Trichomonas vaginitis is very common. A feature of the disease is that it seldom occurs independently. The most common pathogens in trichomonas infection colonize other infectious agents, usually of bacterial origin.

Trichomonas vaginitis Causes

Trichomonas vaginitis - an infection of sexually transmitted. Cause its class flagellate protozoa. In humans, three types of parasitic trichomonas - vaginal, oral and intestinal. Multiply Trichomonas Trichomonas - leads to infertility   by division. They are mobile, as are the four flagella.

Trichomonas vaginalis most large, it occurs by the power absorption cells, including microorganisms. Some bacteria (gonorrhea, chlamydia Chlamydia: insidious and widespread disease , Mycoplasma, ureaplasma) can survive in Trichomonas and exert their pathogenic effect after the destruction of Trichomonas. That is why such diseases are difficult to treat.

Trichomoniasis occurs during sexual intercourse, symptoms develop 5-15 days after it. Women most often affects the vagina, vulva, cervix, the lower urinary tract. In some cases, develop ascending infection - trichomonas penetrate into the uterus, fallopian tubes, ovaries and pelvic cavity, causing long-term recurrent inflammation.

It was found that women who frequently change sexual partners, trichomoniasis sick several times more likely than women with a sexual partner.

Symptoms

Trichomonas vaginitis can occur acutely, subacute and chronic. There is also the notion trihomonadonositelstva - no inflammation of the vagina in the presence of infectious agents. When acute course of about a week after a woman has sexual intercourse itching and burning in the vulva - the disease usually occurs in the form of vulvovaginal Vulvovaginitis - a disease of children and the elderly , With the defeat of the external genitalia.

Then there are abundant frothy pus-like yellowish-gray discharge with a very bad smell. Inflammation often moves to the lower urinary tract, causing urethritis and cystitis, symptoms that are part of painful urination. Disturb and discomfort and pain in the abdomen and pain during sexual intercourse. Acute Trichomonas vaginitis causes insomnia, abnormal function and totally knocks the woman out of the rut.

When subacute all symptoms of the disease manifest themselves not so bright. Often subacute trichomoniasis becomes chronic (with disease duration of more than two months), with recurring exacerbations. Exacerbations usually develop due to lower immunity - with hypothermia, stress, high physical and neuropsychiatric loads after previous infections and so on.

In chronic trichomonas vaginitis often develop inflammation in the area of ​​the cervix and genital warts grow - tissue proliferation of viral origin, showing a decrease of immunity. For chronic Trichomonas vaginitis is characterized by blurred, sometimes asymptomatic. In some cases, the disease is detected only in the survey for infertility, which is a complication of trichomoniasis.

Diagnostics

Identify Trichomonas vaginitis by using a comprehensive survey. The presence of inflammation can be detected by means of a smear from the vagina and urethra. The presence of Trichomonas clearly show PCR analysis - it will reveal the DNA of the infectious agent, even if the body has only one trichomonas.

When Trichomonas vaginitis is also carried out on the crop discharge medium to identify other pathogens and their sensitivity to various drugs.

Treatment

Treatment of all forms of the disease (including trihomonadonositelstva) held both sexual partners. Used antiprotozoal drugs - metranidozol, tinidazole Tinidazole - treats bacterial infections As well as local anti-inflammatory and antibacterial treatment.

After Trichomonas will be completely destroyed, you must re-conduct a survey to identify women with bacterial infection, liberated after the destruction of Trichomonas. If you do not, acute vaginitis will continue.

Trichomonas vaginitis - a disease that is often associated with bacterial infection, and therefore difficult to treat.

Galina Romanenko

Preparations for the treatment of syphilis today produced by many pharmaceutical companies, so the doctor is always something to replace traditional antibiotics penicillin. In addition, today released drugs that increase the body's defenses and activates the immune system.

Antibiotics for syphilis

So far, the drugs of choice in the treatment of syphilis is penicillin antibiotics. Despite the fact that the antibiotics used to treat syphilis more than half a century of addiction to them agents of this infection does not develop. Treponema pallidum also produces enzymes that destroy penicillin, syphilis this antibiotic is very effective. Therefore, treatment of syphilis Treatment of syphilis - a laborious process   penicillin is widely used today. No less widely used and long-acting penicillins - bicillin 1 bitsillin -3 bicillin 5 retarpen, ekstentsillin. For all of these drugs are designed t special schemes syphilis. Treatment of syphilis bitsillinom - 5 is the most studied.

But penicillins have one significant drawback - they often cause allergic reactions, and therefore raises the question of their replacement by other antibiotics. Replace penicillin antibiotics can semisynthetic penicillins, such as amoxicillin, amoksiklav combined preparation, which includes amoxycillin and clavulanic acid. Amoxiclav and treatment of syphilis - justifiable combination, but it is used infrequently.

An adequate substitute for penicillin may also be the drugs of the tetracycline, such as doxycycline, syphilis it is used quite widely (syphilis treatment with tetracycline is not carried out because of its high toxicity), but has a number of contraindications: severe liver failure, leukopenia (reduction in the number of white blood cells in the blood ), pregnancy, breastfeeding, children under eight years .  Side effects of doxycycline: decreased appetite, vomiting, nausea, headache, blurred vision, dizziness, or loss of coordination of movements, constipation or diarrhea, inflammation and ulceration of the mucous membrane of the gastrointestinal tract, severe allergic reactions, hemolytic anemia, thrombocytopenia (reduction of blood platelets), sensitivity to light, persistent discoloration of tooth enamel, fungal infections (vaginitis, glossitis, stomatitis, proctitis), goiter .

To select a group of drugs include antibiotics and macrolide - azithromycin (sumamed), josamycin (vilprafen) and clarithromycin (klatsid). Treatment with azithromycin for syphilis carried out very often, and with a good therapeutic effect. Sumamed in syphilis (active substance - Azithromycin) is often the drug of choice. Treatment of syphilis sumamed held as often as penicillin. Treatment of syphilis vilprafenom widely used during pregnancy, as this drug has practically no contraindications and side effects.

More recently, for the treatment of syphilis began to apply one of cephalosporins III generation - ceftriaxone. Ceftriaxone syphilis is good because it has the ability to penetrate biological membranes and suppress the vital activity of pale treponem. Treatment of syphilis ceftriaxone has good prospects.

Antibacterial drug fluoroquinolone tsiprolet in syphilis, is not likely to help - its effect on the causative agent of syphilis is not known.

Other drugs for the treatment of syphilis

Other drugs for the treatment of syphilis include bismuth preparations, such as biyohinol, which comes in addition to bismuth iodine. Biyohinol able to suppress the livelihoods of pale treponem, anti-inflammatory and resolving action. It is often prescribed along with antibiotics for recurrent secondary and tertiary syphilis.

Biyohinol contraindicated in children under 6 months, patients with kidney disease, liver, bleeding disorders, severe forms of tuberculosis, severe heart disease, gingivitis, stomatitis, cardiac decompensation. He also has a number of side effects: salivation, gingivitis, stomatitis, dermatitis, kidney damage, protein in the urine The protein in the urine - a sign of danger, which should not be underestimated , Inflammation of the trigeminal, facial and peripheral nerves.

Yet what drugs treat syphilis? Drugs that help strengthen the immune system and the protective properties of the organism - syphilis Syphilis - punishment of Venus   It helps to reduce these properties. It pirogenal, aloe Aloe - its amazing healing properties , Torfot, vitreous vitamins.

Preparations for syphilis should appoint a doctor.

Galina Romanenko