Ukuluma kwesitho sangasese sowesifazane

Ukuluma kwe-vaginal, okubuye kwaziwe ngokuthi i-vulvar pruritus, isimo esingakhululekile futhi esivame ukubangela amahloni esithinta abesifazane abaningi esikhathini esithile empilweni yabo. Izici ezihlukahlukene, kusukela ekungenweni izifo kuya kokungezwani komzimba nezinto ezithile, zingabangela i-vulvar pruritus futhi zibe nomthelela omkhulu empilweni yowesifazane. Kodwa-ke, ngokwelashwa okufanele kanye nezinyathelo zokuvimbela, ungakwazi ukuphatha ngempumelelo ukulunywa kwesitho sangasese sowesifazane.

Izimbangela Zokulunywa Kwesitho sangasese sowesifazane

Kunezici ezihlukahlukene ezingaba nomthelela ekulumeni kwesitho sangasese sowesifazane, okuhlanganisa:

• Ukutheleleka: Amagciwane amaningi, ama-fungal, noma ukutheleleka ngegciwane, njenge-bacterial vaginosis, izifo ezithathelwana ngocansi (STIs), kanye nemvubelo izifo, kungaba yisizathu sokuluma kwesitho sangasese sowesifazane.
• Ukungezwani Nomzimba: Ukungezwani nemikhiqizo ethile, njengezinsipho, okokuhlanza, imikhiqizo yenhlanzeko yabesifazane, noma izinto zokugqoka, kungaholela ekulumeni kwesitho sangasese sowesifazane.
• Ukushintshashintsha kwamaHormonal: Izinguquko emazingeni amahomoni, njengalawo atholakala ngesikhathi ukukhulelwa, ukunqamuka kokuya esikhathini, noma lapho uphuza imithi ethile, kungaba nomthelela ekulumeni kwesitho sangasese sowesifazane.
• Izimo zesikhumba: Izimo ze-dermatological ezifana ne-eczema, psoriasis, noma i-lichen sclerosus ingathinta indawo ye-vulvar futhi ibangele ukulunywa.
• Izinto ezicasulayo: Insipho eqinile, iphepha lasendlini yangasese elinephunga elimnandi, amajeli eshawa, izinto ezithambisa indwangu, amabhavu okugeza, amadoushi, noma amaphedi anephunga elimnandi nama-liner angaphazamisa ibhalansi ye-pH yemvelo yesitho sangasese sowesifazane futhi kuholele ekulumeni.

Izimpawu Zokunwaya Isitho sangasese sowesifazane

Uphawu oluyinhloko lokuluma kwesitho sangasese sowesifazane, yiqiniso, ukulunywa okuqinile, okuqhubekayo endaweni yevulvar. Nokho, kungase kube nezinye izimpawu ezihambisana naso, njenge:

• Ububomvu noma ukucasuka kwe-vulva
• Ukuzwa okuvuthayo
• Ukuvuvuka
• Ukukhipha isitho sangasese sowesifazane (okungase kube kushubile, mncane, noma kushintshe umbala)
• Ubuhlungu ngesikhathi socansi noma uchama
• Ukushintsha umbala kwe-vulva

Izinto Eziyingozi Zokuluma Kwesitho sangasese sowesifazane

Nakuba ukulunywa kwesitho sangasese sowesifazane kungathinta noma yimuphi umuntu wesifazane, izici ezithile zingase zithuthukise ingozi yokuba nalesi simo, okuhlanganisa:

• Isifo sikashukela: Abesifazane abalawulwa kabi sikashukela basengozini kakhulu ekuthelelekeni esithweni sangasese sowesifazane, okungaholela ekutheni ukulunywa.
• I-Compromised Immune System: Izifo ezenza amasosha omzimba abe buthaka, njenge-HIV/AIDS noma imithi ethile, zingenza owesifazane abe sengozini enkulu yokuthola izifo kanye nokulunywa kwesitho sangasese sowesifazane.
• Izingubo Ezimpintshayo Noma Zokwenziwa: Ukugqoka izingubo zangaphansi zokwenziwa noma ezibambayo zingabamba umswakama futhi kwakhe indawo evumela ukukhula kwamagciwane ahlukahlukene noma isikhunta, okuholela ekuluma ezithweni zangasese.
• Ukungahlanzeki Okungalungile: Imikhuba yenhlanzeko enganele ingavumela amagciwane ayingozi noma isikhunta ukuba sichume, okwandisa ingozi yokulunywa kwesitho sangasese sowesifazane.

Ukuxilongwa Kwe-Vaginal Ukuluma

Ukuze uhlole imbangela yokulunywa kwesitho sangasese sowesifazane, udokotela wakho angenza ukuhlolwa okukodwa noma ngaphezulu kwalokhu okulandelayo:

• Ukuhlola Umzimba: Udokotela wakho uzohlola ngokubukeka indawo yesitho sangasese sowesifazane nesevulva ukuze abone izimpawu zokucasuka, ukukhishwa, noma okunye okungavamile.
• I-Vaginal Swab noma Isiko: Isampula yokuphuma komchamo we-vaginal ingaqoqwa futhi ihlaziywe ukuze kuhlonzwe ubukhona bamagciwane, isikhunta, noma amanye amagciwane.
• Ukuhlolwa kwe-Allergy: Uma unokungezwani komzimba, udokotela wakho angase atuse ukuhlolwa kwe-allergies ukuze athole i-allergen ethile.
• I-Biopsy: Ngezinye izikhathi, udokotela wakho angathatha isampula yezicubu ezincane endaweni ye-vulvar futhi ayihlole ngaphansi kwe-microscope ukuze akhiphe izimo zesikhumba noma ezinye izinkinga ezingaphansi.

Izinketho Zokwelapha Ukuluma kwe-Vaginal

Ukwelashwa kokulunywa kwesitho sangasese sowesifazane kuzoncika emsuka wembangela. Okulandelayo ezinye izindlela zokwelapha ezivamile:

• I-Antifungal Medicine for Vaginal Itching: Uma ukutheleleka kwemvubelo kuyimbangela, udokotela wakho angase anikeze imithi yomlomo noma ye-topical antifungal.
• Ama-antibiotics: Ukutheleleka kwamagciwane kungadinga inkambo yomlomo noma ye-topical kwemithi elwa namagciwane.
• Imithi Elwa Namagciwane: Odokotela bangase banikeze imithi elwa namagciwane yezifo ezibangelwa amagciwane, njengalezo ezibangelwa izinhlobo ezithile ze-herpes simplex virus.
• Ama-Steroid Creams: Ezimweni zokungezwani komzimba noma izimo zesikhumba, ama-topical steroid creams angasiza ekunciphiseni ukuvuvukala nokuluma.
• I-Hormone Therapy: Ngokuluma kwesitho sangasese sowesifazane okubangelwa ukungalingani kwama-hormone, udokotela wakho angase atuse ukwelashwa okushintshwa kwama-hormone noma ezinye izindlela zokwelapha.
• Izinguquko Zendlela Yokuphila: Ngokuya ngesizathu, udokotela wakho angase atuse izinguquko zendlela yokuphila, njengokugqoka izingubo zangaphansi zikakotini ezixegayo, ukugwema izinto ezicasulayo, noma ukuthuthukisa imikhuba yenhlanzeko.

Amakhambi Asekhaya Okuluma Isitho sangasese sowesifazane

Amakhambi amaningana asebenzayo asekhaya anganikeza impumuzo ekulunyweni kwesitho sangasese sowesifazane, okuhlanganisa:

• I-Baking Soda Baths: Ukwengeza i-baking soda ekugezeni okufudumele kungasiza ukudambisa ukulunywa nokubuyisela i-pH yemvelo yendawo yangasese.
• Amafutha Kakhukhunathi: Ukufaka inani elincane lamafutha kakhukhunathi ahlanzekile, amsulwa endaweni ethintekile ye-vulvar kunganikeza impumuzo futhi kukhuthaze ukuphulukiswa.
• Iyogathi: Ama-probiotics atholakala ku-yogathi engenalutho, engenashukela angasiza ukulwa nezifo ze-yeast nokunciphisa ukulunywa.
• Amafutha Esihlahla Setiye: Amafutha esihlahla setiye ahlanjululwe anezakhiwo zemvelo zokulwa ne-antifungal kanye ne-antibacterial ezingasiza ekudambiseni ukulunywa.
• I-Aloe Vera: Izici zokulwa nokuvuvukala nezipholile zejeli ye-aloe vera zinganikeza ukukhululeka ekulunyweni kwesitho sangasese sowesifazane.

Izinkinga

Uma kuyekwa kungelashwa, ukulunywa kwesitho sangasese sowesifazane kungaholela ezinkingeni ezimbalwa, ezihlanganisa:

• Ukucasuka Kwesikhumba noma Ukutheleleka: Ukunwaya noma ukuhlikihla ngokweqile kungalimaza isikhumba esithambile endaweni ye-vulvar, okwandisa ingozi yokutheleleka.
• Ukuphazamiseka Kobuthongo: Ukulunywa kakhulu kwesitho sangasese sowesifazane ebusuku kungaphazamisa ikhwalithi yokulala futhi kubangele ukukhathala nokucasuka.
• Ukucindezeleka Ngokomzwelo: Ukungakhululeki kanye nokuphoxeka okuhambisana nokulunywa kwesitho sangasese sowesifazane kungase kuphazamise inhlalakahle yengqondo kanye nokuzethemba.
• Ukusabalala Kwezifo: Kwezinye izimo, izifo ezingalashwa zingasakazekela kwezinye izingxenye zomzimba noma abalingani bobulili.

Indlela Yokunqanda Ukuluma kwesitho sangasese sowesifazane

Nakuba ukulunywa kwesitho sangasese sowesifazane kungase kungagwemeki ngaso sonke isikhathi, kunezinyathelo ezimbalwa ongazithatha ukuze unciphise ingozi yakho:

• Zijwayeze Ukuhlanzeka Okuhle: Gcina inhlanzeko efanele ngokuhlanza ngobumnene indawo ye-vulvar ngensipho namanzi engenaphunga elimnandi.
• Gqoka Izingubo zangaphansi Eziphefumulayo: Khetha izingubo zangaphansi zikakotini ezixegayo ukuze ujikeleze komoya ngendlela efanele futhi uvimbele ukunqwabelana komswakama.
• Gwema Izinto Ezicasulayo: Gwema imikhiqizo yenhlanzeko yomuntu siqu enephunga elimnandi, insipho eqinile, amadoushi, nokunye okucunula esithweni sangasese okungase kuphazamise ibhalansi ye-pH yesitho sangasese sowesifazane.
• Zijwayeze Ucansi Oluphephile: Sebenzisa izindlela zokuvimbela, njengamakhondomu, ukwehlisa amathuba okuba nezifo ezithathelwana ngocansi.
• Lawula Izimo Ezingaphansi: Uma unesifo sikashukela noma ezinye izimo ezandisa ingozi yokuluma kwesitho sangasese sowesifazane, sebenzisana eduze nodokotela wakho ukuze uzilawule ngokuphumelelayo.

Uzoyibona Nini Udokotela

Nakuba ukulunywa okuncane kwesitho sangasese sowesifazane kungase kulawuleke ngemithi yokwelapha ethengiswayo noma amakhambi emvelo, kubalulekile ukufuna usizo lwezokwelapha uma:

• Ukuluma kubi kakhulu noma kuyaphikelela
• Uhlangabezana nezinye izimpawu, njengokuphuma okungavamile noma ubuhlungu
• Amakhambi asekhaya noma ukwelapha ngaphandle kwe-counter akuhlinzeki ngempumuzo
• Unezivikeli mzimba ezisengozini noma esinye isimo sezempilo esingaphansi

Isiphetho

Ukulunywa kwesitho sangasese sowesifazane kungaba yinkinga ekhungathekisayo futhi engakhululekile, kodwa ngendlela efanele, ungakwazi ukukuphatha kahle futhi ukuvimbele. Ngokuqonda izimbangela, ukufuna usizo lwezokwelapha ngokushesha, nokusebenzisa ukwelashwa okufanele kanye nezinyathelo zokuvimbela, ungakwazi ukuvalelisa ukulunywa kwesitho sangasese sowesifazane futhi ujabulele izinga lempilo elingcono.

Imibuzo Evame Ukubuzwa

1. Yiziphi izimbangela ezijwayelekile zokulunywa kwesitho sangasese sowesifazane?

Izimbangela ezivame kakhulu zokuluma kwesitho sangasese sowesifazane zihlanganisa nemvubelo izifo, i-bacterial vaginosis, ukungezwani komzimba, izinguquko zamahomoni, nezimo zesikhumba ezifana ne-eczema noma psoriasis.

2. Ingabe ukulunywa kwesitho sangasese sowesifazane kuwuphawu lwezifo ezithathelwana ngocansi (STI)?

Ukuluma kwesitho sangasese sowesifazane kungaba uphawu lwezifo ezithile zocansi, njenge-trichomoniasis noma i-herpes yesitho sangasese. Nokho, kungase kubangelwe izifo ezingatheleleki ngokocansi noma ezinye izici. Uma usola ukuthi une-STI, ukufuna usizo lwezempilo kanye nokuhlolwa kubalulekile.

CARE Medical Team

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