Thursday 6 March 2008

Simple genital inflammation

Simple genital inflammation


[Summary]



Refers to the genital inflammation of the skin or mucosa. Sub-acute and chronic two. As genital and urethra, anus neighbouring action by the legs when the friction, so all of the Department's genital inflammation may be affected.



[Diagnosis]




(A) asked in detail about history, the number of secretions, traits, whether special factors. Attention should be paid to the elderly patients there a history of diabetes; young to pay attention to whether the pinworm. Attention to the understanding of the health habits.

(B) whether special inspection infected secretions, such as mold, trichomonas, such as Entamoeba.

(C) if necessary, check urine sugar, Zha Microscopy.


[Treatment]




(1) treatment causes: First, should address the reasons for the treatment, except for cause, such as the treatment of diabetes, intestinal pinworm, fistula repair, treatment of a variety of reasons and cervicitis vaginitis. Should be less acute, bed rest should be heavier. Pay attention to nutrition, enhance immunity and, when necessary, against pathogens oral or intramuscular injection of antibiotics.

(B) local treatment: 1 / 5000 of potassium permanganate solution hip bath, coating Shikonin oil or antibiotic ointment, such as tetracycline or ointment, such as chlortetracycline.


[Etiology:




Mainly due to unawareness of Health and genital stimulation by the following factors:

(A) stimulate vaginal secretions: Since increased vaginal secretions or blood, menstrual pad stimulate, in particular various vaginitis and cervicitis, secretions increased flow to the genital, can produce different degrees of genital inflammation.

(B) Other incentives: If ① diabetic patients directly stimulate urine sugar: ② urine in patients with long-term repeated urine impregnation; ③ fecal fistula patients when diarrhea, stool will be diluted when the stimulation of intestinal ④ pinworm.

(C) mixed infections: As many stimulating, and often cause mixed infections, bacteria often staphylococcus, streptococcus, E. coli.


[Clinical]




Acute visible genital swelling, congestion, erosion and ulcers sometimes formed into tablets or eczema. Consciously, with perineal burning, itching or pain, especially when urination. Serious inguinal lymphadenopathy, tenderness, the temperature can be slightly increased, leukocytosis.

Diabetic genital inflammation, genital skin redness, thickness,常呈brown, Zhuagen. As urine sugar conducive to mold growth and reproduction, Guchang infected with Candida albicans.

Chronic inflammation genital itching, and a moss.

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