DISEASES OF FEMALE GENITAL ORGANS : VULVITIS (VULVITIS) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Etiology. Called strepto - and staphylococci, gonococci (see the Gonorrhea), more rarely - diphtheria Bacillus, tubercle Bacillus, fungi. The big role is played by mechanical, thermal and chemical irritation, rough sexual intercourse, the effect of irritating vaginal discharges, urine (salt, sugar), violating the integrity of the surface epithelium.
The pathogenesis. Pathogenic microorganisms, due to the violation of the surface epithelial cover (see above), easily penetrate into the underlying tissues and cause inflammation.
Begins with burning sensation, worse when urinating, sometimes when I walk (long), alternating in further itching. The mucosa of the vestibule hyperemic, painful, swollen and covered with Muco-purulent coating. Beli. Often enlarged inguinal lymph nodes.
The main complaint of patients the itch. Mucosa is hyperemic (spots) on the inner surface of the small lips, the roughness, the lips swollen.
All forms of vulvitis are of long duration.
Sklute the gonorrhea! Should be distinguished from syphilitic lesions (see Venereal disease, Syphilis), marcoantonio (see Venereal disease, soft Chancre) character diabetes. The vulvitis may occur as a consequence of a number obscheinfektsionnye diseases, therefore you need to delete the last (typhus, scarlet fever, erysipelas, diphtheria, dysentery).
The prediction is favorable with the correct etiological diagnosis and persistent treatment.
Treatment of the underlying disease. In the acute phase - rest, dry sterile pads, lead lotions; chronic, in addition, is a cool sitz bath of chamomile, lanolin ointment, sterile vaseline oil. For severe itching - cocaine ointment. Limited erosion grease with 3 to 5% solution of silver nitrate, further powder with bismuth. In case of irritation of the inguinal folds and inner thighs - powder with sulfur - nociclin zinc. The observance of strict cleanliness.