Trichomoniasis
Introduction
Introduction to trichomoniasis Trichomoniasis is caused by Trichomonas vaginalis and is a parasitic disease mainly transmitted through sexual intercourse and is contagious. There are three types of trichomonas in parasitic humans: Trichomonas vaginalis, Trichomonas vaginalis and Trichomonas vaginalis; parasitic in the genitourinary system, intestines and oral cavity, respectively. Related to skin diseases is Trichomonas vaginalis, causing trichomoniasis. Vaginitis. 70% of cases are asymptomatic, women may feel unwell for 1 week or several months, and then will be significantly improved due to menstruation or pregnancy, vaginal mucosa is inflamed, bright red, patchy membranous pseudomembrane, often accompanied by foam Like secretions, consciously varying degrees of itching, a few have a burning sensation. basic knowledge The proportion of sickness: 0.01%-0.05% Susceptible people: women Mode of transmission: sexual contact spread Complications: urethritis cystitis vestibular gland inflammation prostatitis
Cause
The cause of trichomoniasis
(1) Causes of the disease
The flagellated pear-shaped protozoa - vaginal trichomoniasis invades the vagina.
(two) pathogenesis
Often through the common bath, bath, towel, swimming pool, unclean equipment spread to each other, can also be infected through sexual contact, consciously varying degrees of itching, a few have a burning sensation, often cause urethritis, can cause cystitis, vestibular gland inflammation, Causes urethritis and prostatitis in men.
Prevention
Trichomoniasis prevention
1, pay attention to keep the vulva clean and hygienic, to avoid unclean sex life, underwear should be diligently washed and commuted to dry.
2, pay attention to menstrual hygiene and sexual life hygiene, avoid the use of unclean hygiene products, do not touch contaminated items.
3, there are symptoms of pruritus, vaginal discharge and other symptoms should be promptly treated, after a clear diagnosis to the regular hospital, under the guidance of a doctor to standardize treatment. Standardize treatment.
4. Eat less spicy and irritating food.
5. Strengthen health education, carry out census and general work, eliminate sources of infection, strictly manage the system, prohibit patients from entering the swimming pool, improve public health equipment, and disinfect the medical units to prevent cross-infection.
6, for stubborn recurrence cases, it is advisable to carry out the trichomoniasis examination of the man's urine or prostatic fluid in order to simultaneously treat and control recurrence.
Complication
Trichomoniasis complications Complications urethritis cystitis vestibular gland inflammation prostatitis
Trichomoniasis is often associated with urethritis, which can cause cystitis, vestibular gland inflammation, and urethritis and prostatitis in men.
Urethritis is a common disease, more common in women, clinically divided into acute and chronic, non-specific urethritis and gonococcal urethritis, the latter two clinical manifestations are similar, must be identified according to medical history and bacteriology. This section only focuses on non-specific urethritis. The main pathogens of non-specific urethritis are Escherichia coli, Streptococcus and Staphylococcus, which are often mixed infections.
Symptom
Trichomoniasis Symptoms Common symptoms Itching Acute vaginal infection Vaginal purulent secretions inflammation
There is genital itching, vaginal discharge increases yellow-green. Or frequent urination, urgency, dysuria, hematuria, or abdominal pain, diarrhea, mucus, or alveolar pus, dental caries. Physical examination: vaginal mucosa is inflamed, bright red, covered with patchy pseudomembrane, often accompanied by foamy secretions, consciously varying degrees of itching, a few have a burning sensation, often cause urethritis, can cause cystitis, vestibular gland inflammation In men, causing urethritis and prostatitis.
Examine
Trichomoniasis check
1. Laboratory examination: using smear microscopy or culture method, taking vaginal secretions, prostatic fluid, urine to check vaginal trichomoniasis; taking stool or bile to check for trichomonas; taking alveolar pus to check oral hair Trichomonas.
2, physical examination: check the mouth for dental caries, abdominal tenderness, vulva and cervical mucosal congestion, bleeding points.
3, contact history: within 7 days before the disease, whether there are direct or indirect contact with patients with trichomonas or insects, such as sexual intercourse, kissing, public baths, swimming trunks, sitting toilets, life contacts. Or ingest water and food contaminated with pathogens.
Diagnosis
Diagnosis and identification of trichomoniasis
Characteristic clinical manifestations; vaginal or urethral secretions can be found in trichomoniasis.
Need to be differentiated from bacterial infections.
Bacterial infection. Includes extra-hospital infections and nosocomial infections. The most common bacteria causing out-of-hospital infections are Gram-positive bacteria such as Staphylococcus aureus, Streptococcus pneumoniae, Streptococcus pyogenes and Gram-negative such as Escherichia coli, Haemophilus influenzae, etc.; Mostly resistant Staphylococcus aureus, Staphylococcus epidermidis, Enterococcus, Klebsiella, Aeromonas and Pseudomonas aeruginosa. Occasionally refractory infection caused by the genus Acinetobacter. Infections outside the hospital are sensitive to antibiotics, so out-of-hospital infections are easily controlled, while nosocomial infections are more difficult to treat.
