Vulvitis - an inflammation of the vulva (the external genitalia): vestibule, small and large labia, clitoris, and hymen.Vulvitis divided into primary and secondary.The most common primary B. common in girls and older women - this is due to the physiological characteristics of the female body in these age periods. And women of childbearing age is diagnosed more often secondary vulva, which arises as a result of inflammatory diseases of the genital organs (endocervicitis, colpitis etc.).On clinical grounds it is divided into acute and chronic vulvitis.
Acute vulvitis.Manifested by itching and burning in the area of external genitals, pain during urination and walking.During a pelvic examination of the external genitalia revealed diffuse redness obol.vulva and skin, swelling and redness of the clitoris and sometimes the labia minora hypertrophy.Because of delays in inadequate treatment in most cases, the disease gradually becomes chronic.
Chronic vulvitis often recurs.In girls, early
In most cases, agents of the inflammatory process are enterococci, streptococci, staphylococci, E. coli.Much less pathogens are gonorrhea and diphtheria bacillus.
In girls, in 40% of cases, the cause of this disease is a bot, the second place is failure to comply with the rules of personal hygiene.Much less vulvitis arises from - a viral infection that the mother may transfer the child contact - by household or during childbirth.
also develop vulvitis can help: hypovitaminosis, dermatitis, diabetes, hypovarianism, various inflammatory diseases, failure to comply with sexual and personal hygiene, wearing synthetic underwear, as well as mechanical, chemical or thermal effects
flow and symptoms
Inacute period the burning, itching, swelling and redness of large and small labia, profuse discharge and pain after urinating (due to the irritant effect of urine on inflamed tissue).Occasionally there may be an increase in the inguinal lymph nodes, possibly fever and malaise.Diagnosis is based on the complaints of the patient and changes in the vulva, which were found during the inspection and bacteriological examination
If the disease is caused by Mycobacterium tuberculosis , gonococci, fungi Candida orlatent infections such as Chlamydia and Trichomonas - is assigned a specific therapy aimed at the destruction of specific micro-organisms.
If vulvitis caused by Escherichia coli, streptococci and staphylococci - appointed local treatment with antibiotics (creams and ointments), and for disinfection and removal of the inflammatory process used baths with a decoction of herbs.Girls mandatory appointed by conducting desensitizing therapy (calcium preparations and antihistamines).
If the disease is associated with allergic reactions - are appointed by desensitizing agents, as well as diet excludes the consumption of food allergens, flour, salt and spicy dishes.
Since the cause of children's vulvitis often is bot - the therapy anthelminthic drugs.In the acute form of the disease the child needs a mandatory bed rest.
In cases of concomitant diseases (allergies, diabetes, cystitis ) - necessarily need to spend their parallel treatment.An important value in the treatment of vulvitis is welcome bracing means: immunomodulators, vitamin complexes, and so forth.
Attributed carrying physiotherapy: electrophoresis with 10% solution of calcium chloride or 1% solution of novocaine on the vulva;UFO external genitalia.