acute vaginitis
Introduction
Introduction to acute vaginitis Acute vaginitis refers to acute inflammation caused by infection with a certain pathogen. Many pathogens causing infection, such as Candida, trichomoniasis, bacteria, viruses, etc., leading to candida vaginitis, trichomonas vaginitis, bacterial vaginosis, senile vaginitis. basic knowledge Sickness ratio: 0.2%-0.5% Susceptible people: women Mode of infection: contact infection Complications: Infertility Annex inflammation Pelvic inflammatory disease Cervical erosion Cervicitis
Cause
Cause of acute vaginitis
Acute vulvovaginal infection caused by a certain pathogen.
Prevention
Acute vaginitis prevention
1. After treatment, most patients with yin- inflammatory disease can be cured, but some people are prone to relapse. In order to avoid the recurrence of vaginitis, it is best to wear loose and breathable underwear, avoid tights, jeans and other clothing. In addition, the underpants are preferably cotton, dried in the sun after washing.
2, when the menstrual cramps should use sterile cotton pads, pay special attention to avoid bacterial infections. Bathroom equipment must be cleaned to avoid sharing by multiple people to reduce the probability of infection.
Complication
Acute vaginitis complications Complications infertility annex inflammation pelvic inflammatory disease cervical erosion cervicitis
1. If vaginitis is not effectively treated, it may cause ascending infection of bacteria in the vagina, causing gynecological diseases such as cervicitis or cervical erosion.
2, some vaginal inflammation will also be implicated in other organs, causing pelvic inflammatory disease, annex inflammation and other reproductive organs inflammation.
3, severe vaginitis can cause female infertility, this is because the inflammatory cells in the vagina will affect the operation of sperm or phagocytosis of sperm, causing infertility.
Symptom
Acute vaginitis symptoms Common symptoms leucorrhea leucorrhea abnormal leucorrhea is tofu slag-like leucorrhea yellow green
Fungal vaginitis
Monilial or mycotic vaginitis is caused by a mold infection. Its incidence is second only to trichomonas vaginitis.
The most common symptoms of Candida infection are vaginal discharge, genital and vaginal burning itching, external dysuria, and vulva map-like erythema (fungal or candida vulvovaginitis). The typical leucorrhea is curd-like or lumpy, and the vaginal mucosa is highly red and swollen. It can be seen that the white goose-like plaque adheres and is easily peeled off. The underlying is the erosion base of the damaged mucous membrane, or the shallow ulcer is formed. In severe cases, the ecchymosis can be left behind. . However, leucorrhea does not all have the above-mentioned typical characteristics, from water samples to curd-like leucorrhea, and some are completely thin, clear, serous exudates, which often contain white flakes. The itching symptoms of fungal vaginitis during pregnancy are particularly serious. Even sitting down, suffering from abnormalities, there may be symptoms such as frequent urination, dysuria and dyspareunia. In addition, about 10% of women and 30% of pregnant women are mold carriers, but there is no clinical manifestation.
Trichomonas vaginitis
Trichomonas vaginitis is a common vaginitis caused by Trichomonas vaginalis.
The main symptoms of vaginal discharge and genital itching vaginitis are thin foamy leucorrhea and genital itching. If other bacteria are mixed, the discharge is purulent and may have odor. The itching area is mainly vaginal opening and vulva. There may be burning, pain, or sexual pain. If there is an infection in the urethral opening, there may be frequent urination, dysuria, and sometimes hematuria. During the examination, vaginal mucosa congestion can be seen. In severe cases, there are scattered bleeding spots. There are a lot of leucorrhea in the posterior iliac crest. It is grayish yellow, yellowish white thin liquid or yellowish green purulent secretion, often foamy. The vaginal mucosa of the worms can be found without abnormalities. A small number of patients have trichomoniasis in the vagina without inflammatory reaction, called the worm. Some people think that trichomoniasis can not cause inflammation when it exists alone, because it consumes glycogen in vaginal epithelial cells, changes the vaginal pH, destroys the defense mechanism, and promotes secondary bacterial infection, so it is often before, during or after the menstrual period. When the vaginal Ph changes, it causes an onset of inflammation.
Bacterial vaginitis
Bacterial vaginosis is mainly caused by vaginal vaginal bacteria, which can be transmitted through sexual relations.
The typical clinical symptoms of this disease are markedly increased vaginal abnormal secretions, which are thin homogeneous or thin paste, grayish white, grayish yellow or milky yellow with a special fishy smell. Since alkaline prostatic fluid can cause the release of amines, it is manifested as an increase in odor after sexual intercourse or after sexual intercourse. The vaginal pH value increases during menstruation, so the odor can be aggravated during menstruation or menstruation. The patient's vulva has discomfort, including varying degrees of genital itching, generally no obvious time, but itching is more obvious in rest and mood. There are still varying degrees of external burning sensation, and some patients have sexual pain. Very few patients have lower abdominal pain, difficulty in sexual intercourse and abnormal urination. The vaginal mucosa epithelium showed no obvious hyperemia at the time of onset.
Examine
Examination of acute vaginitis
1, gynecological examination
Vaginal symptoms require routine gynaecological examination, preliminary screening of possible diseases, and taking secretion specimens for necessary examination.
2, vaginal secretion examination
Check the PH value, check the vaginal cleanliness, and see if there are mold, trichomoniasis, bacteria (clue cells, pus cells) infection.
3, vaginal secretion culture
Check which pathogen is infected and provide an accurate diagnosis for the doctor.
4, drug sensitivity test
To detect which kind of drug is sensitive to the pathogen, it can be targeted and improve the therapeutic effect.
Diagnosis
Diagnosis and diagnosis of acute vaginitis
1, vaginal discharge is grayish white, very sticky, even like batter, uniform, but not purulent secretions, the amount is uncertain.
2. The amine content in the secretion is particularly high, so it is fishy smell. When sexual intercourse or activity, the odor is aggravated by promoting the release of amine. The amine flavor can also be released after adding 10% potassium hydroxide to the secretion.
3. The pH value in the vaginal secretions increases, the pH range is 5.0 to 5.5, and the normal person is 3.7 to 4.5.
4. Clue cells can be detected in the wet smear of vaginal secretions.
Among the above four criteria, more than three can be diagnosed, and the fourth is the necessary diagnostic criteria.
