Детская синехия: почему возникает и как защитить ребёнка?

Синехии у девочекСинехией называют образование спаек между внутренними органами или внешними частями тела. Чаще всего синехии проявляются у девочек в виде срастания малых половых губ, реже – малых и больших губ. В целом такое явление не представляет опасности и является скорее незначительным дефектом развития, но в случае образования между губами плёнки, затрудняющей мочеиспускание, потребуется лечение.

Причины синехии у девочек и откуда появляется эта проблема

Самая распространённая причина срастания половых губ – врождённая патология. Недостаток в организме матери во время беременности женского гормона, эстрогена, может вызвать недоразвитие внешних половых органов ребёнка. Кроме того, выделяют несколько других возможных причин развития синехии.

Чрезмерная гигиена внешних половых органов

Причины синехии у девочекЧасто бывает так, что мама, будучи сама излишне чистоплотной и боясь за ребёнка, злоупотребляет средствами гигиены. Если совсем маленькую девочку подмывать несколько раз в день, при чём каждый раз используя для этого мыло, есть все шансы повредить слизистую вульвы. Негативное воздействие содержащегося даже в самом мягком детском мыле щёлока, жёсткая вода и трение – всё это вызовет покраснение и лёгкое воспаление половых губ. Когда повреждения начинают заживать, губы нередко спаиваются – начинается их сращивание, то есть развивается синехия. Но не следует думать, что интимная гигиена не нужна – её отсутствие и недобросовестное мытьё приведёт к ещё большему количеству заболеваний! Просто во всём нужно знать меру.

Ношение тесной, неудобной, синтетической одежды и белья

Если речь идёт не о младенце, а о девочке постарше (синехия обычно развивается у детей в возрасте до 8 лет), травмирование вульвы может происходить из-за некачественной одежды или не по размеру подобранного белья.

Сращивание половых губ происходит так же, как и в случае с чрезмерной гигиеной, но в условиях частых травм (бельё с большим количеством швов) и скопления пота (например, от синтетики) синехия может усугубиться воспалением.

Попадание бактерий из мочевых путей

В следствии инфицирования слизистой вульвы запускается воспалительный процесс – часто он может протекать достаточно незаметно или маскироваться под обычное покраснение. При заживлении без должного ухода также возникнет синехия.

Инфекция половых органов

Синехии у девочки из-за инфекцииСинехии малых губ у девочек могут сформироваться при длительном воспалительном процессе в половых органах – вульвовагините. Не стоит удивляться возникновению такого «взрослого» заболевания у маленького ребёнка. Девочка может легко подхватить любой из возбудителей инфекции, купаясь в природном водоёме (грибок) или из-за пользования чужим полотенцем или мочалкой – этот тип бактерий хорошо сохраняется во влажной среде и часто передаётся бытовым путём.

Поэтому приучить ребёнка пользоваться только своим вещами нужно как можно раньше. Навредить могут и сами родители, подмывая малышку грязными руками или стирая бельё девочки вместе со взрослыми вещами. Последнего делать никогда не стоит: лучше его стирать отдельно, прокипячивая и проглаживая утюгом, чтобы исключить попадание инфекций со взрослых вещей.

Если синехия, вызванная вульвовагинитом, возникла у грудной девочки, скорее всего, половая инфекция передалась девочке при родах от матери, когда был контакт с её половыми органами.

Аллергия

Часто при возникновении у ребёнка кожных аллергий родители настолько заняты лечением её внешнего проявления, что абсолютно забывают о другой поражаемой зоне – слизистых. Слизистая оболочка вульвы также может быть повреждена, и при отсутствии лечения на ней возникнет синехия. Теперь давайте обсудим, как у девочек выглядят синехии половых губ и на что обратить внимание маме.

Лечение синехииЛечение синехии у девочек – это отдельный разговор, которому мы посвятили целую статью. Если с вашей дочкой случилась эта проблема – не проходите мимо такой информации. Проблемы с половыми органами бывают и у мальчиков. Здесь мы рассказываем о водянке яичек.

Симптомы синехии и возможные осложнения для девочки

Фото синехии у девочек

Фото синехии у девочек

Синехия проявляется в виде спайки между половыми губами, которая часто сопровождается покраснением, сыпью и шелушением. У ребёнка затрудняется мочеиспускание: девочка явно испытывает дискомфорт, тужится, капризничает и плачет, до последнего терпит и отказывается ходить в туалет. Все эти симптомы говорят о начавшейся синехии. Само схождение половых губ как таковое не опасно: они не срастаются до конца, и часто даже не мешают мочеиспусканию – в таких случаях никакого вмешательства не проводится.

Какими осложнениями опасна синехия?

  1. Во-первых, при образовании спайки половых губ закрытое пространство становится просто идеальным местом для скопления инфекций, которые оттуда смогут распространиться не только на внешние, но и на внутренние половые органы. Иметь в организме готовый очаг заболевания мочеполовой системы – не лучший выход.
  2. Во-вторых, синехия может перерасти в хронический процесс и с возрастом не исчезнуть, а прогрессировать. Такое развитие заболевание получает лишь в 20% случаев, но возможность попасть в это меньшинство всегда имеется.


Если синехия не проходит, то с ростом и развитием девочки промежность и внешние половые органы формируются неправильно. Это накладывает свой отпечаток на массу процессов в организме, в том числе детородную функцию: угрозе срыва беременности, невозможности выносить ребёнка. Именно поэтому обнаруженную синехию или подозрение на неё нельзя бросать на самотёк: за развитием заболевания должен следить врач.

Диагностика и лечение синехии

Диагностика и лечение синехииДля обнаружения синехии не требуется сдавать никаких анализов – достаточно лишь самого обычного медицинского осмотра. В случае, если Вы обнаружили у ребёнка срастание половых губ или хотя бы подозрение на него, необходимо обратиться к врачу для определения дальнейших действий. Часто, избегая лекарств и оперативного вмешательства, синехию оставляют, как есть, регулярно отслеживая возможные воспаления. Синехия развивается у девочек разного возраста одинаково, но вот заниматься её лечением будут разные врачи. Новорожденного или ребёнка до года должен осматривать педиатр или семейный врач, а девочку постарше необходимо отвести к детскому гинекологу. Впрочем, направлением на гинекологическое обследование также может заняться педиатр.

Обычно синехия проявляется у девочек от младенческого возраста до 8 лет. Как правило, к подростковому или юношескому возрасту синехия пропадает: у девушки нормализуется баланс эстрогена и половые губы приходят в норму.

Если у ребёнка обнаружится синехия, врач может попросить Вас сделать анализы на вирусные и грибковые инфекции, мазок, посев мочи и даже ультразвуковое исследование. Всё это нужно, чтобы понять, не опасно ли заболевание и не стала ли образованная синехией спайка очагом инфекции.

Как лечат синехию?

Как лечат синехию у девочкиЕсли заболевание было обнаружено на ранней стадии, достаточно будет лишь общих мер лечения и регулярного наблюдения у врача. Подобными мерами могут выступить специальные ванночки и мази, иногда требуется щадящий курс гормональных препаратов (для повышения уровня эстрогена). Применение комплекса специальных мазей для устранения синехии и строгое соблюдение всех мер гигиены позволяют естественным путём восстановить нормальное состояние половых губ. Под воздействием мази губы постепенно расклеиваются и расходятся по местам естественным путём. Если синехия была вызвана аллергической реакцией организма, потребуется исключить аллерген из окружения или пищи ребёнка, иначе станет возможным повторное возникновение заболевания. Может быть назначена особая диета. Если же синехия была обнаружена поздно, случай запущенный и есть угроза воспалений, применяется хирургическое вмешательство. Операция неприятная, но быстрая и дающая страховку от будущих осложнений.

Подведем итоги

  1. Итак, синехия возникает при слипании половых губ у девочки и опасна лишь в том случае, если препятствует мочеиспусканию или служит источником воспалений.
  2. Срастание губ происходит при неправильной интимной гигиене, проблемах с уровнем гормона эстрогена, как аллергическая реакция.
  3. Синехию можно удалять хирургическим путём или с помощью мазей и лекарственных средств.
  4. Часто её и вовсе не удаляют – она исчезает сама при половом созревании девочки. Но процесс, в любом случае, должен находиться на контроле у врача.

Видео

Предлагаем мамам посмотреть телепередачу, целиком посвященную синехиям и тому, как правильно ухаживать за гигиеной своей дочки:

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