Kraurosis vulva: mgbaàmà, nchoputa ọgwụgwọ

Progressive asị ibe atrophy nke ndị labia (vulva kraurosis, atrophic leukoplakia, leykoplakichesky vulva, mmachi scleroderma) - a ọrịa na e ji atrophy, sclerosis nke anụ ahụ na mucous membranes nke labia. Ọtụtụ mgbe generalized usoro otụk na ikpu.

The ọrịa esiwak dekọrọ na menopause, n'ihi ezughi oke mmepụta nke mmekọahụ homonụ na ovary. Ọ hụrụ na ndị transplantation nke ovarian anụ ahụ nwere mmetụta dị mma n'ebe N'ezie nke atrophic leukoplakia. Ụfọdụ ndị dọkịta kweere na leykoplakichesky vulvitis bụ ụdị nke atrophic na ọrịa sclerosing-agba, nke na-metụtara nanị akụkụ ụfọdụ na kenwe.

Kraurosis vulva: Mgbaàmà

Early mgbaàmà bụ ufiop itching na Genital ebe. Dị ka a n'ihi nke atrophic usoro mbụ amalite ịda mbà (atrophy) labia na nwanyi ji anyu mmamiri, na mgbe ahụ, usoro gụnyere labia majora, perineum na inguinal folds. The uwe na ebe nke labia majora na-aghọ nnọọ ụkọ. N'ime oge ahụ, ikpu na-narrowed, n'ihi na nke mmekọahụ bụ nnọọ na-egbu mgbu, na mgbe e mesịrị ọbụna agaghị ekwe omume. Na cracks na scratches ya n'ụzọ dị mfe penetrates pathogenic microflora na-akwalite omume na okwu nke labia. Ọ bụ mgbe esonyere vulvar leukoplakia kraurosis. Ruo mgbe na-adịbeghị anya, ọtụtụ ndị ọkachamara kweere leukoplakia kraurosis ụfọdụ ogbo nke development. Ugbu a, abụọ ndị a pathologies na-emeso dị ka iche iche ọrịa.

Nchoputa bụ site akụkọ ihe mere eme, nnyocha na visual colposcopy. Asị ibe atrophy nke vulva kwesịrị ka ọdịiche dị n'etiti ọrịa ndị ọzọ (mkpa pruritus, lichen planus, senail atrophy nke vulva, vitiligo, atopic dermatitis). Ekele arụ ezubere iche biopsy nke otụk anụ ahụ nwere ike ime ka ọdịiche dị ọrịa akpụkpọ nke Genital akụkụ. Histology mgbanwe mucous-akpụkpọ nke vulva na ikpu kwekọrọ atrophy. Genital anụ ahụ na-anọkwasị, nke a na-ejikọta ya na a ọnụ ke agbanwe emep uta eri na-abawanye na collagen.

Kraurosis vulva: ọgwụgwọ

Kenye gormonosoderzhaschie ude (10% emulsion sintomitsina, 5% ngwọta nke testosterone propionate, 0,1% estradiol dipropionate ngwọta). Na-adọ II nke ịhụ nsọ okirikiri, progesterone na-eji 0,15% ude. Good ọgwụgwọ mmetụta, karịsịa mgbe abụọ mkpali Jeremaya mere enwetara site na iji ointments na glucocorticoids (ọgwụ ọjọọ "Sinalar" "lokakortena-H", "sinaflana" et al.). Na phonophoresis (ultrasound) glucocorticoids na-ndinọ site emebibeghị akpụkpọ mucous membranes.

Agadi ọrịa kenyere onu steroid obodo edinam nke homonụ (estriol, progestin, hydroxyprogesterone kapronat). Ọrịa nwekwara nye iwu bio-akpali akpali elekọta mmadụ (apilak, FiBS, aloe), vitamin (retinol, tocopherol).

The mmetụta bara uru bụ a na-ekpo ọkụ saa ruo nkeji iri na ise na chamomile wepụ. N'agbata itching dọkịta nwere ike ikwu na ojiji nke ointments na bendị na desensitizing edinam (e.g., benzocaine ma ọ bụ gụnyere diphenhydramine). Inside ịṅụ ọgwụ ọjọọ "Suprastin" "Diphenhydramine" et al. Ọ bụrụ na a akpọ itching na-ere ọkụ sensashion ka infiltration mgbochi procaine (Novocaine ngwọta nke 0,25 na 0,1% ngwọta nke adrenaline hydrochloride). Mgbe ákwá ọnyá na-etinyere tampons, ụfọdụ akọrọ rivanol, ọgwụ nje, Furacilinum.

Ụfọdụ ọrịa nke Genital akụkụ-emeso ya na a laser. Buu ọgwụgwọ asị ibe atrophy nke labia bụ vulvectomy.