ egzampl, dεn go fכs pul כda kכndyushכn dεm lεk sεksli transmitεd infεkshכn (STI) (lεk jεnital hεpi, HIV, εn sifilis) כ kכndyushכn lεk Behçet in sik. Dɛn kin ɔda bak fɔ mek dɛn du tɛst fɔ dɛn kayn tin ya. Na afta dɛn dɔn pul dɛn tin ya, dɛn go tink bɔt Lipschitz ɔlsa.

Us ɔda sik dɛn we gɛt di sem kayn sayn?

We dɔktɔ mek diagnosis, dɛn go tink bak bɔt ɔda sik dɛn we kin gɛt di sem sayn dɛn we yu gɛt. Dɛn kɔl dis ‘difrɛnshal diagnosis’. Sɔm tin dɛm wae kin mek yu gɛt ɔlsa na yu bɔdi ɛn gɛt di sem kayn sayn dɛm lɛk Lipschitz ɔlsa na:

• Hɛpis we de na di bɔdi
• HIV infɛkshɔn
• Sifilis we dɛn kɔl Sifilis
• Di sik we dɛn kɔl Sjögren in sindrom
• Di sik we Behçet gɛt

Na dat mek i impɔtant fɔ go to dɔktɔ fɔ no di sik kɔrɛkt wan. I at fɔ disayd wetin i bi fɔ yusɛf.

Yu tink se Lipschütz Ulcer na sik we pɔsin kin gɛt we i de fɛt insɛf?

Dɔktɔ dɛn nɔ kin klas dis as ɔtoimyun kɔndishɔn. Bɔt sɔm pruf de fɔ se i kin gɛt fɔ du wit ɔda sik dɛn we pɔsin kin gɛt we i de fɛt insɛf, ɛn i kin ivin bi di tin we kin mek pɔsin gɛt ɔtoimyun sik. Dɛn de du risach mɔ bɔt dis.

Aw dɛn kin trit Lipschütz Ɔlsa?

Di gud nyus na dat, Lipschitz ɔlsa nɔ kin nid big tritmɛnt ɔltɛm. Yu dɔktɔ go tɔk to yu bɔt aw fɔ kɔntrol di pen ɛn diskɔmfɔt we di ɔlsa de mek yu gɛt. Di men gol na fɔ mek yu fil fri.

Dis na sɔm pan di tritmɛnt dɛm wae dɛn kin du:

• Sitz baths: Dis involv fɔ sidɔm na bathtub (ɔ big basin) we ful-ɔp wit wam wata fɔ lɛk 10-15 minit. Yu kin du dis tu ɔ tri tɛm insay di de. Di wam wata go mek di say kol, i go mek yu nɔ fil pen, ɛn i go klin am.
• Nɔ wɛr tayt klos ɔ ɔndawea ɛnitɛm we i pɔsibul. Wear klos we lɔs ɛn we de blo we dɛn mek wit natura matirial lɛk kɔtɔn.
• Yuz ɔva-di-kɔnta (OTC) pen mɛrɛsin, lɛk asetaminofɛn ɔ ibuprofen, yu fɔ tek am lɛk aw yu dɔktɔ tɛl yu.
• Put wan anestetik we yu kin put pan yu bɔdi fɔ mek di say nɔ gɛt bɛtɛ trɛnk. Fɔ ɛgzampul, wan krim we gɛt lidocaine (dɛn kin bay am na kɔwnta ɔ wit prɛskrishɔn). Dis go mek di eria nɔ gɛt bɛtɛ trɛnk fɔ sɔm tɛm.

Sɔntɛnde, if di pen rili bad ɔ di wund big, dɛn kin gi am kɔtikosterɔyd mɛrɛsin bay mɔt ɔ pan am fɔ ɛp di wund fɔ wɛl kwik kwik wan. If dɛn si baktri infekshɔn (if i tan lɛk se di wund de kɔmɔt), di dɔktɔ go gi yu antibayɔtik.

Smɔl wund dɛn kin ansa dɛn mɛrɛsin ya we dɛn kin yuz na os, bɔt big wund dɛn kin nid fɔ tek mɛrɛsin fɔ kɔntrol di pen.

Yu tink se Lipschütz Ɔlsa kin wɛl?

Yɛs, fɔ tru! As wi bin dɔn tɔk, dɛn wund ya kin wɛl ɔlsay insay tu to siks wik. Di men tin na fɔ peshɛnt.

Wetin a fɔ ɛkspɛkt if a gɛt Lipschütz Ɔlsa?

Bɔku pan di lip ɔlsa kin wɛl fɔ dɛnsɛf insay tu to siks wik. Ska ɛn ɔda prɔblɛm dɛn nɔ kin apin so ɔltɛm. Dɔn bak, dɛn ɔlsa ya nɔ kin kam bak. So nɔ wɔri se dɛn go apin igen jɔs bikɔs dɛn apin wan tɛm.

If yu fil se de pen tu bad fɔ bia ɛn de afɛkt yu ɛvride layf, tɔk to yu dɔktɔ bɔt di tin dɛn we yu go ebul fɔ du fɔ ridyus di pen. Yu nɔ nid fɔ bia di pen we yu de fil.

Yu tink se dɛn kin mek pɔsin nɔ gɛt Lipschütz Ɔlsa?

E tranga fɔ tɔk fɔ tru wetin de mek yu gɛt am, so e at fɔ tɔk fɔ tru aw fɔ avɔyd am. Bɔt bikɔs i kin gɛt fɔ du wit di imyun sistɛm, i kin ɛp fɔ avɔyd vayrɔs ɛn infɛkshɔn ɛn fɔ mek yu gɛt gud wɛlbɔdi ɔlsay.

Na sɔm advays dɛn ya fɔ ɛp:

• It tin dɛn we gɛt fayn fayn tin dɛn (lɛk vɛjitebul, frut, mit we nɔ gɛt bɛtɛ bɔdi). Nɔ it tin dɛn we dɛn dɔn prosɛs, it dɛn we gɛt shuga, ɛn it dɛn we gɛt bɔku sɛtyuret fat as yu ebul.
• Praktis mami ɛn dadi biznɛs we sef, lɛk fɔ yuz kɔndɔm. Pan ɔl we Lipschitz ɔlsa nɔ kin kɔmɔt frɔm mami ɛn dadi biznɛs, di sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs kin afɛkt yu imyun sistɛm ɛn ɔl yu wɛlbɔdi.
• Gɛt gud slip (at least 7-8 awa insay di de) ɛn manej strɛs. Tin dɛn lɛk yoga ɛn fɔ tink gud wan kin ɛp.
• Kip yu jɛnɛral say klin bay we yu de yuz sop ɛn wata we nɔ gɛt wan bɔt ɛvride. Nɔ yuz sop we gɛt sɛnt ɔ duuch, bikɔs dɛn tin ya kin ambɔg di natura l balans na di vagina. Dɔn bak, was yu klos ɔltɛm ɛn kip am klin. Dis kin ridyus di risk fɔ gɛt baktriyal infɛkshɔn.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛn fɔ Lipschitz ɔlsa, go to dɔktɔ wantɛm wantɛm. Nɔ delay. Dɛn sayn ya na:

• Wan wund we de mek pɔsin fil pen, we dip na di bɔdi, mɔ na di labia.
• Di sayn dɛm fɔ sik lɛk flu lɛk fiva, taya, ɛn bɔdi pen.
• Wan sik we dɛn jɔs gɛt frɔm vayrɔs ɔ baktri.

Pan ɔl we no wan tritmɛnt nɔ de fɔ Lipschitz ɔlsa, dɔktɔ kin mek yu no di kɔrɛkt tin ɛn ɛp yu fɔ kɔntrol yu pen ɛn diskɔmfɔt. Dɛn kin mek shɔ bak se nɔto sik we siriɔs pas dis.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Lipschütz Ulcer na wan sik wae nɔr kin bɔrku wae nɔr kin gɛt dis sik. Dɔktɔ dɛn stil de lan mɔ bɔt am fɔ no di rayt tin we kin mek i gɛt am. If yu gɛt dɛn sik ya, nɔr panik ɔ shem, bɔt go to dɔktɔ fɔ advays. Yu nɔ nid fɔ bia di pen ɛn diskɔmfɔt. Yu kin gɛt ɛp fɔ liv nɔmal layf te di ɔlsa wɛl.

Fɔ tɔk am simpul wan:

• Dis nɔto sik we pɔsin kin gɛt we i du mami ɛn dadi biznɛs. Dis na di tin we impɔtant pas ɔl.
• I kin apin mɔ pan yɔŋ gyal pikin dɛn we nɔ de du mami ɛn dadi biznɛs.
• Bɔku tɛm, i kin mɛn insɛf.
• Bɔt i rili impɔtant fɔ go to dɔktɔ bikɔs ɔf di pen ɛn fɔ no if ɔda siriɔs sik de.
• If yu de mɛn di pen fayn fayn wan ɛn kia fɔ yu, yu kin spɛn dis tɛm witout prɔblɛm.

Nɔto yu wan de, ɔda pipul dɛn de we de gɛt di sem prɔblɛm. So nɔ fred fɔ aks fɔ ɛp.

` Lipschütz Ɔlsa, Vagina Ɔlsa, Jɛnɛral Ɔlsa, Ɔlsa we de mek pɔsin fil pen, Vagina sik, uman sik, sik dɛn we yɔŋ gyal pikin dɛn kin gɛt