Colpitis ( nonspecific vaginitis ) - Causes, Symptoms and Treatment .MF .
Colpitis (nonspecific vaginitis) - infectious and inflammatory diseases of the vagina caused by the action of opportunistic pathogenic microorganisms (E. coli, streptococci, staphylococci, and others.).Distinguished acute, subacute and chronic (recurrent) forms of the disease.
emergence vaginitis contribute to violations of the trophism of vaginal tissue caused by general or local causes.Most often there are two forms of inflammation of the vagina - seropurulent diffuse vaginitis and vaginitis.
seropurulent vaginitis is characterized by an extremely varied clinical picture: the examination of women can be seen as the best minor changes of the vaginal mucosa and severe purulent inflammation when the mucosa dramatically thickened, edematous, hyperemic all over, sometimes eroded and covered with copious purulentdischarge.
vaginitis symptoms depending on the severity of the inflammatory process may be different. Allocation - the main symptom of the disease - may be liquid, watery, pu
In acute nonspecific vaginitis patients also complain of:
- itching in the vestibule caused by irritant arising cables;
- burning sensation;
- feeling of pressure, heaviness and heat in the genitals and pelvis;
- sometimes dizuricheskie disorder.
internal investigation or the imposition of mirrors sometimes impossible due to pain and swelling of the vaginal walls.Also because of the pain becomes impossible sexual intercourse.
In chronic forms of inflammatory pain are absent.In general, patients complain of whites, itching, burning and small ulcerations of the vulva and the outer third of the vagina.The general condition suffers a little.It is this form of nonspecific vaginitis most often resembles bacterial vaginosis.
diagnosis of nonspecific vaginitis can easily be put on the basis of inspection in the mirror.Typically, the vagina to a greater or lesser extent different consistency filled contents often excreted.The mucous membrane at the serous-purulent vaginitis dramatically thickened, edematous, hyperemic, and all over the place is covered with dense gray lying films.These attacks can be removed by scraping, causing minor abrasions and bleeding.
In diffuse vaginitis swollen buds look like small bright red seeds, towering over the mucosa.
the diagnosis of nonspecific vaginitis is particularly important bacterioscopy cables.In smears possible to very clearly define not only gramprinadlezhnost microorganisms, but the unique morphology of some bacteria can display up to their kind.Most found several species of microorganisms.When nonspecific vaginitis always found a large number of white blood cells (30 to 60 or more).
key cells are not available, but a lot of lowered vaginal epithelial cells.In general, the microscopic picture is characteristic of the inflammatory exudate.
bacteriological diagnosis of nonspecific vaginitis uninformative due to the large diversity of microorganisms in the vagina in both normal and pathological conditions.A more significant results can be obtained with the use of quantitative methods for studying the microflora of the vagina, using a necessarily strict anaerobic techniques.
Bacterial vaginosis and nonspecific vaginitis are different in origin and development of diseases that have specific diagnostic features.Nonspecific vaginitis - a primary inflammatory process while bacterial vaginosis is inherently vaginal dysbacteriosis.Consequently, principles of treatment of these diseases must be different.
Treatment vaginitis comprehensive, it includes:
- application etiotropic, anti-inflammatory agents;
- treatment of opportunistic diseases, neuroendocrine, metabolic and other functional disorders;
- cessation of sexual intercourse until complete recovery, examination and treatment of the partner.
In the treatment of crucial Vaginal and vulvar, which are often involved in the inflammatory process.It recommended cleaning the external genitalia with a weak solution of potassium permanganate, a decoction of chamomile (sage) 3 times a day;in the acute phase of vaginitis, purulent secretions prescribe vaginal douching decoction of chamomile or disinfectants (solutions of potassium permanganate 1: 6000- 1: 8000, rivanola 0.5-0.1%).Douching produce no more than 3-4 days, as they promote desquamation of surface epithelium of the vaginal mucosa cells containing glycogen.Prolonged use of douches may inhibit recovery of the normal flora of the vagina and acidity content.
Given the resistance of many pathogens to antibiotics feasibility of their use in bacterial coleitis questionable.Topical application of antimicrobial drugs (solutions, emulsions) useful when persistent current vaginitis and sensitivity thereto causative microbe (bacteria Association).The use of these drugs should not be long.
Ampouled possible to use 0.1% estradiol dipropionate oily solution, 1 ml of which was dissolved in 20 ml of 5% or 10% emulsion of streptomycin, the same amount of wild rose oil, peach, or any other vegetable oil, previously pasteurized.The walls of the vagina is treated every other day for 7-10 days.Success facilitate daily vaginal bath of chamomile or chlorophyllin, the use of vitamins.
There have been reports of the successful reorganization of the vagina by the local use of lactic acid bacteria, which are antagonists of many pathogenic and opportunistic microbes.
Later recommended anti-treatment after 4-5 months.