Trichomonas vaginalis is a pathogen of the disease.
Trichomonas vaginalis is the first to discover a French citizen. From 1836 to be suffering from vaginal secretions of women found in the vagina. Trichomonas vaginalis officially named in 1838.
Trichomoniasis : three parasites in human oral trichomoniasis, who trichomoniasis (parasites in the intestinal), and Trichomonas vaginalis. Trichomonas vaginalis major violations of human urogenital system, it can be a parasitic female genital skin fold, the next urethral gland. under the urethra, Bartholin, vagina and cervix; In men, Trichomonas vaginalis parasites in the urethra and prostate and more. The other two trichomoniasis is not human infection of the vagina. Usually, there is a part of healthy women with vaginal Trichomonas vaginalis on, but does not trigger the inflammatory response, environment is not suited to the vaginal trichomoniasis growth, it may also be infected with the strain-induced toxicity is not strong. But when the vaginal environment changes conducive to growth trichomoniasis, may cause trichomonal vaginitis. Trichomonas vaginitis women of childbearing age is a very common vaginal inflammation, its prevalence rate is second only to pharmacoeconomics.
Trichomoniasis can be spread through sexual activity, can also spread through indirect contact, a swimming pool, Tong bath basin could become particularly the spread of trichomoniasis places. After suffering from infected mothers to newborns trichomoniasis is also possible.
Only trophozoites period without encapsulation trichomoniasis, has a strong ability to adapt to the external environment. Can survive five days at 0, 3 ¡ã C to 5 ¡ã C in temperature to survive 21 days survival at 46 ¡ã C 20-60 minutes in the semi-arid environment to survive 10 hours. After leaving the human body can survive for several hours. In general soapy water (0.06%), trichomonas can survive 45"120 minutes in tap water can survive 30 minutes. Trichomoniasis is the most suitable temperature of 25 ¡ã C in high frequency, pH value of the moist environment 5.5"6 growth and reproduction. This activity will exceed its weakened condition, or when d that t "7.5 is not growth.
The biological characteristics of trichomoniasis know, we can find a daily destroy trichomoniasis. trichomonas infection prevention methods. The most simple method of disinfection is boiling, will be contaminated clothing, heating pots with disinfection, preservation of the environment on the dry, Trichomoniasis can inactivated. The items can be used soapy water unsuitable for prolonged immersion heating, will also achieve the purpose of disinfection.
[Harm]
Trichomonas infection could have an adverse effect on pregnant women.
Trichomonas infection during pregnancy and no signs of an increase in the incidence, There are no confirmed information and trichomonas infection will lead to miscarriage, prematurity or intrauterine growth retardation. However, foreign reports said that trichomoniasis patients prone perineal laceration during childbirth, puerperal the morbidity rate has been increased. As newborns will be infected at birth, the present observations show that the possibility of newborns infected with trichomoniasis smaller.
[Infectious diseases]
Trichomonas vaginitis is generated from outside the infection. A reason for the dissemination of infectious diseases, we must have the source of infection, transmission and susceptible to three conditions.
On the source of infection
with insects and contaminated objects.
Transmission
direct and indirect spread of transmission is sexual transmission of two.
Overseas, vaginal trichomoniasis disease spread mainly through sexual life, it belongs to sexually transmitted diseases.
China will spread in different ways. As China has a large population, relative backwardness of public health facilities in the more developed countries, therefore, the spread in public places has become an important route of transmission. For example, public baths, or public toilet pans chairs the secretions were contaminated with insects, Then later were sitting in a chair directly or pans, there is likely to be infected. Public baths in the pond basin, the summer also very densely strict disinfection of the pool, others wear underwear by hiring swimsuit. might cause the spread of trichomoniasis. In addition, interoperability among family members bath basin cross iatrogenic infection, but also indirectly led to the reasons for the spread of trichomoniasis.
For trichomoniasis, a person may be infected, Vaginal pH change or who have low immunity to the crowd even more vulnerable to infection. Trichomonas infection after very few people who can spontaneously disappear, even cured, but also the next re-infection.
[Clinical]
Trichomonas vaginitis after suffering from the most common symptom is increased leucorrhea. Acute phase with a lot of white may soaked underwear, sanitary napkins, patients need to use it often. Baidai kind of yellow-green pus that rare quality, a special smell. Genital itching caused by Candida vaginitis not obvious. Combine with genital burning sensation and pain sexual intercourse and urinary frequency, urgency and, irritation of the urinary tract symptoms. Genital lesions can be seen that : a gynecological examination, the labia minora, vaginal congestion and edema, leucorrhea more. Leucorrhea common kind of rare pus from the vagina mouth outflow; vaginal mucosa with congestion and edema. can be scattered or strawberry red, raised a red dot, saying "strawberry vagina." After a lot of yellow purulent vaginal fornix Leucorrhea bubble accumulation; Cervical congestion, there will be strawberry-like protuberances.
Acute trichomonal vaginitis is not completely without treatment or treatment that can be converted to chronic trichomonal vaginitis. Then Leucorrhea than the decrease in the acute phase, more like gray-meter reflecting still stink. Cause there will be a urinary tract infection, Urgency and irritation symptoms. See : gynecological examination genital, vaginal mucosa or mild congestive pink color. After the bubble dome shaped like a gray Miganshui Leucorrhea accumulated a stench.
It must be pointed out, Trichomonas vaginalis infection may have no symptoms.
Women's vaginal trichomoniasis is caused by Trichomonas vaginalis, trichomoniasis the large intestine. Oral oral trichomoniasis is not the cause vaginal trichomoniasis. Patients positive for trichomoniasis in check, but really typical symptoms around 30% the rest were asymptomatic parasite, but such patients according to the different age groups, different conditions are different. Internal inspection unmarried young women were 88% positive for trichomoniasis are asymptomatic carriers worms; In the United States, asymptomatic women with a healthy diet for worms. This shows that after suffering from trichomoniasis really not many patients with typical symptoms. Because trichomoniasis is not itching Colpomycosis did not obvious, but often only for Baidai increased performance, White strange smell, it can easily be overlooked or their patients about what the simple treatment, the symptoms subsided after that illness. thus more widely disseminated. If it is found that white women with abnormal life, and timely treatment causes for the early detection and timely treatment. Patients with suspicious clinical trichomonas, many hanging-drop method of direct examination found trichomoniasis, trichomonas training to be carried out.
[Diagnosis]
Either acute or chronic trichomonal vaginitis, have confirmed through laboratory tests. In patients with vaginal douching or vaginal examination on the former and not do drugs, inappropriate sexual activity within 24 to 48 hours. Check the hanging-drop method is the most commonly used laboratory test for trichomonas infection : a drop in temperature saline drip on the slide. Mixed secretions in the vagina to take a small amount of brine, immediately under the microscope, and if we find the trichomoniasis. can be diagnosed. If clinical symptoms suspicious, but inspections did not find many hanging-drop method trichomonas, trichomonas training can be done at this time. high accuracy rate, up more than 98%. Trichomoniasis is a smear staining inspection methods, he smears stained, and then observed under a microscope. The diagnostic accuracy of the examination and experience.
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[Treatment]
Trichomonal vaginitis treated with oral administration External common needs. Metronidazole killing trichomoniasis is the potent drugs.
(1) to maintain the general treatment of genital treatment : clean and prevent secondary bacterial infections, genital daily cleaning. changed or washed underwear and disinfection; Do not eat hot Ö® goods and acute alcohol; ban sex life, together with their spouses need treatment.
(2) a change in the vaginal pH : pH suited for 5.5"6 trichomoniasis. Therefore the use of chlorhexidine acetate solution douching can reduce vaginal pH, inhibition trichomoniasis growth. 1 day, 10 days of treatment.
(3) : metronidazole vaginal effervescent tablet or vaginal medicine on the one Metronidazole vaginal tablets on medicine in the use of night douching after 10 days of treatment.
(4) : Since the oral medication not only placed in the vaginal trichomoniasis, there may be hidden in the lower urinary tract. Bartholin gland, and cervix, which rely on local drug treatment could not play the role, it would also be necessary to oral metronidazole. Meanwhile, the man receiving treatment together, it is necessary to depend on oral metronidazole. Usage : metronidazole 200 mg each time, three times a day, and continued for seven days. After taking the drug may have nausea, vomiting, anorexia and other gastrointestinal symptoms, medication can be changed after a meal; If a mental disorder, dizziness, headaches and other central nervous system symptoms should immediately withdrawal. Local administration can continue to be used.
TNZ is listed on the nitroimidazole derivatives in recent years, effective for the treatment of vaginal trichomoniasis, a simple medication. side effects of the characteristics of each daily dose 1 g, 1 a day for 3 days, the first dose was doubled. Adverse Reactions : I have a metal flavor, nausea, dizziness, headache, fatigue, deep color, such as urine. Tinidazole and metronidazole are pregnant and breast-feeding women banned medication.
(5) Washing : Use Qingrejiedu medicine, and because of herbal Jian in Washing itching, can significantly ease the genital inflammation caused by trichomoniasis infection, especially in the acute trichomonal vaginitis. Combining traditional Chinese and western medicine treatment of vaginal trichomoniasis have good results.
¢Ù prescription ( "Women's disease External best possible solutions") : Patients 30 grams per 30 grams of the Department of Health and 15 grams of alum 50 grams Kurarinone 2 to 3 heads of garlic (peeled break)
Will be placed on drug gauze bag and took it like after Jian in water, 70,000 into the bathroom, first smoked the surface of the skin question temperature bath 5-10 minutes, twice daily, on the 7th for treatment.
¢Ú prescription ( "sexually transmitted diseases, the latest therapies") : Patients <30 grams or 10 grams Zanthoxylum 15N 15 grams of Alumen
Jian in care of first asylum after washing two times a day.
¢Û prescription ( "Practical STD prescription skin Showcase") : chamaejasme osthol 30 g 30 g 30 g Kushen Huangbai 20 grams = 30 grams Yinhua Forsythia 20 grams 15N Wancomponents son obtained with 30 g 30 g 30 g Talc 30 grams pseudolaric
daily dose. Pall genital and vaginal washing, and sooner or later the 1st. Also bath.
¢Ü prescription ( "Practical men and women and Sexually Transmitted Diseases Clinical Handbook") : Patients 30 grams of fresh white paper Kurarinone 30 g 30 g = 30 grams Its main Huangbai 30 grams borneol 3 grams AP
Gauze packet from medicine on Combination of Xiaoyousan bath 20-30 minutes, twice daily, and will be used liquid cleaning vaginal gauze dip. d. 0 2 grams then placed in the depths of the vagina. Menstrual clean every 7-10 days after treatment was given in March.
Trichomonas vaginitis not easily cured, often relapse after menstruation. Therefore, after the above treatment, symptoms, signs disappear, vaginal secretions inspection has not trichomoniasis, After each menstrual still clean-up to do vaginal secretions microscopy for three months, if all were negative. side to cure.
Gopla reminded : d. taken in early pregnancy may cause fetal malformations, Metronidazole also to the fetus through the placenta into the body, the general propositions before 20 weeks of pregnancy should not be taken. Local treatment options for treatment. In addition, oral metronidazole can emit from milk, breast-feeding women are advised not to use.
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Trichomonas vaginitis need both sea.
Trichomoniasis can be spread through sexual life. Male patients with trichomoniasis, his wife is trichomoniasis almost all carriers; And women suffer from trichomoniasis, their spouses will be 60% to 90% of urinary tract trichomoniasis, we can see great possibilities couples while sick. After the man's illness, trichomonas hidden in the male urethra, the infection can also uplink caused prostatitis and epididymitis. Trichomonas only less than 20% of the male patients who have symptoms, others are asymptomatic carriers who worms. If only the treatment of his wife and her husband died, nor the protection of life, even if his wife were cured. will be transmitted through sexual life again by her husband, has become the source of infection. This cycle, both sides are stubborn refractory trichomoniasis. Therefore, the requirements of women with trichomoniasis vaginitis treatment of both husband and wife have become the conventional treatment.
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Brief :
Why should emphasize adherence to the treatment of patients with vaginal trichomoniasis?
Trichomonas vaginalis infection is not only occurred when other vaginitis patients adhere to treatment requirements, the completion of the treatment regimen. Trichomonas vaginalis is a single-cell protozoan, a strong life skills. When it is not suitable living environment for growth, trichomonas will become a global movement, activity weakened significantly, The sensitivity to the external environment has been reduced. It is mainly used in the treatment of trichomoniasis nitroimidazole drugs, both oral and topical treatments. Urethra to destroy drugs, parathyroid urethra, the tube and other places, and cervical Bartholin potential trichomoniasis. These sites are very difficult to eradicate the drug for trichomoniasis alone. If vaginal only partial treatment, even if the vaginal trichomoniasis killing, Trichomoniasis can not eliminate the urethra and other places continue to grow, entered into the vagina, vaginal trichomoniasis creation; Perhaps the role of drugs in local, Trichomonas vaginalis temporarily changed the means to survival, if we do not stick to the treatment of patients. After the drug may also restore viability of trichomoniasis, continue to grow. Therefore, in patients with treatment to be taken orally External used at the same time, and adhere to treatment. However, some people will take metronidazole nausea and vomiting, anorexia, all the metal flavor, diarrhea and other symptoms. d. These are the side effects that patients can tolerate the treatment should not be interrupted. Otherwise trichomoniasis not completely kill the possibility of "comeback" and has repeatedly disease. Metronidazole resistance of Trichomonas although not easy, but there are indeed resistant strains exist. Proposed treatment of patients should fully complete the course of treatment, in order to root out the purpose. D. patients with gastrointestinal reaction to the medication after a meal can be used to reduce the gastrointestinal side effects. If the medication emerged in the course of drug rash, neutropenia, or dizziness and other central nervous system symptoms of mental disorder. should stop the medication. Tinidazole than the general reaction of oral metronidazole, the effects are so good that can be used as an alternative to drug metronidazole.
Well, the only oral medication, for the treatment of vaginal okay? People should know that when suffering from genital trichomonal vaginitis. Vaginal congestive female Two Hundred Patients with Pruritus of Vulva, genital pain, and other symptoms Baidai quantity. Vaginal can make the drug directly to the vaginal trichomoniasis, trichomoniasis is not conducive to creating the environment that sustains reduce the local inflammatory response and reduce pain.
Trichomonas vaginitis often relapse after menstruation. So after treatment, symptoms, vaginal secretions microscopy trichomoniasis negative, After cleaning the menstrual should go to the hospital for follow-up gynecological examinations and vaginal secretions review for three months. hours before leaving for the negative.
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If trichomonal vaginitis stubbornly refractory how?
Lead trichomonal vaginitis may be stubborn ulcer drug rules : patients fail to adhere to medication; Both husband and wife shall not receiving treatment; d. intestinal absorption of some people. or because of certain vaginal bacteria damaged by drugs.
Recalcitrant trichomonal vaginitis refractory patients should not bear the burden of the spirit. aggressive treatment is the most important way to eliminate the disease. Drug treatment necessary to extend the time period, every two tinidazole tablets can be taken orally once a day, so we take the first dose was doubled used in conjunction with 3-5 days. Menstrual period between the vagina can be a powerful medicine, menstrual out, repeat the above menstrual clean after treatment, a total of 2-3 months. Washing also use herbal bath for the treatment of trichomoniasis have good results. Drug treatment also caused trichomoniasis stubbornly refractory to find the reasons.
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Trichomoniasis cause infertility?
Conventional circumstances, it is an important condition for women to conceive : the husband's sperm quantities, and good activity. Trichomonas infection, normal vaginal pH 5-6, and normal vaginal pH value of four 2-5. PH changes in the vaginal environment sperm activity will be affected. In addition, trichomoniasis can swallow sperm, and suffering from trichomonal vaginitis, vaginal increasing number of purulent secretions. secretion, which contains large amounts of interleukin, which impede sperm survival, reduce the number of sperm. Sperm volume is less activity has fared badly, it is very likely to cause infertility. Trichomonas infertility patients who were about 19%, but this is not irreversible, and most people in trichomoniasis cured, fertility can be restored.
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Trichomonas reproductive tract infections cause cervical cancer?
Vaginal infections, cervical cytology and sometimes there will be 100101. and in patients with cervical smears sometimes has trichomoniasis, therefore, has been suspected to be carcinogenic effect of Trichomonas vaginalis. But then they discovered that these changes could be reversed cytology, trichomonal vaginitis cured after 6-12 weeks. cervical smear can be converted to normal. Thus, on the reproductive tract can lead to cervical cancer trichomoniasis had any objection. Some scholars believe that patients with cervical cytology trichomonal vaginitis due to the heterogeneity of inflammation caused by nuclear, Trichomonas vaginalis infection unlikely to cause cervical cancer. China's Shanghai and Jiangxi has conducted epidemiological investigations clearly pointed out that Trichomonas vaginalis is an independent risk factor for cervical cancer is caused, in the Fifth National Conference on cervical cancer experts, Prevention of Vaginal practical significance of China's rural areas to prevent cervical cancer.
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Trichomonas vaginitis patients can choose what therapeutic side?
Trichomonas vaginitis patients, patients in the use of drug therapy, therapeutic, as the choice of appropriate treatment.
¢Ù prescription ( "medicinal recipes Collection") : Ouzhi fresh Cristata 500 ¡À 500 ml of fresh powder 500 g sugar 15N
to wash fresh Cristata. adequate water and decocting three times, each time for 20 minutes. 3rd decoction merger, and then continue to slow fire enrichment are simply adding fresh Ouzhi, heating and paste, sugar powder into the ceasefire, blending dried, crushed, the reserve bottling. -- 10 grams of each dose of boiling water three times a day.
¢Ú prescription ( "1,000 cases of food side effect") : Poria Plantago 30 grams of powder 30 grams = 60 grams of sugar appropriate 15N japonica rice.
Plantago to sack into Inquisitor, adequate water and juice to charge that the rice concoction with Poria total conjee powder. Canada can be a little sugar. Daily dose was given 5-7 day course of treatment.
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Trichomonas vaginitis patients can choose what therapeutic side?
Trichomonas vaginitis patients, patients in the use of drug therapy, therapeutic, as the choice of appropriate treatment.
¢Ù prescription ( "medicinal recipes Collection") : Ouzhi fresh Cristata 500 ¡À 500 ml of fresh powder 500 g sugar 15N
to wash fresh Cristata. adequate water and decocting three times, each time for 20 minutes. 3rd decoction merger, and then continue to slow fire enrichment are simply adding fresh Ouzhi, heating and paste, sugar powder into the ceasefire, blending dried, crushed, the reserve bottling. -- 10 grams of each dose of boiling water three times a day.
¢Ú prescription ( "1,000 cases of food side effect") : Poria Plantago 30 grams of powder 30 grams = 60 grams of sugar appropriate 15N japonica rice.
Plantago to sack into Inquisitor, adequate water and juice to charge that the rice concoction with Poria total conjee powder. Canada can be a little sugar. Daily dose was given 5-7 day course of treatment.
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How to prevent trichomonal vaginitis?
From trichomonal vaginitis know the mode of transmission, if cut off transmission of the infection can prevent trichomoniasis. Meanwhile, we must actively treatment of the source of infection, extensive survey on Trichomonas patients.
Individual life can be seen in the following several aspects :
(1) The promotion of a shower, wash basin pond : As little as possible trichomonas viability in the external environment is strong, and the bath temperature was around 40 ¡ã C trichomonas suited to the temperature, Tong is prone to frequent washing pots of cross-infection. Andrew also used to clean the bathroom. Defecation make full use of public toilet seat toilets. Loaned others wear underwear and swimsuits. Disinfect swimming pools not bad.
(2) a spouse suffering from reproductive tract to reduce or trichomoniasis is not the best sex life. Life to the use of condoms.
(3) Cleaning personal use separate pots with underwear. Patients underwear and towels to boil disinfection.
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Trichomonas vaginitis
one. Etiology
is the most common vaginal trichomoniasis vaginitis, Trichomonas vaginalis as antigens. easy in the acidic environment of low breeding.
Second, the transmission of the
mainly through public bath, with bath, a swimming pool, the total. sexual intercourse and not thorough disinfection of medical equipment, such as infection.
Third, the clinical manifestations
Leucorrhea main symptoms of increased secretion can cause skin to stimulate genital itching. Relatively few violations urethra and bladder, while vasopressin, Urgency, irritation, or even symptoms such as hematuria. Trichomoniasis can swallow sperm, vaginal secretions can impair sperm survival, and at times can lead to infertility. Trichomonas infection in a small number of patients with no vaginal inflammation, and usually referred to as "worms were brought."
Gynecological examination found more yellow-green vaginal secretions or greyish yellow belt bubble, congestive vaginal mucosa. there will be serious bleeding.
Fourth, the diagnosis
more is not difficult. Add one drop slide in normal saline mixed with secretions after some examination, if found was waveform campaign trichomoniasis. can be diagnosed. Wet rooms are too low to reduce trichomoniasis activity can be a little brine temperature after inspection. Necessary training can enhance positive rate.
Five prevent
trichomonal vaginitis easily spread easily relapse after treatment, we must focus on prevention.
(1) strengthening of health education, the importance of personal hygiene.
(B) the public should be located bathroom shower, bathroom, bath is disinfected with 20 years of service. Public toilets to squat upon. Strictly manage pools must be treated before trichomoniasis into the pool.
(3) patients who have to be checked and found there trichomoniasis, should be treated.
(D) gynecological examinations appliances should be strictly disinfected to prevent cross-infection.
Six treatment
(1) partial initial drug treatment, vaginal scrub with liquid soap. After using 0.5 acetic acid or douching after medication can improve high curative effect. No such conditions can be used lightly vinegar bath (Hemipelvic the boiling temperature of water by adding vinegar 2 T.). D. 200-400mg commonly used products, every home vaginal deep consecutive 7-10 days as a course. Chinese hard-dong can also be used for paper, marine, Zhuangshuyuan Paper root RP, herb, the 15g Huangbai daily dose decoction with bath.
(B) systemic drug metronidazole 200 mg three times daily for 7 days for treatment, or 400mg twice daily. A total of five days. Clinton also used pot patients.
(3) the treatment of attention to avoid further infection, treatment, disinfection underwear and washing utensils should be boiled. Easy to relapse after therapy, it should be reviewed by the Japanese after 3-5. Unconditional inspection, after the symptoms, treatment can be repeated. Creation, and his wife, I should check the urine or prostatic fluid, such as trichomonas found, in addition to the use of oral metronidazole treatment. After three consecutive menstrual inspection Baidai trichomoniasis negative before that cure.

This article was posted on 2007-02-27