Trichomonas vaginitis
?Pathogen ?
The Trichomonas vaginitis(the 1 vaginitis of the trichomona) is a familiar vaginitis, from vagina hair infusoria cause.The infusoria presents a pear form, posterior extremity point, about is 2~300% sizeses which check leucocyte, white blood cell, WBC more.The insect ketone body top has the flagellum 4 radicals, the ketone body department contains fluctuation shell membrane, and the posterior extremity has axis cylinder to bulge.Live infusoria transparent achromatic color, present a drop of water form, the various flagellum is with fluctuation but pendular movement of fluctuation shell membrane, the life history, life cycle of infusoria is simple and only nourish ketone body but have no encapsulation period, nourish a ketone body vitality stronger, can exist the 2nd in 3~5 ? ;At 46 ? exist for 20~60 minutes;Exist around for 10 hours in the half dry surroundings;Can also exist in common soap water for 45~120 minutes.Then don’t grow in the Ph5 the followings or 7.5 abovely of the surroundings, the vagina Ph of the sufferer of Trichomonas vaginitis value general is 5.1~5.4.Conceal at the ceruminous gland ketone body and the infusoria in the vagina fold in front and back often can breed at the menstruation, cause the stroke of inflammation.It can consume or gobble up the glycogen in the vagina epithelial cell and the bar lactic acid is born.The infusoria isn’t only live on in vagina.Still often invade urethra or urethra side ceruminous gland, even bladder, renal pelvis and the male’s prepuce plait, urethra or Prostate in.
?Infect a way ?
The infectious way have:Direct infection:Be spread by sexual intercourse;Indirect infection:Through public baths, bathtub, bath, paths such as swimming pool, toilet, clothes, apparatus and dressing etc..
?Clinical situation ?
The leukorrhea increase and the cardinal sympton of the outside yin Sao vaginitis of the Yang Trichomonas be a thin and diluted foam form leukorrhea to increase and the outside yin Sao Yang, if have other bactria mixed infections to then eject a thing to present pus, can have bad smell, the part of Sao Yang is mainly vaginal orifice and outside yin, occasionally is scorching hot, ache, sexual intercourse pain etc..If the urethra mouth contain infection, can have a frequent micturition, pain in urination, sometimes it is thus clear that hematuria.While check it is thus clear that vagina mucous membrane congestion, the serious has already spread at of bleeding, hemorrhage spot, after the fornix has already measured leukorrhea more and assume the ash yellow, yellow white thin and diluted liquid or is a yellow green pus discharge, secretion, often present a foam form.Take the insect vagina mucous membrane can just like often discover.Existence infusoria inside a handful of sufferer vaginas but have no inflammation to respond, be called a girdle insect.Someone can’t cause an inflammation when someone thinks that the infusoria exists alone, because of its depletion vagina glycogen inside the epithelial cell, changed the vagina sour alkalinity, broke a defense mechanism, promote after the bacterial infection of the hair, past often at menstrual phase in front and back, vagina Phs such as gestation period or postpartum etc. change, cause an inflammation stroke.
?Diagnose important point ?
The typical model case diagnoses more and easily, if energy’s finding out infusoria in the vagina discharge, secretion can immediately confirm.Hanging drop method check’s infusoria’s most simple method is a hanging drop method.In the sufferer who has a sympton, its masculine gender rate can reach to 80% ?s 90%.Add 1 small drop warm normal saline is on the Bo slice, in vagina after the fornix take a few discharge, secretion to mix in normal saline and immediately a mirror a bottom to look for infusoria at the low times.If there is infusoria, it is thus clear that it presents a form to exercise but moves position and may also see surroundings leucocyte, white blood cell, WBC etc. be change.The examination has to combine a beard attention to keep warm in time and otherwise the infusoria movable dint turn down and result in to recognize a difficulty.Train a method suspicious sufferer, if when many hanging drop methods can not discover infusoria, can send a cultivation, the accuracy can reach to 98% or so.Take a discharge, secretion the first 24~48 hour avoid sexual intercourse, vagina irrigation or part using a medicine, take discharge, secretion ago not made a double match diagnose, peep a machine not lubricant.
?Treat ?
Make good health publicity, actively evolve census Pu to cure a work, exterminate an infection source.Strict management system should forbid infusoria sufferer or girdle insect to get into a swimming pool.Bathtub, bathe to want a disinfection in the etc. tools and implements.The medical treatment unit wants to make good disinfection isolation, in order to prevent the chiasma infect.Whole body uses the medicine nail nitric Shi(metronidazo 1 e) to call that putting out drop work properly(F1 agyl) again, each time 200 mgs, everyday 3 times, on the 7th for a treat a distance;Or 400 mgs, everyday 2 times, total 5th, single to early sufferer time the administration of medicine 2 gs, may also receive same effect.Take orally absorption like, curative effect Gao, toxicity sterigma, apply convenience, men and women both parties all can apply.The single women vagina part uses a medicine difficulty and adopt whole body to use a pharmacopoeia then.After take a medicine accidentally see stomach and intestines way respond, like anorexia, nausea, vomiting…etc..In addition can also accidentally see headache, rash, leucocytopenia, leukopenia…etc., once detection, should immediately stop a medicine.The nail nitric Shi can get into a fetus in vivo through a placenta, and can be excrete by the human milk.Haven’t can expel to the fetus when the early trimester of pregnancy take of with the result that the Ji affect, therefore in the early trimester of pregnancy and the lactation period need not is secure.The part uses a medicine to may also receive better effect with the pharmacy department.The nail nitric Shi 200 mgs is each to stuff into vagina once late, 10 times for on treating a distance, if use 1% lactic acids first or 0.5% acetic acid douche, rinsings, improvement vagina milieu interieur, will raise curative effect.Because when the Trichomonas vaginitis often after menstruation behind relapse, so treat checks infusoria feminine gender, should still each time menstruation behind reexamine a leukorrhea, if through 3 checks all is feminine gender, the square can be called to cure.Treat the period forbids sex life.Infusoria check after treat feminine gender, should still be clean at the menstruation in next time succeed to continuously treat on treating a distance, method together ex- with make stronger curative effect.Superinfection, pants and towel used in scouring in order not to, should boil for 5~10 minutes to exterminate a pathogen.The married should also check a male square whether have a genitals trichomoniasis, the Prostate liquid have have no infusoria, if male, need to treat in the meantime.
