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外陰瘙癢症外陰瘙癢的原因

Hot 2Viewed 227 times28-4-2023 07:16 PM

 對於很多女性來說,外陰瘙癢是比較常見的一種婦科疾病了,很是困擾女性朋友,那麼大家知道外陰瘙癢症是怎麼樣的嗎,外陰瘙癢症的偏方是什麼呢,下面就讓我們一起來了解一下外陰瘙癢吧。

  外陰瘙癢的原因

  1.疾病

  可引起外陰瘙癢症狀的疾病,如:外陰炎、外陰磷上皮增生、外陰硬化苔蘚、滴蟲性陰道炎、外陰陰道念珠菌病、細菌性陰道病,年輕女性外陰陰道炎、老年性陰道炎、蟯蟲、疥瘡和蝨子等。

  2.其他

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  藥物過敏或化學藥物刺激,如肥皂、衛生巾、不良衛生習慣等,均可能造成外陰瘙癢。

  臨床表現

  1.外陰炎

  多發生於小陰唇內、外側或大陰唇,嚴重時可波及整個外陰部,多訴外陰皮膚瘙癢、疼痛、燒灼感、於活動、排尿或生殖時加重。查體見局部充血、腫脹。常有抓痕,並可有濕疹或潰瘍,慢性炎症者皮膚或粘膜增厚、粗糙,可有皸裂。

  2.外陰磷上皮細胞增生

  外陰瘙癢是特徵性的症狀,寬容,往往表現出更多的癢多抓,越抓越癢。

  3.外陰硬化性苔蘚

  主要症狀為病損區瘙癢、痛及外陰燒灼感,程度較外陰鱗狀上皮增生患者輕,晚期可出現困難。幼女患者瘙癢症狀多不明顯,可能在排尿或排便後感外陰或肛周不適。

  外陰瘙癢的檢查

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  1.外陰炎

  查體見局部充血、腫脹。須能進一步查找原因,可了解有無滴蟲,念珠菌或細菌感染,必要時查血糖,以及除外蟯蟲病等。

  2.外陰磷上皮細胞增生

  婦科檢查

  病變部位多為大陰唇,陰唇間溝和後聯合處,常呈對稱性;早期表現為皮膚顏色暗紅或粉紅,角化過度部位則呈白色;晚期則皮膚增厚,皮紋增深,色素增加,成多角行扁平丘疹,出現苔蘚樣改變;有時出現潰瘍長期不癒合,特別是有結節隆起時,應注意有惡變可能。

  3.外陰硬化性苔蘚

  婦科檢查

  典型的症狀是外陰萎縮,表現為小陰唇變小,甚至消失;小陰唇變薄,陰蒂萎縮、包皮過長;皮膚顏色變白,有光澤,收縮,彈性差,常伴有皸裂和脫皮。病變通常是對稱的,並且可以在會陰和肛門週內,並是一隻蝴蝶。

  早期病變較輕,皮膚紅腫、出現粉紅、象牙白色或有光澤的多角形小丘疹,丘疹融合成片後呈紫癜狀;若病變進一步發展可形成典型的臨床表現;晚期病變皮膚菲薄、皺縮似捲菸紙或羊皮紙,陰道口攣縮狹窄。

硬化性苔蘚極少進展到浸潤癌,但浸潤癌周圍可以有硬化性苔蘚。由於幼女病變過度角化不似成年人明顯,檢查見局部皮膚呈珠黃色或與色素沉著點相間形成花斑樣,若為外陰及肛周病變,可呈現鎖孔狀或白色病損環。多數患者的病變在青春期可自行消失。

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  外陰瘙癢的診斷

  根據病史及臨床表現診斷不難,確診需病理。

  外陰瘙癢的治療

  一旦疾病發生,宜儘早去醫院檢查,早期診斷,正確及時治療。

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