Trichomonas colpitis symptoms and treatment in women. Bacterial infection of the urethra. Trichomonas colpitis - what is it

Splenomegaly, i.e., significant enlargement of the spleen, can be of the most diverse origin. For this pathology, there are many causes and possible ways to classify them.

Symptoms and signs of splenomegaly

Clinical features, the course of the disease and laboratory data often make it possible to recognize the main forms of splenomegaly.

Tumor abdominis, located mainly in the upper left quadrant, is recognized as an enlarged spleen, and not any other organ:

1. along the characteristic front edge with clippings - margo crenatus, incisurae lienales;
2. by superficial location, easy accessibility of palpation over a large area, a significant spread of dullness upwards, towards the chest; when the colon is inflated with air, the spleen is not pushed back from the abdominal wall;
3. by the frequent presence of simultaneous enlargement of the liver, lymph nodes and blood changes (leukopenia, anemia);
4. by a rapid and distinct contraction of the spleen after a subcutaneous injection of adrenaline.

It should be remembered that the size of the spleen can also change depending on the mental state of the patient, the phase of digestion, on altered endocrine influences (the spleen decreases during pregnancy); finally, already strong percussion in the region of the spleen reduces its size. All these data on neuroreflex changes in the size of the spleen were already established by Botkin and are of great scientific and practical importance.
Bykov proved the influence of various external stimuli on the spleen in the order of conditioned reflexes.

The dimensions of the enlarged spleen in the clinic are determined mainly by its length - from the upper edge of the dullness along the axillary line to the lower anterior pole of the spleen, determined by palpation (with an impalpable spleen, its lower border is determined by percussion). Percussion can also easily distinguish Front edge splenic dullness. back border spleen percussion is indistinct (Samples).

Radiographically, it is possible to recognize the spleen, its contours, location, enhancing the contrast by inflating the large intestine with air or a more complex pneumoperitoneum method, and also introducing Thorotrast into the blood, as in the study of the liver. For differentiation from the enlarged left kidney, in doubtful cases, cystoscopy, pyelography, pneumothorax are performed. Examine urine in normal conditions and after palpation of the tumor: if the tumor belongs to the kidney, provoked hematuria may appear.

The following diseases are especially often accompanied by splenomegaly.

Causes of splenomegaly

The spleen can increase as a result of pathological lymphoproliferation, the appearance of foci of extramedullary hematopoiesis in it in myeloproliferative diseases, and increased activity of the reticuloendothelial system in autoimmune hemolysis. Severe splenomegaly is seen with chronic myeloid leukemia, subleukemic myelosis, malaria and leishmaniasis. Hepatosplenomegaly is more common in lymphoproliferative or myeloproliferative disorders, direct liver damage, or storage diseases such as amyloidosis. Splenomegaly with simultaneous enlargement of the lymph nodes makes the diagnosis of lymphoproliferative disease even more likely. An enlarged spleen can cause abdominal discomfort, back pain, and a feeling of fullness due to pressure on the stomach. It is not excluded the development of spleen infarcts, which are accompanied by severe abdominal pain radiating to the left shoulder. At the same time, the friction noise of the spleen is detected during auscultation. Sometimes there are spontaneous or trauma-related ruptures of the organ.

Diagnosis of splenomegaly

Diagnostic search is aimed at identifying the most likely cause of splenomegaly. Ultrasound and CT evaluate the density of the spleen tissue, reveal changes characteristic of lymphoproliferative diseases. At the same time, an image of the liver or abdominal lymph nodes is obtained. The diagnosis is clarified by a biopsy of the lymph nodes, including the abdominal ones. The involvement of the mediastinal lymph nodes in the process is established radiographically. In a clinical blood test, pancytopenia can be detected as a secondary manifestation of the disease. In case of pathology in a smear (altered lymphocytes, young forms of a leukocyte or erythroblast germ), a study of the bone marrow is indicated. It may be necessary to screen for infection and liver disease. If none of the data obtained lead to a final conclusion, for the purpose of accurate diagnosis, the removal of the spleen is resorted to.

Anamnesis. Most of the existing symptoms are the result of an underlying disease. However, splenomegaly itself can cause early satiety due to pressure from the enlarged spleen on the stomach. severe pain may be a sign of splenic infarction.

Physical examination. The sensitivity of palpation and percussion in detecting an increase in the size of the spleen (according to ultrasound data) is 60-70% and 60-80%, respectively. In thin people, the spleen can be palpated in 3% of cases.

Additional symptoms may be observed: the rubbing noise of the spleen on the parietal peritoneum, which indicates the presence of a splenic infarction, epigastric and splenic noises, characteristic of congestive splenomegaly.

Diagnostics. If the physical examination findings are questionable, instrumental confirmation of splenomegaly may be required. In this case, the method of choice is ultrasound procedure due to its accuracy and low cost. CT and MRI allow more detailed visualization of the spleen. Scintigraphy is highly accurate, which allows you to identify the presence of additional elements of the spleen, but this method is expensive and difficult to perform.

Specific causes of splenomegaly suspected at clinical examination should be confirmed by appropriate diagnostic methods (see relevant sections of the manual). If there is no suspected cause, occult infections should be ruled out first, as early initiation of treatment affects the outcome of the infectious disease to a greater extent than the outcome of other diseases associated with splenomegaly. In areas of wide geographical distribution infection or if the patient has signs of illness, the examination should be carried out especially carefully. If a Clinical signs diseases (other than symptoms directly related to splenomegaly) and risk factors for infection are absent, recommendations for the spectrum of studies being conducted are controversial.

Specific changes in peripheral blood tests may indicate an underlying disease (small lymphocytes in chronic lymphocytic leukemia, large granular lymphocytes in T-cell granular lymphocytic hyperplasia (THL) or T-cell leukemia; leukocytosis with a predominance of immature forms in other leukemias). An increased number of basophils and eosinfils, erythrocytes containing nuclei or having the shape of a "falling drop", indicate myeloproliferative diseases. Cytopenic syndrome is a sign of hypersplenism. Spherocytosis is observed with hypersplenism or hereditary spherocytosis. In cirrhosis of the liver with congestive splenomegaly, multiple abnormal liver function tests are observed. An isolated rise in serum alkaline phosphatase is characteristic of infiltration of the hepatic tissue in myeloproliferative, lymphoproliferative diseases and miliary tuberculosis.

Diffuse hypergammaglobulinemia indicates the presence of chronic infection (malaria, calazar, brucellosis, tuberculosis), cirrhosis of the liver with congestive splenomegaly, sarcoidosis, or connective tissue disease. Serum level rise uric acid characteristic of lymphoproliferative or myeloproliferative disease. An increase in the level of leukocyte alkaline phosphatase is observed in myeloproliferative diseases.

In the event that during the examination no other abnormalities were detected, except for splenomegaly, a second examination is carried out in the interval from 6 to 12 months.

Types of splenomegaly

Chronic myeloid leukemia- a form easily recognizable by the simultaneous enlargement of the liver and lymph nodes, soreness of the bones and by an elementary examination of the blood, even without a microscope. With a large number of leukocytes, blood mixed with 5 parts of distilled water does not become varnish, but remains cloudy from a suspension of a large number of leukocytes; in a test tube, settled citrated blood gives a clear creamy layer of leukocytes.

Thrombophlebitic splenomegaly(splenomegalia splenothrombo-tica) - the most common form, long-term, sometimes decades of isolated flowing (solitary) splenomegaly in the absence of any other manifestations of the disease. Later, pallor, weakness, periodically fever with pain in the spleen, leukocytosis, hematemesis from varicose veins of the esophagus and stomach (collateral circulation occurs through the vasa brevia of the stomach), ascites joins.

Ascites can be recurrent, appearing mainly after esophageal bleeding, which also causes contraction of the spleen. Anatomically, the spleen reveals significant plethora ("congestive splenomegaly"), sometimes partial fibrous degeneration.

Etiology thrombophlebitic splenomegaly - trauma to the abdomen, chronic septic and specific general infections (syphilis, malaria and their consequences), acute and chronic phlebitis of unknown etiology, damage to the tumor and inflammatory nature of neighboring organs - the pancreas, kidneys - leading to thrombosis of adjacent venous trunks.

Treatment. General hygienic sparing regimen, periodically bed rest, antibacterial agents. During the period of exacerbation - carefully leeches and medicines that prevent blood clotting. In the early periods of splenectomy. For a more reliable reduction of portal hypertension (especially in cases of more widespread thrombosis in the portal vein system), it is proposed to sew the splenic vein into the left renal vein or to impose another kind of anastomoses between the portal and inferior vena cava.

Splenomegalic cirrhosis of the liver an atrophic or hypertrophic type is easily diagnosed by the presence of an altered liver, collateral circulation, ascites or jaundice, a positive fuchsin sublimate test and other functional liver tests, etc.

The early stages of splenomegalic cirrhosis of the liver can only represent a picture of splenic anemia and leukopenia in the presence of fibrosis (fibroadenia) of the spleen, and liver function does not suffer significantly.

Splenectomy during this period can somewhat improve the composition of the blood and general state sick. The so-called Banti's syndrome represents the pathophysiological pattern of the development of cirrhosis of the liver, due to the primary lesion of the spleen, leading primarily to splenic anemia and leukopenia, alleviated at this stage by splenectomy. It should be remembered that in practice with Bunty's syndrome there is almost always cirrhosis of the liver, unless infections such as malaria, visceral leishmaniasis, brucellosis, syphilitic or septic splenomegaly are visible, so the diagnosis of Bunty's syndrome, or disease, should not be made.

Hemolytic jaundice easily recognized by the presence of perennial mild jaundice, by some common features and characteristic blood changes.

Lymphogranulomatosis proceeds with an increase in lymph nodes, fever, itching, etc. (see below).

chronic lymphatic leukemia, erythremia, Worlhof's disease, malignant anemia and other blood diseases that occur with an enlarged spleen are recognized by the corresponding general and hematological signs.

Quite often, splenomegaly is caused by infections with a protracted course, such as: malaria, brucellosis, visceral leishmaniasis, subacute septic endocarditis, meningococcal sepsis, syphilis, from acute infections - relapsing fever, leptospirosis, etc.

spleen infarction, usually already increased earlier in acute infections (subacute septic endocarditis), leukemia, thrombophlebitic splenomegaly, etc., characterized by sudden acute pain in the spleen, septic fever, chills, enlargement and soreness of the spleen; with the development of perisplenitis, the pain persists for a long time, the noise of friction of the peritoneum is heard. The cause of a heart attack is an embolism from the heart and other organs (according to the frequency of localization, spleen embolism is in second place after the kidneys) or local vascular thrombosis.

Rupture of the spleen in acute malaria, relapsing fever, abdominal trauma gives a picture acute pain, collapse, internal hemorrhage with accumulation of blood in the abdominal cavity and is of predominantly surgical interest, requiring urgent splenectomy.

It should also be remembered that the spleen is enlarged with nutmeg (cardiac) cirrhosis of the liver, Pikka's pericardial pseudocirrhosis, general amyloidosis, with isolated tuberculosis of the spleen, echinococcal cyst of the spleen and a number of others. rare diseases spleen.

These include systemic lipoidosis: Gaucher's disease, when the spleen is enlarged, along with the liver, due to the deposition of cerebrosides in characteristic large cells, with a nucleus pushed to the edge, easily detected in the bone marrow punctate; the disease has a chronic long-term course, starting in childhood, proceeds with anemia, brown skin pigmentation, yellowish infiltrates in the conjunctiva; Niemann-Pikka disease, which affects children and quickly leads to death with symptoms of splenohepatomegaly, anemia, leukocytosis, brown skin pigmentation; Hand-Christian-Schüller disease and also disease childhood with xanthomatosis of the skin and bones, leading to round defects of the skull, hips, pelvis, vertebrae, with exophthalmos, dwarf growth, diabetes insipidus.

Treatment of splenomegaly

Treatment directly depends on the underlying disease. By itself, an enlarged spleen does not require treatment, except in cases of severe hypersplenism.

In recent decades, the number of sexually transmitted diseases has increased dramatically. Doctors believe that the reason for this is a rather early entry into sexual activity, as well as low sexual culture and enlightenment of the population. One of the most common infections is trichomoniasis, which occurs in the form. This disease not only brings the patient a lot of discomfort, but is also a direct threat to further pregnancy and childbirth. That is why it is so important to know the first symptoms of the development of the disease and consult a doctor in time.

What is trichomonas colpitis

Trichomonas colpitis is an infectious disease accompanied by inflammatory changes in the vaginal mucosa. Most often, the causative agent of trichomoniasis enters the body through unprotected intercourse through direct contact with a carrier of pathology. Less common are cases of microbe transmission through the use of personal hygiene products or underwear shared with the patient, when transferred from insufficiently processed medical or cosmetic equipment. The disease can appear even after a single contact with the pathogen, since it takes only a few seconds for its penetration.

Trichomonas colpitis is a private form of damage to the vaginal mucosa. In men, trichomoniasis occurs with similar symptoms, which differ due to anatomical structure genitals.

Existing varieties of the disease

Classification of pathology according to the nature of the course:

• acute colpitis (rapid increase in symptoms in 1-2 days, intoxication and fever);
• subacute (less pronounced clinical picture, which develops from a week to a month);
• chronic (periodically occurring exacerbations against the background of a short or long remission, the disease exists in the body for more than six months).

Varieties of the disease, depending on the attachment of foreign microflora to Trichomonas:

• combined with fungi (Candida);
• combined with bacteria (gardnerella, mycoplasma, ureaplasma);
• combined with viruses (herpes, HPV).

Video: doctor talks about pathology

Why trichomonas colpitis develops

The leading cause of the formation of the disease is infection with Trichomonas. This pathogen is the smallest microorganism in the form of a drop, which has several flagella at its end. Such elements provide high mobility and protect Trichomonas from the effects of cells of the human immune system.

Trichomonas - the simplest microbe that has several flagella for movement

Factors that increase the likelihood of infection:

• promiscuity;
• other diseases of the urogenital tract (chlamydia, candidiasis, gonorrhea);
• inflammatory processes in the pelvic area;
• frequent visits to beauty parlors and epilation masters;
• violation of the rules of personal hygiene and the use of other people's things;
• stagnation of venous blood in the lower half of the body;
• recent surgery with the installation of a urinary catheter;
• uncontrolled intake of antibacterial drugs;
• primary or secondary immune deficiency.

Video: Elena Malysheva talks about trichomoniasis

The main clinical manifestations of pathology

All sexually transmitted diseases have a rather specific symptomatic picture. Often trichomonas colpitis develops gradually, as a result of which women do not always turn to the doctor in a timely manner. In some cases, an asymptomatic course is possible, when the disease is detected only during a routine examination or when taking a smear.

In immunocompromised individuals, the main symptoms of the disease are aggravated by a cold or flu. This is directly related to slow metabolic processes flowing in the human body.

Clinical manifestations of trichomonas colpitis:

1. Changes in the external genitalia. In the process of development of inflammation, large and small lips increase in size and swell. The mucous membrane becomes more sensitive and thin, even slight irritation leads to the formation of the smallest cracks and ruptures. During sexual intercourse or the introduction of a tampon, due to a lack of natural lubrication, there is a sharp pain, typically the appearance of injuries.
2. emergence pathological discharge. Usually they have an unpleasant smell of rotten fish or spoiled meat, bubble and accumulate on linen. When dry, a sticky crust forms, which is quite difficult to remove. The amount of discharge varies depending on the patient's lifestyle: with active sexual intercourse, physical activity or stress, it increases dramatically. Color can vary from dark brown to gray and yellow. The appearance of bloody impurities indicates the destruction of blood vessels and the formation of a hematoma.
3. Unpleasant pulling sensation in the lower abdomen. In part, they resemble menstrual pain, but occur on any day of the cycle. Psycho-emotional stress, overeating or alcohol abuse leads to an increase in this symptom. For pain relief, 1-2 tablets of Ketorol are usually enough, after which the discomfort weakens or completely disappears.

Photo gallery: symptoms of the development of the disease

Inflammation is always accompanied by swelling and redness of the soft tissues. Abdominal pain has a pulling character Pathological discharge may have a different color

Trichomonas colpitis and pregnancy

When carrying a baby in the body of a woman, hormonal changes occur. This leads to an increase in the vulnerability of the mucous membranes to the action of various microbes. That is why, during the period of expectation of a child, many chronic ailments sharply worsen, and the patient begins to feel worse. Symptoms of the disease in pregnant women practically do not differ from the course of pathology in other women: the amount of discharge increases slightly, and the child may experience long-term consequences of infection (growth and developmental delay, lack of amniotic fluid).

Methods for diagnosing a disease

To identify trichomonas colpitis, you need to contact a gynecologist. To begin with, the doctor conducts a general examination and examines the condition of the mucous membrane of the vagina and cervix. Women must be asked the number of pregnancies, childbirth, abortions and miscarriages, as well as the methods of contraception used.

Often, trichomonas lesions of the vaginal mucosa are masked behind other infections. I happened to participate in the examination of a woman with obvious signs of thrush - she was worried about itching, and also whitish discharge periodically occurred. After examining a tissue sample, it turned out that the candidal microflora suppressed the symptoms of trichomoniasis, but it could only be cured with antibiotics.

Disease detection methods:

• microscopic examination of the smear allows you to identify the causative agents of the infection (they look like small drop-shaped microbes with flagella);
• identifying the sensitivity of microflora to antibiotics helps doctors choose the right drug for treatment;
• polymerase chain reaction - the latest way to determine the pathogen DNA in biological material using a centrifuge;
• ultrasound examination of the pelvic organs shows the presence of fluid in the uterine cavity and pathological adhesions in the tubes, which indicates a chronic process.

Table: differential diagnosis of trichomonas colpitis and other gynecological pathologies

What does the discharge look like with various urogenital ailments

Discharge from thrush has a curdled consistency Allocations with trichomonas colpitis are accompanied by a fishy smell Discharge from gonorrhea is purulent

Various treatment options for trichomonas colpitis

Diseases of the reproductive system require immediate therapy immediately after confirmation of the diagnosis. In mild cases, doctors limit themselves to prescribing a sparing diet and using medications for external treatment of the vagina. If the pathology has gone quite far, physiotherapy and systemic drugs are used. At all stages of treatment, a woman must comply with a certain hygienic regime and visit the gynecologist regularly. Timely control will allow you to track the effectiveness and change the scheme if necessary.

Pharmaceuticals for the treatment of the disease

Treatment of trichomonas colpitis is carried out in several directions at once. Doctors need to completely relieve the patient of discomfort, remove the causative agent of the infection and prevent relapses. Additionally, it is worth doing to strengthen the immune system. All funds are divided into local, which are applied to the mucous membranes or injected into the vagina, as well as general, taken in the form of capsules, tablets, powders or injections.

The course of treatment of trichomoniasis is designed for two. Therapy of the sexual partner is a mandatory step that will prevent the circulation of the pathogen in the pair.

Preparations for topical treatment of mucous membranes:

1. Antiseptic solutions help remove excess secretions and cleanse the vagina. For this purpose, Miramistin, Furacilin, Chlorhexidine, Chlorophyllipt are used. This treatment is used before applying ointments or introducing tampons or suppositories.
2. Antibacterial drugs cause the death of pathogenic microbes, disrupting the growth and reproduction of Trichomonas. The most common medicines: Terzhinan, Hexicon, Nystatin, Meratin Combi, Neotrizol, Flucostat.
3. Means for the normalization of the vaginal microflora are used in parallel with the course of antibiotics. They promote the revival of beneficial bacteria that fight infection on their own, and also prevent the appearance of injuries. Most often, doctors prescribe: Vaginorm-S, Atsilakt, Gynoflor E, Laktonorm, Lactobacterrin, Vagilak.

Photo gallery: medicines for topical treatment of the mucosa

Miramistin comes with a special dispenser that is convenient to insert into the vagina. Terzhinan - the best remedy to fight Trichomonas Vagilak prevents the development of cracks

Drugs for systemic therapy of the disease:

1. Antimicrobial drugs of general action are used for massive lesions of the mucous membrane. These include Streptomycin Sulfate, Azithromycin, Zhalacin, Rifampicin, Levorin, Nystatin, Polymyxin M sulfate, Natamycin, Clindamycin, Azithromycin, Roxithromycin, Cefpirome, Amoxiclav, Neomycin sulfate.
2. Steroid anti-inflammatory drugs can quickly get rid of swelling, itching and irritation. The most common substances in this group are: Prednisolone, Dexamethasone, Cortef, Laticort, Dexazon, Dexon, Polkortolone, Sinaflan, Medopred, Kenalog.
3. Painkillers relieve discomfort in the pelvic area. For this purpose, Ketorol, Nimesulide, Ibuprofen, Tramal, Tramadol, Analgin are used.

Photo gallery: drugs for systemic therapy

Amoxiclav is a broad-spectrum antibiotic that kills bacteria. Prednisolone reduces swelling of soft tissues
Analgin quickly relieves pain

Traditional medicine as an additional remedy

Unfortunately, it is often possible to get an appointment with a gynecologist only a week after the appointment, and the symptoms continue to grow and disturb the patients. If you do not have access to private doctors, you should use folk recipes to alleviate the manifestations of trichomonas colpitis. Decoctions, infusions, baths and lotions allow you to get rid of the signs of the disease, but do not eliminate the cause that caused it. Therefore, doctors strongly advise not to give up traditional medicine, even if you feel relief.

Some folk recipes are not intended for use on the vaginal mucosa. In my practice, I have been involved in the treatment of a woman who received a severe chemical burn. On the Internet, the victim found a remedy for combating the inflammatory process on the skin - a tincture of celandine. The patient soaked a cotton swab liberally in this liquid and placed it in the vagina. Within a few minutes, the woman felt a strong burning sensation, and the removed tampon was covered in blood. After calling an ambulance, the victim was hospitalized in the gynecology department, where an emergency operation was performed. As it turned out, the celandine juice corroded a blood vessel, as a result of which the woman almost died from hemorrhagic shock. That is why doctors recommend not using high intensity agents for mucous membranes.

Popular recipes for combating the manifestations of trichomonas colpitis:

1. 2 tablespoons baking soda dissolve in a glass with 0.5 liters of boiling water. After cooling, draw the solution into the syringe and rinse the vaginal cavity several times. It is believed that soda has an antiseptic effect and allows you to create an environment unfavorable for the further growth and development of pathogenic microorganisms. But such douching with abuse leads to vaginal dryness: the procedure should be done once a week before bedtime.
2. Mix 100 grams of calendula with the same amount bay leaf and boil in a bowl of boiling water. As soon as the water reaches an acceptable temperature, immerse the lower body in it. The time of taking such a bath is at least 15-20 minutes. A mixture of calendula with bay leaf helps reduce inflammation and reduces the formation of pathological secretions. It is recommended to carry out this procedure before going to bed 2-4 times a week.
3. 50 grams of hop cones and 30 grams of cherry leaves simmer in a liter of water. After cooling, soak a gauze pad in liquid, squeeze out excess, then insert into the vagina for 10-30 minutes. This technique allows you to get rid of itching and burning, and also softens the mucous membrane. You can apply the method every day.

Photo gallery: folk remedies for the treatment of the inflammatory process

Calendula relieves inflammation Hop cones reduce itching and burning Soda creates an unpleasant environment for Trichomonas

Video: treatment of the disease with herbs

Nutritional features of patients with trichomonas colpitis

Diet also helps those affected in the fight against diseases of the urogenital tract. Many pathogenic microorganisms, including Trichomonas, feed on fast carbohydrates that enter the patient's digestive system. That is why, when dealing with colpitis of this nature, it is recommended to reconsider your usual eating style. Doctors advise to give up fatty, fried, smoked foods with great content oils and salts. Instead, foods should be boiled, stewed, or baked using only olive oil.

With trichomonas colpitis, it is necessary to consume at least 2 liters of water during the day. From coffee, black tea, carbonated drinks and packaged juices, as well as alcohol, you should refuse at least for the period of treatment.

What foods should be included in the diet:

• Adyghe cheese and goat's milk;
• cottage cheese, whey; kefir, yogurt without additives, fermented baked milk, bifidok;
• lean meat and fish (especially river);
• mussels, shrimp, squid;
• fresh vegetables, fruits and berries in the form of salads, fruit drinks, smoothies, cocktails;
• lean soups;
• cereals and cereals;
• legumes and peas;
• hard pasta;
• greens;
• nuts;

Photo gallery: healthy food

Spinach is rich in vitamins and minerals Nuts are high in amino acids and healthy fats. Oatmeal - best source slow carbohydrates

Personal hygiene rules for victims

Sanitation of the vagina is an integral stage in the treatment of trichomonas colpitis. Before applying any drug, it is necessary to remove pathological secretions and protect the mucous membrane from traumatic effects. For this purpose, syringes are used - small pears with a rubber or plastic tip.

Procedure rules:

1. Rinse the device with intimate hygiene gel and dry thoroughly with a towel. If you are using a syringe for the first time, it makes sense to boil it over low heat for several minutes.
2. Treat the nozzle with an antiseptic (hydrogen peroxide is suitable) dial the medicine. Insert the tip into the vagina and douche until the discharge is clear.
3. Rinse the pear several times and put in a dry and warm place. Remember to change your device every few months to keep bacteria from growing inside.

How to use tampons for the treatment of the inflammatory process:

1. Wipe the external genitalia with a gauze pad soaked in water. Do a douche.
2. Remove a clean swab from the package and apply the medicine. Try to evenly distribute the medication. Wait for 2-3 minutes until the drug is completely absorbed.
3. Gently insert the tampon into the vagina (use the applicator if necessary). Remove it after 10-40 minutes. If discomfort occurs while wearing, you can change the position with clean hands.

Features of the treatment of the chronic form of trichomonas colpitis

With a long course of the disease, harmful microorganisms acquire resistance to traditional antibacterial drugs. This leads doctors to choose more effective regimens from a combination of several antimicrobials, as well as resort to other therapies. One of the effective ways to combat the chronic form of trichomonas colpitis is physiotherapy.

What procedures help with the disease:

1. Ultrahigh frequency therapy. With the help of a special apparatus, currents of various intensities enter the woman's body. They stimulate activity circulatory system and improve metabolic processes in the body, as a result of which the formation of adhesions slows down.
2. Massages. The doctor precisely influences certain points of the female body using mechanical force. This contributes to the normalization of venous and lymphatic outflow, which allows you to effectively remove toxins from the damaged area.
3. Inductothermy. The patient is placed in a kind of MRI machine, but remains closed Bottom part torso. She is influenced magnetic fields different frequency and intensity. This technique allows you to get rid of inflammation, reduce the amount of pathological secretions and reduce their intensity.
4. Electrophoresis - the introduction of medications into the patient's body using current. Electrodes are applied to the abdomen, through which the pharmaceutical agent quickly penetrates into the blood vessels and spreads throughout the body. The effect occurs within 10-15 minutes, and the procedure itself is completely painless, which provides its advantage over injections.

Photo gallery: physiotherapy to combat the disease

Electrophoresis provides a faster introduction of drugs into the body Magnetic Therapy Helps Reduce Pain Ultrahigh frequency therapy reduces the risk of infertility

Treatment forecasts and probable negative consequences of pathology

Trichomonas colpitis is an extremely serious and dangerous form of an infectious lesion of the genital organs. Its treatment can take from 2–4 months to 1.5–3 years, depending on the neglect of the case. Restoration of reproductive function and preparation of the body for pregnancy lasts another year. If the disease was found in late stages development, this process can be lengthened up to an indefinite time. The older the woman, the less likely she is to give birth to a healthy baby after suffering a Trichomonas infection.

If the victim has other diseases of the reproductive system (genital herpes, gardnerellosis, gonorrhea, syphilis, candidiasis), then the rehabilitation of the body will take much more time. This is directly related to impaired metabolic processes and slowing down the regeneration of soft tissues.

The patient's recovery is largely influenced by a responsible approach to the implementation of medical recommendations. Doctors prescribed a course of antibiotic therapy to one woman along with a partner, who was the source of the infection. The girl was embarrassed to tell her man about the problem and was treated alone, while continuing to have sex with a carrier of trichomoniasis. Re-infection occurred, but under the action of antibiotics, the infection passed into chronic form. The slow course of the inflammatory process and the subsequent proliferation of connective tissue provoked the appearance of adhesions in the fallopian tubes. A few years later, in the process of planning a pregnancy, the girl faced problems with conception: the embryo was formed in the tubes, and not in the uterus. The only solution was the operation of artificial insemination.

What complications can occur in patients with trichomonas colpitis:

• miscarriage (abortions, miscarriages);
• improper attachment of the fetus (in the tubes, ovaries, abdominal cavity);
• proliferation of connective tissue constrictions;
• intrauterine infection of the child;
• premature birth;
• fetal malformations;
• the occurrence of ovaries;
• the formation of inflammatory processes of the pelvic organs;
• amputation of the uterus along with appendages;
• irritation and hypersensitivity of the vaginal mucosa;
• urinary sphincter damage and urinary incontinence.

Photo gallery: possible complications of the disease

Adhesions - the main cause of infertility in women Polycystic ovaries is a violation of the normal structure of the organ due to the growth of pathological formations Premature baby has an abnormally low body weight and needs resuscitation Urinary incontinence treated with sling surgery

How to protect your body from Trichomonas infection

Diseases of the reproductive system have an extremely negative impact on the reproductive function of the female body. the main objective obstetrician-gynecologists is the preservation of the health of each patient with the possibility of subsequent childbearing. That is why the problem of prevention of trichomonas colpitis is especially acute for doctors. Doctors are sure: it is necessary from the very beginning young age educate girls on personal and sexual hygiene practices to avoid unprotected intercourse and other problems.

During my internship at the Department of Obstetrics and Gynecology, I had the opportunity to participate in annual preventive medical examinations. Women assigned to this polyclinic were required to undergo a complete examination once a year. Smears were taken from all patients for the purity of the microflora, and the presence of pathogenic microorganisms was also determined. As it turned out according to the results of the tests, about 20% of all women have any manifestations of trichomonas colpitis, and another 10% are asymptomatic carriers of the causative agent of the disease. Doctors had a separate conversation with the victims, during which it turned out that most of them use hormonal pills, candles, a spiral or interrupted sexual intercourse even with an unfamiliar partner as a method of contraception. These methods of protection contributed to the spread of urogenital infections. All women were given coupons for further consultation with a specialist in order to prescribe a course of therapy. Already after 4 months, many of them noted a significant improvement in the situation at the second appointment.

Rules for individual prevention of trichomonas colpitis:

Trichomonas colpitis is one of the most common sexually transmitted diseases. This disease is caused by the protozoan Trichomonas microorganisms that live in the mucosa of the genitourinary system. In men, pathogens can cause inflammation of the urethra, and in women, inflammation of the vagina (colpitis). With trichomonas colpitis, the inflammatory process develops on the mucous membrane of the walls of the vagina.

Infection in most cases occurs during unprotected intercourse with an infected partner. But domestic causes of colpitis are also possible - this is the use general subjects hygiene, linen.

Exist folk remedies that fight infection and eliminate the inflammatory process in the genitals. It is very important that most of these funds can be used by expectant mothers.

Causes of trichomonas infection in men and women

The simplest flagellate microorganisms call. They are able to live only on the mucous membranes of the genitourinary system in men and women. These microorganisms do not infect other organ systems, such as the intestines or oral cavity. In the external environment, Trichomonas also quickly die.
Thus, the main cause of the disease in women and men is unprotected vaginal sex. In rare cases, it is possible to become infected with Trichomonas in the household way when using common hygiene items, towels, linen, for example, in a bathhouse or pool. Therefore, attention should be paid to personal hygiene.

Concomitant causes of the development of trichomonas infection are a decrease in immunity and a general weakening of the body.

Symptoms of the disease

Symptoms of the disease depend on its form. There are acute and chronic forms of the disease. Acute trichomonas colpitis is manifested by the following symptoms:

• itching and burning in the vagina and in the vulva;
• redness of the walls of the vagina;
• feeling of heaviness in the lower abdomen;
• copious vaginal discharge. The discharge may be whitish-yellow, often frothy, may contain blood, and have an unpleasant odor.

If the disease becomes chronic, the symptoms change. The vaginal mucosa becomes normal in color and the discharge practically disappears.

Trichomonas infection of the genital organs in men and women is often accompanied by urethritis - inflammation urethra. This is accompanied by pain during urination. In men, trichomonas infection is most often asymptomatic, so he may not even know there is a problem. Symptoms appear only when Trichomonas infects the urethra - in this case, pain and cramps occur during urination. Prolonged trichomonas infection can lead to male infertility and the development of prostatitis.

The danger of trichomonas colpitis

In women, Trichomonas affects the vagina, cervix and uterine cavity, ovarian cyst, urethra. In men, the infection develops in the seminal vesicles, epididymis, and urethra. The inflammatory process interferes with the normal functioning of the human genitourinary system.

A prolonged course of infection can lead to the formation of cervical erosion and disruption of the normal functioning of the epithelium. Colpitis is often accompanied by concomitant bacterial infections that can affect the organs of the genitourinary system in men and women. Infections and disruption of the normal functioning of the female genital organs can cause infertility.

If trichomonas colpitis in women develops during pregnancy, the likelihood of spontaneous abortion increases, especially early dates gestation.

Diagnosis of the disease

Microscopic examination is used to make the diagnosis. vaginal discharge, smears from the cervix and urethra. Microorganisms-causative agents are clearly visible in a conventional light microscope. In a gynecological examination, the condition of the vagina and cervix is ​​assessed.

Treatment of trichomonas colpitis

In addition to receiving medicinal products, for the effectiveness of the treatment of the disease, it is important to fulfill a number of prescriptions.
It is very important to conduct an examination and, if necessary, parallel treatment of the sexual partner. In men, the examination is carried out by urologists and a microscopic examination of discharge from the urethra is used to make a diagnosis.

During therapy, it is better to refuse sexual intercourse or use a condom, since the likelihood of re-infection is high.

It is important to carry out therapy aimed at treating concomitant disorders and diseases, in particular, bacterial infections of the genitourinary system of men and women, violations of the integrity and normal functioning of the epithelial layer.

Treatment of colpitis during pregnancy

Pregnant women are strictly prohibited from using medical preparations from trichomonas infection during childbearing. These drugs cross the placental barrier and cause disturbances in the normal development of the fetus. It is especially dangerous to use drugs in the first trimester of pregnancy, when all the systems of the baby's organs are laid.

However, the therapy of the disease must be carried out without fail, since trichomonas colpitis increases the likelihood of miscarriage. For therapy in this case, you can use traditional medicine. Such treatment is not harmful to the health of the future mother and fetus. Folk remedies have anti-inflammatory and antimicrobial effects. In particular, for the treatment of the disease during pregnancy, sitz baths with herbal decoctions are used, which have an anti-inflammatory effect and restore the mucous membrane of the vagina and cervix.

Folk remedies for the treatment of the disease

Disease prevention

Prevention of trichomonas colpitis is similar to the prevention of any sexually transmitted diseases. To prevent trichomonas infection, you need to abandon promiscuity and unprotected sex. It is also important for men and women to monitor personal hygiene, not to use other people's or public toilet items.

A woman begins to discharge, their color can be yellow, pinkish or gray. Pain in the lower abdomen is added to the discharge, which can radiate to the lower back, and during urination can intensify. She may also experience discomfort and pain during intercourse. In addition, there is itching and burning in the genitals.

Trichomonas belong to the simplest organisms, to the classification of flagella. They are brought during sexual intercourse if the partner has Trichomonas. In a healthy woman, the vagina copes with the trapped bacteria. But if the body is weakened or there are some diseases, then the protection will not work. It is also believed that the cause of colpitis may be poor ecology and hormonal failure.

In what cases is a woman prone to infection with colpitis? The reasons are as follows:

• if ovarian function is weakened;
• the organs and systems of a woman are susceptible to various diseases;
• in the presence of anomalies in the reproductive system;
• if a woman does not follow the elementary rules of hygiene and sexual life;
• with frequent and improper douching, when using antiseptics, with thinning of the mucous membrane in women of age, the mucous membrane of the vagina may undergo changes;
• in the presence of injuries of the vagina.

Trichomonas colpitis in women is divided into two types:

1. 1 Chronic form. It takes two months to develop, after which, if the necessary treatment has not been carried out, complications may begin in the form of endometritis, cervicitis and salpingo-oophritis.
2. 2 Development acute form it takes up to 15 days for a woman to become infected, this form is distinguished by pronounced symptoms.

Some women, even with an acute form of colpitis, do not go to the doctor, but are treated on their own, this attitude is fraught with serious consequences, this infection can lurk, and then turn into a chronic form. In this case, the inflammation slowly spreads to the uterus, ovaries and fallopian tubes.

Signs of an acute form begin suddenly. There are characteristic pains, itching and burning, mucopurulent discharge comes out of the vagina. It happens that a woman experiences a burning sensation during urination. Inflammation can also go to the cervix, as well as the external genitalia.

Trichomonas colpitis is not the only disease of its kind, there are also senile and atrophic ones. In the first case, the mucous membrane is affected, as a result of which it atrophies. As a rule, this type does not bring any special problems. The second type occurs when a woman pays little attention to her health, does not visit gynecological clinics. If you periodically undergo examinations, then this disease is easy to identify. Symptoms are considered to be the presence of mucous, liquid secretions, sometimes with an admixture of blood. Pain, itching and burning appear. During intercourse, a woman experiences discomfort and pain.

Treatment rules

When infected with this disease, it is necessary to be treated immediately so that the form does not develop into a chronic one. Mandatory rules in the treatment of this disease are:

• excluded during the entire treatment sex life and alcohol intake;
• trichomonas colpitis requires treatment not only for the woman, but also for her partner;
• you need to treat any form of Trichomonas, even if the woman is just a carrier of this virus.

Treatment options include the following:

• the woman's vagina is treated with antiseptic drugs;
• a course of medication is prescribed;
• the microflora of the vagina is brought back to normal;
• prescribed drugs that strengthen the immune system.

After a week of complex treatment, a woman comes for an examination, a control examination is prescribed after the menstrual cycle.

Preventive actions

To get rid of the problems that trichomonas colpitis brings, prevention is necessary:

1. 1 As soon as any gynecological diseases appear, they must be treated, since the work of the ovaries depends on them.
2. 2 Monitor immunity, do not allow it to decrease.
3. 3 Carefully select products for intimate hygiene, try not to use gels with perfume additives.
4. 4 Avoid using contraceptive gels with the presence of spermicides, they change the internal microflora of the vagina.
5. 5 Underwear should be changed every day. When using pads, give preference to natural materials.
6. 6 It is advisable not to wear synthetic underwear.

What are the possible complications?

This disease must be treated on time, otherwise the following consequences may occur:

• due to inflammation that began in the cervix, cervicitis may develop;
• inflammation of the uterine layer causes endometritis;
• if the fallopian tubes and ovaries become inflamed, salpingo-ophreitis develops;
• the disease in women of reproductive age is fraught with infertility;
• neoplasms may appear in the pelvic area;
• the urinary system may be affected;
• for pregnant women, this disease can be fraught with premature birth or early miscarriage.

ethnoscience

Before resorting to folk medicine you need to consult your doctor. Folk recipes use only as an additional to the main treatment.

1. 1 Pour two tablespoons of chamomile flowers with a liter of water and put on fire, after 15 minutes remove from heat and cool. Strained broth is used for douching in the morning and evening. The course is two weeks. You can use calendula instead of chamomile.
2. 2 Pedunculate oak bark, yarrow grass, sage and officinalis rosemary mix in the ratio 20:20:40:20 gr. The resulting mixture is poured with three liters of water and put on fire until it boils. Strain the cooled infusion and use for douching in the morning and evening.
3. 3 Good effect gives the use of propolis tablets. Insert one tablet into the vagina every day at bedtime. The expected course of treatment is ten days.
4. 4 Wash well and insert sugared honey as deep as possible into the vagina. Try to lubricate the walls and cervix. The recommended course of treatment is two weeks. At the beginning of treatment, itching and burning may occur, but over time this will pass.
5. 5 This treatment is for the woman's partner while she is being treated. Every day for two weeks, a man should drink water with honey dissolved in it. On the day he should use 100 grams of honey in three doses.
6. 6 Grind the leaves of the coltsfoot, pour one spoonful of leaves with one liter of boiling water. Let it brew for an hour. Strained infusion used for douching. It helps well when inflammation becomes chronic and pain is present. In the same way, you can cook blackberry leaves with gray.
7. 7 celandine. Pour two spoons with two liters of water. Put on fire, bring to a boil and hold on low heat for another five minutes. He must stand for one hour. Strained infusion used for douching twice a day.
8. 8 A good remedy is the introduction of tampons at night, moistened in the composition of garlic and onion juices and glycerin in equal proportions. Estimated course 20 days. Contraindications include pregnancy.
9. 9 Soak a tampon in sea buckthorn oil and inject before going to bed. This method of treatment can be used until the disease completely subsides.
10. 10 Pour a spoonful of yellow capsule flowers with a glass of boiling water. Insist 40 minutes. Strained infusion used for douching.

Disease detection methods:

• secretions are taken from the vagina for cytological examination;
• vaginal contents, its sowing is checked for microflora;
• the polymer chain reaction for Trichomonas antigens is checked;
• blood and urine is taken for a general study;
• endoscopic examination is carried out under a microscope - colposcopy.

It is very important to start treatment in a timely manner, since the disease is insidious and can have serious consequences. Drug therapy, supported by alternative treatment, is the most effective. The main thing to remember is that only a doctor should prescribe treatment, independent actions can only aggravate the situation. Be healthy!