Ukulunywa nokukhishwa kwesitho sangasese sangasese - umuntu omdala nentsha

Ukukhishwa kwesitho sangasese sowesifazane kusho imfihlo ephuma esithweni sangasese sowesifazane. Ukukhishwa kungaba:

• Ijiyile, ikhekhe, noma izacile
• Kusobala, kunamafu, kunegazi, kumhlophe, kuphuzi, noma kuluhlaza
• Awunaphunga noma unephunga elibi

Ukulunywa kwesikhumba sowesifazane nendawo ezungezile (i-vulva) kungaba khona kanye nokukhishwa kwesitho sangasese sowesifazane. Kungenzeka futhi ngokwakho.

Izindlala zomlomo wesibeletho nezindonga zesitho sangasese sowesifazane zivame ukukhiqiza amafinyila acacile. Lokhu kuvame kakhulu kwabesifazane abaneminyaka yobudala yokuzala.

• Lezi zimfihlo zingashintsha zibe mhlophe noma ziphuzi lapho zivezwa emoyeni.
• Inani le-mucus elikhiqizwayo liyahlukahluka phakathi nomjikelezo wokuya esikhathini. Lokhu kwenzeka ngenxa yokushintsha kwamazinga ama-hormone emzimbeni.

Izici ezilandelayo zingakhuphula inani lokukhishwa okujwayelekile kwesitho sangasese sowesifazane:

• Ukuvuthwa kwegazi (ukukhishwa kweqanda esibelethweni sakho maphakathi nomjikelezo wokuya esikhathini)
• Ukukhulelwa
• Injabulo yezocansi

Izinhlobo ezahlukahlukene zezifo zingadala ukulunywa noma ukukhipha okungavamile esithweni sangasese. Ukukhishwa okungavamile kusho umbala ongajwayelekile (onsundu, oluhlaza), nephunga. Ihlotshaniswa nokulunywa noma ukucasuka.

Lokhu kufaka phakathi:

• Izifo zisakazeka ngesikhathi socansi. Lokhu kufaka phakathi i-chlamydia, i-gonorrhea (GC), ne-trichomoniasis.
• Ukutheleleka kwemvubelo yesitho sangasese sowesifazane, okubangelwa ukhunta.
• Amagciwane ajwayelekile ahlala esithweni sangasese ayakhula futhi abangele ukuphuma okumpunga nephunga le-fishy. Lokhu kubizwa nge-bacterial vaginosis (BV). I-BV ayisatshalaliswa ngokuxhumana ngokocansi.

Ezinye izimbangela zokukhishwa kwesitho sangasese sowesifazane kanye nokunwaya kungaba:

• Ukunqamuka kokuya esikhathini kanye namazinga aphansi e-estrogen. Lokhu kungaholela ekomeni kwesitho sangasese sowesifazane kanye nezinye izimpawu (atrophic vaginitis).
• I-tampon ekhohliwe noma umzimba wangaphandle. Lokhu kungadala iphunga elibi.
• Amakhemikhali atholakala ezintweni zokuhlanza, ezithambisa izindwangu, izifutho zabesifazane, amafutha, okhilimu, amadokodo, amagwebu okuvimbela ukukhulelwa noma amajeli noma okhilimu. Lokhu kungacasula isitho sangasese sowesifazane noma isikhumba esizungeze isitho sangasese.

Izimbangela ezingavamile kakhulu zifaka:

• Umdlavuza wesitho sangasese sangasese, umlomo wesibeletho, isitho sangasese sowesifazane, isibeletho, noma amashubhu e-fallopian
• Izimo zesikhumba, njenge-desquamative vaginitis kanye ne-lichen planus

Gcina indawo yakho yobulili ihlanzekile futhi yomile lapho une-vaginitis. Qiniseka ukuthi ufuna usizo kumhlinzeki wokunakekelwa kwezempilo ukuze uthole ukwelashwa okungcono kakhulu.

• Gwema insipho bese ugeza ngamanzi ukuze uzihlanze.
• Ukucwilisa kubhavu ofudumele kodwa ongashisi kungasiza izimpawu zakho. Yomisa kahle kamuva. Esikhundleni sokusebenzisa ithawula ukoma, ungathola ukuthi ukusetshenziswa okuncane komoya ofudumele noma obandayo kusuka kokomisa izinwele kungaholela ekucasukeni okuncane kunokusebenzisa ithawula.

Gwema ukuxhuma. Abesifazane abaningi bazizwa behlanzekile lapho bedla, kepha empeleni kungazenza zibe zimbi izimpawu ngoba kususa amabhaktheriya anempilo agudla isitho sangasese. Lawa magciwane asiza ukuvikela ukutheleleka.

Amanye amathiphu yile:

• Gwema ukusebenzisa izifutho zenhlanzeko, amakha, noma izimpushana esithweni sangasese.
• Sebenzisa amaphedi hhayi amatamponi ngenkathi unesifo.
• Uma unesifo sikashukela, gcina amazinga kashukela egazini lakho elawula kahle.

Vumela umoya omningi ukufinyelela endaweni yakho yobulili. Ungakwenza lokhu ngo:

• Ukugqoka izingubo ezikugqokile futhi ungalifakile ipayipi le-panty.
• Ukugqoka izingubo zangaphansi zikakotini (kunokuzenzela), noma izingubo zangaphansi ezinolwelwesi lukakotini esigangeni. Ukotini wandisa ukuhamba komoya futhi wehlisa umswakama owakhiwa.
• Engagqokile izingubo zangaphansi.

Amantombazane nabesifazane kufanele futhi:

• Yazi ukuthi ungayihlanza kanjani kahle indawo yabo yobulili ngenkathi ugeza noma ugeza.
• Sula kahle ngemuva kokusebenzisa indlu yangasese - njalo ukusuka phambili uye emuva.
• Geza kahle ngaphambi nangemva kokusebenzisa indlu yokugezela.

Njalo yenza ucansi oluphephile. Sebenzisa amakhondomu ukugwema ukubamba noma ukusabalalisa izifo.

Shayela umhlinzeki wakho ngokushesha uma:

• Unokuphuma kwesitho sangasese sowesifazane
• Unomkhuhlane noma ubuhlungu esikhaleni sakho noma endaweni yesisu
• Kungenzeka uvezwe kwizifo zocansi

Izinguquko ezingakhombisa inkinga efana nokutheleleka zifaka:

• Unoshintsho olungazelelwe kwinani, umbala, iphunga, noma ukungaguquguquki kokukhishwa.
• Unokulunywa, ubomvu, nokuvuvukala endaweni yangasese.
• Ucabanga ukuthi izimpawu zakho kungenzeka zihlobene nomuthi owuthathayo.
• Ukhathazekile ngokuthi ungaba nesifo esithathelana ngokocansi noma awunasiqiniseko sokuthi udaluliwe yini.
• Unezimpawu eziba zimbi kakhulu noma ezihlala isikhathi eside kuneviki elilodwa ngaphandle kwezinyathelo zokunakekelwa kwasekhaya.
• Unezilonda noma ezinye izilonda esithweni sakho sangasese noma esithweni sangasese.
• Uvutha ngokuchama noma ezinye izimpawu zomchamo. Lokhu kungasho ukuthi unegciwane lesifo somchamo.

Umhlinzeki wakho uzokwenza lokhu:

• Buza umlando wakho wezokwelapha
• Yenza ukuhlolwa komzimba kufaka phakathi ukuhlolwa kwe-pelvic

Ukuhlolwa okungenziwa kufaka phakathi:

• Amasiko wesibeletho sakho
• Ukuhlolwa kokukhishwa kwesitho sangasese sowesifazane ngaphansi kwesibonakhulu (i-wet prep)
• Ukuhlolwa kwePap
• Ama-biopsies esikhumba endawo ye-vulvar

Ukwelashwa kuya ngesizathu sezimpawu zakho.

Isisu se-Pruritus; Ukulunywa - indawo yangasese; Ukulunywa yiVulvar

• I-anatomy yokuzala yabesifazane
• Ukukhishwa kwesitho sangasese sowesifazane
• Isibeletho

UGardella C, u-Eckert LO, uLentz GM. Izifo ezithwala izitho zangasese: isitho sangasese sowesifazane, isitho sangasese sowesifazane, umlomo wesibeletho, i-toxic shock syndrome, i-endometritis, ne-salpingitis. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 23.

USchrager SB, uPaladine HL, uCadwallader K. Gynecology. Ku: Rakel RE, Rakel DP, ama-eds. Incwadi Yezokwelapha Yomndeni. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 25.

UScott GR. Izifo ezithathelwana ngocansi. Ku: Ralston SH, ID Penman, Strachan MWJ, Hobson RP, eds. Izimiso zikaDavidson kanye Nokuzijwayeza Kwezokwelapha. Umhla ka-23. IPhiladelphia, PA: Elsevier; 2018: isahluko 13.

Umthengisi RH, Symons AB. Ukukhishwa kwesitho sangasese sowesifazane kanye nokunwaya. Ku: Umthengisi RH, Symons AB, eds. Ukwahlukaniswa Kokuxilongwa Kwezikhalazo Ezijwayelekile. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 33.