[outline]
??Infusorium vulvitis Chang Ji sends in the infusorium vaginitis. Feminine vagina trichomonad multi-parasitisms in vagina, urethra, vestibule big gland and urinary bladder. Vestibule big gland exhausting oneself is rare. The vagina trichomonad is one kind of mastigote, compared to polymorphonuclear white blood cell big many, assumes the pear, the peak has flagella four, the rear part has the columella to protrude, may parasite in the human body does not cause the clinical symptom. Certain bacteria may cause the infusorium to enliven have the symptom, but in vivo immune body may direct or the indirect dissemination, mainly through the bathing pool, the bath gear, the swimming pool, or thorough disinfection’s ways and so on medical instrument has not disseminated indirectly. The direct dissemination may through the sexual intercourse, transmit from the masculine uninary system, patient’s urine and the excrement also possibly are the origins.
[diagnosis]
??Are not difficult according to the symptom and the symptom to diagnose, look up the vagina trichomonad side to be able to diagnose. Takes the vagina secretion with the method of pendant drop inspection, might find the activity under the mirror the infusorium, might also see in the dyeing smear. When necessity may carry on the raise. When infusorium infection affects the vagina cell, should pay attention to and the malignant tumor distinction, when the necessity may after the treatment makes the vagina cytology inspection.
[remedial measure]
??Oral administration metronidazole 200mg, on first 3 times, altogether on 7~10th. The side effect is small, after the individual case takes the medicine, may occur disgusting, diarrhea, dizziness, headache, skin rash and pellet white blood cell reduction. After stopping the medicine, these vice-do are vanishing.
??The partial available 1% lactic acid or the acetic acid solution scour the vulva and the syringe vagina; Then, only or Qu Gumei the element squeezes in the Caba arsenic either drop Uygur the vagina, 7~10 days are a treatment course.
??External use traditional Chinese medicine lotion; The crane louse 30 grams, the Sophora flavescens, the euphorbia fisheriana, the snake machine tools, turn over to tail, spirit immortal each 15 grams, fries Shui Xunxi the sitz bath. The treatment period attention maintains partial clean, apparatus of the underpants and the contact vulva, should boil the disinfection by against to dye again.
[etiology]
??Feminine vagina trichomonad multi-parasitisms in vagina, urethra, vestibule big gland and urinary bladder. Vestibule big gland exhausting oneself is rare. The vagina trichomonad is our mastigote, compared to polymorphonuclear white blood cell big many, assumes the pear, the peak has flagella four, the rear part has the columella to protrude, may parasite in the human body does not cause the clinical symptom. Certain bacteria may cause the infusorium to enliven have the symptom, but in vivo immune body may direct or the indirect dissemination, mainly through the bathing pool, the bath gear, the swimming pool, or thorough disinfection’s ways and so on medical instrument has not disseminated indirectly. The direct dissemination may through the sexual intercourse, transmit from the masculine uninary system, patient’s urine and the excrement also possibly are the origins.
[clinical manifestation]
??The incubation period is 4~28 days, the vagina mucous membrane has the red finely ground particles or the petechia. the pH value is normal high. The vagina has abundant Huang Lvse or the pessimistic froth secretion flows out, has the rank stink, sometimes mixes has the little blood or is the purulent, the secretion stimulation vulva has itches the feeling. The vulva blushes, even presents the inflamed ulcer, because some moist and abrasion result, may spread to the reproduction stock wrinkle. When sexual intercourse the ache, and may have the urine pain, symptoms and so on frequent micturition.
