August 31, 2012
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Obesity ( vaginitis ) Include the whole group of diseases in which inflammation occurs in the vaginal mucosa.
Vaginitis occur in modern women very often. According to medical statistics, about 70% of all women who are sexually active, at one time or continue to be ill sick bacterial colpitis , The number of patients is increasing. Such a wide spread of the disease can be explained, first of all, frequent manifestation of a variety of sexually transmitted infections, as well as ignoring the basic rules of personal hygiene, environmental problems and massive deterioration immunity .
Sometimes, the consequence of vaginitis, wherein the inflammation extends to the vaginal mucosa is vulvovaginitis . For this disease is characterized by the involvement in the inflammatory process of the external female genitals.
Types of vaginitis
There are several different classifications of obesity, used by professionals in the diagnosis and subsequent treatment of patients. According to the duration and nature of the inflammatory process is divided into types colpitis acute . subacute and chronic form. Given the type of pathogen disease, defined by nonspecific and specific vaginitis .
The classification process also take into account the age of patients: in this case the distinction of vaginitis girls, women in reproductive and menopausal. In addition, it takes into account the nature of the discharge (it could be a serous vaginitis, purulent vaginitis), the factors that preceded the development of the disease (post-natal, post-abortion disease).
The causative agents of vaginitis
Specific and nonspecific colpites develop due to exposure to different types of bacteria. Specific colpites provoke those bacteria which should not be detected in the vaginal mucosa of a healthy woman. In this case, we are talking about gonokokkov , Which develops as a result of exposure gonorrheal vaginitis ; Trichomonas colpitis provokes Trichomonas ; Chlamydia cause Chlamydial vaginitis ; under influence Treponema pallidum developing syphilitic vaginitis ; Mycobacterium tuberculosis causes tuberculosis vaginitis ; mycoplasma and ureaplasma provokes mycoplasmal or ureaplazmennogo vaginitis .
Sometimes a woman's vagina noted the mixed nature of the pathogenic flora, that is, there are also viruses, fungi or other bacteria. But if they are combined with agents described above, we are still talking about a specific vaginitis.
The development of non-specific vaginitis is the result of exposure to so-called opportunistic pathogens. In the normal state of women's health such microorganisms are part of the normal vaginal flora. However, under the influence of certain conditions such bacteria are pathogenic.
Depending on the nature of the causative agent of non-specific vaginitis is divided into bacterial vaginitis (they provoke streptococcus, Proteus, Escherichia coli, Staphylococcus aureus, gardnerella, Pseudomonas aeruginosa); fungal vaginitis . Viral vaginitis (they provoke herpes simplex virus, human papilloma virus ); mixed vaginitis .
Note that if a woman has manifested nonspecific vaginitis, the symptoms are similar to its specific vaginitis. However, the tactics of treatment while different, since the specific form of the disease is very important to examine and treat all her sexual partners.
Besides these forms of the disease are also allocated separately atrophic vaginitis It is a kind of complex of symptoms in older women and in those patients who underwent some surgery that caused premature Menopause .
Features of chronic vaginitis
If timely treatment of vaginitis has not been provided or used ineffective therapy, the inflammation of the vagina gradually becomes chronic. If we estimate the overall structure of the incidence of vaginitis, approximately 40% was observed in women Chronic colpitis . Doctors explain this situation, first of all, the fact that the clinical picture of vaginitis is not always entirely clear. Accordingly, the patient can see a doctor and do not apply for a long time. After the development of some forms of vaginitis symptoms in the patient no notes and reveal the presence of the disease is possible only during a pelvic exam, and screening for genital infections. To some extent, some important ethical component: not every woman can speak openly about such intimate issues.
The course of chronic vaginitis protracted: it could continue for several years, thus bringing the patient concern only in some cases, such as severe hypothermia later, during menstruation or pregnancy .
But this woman must necessarily disturb the fact that chronic vaginitis significantly increases a risk that ascending infection, which in turn becomes a cause of inflammatory diseases of the fallopian tubes, ovaries, uterus. When such serious ailments in women after some time may develop infertility .
Symptoms of vaginitis
Symptoms of vaginitis can significantly degrade the overall quality of life of women. First of all, the patient worries expressed aesthetic inconvenience due abundant selection cables . This, in turn, has a direct impact on her private life: sexual activity of women, the sick vaginitis, sharply reduced accordingly, worsening the level of satisfaction with sex life.
Vaginal discharge while nonspecific coleitis have a pathological character: they may be relatively unusual to have a non-specific color. The smell of excreta also varies, it is weak, but quite unpleasant. In some cases vaginal become thicker, having a creamy consistency. However, the selection can also be too liquid.
Another characteristic symptom of vaginitis - the constant itching, unpleasant feeling of pressure, a sense of constant irritation in the genital area of women. If the disease only develops, similar symptoms may occur only intermittently. Gradually, however, these symptoms become permanent.
When intercourse women also experience pain that can be pronounced or relatively slightly. Yet these feelings significantly affect the satisfaction of intimacy, so some women, vaginitis patients generally prefer to avoid sex. Sometimes, after sexual intercourse may appear minor bleeding.
The process of urination in patients vaginitis women are also difficult: it can feel pain and discomfort. It is very often the patient, considering that she had developed inflammation in the bladder, it begins to treat this disease. Accordingly, the appeal to a specialist gynecologist again delayed for a long time.
In addition to general non-specific symptoms of vaginitis, there are also some symptoms that occur in some forms of bacterial vaginosis.
Gonorrheal vaginitis manifested secretions that are yellow-white, thick consistency and Just noticeable odor. To Trichomonas vaginitis characterized by the appearance of yellow-green discharge that may be frothy. At the same time the abdomen sometimes appears significant discomfort and pain. With coccoid bacterial vaginitis allocation will be particularly abundant, white or yellowish, odor expressed slightly. If there is a Fungal infection of the vagina , Allocation will be cheesy, like white flakes.
Strong odor characteristic of discharge gardnerelleznoy vaginitis While isolation will be transparent.
Acute non-specific vaginitis, moreover, expressed in some common symptoms. The patient may feel certain slackness and weakness, can greatly increase the body temperature. External genitals blush, there may be edema, pussy plaque. In the acute phase of the disease is almost a woman can be sexually active because of the acute discomfort and pain.
In the chronic phase of the disease symptoms are always expressed lubricated, increasing only at an exacerbation.
Diagnosis of vaginitis
To determine the presence of the patient can be vaginitis during the inspection of the cervix and vagina using a speculum. Gynecologist defines the characteristics of the appearance of the vagina, the presence of plaque erosion. Get a more accurate picture allows a colposcopy, in which the character is determined by changes in the mucous membrane of the cervix and vagina. In addition, a microscopic examination of the vaginal smear, cervix. To accurately identify bacteria that are pathogens practiced by direct microscopic examination of smears and, if necessary, performed sowing. Sometimes nonspecific coleitis diagnosed "colpitis unknown etiology." Very often vaginitis also occur concomitant gynecological diseases, so their definition of patient is often prescribed holding ultrasound.
Treatment of vaginitis
Starting vaginitis treatment, the physician selects therapy technique so as to achieve the result of several different purposes. First of all, it is important to eliminate those factors that are conducive to the development of vaginitis. We are talking about overweight , The wrong approach to the organization of power available hormonal imbalance . chronic foci of infection .
Then apply methods to proper treatment of vaginitis. To choose the right tactics treatment, you should always be aware of what kind of vaginitis - specific or non-specific - has occurred in patients. Furthermore, it is important to determine whether treatment with antibiotics.
The hardest thing to give in a non-specific treatment of bacterial vaginosis, having a chronic form. The illness usually escalates after the woman suffered a viral infection or she aggravated a chronic infection. Thus, can cause aggravation pyelonephritis . chronic sinusitis . caries and other diseases. In this case, it is very important to use the right approach to the treatment of concomitant disease.
Parallel appointed general and local treatment of vaginitis. As the procedures to topical therapy is conducted with the use of vaginal washing preparations, antiseptics ( dioxidine . nitrofurazone . miramistin ). Also introduced into the vagina sticks containing antibiotics , Candles hexicon . The mandatory patient prescribers that contain bacteria cultures that form the normal flora of the vagina. Also in the treatment of vaginitis is required to be appointed immunomodulators (in particular, a candle comprising interferon ), Antihistamine drugs with action. The course of basic therapy lasts from ten to fifteen days and produced outside the hospital.
The following are common event, due to which a woman must clearly understand all the rules of personal hygiene, as well as to take measures to strengthen the body's immune system. If a woman has a specific place colpitis, then the need for a systemic antibiotic therapy, as well as mandatory testing of all sexual partners of the patient.
It is important not to take action for the treatment of vaginitis alone: all drugs should appoint a doctor after a diagnosis of the disease.
In addition to traditional methods of treatment, gynecologists often practice the use of certain folk remedies. However, it is important to realize that such methods are effective only in combination with traditional therapy methods.
Traditional methods are to conduct washes douching and using the concoctions of wild cherry, chamomile, calendula. You can take the hip baths with a decoction of celandine, thyme. In the treatment also used tampons soaked in plenty of ginger broth or oak leaves. These swabs are put into the vagina at night. But all these methods can be used only if it is aware physician.
Colpitis and pregnancy
If a woman is diagnosed colpitis during pregnancy, the doctor will necessarily take into account this fact in its custody. Inflammation of the vaginal mucosa in pregnant women occurs quite often. It is very important to apply the correct approach to the therapy as inflammation may not only trigger intrauterine infection, but also eventually cause miscarriage.
There are several factors contributing to the development colpitis during pregnancy. Above all, more important is the fact that the fruit-bearing load on the immune system of women significantly increases. Able Immunodeficiency a pregnant woman nonspecific bacterial vaginosis is particularly frequent. Moreover, very often in a woman's body there are some genital infections in the latent stage ( ureaplasmosis . Chlamydia ), That it is difficult to recognize. On their background and appears colpitis.
Treatment of vaginitis during pregnancy is quite a challenge for the expert. In view of the negative impact on the child's use of a number of drugs needed for the treatment of vaginitis, it becomes impossible. There are contraindications for certain local treatments.
If a pregnant woman develops nonspecific vaginitis, treatment of the disease is to use creams or suppositories with a high content of bacteria typical of the normal vaginal flora. It is also possible the use of baths with a decoction of calendula and chamomile. Sometimes it is advisable to apply the tactic of waiting. But a mandatory condition of the woman must be constantly supervised by a physician.
Preventing vaginitis
As preventive measures, aimed at the prevention of vaginitis, using both specific and non-specific methods. From a young age girl should pay special attention to compliance with all the rules of personal hygiene. Podmyvanii must necessarily be carried out with the use of soft hygiene products.
Girls should be taught from childhood to wash correctly: in this movement should be from front to back, so that it does not skid infection in the genitals. Considerable effort is necessary hygiene measures during menstruation. If a woman is suspected infection of the vagina, you should immediately renounce the use of menstrual tampons in the days.
No doubt, the necessary measure to prevent a lack of casual sex and using a condom.
To prevent the weakening of immunity, it should be time to treat chronic diseases of internal organs, inflammation of the genital organs.
If a woman is experiencing a chronic long-term stress Or takes a long course of treatment with antibiotics, she should be sure to take some time for the preparations of lactic acid bacteria to prevent changes in the microflora of the vagina toward pathology.
An important measure of prevention is hardening, and the prevention of vitamin deficiency in the body.
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