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The labia majora



   

[Intro]

The labia majora is the longitudinal elasticity to the skin folds, long 7-8cm wide and 2-3cm, in the event of a science male scrotum. Before the left and right labia majora, the back-end each other Link Link front of the anterior commissure (Anteriorlabialcommis-sure) called lip upward migration in the mons pubis; the backend Link called lip Link (Posteriorlabialcommissure), located in the anus in front of about 3cm at.


Introduction

two labia fissures, known as the the yin split (Pudendalcleft). Adult virgin or obese women, the labia majora, on both sides and more contact with each other, yin crack closure. Since the beginning of the labia majora, and outside on both sides of the outside of the skin often sweat glands, sebaceous glands, and pigment calm, therefore, smooth and dark brown, adult students have sparse pubic hair; the inner side of thin smooth, pale rose color, similar to the mucosa. contains sebaceous glands, but no pubic hair. The labia majora subcutaneous contains large amounts of adipose tissue, and contains elastic fibers and a small amount of smooth muscle fibers and blood vessels, lymphatic vessels, nerves and glands. In addition, the fibers of the uterus round ligament ends before the upper part of the labia majora skin. When the presence of peritoneal vaginalis, congenital inguinal hernia can be reduced to within the labia majora.

features

female genital part of one of the labia, they are surrounded by two pairs of lips and like organizations in the vaginal opening on the outside while the larger one pair of labia majora rely on rather smaller labia minora, and they (especially the labia minora) and very sensitive to outside stimulation, but also its adjacent urethra and vaginal opening has a protective effect.
labia majora (labia majora, greater lip of pudendum labium majus pudendi) is close to two vastus medialis, is located in the skin on both sides of the vulva uplift lengthwise folds. The outer side of the long pubic hair, subcutaneous rich in fat tissue and elastic fibers, and a rich venous plexus, a variety of causes parts of the trauma of the labia majora, are prone to hematoma formation. Unmarried or fertility of women on both sides of the labia majora, the perineum is connected together. Experienced childbirth the labia majora have been separated; after menopause, the labia majora was shrinking like.
labia majora, the outer side near the skin on the growth of pubic hair and rich in sweat glands and sebaceous glands often moist due to skin pigmentation, it is deeper than the surrounding skin color; within the side like the mucous membrane. Some women's labia majora grow fat, heavy, and some look small and thin. Some of the labia majora color very deep, some are only slightly darker than the surrounding skin a little.
in the early embryo, the genitals of men and women from a "germ". With the development of embryos, gradually divided into male and female genitalia appears to gender differences. But between the structure, function still has a very similar place. The female clitoris is equivalent to the male penis can also shrink the penis, both rich in nerve endings, stimulation of the opposite sex are extremely sensitive to. The labia majora of the female equivalent of male scrotum.

role

in the eyes of ordinary people, in the Women's perineum, labia majora only two optional skin folds.
However, the function of the labia majora and the scrotum, even more than the man's scrotum role in a broader, more important, indispensable in the external genitalia. urinary and reproductive system in

1, the "guardian"

labia majora cover the labia minora, vaginal opening and urethral orifice, do not let outside harmful substances invasion, and faithfully defend the security of the urinary and reproductive system. On both sides of the vaginal opening, deep burial of the labia majora bartholin (the equivalent of the male bulbourethral glands). bartholin glands continue to secrete mucus to smooth and clean the vagina, to maintain the "ecological balance" within the vagina. The labia majora is a Bartholin's most loyal defenders. In this sense, the labia majora is not only to protect the pelvic organs, but also to maintain the health of the body.

2, the special smell of the "birthplace"

Studies have shown that women's armpit will emit a distinctive odor. This odor can attract, induced the opposite sex, to stimulate the opposite sex sexual excitement. In the labia majora, special and axillary sweat glands, emitting the same odor. Role in the induction of this particular smell, of course, vary from person to person, both their own quantitative and qualitative differences, and the sensitivity of the opposite sex. Very sensitive to this smell of some men, the great "hair-trigger" of the situation, while others may be indifferent, as if nothing had happened.

3, the "catalyst" of the marital relations

labia majora of fat widespread vestibular ball sponge, which enables the labia majora as the ball muster. When gender intercourse, labia majora congestion, swelling, and became the piston spring pads, you can play the role of the penis pushed into the vagina.

4, to improve the quality of life, the close relationship between husband and wife

In addition, the expansion of the labia majora, relying on sending and "Hold the penis caressing effect. In the sexual life, if the palm on the inside of the labia majora, there is a "Making sense, therefore, the labia majora to improve the quality of sexual life, close couple relationships, has an essential role.
People should not be the labia majora as a markup, but should not despise it, but should seriously take care of it, protect it, do not let the invasion of viruses, bacteria and various microorganisms, so that It is contented to protect women's health.

state features

without maternal

unstimulated normal circumstances, without the mothers on both sides of the labia majora in the midline of natural paste Long closed, covered up within the adjacent structures such as the labia minora, urethra and vaginal opening, they have a significant protective effect. Only when the female sexual impulse labia majora will be open, covered parts of the exposed surface. Obstetric damage caused will make the labia majora are attached to the ability of rely on the center line of destruction, which significantly affect the effectiveness of stimuli. Without maternal labia majora in the sexual excitement of thinning, variable flat, and produce an upward increase or shift out (to leave the perineal and vaginal opening), it is completed in the excitement of late or platform early. This is 1/3 of the initial congestion caused by rapid congestion of the small labia or vaginal protrusion. Another possibility is that a random neurophysiological effects in order to eliminate any expected sexual intercourse insert external obstacles. The height of no visible anatomical changes. Resolution phase, the labia majora to return to normal thickness and the midline. If women have experienced orgasm subsided process very quickly; Otherwise, the separation and swelling of the labia majora to be a long time to return to the midline position. Periods of excitement and plateau delayed for too long can cause the labia majora severe venous congestion and swelling or edema, even after all sexual stimulation is completely stopped, will continue for several hours in order to gradually subside.

by mothers, especially those with varicose veins

by the maternal, especially those with varicose veins, the reaction of the labia majora, change, replace the shift in the excitement of a significant expansion in the extended plateau occasionally can be seen that the 2-3 fold increase in diameter. varicose veins torture of women, if only through a plateau, labia bleeding will persist in the 2-3 hour-long resolution phase, if reached its climax, congestion dissipated much faster. It can be speculated that the labia majora, the more severe varicose veins, vascular congestion in the sexual tension will be more serious. About two separate, thicker skin and uplift the hole to create a so-called crack. In connected with Chiqiu, long-haired Strip, such as rubber-like elasticity. The external female genitals from the uplift beyond the perineal body pairs from the mons pubis, the skin folds.

puberty

puberty its lateral grow pubic hair, smooth the inside. labia majora subcutaneous thick layer of fat, rich in blood vessels, lymphatic vessels and nerve fibers. Great individual differences in appearance, and some were flat, bushy pubic hair to cover almost did not see; others plump bulge, close to each other, so that the female genitalia in the closed state.
before the labia majora bulge near the anus gradually flatten, blend with the surrounding tissue. perineum split between both sides of the labia majora, the labia majora separately to see. When sexual stimulation, both sides of the labia majora are close together in the midline. Stimulation, to enter an exciting period, sexual tension and enhanced side 1/3 of the labia minora and vaginal redness, swelling, and extend to the labia majora forward to both sides of the shift. Such changes in sexual duration of the peak, sexual subsided back to normal.
labia majora by the maternal sexual excitement of the congestion, edema than nulliparous obvious, and sometimes increased by 2-3 times than the thickness of the normal state. Static expansion vulva varicose women, the congestion is more pronounced accessibility subsided after the hyperemic response delay dissipated, for 2-3 hours.the labia majora of
lengthwise uplift the skin folds around the vaginal opening, long pubic hair, outside of darker pigmentation; the inside of pale red, fine thin and moist. Unmarried or women giving birth on both sides of the labia majora natural close, cover the labia minora, vagina and urethra, the protective effect. Married for many years or the production of women, the labia majora to both sides separately. When subjected to sexual stimuli, the labia majora congestive uplift natural to separate both sides. On both sides of the vulva, close to two shares of the inside of a pair of circular bulge in the skin folds. Even the mons pubis, even after the perineum; downward from the mons pubis from the backward stretching open the front left and right labia majora were united into a former co-joint, behind the two side to join to become joint before the anus, but not as good as before joint obvious. The labia majora contain thick loose adipose tissue, skin, fat and sweat glands. Subcutaneous adipose tissue, elastic fibers venous plexus, easily into the hematoma after the injury. The outer side of skin pigmentation on the pubic hair; the inner side of pale pink, similar to the mucous membranes, no pubic hair. In the state of not being sexually stimulated, the labia majora is usually converge at the midline, to provide mechanical protection for the urethra and vaginal opening.


[Cause]

boil is caused by what the?

infection and skin dirty, scratches, high ambient temperature or lower the body resistance to infection-related. boils can occur in any follicles of the skin area, often to the head, face, neck, armpits and buttocks so often by the friction of the parts is more common.

(a) causes

boil the pathogenic bacteria staphylococcus aureus based, Streptococcus, staphylococcus epidermidis, are also caused by the disease. Local and systemic skin's resistance to infection is reduced mainly due to Benbingfasheng, so infants, malnutrition, diabetes is a good risk of this disease. Dirty skin, skin abrasions, high ambient temperatures often lead to local infection such as the direct cause.

(B) the pathogenesis

bacteria invade the hair follicle and their sebaceous glands and sweat glands, in hair follicles and surrounding tissue multiply rapidly, producing toxins, causing local tissue degeneration, necrosis, and the center of the formation of boils, the performance of local congestion, exudation, induration. Aggregation of neutrophils to the damaged body tissue cells and bacteria to be destroyed, and he gradually necrosis and dissolution, the formation of abscesses in the dermis. Due to staphylococcus aureus, coagulase contain toxins, so the formation of pus bolt, protruding outward. Swelling and induration clinically visible in the center of a yellow-white pus plug. This is staphylococcus aureus infected lesion characteristics. ulceration after discharge pus, abscess gradually by the new fibrous tissue repair and healing.

[Sign]

boil the early symptoms?

1. redness, swelling, heat, pain summary, cylindrical cone.

2. inflammation to the development of nodules increases, the pain intensified.

3. A few days later nodules central necrosis, abscess formation, dissolution, soft induration, pain relief, the central pus head most of the self-rupture, discharge pus, inflammation subsided recovery.

4. furuncle usually no obvious symptoms, but if the blood flow occurred in the rich parts of the body resistance weakened, it can cause discomfort, chills, fever, headache and loss of appetite and other symptoms of toxemia.

5. facial boil such as intracranial infection, facial swelling and severe, may be associated with chills, fever, headache, sinus infections and other embolization.

boil because of location, severity of different clinical manifestations may vary.

local swelling and pain sclerosis: no systemic symptoms of early disease and more, only infection redness, swelling, pain, range of not more than 2cm in diameter, small nodules gradually enlarged, as papules bulge. A few days later lesions extended about 3 ~ 5cm, nodules gradually softened, the center was white, a slight touch of the fluctuations; then ulceration pus, and the emergence of yellow-white pus plug. pus bolt off, pus shed, the inflammation subsides and healing. There is no pus boil bolt (the so-called headless boil), since the collapse a bit late, need to find ways to promote its pus discharge (Figure 2 ).

fever, swollen lymph nodes: furuncle serious infection, the local area of ​​the lymph nodes, tenderness, and may be associated with body heat, and sometimes lymph node abscess formation.

nose, upper lip and around (called "dangerous triangle") of the surface boil, add or pushed in touch, the bacteria via the angular vein, ophthalmic vein into the brain, causing intracranial suppurative infection. At this point may have fever, headache, vomiting, consciousness disorders.

early follicular redness, swelling, heat, pain, induration. After the white purulent center, there is volatility. May be associated with systemic fever, elevated white blood cell count and differential count.

[Aftertreat]

boil ate?

therapeutic side:

1. composed of: a single head of garlic, honey, 9 grams. Usage: pound evenly wrap the affected area.

2. consists of: single head of garlic amount. Usage: peel and slice into 2 to 3 mm, with the first affected area with warm salt water when dry wash, and then sticking garlic, and gently massage the 10 to 20 minutes, 2 or 3 times a day, 2 3 There is no more. Indications: Boil, folliculitis. Note: In severe cases, such as local irritation may reduce the massage time, a serious condition should be added to serve anti-inflammatory drugs.

3 . composed of: tea 2 grams of dried honeysuckle 1 gram. Usage: boiling water 6 minutes after each meal drink in a cup. Indications: Boil, exogenous heat.

4. composed of: fresh Malan first 100 grams, the amount of liquor. Usage: Add a little salt before blindly smashed wine Ban Cheng paste, coating the surface of the skin furuncle carbuncle. Indications: furuncle, carbuncle.

5. Composition: rosin 10 grams of white wine. Usage: rosin research to fine tune white wine into a paste, resisting heat, wrap the affected area after dissolution, for the degree of responsibility to cover all of the above and then covered with wax paper and tape securely, to enhance efficacy, can drop a few drops of wine, rosin to keep moist. Indications: furuncle, carbuncle, folliculitis.

6. smashed topical papaya leaves, swollen boil carbuncle treatment drug.

7. fresh peach leaf, plug smashed the lesion, treatment of nasal furuncle.

8. rhizome or fresh banana leaves smashed Jiao Zhi, coating the surface of the skin, cure carbuncles, boils, swelling.

9. almond powder with sesame oil paint, heat treatment boil.

10. purple cane coal deposit of the skin, powder, paint the affected area or sesame oil dressing, boil carbuncle treatment, stomatitis , eczema.

11. raw taro add a little salt, smashed drunk wrap the affected area twice a day replacement, bones can cure pain, swelling of unknown drugs, pediatric head hot boil, finger boil.

12. raw loofah (or leaf), smashed juice, coated surface of the skin, soak sore treatment days, yellow water sores, heat boils, urticaria .

13. mung bean sugar kelp: seaweed 60 grams, shredded, green beans, 150 grams, with the soup, add brown sugar to taste food. There Sedative, diuretic, soft-kin, Phlegm, scattered gall tumor effect. For hypertension, beriberi edema, neck lymphadenopathy, simple goiter, prickly heat boils hot summer day in children poison, phlegm cough embolism.

14. yi melon soup: melon (not peeled) 500-600 g, yi 50-100 grams of soup. Can be flavored with sugar or salt, on behalf of the tea used, heat, hot weather, diuretic, dehumidification effect. Drugs for rush boils, eczema athlete's foot, yellow urine deficient.

15. Daozhi raw turnip, vinegar and rub the affected area transfer, heat treatment boil.

16. green beans 30 grams of powder, each 10 grams, water delivery service, boils cure breast swelling and pain.

17. failure to adopt the open rose 3 - 5 朵 wash, add water, two pregnant, suffering from a cup of low heat, ice sugar 30 grams, made of rose soup, until the temperature dose, to cure blood stasis amenorrhea, boils Chung pain, traumatic swelling and pain.

18. boils and pus ulceration of the skin sore or eczema, rinse with water, tea, allow the wound clean and promote healing.

19. a white sweet potato, peeled and chopped, smashed, can also be added with the same amount of fresh houttuynia smashed, spreads in the affected area, apply to the local heating that line replace (about two three hours long), and even apply a few days more, boils cure mastitis.

20. soybeans amount, turn on the water immersed soft, add a little alum were smashed drunk, external surface of the skin, swollen boils boil treatment.

21. adzuki beans with water until soft, mash with water or vinegar, or honey or egg amount, into a paste, external surface of the skin, cure mumps, hot boil.

22. kapok 30 - 50 grams of sugar amount, fry a bowl with water and drink two bowls and a half. Favorable moisture, heat effect. For enteritis, urethritis, eczema, summer boil embolism.

23. fresh buckwheat leaves 60 grams, Shuijianbi day one; or fried yellow noodles with the vinegar into a paste, applied to the lesion, sooner or later be replaced. Governance sore, swollen boils, erysipelas, mastitis, and swelling of unknown drugs.

appropriate patients to eat what?

1, edible grapes plus zinc salt or zinc, other foods such as soy, sunflower seeds, wheat bran, yeast, brown sugar and so on.

2, Yi Shi taste light, the cold food, such as Malan head, purslane, melon, red and white radish, bitter gourd, sponge gourd, mung bean, red bean, lily, chrysanthemum brain and celery.

patients unfit to eat what?

not eat ginger, pepper and other spicy foods , as well as mustard, yellow croaker, shrimp, crab, chicken head, goose, zhu tourou so fat objects.

should avoid fried foods and meat, edible oil cans.

data only refer to the specific, please ask a doctor.

[Prevent]

how to prevent boils?

boil is born of acute suppurative superficial skin disorders, widely available health, children, young people more common. "Surgical management case" that: "boil persons, birth processes, floating red rootless feet, swollen found in the skin, only the width of an inch, there is less pain, a few days later Microsoft, thin peel, the beginning of the blue water, the latter from breaking the pus out of. "The disease occurs in the summer and autumn, protruding roots shallow, swelling potential limitations, lift the red pain, mostly in the range of about 3cm, easily swollen, easy to collapse, Yi Lian. Early can be divided into a head, without the first two kinds of general light and easy to cure the symptoms, so the saying goes, "no boil the size of a pus like." ;;; ;;;;; ;;;;; ;;;;; But also due to the formation of improper treatment or care "mole cricket boils," or repeated seizures, lack of disunion. Multiple furunculosis ", is difficult to cure.

[Treat]

boil precautions before treatment?

attention to the skin clean, timely replacement of underwear and avoid skin injuries, especially in the summer, to bathe, wash your hair, hair, changing clothes, nails, children in particular should pay attention. With honeysuckle and wild chrysanthemum Jiantang tea. boil the surrounding skin should be kept clean and coated with 70% alcohol to prevent infection spread to nearby hair follicles.

boil Chinese medicine treatment methods

total boil caused by the toxic heat treatment to detoxify the basic principles.

A Differential Treatment:

1. Heat toxin accumulation card: lesion processes, such as cone, burning pain, or fever, thirst, tongue pink, yellow fur, rapid pulse. Detoxification. Flavors disinfection decoction.

2. shushi heat Melancholia: seen in summer and autumn, the affected area, such as agglomeration cone, single or multiple, burning pain, chest tightness, anorexia, deficient urination, red tongue, greasy or yellowish, veins slippery. Qingshu dampness, detoxification swelling. Qingshu Decoction.

3. Is virtual evil love cards: distributed in the body, local color dark red, pus scarce, one after another, delayed healing, with fever, irritability, thirst, or fatigue, limb soft, red tongue thin yellow, rapid pulse. Righting detoxification. Liu wei di huang Decoction.

Second, external treatment and other treatment:

1. The beginning of detoxification should be swelling, moderate to henbane, water reconcile, wrap the affected area. Or wishful golden powder for external application. Or green cream Waicha.

2. Pus, the clip bolt out the pus.

3. Unhealed after the collapse, sores can be a little ninety-one dan to drugs or drug line twist into sores, topical berberine gauze.

4. Oral Meihuadianshe Dan, Niuhuangjiedu, Fang feng Tong Sheng Wan, liushen other medicine.

5. unilateral prescription: silver flower 30g, licorice 10g, decoction, on behalf of the tea.

Western boil treatment

1. Local treatment, such as heat, physical therapy, 10% ichthyol coated ointment. facial boil should rest in bed should not squeeze or prick Boil, so as not to spread to the brain.

2. Swelling or have a large range of obvious symptoms, should give systemic antibiotics (third-generation cephalosporin antibiotics).

3. The formation of abscess, incision and drainage should be timely but should be avoided boil the face cut.

(a) treatment

1. The principles of early treatment to promote inflammation subsided, after early drain purulent pus; timely elimination of systemic adverse reactions.

2. Local treatment

(1) Physical therapy: early, ultraviolet micro-irradiation, can promote local anti-inflammatory, to prevent proliferation. Swelling stage, the selection of FM, infrared and other heat, promote boil liquid. 2 to 3 times / d, 20 ~ 30min / times.

(2) Drug eraser: 0.5% povidone-iodine scrub, the drug not only for skin irritation, and the role of long-lasting, no pigmentation. Can also be used erythromycin, tetracycline ointment.

(3) topical cream: local swelling and a small pustules, use ichthyol, wishful golden powder, Gyokuro powder and so on.

(4) incision and drainage: boil into pus, nodules soften, a sense of volatility, you can make a small incision drainage or fire needle drainage. Taboo squeeze purulent lesions.

(5) to keep local clean and dry: adhere to local skin cleaning, daily showers are the best conditions. Young children with skin, topical lip after taking a bath in summer, to avoid the formation of multiple Boil.

3. Systemic treatment usually does not require systemic treatment of boils. But facial boils or accompanied by chills, fever, headache, general malaise, etc., should be given antibiotics. Clinical observations and experimental results show that the efficacy of penicillin, cephalothin, cefazolin and amikacin better effect.

(B) the prognosis

generally good prognosis after active treatment, without sequelae.

[Examine]

boil should be how?

1. peripheral blood

(1) white blood cell count: fever, elevated WBC count may have.

(2) white blood cell count: white blood cell count was elevated often accompanied by increased neutrophils .

2. diabetes check

(1) fasting plasma glucose measurement: two fasting blood glucose were increased, should consider the possibility of diabetes.

(2) glycated serum protein: This clinical trial is not the impact of fluctuations in blood glucose higher than normal to help the diagnosis of diabetes.

(3) glycosylated hemoglobin: glycosylated hemoglobin and blood glucose were positively correlated, and the irreversible reaction. diabetes is often higher than the normal 2 to 3 times.

3. bacteriologic

(1) bacterial culture: the multiple, repeated infections, abscesses can be extracted directly pus for bacterial culture, positive results will help the diagnosis of pathogens.

(2) drug susceptibility testing: bacterial culture in the pus, while line drug susceptibility testing can provide the scientific basis of clinical drug treatment.

[Diff]

boil diseases easily confused?

1. Multiple sweat gland abscesses are summer disease, more common in infants and young children and frail mother's head, forehead, etc .. Lesions of multiple subcutaneous abscesses. Surface tenderness, inflammation lighter. No pus bolt, left scars. Usually accompanied by a lot of prickly heat. Generally known as prickly heat poison. It was also known as pseudo furunculosis (Pseudofurunculosis).

2. hidradenitis suppurativa common in young women, lesions of the skin induration. Subcutaneous abscess formation, followed by skin redness, swelling, heat, pain, ulceration scarring. Lesions occur in the armpits, groin, genital and perianal, umbilical, etc.

3. acne acne mild infection, red, swollen, painful, but the disease is small, the top a little bit like creamy.

4. sebaceous cysts sebaceous cyst infection are redness, swelling, pain, but the previous round has been painless mass over an extended period , the epidermis as usual.

5. carbuncle carbuncle with redness, swelling, pain, but there are several hair follicle infection, lesions larger than the boil.

[Disease]

hump-related diseases

juvenile osteochondrosis of vertebral osteoporosis youth sexual hump sore scoliosis ankylosing spondylitis vitamin d deficiency disease

more back symptoms

small blisters appear back back pain back spasms, back pain does not have subtle linen spine back pain sinus pain Road with sensory ataxia spinal nerve root damage spinal cord hemisection syndrome, spinal cord lesions of hemorrhagic infiltration of the spinal cord injury spinal cord infarction, cauda equina involvement across the spinal cord within the spinal cord gliosis in the spinal cord anterior horn of the spinal cord lesion cavity formed spinal thalamic tract compression

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