Ingabe uvame ukuzizwa ungakhululekile njengokulunywa, ukusha, noma ukubomvu embotsheni yakho yobulili (indawo yangaphandle yezitho zangasese)? Empeleni lokhu kuyimizwa ecasulayo eba khona abesifazane abaningi. Ngezinye izikhathi ungase uzizwe unamahloni okukhuluma ngakho. Kodwa ungakhathazeki, lokhu ngokuvamile akuyona inkinga enkulu. Namuhla sikhuluma ngesimo esibizwa ngokuthi `(Vulvitis)` esingadala lesi simo.
Kalula nje, iyini i-Vulvitis?
I-Vulvitis yisimo lapho ingxenye engaphandle yesitho sakho sangasese sowesifazane, isikhumba esithambile esihlanganisa i-labia kanye ne-clitoris, ivuvukala noma ivuvukale. Kufana nendlela isikhumba sethu esiba bomvu futhi silume ngayo uma sinomdlavuza kwenye indawo.
Njengoba le ndawo yomzimba wethu ifudumele futhi inomswakama, isengozini enkulu yokutheleleka okuhlukahlukene kanye nokungezwani komzimba. Yingakho lolu hlobo lwesimo lungenzeka.
Ingabe i-Vulvitis ne-Vaginitis zizinto ezihlukene?
Yebo, kunomehluko omncane. Kodwa ngezinye izikhathi udokotela wakho angasebenzisa womabili la magama.
- I-Vulvitis: Lokhu kubhekisela ekuvuvukeni kwengxenye engaphandle yendawo yesitho sangasese sowesifazane.
- I-Vaginitis: Lokhu kubhekisela ekuvuvukeni ngaphakathi kwesitho sangasese sowesifazane.
Ngezinye izikhathi zombili lezi zimo zingenzeka ndawonye. Bese sikubiza ngokuthi ``Vulvovaginitis''.
Ziyini izimbangela ze-vulvitis?
Akukho sizathu esisodwa salokhu. Kungaba nezizathu eziningi. Izinto ezifana nokutheleleka, ukungezwani komzimba, imikhiqizo ethile, kanye nemikhuba konke kungaba nomthelela kulokhu. Ake sibheke izici eziyinhloko ezibangela lokhu.
| Isigaba sezimbangela | Izibonelo |
|---|---|
| Izihlanzi kanye nezihlanzi | Ezinye izinsipho ezinephunga elimnandi, izinto zokugeza umzimba, amabhavu okugeza, izifutho zesitho sangasese sowesifazane, kanye nama-douche. |
| Insipho yokuhlanza izingubo neyokuwasha | Izingubo zangaphansi ezenziwe ngezindwangu zokwenziwa ezingamunci umswakama, izihlanzi eziqinile, kanye nezithambisa indwangu. |
| Imikhuba nemisebenzi | Ukungezwani okubangelwa imisebenzi efana nokugqoka izingubo ezimanzi isikhathi eside ngemva kokuzivocavoca noma ukubhukuda, ukugibela ibhayisikili, noma ukugibela ihhashi. |
| Izifo | Ukutheleleka kwemvubelo, ukutheleleka ngamagciwane, ukhwekhwe, kanye nezifo ezithathelwana ngocansi njenge-herpes yobulili. |
| Izifo zesikhumba kanye nokungezwani komzimba | Izimo zesikhumba ezifana ne-eczema noma i-dermatitis, ukungezwani komzimba nemithi yokubulala isidoda, iphepha langasese elinephunga elimnandi noma ama-pad/ama-tampon. |
| Izinguquko zama-hormone | Ngesikhathi sokunqamuka kokuya esikhathini, ukwehla kwe-estrogen kubangela ukoma kanye nokuncipha kwendawo yesitho sangasese sowesifazane (Vaginal Atrophy). Lokhu kungathinta namantombazane amancane angakafiki esikhathini sokuthomba. |
Into ebalulekile ukuthi lezi zimpawu zingafana nezinye izifo eziningi, ngakho-ke kubaluleke kakhulu ukufuna iseluleko sezokwelapha kunokuzixilonga.
Yiziphi izimpawu eziyinhloko ze-Vulvitis?
Ungase ube nesinye noma ngaphezulu salezi zimpawu ndawonye. Ngokuvamile zikhula kancane kancane.
- Ukuluma okukhulu: Lolu uphawu oluyinhloko nolucasulayo kakhulu.
- Ukuvuvukala nobuhlungu: Ukuzwa ukuvuvukala noma ubuhlungu endaweni yesitho sangasese sowesifazane.
- Ubomvu nokuvuvukala: Ubomvu nokuvuvukala kwe-labia nendawo ezungezile.
- Ukuphuma koketshezi esithweni sangasese sowesifazane: Ungase uthole ukukhishwa koketshezi esithweni sangasese sowesifazane okungavamile.
- Izinguquko zesikhumba: Imifantu emincane, amabhamuza, noma amabala amhlophe esikhumbeni abukeka njengezingcwecwe.
- Ubuhlungu: Ukuzwa ubuhlungu lapho uchama noma uya ocansini.
Uma unalezi zimpawu, bona udokotela wakho ngokushesha okukhulu, ngoba into engcono kakhulu ongayenza ukuthola imbangela eqondile bese uyelapha.
Udokotela usithola kanjani lesi simo?
Uma uya kudokotela, uzokubuza ngezimpawu zakho, imikhiqizo oyisebenzisela ukuhlanzeka, kanye nemikhuba yakho. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba, ikakhulukazi ukuhlolwa kwe-pelvic.
Lapho, izinguquko zesikhumba (ububomvu, amabhamuza) zihlolwa ngokucophelela. Uma kudingeka, kungase kwenziwe ezinye izivivinyo eziningana ukuze kutholakale imbangela eqondile.
- Ukuhlolwa komchamo
- Ukuhlolwa kwegazi
- Ukuhlolwa kwezifo ezithathelwana ngocansi (i-STI)
- I-Pap smear
- Ukuhlola isampula yokukhipha uketshezi esithweni sangasese sowesifazane
Ngemva kwalezi zivivinyo, udokotela uzokwazi ukunquma ukuthi imbangela yokungakhululeki kwakho ukutheleleka, ukungezwani komzimba, noma esinye isimo sesikhumba, futhi anikeze ukwelashwa okufanele kakhulu.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike embangela ye-vulvitis yakho. Ezimweni eziningi, lesi simo singalawulwa ngokugwema izinto ezibangela ukungakhululeki nokugcina inhlanzeko efanele.
1. Gwema izinto ezibangela ukungakhululeki
Udokotela wakho uzokweluleka ukuthi uyeke ukusebenzisa insipho, insipho, kanye neziqholo ezilukhuni esikhumbeni sakho futhi ezibangela ukungezwani komzimba. Uzokweluleka nokuthi ugqoke izingubo zangaphansi zikakotini eziphefumulayo, ezikhipha umjuluko esikhundleni sezingubo zangaphansi eziqinile .
2. Amakhrimu anconywe udokotela
Udokotela wakho angase akunike ukhilimu onjenge-hydrocortisone ukuze unciphise ukulunywa nokuvuvukala. Uma lesi simo sibangelwa ukunqamuka kokuya esikhathini, angase akunike nokhilimu obizwa ngokuthi i-topical estrogen, oqukethe i-hormone i-estrogen.
Okubalulekile: Ungathengi noma yiluphi ukhilimu oluthandayo ekhemisi ngaphandle kokubonisana nodokotela wakho. Ngezinye izikhathi, ukuthola ukwelashwa okungalungile kungenza isimo sakho sibe sibi kakhulu.
3. Izindawo Zokugeza zaseSitz
Lokhu kulula kakhulu. 'Ibhavu elimanzi' limane liyisitsha samanzi afudumele kanye nokucwiliswa imizuzu eyi-10-15. Lokhu kunganciphisa kakhulu ukulunywa nokuvuvukala.
Uma lezi zindlela zokwelapha ezilula zingasizi, udokotela wakho angase enze ezinye izivivinyo ukuze ahlole ezinye izimo ezimbi kakhulu, njenge-Lichen Sclerosus noma, ngokungavamile kakhulu, i-Vulvar Cancer.
Yini esingayenza ukuvimbela i-vulvitis?
Into engcono kakhulu ongayenza ukuvimbela lesi simo ngaphambi kokuba senzeke. Ngokulandela le mikhuba elula, ungabona umehluko omkhulu.
- Sebenzisa insipho ethambile: Sebenzisa insipho engenaphunga, ethambile namanzi afudumele ukuhlanza indawo yesitho sangasese sowesifazane. Ngezinye izikhathi, ukusebenzisa amanzi nje kwanele.
- Gwema ukusula ingaphakathi lesitho sangasese sowesifazane: Ungasebenzisi ama-douche ukuhlanza ingaphakathi lesitho sangasese sowesifazane. Umzimba ungagcina indawo ihlanzekile ngokwemvelo.
- Shintsha izingubo ezimanzi: Ngemva kokubhukuda noma ukuzivocavoca, shintsha izingubo ezimanzi ngokushesha ngangokunokwenzeka bese ugqoka izingubo ezomile.
- Gqoka izingubo zangaphansi ezikhululekile neziphefumulayo ezenziwe ngokotini emini.
Uma unezimpawu ze-'Vulvitis', ungabi namahloni noma wesabe. Lesi yisimo esivamile esithinta abesifazane abaningi. Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha okukhulu bese uqala ukwelashwa okufanele. Ngemuva kwalokho ungaqeda lokhu kungakhululeki ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Vulvitis ukuvuvukala kwesikhumba esizungeze isitho sangasese sowesifazane. Kungabonakala njengokulunywa, ukusha, kanye nokubomvu.
- Ziningi izinto ezingaba nomthelela kulokhu, okuhlanganisa insipho enephunga elimnandi, izingubo zangaphansi eziqinile, ezinye izifo, kanye nezinguquko zamahomoni.
- Uma unalezi zimpawu, ungabi namahloni futhi ubone udokotela wakho ngokushesha okukhulu. Gwema ukuzelapha.
- Ngokuthola nokwelapha imbangela efanele, lesi simo singalapheka ngokuphelele phakathi namasonto ambalwa.
- Lokhu kungavinjelwa ngemikhuba elula njengokusebenzisa insipho ethambile, ukugqoka izingubo zangaphansi zikakotini, nokushintsha izingubo ezimanzi ngokushesha.
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