Ingabe ngezinye izikhathi uzizwa ukulunywa, ukusha, noma ukucasuka endaweni yakho yobulili? Mhlawumbe kuba kubi kakhulu ebusuku, noma izingubo ezithile zenza ukungakhululeki kungabekezeleleki. Nakuba lokhu kuyinkinga evamile, abantu abaningi bazizwa benamahloni okukhuluma ngakho. Kodwa-ke, ukwaziswa kubalulekile empilweni yakho. Namuhla, ake sibe nengxoxo evulekile neqondile ngesimo esaziwa ngokuthi (i-Vulvar Dermatitis ) .
Kuyini i-Vulvar Dermatitis?
Kalula nje, (i-Vulvar Dermatitis) ukuvuvukala noma ukucasuka kwesikhumba endaweni yakho yangaphandle yesitho sangasese sobulili. Igama elithi “vulva” libhekisela ezingxenyeni zangaphandle zesitho sakho sangasese sobulili. Uma unalesi simo, isikhumba kule ndawo singase some futhi silume . Ngezinye izikhathi, lokhu kucasuka kungadlulela endaweni ezungeze indunu noma phakathi kwezinqe, okubizwa ngokuthi (i-Perianal Eczema ) .
Kunezinhlobo ezimbili eziyinhloko ze- (Vulvar Dermatitis) : (Atopic Dermatitis) , eyaziwa nangokuthi (Vulvar Eczema) , kanye ne- (Contact Dermatitis) . Kuzo zombili izimo, ukucasuka kubangelwa ukusabela kokungezwani komzimba noma umonakalo ongokwenyama esikhumbeni esibucayi esifundeni se-vulvar.
Ubani Othinteka Kakhulu?
Nakuba noma ubani one-vulva angathuthuka (i-Vulvar Dermatitis) , ungase ube sengozini enkulu uma ungakafiki esikhathini sokuthomba (ngaphambi kokuqala kokuya esikhathini ) noma uma usuqedile ukuya esikhathini . Phakathi nalezi zigaba zokuphila, amazinga e -hormone (i-Estrogen) ngokuvamile aphansi kunangesikhathi sokuzala. I-Estrogen ephansi ingabangela isikhumba endaweni yesitho sangasese ukuba sibe sincane, somile, futhi sonakale kalula noma sivuvuke.
Ziyini izimpawu ze-Vulvar Dermatitis?
Uphawu oluvame kakhulu ukulunywa (i-Vulvitis) . Lokhu kungasukela ekucasukeni okuncane kuya ekungakhululekeni okukhulu nokuqhubekayo. Ezinye izimpawu zingafaka:
- Umuzwa oshisayo noma umuzwa wokungalungi, njengokungathi indawo ibuhlungu .
- Isikhumba sizizwa sikhulu noma sinesikhumba ezindaweni ezithile.
- Isikhumba sibonakala sibomvu noma simnyama kunesikhumba esizungezile.
- Umuzwa womswakama ongapheli noma "ukukhala" ngenxa yesikhumba esonakele.
- Ubuhlungu ngesikhathi socansi, ngenkathi usebenzisa i-tampon, noma ngesikhathi sokuhlolwa kwe-pelvic lapho kufakwa i- (Speculum) .
Izimpawu zakho zingase zibe zimbi kakhulu ngesikhathi:
- Amahora obusuku.
- Umsebenzi wocansi.
- Isikhathi sakho sokuya esikhathini .
- Izikhathi zokushisa nokujuluka.
Yini Ebangela I-Vulvar Dermatitis?
Isikhumba se-vulva yakho sibucayi kakhulu —sibucayi kakhulu kunezinye izingxenye zomzimba wakho. Sicasulwa kalula yizici zemvelo kanye nezinto ezibangela ukungezwani komzimba. Uma ubona ukulunywa okuqhubekayo, kungaba ukusabela komkhiqizo owusebenzisayo.
Izinto ezivame ukubangela lokhu zihlanganisa insipho enephunga elimnandi, insipho eqinile, noma izindwangu zokwenziwa ezigqoke izingubo zangaphansi.
Izimbangela ezingaba khona ze -Vulvar Dermatitis zifaka:
- Insipho, amabhavu okugeza, ama-shampoo, kanye nama-conditioner.
- Ama-deodorant, amakha, uketshezi lokuhlanza, kanye ne-talcum powder.
- Izingubo zangaphansi zokwenziwa, njenge-nylon.
- Izinsipho zokuhlanza izingubo kanye namashidi okomisa.
- Ama-sanitary pad, ama-pantyliners, nama-tampon.
- Izithako zokudla.
- Iphepha lendlu yangasese (ikakhulukazi izinhlobo ezinephunga noma ezinemibala).
- Amafutha Esihlahla Setiye – abantu abaningi banezinkinga zokungezwani komzimba nalokhu.
- Imithi yokubulala izinduna.
- Imithi ethile.
- I-Nickel (etholakala kwezinye izinto zobucwebe noma izikhonkwane zezingubo).
- Udayi wendwangu.
Ngaphezu kwalokho, uma uhlangabezana nokungakwazi ukuzibamba indle noma umchamo, usengozini enkulu yokutheleleka yi-Vulvar Dermatitis , njengoba ukuchayeka isikhathi eside emchameni nasendle kungacasula isikhumba kakhulu.
Kutholakala Kanjani?
Ukuxilongwa kungaba nzima ngoba izimpawu ze- (Vulvar Dermatitis) zifana nezinye izimo eziningi. Ngakho-ke, kubalulekile ukubonisana nochwepheshe wezempilo ukuze uthole ukuxilongwa okunembile futhi ukhiphe ezinye izinkinga eziyisisekelo.
Izimo ezingase zibangele izimpawu ezifanayo zifaka:
- (I-Lichen Planus)
- (I-Lichen Sclerosus)
- ( I-Psoriasis )
- (I-Seborrheic Dermatitis)
- (Ukuwohloka Kwesitho Sangasese Sowesifazane)
- (Ukuvuvukala kwabesifazane)
- (Umdlavuza weVulvar) (akuvamile, kodwa kumele kukhishwe)
- (I-Vulvitis)
- (I-Vulvodynia)
- (Imvubelo yeVulvitis)
Udokotela wakho angenza okulandelayo ukuze athole ukuthi unesifo:
1. Umlando Wezokwelapha: Bazokubuza ngomlando womndeni wakho mayelana nezimo zesikhumba, i-asthma , noma (Izifo Ezizimele) . Lungela ukuxoxa ngezimpawu zakho, izimbangela, imithi, indlela yokuphila, kanye nenqubo yakho yokuhlanzeka.
2. Ukuhlolwa Komzimba: Ukuhlolwa kwamehlo kuzonquma ukuthi kukhona umonakalo noma ukuvuvukala. Bangase futhi bahlole (Ukuphuma Kwesitho Sangasese) ukuze banqume ukuthi azikho yini izifo ezivamile (Izifo Zemvubelo) noma (Izifo Ezihlobene Namagciwane) .
3. Ukuhlolwa Kwe-Patch: Inani elincane lezinto ezibangela ukungezwani komzimba ezisolwayo lifakwa esikhumbeni sakho ukuze kubonakale ukuthi kwenzeka yini (Reaction) .
4. I-Biopsy: Uma izimpawu ziqhubeka noma ziba zimbi naphezu kokwelashwa, isampula encane yezicubu ingathathwa ukuze ihlolwe elebhu ukuze kutholakale ukuthi ayinazo yini izifo (i-Vulvar Cancer) noma ezinye izifo ezingathi sína.
Yiziphi Izindlela Zokwelapha?
Ezimweni eziningi, ungaphatha i-vulvar dermatitis ngokuhlonza nokugwema izimbangela kanye nokugcina inhlanzeko emnene nefanele endaweni yezitho zangasese. Kukhona futhi izindlela zokwelapha ezisebenzayo ezitholakalayo zokusiza ukulawula ubuhlungu nokulunywa ngenkathi isikhumba siphola.
Ukulungiswa Kwendlela Yokuphila
Into yokuqala okufanele uyenze ukususa noma yini ebangela ukucasuka noma ukusabela kokungezwani komzimba . Phakathi nalesi sikhathi, gxila ekugcineni indawo ye-vulvar ihlanzekile futhi ithambile, bese ukhetha izingubo ezivumela umoya ukuthi uphefumule.
Nazi ezinye izinyathelo eziwusizo ongazithatha:
- Gwema ukugeza indawo ngaphezu kwesisodwa ngosuku. Uma wenza kanjalo, sebenzisa amanzi afudumele kuphela kanye nesihlanzi esithambile, esingenaphunga .
- Sebenzisa izandla zakho neminwe esikhundleni sendwangu yokugeza ukuze ugweme ukungqubuzana okungadingekile.
- Ngemva kokugeza, thinta indawo yome kancane ngethawula elihlanzekile; ungayihlikihli.
- Shintshela ezimpahleni zangaphansi zikakotini ezingu-100% esikhundleni sezindwangu zokwenziwa. Ungase ukuthole kuwusizo ukulala ngaphandle kwezimpaphe zangaphansi ebusuku ukuze isikhumba siphefumule.
- Gqoka izingubo ezikhululekile kunezibhulukwe eziqinile noma ama-leggings.
- Sebenzisa insipho yokuwasha izingubo ethambile, engenaphunga elibi ezingutsheni zakho.
- Gwema ukusula ubuso , kanye nemikhiqizo yokuhlanzeka kwabesifazane enephunga elimnandi equkethe amakhemikhali anamandla, njengoba lokhu kuvame ukuvusa ukuvuvukala.
Okubaluleke kakhulu, khumbula ukuthi uma kukhulunywa ngokunakekelwa kwe-vulvar, "okuncane kukhulu." Ukugeza njalo, ukuklwebha, noma ukusebenzisa imikhiqizo eminingi kungenza i-dermatitis ibe yimbi kakhulu.
Imithi
Ukuze kumiswe umjikelezo wokulunywa nokuklwebheka okungalimaza isikhumba sakho, udokotela angase akunike amaphilisi, okhilimu, noma amafutha okugcoba, okungase kufake:
- Ama-antihistamine:Imithi efana ne-Hydroxyzine noma i-Doxepin ingasiza ekunciphiseni ukulunywa nokuthuthukisa ikhwalithi yokulala.
- Ama-Corticosteroid Ointments: Lawa anciphisa ukuvuvukala. Izibonelo zifaka phakathi i-Hydrocortisone , i-Desonide , i-Triamcinolone , i-Clobetasol Propionate , kanye ne -Betamethasone Dipropionate . Sebenzisa lawa ngokuqinile ngokwemiyalelo kadokotela wakho kanye nobude besikhathi.
- Ama-Emollients Alwa nokulunywa: Imikhiqizo efana ne -Balneum Plus® , i-E45 Itch® , noma i-Dermacool® inganikeza impumuzo eduduzayo.
Uma udokotela wakho esola ukuthi kukhona ukutheleleka okucashile, uzokunikeza imithi efanele yokuxazulula leyo mbangela ethile.
Ngingayinciphisa kanjani ingozi yalesi simo?
Nakuba ungeke ukwazi ukulawula ukuthambekela kwezakhi zofuzo ku-vulvar eczema, wonke umuntu anganciphisa ingozi yakhe ngokugwema izinto ezicasulayo noma izinto ezibangela ukungezwani komzimba . Ukulandela izinguquko zendlela yokuphila okukhulunywe ngazo ngenhla kuyisinyathelo esibalulekile ekugcineni impilo yesikhumba yesikhathi eside.
Kuzothatha isikhathi esingakanani ukuphulukiswa?
Isikhathi sokuphulukiswa sincike ngokuphelele embangela eyinhloko . Isibonelo, uma une-contact dermatitis, kungathatha amasonto amabili kuya kwamane ukuphulukiswa ngemva kokususwa kwento ecasulayo. Uma unesifo esihambisana naso, inqubo yokululama ingathatha isikhathi eside.
Kufanele ngimbone nini udokotela?
Njalo xhumana nodokotela ngaphambi kokuzama imithi ethengiswa ngaphandle kwemithi kadokotela (OTC). Ukulunywa yi-vulvar kuyimpawu evamile yezimo eziningi ezahlukene, ngasinye sidinga ukwelashwa okuhlukile. Ukusebenzisa umkhiqizo ongalungile ngaphandle kokuxilongwa okufanele kungenza isimo sakho sibe sibi kakhulu.
Ngicela ungabi namahloni. Ukulunywa kanye nokuvuvukala kwe-vulvar kuyizizathu ezivame kakhulu zokuvakashela udokotela eNirogi Lanka.
Kubukeka kanjani ukuvuvukala kwe-vulvar?
Ungase uqaphele ukuthi ama-labia akho kanye nokugoba kwesikhumba okuzungeze i-vulva kubonakala kuvuvukile, kubomvu, noma kushintshe umbala uma kuqhathaniswa nesikhumba esizungezile. Ngezinye izikhathi, isikhumba singase sibonakale sikhulu noma sinesikhumba.
Ibukeka kanjani i-vulvar eczema?
Njengokuvuvukala kwesikhumba okujwayelekile, i-vulvar eczema ivame ukuveza ukuvuvukala, ukubomvu, noma ukushintsha kombala. Ngaphezu kwalokho, ungase uqaphele amabhamuza noma amabala esikhumba esomile nesinamabala.
Yimuphi ukhilimu ongcono kakhulu wokulunywa kwendawo yangasese?
Akukho ukhilimu owodwa "ongcono kakhulu" ngoba ukwelashwa kwakho kuncike embangela ethile yokulunywa . Udokotela angase akunike ukhilimu we-corticosteroid noma i-antihistamine, kodwa kuphela ngemva kokuhlolwa okufanele. Ukubona uchwepheshe wezempilo kuyindlela engcono kakhulu yokuthola ukwelashwa okufanele kwezimpawu zakho ezithile.
Imicabango Yokugcina
Ukubhekana nokulunywa kanye nokuvuvukala kwe-vulvar akujabulisi, kodwa akudingeki ukuthi ubhekane nakho wedwa. Ungathembeli ekuzihloleni wena; umkhiqizo ongalungile othengwe ngaphandle kwemithi uvame ukuholela ekucasukeni okwengeziwe.
Beka phambili ukuthola ukuxilongwa okunembile ukuze ukwazi ukuthola ukwelashwa okufanele futhi uthole impumuzo ngokushesha okukhulu. I-Nirogi Lanka ilapha ukuze ikusize. Hlala uphilile!
