Post Date November, 16 2024
Vulvar eczema is a common gynecological disease in women, mainly caused by not paying attention in daily life. After getting sick, we not only need to treat it promptly and reasonably, but also pay attention to reasonable cooking in daily life.
Treatment of Vulvar 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) Antihistamines and other drugs
Diphenhydramine 25mg, three times a day, orally. 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
Intravenous drip or oral administration of a large amount of vitamin C, combined with oral administration of B vitamins for 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, as it quickly relapses and causes other adverse reactions after discontinuation of medication.
2. Local treatment of external genital eczema
(1) Acute phase
Mainly focused on local treatment. During the acute phase, use physiological saline to cool and wet. 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. If there is erosive surface, it should be anti-inflammatory and washed with compound Copper(II) sulfate solution to prevent decay and convergence.
In case of secondary bacterial and fungal infection, 0.5% Neomycin ointment, 2% mycin and zinc oxide ointment can be selected, and 0.1% Shayalia (rivanol) solution can be used to wet it. In addition to dehumidification in scab stage, Triamcinolone acetonide acetate (except for indomethacin) cream, fluolaxone cream, etc. can also be applied
(2) Subacute phase
Paste, cream or Corticosteroid cream can be used when eczema skin is slightly infiltrated, crusted or desquamated.
(3) Chronic phase
The treatment principle for chronic eczema is to stop itching, inhibit epidermal cell proliferation, and promote the absorption of dermal inflammation. When the skin is thickened and infiltrated, wipe with fluoroethylene acid (butyl fluoroethylene acid ointment, cloth). You can also choose 5% to 10% compound pine distillate oil ointment, 2% borneol, and corticosteroid ointment. For chronic and refractory cases, cryotherapy, radioactive nuclide (32p) application, or shallow X-ray irradiation can be used for treatment. If necessary, Corticosteroid such as Triamcinolone acetonide (Triamcinolone) and urea ointment can be used for local packaging to increase the efficacy.
