යෝනිමාර්ග ප්‍රදාහය

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

රෝග ලක්‍ෂණ
A woman with this condition may have itching or burning and may notice a discharge. 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:
 Candidiasis: vaginitis caused by Candida albicans (a yeast), 
 Bacterial vaginosis: vaginitis caused by Gardnerella (a bacterium). 

Other less common infections are caused by gonorrhea, chlamydia, mycoplasma, herpes, campylobacter and some parasites.

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:
 Bacterial vaginosis: vaginitis caused by Streptococcus spp..
 Improper hygiene, which may introduce bacteria or other irritants from the anal region to the vaginal area.
The PH balance in girls' bodies is not conducive to Candida albicans, so they are unlikely to contract a yeast infection.

හෝමෝනීය
Hormonal vaginitis includes atrophic vaginitis usually found in postmenopausal or postpartum women. Sometimes it can occur in young girls before puberty. In these situations the estrogen 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
Sexually Transmitted Diseases (STDs) can be a cause of vaginal discharge. Chlamydia and gonorrhea 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 microscopy and culture 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 International Statistical Classification of Diseases and Related Health Problems codes for the several causes of vaginitis are:

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

 () Atrophic vaginitis (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 menopause.

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

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

 () Herpes usually occurs as water blisters 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

See also
 Vulvovaginal health
 Atrophic vaginitis

Category:General practice
Category:නාරිවේදය
ප්‍රවර්ගය:ප්‍රදාහ

ප්‍රවර්ගය:නාරිවේදය