Post Date November, 17 2024
After the occurrence of external genital eczema, it also has a significant impact on women. We must pay attention to its treatment methods, especially during the treatment process, to prevent recurrence. This not only requires reasonable treatment, but also pays attention to the correctness of nursing.
Causes of recurrent eczema of the external genitalia
1. Vulvar eczema is a common allergic and inflammatory skin disease of the vulva, with a clear tendency to exudate. It is generally believed to be caused by type IV allergic reactions. Its main characteristics are multiform skin damage, recurrent attacks, symmetrical occurrence, and severe itching. Eczema scabs, and after the condition improves and recovers, the skin does not leave scars.
2. The warmth and humidity of the skin not only promote the growth and reproduction of bacteria, but also cause itching. Under continuous humidity conditions, the skin is more sensitive to various stimuli. At the same time, the external genitalia is close to the vagina, urethral opening, and anus, and is prone to bacterial contamination. Fungi, bacteria, and their metabolites are one of the common causes of external genital eczema.
3. After the onset of the disease, itching is unbearable, excessive scratching or accidental use of hot water can exacerbate the condition or form chronic burns. In addition, if the medication is not applied properly, the condition can also worsen.
Treatment methods for external genital eczema
1. Systemic treatment of external genital eczema
Treat the cause, keep the external genitalia clean, avoid scratches, rest carefully, and avoid eating allergenic foods. Can take oral antihistamines and other drugs.
(1) Antihistamine and other drugs: Diphenhydramine 25mg, three times a day, oral. Chlorphenamine 8mg, three times a day, orally. For severe itching, 10 ml of 5% Calcium bromide can be injected intravenously. Or 10% Calcium gluconate 10ml was injected intravenously once a day.
(2) Vitamins: A large amount of vitamin C is administered intravenously or orally, while B vitamins are administered orally in combination with treatment.
(3) Hormones: Can be used for acute severe eczema. It can be treated with prednisone, dexamethasone, etc., which has a certain effect on anti-inflammatory, antipruritic, and reducing exudate. Due to the high number of adverse reactions, attention should be paid to controlling the use. Not suitable for elderly chronic eczema, immediate recurrence after discontinuation of medication, causing other adverse reactions.
2. Local treatment of external genital eczema
(1) Acute phase: Local treatment is the main treatment. Cold and wet compress with physiological saline during the acute phase. Apply zinc oxide paste when erythema, blisters, or exudation are not obvious. If there is no exudate or pustule, 1% phenol calamine lotion can be used for external washing, and 3% boric acid solution 1:8000~1:5000 Potassium manganate solution can be used for cold wetting if there is obvious exudation. In case of erosive surface, it is advisable to diminish inflammation, and use compound Copper(II) sulfate solution for external washing to prevent corrosion and convergence. In case of secondary bacterial and fungal infection, appropriate anti bacterial and anti fungal ointment can be selected, such as 0.5% Neomycin ointment, 2% Oxytetracycline and zinc oxide ointment, and 0.1% ethacridine (rivanol) solution is used for wet compress. In addition to the dehumidification compress in the scab forming period, Triamcinolone acetonide acetate (Triamcinolone) cream, fluorescein cream, etc. can be applied to astringe, relieve itching, and keep dry.
