Non-specific vulvitis

　　1. The weak acid environment can maintain the self-cleaning function of the vulva

　　Under normal circumstances, aerobic bacteria and anaerobic bacteria reside in the vagina, forming a normal vaginal flora. Aerobic bacteria include: bacilli, non-hemolytic streptococci, enterococci, and epidermal staphylococci. Facultative anaerobes include lactobacilli, Gardnerella, and Escherichia coli. Anaerobic bacteria include Streptococcus spp., Peptostreptococcus spp., Bacteroides spp., Fusobacteria spp., and Mobiluncus spp. In addition, there are mycoplasmas and Candida. The vagina forms a balanced ecosystem with these flora, and the vaginal environment affects the flora, while the flora also affects the vulva environment. Lactobacilli dominate in a normal vagina and play a key role in maintaining the normal vaginal flora.

　　2. Pathogens

　　Although there are defense mechanisms of the vulva and vagina, they are prone to contamination due to their proximity to the urethra in front and the anus at the back. The vulva and vagina are also the pathways for sexual intercourse, childbirth, and various intrauterine operations, making them susceptible to injury and infection by various external pathogens. Weak acid-based feminine hygiene products are suitable for daily cleaning and maintenance, maintaining the self-cleaning function of the vulva. In addition, although the vaginal flora is a normal flora, when a large amount of antibiotics is used, hormonal changes occur in the body, or the body's immune ability decreases for various reasons, the ecological balance between the vagina and the flora is disrupted, and opportunistic pathogens may also form.

　　In addition to general symptoms, it can also cause other diseases. This non-specific vulvitis can complicate with vaginal ulcer, urethritis, etc. Therefore, once found, it needs to be treated actively, and preventive measures should also be taken in daily life.

　　Non-specific vulvitis infection often starts from the bottom of a hair follicle, gradually invading many adjacent fat columns, and if it expands to the surrounding area, it invades multiple follicle groups, forming multiple abscesses. Common abscesses are slightly raised, purple-red, with unclear boundaries, with multiple abscess cores in the center. After rupture, it becomes honeycomb-like, and later the central part necrotizes and dissolves, forming a volcanic crater-like collapse, containing a large amount of pus and necrotic tissue. At this time, various pathogens are fighting against our body, manifested as vulvar edema, severe pain, lymphadenopathy, whole-body fever, aversion to cold, body temperature around 38.5℃, and increased white blood cell count.

　　If it is an acute non-specific vulvitis, the symptoms are that the patient first feels discomfort in the vulva, followed by itching and pain, or burning sensation, and the vulvar area (including the labia majora and minora, clitoris) skin and mucosa may have varying degrees of swelling and congestion. The symptoms of chronic non-specific vulvitis are mainly manifested as vulvar itching, thickening, roughness, fissuring, and can also be accompanied by dysuria or sexual pain.

　　Many women suffer from vulvovaginitis, but if we pay more attention to the details of life, we can possibly keep vulvovaginitis out of the door.

　　1. Develop healthy living habits:Sufficient sleep, regular diet, eat more fruits and vegetables, appropriate exercise, relieve stress and tension.

　　2. Good hygiene habits:Pay more attention to public facilities, wear loose cotton underwear, try not to use sanitary napkins and pads, wash the vulva daily, and use a feminine hygiene fluid with a weak acid formula suitable for daily cleaning and maintenance. But try to avoid washing the vagina.

　　3. Pay attention to contraception and the treatment of irregular menstruation:Bacteria are easy to breed after abortion, and if the menstrual period is too heavy or too long, the blood in the vagina is the best breeding ground for bacteria, so it is best to receive menstrual regulation treatment.

　　4. Infection from the outside world:Contacting the toilet seats, bathtubs, hot tub chairs, towels of public places infected with pathogens, using unclean toilet paper, can all cause infection.

　　Routine stool examination, urine sugar, and routine gynecological examination of the vagina. Routine gynecological examination includes: bimanual gynecological examination, electronic colposcopy, gynecological ultrasound examination, vaginal B-ultrasound examination, etc. Gynecological ultrasound examination is usually B-ultrasound or transvaginal ultrasound, mainly to check the health status of the uterus, ovaries, pelvis, and adnexa. Electronic colposcopy is a clinical diagnostic instrument for male and female gynecology. It is suitable for the diagnosis of various cervical diseases and reproductive organ lesions (diseases). It can magnify the observed images by 10-60 times, and discover microlesions that cannot be seen with the naked eye.

　　1. Diet recipe

　　1. Crucian Carp and Red Bean Soup

　　Ingredients: 1 crucian carp, 60 grams of red beans.

　　Method: Remove the head, tail, and bones from the crucian carp, take the meat and red beans to cook until the beans are soft, and take in two doses.

　　Indications: Excessive leukorrhea, dampness and heat.

　　2. Poria Cocos and Glutinous Rice Porridge

　　Ingredients: Poria cocos 30 grams (ground into powder), glutinous rice 30-60 grams.

　　Method: Boil glutinous rice, add flour of poria cocos when half-cooked, mix well, and then cook until done. Take it on an empty stomach.

　　Indications: Traditional Chinese medicine is diagnosed as spleen deficiency and dampness.

　　2. What patients should eat

　　1. Eat more loofah, watermelon, red beans, and other mild diuretic foods.

　　2. Eat more fresh vegetables and fruits to keep the bowels smooth.

　　3. Drink more water; prevent urinary tract infections.

　　3. What patients should not eat

　　1. Abstain from spicy foods:Spicy foods (chili, ginger, scallion, garlic, etc.) are easy to produce dryness and heat when eaten in large quantities, causing internal organs to accumulate heat toxins, leading to symptoms such as swollen gums, mouth ulcers, short and dark urine, burning anus, and pruritus ani, which can worsen the symptoms of the disease.

　　2. Abstain from seafood allergens:Seafood and other seafood products such as mandarin fish, yellow fish, hairtail fish, black fish, shrimps, and crabs can promote dampness and heat, and can worsen vulvar itching after eating, which is not conducive to the regression of inflammation, so they should be avoided.

　　3. Abstain from sweet and greasy foods:Fatty foods such as lard, fatty pork, butter, beef fat, and mutton fat, and high-sugar foods such as chocolate, candy, sweet pastries, and cream cakes, these foods have the effect of promoting dampness and heat, which can increase the secretion of leukorrhea and affect the effectiveness of treatment.

　　4. Abstain from smoking and alcohol:Smoking can worsen the disease, as nicotine in tobacco can weaken the binding force of arterial blood and oxygen, and alcohol can enhance dampness and heat, so it should be avoided. Similarly, drinks containing alcohol such as rice wine and medicinal wine are not suitable for drinking.

　　1. Cause treatment

　　Actively search for the cause, if diabetes is found, diabetes should be treated, and if there is a urinary fistula or fecal fistula, timely repair surgery should be performed.

　　2. Local treatment

　　Use 0.1% polyvinyl pyrrolidone iodine solution or Joyan wash solution for sitz bath, twice a day, each time for 15-30 minutes. After sitting in the bath, apply antibiotic ointment or Joyan disinfectant gel. Once or twice a day. Local physical therapy such as microwave or infrared can also be used in the acute stage.