Candidal vaginitis is caused by Trichomonas. The Trichomonas that parasitize the human body include Toxoplasma gondii, Trichomonas humanis and Trichomonas oralis, each of which parasitizes the urinary tract, gastrointestinal tract and oral cavity. The one related to skin disease is Toxoplasma gondii, which causes candidal vaginitis. It is a sparganosis disease that is mainly transmitted through sexual intercourse and is contagious. Causes of candidal vaginitis The disease occurs when the microvilli-containing pyriform Plasmodium vaginalis fungi invade the vagina. Clinical symptoms of candidal vaginitis Most cases are asymptomatic. Women may feel uncomfortable for a week or several months, which may then improve significantly due to menstruation or pregnancy. The vaginal mucosa is inflamed, red, covered with a spotted pseudomembrane, often accompanied by foam-like secretions, spontaneous itching to varying degrees, and rarely a burning sensation. Leucorrhea often turns light green. Occasionally, it may cause frequent urination, urgency, inability to hold urine, painful urination, hematuria, or abdominal pain, diarrhea, mucous stools, or alveolar abscesses and tooth decay. It often causes urethritis and can cause cystitis and Bartholin's glanditis. Candidal vaginitis test 1. Examination of secretions Use acid-fast staining optical microscope examination or molding method to check for Toxoplasma gondii in female secretions, semen, and urine. Female secretions are often light yellow and pus-like. 2. Excrement inspection Take stool or bile to check for human Trichomonas. 3. Alveolar pus examination Take alveolar pus to check for oral Trichomonas. Diagnosis of candidal vaginitis The diagnosis can be made immediately by suspending the female secretions from the posterior fornix in saline without coloring and examining them under a normal optical microscope. The rapid extension movement of the microvilli and the final sprint of the oval-shaped parasites are easily observed. Sculpting is more sensitive than direct smearing. Candidal vaginitis is also commonly diagnosed by Papanicolaou acid-fast staining. Testing should be done to rule out gonorrhea, chlamydia, and other genital tract infections. Treatment of candidal vaginitis 1. Whole body treatment (1) Metronidazole (Metronidazole) is taken three times a day for adults and a reduced dose for children. The treatment course of gastrointestinal trichomoniasis is 3 to 5 days. Candidal urethritis, vaginitis, and stomatitis should be treated with the medicine for 7 to 10 days. It is forbidden to use during pregnancy and breastfeeding. (2) Tinidazole For urinary and reproductive system and oral infections, double the dosage of the first dose, once a day, for 5 to 6 days. (3) Take trichostatin three times a day for 5 to 7 days. 2. Partial treatment (1) For candidal vaginitis, first clean the vaginal wall with soap and cotton wool, and rinse the vagina with 0.02% potassium permanganate solution or warm water, then wash and wipe with 1% lactic acid or 0.5% glacial acetic acid. Choose one of divijing, carbazon or ornidazole and insert it into the posterior fornix of the vagina or spray it into the female vagina once a day in the evening or overnight. 7 to 10 days is one treatment course, and 2 to 3 treatment courses can be used at the same time. (2) Rinse your mouth with salt water to clean your mouth, maintain daily oral hygiene, and avoid eating sweet foods before going to bed. |
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