- Acute vaginitis - the most common disease in women
- Treatment
Acute vaginitis - Treatment depends on the type of disease
Acute vaginitis may have different origins, and therefore require different treatments. However, all obstetricians believe that the treatment of acute vaginitis requires the appointment of a complex treatment, which should be under the control of the laboratory studies.
Basic principles of treatment
Before the appointment of the treatment of acute vaginitis is necessary to conduct a thorough examination of women in order to identify the causes of the disease and the causative agent of the disease and its sensitivity to various drugs.
The structure of the complex treatment of acute vaginitis should include drugs that suppress the vital activity of infectious agents, anti-inflammatory and restorative agent. Simultaneously, local treatment, contributing to a decrease in inflammation and unpleasant symptoms.
In addition, attention is paid to the treatment of identified diseases that might cause acute vaginitis: immunity and reduce the penetration of infection in the genitals. Such diseases include all foci of infection (chronic tonsillitis, carious teeth, any infectious-inflammatory processes in the body), intoxication, endocrine disorders, hormonal disorders, women and so on.
Treatment aimed at fighting infection
This treatment is based on the results of bacteriological research. Thus, the bacterial vaginitis is assigned to an antibacterial drug, which exhibits enhanced sensitivity of the causative agent.
But this is not always the case. For example, to suppress the vital activity of intracellular pathogens (Chlamydia, Mycoplasma, Ureaplasma), some doctors prefer to focus on the conclusion of research laboratories, based on animal studies and not to enter into laboratories at medical institutions, considering them less reliable. For the treatment of chlamydial, mycoplasma and ureaplasma vaginitis used three groups of antimicrobials - macrolides (sumamed, vilprafen
Vilprafen - modern highly effective and non-toxic antibiotic
Clarithromycin), tetracyclines (doxycycline) and fluoroquinolones (tarivid, tsiprolet, aveloks).
For the treatment of vaginitis trihomonadnyh used antiprotozoal agents - Trichopolum
Trichopolum - he treats?
and tinidazole. Antifungal agents are assigned based on the results of bacteriological crops. Most commonly prescribed fluconazole (fljukostat, mikosist, Diflucan) - in acute vaginitis, arisen for the first time, only one tablet of the drug at a dose of 150 mg. Viral vaginitis treated using antivirals, such as acyclovir
Acyclovir - as it is safe?
Who is appointed as a course of treatment.
Symptomatic treatment of acute vaginitis
That is, the treatment is aimed at alleviating the condition of the woman. In order to reduce inflammation and associated burning and itching prescribed antihistamines (Suprastinum, Tavegilum) administered intravenously 10% calcium gluconate or calcium chloride.
Local bacterial vaginitis and trihomonadnyh appoint warm baths with antiseptic, anti-inflammatory and relieves itching substances - light solution of potassium permanganate, chamomile, calendula, St. John's wort. When fungal and viral vaginitis baths are not prescribed. In this case it is better to help drugs for local use - anti-fungal and anti-viral creams and suppositories (pimafutsin, acyclovir).
For the treatment of mixed infections use a combination of drugs with local action - terzhinan
Terzhinan - accessible and efficient
(antibacterial, antifungal, antiprotozoal and anti-inflammatory), Polizhinaks (antibacterial and antifungal action). In severe inflammatory processes occurring particularly effective terzhinan, which includes glucocorticoid hormones rapidly reduce inflammation, itching and pain.
Restorative treatment
For treatment of acute vaginitis any origin is of great importance overall health of women, especially the state of immunity. To strengthen it appointed a full, rich in vitamins diet, vitamin-mineral complexes. It is recommended to eliminate the increased physical and psychological stress, stress.
If a significant decrease in immunity, consult immunologists and if necessary - correction of immunity.
After the treatment shall be required to re-analyzes, confirming recovery. In the treatment of genital infections, there are certain periods when such analyzes are dealt. For example, after treatment of vaginitis, gonorrhea laboratory study carried out after 7-10 days, and then repeated once a month for a minimum of three menstrual cycles.
Only after thorough laboratory examination of a woman is considered to be recovered.
Galina Romanenko