Obstetrics and gynecology. Trichomoniasis and tuberculosis of the genital organs (the most important)

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Obstetrics and gynecology. Trichomoniasis and tuberculosis of the genital organs (the most important)

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46. Trichomoniasis and genital tuberculosis

Trichomoniasis - This is a specific infectious disease of the genitourinary organs caused by Trichomonas vaginalis, which are the simplest unicellular organisms from the flagellate class. They only parasitize humans. The disease is transmitted sexually, very rarely - household. In women, the urethra, the glands of the vestibule of the vagina, and the cervical canal are affected. The duration of the incubation period is from 7 to 14 days or more. The clinic is due to the virulent properties of the microbe, the reactivity of the organism. The disease can have an acute, subacute and asymptomatic course. There is also asymptomatic trichomoniasis.

Trichomoniasis is acute. The vagina is most commonly affected (Trichomonas vaginitis). Usually patients complain of the appearance of yellow foamy liquid discharge, often with an unpleasant odor, itching and burning in the vulva, perineum, inner thighs.

When the urethra is affected, patients experience pain and burning during urination. Without treatment, the intensity of the inflammatory process gradually subsides, the process takes on a chronic course, and may be asymptomatic.

When the cervix is affected, the mucosa is hyperemic, edematous, muco-purulent discharge flows from the cervical canal, which often leads to the development of cervical erosion, especially on the back lip. Due to the ascending inflammatory process, the menstrual cycle may be disturbed, uterine bleeding is possible. Diagnosis of trichomoniasis is made by microscopic examination of discharge from the vagina, cervix and urethra.

Treatment. The vaccines "SolkoTrichovak" and "SolkoUrovak" normalize the vaginal microflora, damage Trichomonas and increase the body's resistance.

Tuberculosis of the genital organs. Genital tuberculosis is caused by Mycobacterium tuberculosis, which enters the genitals from other sources. Most often, the infection comes from the lungs, less often from the intestines, mainly through the hematogenous route. Tuberculosis most often affects the fallopian tubes, uterus, and less commonly the ovaries. Forms of tuberculosis of the genital organs:

1) exudative form;

2) productive-proliferative form;

3) fibrous-sclerotic form.

Tuberculosis of the appendages and uterus is characterized by a violation of menstrual and generative functions. Violation of the generative function is most often manifested by primary (rarely secondary) infertility.

Treatment genital tuberculosis complex with the use of specific anti-tuberculosis drugs.

Author: Ivanov A.I.

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