- Vulvovaginitis - a disease of children and the elderly
Vulvovaginitis - an inflammation of the external genitalia (vulva) and the vagina. The most common causative agents of inflammation are staphylococcus, streptococcus, E. coli, Trichomonas and yeast fungi Candida. Very rarely are agents of vulvovaginal gonorrhea. Predisposing factors for the development of vulvovaginitis is the uncontrolled use of antibiotics, which leads to the destruction of beneficial microflora of the vagina, and violations of the rules of personal hyenas. A special role is played in the emergence of vulvovaginal decrease in ovarian endocrine function, diabetes mellitus
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, Obesity and other diseases, reducing the body's resistance to infections.
In healthy women of childbearing age and vulva vagina resistant to infection, it contributes to the process of self-purification of the vagina associated with the endocrine ovarian function. Therefore vulvovaginitis in this age there is much less common than in children and the elderly. Occurrence of vulvovaginitis at children promote anatomical and physiological features of the vulva and vagina (looseness, tenderness, vulnerability) as well as diseases such as measles
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, Scarlet fever, pyelonephritis.
In adult women the disease occurs in the presence of the entrance gate for infection: skin lesions and vulvar (cracks, abrasions, scratches). Gonorrheal vulvovaginitis occurs rarely, without disturbing the skin and mucous membranes it can occur in children, pregnant women and the elderly.
Children begins with inflammation of the vulva and vagina becomes, in adult women - on the contrary, vaginal discharge
irritate the vulva with the accession of infection.
Vulvovaginitis can occur acutely and chronically.
Signs of acute vulvovaginal
In the acute stage of the process, patients complain of pain, worse while walking, touching and in a sitting position, itching, burning sensation, especially when urinating, sleep disturbances
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. In severe vulvovaginal possible increase in body temperature and an increase in nearby lymph nodes.
The mucous membrane of the external genitalia and the vagina becomes red and edematous, appear purulent (sometimes sukrovichnye) allocation. In severe erosion can occur (surface compromising the integrity of the mucous membrane) of the vulva and vagina.
Sometimes in adults as a result of inflammatory edema of the mucosa point elevations are formed which remain in the chronic stage of the process. In marked inflammation of the vulva may be involved in the process of the mucous membrane of the urethra, and inner thighs (especially in obese women) - it is promoted from the genital tract.
With proper treatment of all the phenomena of inflammation disappear, but if there is a persistent focus of infection in the uterus and its appendages is a constant infection of the vagina. In this case, as well as a defective treatment process can become chronic.
Symptoms of chronic vulvovaginal
In the chronic stage vulvovaginal decreases swelling and redness of the mucous membranes of the vulva and vagina, pain subside. Basically, continue to disturb the itching and discharge from the genital tract.
In girls, this step may occur synechia (seam) in those areas where defects were epithelium (most often in the labia majora). In rare cases there is considerable damage and rejection of the vaginal mucosa.
Fungal process is characterized by itching in the vulva, thick whitish "cheesy" discharge and raids on the walls of the vagina and the vulva.
The basis of diagnosis is the examination, including the use of special instruments to examine the mucous membrane of the vagina (for women - a colposcope, for girls - Vaginoscopy).
Produced and bacteriological study of discharge from the genital tract to determine the pathogen and its sensitivity to antibiotics.
Treatment of vulvovaginal
Treatment of vulvovaginal have to be carried out under the supervision of laboratory tests, only in this case can be guaranteed a positive (without transition into a chronic process) outcome.
Antibiotics (in accordance with the sensitivity of the pathogens to them), and activates the immune restorative treatment.
Local vulva is washed with a weak solution of potassium permanganate, or infusion of chamomile, sitz baths are used with these solutions, then lubricate the mucous sea buckthorn oil. In identifying gonorrhea or trichomoniasis treatment is carried out in accordance with the general rules of treatment of these diseases.
Prevention vulvovaginal is careful prolechivanii all foci of infection in the body of the child.