pinworm vaginitis
Introduction
Introduction to aphid vaginitis Aphid vaginitis is an infectious disease caused by parasitic insects in the human body. It is infected in the crowd through indirect contact and direct contact with the anus-hand-mouth. The disease is generally higher in cities than in rural areas, children are higher than adults, and more common in children. basic knowledge The proportion of sickness: 0.01% Susceptible people: more common in children Mode of transmission: parasitic spread Complications: vulvitis, salpingitis, appendicitis
Cause
The cause of aphid vaginitis
(1) Causes of the disease
Ascariasis is an infectious disease caused by aphids parasitic on the human body. Aphids penetrate the vagina and cause aphid vaginitis. Aphids parasitize in the large intestine. Female mites are at night - within 2 hours after the host falls asleep. Climb out, because temperature (34 ~ 36 ° C) and humidity (90% ~ 100%) is appropriate, oxygen is sufficient, so around the anus, the perineum and female yin folds a large number of eggs, females can enter the reproductive through the vaginal opening Parts of the tract, such as the vagina, cervix, uterus and fallopian tubes, can cause local allergic reactions and inflammatory infiltration due to mechanical and chemical stimuli and intestinal bacterial contamination.
(two) pathogenesis
1. Mechanical stimulation: Females crawl out of the anus to lay eggs at night, and their heads and tails are alternately fixed on the skin to squirm, making the skin around the anus itchy; when the adult is parasitic in the intestine, the head and mouth are mechanical. Damage to the intestinal wall, causing gastrointestinal symptoms.
2. Capture nutrients: Chinese medicine believes that the worms live in the anus of the rectum, parading and biting, causing the anus to be itchy, making the children sleepless, the locusts parasitizing the intestines, affecting the spleen and stomach, the function of transportation, so the appetite Decreased, the face is yellow and thin, the girl is itch due to the mites crawling forward, or the enuresis occurs due to the bladder missed. If the hot and humid bet, the anus, ulceration around the perineum, eczema spread.
Prevention
Aphid vaginitis prevention
1. Educate children to develop good hygiene habits, wash their hands before meals, cut their nails frequently, do not suck your fingers, pay attention to the stool before and after the stool, to avoid contamination of the vulva with feces. Change the underwear and bedding. Collective childrens units must be heavily divided and there is a certain distance between the beds. Clothes, toys, and food utensils are regularly disinfected. The eggs can be completely killed by treatment with a 0.5% sulfonate solution for 5 minutes or 0.05% iodine solution for 1 hour.
2, do not drink raw water, do not eat cold vegetables, meat and so on.
3, local cleansing, anti-inflammatory, anti-allergic, early deworming to remove the cause is the key to treatment. Treatment while preventing reinfection.
4. For areas where tsutsugamushi is prevalent, census and general treatment should be carried out on children's settlements in a planned manner to completely eliminate the source of infection.
The eggs live longer in vitro, and the fingers are scratched or the eggs on the sheets are re-introduced due to inattention. They are easily infected repeatedly, boiled, 5% phenol (carbonic acid), and 10% of the liquid can kill the eggs.
Complication
Aphid vaginitis complications Complications vulvitis salpingitis appendicitis
Vulvitis, salpingitis, appendicitis.
Vulvitis is an inflammation of the vulva caused by pathogen invasion or various adverse stimuli. It can exist independently. It is more complicated with vaginitis, urinary tract disease, anorectal disease or systemic disease, or in the process of certain vulvar diseases. One of the performances.
Salpingitis is the main site of pelvic inflammatory disease, mostly in women with sexual activity, menstruation, premenarches, postmenopausal or unmarried.
Appendicitis refers to the inflammatory changes caused by the multiple factors of the appendix. It is a common disease in abdominal surgery.
Symptom
Aphid vaginitis symptoms Common symptoms Abdominal vaginal discharge increased acute vaginal infections nighttime appetite loss abdominal pain purulent secretions genital skin flushing diarrhea itching
1. Excessive around the anus and genital itching, or accompanied by burning pain, at night, vaginal discharge increased, can be yellowish white purulent secretions.
2. There may be mild gastrointestinal symptoms such as loss of appetite, abdominal distension, abdominal pain and diarrhea.
3. Can have mental disorders such as mental anxiety, insomnia, night terrors, and night molars.
4. Examination found that due to repeated itching stimulation, local dermatitis can form, flushing of the vulva skin, scratches, eczema, slight redness of the vaginal opening.
Examine
Examination of aphid vaginitis
1. Feces: Aphids generally do not lay eggs in the human intestines, so the positive rate of fecal test eggs is <5%.
2. Anal examination method: 1 to 2 hours after falling asleep, can be observed in the vaginal opening, the perianal line of white worms, 3 ~ 12mm.
3. Perianal egg detection method: scrape on the wrinkles around the anus, wipe or stick the dirt to check the eggs, commonly used transparent adhesive paper anal swab method and cotton swab swab method, must be checked before morning defecation or before bathing, The detection rate is 50% for one time, and the detection rate for three times can be as high as 90% or more.
Diagnosis
Diagnosis and identification of aphid vaginitis
diagnosis
White nematodes can be diagnosed. According to clinical features, milky white worms can be found near the anus at night, or sputum eggs can be found by stool examination.
Women with gonorrhea often have a history of unclean sex, mainly manifested as genital itching, flushing of the urethra, mucosal edema, yellow purulent discharge from the urethra, mild urinary frequency, dysuria, urgency. Diagnosis can be confirmed by routine examination of secretions.
Differential diagnosis
Aphids can be combined with gonorrhea or other sexually transmitted diseases, and must be differentiated from sexually transmitted diseases such as gonorrhea. In addition, aphid granulomas need to be differentiated from tumors and tuberculosis.
