Treating bacterial vaginosis at home

Gardnerellez always treated at home, but only on prescription and under the supervision of laboratory tests. In the case of uncontrolled self-treatment of all the phenomena of bacterial vaginosis will come back again and again. Besides the general (systemic) treatment of bacterial vaginosis at home is carried out and local treatment. Preparations of bacterial vaginosis for local treatment:

• metronidazole, 0, 75% gel (metrogil, flag, Clione D-100); preparation is administered into the vagina 2 times a day for 5 days;
• clindamycin cream 2% (dalatsin) - 1 inserted into the vagina once a day (at night) for a week;
• candles from bacterial vaginosis metronidazole (Trichopolum, correct - vaginal tablets) are introduced one by one (500 mg) at night for 10 days; before they enter the tablet in the vagina, it is soaked in a boiling water; During treatment should refrain from sexual intercourse; during menstruation treatment does not stop;
• suppositories for the treatment of bacterial vaginosis (vaginal tablets) terzhinan; part of the combined pill; Activism against gardnerellas substance is ternidazol; with the composition of the incoming Terzhinan Nystatin Nystatin - help with candidiasis   effective against yeast fungi of the genus Candida (often associated with bacterial vaginosis candidiasis); 1 tablet is introduced deep into the vagina at bedtime supine; before administration should hold the tablet in water for 20-30 seconds after administration must lie within 10-15 minutes; Course of treatment - 10 days.

Local treatment gardnerelly Polygynax not effective, since in this combination preparation no substances exhibiting activity against Gardnerella. Moreover, this drug can significantly suppress the natural microflora of the vagina, which will contribute to further proliferation gardnerellas. Antifungal drug pimafutsin Pimafucin - help in difficult times   gardnerellas used in the treatment as an adjunct in the event that bacterial vaginosis is combined with candidiasis.

Drugs that restore the natural microflora of the vagina

These drugs are administered in the second treatment step after antibiotic therapy. Preparations of bacterial vaginosis to restore normal vaginal flora:

• vaginal suppositories atsilakt - contain lactobacillus acidophilus colonies live, dried in the culture medium supplemented with sucrose, gelatin-milk medium; 1 suppository administered two times a day for 5-10 days; the treatment can be repeated at intervals of 10-20 days;
• laktonorm vaginal capsules contain live lactobacilli; administered by one vaginal capsule 2 times a day (morning and evening) during the week; if necessary the treatment may be extended; prophylactically administered 1 vaginal capsule 1 time a day at bedtime for 1-2 weeks; Treatment should be performed immediately after menstruation; introduction of vaginal capsules without applicator: carefully wash their hands with soap and water ,  then in the supine position is administered vaginal capsules finger as deep as possible into the vagina; administering vaginal capsules using an applicator: vaginal capsule is placed in the hole of the applicator ,  gently pulling the plunger ,  to fix the capsule ,  then in the supine position ,  administered applicator forward end of the capsule into the vagina as deeply as possible ,  without causing discomfort ,  slowly push the plunger all the way to exit the capsule ,  then carefully removed applicator;
• vaginal (rectal) candles bifidumbakterin - contain live bifidobacteria; injected into the vagina for one suppository 2 times a day for 5-10 days;
• vaginal suppositories Vaginal suppositories - for contraception and treatment of inflammation   femileks - it contains lactic acid, which is a natural waste product of lactobacillus vaginal provides an acidic pH of the vaginal secretions, contribute to the restoration and maintenance of normal levels of acidity and vaginal microflora, inhibit the growth of pathogenic and conditionally pathogenic microflora; prior to use candle released from contour packaging and inserted into the vagina supine slightly bent legs at one time per day at night for 10 days.

Preparations of bacterial vaginosis for immunity

Immunity is largely dependent on the condition of the gastrointestinal tract. And he was after a course of antibiotic therapy is required to suffer. Therefore, in the complex treatment of bacterial vaginosis necessarily introduced drugs for oral administration containing a colony of beneficial bacteria (probiotics) - Linex, Normoflorin, bifidumbakterin Bifidumbacterin - restores normal intestinal microflora , Bfiidumbakterin fort Probifor, bififor, laktobakterin, atsilakt and so on.

To actively beneficial bacteria multiplies in the intestine, at the same time taking probiotics - drugs, which include substances that support the livelihoods of beneficial microflora. It Lactusan, Duphalac, Normase and others.

As a fortifying agent prescribe vitamin and mineral supplements, natural immunostimulant (echinacea, Siberian ginseng, lemongrass).

Treatment of bacterial vaginosis can only be complex.

Galina Romanenko

Treatment of inguinal hernia in women

The standard and most effective treatment for inguinal hernia Inguinal hernia - dangerous or not?   surgery is considered.

• In adults, the need for surgery for inguinal hernia occurs only if the hernia causes discomfort or can block the normal blood circulation.
• Direct inguinal hernia, generally is small in size and does not require surgery.
• All kinds of oblique inguinal hernia Oblique inguinal hernia - can be congenital and acquired   require surgical intervention.

Operation on an inguinal hernia is divided into two main types: open operation involving an incision in the groin, and laparoscopic surgery, in which the correction of the hernia is done through several small incisions in the abdomen.

• Inguinal hernia surgery is performed under general anesthesia. In some cases, the doctor uses a local anesthesia or spinal anesthesia.
• Recovery after surgery and return to normal activity takes two weeks.
• The chance of recurrence of inguinal hernia after surgical removal of a very small (less than 1%).

Often, patients who identified inguinal hernia Inguinal hernia - dangerous or not? Wondering whether it can heal without surgery? Many have heard about the truss, and hope that it will help them cope with a hernia. This band is a wide belt that supports the region in which the hernia, and hold it in place. Experts agree that wearing this band - not the best idea. He does not treat a hernia, but only eases the symptoms. As a result, an inguinal hernia can be increased, and the patient will not be for some time to notice this. In addition, due to the band muscles and other tissues in the groin cease to function, become weaker, and because of this, to carry out an operation on a hernia in the future can be difficult, and the likelihood of recurrence is higher than average. Therefore truss can be worn only for a short time - while the patient waits for surgery.

Women who smoke for a few days before the start of the operation is recommended to stop smoking - exposure to tobacco smoke is associated with an increased risk of infection after surgery. In addition, the doctor may ask the patient to stop taking certain medications.

For laparoscopic surgery, the surgeon makes a three groin incision length from one to two centimeters. In one telescopic tube is inserted into the camera and lighting - laparoscope, two others - surgical instruments. Open surgery is performed through a single incision, the length of which is 5-10 cm. In both cases, the surgeon returns the bulging part of the intestine or omentum into place, and then closes the hernial any conventional suture or using a mesh prosthesis made of synthetic fabric, sometimes - with a metal frame. The operation that is conducted using such a prosthesis is called hernia repair. This method can significantly reduce the risk of re-herniation, but the likelihood of recurrence is still.

Recovery Treatment

Patients who were operated on under general anesthesia during the day after the operation can not drive a car or other vehicle, drink alcoholic beverages, as well as to sign important documents.

Many women return to work within one to two weeks after surgery, but recovery time is different, and resume normal activities should be only when the doctor says it's safe for you. Because the incisions after removing the hernia Removal of inguinal hernia - all features of the procedure   absorbable filaments are usually sewn seams disappear, on average, ten days later.

In the postoperative period is very important to eat enough fruits, vegetables, and other foods rich in dietary fiber to avoid constipation and the associated discomfort.

If necessary, the patient can take non-prescription analgesics, but first must find out from the doctor which of these drugs are safe for you.

Consequences of inguinal hernia in women

Infringement of an inguinal hernia is the most dangerous consequence of this breach; if strangulated hernia is not treated in time, it can lead to the death of intestinal tissue, and in the most severe cases, death of the patient. Fortunately, in most cases, removal of inguinal hernia in women is conducted in a timely manner, and this complication can be avoided. However, the surgery itself is associated with certain risks.

In 10-15% of women who had undergone such surgery, inguinal hernias are formed after some time again. It is - quite a serious problem, as in the case of the likelihood of recurrence of hernia entrapment increases, and conduct a second operation is much more complicated.

In rare cases there are complications such as postoperative infection, damage to veins, arteries or nerve fibers, as well as adjacent to the inguinal hernia organs such as the bladder or bowel. The probability of damage to the reproductive system and, as a consequence, the emergence of problems with fertility, is extremely small. However, if after the surgery, the patient appeared irregular menstruation, which was not there before, it should be as soon as possible to see a doctor.