Recognizing Trichomonas vaginitis

Trichomonas vaginitis (trichomona1vaginitis) is a common vaginitis, by Trichomonas vaginalis caused. Trichomoniasis is pear-shaped, pointed back about Neutrophils the two ~ three times the size. Flagellated worms top four, the body of a volatile film, a back-axis projection. Live Trichomonas transparent colorless, Cherry was accused of, Zhu flagellum with the membrane fluctuations and volatility swing, trichomonas the simple life cycle, Only trophozoites without encapsulation period, trophozoites life is quite strong, and in 3 ~ 5 ° C to survive on the 2nd; in 46 ° C ~ 60 survive 20 minutes; in the semi-arid environment of the survival of about 10 hours; ordinary soap also survive 45 ~ 120 minutes. Following the Ph5 7.5 or above is not an environment of growth, Trichomonas vaginitis patients with vaginal pH 5.1 for the general ~ 5.4. Hiding in glands and vaginal folds of trichomoniasis in before and after menstruation, often to reproduce, cause inflammation of attack. It exertion or swallowed vaginal epithelial cells with glycogen, lactic acid production hampered. Trichomoniasis not parasitic in the vagina. Chang also entered the next urethra or urethral gland, and even bladder and the renal pelvis and male foreskin fold, or transurethral prostate. Transmission modes of transmission are : direct transmission : sexual transmission; Indirect transmission : the public baths, bathtubs, bath, a swimming pool, toilets, clothing, equipment and bandages way. Clinical manifestations Leucorrhea genital itching and increased vaginal trichomoniasis is the main symptom of the bubble-thin increase leucorrhea and genital itching. if other bacteria were mixed infection was purulent discharges, it will be odor, itching of the main parts of the vagina and genital mouth, or a burning, pain, sexual intercourse pain. If urethral infection, constantly urinating, irritation, and sometimes can be seen hematuria. Visibility check vaginal mucosa congestive seriously, in a casual bleeding spots, posterior fornix how volume leucorrhea, faded yellow, Huang thin white liquid green or yellow purulent secretions, and formation of bubble-like. With worms were vaginal mucosa can be found no abnormality. Few patients have vaginal trichomoniasis exist without the inflammatory reaction, known as persons with worms. Some people think that the presence of trichomoniasis can cause inflammation, because of their consumption of vaginal epithelial cells glycogen, changed the vaginal pH and damaged the defense mechanism for the secondary bacterial infection in the tissue around the menstrual period, pregnancy or postpartum, and other vaginal pH change, cause inflammation attack. Diagnosis easier diagnosis typical cases, the vaginal secretions can find trichomoniasis can be diagnosed. The hanging-drop method is most convenient to check trichomoniasis is the hanging drop method. Symptomatic patients, the positive rate of up to 80% ~ 90%. Plus a small drop in temperature saline slide, in the vagina obtain secretions mixed to slightly saline, immediately in low times microscope to find trichomoniasis. If trichomoniasis and it shows the campaign was wavy mobile locations, but also to see the surrounding leukocyte goes by. Inspection must be timely and pay attention to the weather, otherwise reduce the activity of trichomoniasis, resulting in the identification difficult. Culture suspected patients, if the hanging drop method repeatedly failed to find trichomoniasis, can be sent to training, accuracy up to about 98%. Secretions from the former 24 to 48 hours to avoid sexual intercourse, vaginal lavage or local agents for secretions ago for Double clinic, Tu cpeculum not lubricants.