simple vulvitis
Introduction
Introduction to simple vulvitis Simple vulvitis is a non-specific vulvitis and is a simple bacterial infection. Common pathogens include Staphylococcus, Streptococcus hemolyticus, Escherichia coli, and Proteus. Caused by various physical and chemical factors: such as cervicitis, vaginitis or cervical cancer caused by excessive vaginal discharge, irritating the vulva; menstrual blood, diabetic patients with diabetes, urine, urinary sputum patients, feces, feces impregnated vulva; use menstruation Pads, wearing chemical fiber underwear, and usually do not pay attention to the vulva cleaning, etc., may cause bacterial infection, causing vulvitis. basic knowledge Sickness ratio: 40% Susceptible people: no specific people Mode of infection: non-infectious complication:
Cause
Cause of simple vulvitis
(1) Causes of the disease
Stimulation of vaginal secretions: due to increased vaginal secretions or menstrual blood, menstrual pad stimulation, especially cervicitis and various vaginitis, secretions increased, flow to the vulva, can produce varying degrees of vulvitis.
Other stimulating factors: such as 1 diabetes patients with direct stimulation of sugary urine: 2 urine patients with long-term urine impregnation; 3 fecal sputum patients with diarrhea, they will be stimulated by feces when diluted; 4 intestinal mites.
Mixed infections: Due to various stimuli, mixed infections are often caused. The pathogens are often Staphylococcus, Streptococcus, and Escherichia coli.
(two) pathogenesis
When the body's natural epidemic prevention function is destroyed or the body's immune function is degraded, the endogenous flora changes or the exogenous pathogens are immersed, which can cause the disease.
Prevention
Simple vulvitis prevention
1, change the menstrual pad frequently, wear less underwear, usually pay attention to the vulva clean.
2, suffering from cervicitis, vaginitis or cervical cancer caused by excessive vaginal secretions, should pay attention to keep the vulva clean and dry.
3, pay attention to prevent diabetes patients with diabetes, urine of patients with urinary fistula, feces of fecal sputum patients impregnated vulva, pay attention to keep the external cause clean.
Complication
Simple vulvitis complications Complication
If the condition is serious, it can form genital cellulitis, vulvar abscess, inguinal lymphadenopathy, but also cause inconvenience caused by vulvar eczema ulcer. Because urine sugar is beneficial to fungal growth and reproduction, diabetic vulvitis often has white silk. Yeast infection.
Symptom
Simple vulvar inflammation symptoms common symptoms inguinal lymph nodes swelling vulva swelling pruritus diabetes leukocytosis
In the acute phase, the vulva can be swollen, congested, erosive, sometimes forming ulcers or pieces of eczema. The patient feels senile genital burning, itching or pain, especially when urinating, severe inguinal lymph nodes, tenderness, body temperature can be slightly elevated, white blood cells increase.
Diabetic vulvitis, the vulva skin is red, thick, often brown, with scratches, because urine sugar is conducive to mold growth and reproduction, it is often associated with Candida albicans infection.
In the case of chronic inflammation, the vulva is itchy and mossy.
Examine
Simple vulvitis examination
The vaginal secretion smear is checked for cleanliness and clue cells or culture, and specific pathogens such as trichomoniasis, fungi, gonococcus, chlamydia, mycoplasma, and pyogenic bacteria are excluded.
Middle-aged and elderly patients should check urine sugar to exclude vulvitis associated with diabetes.
For young patients and young children, check whether there are any ascaris eggs in the perianal to exclude the genital discomfort caused by the mites.
Diagnosis
Diagnosis and diagnosis of simple vulvitis
Detailed medical history, secretions, traits, whether there are special factors, elderly patients should pay attention to the history of diabetes; attention to young people with or without mites, pay attention to understanding the patient's health habits, chronic patients can appear skin due to long-term stimulation Thickened, rough, chapped, sometimes with moss or hypopigmentation.
Must be differentiated from trichomonas vaginitis, fungal vaginitis, and the secretion can be identified by microscopic examination.
