Trichomonas vulvitis
Introduction
Introduction to trichomoniasis vulvitis Trichomonas vulvitis is often secondary to trichomonas vaginitis. Female vaginal trichomoniasis is parasitic in the vagina, urethra, vestibular gland and bladder, and vestibular glands are rare. Trichomonas vaginalis is a genus of flagellates, which is much larger than polymorphonuclear leukocytes. It is pear-shaped, with four flagella on the top and a column on the tail. It can be parasitic in the human body without causing clinical symptoms. Some bacteria can cause trichomoniasis to be active and produce symptoms, but antibodies can be transmitted directly or indirectly, mainly through baths, baths, swimming pools, or incompletely sterilized medical devices. Direct transmission can be transmitted through the male urinary system through sexual intercourse, and the patient's urine and feces may also be the source. basic knowledge The proportion of illness: 1% Susceptible people: women Mode of infection: contact infection Complications: trichomonas vaginitis urethritis
Cause
The cause of trichomoniasis vulvitis
Environmental factors (35%)
Due to the large population of China and the relatively backward public health facilities compared with developed countries, the spread of public places has also become an important means of transmission. For example, a toilet in a public bath or a toilet in a public toilet is contaminated by the secretions of a worm, and then a latecomer may be infected if sitting directly on a seat or a toilet. The basins of public baths, the dense and sterilized swimming pools in the summer, the wearing of other people's underwear, the rental of swimsuits, etc., may cause the spread of trichomoniasis.
Low immunity (5%)
For trichomoniasis, anyone can be infected, and those with altered vaginal pH or low immunity are more susceptible to infection. After infection with trichomoniasis, the patient can self-healing very rarely. Even if healed, he can re-infect next time.
Sexual life is unclean (45%)
At present, because people are exposed to a wider range of environments and things, and ideas are relatively open, a large part of vaginal trichomoniasis is transmitted through sexual life, so it belongs to sexually transmitted diseases.
Prevention
Trichomonas vulvitis prevention
prevention
From the spread of trichomonas vaginitis, we can know that as long as the route of transmission is cut off, it can prevent the infection of trichomoniasis. At the same time, we must actively treat the source of infection, that is, extensive screening to treat patients with trichomoniasis.
Individuals can pay attention to the following aspects in their lives:
(1) Promote showers and wash basins as little as possible: Because trichomoniasis has strong viability in the external environment, the bath temperature around 40 °C is the temperature most suitable for growth of trichomoniasis, so it is easy to wash basins often. Cross-infection occurs. The bath in the home should be cleaned after use. When using the toilet, do not use the toilet seat of the public toilet. Do not borrow other people's underwear, swimwear, or swim in a pool that is not well disinfected.
(2) When the spouse suffers from genital trichomoniasis, it is necessary to reduce or preferably not to have sex, and to use condoms during sex life.
(3) A separate basin should be used to clean the individual's underwear. The patient's underwear and towel should be boiled and disinfected.
Because trichomoniasis has strong adaptability to changing environment, it also has considerable resistance in different concentrations of soapy water and is easily spread. Therefore, it is especially important to do a good job in health prevention. The following points should be noted:
1. Eliminate the source of infection. Because the disease is highly susceptible to infection, it is very popular, and there is a considerable proportion of healthy insects. Therefore, it is necessary to conduct routine examinations of trichomoniasis in the obstetrics and gynaecology clinics and hospitalized patients for early detection and timely treatment. , eliminate the source of infection. In order to achieve the purpose of prevention and control, census and treatment should be carried out regularly in factories, schools, township enterprises and residents, and attention should be paid to the prevention and treatment of spouses of patients.
2. Eliminate the route of transmission. Improve the welfare of citizens, promote showers, abolish public baths, and change the sitting styles. It is strictly forbidden to enter the swimming pool and not rent public bathing suits and towels. The used inspection equipment and clothing should be strictly disinfected. The disinfection towel on the inspection table must be replaced by one person.
3. Do a good job in health education and improve people's awareness of prevention.
4. Strict management of patients with isolation and treatment of insects.
Complication
Trichomonal vulvitis complications Complications Trichomonas vaginitis urethritis
Can be complicated by trichomonas vaginitis, urethritis and infertility.
Symptom
Trichomonas vulvitis symptoms common symptoms leucorrhea abnormal dysuria vulva itching urinary frequency
The incubation period is 4 to 28 days. The vaginal mucosa has red small particles or blemishes. The pH value is higher than normal. The vagina has a large amount of yellow-green or gray foam secretion, which has a stench smell, sometimes mixed with a little blood or purulent. The secretion stimulates the vulva and itchy, the vulva is red, or even inflammatory ulcers, some due to moistness and abrasion, can spread to the genital folds, pain during sexual intercourse, and may have dysuria, frequent urination and other symptoms.
Examine
Examination of trichomoniasis vulvitis
According to the symptoms and signs, it is not difficult to diagnose. The vaginal trichomoniasis can be diagnosed. The vaginal secretions can be checked by hanging drop method. The active trichomoniasis can be found under the microscope. It can also be seen in the dyeing smear. For culture, vaginal cells are affected when trichomoniasis is infected, and attention should be paid to the identification of malignant tumors. If necessary, vaginal cytology can be performed after treatment.
Diagnosis
Diagnosis and identification of trichomoniasis vulvitis
Mainly identified with Candida vaginitis. The main symptoms of Candida vaginitis are increased vaginal discharge, genital itching, but the leucorrhea of Candida vaginitis increases to watery or pus-like, mixed with cheese-like or tofu residue. Direct microscopy can make a definitive diagnosis. In addition, it must be differentiated from bacterial vaginitis and senile vaginitis. Diagnosis can usually be confirmed by secretion testing and gynecological vaginal examination.
