Trichomonas colpitis - is an infectious inflammation of the mucous membranes of the vagina and the urinary tract, triggered by Trichomonas vaginalis.Trichomonas infection is leading the group of sexually transmitted diseases, vnepolovoe infection is also possible, but extremely rare. Annually in the world there are nearly 300 million cases of Trichomonas colpitis.
source of infection is a single-celled protozoa Trichomonas (Trichomonas vaginalis).The pathogen is transmitted from an infected partner during unprotected intimate contact.Most (80%) at the origins of Trichomonas vaginitis are casual sex without proper protection.
Trichomonas colpitis, despite the well-defined and relatively simple clinic diagnosis is a difficult disease.The causative agent of the disease is very aggressive against mucous urogenital tract.Having penetrated the vagina, Trichomonas in patients with weakened immune systems relatively quickly spread to the surrounding structure, climbing into th
Most Trichomonas colpitis diagnosed at the stage of acute inflammation and chronic process is less common.Erased, subacute, form trichomonas infection recorded in debilitated patients with poor local immunity.Most often the disease begins acutely and has all the signs of acute specific inflammation: abundant abnormal pus-like vaginal discharge with odor, discomfort (itching, burning, pain) in the area of the vulva and vagina, contact pain.
Diagnosis Trichomonas colpitis by visual inspection of the affected mucosa and simple laboratory investigations.Trichomonas present in conventional smear, "flora".
Unfortunately, at the first sign of Trichomonas vaginitis, not all rush to the patient's examination.Available in the free sale of a large arsenal of antibiotics and anti-inflammatory agents to provoke ill self.Indeed, Trichomonas vaginitis self-treatment tablets and / or local action drugs relatively quickly able to eliminate unpleasant external symptoms, but not always destroy their culprit.Over time, Trichomonas dangerous form of association with others, opportunistic, and spread germs mucous urogenital tract.
treatment of trichomonas vaginitis does not require much time.According to the characteristics of the selected therapeutic agents and methods of its introduction into the body, the therapy may last a day or a week.Treatment Trichomonas vaginitis candles as possible.Optimal therapeutic regimen involves a combination of local and systemic (tablets) treatment for three consecutive menstrual cycles.
particularly important parallel examination and treatment of the source of infection - sexual partner.Trichomonas colpitis not able to form a strong immunity, so if after treatment contact with sick continue, reinfection is inevitable.
Causes Trichomonas vaginitis
have Trichomonas vaginitis, there is only one reason - the invasion of the vaginal mucosa pathogen infection after sexual contact with a sick partner or a partner - carrier.
colpitis Trichomonas also has a single provocation - unprotected sex with "unreliable" partner.Statistics confirm that these communications increase chances of getting trichomonas infection four times.
Vnepolovoe infection is rare.As a rule, such young girls might have contact with infected linen or wool, or in newborns from mothers sick.
Trichomonas can survive only in a human body, it is they quickly (2-3 hours) die as to maintain the vital functions they need 37⁰S temperature and humidity.Some strains may exist in humans are asymptomatic (carrier), but cause disease when the partner sexual transmission.
After the introduction of the vaginal epithelium Trichomonas synthesized toxin detrimental effect on the surrounding tissue and allows the infection to overcome the resistance of local immunity.The stronger the mucous resist the spread of infection, the more clinical vaginitis.Accordingly, if the immune defense is weak, Trichomonas colpitis can flow like a subacute inflammation.
One of the unique features of Trichomonas that distinguish them from other infectious agents is the ability to "absorb" many opportunistic and pathogenic microorganisms.As monoinfection Trichomonas colpitis found only in 10.5% of cases.Trichomonas vaginalis can turn into a kind of reservoir for ureaplasma, chlamydia, staphylococci, gardnerellas, gonococci, fungi and other microbes.So often the cause of Trichomonas vaginitis, especially chronic, is a mixed infection with Trichomonas leading role.
Symptoms and signs of Trichomonas vaginitis
first symptoms of infection in the vaginal mucosa appear after 3 - 5 days after infection, ie after sexual contact with a sick partner or a partner - carrier.In recent times there is an increase of up to two weeks, which may be related to antimicrobials or distortion of the immune response to infection.
have acute Trichomonas vaginitis has specific symptoms, indicating the cause of the inflammation at the stage of the initial examination - are extremely abundant whites characteristic "foam" type with a very unpleasant odor.Appearance precipitates determine pathogens besides Trichomonas involved in the inflammatory process.Monoinfection belyam gives a yellowish tint, if present in the discharge of the vagina, and other pathogens, it acquires a greenish tint.There may be sukrovichnyh impurities in the composition of vaginal discharge, due to inflammatory damage of the small blood vessels.The produced
trihomonadami toxins strongly irritate mucous membranes of the vagina and vulva, so inflammation is accompanied by a feeling of itching, burning and discomfort.Pronounced swelling of damaged mucosal infection causes pain during intimacy.
colpitis Trichomonas is a multifocal disease.Trichomonas vaginalis is able to move independently.On its surface, there are special education - flagella, capable of undulating "tremble" and ensure that the movement of the microorganism.This feature provides a structure for the rapid spread of infection of the urinary tract, causing inflammatory changes in any of its departments.
With involvement of inflammation of the urethra and bladder, the patient appears painful, frequent urination.Other consequences of Trichomonas vaginitis related to the migration of the pathogen outside of the vagina, appear clinic cervicitis, endometritis, salpingoophoritis.
Trichomonas vaginitis Diagnosis begins with an explanation of the patient's complaints and gynecological examination.When viewed in the vagina clearly visualized signs of acute inflammation: mucous swollen, friable, hyperemic sharply, may bleed slightly when in contact with the tools.On the walls, and especially in the vaults of the vagina there is a significant amount of viscous, frothy yellow-green discharge with a sharp unpleasant odor.In marked acute inflammation of the mucous membranes in the vagina are sometimes visible petechiae (gemooragii).Also, they can sometimes be seen on the surface of the cervix, which becomes like a strawberry."Strawberry" cervix as a visual characteristic trait of Trichomonas vaginitis appears only when extreme expression of acute inflammation of the mucous.
Chronic Trichomonas colpitis distinguishes less symptoms.A small number of cables does not cause significant irritation of the vagina and vulva, so subjective symptoms or none at all, or they are mild.This form of trichomonas infection is the most unfavorable in relation to the development of complications and of transmission to sexual partners.
for the laboratory diagnosis of Trichomonas vaginitis used discharge of the vagina, urethra and cervix.
Chronic Trichomonas colpitis requires a more thorough diagnosis, since it is necessary to identify not only monoinfected, and determine the composition of the whole microbial association, which causes the disease.Additional laboratory search using bakissledovaniya, enzyme immunoassay (EIA), PCR - diagnosis.
Kolposkopichesskoe study helps to assess the condition of the mucous of the cervix and in any period of the disease.
Trichomonas colpitis during pregnancy can cause serious consequences.With its high penetrating power, the infection can get into the fruit surrounding the structure and cause an inflammation.There is evidence of trichomonas infection due to premature birth, untimely outpouring of water, low birth weight of the newborn, but the true facts of direct infection of the fetus is not available.
treatment of Trichomonas vaginitis
goal of therapy Trichomonas vaginitis is the relief of acute infectious process and the subsequent complete destruction of infectious agents.Treatment subject to all forms of Trichomonas vaginitis, including carriage.
Before therapy is conducted with the patient talk about the necessity of observing the simple rules:
- limit the use of "irritating" foods (spicy, spicy, salty);
- exclude alcohol from the diet;
- abstain from sex.
Even the most effective treatment does not relieve the patient from Trichomonas if her partner does not pass the relevant examinations and treatment.As a rule, Trichomonas colpitis means symmetrical treatment of both partners.
The best option is a combination therapy of local and systemic treatment.The exception is Trichomonas colpitis during early pregnancy, when there is a risk of negative effects on the embryo tablet formulations.
faster and more efficiently with other trihomonadami cope Metronidazole and its analogs (tinidazole, Timorazol, Trichopolum, flags, etc.).Despite the presence of a single active ingredient in each preparation and its dosage regimen.For example, Trichopolum taken on average during the week, and Fasizhin - once.
should be noted that independent treatment Trichomonas vaginitis tablets may be insufficiently effective, since the origins of the disease can be not only Trichomonas, and its associated micro-organisms, and their presence is confirmed only laboratory tests.
treatment of Trichomonas vaginitis candles (Clione D Terzhinan, Trihomonatsid and similar) carries the patient herself at a convenient time for her.Optimally suppository inserted into the vagina at bedtime.In addition to the candles can be used ointments, gels and solutions of similar composition.
Chronic Trichomonas vaginitis involves more complex, multi-stage treatment.To restore the local immune defense mechanisms used immunomodulators (Pyrogenalum, Immunal vaccine "Solkotrihovak" and the like), absorbable preparations (Lidaza, Wobenzym, etc.), eukaryotic and probiotics (Bifidumbacterin, Lactobacterin and so on).
Control laboratory examination carried out in ten days.The patient is considered healthy if all test samples immediately after treatment and two consecutive monthly were negative.