Синехии – это заболевание, которое встречается у девочек и мальчиков. Характеризуется спайками половых губ у девочек и сращением головки полового члена с внутренним листком крайней плоти у мальчиков, которые бывают как врожденными, так и приобретенными.
Синехии бывают частичными (когда срастается 1/3 части половых губ) и полными (полное срастание). Как правило, чаще наблюдается сращивание малых половых губ, нежели больших.
Как выглядят синехии и как самостоятельно провести диагностику
Любая мамочка сможет самостоятельно определить наличие синехии у своей малышки, так как она тоже ведь девочка и кто, как не она, знает строение женских половых органов.
Итак, проводя диагностику данного заболевания, следует обратить внимание на:
- Правильное строение половых органов у дочери;
- Малые и большие половые губы должны находиться «отдельно» друг от друга;
- Должен хорошо быть виден вход во влагалище и мочеиспускательный канал;
- Мочеиспускание не должно сопровождаться затруднениями и плачем.
Если синехии заметить вовремя на ранней стадии, то лечение будет проходить быстрее и легче.
К кому обратиться за помощью
При обнаружении симптомов, сопровождающих синехии, нужно обратиться к детскому гинекологу. Он возьмет соответствующие анализы и после получения результатов назначит лечение. В зависимости от тяжести заболевания, лечение может быть консервативным или хирургическим.
Также на приеме у доктора мама получит рекомендации по поводу гигиены ребенка, правильному уходу и диете. Специалист лучше всех знает, как у девочек лечить синехию, поэтому поможет и вашей дочке! Главное прислуйшивайтесь ко всем советам врача.
Опасности синехии
Данное заболевание опасно тем, что когда у малышки срастаются половые губы (будь то малые или большие), во влагалище скапливаются вагинальные выделения, которые провоцируют размножение патогенной микрофлоры. А затрудненное мочеиспускание может вызвать воспаление и цистит.
Лечение синехии у девочек разными методами
Существует также бессимптомное протекание болезни. Оно слабо выражено (или его вовсе не заметно). Ребенок при этом также может не испытывать особого дискомфорта, с её половыми органами всё в порядке, может ощущаться только пощипывание в промежности. В таком случае лечения никакого не требуется – организм малышки сам справляется с болезнью.
Но ряд гигиенических процедур должен проходить регулярно.
Массаж, травяные ванночки и гигиена
Полезными для кожи ребенка будут ванны с использованием трав ромашки, календулы, и шалфея, а также с содой. При нетяжелой стадии заболевания ванночки, массаж и гигиенические процедуры могут решить проблему.
Массаж проводится легкими движениями рук, не слишком нажимая на кожу, но при этом постепенно разъединяя половые губы.
Перед всяким лечением следует выяснить причину возникновения данного заболевания. Когда мамочка обратиться к детскому гинекологу с такой проблемой, доктор может взять мазок из влагалища ребенка на бакпосев, дать направление на анализ мочи и кала.
Применяем специальные мази
При легкой форме заболевания можно избежать хирургического вмешательства и для лечения могут понадобиться лишь гормональные мази. Их наносят на половые губы ребенка руками (не ватными палочками или дисками) после гигиенических процедур строго на поврежденную ткань!
Если же заболевание не проходит, несмотря на использование соответствующих мазей, то существует вероятность аллергии у ребенка на какие-либо продукты.
Такая аллергия будет иметь вид ярко выраженной розовой полоски около больших половых губ, спускающейся к анусу. В таком случае следует продолжать лечение, но при этом тщательно пересмотреть рацион малышки и исключить продукты, которые возможно вызывают аллергию.
Но некоторые врачи могут не назначать гормональные мази, а прописать ванночки с ромашкой и календулой. Лечение синехии на ранней стадии заболевания длится примерно 2-4 недели.
Эта статья больше посвящена лечению, а более подробно про синехии у девочек вы можете почитать в нашем отдельном материале. Надеемся, что вы найдете его полезным!
Что вы знаете о признаках сахарного диабета? Здесь мы рассказываем, как родителям распознать болезнь и вовремя обратиться к доктору.
Когда нужна операция и насколько она болезненна?
При сильно выраженной синехии врач может прибегнуть к помощи хирурга. Самым основным показателем к хирургическому вмешательству относится задержка мочи.
Не нужно сопротивляться такому методу, потому что при неэффективном гормональном лечении заболевание будет усугубляться, принося при этом ребенку не только боль и дискомфорт, но и возрастающее воспаление и инфекцию.
А тем более, что благодаря современному оборудованию в медицине, такое хирургическое вмешательство проходит практически безболезненно. Такой метод лечения обходится без крови и боли, а облегчение наступает сразу, ведь больше ничто не мешает спокойно писать.
После такой операции следует смазывать вульву ребенка раствором витамина А, дабы избежать рецидива.
Последствия болезни
Нужно всегда помнить о том, что синехии следует лечить обязательно. Серьёзность данного заболевания может ограничиваться не только хроническим состоянием, но и прогрессировать, вызывая при этом неправильное формирование промежности, которое в дальнейшем приводит к нарушению детородной функции, угрозе прерывания, систематическому невынашиванию беременности и, что хуже, даже к бесплодию.
Профилактика синехий
Профилактические меры во избежание синехии включают в себя:
- Ежедневные гигиенические процедуры в правильном проведении (девочек подмывать нужно только спереди назад, чтобы не занести инфекцию во влагалище с заднего прохода);
- Использование нижнего белья только из натуральных тканей и соответствующего размера;
- При достижении ребенком более старшего возраста обязательно нужно посещать детского гинеколога;
- Промежность ребенка должна поддерживаться в чистоте, не используя для подмывания мочалок или губок;
- Мыло, которое используется для подмывания, должно быть детским, без красителей, без отдушек и парфюмерии;
- Не следует злоупотреблять использованием подгузником и чаще их менять.
Следует принять тот факт, что после лечения могут быть рецидивы. Тогда обязательно нужно повторно обратиться к врачу. Если рецидив произошел после хирургического вмешательства, то не факт, что оно потребуется снова, врач самостоятельно может провести разведение синехий половых губ ребенка и назначить мази, в состав которых входит календула и ромашка.
А вот самостоятельно использовать раствор марганцовки не нужно.
Итоги
- Синехии у девочек имеют вид сращивания половых губ, как между собой, так и с соседней (малая с большой).
- Лечение синехии крайне необходимо, потому что в этот период происходит возрастающая инфекция.
- В зависимости от стадии заболевания лечение может быть консервативным и оперативным. А иногда хватает и простого разделения синехий опытным доктором.
- При обнаружении симптомов, характеризующих синехии, следует обратиться к детскому гинекологу.
- Такое заболевание опасно неправильным формированием промежности, которое в дальнейшем может стать причиной нарушения детородной функции.
- С помощью профилактических мер можно избежать начала такого заболевания.
Видеоролик
Опытная врач-педиатр рассказывает о правилах интимной гигиены новорожденных и грудных девочек. Посмотрите ее советы:
В наше время очень многие малыши страдают артритом. Мы посвятили целую статью тому, как лечить ревматоидный артрит у детей. Если вы столкнулись с этой болезнью, наши советы окажутся вам очень полезными.
Вам больше по душе народные методы? Здесь мы рассказываем как применять их в лечении детских артритов.
А если вы до сих пор не понимаете, откуда у вашего ребенка взялся артрит, то возможно наша статья о причинах ревматоидных артритов вам поможет.
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