ම ම ල ප ය අන ථ ල ප යක වන න ව නත ක ස ම ල ප යක ම ය ව ත න බ ඳ න බ ව න කර ණ කර ම ම ල ප යට ආශ ර ත ල ප වල න සබ ඳ එක කරන න ය ජන

බොහෝ කොටම යෝනිය ආසාදනය හෝ irritationබව නිසා වැලඳෙන රෝගයකි යෝනිමාර්ග ප්‍රදාහය. This leading to vulvovaginitis. It is a common problem.

යෝනිමාර්ග ප්‍රදාහය (Vaginitis)
වර්ගීකරණය සහ බාහිර මූලාශ්‍ර
-	76.0-76.1
-	616.1
	14017
eMedicine	med/3369 med/2358 emerg/631 emerg/639

රෝග ලක්‍ෂණ

A woman with this condition may have or and may notice a . In general, these are symptoms of vaginitis:

යෝනිය සහ අවට කැසීම
ප්‍රදාහය (irritation, redness, and swelling caused by the presence of extra immune cells) of the labia majora, labia minora, or perineal area
යෝනි මාර්ගයෙන් ස්‍රාව ගැලීම
‍අප්‍රසන්න ගන්ධය
ම්‍රතා පහකිරීමේ අපහසුව සහ මුත්‍රා දැවිල්ල
යෝනි සංසර්ගයේදී වේදනාව

හේතු

Vulvovaginitis can affect women of all ages and is very common. Specific forms of vaginitis are:

ආසාදන

Infectious vaginitis accounts for 90% of all cases in reproductive age women and is represented by the triad:

: vaginitis caused by (a yeast),
: vaginitis caused by (a bacterium).

Other less common infections are caused by , , , , and some .

Vaginal infection are often (varies between countries between 20 to 40% of vaginal infections) a mix of various ethiologies, which present challenging cases for treatment. Indeed, when only one cause is treated, the other pathogens can gain in resistance and induce relapses and recurrences. The key factor is therefore to get a precise diagnosis and treat with broad spectrum anti-infective (often also inducing adverse effects).

Pre-pubescent girls may also have infectious vaginitis, although the causes are different than those for women:

: vaginitis caused by .
Improper hygiene, which may introduce bacteria or other irritants from the to the vaginal area.

The PH balance in girls' bodies is not conducive to , so they are unlikely to contract a yeast infection.

හෝමෝනීය

Hormonal vaginitis includes vaginitis usually found in postmenopausal or women. Sometimes it can occur in young girls before . In these situations the support of the vagina is poor.

අසාත්මිකතා

Irritant vaginitis can be caused by allergies to condoms, spermicides, soaps, perfumes, douches, lubricants and semen. It can also be caused by hot tubs, abrasion, tissue, tampons or topical medications.

Foreign body

Foreign Body Vaginitis: Foreign bodies (most commonly retained tampons or condoms) cause extremely malodorous vaginal discharges. Treatment consists of removal, for which ring forceps may be useful. Further treatment is generally not necessary.

Role of STDs

(STDs) can be a cause of vaginal discharge. and testing should be done whenever a sexually active individual complains of vaginal discharge even when the cervix appears normal.

මධු මේහය (දියවැඩියාව)

කාන්තවන්who have diabetes develop infectious vaginitis more often than women who do not. play clash of clan

Diagnosis

Diagnosis is made with and of the discharge after a careful history and physical examination have been completed. The color, consistency, acidity, and other characteristics of the discharge may be predictive of the causative agent. The codes for the several causes of vaginitis are:

(37.) Candida Vaginitis usually causes a watery, white, cottage cheese like vaginal discharges. The discharge is irritating to the vagina and the surrounding skin.

(95.2) (or "Senile Vaginitis") usually causes scant vaginal discharge with no odour, dry vagina and painful intercourse. These symptoms are usually due to decreased hormones usually occurring during and after .

(96.3) usually causes a discharge with a fish-like odour. It is associated with itching and irritation, but not pain during intercourse.

(59.0) Trichonomas Vaginitis can cause a profuse discharge with a fish-like odour, pain upon urination, painful intercourse, and inflammation of the external genitals.

(60.0) usually occurs as on the genital region, about one week after infection. There is tenderness, swollen glands, and fever. The water blisters are extremely painful and heal in about three weeks. However, herpes is usually an external infection and does not fall under the category of vaginitis.

Complications

persistent discomfort
superficial skin infection (from scratching)
complications of the causative condition (such as gonorrhea and candida infection)

References

Egan ME, Lipsky MS (2000). "Diagnosis of vaginitis". Am Fam Physician. 62 (5): 1095–104. PMID 10997533. 2011-06-06 දින මුල් පිටපත වෙතින් සංරක්ෂණය කරන ලදී. සම්ප්‍රවේශය 2009-05-15.
Jaquiery A, Stylianopoulos A, Hogg G, Grover S (1999). "Vulvovaginitis: clinical features, aetiology, and microbiology of the genital tract". Arch. Dis. Child. 81 (1): 64–7. doi:10.1136/adc.81.1.64. PMC 1717979. PMID 10373139.{{}}: CS1 maint: multiple names: authors list ()
Brook I (2002). "Microbiology and management of polymicrobial female genital tract infections in adolescents". J Pediatr Adolesc Gynecol. 15 (4): 217–26. doi:10.1016/S1083-3188(02)00159-6. PMID 12459228.
Joesoef MR, Schmid GP, Hillier SL (1999). "Bacterial vaginosis: review of treatment options and potential clinical indications for therapy". Clin. Infect. Dis. 28 Suppl 1: S57–65. doi:10.1086/514725. PMID 10028110.{{}}: CS1 maint: multiple names: authors list ()
Pirotta M; et al. (2004). "Effect of lactobacillus in preventing post-antibiotic vulvovaginal candidiasis: a randomised controlled trial". BMJ. 329 (7465) (Aug 27): 548. doi:10.1136/bmj.38210.494977.DE. {{}}: Explicit use of et al. in: |author= ()
Ozkinay E; et al. (2005). "The effectiveness of live lactobacilli in combination with low dose estriol to restore the vaginal flora after treatment of vaginal infections". IBJOG. 112: 234–240, quiz 440–1. doi:10.1111/j.1471-0528.2004.00329.x. {{}}: Explicit use of et al. in: |author= ()

Tori Hudson (2007). Women's Encyclopedia of Natural Medicine. New York: McGraw-Hill. ISBN .
සංරක්ෂිත පිටපත, http://diabetes.about.com/od/preventingcomplications/a/yeast.htm, ප්‍රතිෂ්ඨාපනය 2009-05-15

Reed BD, Slattery ML, French TK (1989). "The association between dietary intake and reported history of Candida vulvovaginitis". J Fam Pract. 29 (5): 509–15. PMID 2553850.{{}}: CS1 maint: multiple names: authors list ()
Rodgers CA, Beardall AJ (1999). "Recurrent vulvovaginal candidiasis: why does it occur?". Int J STD AIDS. 10 (7): 435–9, quiz 440–1. doi:10.1258/0956462991914429. PMID 10454177.