??The bacterial vaginitis is because the normal vagina bacteria colony by the massive big anaerobes, vagina Gadd the Naer fungus and the person mycoplasma substitutes for one kind of clinical syndrome which causes. Once was named as the bloodthirsty bacillus vaginitis, the Canadian Nalder fungus vaginitis, the non-specificity vaginitis. Said that it is the bacterial vaginopathy, is because in the vagina has the massive different bacteria, clinical and the pathology characteristic does not have the inflammation to change.
??Cause of disease
??This sickness is actually the normal parasitism (bacteria colony) is out of balance in vagina’s bacterium ecological equilibrium. In the physiological situation, in the vagina has each kind anaerobic and the aerobe, produces the hydrogen peroxide lactobacillus to get the advantage. When bacterial vaginopathy, in the vagina the lactobacillus reduces, but other bacteria reproduce massively, mainly has Gadd the Naer fungus, to move the curved bacillus and other has become the anaerobe, the partial patients merge the mycoplasma infection. And by the anaerobe majority, the anaerobe density may be normal woman’s 100~1000 times. The anaerobe reproduces at the same time may produce the amines material, the alkalize vagina, enables the vagina secretion to increase and to have the stink.
??Clinical manifestation
??10%~40% patient clinical symptomless, have the symptom main performance to increase for the vagina secretion, has the wicked stink, may be accompanied by the mild vulva pruritus or the burning sensation. The secretion assumes the iron grey, even consistent, thin, the viscosity is very low, wipes easily the secretion from the vaginal wall. Vagina mucous membrane non-hyperemia inflammation performance. The bacteriology inspection does not have the infusorium, the fungus or gonorrhea nai fungus.
??Diagnosis
??In following 4 has 3 masculine then clinical diagnoses for the bacterial vaginitis.
??1st, uniform nature, thin vagina secretion.
??2nd, vagina PH” 4. 5 (PH many are 5. 0~5. 5)
??3rd, the amine stink experiment masculine gender, takes the vagina secretion little to place on the slide, joins 10% potassium hydroxide 1~2 drops, produces one kind of rotten fish flesh type rank stink is the masculine gender.
??4th, the clue cell takes the little secretion to place on the slide, adds a drop of physiological saline mix, puts under the high power light microscope to see >20% clue cell.
??The clue cell is the surface layer cell which the vagina falls off, pastes in the cell edge attaches massive granulated is Gadd the Naer fungus. The bacterium edge is unclear.
??Other
??The bacterial vaginopathy often occurs in the natural active female, and is accompanied by the pass with multi-, the non-active female very little suffers from this sickness. This sickness still wasn’t whether clear by the natural dissemination pathogen infection result. The medical partner to prevents the bacterial vaginopathy’s recrudescence infinite great value.
??This sickness’s treatment may use the following methods:
??1st, internal medicine medicine: The first choice medicine is a metronidazole, each time 0. 2 grams, the daily 3 grams, including take for 7 days; Also available ammonia animal pen penicillin, each time 0. 5 grams, daily 4 times, including takes for 7 days.
??2nd, partial treatment: Takes medicine at the same time, the available 1% lactic acid or the acetic acid solution, carry on the vagina syringe, daily 1-2 times. Internal medicine metronidazole’s at the same time, rests before every night, available 0. 2 grams, squeeze in the vagina, eliminates the germ.
??3rd, the wife contracts this sickness, the husband must also treat; Sick period before, has not cured, must refuse the sex life.
