Treatment of vulvar injury
First aid for vulvar injury is one of the first aid methods. The tissue here is thin, the nerves are sensitive and the blood vessels are rich. After the injury, the injury is heavy and painful. Common injuries include hematoma, contusion and laceration, bleeding, etc.
Due to accidental fall, such as falling from a height, the perineum just rides on hard objects, such as stones, wooden sticks or violent collision, kicking, violent landing of vulva, etc. The clinical manifestations are mostly pain and bleeding.
If it happens in a grass-roots unit, you can have a gynecological examination if you have medical conditions to understand the injury.
1, superficial vulvar injury, less bleeding, local cleaning, pressure hemostasis, observation and follow-up.
2. The vulva laceration is deep, the amount of bleeding is large, local cleaning, pressure hemostasis, injection of hemostatic agent and transfer to hospital for treatment.
3. Small hematoma shows no laceration, pressurized hemostasis, local cold compress within 24 hours, and then hot compress. Raise your hips with a pillow and observe the hematoma. If there is no change, the hematoma can be gradually absorbed after treatment.
4, a large hematoma and continue to expand, should prevent a huge hematoma, clean up the wound, compression hemostasis, conditional can be given to stop bleeding and rehydration, and immediately transferred to hospital for treatment.
Harm of vulvar infection
Vulvar infection is more harmful. Because of the physiological fragility of female reproductive tract, it is easy to be infected by bacteria, viruses, mycoplasma and so on. Besides the reproductive tract itself, it will also cause a series of complications. Repeated reproductive tract infections can lead to genital tumors, menstrual disorders, infertility, pregnancy diseases, obstetric diseases and so on. Reproductive tract infection first affects women themselves. Nonspecific vaginitis, trichomonal vaginitis, fungal vaginitis, gonococcus vaginitis, non-gonococcus vaginitis, condyloma acuminatum, mycoplasma and chlamydia, toxoplasmosis and other infections. They all bring pain to women and seriously affect work, study and normal life, family harmony and the next generation.
Besides, some diseases are highly contagious. These diseases can be directly transmitted to others through sexual activities, clothing, utensils and articles, affecting the relationship between husband and wife and even social stability. In the west, the prevalence of sexually transmitted diseases such as AIDS has become a serious social problem. In China, although it is not so serious, the area and quantity of sexually transmitted diseases are increasing day by day, which has reached a worrying level.
The occurrence and spread of reproductive tract diseases directly affect women's mental health. Reproductive tract infectious diseases are usually called? Hard to say? Suffering from this disease often makes people fidget, which often leads to mental disorders, reduces work efficiency, weakens women's will, and psychologically causes depression and inferiority. Serious incurable patients will also have suicidal thoughts, which has to attract people's attention.
Western medicine believes that the vaginal environment is often unstable due to the metabolites of the host, the products of the bacteria themselves and exogenous factors (sexual intercourse, washing and other interference). Vaginal flora is very complicated. In addition to protozoa and fungi, there are many aerobic and anaerobic bacteria. These microorganisms can be divided into * * * and pathology, and they all grow in the same environment, in which there may be citrinin.
Another factor affecting its growth is the concentration of hydrogen ions. When the pH value is 3.8 ~ 4.2, it is beneficial to the reproduction of living bacteria, especially lactobacillus, which is the main strain in healthy vagina. The density of vaginal fluid can reach 105 ~ 108 ml. When the vagina is infected by microorganisms, if Lactobacillus is dominant, the pH can still be maintained at 3.8 ~ 4.
Others, such as Lactococcus, Enterobacter, Proteus, Gaffky and Weiyongqiu, are common in the lower vagina and usually do not produce symptoms. Vaginal flora restricts each other, which makes pathological bacteria unable to play their role. If this balance is broken, the mutual restriction disappears, so the concentration of hydrogen ions decreases, lactic acid bacteria lose their advantages, and pathological bacteria can reproduce, resulting in symptoms.
Therefore, it is unscientific to use alkaline shower gel or tap water for cleaning. Drug lotion, disinfection pad, etc. are often used. It is also easy to destroy the weak acidic environment of vagina and maintain the self-cleaning function of vagina. Female care liquid or natural soap with weak acid formula of Ph4 is more suitable for daily cleaning and maintenance, and Alice natural soap can be used every day. Of course, don't forget to prepare a male care solution for him to use when using Jiao Yan female care solution every day.
Diagnosis of vulvar injury
1, vulvar hematoma
The common causes of vulvar bleeding are falls and bumps, and can also be seen in sexual intercourse injuries. The subcutaneous and submucosal tissues of vulva are loose and rich in blood vessels. Once blood vessels are ruptured, it is easy to form hematoma, and local tissues often have obvious swelling, falling sensation and severe pain. Hematoma can spread upward through paravaginal tissue to the broad ligament and even the fat sac around the kidney. Severe bleeding may be accompanied by hemorrhagic shock. Check that the skin swelling on the vulva surface is dark purple and shiny, and in severe cases, the hematoma extends to the pubic bone. Hematoma has great tension and obvious tenderness. If there is a tear on the surface, there is bleeding. Patients with vulvar hematoma must be examined in detail to make sure whether there is laceration in urethra and vagina. Vulvar hemorrhage is easy to be complicated with infection, which should be paid attention to.
2. Hymen tears
Most of them are caused by the first sexual intercourse, and the degree of laceration can be different. Generally, the injury is not serious, and only a small amount of bleeding and pain can heal itself. Check that there is a small tear in the hymen. The edge of the tear is dark red and there is a small amount of blood. However, in the process of sexual intercourse, if the movements are rough and the posture is wrong, or the vagina is shortened after childbirth, elderly women or surgery, or even the lower part of the vulva, vault or vestibule is involved, it can cause serious bleeding and often lead to serious laceration. The degree of laceration can be known by vulva and vagina examination. In addition, accidental injury can also cause hymen laceration.
3, vulva delivery injury
The common causes of vulvar delivery injury are too thick perineum, too strong labor force, too large fetus, improper fetal position and improper operation. The clinical manifestations are local bleeding and pain. During the examination, lacerations can be found in the vestibule, around the urethra, inside the labia minora, perineum, vagina, etc., and sometimes hematoma can appear in many soft tissues.
Perineal laceration can be divided into three degrees: 1 degree laceration: it refers to the laceration of perineal skin, mucosa, labia frenum, vestibular mucosa and vaginal mucosa. , but does not involve the muscle layer, generally there is not much bleeding; Second-degree laceration: refers to tearing involving pelvic floor muscles and fascia, such as corpus cavernosum, superficial transverse perineum and levator ani, but the anal sphincter remains intact; Second degree laceration: refers to the total or partial tearing of anal sphincter, even tearing the anterior wall of rectum. In the latter two cases, there is more local bleeding, and if it is not sutured in time, it can also cause shock due to continuous bleeding.
People who have seen how to deal with vulvar injury will also see:
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