I fanu te pawh hian vaginal problem a nei em? (Vulvovaginitis) - Hemi chungchang hi han sawi ila!

I fanu naupang hian a chang chuan a taksa peng a ti hrual thin tih i hmu em, a nih loh leh a sen a ni tih i hmu em? A nih loh leh a underwear-ah hian stain i hmu em? A zun hian a tap nge a na ang ? A nihna takah chuan hmeichhe naupangte hian hetiang rilru hahna hi an nei fo thin. Hei hi damdawi lam chuan ``Vulvovaginitis`` kan tih chu a ni. A awlsam zawngin, hmeichhe naupang hnute (``vagina``) leh a chhehvel pawn lam (``vulva``) a hring emaw, a hring emaw a nih chuan a ni.

Engvangin nge naupang te te hian he ``(Vulvovaginitis)`` hi an vei fo thin?

I ngaihtuah mai thei, "Aw, engvangin nge ka fanu te chungah hian hetiang hi a thleng?" Chutiang a nih chhan hi eng emaw zat a awm.

A hmasa ber chu hmeichhe naupangte puitlin hma hian an taksain hormone `(Estrogen)` a siam tlem hle. He `(Estrogen)` hormone hian vagina vel vun hrisel leh thick taka awm tir theitu a ni. `(Estrogen)` a tlakchham avangin naupang tê tête serh vêl vun hi a hring hle a, a sensitive hle bawk. Rose par te tak te ang maiin. Chuvangin thil tenau ber pawhin chu vun chu rang takin a `irritate` thei a, chu chu a sen a, a hring a, a inflamed tihna a ni.

Thil dang pakhat chu naupang tê tête hian puitlingte’n an vagina vêla an neih angin protective pubic hair leh fatty labia an nei lo. Chûngte chuan natna hrik leh thil chhe laka invênhimna engemaw chen a pe a ni. Hetianga venhimna kan neih loh avang hian harsatna a awm thei bawk.

Tin, naupang tê tête zingah hian vagina leh anus (poop kalna hmun) inkar gap hi a tlem hle. Chuvangin, hnute atanga hrik, a bik takin poop nena lo chhuak te hi awlsam takin vagina chhungah an lut thei a ni.

A tawp berah chuan naupang tê tête hian toilet-a inthiarna dik tak an la zir zel tih kan hre vek. Hma lam atanga hnunglam thlenga phihfai tumna hi an la thiam lo mai thei. A chang chuan hnunglam atanga hmalam thlenga phihfai hian bawlhhlawh atanga bacteria te chu vagina emaw urethra ( zun kalna hmun) ah a lut thei thin.

Ngaihtuah teh, heng zawng zawng hi a inzawm khawm chuan naupang tê pakhatin ``Vulvovaginitis`` a vei theihna chu engtiang chiahin nge a nih? Dik tak chuan hmeichhe naupang zingah hian hmeichhe lam harsatna tam zawk (62%) chu ``Vulvovaginitis`` a ni.

``(Vulvovaginitis)`` natna lan chhuah dan chu engte nge ni?

I fanu hian vulvovaginitis a vei a nih chuan a hnuaia vaginal discomforts te hi a tawk thei a ni:

• Redness: Vagina leh a chhehvel vun a sen thei.
• Itching: I fanu chuan a hmun chu a hrual fo tih i hmu mai thei. A châng chuan, he natna hrik avang hian zanah a harh thei bawk.
• Natna, hliam emaw, hliam emaw: I khawih hian natna i nei thei. A châng chuan a hring deuh pawh a lang thei.
• Vaginal discharge: I underwear tibawlhhlawhtu discharge dum, sen, green emaw brown emaw i hmu thei. A châng chuan, rimchhia pawh a nei thei bawk.
• Vaginal bleeding: A chang chuan thisen tlem te te i hmu thei bawk. Hei hi vun natna avanga lo awm a ni fo.
• Zun laiin kang emaw, natna emaw : I fanu chu a tap emaw, zun laiin a na emaw a nih chuan , chu pawh chu he natna chhinchhiahna a ni thei bawk.

I fanu hian heng mizia pakhat emaw, a aia tam emaw a neih chuan tlem tal ngaihtuah a tha.

`(Vulvovaginitis)` awm chhan berte chu engte nge ni?

Kan sawi tawh ang khan naupang te te hi an vun a sensitive avangin he natna hi an vei duh zawk a ni. A chhan ber chu pawn lam thil avanga thinrimna a ni a, chu chu thil pakhata allergic reaction a ni. Hetiang irritation hi vulvovaginitis vei zinga 75% vel a ni.

Heng thilte hian thinrimna thlentu chu engte nge ni?

• Tight thawmhnaw leh underwear: Thawmhnaw tight tak tak, a bik takin synthetic fabric hmanga siam inbel hian thawmhnaw a khawlkhawm thei a, moisture a trap thei a, irritation a thlen thei.
• Sahbawn leh bubble bath: Sahbawn rimtui tak tak, taksa silna leh bubble bath kan hman \henkhatah hian naupang tê tê vun sensitive tana chhiatna thlen thei chemical chi hrang hrang a awm a.
• Perfume leh lotion: Lotion leh powder rimtui thenkhat pawh hetiang hian irritation a thlen thei bawk.
• Laundry detergent leh fabric softeners: Laundry detergent-a chemical na tak takte hian thawmhnaw a luhchilh a, vunah a luh avangin harsatna a thlen thei bawk.

He `irritation` bakah hian faina tha lo leh bacteria infection te pawh hi ``Vulvovaginitis`` thlentu lian tak a ni. A hmaa kan sawi tawh ang khan naupang tê tête hian mahni inthiarna ṭhat an la hriat loh avângin bacteria chu awlsam takin serh chhungah a lut thei a ni.

Entirnan, hmeichhe naupangin a zun hnuah a silfai tha lo a nih chuan , zun tla te chu a vagina chhungah a awm khawm a, chu chuan bacteria te tan boruak tha tak a siam a ni. Tin, a hnar a pickup a, a hmuiah a kut zungtang a dah a, chutah a kut sil lovin vaginal area a khawih chuan natna hrik pawh a lut thei bawk.

Chhan dang

Heng a chhan tlangpui bakah hian ``Vulvovaginitis`` thlentu dang engemaw zat a awm bawk:

• Pinworms: Hengte hi rulhut te tak te an ni. Naupang intestine leh rectum-ah an cheng a ni. Zanah naupang mut lai hian heng rulhut te hian hnute vel ah rulhut an pai thin. Hei hian itching nasa tak a thlen thei a ni. He itching hian vagina vel a ti na thei bawk a, vulvovaginitis a thlen thei bawk.
• Ram dang thil: Naupang tê tête chu thil hriat duh tak an nei a, an taksa hmun hrang hrangah thil te te an dah ṭhin. A châng chuan, toilet paper emaw, infiamna emaw ang chi thilte chu vagina chhungah a innghat thei bawk. Hetiang thil hi a chhungah a luh chuan natna hrik (vulvovaginitis) a thlen thei a ni.
• Labial adhesions te chu:Hei hi naute serh pawn lam hmui (labia) a inzawm khawm lai a ni. Hei hi estrogen level hniam vang pawh a ni thei.
• Lichen sclerosus: Hei hi vun natna (inflammatory skin condition) a ni. Mipat hmeichhiatna leh hnute a nghawng ber. Autoimmune disease a ni a, chu chu taksa invenna (immune system) a harsatna avanga lo awm nia rin a ni.
• Candida (yeast) infection: Hmeichhe naupang tan yeast infection hi a tlem hle a, mahse a chang chuan a thleng thei.
• Sexual abuse: He thupui hi sawi harsa tak a ni a, mahse a fimkhur a pawimawh hle. Vulvovaginitis hi mipat hmeichhiatna hmanga kai theih natna (STI) vang pawh a ni thei. Naupangin STI a neih emaw, persistent vulvovaginitis a neih emaw chuan doctor-te chuan mipat hmeichhiatna hmansualna an ringhlel thei a ni. Chutiang hunah chuan uluk taka test an ni ang.

Engtin nge `(Vulvovaginitis)` i vei tih chiang taka hriat theih ang? (Diagnosis) tih a ni.

I fanu hian heng symptoms te hi a nei a nih chuan a tha ber chu naupang doctor pan hi a ni. Doctor chuan i fa natna lan chhuah dan a zawt hmasa ang che. He harsatna hi eng chen nge a awm tawh a, engtik laiin nge a pung a, eng thil pawh tih hian a tlahniam em? I fa toilet a kal dan leh an inthiarfai dan te pawh an zawt ang. In lama an hman sahbawn, shampoo, leh thawmhnaw sawpna chi hrang hrangte pawh an zawt thei bawk.

Chumi hnuah doctor chuan naute taksa enfiahna a nei ang. Enfiahna bulpui ber chu naute serh pawn lam a ni. Naute nen pindan chhungah i awm thei a, he examination hian naute tan a hrehawm lo. Chuvangin hlauh tur a awm lo.

Doctor-in bacteria infection a rinhlelh emaw, vaginal discharge a hmuh emaw chuan sample te tak te (`swab`) an la ang a, laboratory-ah test turin an thawn ang. He sample hi thil te tak te, te tak te, Q-Tip aiin a te zawk hmanga lak a ni. Bacteria chi khat a awm leh awm loh emaw, natna dang a nih leh nih loh emaw a hre chiang thei.

Vulvovaginitis hi engtin nge enkawl a nih?

A tam zawkah chuan naupang tê tête vulvovaginitis hi in lama damdawi awlsam tak hmangin a reh thei a, a bik takin irritation avanga lo awm a nih chuan:

• I naute chu sahbawn tel lova tui lum takah rei vak lo (`Soaking in a warm bath`) i hnim chuan inflammation leh itching tihziaawmna tur a ni.
• Thinrimna thlen thei thil hman loh tur. Scented soap, bubble bath, leh shampoo khauh tak tak hman kha bansan rawh.
• I fa chu zun leh zun chhuah hnuah hmalam atanga hnunglam thlenga phihfai zirtir rawh.
• I fa chu a ke zau taka phar leh hmalam hawia zun dan zirtir rawh.A châng chuan toilet sir lehlama mi chu hawitir a, a chunga thut chu a ṭangkai thei bawk.
• Thawmhnaw hrual, non-constricting ha rawh. A bik takin cotton a siam underwear hi a tha hle.
• Zanah underwear tel lovin mu rawh se. Hei hian boruak a luh theihna tur a siam ang a, moisture retention pawh a ti tlem ang.

A natna lan chhuah dan tihziaawm nan i doctor chuan emollient, zinc oxide awmna cream (Aquaphor® ang chi), emaw steroid cream emaw a rawt thei ang. Mahse, steroid cream i hman dawnin fimkhur hle tur a ni. I doctor-in a tih angin, a zat leh a hun chhung chauh hmang rawh.

Thil dang avanga enkawlna: 1.1.

• Bacteria infection a nih chuan: Doctor chuan antibiotic dik tak a pe ang a, entirnan penicillin group atanga lo chhuak a ni.
• Pinworms vang a nih chuan: Doctor chuan deworming damdawi, entirnan, Mebendazole (Vermox®) a pe ang. Inchhung mi zawng zawngin he damdawi hi ei tur a ni. Tin, khum leh thawmhnaw zawng zawng chu uluk taka silfai leh vawt vek tur a ni.
• Thil dang lodged a nih chuan: Toilet paper ang chi a nih chuan doctor chuan sterile saline hmangin a paih thei tlangpui. Chu chuan a hlawhtlin loh chuan pediatric gynecologist hnenah refer i ni ang.
• Labial adhesions: Heng zinga 80% vel hi enkawl ngai lovin anmahni chauhin an reh thin. A tul chuan i doctor chuan topical estrogen cream a rawt thei a, chu chu estrogen awmna cream a ni a, vunah hnawih a ni.
• Lichen sclerosus: Hei hi enkawlna tum ber chu a natna lan chhuah dan control hi a ni. I doctor chuan topical steroid emaw damdawi dang emaw a pe thei ang.
• Candida (yeast) infection: Yeast infection enkawl nan i doctor chuan topical antifungal damdawi a pe thei ang.
• Sexual abuse: Mipat hmeichhiatna hmanga inkaichhawn (STI) vangin vulvovaginitis a awm a nih chuan antibiotics an pe ang. Tin, mipat hmeichhiatna hmansual nia rinhlelh a nih chuan a kaihhnawih thuneitute hriattir an ni ang.

A pawimawh ber chu, i fate chu nangmah chauhin damdawi pe mai suh. Damdawi lam thurawn zawng fo ang che.

Engtin nge `(Vulvovaginitis)` lo awm tur ven theih ang?

`Vulvovaginitis` hi naupang tê tête zingah a awm fo nachungin, a laka invenna tur thil engemaw zat kan tih theih a awm a:

• I fa chu underwear loose-fitting leh cotton atanga siam thawmhnaw inbel rawh. Synthetic puan atanga siam tight thawmhnaw hak loh tur.
• I naute hnute hmun silfai nan hian sahbawn rimtui lo, rimtui lo emaw, tui chauh emaw hmang la.Ni khatah vawi khat vun sahbawn hmanga tihfai a tawk. Savun hman tam lutuk hian i vun a ti vawt thei a, i vun a ti na thei bawk.
• Inbual zawhah vaginal area chu uluk takin vawt tur a ni. A hnim laiah dah suh.
• Thinrimna thlen thei thil hman loh tur. Bubble bath, sahbawn rimtui tak tak, shampoo, detergent khauh tak tak, leh puan ti nem thei thil te chu a theih ang anga inthiarfihlim rawh.
• I fa chu bathing suit hnim-ah rei lutuk dah suh. I inbual zawh veleh suit chu thlak nghal rawh.
• Zanah chuan i naute chu thawmhnaw hlimthla, nightgown ang chi, diaper emaw underwear emaw ha lovin mut tir rawh.

Chutiang laka invenna tha ber chu i fate faina dan tha zirtir hi a ni . I fanu chu toilet-trained a nih chuan heng thilte hi zirtir bawk ang che:

• I zun dawnin i ke chu zau takin dah la .
• Zun chhuah turin hmalam pan rawh . (A châng chuan chu mi chu toilet sir lehlamah ṭhut tir hi a ṭangkai thei hle.)
• Hma lam atanga hnunglam thlengin phihfai fo ang che. (Hei hi a pawimawh hle mai!)
• I kut chu sahbawn hmangin uluk takin sil hmasa phawt ang che . Chutiang bawk chu defecation hnuah pawh a ni .

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Nu i nih angin i fanu te hnute a sen emaw, a hring emaw, a chhuak emaw a nih chuan ngaihtuah hi hriatthiam theih a ni. Mahse hre reng ang che, vulvovaginitis hi hmeichhe naupangte zingah chuan a awm fo thin. A tam zawkah chuan thil pawi tak a ni lo va, thinrimna chi khat avanga lo awm a nih a rinawm ber.

A hmasa berin, sahbawn rimtui leh bubble bath ang chi thil hman tawh loh tum ang che. I fa chu faina dan tha zirtir rawh. Heng step te hi i fate symptoms te hi a la awm reng emaw, a na zual emaw a nih chuan doctor pan ngei ngei tur a ni. Doctor chuan a natna chu a hmuchhuak thei a, a enkawlna tur dik ber a pe thei bawk. Enkawlna dik tak i neih chuan i fanu chu a dam thuai ang.

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