Inflammatory processes in the organs of the urogenital system in women may arise for various reasons, but the most frequent of them is the penetration and development of infection. One of the most common similar diseases is considered to be counterpart. It can manifest itself in a variety of forms and types. The symptoms of this inflammatory process arise in women at any age, and at least occasionally they are experiencing almost every, including during pregnancy. In time, the treatment will take rid of many complications.

Content:

Description of the disease

Collective (or vaginite) is called the inflammation of the mucous membrane, lining the vagina. Most often, this disease is combined with the inflammation of the shell of the vulva, while the pathological process is called vulvovaginitis. Often it extends to the cervical channel of the cervix, which leads to Cervicita. Usually, adult young women are encountered with symptoms of color, but such a disease can manifest itself in young girls, as well as older women.

Types of Colport

Depending on what kind of origin is the inflammatory process, the colpites of infectious and noncommunicable nature differ.

Infectious Colpit

It occurs due to the impact on the mucous membrane of the pathogens of microorganisms. In turn, they are specific and conditionally pathogenic, so infectious colpit is divided into 2 types:

1. Specific colpit, which develops due to penetration into the mucous membrane of the vagina of pathogens of infectious infections transmitted mainly by sexual means (trichomonads, chlamydia, gonococci, herpes viruses and others).
2. Nonspecific colpit. It arises as a result of the activation of conditionally pathogenic microbes (staphylococci, streptococci, flow, intestinal sticks). They are always present in the body, but their content and activity are governed by useful bifidobacteria and lactobacteriums. These bacteria produce lactic acid and create a disastrous medium for pathogenic microorganisms. The harmful microflora begins to develop only when for any reason there is a significant decrease in the number of bacteria-defenders (due to the reception of antibiotics, for example).

There is another classification of infectious collision in which it is divided into bacterial, fungal (candidiasis, or thrush) and viral (pathogens are herpes, papilloma or cytalometric viruses).

Non-infectious colpiti

Atrophic colpit. The cause of inflammation of the mucous membrane of the vagina is thinning (atrophy) and modification of the structure of the vaginal epithelium occurring in women in menopause. Pathology arises due to the deficiency of estrogen affecting the state of mucous membranes.

Allergic colpit. Inflammation occurs due to the effects of allergen mucosa, which may be present in hygienic agents or in therapeutic oats. Allergies may also be shown to the material from which a condom is made.

Colpit call primaryIf the inflammatory process occurs directly to the vagina. Or secondaryIf the inflammation of the vagina begins due to the penetration of infection from the uterus (downward path) or from the vulva (ast path).

Forms of the disease

Colpit flows in acute or chronic form.

Acute form - This is the initial phase of the disease when pathological manifestations arise, which are far from always paying due attention. A sharp colpit is easy to eliminate if it is diagnosed on time.

Chronic form - This is a launched disease for which the periodic disappearance and the resumption of symptoms is characterized. Treatment is hampered, since, due to the weakening of the protective properties of the mucous membranes, the pathogens of many concomitant infections penetrate into them.

Possible complications of Colport

The most frequent complication of the inflammatory process arising in the vagina is its propagation on the uterus, as well as on the appendages. This leads to a violation of the periodicity of menstruation, to the dysfunction of the ovaries, the emergence of amenorrhea, the inamy of uterine pipes and infertility.

The complication of inflammation of the appendages becomes an ectopic pregnancy. Colpit can provoke the occurrence of such ailments as the erosion of the cervix, endometritis, as well as the inflammation of the kidneys.

Particularly difficult to treat chronic infectious colpites, which are manifested by years. At the same time, the likelihood of infection of the sexual partner is great. The most serious complication may be the appearance of abscesses (large jets in the vagina), as well as the formation of fistulas, directly connecting the vagina with the rectum.

Video: Consequences of Coligation

Causes of Colport

There are many factors contributing to the development of infection, weakening the protective properties of the mucous membrane of the vagina and its irritation. It is they are the main causes of the occurrence of collision.

These factors include:

1. Reducing overall immunity as a result of colds and infectious diseases, as well as transferred operations, stress or adhesion to smoking and other harmful habits.
2. Mechanical damage to the mucous membrane of the vagina (during intercourse or conducting manipulations by gynecological instruments). Injust in the vagina of the foreign body (often for this reason there is a colpit from young girls).
3. Ineptly dying, as a result of which a heat or chemical burn of the mucous membrane can occur (when using too concentrated solutions of chemical antiseptics). Too frequent douching in any case leads to the washing of the useful microflora of the vagina.
4. Long use of some drugs. For example, antibiotics are prescribed when treating many diseases. At the same time, they are able to destroy not only harmful bacteria, but also a useful microflora. The cause of the collision is also becoming the use of hormonal drugs of anti-estrogen action, worsening the state of the mucous membranes of various organs.
5. Endocrine diseases. They lead to the imbalance of hormones, as well as to a decrease in immunity. Often, the colpit occurs in women with a disturbed ovarian function, having diseases of the thyroid and pancreas and adrenal glands. In diabetes, the process of tissue regeneration is disturbed, susceptibility to infections increase dramatically.
6. Age hormonal shifts during pregnancy or when climax.
7. Improper nutrition leading to obesity or exhaustion of the body, the emergence of avitaminosis.
8. An innate violation of the structure of the genital organs or the omission of the vagina as a result of acquired diseases.
9. Violation of blood supply to the mucous membrane due to injuries of the organs of a small pelvis or diseases of the blood formation organs.
10. Refusal to use mechanical contraceptives with sexual intercourse. A woman can get infected with various types of infection from a partner, which himself sometimes does not recognize that he is sick, or refers to this problem unconsciously.

Warning: Especially risk women who often change sexual partners. First, they increase the risk of infection with specific infections. And secondly, unprotected sexual contact with a new partner leads to a change in the vagina microflora. This increases the likelihood of developing their own conditionally pathogenic bacteria and fungi.

Promotes inflammation non-compliance with the rules of personal hygiene. The negative role is played by carrying close synthetic linen. In the risk group, there are women who have disorders in the intestinal and bladder. These organs are anatomically located near the vulva and vagina.

Manifestations with Colpite

The symptoms of the collision appear in women, as a rule, quite clearly. There may be some distinctive features for diseases of different origin, but in general their manifestations are similar.

General symptoms

Unusual selection. If the intensity and consistency of normal white are constantly changing throughout the cycle, then with collision of the selection are invariably abundant, liquid. They have an unpleasant smell and characteristic color. Such discharges cause skin irritation in the vulva region, the perineum, the inner surface of the hips, whereas in the normal one they should not cause any discomfort.

Redness and swelling of external genital organs. Irritation and inflammation lead to the emergence of tissue edema.

Burning and itching in the vagina. They increase in the afternoon, especially when walking.

Pain in the lower abdomen, giving up for a lower back. Unpleasant sensations can appear during sexual contact.

Starting urination. Its reason becomes the spread of the inflammatory process on the ureters. With inflammation of the bladder urination becomes painful.

Increased temperature. It usually holds at 37.2 ° -37.5 °.

All these symptoms are stress for the body, cause the emergence of neuroses, depression, insomnia and weakness.

Manifestations of acute collision

A woman has abundant flicker mucous allocations that can have a white color or yellowish-green shade. Sometimes they can notice streaks of blood. They are foamy, inhomogeneous.

Cystitis manifests itself, possibly with an increase in body temperature. Feels thoroughly in the vagina, pressing the pain at the bottom of the abdomen. With gynecological examination, redness, swelling and soreness of the mucous membrane are observed.

Manifestations of chronic collision

When moving the disease in the chronic form, symptoms are significantly weakened. Quite a long time, a woman feels quite healthy. It is worried only by scanty discharge with an unpleasant smell, as well as the feeling of itching and burning into the vagina before month. However, in case of any adverse conditions (supercooling or overheating of the organism, a woman's entry into unusual conditions, a climate change, increasing loads) ailments are manifested with a new force. Their appearance can be provoked even by the use of some products. The reason for recurrence becomes sexual intercourse.

Features of the manifestations of some infectious colpites

In contrast to the colpidates of hormonal or traumatic origin, infectious inflammatory processes are infectious. As a rule, it is possible to suspect their presence according to some characteristic features.

Trichomonade Colpit

The pathogens of the infection are microorganisms of the appearance of the simplest - Trichomonas. Inflammation usually applies to the cervix and urination organs. Trichomonas are able to intensify the activities of other pathogens of microbes (mycoplasmas, streptococci), which complicates treatment. Characteristic signs of trichomonaceous collision are abundant foamy allocations of yellow-green color with a sharp unpleasant odor.

Chlamydia

Candadose colpit

The cause of women's disease is a pathological reproduction of the candidate candidate in the vagina. Candidiasis is known as thrush, since the selection is reminded by the type of cottage cheese and have a characteristic smell of acidic milk. On the surface of the mucosa appears white flare. An attempt to remove it leads to the appearance of blood droplets.

Video: Features of manifestations of thrush. Treatment

Diagnosis of Colport

First of all, there is an inspection of the vagina and cervix on the mirrors and using the colposcope. Palpation of the lower abdomen is carried out to detect an increasing ovarian, as well as other signs of complications.

The following laboratory studies are held to confirm the diagnosis:

• microscopic analysis of the vaginal smear and cervix for the detection of fungi and other microorganisms;
• bacteriological sowing smear to determine the type of bacteria and choosing a suitable antibiotic to which they are most sensitive;
• PCR analysis of the contents of the smear for the rapid and accurate determination of the type of infection;
• cytological analysis of the mucous membrane of the cervix, with which you can make sure there are no atypical cells and serious pathologies in this organ;
• an immunoassophotic blood test (ELISA), which allows to detect antibodies to the causative agents of hidden infections (mycoplasmas, chlamydia, herpes virus, human papillomas and others).

Common blood and urine tests on leukocytes are carried out. The study of the state of the uterus, ovaries and kidneys is carried out with the help of ultrasound.

Treatment of Coligation of various species

The method of treating the collision depends on women from the cause of the disease, the nature of the symptoms and the availability of complications.

Local and general treatment is carried out.

Local therapy with Colpit

It consists in treating the vagina and vulva with disinfecting solutions (the so-called sanitation is carried out - irrigation of the mucous membranes). Drying is carried out by a weak solution of mangartage, soda, zinc sulfate or rivocol. The chalfts, calendula, chamomiles are also used.

Vaginal candles (Betadine, Macmiror, Lymboxin, Nystatin) of the disinfectant, restoring the acidity of the mucus and its ability to destroy the pathogenic microbes, as well as fight the fungus. The methods of physiotherapy are used (UHF - exposure to high frequency current, electrophoresis, UV irradiation of external genital organs, laser irradiation).

General treatment

First of all, the reasons are eliminated (etiotropic therapy is carried out). At the same time, antibiotics are used (doxycycline, azithromycin), antiviral drugs (acyclovir). Metronidazole is prescribed for treatment from trichomonaceous collision. Mushroom vaginitis is treated with fluconazole, ketoconazole.

If it is necessary to eliminate hormonal disorders, women are appointed by combined oral contraceptives. Preparations are also used to increase the content of beneficial bacteria in the vaginal microflora (Vagilak, Bifidumbacterin, acilakt). In the course of treatment, control analyzes of smear and blood are carried out.

Note: With infectious colpite to achieve the effect, it is necessary to carry out treatment with antiviral and anti-grain preparations of both sexual partners. To avoid interchanges, it is recommended to refrain from sexual intercourse to full cure.

Colpit and pregnancy

Inflammation of the vagina, if it is not accompanied by diseases of other genital organs, while there are no deviations in their structure, does not interfere with the occurrence of pregnancy. In itself, this physiological state often leads to the emergence of collision of hormonal nature.

It is necessary to carry out treatment, because it is possible to intrauterine infection of the fetus or infection in its body during childbirth. Infection of the embryo by pathogenic bacteria or viruses leads to the interruption of pregnancy on an early term.

The complexity is that only the safest drugs can be taken by pregnant women. They are encouraged to wash the vagina with influenus healing herbs. For treatment, funds that increase immunity are usually used, as well as candles and ointments of antibacterial action.

Video: signs of collision, causes, diagnosis, therapy

Prevention Colusive

To reduce the risk of breeding infection in genitals, women are advised to pay special attention to complying with intimate hygiene rules. It is necessary to use high-quality hygienic agents that do not cause allergies. The underwear should be comfortable, sewn from natural materials. It is not recommended to use gaskets throughout the day in order not to support the conditions favorable for the development of fungi and bacteria.

The basis for the prevention of infection by sexual infections is the use of condoms.

The diet plays an important role. It is necessary to abandon the abuse of salted and acute food, follow the admission of a sufficient number of vitamins into the body.

Update: December 2018

One of the most common women's "sores" is colpit. This disease is suffered mainly by the representative of the weak gender of the childbearing age, but it does not bypass their attention, both girls and women in postmenopausal. In order not to miss the development of Coligation, every woman should know his symptoms, in order to immediately begin treatment. But it is important to remember that any disease, especially infectious nature, is the same colpit, do not try to treat yourself, you need to consult a doctor.

Definition "Colpit"

When the mucule is inflamed due to its infection with pathogenic microorganisms, they talk about the occurrence of collision. Another name of the collision is vaginitis, from the Latin word "Vagina", which means the vagina. The frequency of occurrence of the disease is 60 - 65%.

Classification of Colpitov

Depending on the type of pathogen provoked the disease, the colpit is divided into a specific and nonspecific. Specific vaginite is due to gonococci, trichomonas, fungi and other infections.

On the localization of the initial infectious focus, Colpites are divided into:

• primary when the process immediately develops into the vagina;
• secondary, in the event of infectious agents in the vagina from other places (ascending - from the surface of the vulva and descending - from the uterine cavity).

The course of the disease causes the following forms:

• acute colpit;
• subacute colpit;
• chronic colpit;
• sluggish vaginitis;
• latent (hidden) vaginitis;
• asymptomatic colpit.

Separately allocate senile colpit or atrophic (age).

Vaginal microflora

Normally, in a healthy woman of the childbearing age, the vagina microflora is 95 - 98% consists of lactobacteria or doderene sticks. Doderlein sticks are cleaved by glycogen, which is "obtained" from the solid epithelial cells of the surface layer of the vaginal mucous membrane. When milk acid is formed when the glycogen is formed, due to which the pH of the medium of the vagina shifts into the acid side (4.5 and less). An acidic vaginal environment is a kind of protection against pathogenic microbes, so many of them are not able to grow and multiply in such conditions. Also, the lactobacilli is formed by hydrogen peroxide and a number of antibiotic substances, which strengthens the protection and prevents the population of vagina with unwanted microorganisms.

In addition to lactobacilli in the vagina, bifidobacteria lives, which also protect it from the penetration of infection. Life activity and number of lactobacilli depends on estrogen products. Therefore, with the beginning of premopause, when the production of estrogen decreases, the mucule is thinned, the amount of lactic acid bacteria decreases, which leads to the development of age collision.

Also, under different other conditions, leading to a decrease in lactobacilli at a healthy and young woman, the vagina is very quickly populated by the "invaders" - pathogenic microorganisms.

In addition to lacto and bifidobacteria, other microorganisms are present in a small quantity:

• streptococci;
• enterococci;
• peptococci;
• staphylococci;
• bacteroids;
• fungi genus Candida and others.

Causes of Colpitov

As already noted, the disease is due to the population of the vagina by pathogenic microorganisms or the activation of a conditioned pathogenic pathogenic flora. The conditionally pathogenic flora is represented by microbes, which in normal state of immunity are in equilibrium with conventional flora, but equilibrium is very fragile. It is worth weakening immunity and this flora goes into a discharge pathogenic. The following types of microorganisms can serve as the pathogens of the vaginite:

In girls, vaginitis can be due to causative agents of children's infections that penetrate the vagina with blood flow (secondary vaginitis). These may be causing measles, and others.

But in order for the disease began to develop, certain conditions or predisposing factors are required:

• non-compliance or, on the contrary, excessive passion for intimate hygiene;
• hidden sex infections;
• indiscriminate sex life;
• endocrine pathology (thyroid disease,);
• injury to the genital organs (coarse sex, deprivation of virginity);
• tight underwear of synthetics;
• pregnancy and menstruation (change of hormonal background and imminent immunity);
• menopause of age;
• oncological diseases and treatment of them (chemotherapy, radiation);
• immunodeficiency states acquired and congenital;
• lack of vitamins;
• allergic reactions;
• antibiotic treatment, especially uncontrolled;
• receiving hormones;
• genital anomalies (gaping floor slots or omission of the vaginal walls);
• damage to the mucous membranes during childbirth;
• the pitipofunction of the ovaries;
• the use of intrauterine helix;
• incorrect and irrational nutrition;
• diseases of the digestive tract;
• spontaneous and artificial interruption of pregnancy;
• paging of the uterus.

Clinical picture

The clinical picture of the disease is quite diverse and is largely determined by the type of pathogen and the form of the flow. The main signs of vaginitis are considered:

• burning, itching in the vagina;
• the number of vaginal discharges increases significantly, whose character is different (curls, weevoid, homogeneous dairy, foaming, blood or blood);
• selection possess an unpleasant odor
• possible red and swelling of the germ lips;
• nunning or pulling pain at the bottom of the abdomen;
• soreness during Koitus;
• dysuric disorders (rapid and painful urination);
• temperature rise.

In the case of acute colusion, all manifestations are pronounced: the burning and itching is significant, the severity at the bottom of the abdomen suggests the idea of \u200b\u200bproblems with the internal organs, allocations are abundant. With severe disease, there is a significant increase in temperature, up to 38 and above degrees. As a rule, such a picture is typical for a specific collision (gonane or trichomonaceous).

With chronic colpit, the picture is less bright, symptomatics erased. The disease flows long, with periodic exacerbations. Allocations become moderate, serous or serous-purulent.

When inspection on the chair in the mirrors, swelling, hyperemia and "looseness" of the mucous membrane are detected. Petechial and point hemorrhages are noticeable to the mucous membranes, the appearance of reddish nodules (infiltrates) and erosive sections may be noticeable. In the launched cases, the cervical neck is involved in the inflammatory process, which leads to cervicitis or pseudo-erosion.

Trichomonade Colpit

This form of the disease is caused by trichomonas, which are transmitted by sexually. The household path of infection by trichomonas, how to think some patients are preferred, it is impossible, since the pathogen quickly dies in the external environment. The symptoms of trichomonaceous collision is so pronounced that the diagnosis is not difficult. Significant blends are characterized by a very unpleasant smell. Selection, as a rule, foam and have a yellowish tint. In the case of an attachment of non-specific microflora, the selection becomes green. The infection very quickly spreads, hitting the cervix, the uterus itself and the urethra, which is manifested by dysuric disorders and pain at the bottom of the abdomen. Sex acts are unpleasant and even painful, accompanied by discharges with blood admissions.

Atrophic colpit

In atrophically, the symptoms are practically absent. The disease flows sluggishly, the patients can, how to present and do not make complaints. Most often bothers the burning and itching, the feeling of "pinching" in the vagina and its dryness. Several acts are painful, after it is released with blood or even negative bleeding occurs. Due to the reduction in the number of lactobacilli performing a protective function, the vagina actively multiplies the conditionally pathogenic microorganisms that provoke local inflammatory processes and enhancing selections. Such highlights are watery, they have a blood impurity after some procedures (arrangement and douching of the vagina, gynecological examination). When inspection in the mirrors, the pale-pink thinned mucosa with a plurality of point hemorrhages is detected. In many cases, due to dryness of the vagina, the introduction of gynecological mirrors is difficult.

Diagnostics

After collecting anamnesis and complaints, an objective examination of the patient is held, which includes:

• inspection of the mucous membrane walls and cervix in gynecological mirrors (evaluated sections, their consistency and smell, the presence of ulcerations on the walls of the vagina and pseudo-erosion or cervicitis on the cervical cervical) - the inspection is carried out without prior preparation (not to be arranged);
• bimanual palpation of uterus and appendages in order to identify complications of vaginite (endometritis and / or adnexitis);
• inspection of the germ lips, urethra, clitoris and inner surfaces of the hips on the subject of swelling and ulcerations, maceration and cracks (flowing sections can irritate the listed structures).

From laboratory tests are required:

• microscopy of the seals obtained from the cervical channel, the rear axle of the vagina and the urethra (allows you to determine the bacterial flora, including trichomonas and mushrooms, gardnerelles and gonococci;
• bacteriological seeding of vaginal discharges for identifying the pathogen and detecting its sensitivity to antibiotics (if possible, through a 3-week course of antibiotic therapy;
• PCR diagnostics of major genital infections (trichomonas, gonococci, chlamydia and ureaplasma).

According to the testimony, colposcopy is assigned and carried out.

Systemic therapy

In case of severe collision or in the case of chronic process, treatment facilities used inside or intramuscularly are prescribed. In the case of a specific collision due to gonococci, the intramuscular administration of cefalosporins antibiotics (ceftriaxone, zefisim) or tetracycline row is shown. With vagitine, which caused trichomonas, nitroimidazoles are prescribed (trichopol, tinidazole, metronidazole). The serious flow of nonspecific collision requires the purpose of the antibiotics of a wide range of action - amoxiclave (penicillins) or azithromycin (macrolides). In the treatment of collision of fungal origin, preparations are used: fluconazole, human, pimafucine, ketoconazole and others.

Atrophic colpit

In the case of senile vaginitis, replacement hormone therapy is appointed, as a rule. Hormone treatment can be both local and systemic. For local therapy, estrogen preparations are used in the form of vaginal tablets or ointments (solidin, estriol). The course of treatment lasts 2 weeks, repeats if necessary. KLUGEST, CLIMODIEN, ANZHELIK and other drugs (pills, plasters) are prescribed as systemic hormone therapy. Treatment is long and continuous (5 years). If a secondary infection is joined, the treatment is carried out according to the principles of therapy of acute collision with the appointment of etiotropic drugs, and if necessary, inside.

Restoration of vaginal microflora

The restoration of the natural flora of the vagina refers to the second phase of the treatment of vaginites:

• bifidumbacterin - intravaginal 5 - 6 doses, which are bred by boiled water and administered daily either 1 suppository twice a day - a course of treatment 10 days;
• bificol - intravaginal introduction of 5 doses daily up to 7 days;
• lactobacterin - intravaginal introduction 5 doses of course at 10 days;
• acylact - 1 Suppository daily for 10 days.

Plivel polyvitamins and immunomodulators are prescribed.

Folk Methods

Do not lose their relevance in the treatment of disease and folk remedies. Folk methods are used as an addition to the main (drug) treatment of collision. For douching, heracks and indifferences of medicinal herbs are used:

• chamomile (2 tablespoons boiled in 1 liter of water for 15 minutes, the decoction is filled with and cool);
• do not forget about condoms at random sexual acts;
• observe intimate hygiene (to go twice a day);
• abandon the narrow and close underwear, as well as linen from synthetics;
• lead a healthy lifestyle (rejection of bad habits, sports, multivitamins, especially in the winter-spring period);
• control the weight (prevention of obesity and excessive weight loss);
• apply gaskets and tampons without flavors;
• not to get involved in douching;
• use detergents for intimate hygiene with a neutral environment and without flavors;
• strengthen immunity;
• the presence of one permanent sexual partner.

Question answer

Question:
Are the physiociations apply to treat collision?

Answer: Yes, UVF and UV irradiation are widely used for disease. In chronic vaginity, they are prescribed in parallel with electrolyte migration and SMV therapy to the vaginal area.

Question:
What is dangerous vaginitis?

Answer: First, the untreated sharp colpite can go into chronic. Secondly, high risk of ascending infection with the development of endometritis and adhesitis, which may result in the subsequent. Also, the vaginitis provokes the occurrence of cervicitis, pseudo-erosion of the neck, and in children of the Sinekhi sexy lips. It is possible to defeat the urethra and bladder (s).

Question:
Maybe there may be colpit after using spermicides and local contraceptives, such as Pharmatex candles?

Answer: Yes, spermicides included in the gels and creams affect the natural microflora of the vagina, which provokes the activation of conditionally pathogenic microbes. Therefore, this type of contraception should not be the main one.

Question:
Mushrooms found in my smear. Worried itching and burning. Does the treatment be required?

Answer: Yes, when mushrooms are found and complaints are made a diagnosis of candidal collision and its treatment is prescribed.

Colpit - inflammation of the mucous membrane of the vagina and the vaginal part of the uterus, in which swelling of the mucous occurs, abundant sections appear (with an unpleasant smell, purulent or white).

As a rule, such a state in women may arise as a result of a wide variety of infections, which include candidiasis (candidomic colpit), trichomoniasis (trichomonade colpit), chlamydia, gonorrhea, genital herpes and other various infections. Often, the colpit is caused by streptococci, gonococci, mycoplasmas, intestinal wand and other infections penetrating the vagina from the outside, or together with blood directly from the focus of inflammation located inside the body.

Treatment of Coligation must be adequate and timely, otherwise the disease can spread to the uterus itself, appendages, the cervical channel, which can lead to such serious complications as the erosion of the cervix, endometritis and infertility.

What contributes to the disease Colpit?

Preferably, the microbes penetrate the vagina during sexual contact. However, for a healthy woman, this process is not terrible, since the vagina is prone to self-cleaning, which leads to the destruction of the data of bacteria.

The predisposing factors for the occurrence of Coligation are:

• weak ovarian activities;
• different interomalies of the sexual system (omission of the walls of the vagina, the displacement of the genital organs, the widespread gaping of the sex gap, etc.);
• various diseases of internal organs and systems;
• non-compliance with sexual hygiene (a frequent change of partners);
• non-compliance with personal hygiene rules;
• change in the mucous membrane of the vagina as a result of the irrational use of contraceptives, too frequent or misunderstanding, thinning the mucous membrane during the postmenopause period;
• various vaginal injuries (chemical, thermal or mechanical).

All of the above factors weaken the protective forces of the body against various infections, which contributes to unhindered penetration into microbes tissue and their reproduction, while in a healthy body they preferably die in the process of self-cleaning of the vagina.

Types of Colport

The most common types of collision are:

• Atrophic colpit, when the infectious process in the vagina occurs as a result of a decrease in estrogen level in the body of a woman, i.e. in old age. Mostly atrophic colpit is found in women after menopause, when the vagina becomes vulnerable to infections as a result of a decrease in estrogen level.
• Candidose colpit - inflammation of the mucous membrane of the vagina, arising due to the damage to yeast-like mushrooms of the genus Candida. As a rule, candidomic colpit is combined with the lesion of the mucous membrane. This type of disease occurs in women of reproductive age. Pregnant women are especially exposed to risk.
• Trichomonade colpit is one of the most common types of sexually transmitted disease. Along with the damage of the vagina, you can often observe the inflammation of the cervix and urethra (trichomonosis). Mostly trichomonade colpit has a chronic course with periodic exacerbations.

Symptoms of collision chronic and sharp

By the nature of the flow, the colpit is chronic and acute.

The symptoms of color sharp arise suddenly. In the region of the vagina there is a burning, pain, itching abundant discharge of a purulent or mucule-purulent character with an admixture of Sukrovitsy, the severity at the bottom of the abdomen. Sometimes there are such symptoms of collision as burning and pain when urination. When examining the patient, the mucous membrane of the vagina has an edema and red look, and at the slightest exposure to it begins to bleed. The inflammatory process can spread to the external genital organs and the cervix.

The individual flow of collision acute depends on such factors as the state of immunity and the age of a woman, as well as from the causative agent of infection. For trichomonaceous collision, strong selections are characteristic: foam, purulent, yellowish green, with a sharp unpleasant smell. When candidodial colpit selection, as a rule, white, cotton consistency.

If the treatment of collision is acute is not carried out in a timely manner, then it, as a rule, goes into a chronic form. Chronic colpit is dangerous in that the infection can be lost, and the inflammatory process will pass sluggish with periodic exacerbations. The symptoms of collision in this case are not pronounced.

For chronic colpital, the slow spread of the infectious process to other organs is characteristic: the uterine tube, the uterus and ovaries.

Diagnosis of Colport

Proper and timely diagnosed diagnosis is the key to successful treatment of collision. As a rule, the diagnosis is based based on the patient's survey, examining its specialist-gynecologist and the results of laboratory research.

With an acute trichomonaceous colpitus during the examination of the patient on the chair, the doctor can immediately see redness and swelling of the mucous membrane, and in the back of the vagina codes to see the mucous-purulent allocations.

When candidiasis colpite, the doctor can detect a white flare on the redneous mucous membrane, and when trying to remove it, the mucosa will begin to bleed.

For the correct diagnosis of a woman, women take tests from the cervical channel, urethra and vagina. It helps clarify the type of pathogen.

Treatment of Colport

In the treatment of collision, doctors use an integrated approach consisting of:

• antibiotic therapy to influence the causative agent of infection (they use those antibiotics to which the greatest sensitivity is detected);
• common treatment, especially with impairment of immunity;
• out of the external genital organs by drug solutions, drying the vagina with antimicrobial means;
• a special diet that excludes fat, acute and salty foods, as well as any alcoholic beverages.

During treatment, a woman must prescribe laboratory studies at certain intervals.

The main method of treating atrophic collision is the replacement hormone therapy, which is carried out in two ways:

• local - prescribe vaginal candles and tablets;
• systemic - prescribe hormonal injections or tablets for intake.

The main drugs at the atrophic colpite are Klimming, Ovestin, Gineodian-Depot, etc.

Prevention Colusive

For the prevention of the disease, a woman should eliminate those conditions that contribute to penetration into the penetration of pathogens, and follow:

• strengthening immunity;
• timely treatment of gynecological diseases;
• hygiene of sexual life and hygiene genital organs.

Perfumes should be avoided for intimate hygiene and baths for baths, various contraceptive gels, which contains spermicides, as they violate the natural vaginal microflora.

Preference should be given comfortable linen from natural fabric.

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Colpit is a vaginal inflammatory disease, most often infectious nature. The name of the disease is formed from the Greek word Colpos, in the Latin language its analogue - Vagina. Concerning colpit is synonymous with vaginitis, in medical practice you can meet with any of these concepts.

The vagina refers to the lower sexual paths and directly communicates with the external environment through its anticipation. The latter opens in the perineum between the small germ lips, so it is often moving into a colpit. The vagina is a hollow muscle body, the main function of which is the adoption of sperm during sexual intercourse. From the inside it is lined with a multi-layer epithelium - in strength it is similar to the skin epidermis, but its upper layer does not heal. It is thicker there are numerous glands that produce mucus to lubricate the vagina during intercourse and maintain comfortable conditions for normal microflora. Under the mucous membrane lies with a powerful muscular layer, built of cross-striped fibers. A woman can rapidly strain and relax them, and if desired and needed, to increase their strength by training (gymnastics for Kegel). The most outer layer of the vagina consists of dense connective tissue, which separates it from other organs of the small pelvis.

The structure of the female reproductive system

The vagina is directly connected with the uterus: in its wall "built-in" the narrowest part of the uterus is a cervix. The connection of the two organs is localized in the upper part of the vagina, and the space behind it is called vaginal arches. Break the front, side and backstore, the last is the deepest. It accumulates sperm after sexual intercourse and penetration of spermatozoa in the cervix.

Along the walls of the vagina are in a compressed state, and the front surface is pressed to the rear. The mucous membrane forms multiple folds. Such a structure allows the authority to stretch significantly during the sexual intercourse and the birth of the child. The vaginal epithelium has a close connection with the sex hormones and the composition of its cells varies depending on the stage of the cycle. Inside them there is a stock of carbohydrates in the form of glycogen grains, which serve as a nutritious substrate for the normal microflora of the vagina - lactobacilli or milk-sour chopsticks. Microorganisms are cleaved glycogen and synthesize the milk acid, so the acidic medium is maintained in the vagina, which deprivatives affecting the pathogenic and conditionally pathogenic microflora. In addition, lactobacillia produces hydrogen peroxide and substances with antibiotic activity. Any bacteria, accidentally falling into the vagina from the external environment, the rectum or with the penis of the partner die after a while they die and outward.

The number of glycogen grains in cells directly depends on the concentration of estrogen (female sex hormone) in the blood. In the first days of the cycle, the estrogen level is minimal, therefore the pH of the vagina shifts from acidic values \u200b\u200bto normal. During this period, the woman is most vulnerable to infection with STIs, since the inner medium of vagina becomes less aggressive for pathogens.

The maximum emission of estrogen into blood occurs during ovulation - on average 14 days from the beginning of the cycle (they consider from the 1st day of menstruation). The acidity of the vagina at this time is the maximum - pH reaches the values \u200b\u200bof 4-5, which is detailing for most representatives of pathogenic microflora. The risk of infection of STIs during this period is significantly reduced, so sex with a frozen partner does not always lead to the transfer of the pathogen.

pH level of vagina at different stages of women's life

The vagina has the ability of self-purification - the cells of its epithelium constantly listens and outlined with mucus into an external environment. Strengthening this process due to any cause leads to the formation of white - mucous drugs - in a noticeable amount. In the thickness of the mucous membrane, immune cells migrate capable of associating and neutralizing alien bacteria falling on it. They also secrete an IGA protective protein on its surface (immunoglobulin a), which destroys microbial bodies. Therefore, healthy women vaginitis is an extremely rare phenomenon, only aggressive pathogens of STIs are capable of calling it. Also the probability of its occurrence increases provoking factors:

All listed reasons negatively affect the state of the immune system, and therefore the general and local reduction in protective mechanisms occurs. The causative agents of the STIs and the nonspecific microflora get the opportunity to multiply on the surface of the mucous membrane and penetrate it.

Classification

There are several different criteria for which the separation of existing forms of disease in groups.

Depending on the cause of the vaginitis allocate:

By the duration of the flow distinguish:

• Acute - symptoms are preserved no more than 2 weeks;
• Subacutesth - up to 2 months;
• Chronic (recurrent) - Over 2 months.

By the nature of the lesion of the mucous membrane, the colpit can be:

1. Diffuse - the entire inner surface of the vagina of the edema, hyperemic, mucous grainy, no raids;
2. Serous-purulent - The mucous membrane is unevenly thickened, inflamed, separate areas are covered with a splip in the form of a white-gray film. The raid with difficulty is removed, leaves a bleeding ulcer.

On the path of penetration of infection, allocate:

• Primary vaginite - The causative agent falls from the outside immediately into the vagina;
• Secondary - Microorganisms penetrate with blood flow or lymphs from foci of other localization infection.

Symptoms

The clinical picture directly depends on the cause leading to the development of the disease.

Bacterial

Bacterial colpitis is different called "non-specific", since it causes its conditionally pathogenic bacteria living on the skin and in some cavities in normal. They are able to manifest their aggression only in the case of a decrease in immune protection or injury to the mucous membrane. Symptoms appear suddenly, it is often possible to trace the connection of the disease with the preceding sexual act. A woman is experiencing in the vagina, a feeling of cutting, heat in a small pelvis. become abundant, purulent, mucobist-purulentThey may have streams of blood in the erosive process on the mucous membrane. The smell varies from weak to pronounced rotten, they can be liquid, foamy. The big impurity of the pus and the raid epithelium gives the selections of a muddy white or yellow color, the consistency of them becomes thick.

Acute vaginite is often complicated. Inflammation easily passes to the overlying sections of the genital tract, and the flowing separations are irritated by the vulva, causing an agonizing itch. Woman combing outdoor genitals than aggravates the disease: additionally injures fabrics and enters new portions of the conditionally pathogenic microflora. Pain in the vagina can be moderate and strongly pronounced, sexual life during acute inflammation becomes impossible.

The general state rarely suffers, in some cases there is a moderate rise in temperature (up to 38 degrees C). The pathogenic microflora when entering the lymphatic vessels leads to an increase in the inguinal lymph nodes, sometimes they are inflamed. In the latter case, in the region of the groove bundle, with one or both sides, spherical formations of dense elastic consistency are observed to 1.5-2 cm in diameter sensitive during palpation, movable. As the symptoms of bacterial vaginitis, the size is normalized.

Candidose

The causative agent of the disease - the yeast fungus of Candida, which refers to a conditional pathogenic microflora and normally populates the skin, cavity, human mucous membranes. In the vagina, the microorganism gets from the rectum or with infected objects. The role of sexual transmission of Candida is small, as men rarely carry enough fungus for infection.

The disease begins sharply: There are burning, dryness, pronounced itch in the vagina. Often, the symptoms of the colusion are developing before menstruation or during it, after intensive sexual intercourse, antibiotic reception. In a few days appear curl sections from sex tract, They are white and have a sour smell. Such a characteristic symptom gave another name to candidal colpitu - thrush. Although, some forms of the disease proceed without such discharge, limited to painful itching in the region of vulva, intense pain and a feeling of burning in the vagina. This course of the disease is explained by the release of organic acid candidis cells as life products. They are annoyed by sensitive nervous endings, which are abundantly equipped with a lower third of the vagina. Permanent leather mass of the crotch and vulva leads to its thinning, substitution with connective tissue and to the loss of elasticity. The manifestations of the colusion are strengthened by the evening, especially after walking or physical activity. Often the allergic component in the form of elements is connected to the listed symptoms. cheeping red on the skin of vulva and crotch.

Candidose colpit easily passes into chronic shape and carriage, even against the background of treatment with antifungal drugs, especially if there is a diabetes or treatment with immunosuppressive drugs (cytostatics, glucocorticoids). In this case, it periodically recurns or manifests itself constantly, verses only during antifungal therapy.

The general condition of the woman does not suffer, the body temperature remains normal. The pronounced itching can break the dream and daily activities, but the symptoms of intoxication - headaches, the decline in appetite, the general weakness is not observed. Inguinal lymph nodes do not react or slightly increase in size.

Trichomonian

Trichomonade colpit is one of the most common sexually transmitted diseases. Causes his Trichomonadavaginalis, inhabitants in the urethre of infected men. Expanded infection occurs extremely rarely and is mainly due to the passage of the child by the generic paths of the mother, patient trichomonosis. Trichomonas - mobile microorganism, so easily penetrates from the vagina into the overlying genital paths, causing cervicitis, endometrite and urinary paths with development, cystitis. The causative agent reduces the activity of sperm both in men's and in female genital organs, so in the case of an asymptomatic course of infection, the main complaint of patients becomes infertility.

The incubation period of trichomonosis lasts from 5 to 15 days, at this time the pathogen is introduced into the mucous membrane and intensively multiplies. A sharp trichomonade colpit is manifested by pronounced itching, burning in the vagina, liquid foam discharge With an unpleasant smell. Often joined the symptoms of the injury of urinary tract -, painful, frequent urine release with small portions, but pain in the downturn area. The mucous membrane of the edema and painful, so sexual life is impossible during this period. Itching in some cases so pronounced that he breaks the night's sleep, the woman combs Vulva and crotch to blood. The reaction of the inguinal lymph nodes is missing or moderate, the general state is not violated.

Without proper treatment, Trichomonosis goes into a subacute, and then to the chronic stage. It can flow for a long time without symptoms, exacerbating during infectious diseases, pregnancy, reducing general immune protection. During remission, most women are marked and weak itching vulva.

Atrophic

Atrophic colpitus develops against the background of lack of female hormones - estrogen

Atrophic colpitus develops with a lack of female sex hormones - estrogen. It is preceded by menopause, an operation to remove one or both ovaries, the pitipofunction of the ovaries. In the cells of the epithelium sensitive to the hormonal background decreases the number of glycogen grains, which serve as a nutritious substrate for lactophilic bacteria. As a result, the amount of milky acidic sticks decreases, and the pH of the vagina shifts in a neutral side. There is a colonization of the mucous membrane of a nonspecific conditionally pathogenic microflora, which supports chronic inflammation in it. Along with the processed processes, the activity of the spun layer of the mucous membrane is reduced as a result of which it is thinning, loses its elasticity and becomes breaking.

The symptoms of Coligation develop gradually, starting with small dryness in the vagina, burning during intercourse, insufficient lubrication production. Scarest mucous membranes may appear milk and White Belie, slight itching vulva. Over time, signs of illness grow up, sexual life becomes impossible due to unpleasant sensations. Colpit is a chronic character with a hard flow, is not always amenable to therapy. The general condition of the woman is not broken, the body temperature remains normal, the inguinal lymph nodes do not react.

Video: Atrophic vaginitis, "Live Great"

Colpit during pregnancy

During the period of having a child, the hormonal background of women undergo serious changes: the amount of estrogen decreases, and the concentration of progesterone is growing. A yellow body hormone reduces the activity of the immune system to prevent its conflict with fetal proteins and prevent miscarriage. Therefore, most pregnant women can trace frequent episodes of respiratory infections, exacerbation of chronic inflammatory foci and joining vulvita, vulvovaginite. The relative deficiency of estrogen plays a certain role in the damage: the amount of glycogen in the cells of the epithelium decreases, the microflora instead of lactophilic becomes mixed.

Most often, the ticking in pregnancy is fungal character, and it flows quite hard: with a large number of secretions, pronounced swelling of the walls of the vagina, painful itching and painful pain in the perineum. Failure to comply with personal hygiene leads to a nonspecific vaginity, in this case, separated from the genital pathways with an unpleasant odor. It is easy to infect the trichomonade, as well as other sexual infections, so during pregnancy it is worth paying the significant attention of barrier contraception.

in collision during pregnancy it is worth using barrier congor

From the vagina, the pathogen easily penetrates through the neck into the uterine cavity and can lead to:

1. Intrauterine infection of the fetus with the delay of its development, pneumonia, lesions of the skin and mucous membranes;
2. Threat of abortion and miscarriage;
3. Inflammation of placenta and fetoplacentage failure;
4. Breaking the sex tract during childbirth;
5. Sepsis.

Diagnostics

The diagnosis is set by a gynecologist during the collection of complaints, studying the history of the patient, inspection and according to the results of additional research methods. Different types of vaginite have a set of characteristic signs that can be judged by the cause of the disease.

Bacterial (nonspecific)

Complaints of the unpleasant discharge of a purulent nature prevail, often with blood admixture. Inspection in the mirrors during an acute stage is difficult: due to pain, the woman strains the muscles of the crotch and vagina, which prevents the introduction of the tool. Visually mucous bright red, edema, on its surface there are purulent overlays, point hemorrhages, gray-white films. The surface of it can be a grainy due to the towering elaborate papillas. Often the neck of the uterus is involved, the vagina is filled with inflammatory content that outlook.

The main method of diagnosis of vaginitis - microscopy smear

Microscopy plays the main role in the diagnosis of non-specific vaginitis. The method allows you to explore the species composition of the microflora of the vagina, to detect pathogenic microorganisms and assess their number. With a variety of staphylococci, streptococci, gram-negative sticks, dead cells of immunity - leukocytes, and a rapid epithelium. Lactobacilli is small, nonspecific microflora prevails.

Bakposev smear is rarely carried out due to its low informativeness. It is mainly used to quantify microorganisms of various types, their sensitivity to antibacterial drugs. The overall blood test becomes inflammatory only during the acute stage - the number of leukocytes increases, the number of young leukocytes increases, elaborates.

Candidose

The fungal colpit often has a relationship with treatment with antibiotics, diabetes, pregnancy in history. With the same frequency of women complain of the pronounced itching and characteristic selection of sex tract, usually these symptoms are manifested together. The introduction of the mirror in the vagina causes a moderate pain. In case of inspection, the edema is visible to the hyperemic mucosa, covered with a cotton chain in the form of an islands of an irregular shape with a size of 3-5 mm that do not merge among themselves. In the sharp stage, the flare is removed with difficulty, leaves a bleeding surface under him, when a disease transitions to chronic form, it is easy to remove it. The clinical picture is so characteristic that laboratory confirmation is usually not required. Difficulties arise with a long-term course of the disease, a lubricated clinic, the disappearance of the selection.

When studying the smear under the microscope, rounded Candida Tales are visible, interconnected into the chains. Plots of the raid consist of candida pseudomitia, broken cells of the epithelium and dead leukocytes. The smear is carried out to clarify the nature of the collision, since the method allows us to estimate the ratio of normal microflora, conditionally pathogenic bacteria and fungi. Along the way, the sensitivity of the causative agent to antifungal drugs is determined. In cases of severe disease, the disease with frequent recurrences is carried out by studying blood on antibodies to candida - they are found in high titer. Changes in general blood analysis are absent or nonspecific - the amount of eosinophils increases with an allergic reaction to the fungus, the ESO is accelerated.

Trichomonian

Trichomonad colpit from the groom can be suspected if it has a chronic urethritis chronic partner or after unprotected random sexual communications. The characteristic foamy type of discharge, involvement in the pathological process of urinary tract, cervix, bartoll glands and vulva also speak in favor of a trichomonaceous infection.

In case of inspection in the mirrors, the mucule of the vagina is evenly hyperemic, edema, on it prominent dotted hemorrhages. Additionally, the bakposev smear, the material of which is taken from the urinary tract, vagina and vulva. In the native microscopy of native smear in the discharge, movable microbial calves are found, equipped with flagella or membrane.

Changes in the overall blood test appear during the acute stage - the number of leukocytes, immature forms of neutrophils increases, is increasing. Antibodies to trichomonade are found in the blood.

Atrophic

The diagnosis of atrophic collision does not represent difficulties, in contrast to its treatment. Anamnesis is clearly traced between the ovarian hypofunction or their removal and gradual development of the disease. In case of inspection, other signs of the lack of estrogen are identified: reduced skin elasticity, its increased fatness, enhanced hair loss on the head and excessive growth on the body. Inspection in the mirrors causes unpleasant sensations of burning, mucous vagina is hyperemic, thinned, multiple hemorrhages are often found on its surface. Options are missing either scanty. The doctor takes smear from the vagina and from the cervix to cytology - the study of the cellular composition to eliminate the malignant rebirth of the epithelium. Pathogenic microflora, as a rule, do not detect neither microscopy or method of bakposev. The number of lactobacilli is reduced, the proportion of conditionally pathogenic microflora increases.

General blood tests remain normal. To clarify the nature of the damage, the concentration of estrogen in the blood and its ratio with progesterone is determined.

Treatment

Treatment of Coligation is carried out in an outpatient basis, only women with severe purulent inflammation and pregnant women with a threat of miscarriage are hospitalized. Doctor's Tactics and Medicines Picks up with the main cause of the disease concomitant pathology and patient's condition.

In the sharp period of inflammation, the woman is shown by sexual rest, hypoallergenic diet with the exception of spices, smoked, marinades, citrus, chocolate. Supplements should be avoided, overheating, refuse to visit pairs, saunas, pool, not to take a bath. During menstruation, it is impossible to use hygienic tampons, and the gaskets change at least once every 4 hours. If the cause of the collision was the causative agent of the STI, the man partner must pass the course of antibiotic therapy even in the absence of the symptoms of the disease.

In case of bacterial, the target of the treatment is the rehabilitation of the vagina and the subsequent normalization of its microflora. For this purpose

To secure a positive effect, a course of polyvitamins are prescribed after the main course of treatment.

The fungal vaginite is important to treat in full at the acute stage and prevent its transition to a protracted flow. To this end, prescribe:

1. Antifungal preparations of systemic effects - Fluconazole capsules 150 mg inside once;
2. Local antimicotics in the form of candles, tablets, ointments - Pimafucin, Nystatin, Nitazol. Terezhin candles have antifungal, antimicrobial and anti-inflammatory effects, they are prescribed with expressed inflammation symptoms;
3. Antihistamines to eliminate itching - Tueva, Supratine, Zoda;
4. Immunomodulators to normalize the immune response - Timalin.

With trichomonade colpite, preparations are effective:

• System Action Antibiotics - Metronidazole, Facipin;
• Local treatment with antibacterial candles - clion d;
• Owl and sediment bath with antiseptics - potassium permanganate solution, chamomile decoction, calendula.

Treatment control is performed for 2-3 menstrual cycles. The absence of trichomonads in the smears taken after menstruation throughout this time speaks of the complete cure of a woman.

In atrophically, the doctor selects replacement hormone therapy In the form of estrogen-gestaggenic drugs for use inside (femoston) and locally (divigel). If necessary, correction of the microflora of the vagina with drugs of milk-acid bacteria (vagilac, acylac) is carried out.

L. handiculate Colpit during pregnancy, preferably by local drugs, safe for the child - Hexicon, Terezhin, Nystatin. The need for other preparations determines the obstetrician-gynecologist, evaluating the severity of inflammation and the microflora of the vagina.

Video: doctor about Colpit (Vaginit)

Colpit (vaginitis) is the most common gynecological pathology. Most often, the disease is diagnosed in women of fertile age, but can develop in young girls and during menopause. Colpit is capable of rapidly progress, provoking the spread of infection on the rising ways.

In the absence of qualified medical care in a woman, after some time, endometrite or adnexitis is found, as well as serious problems with conception and having tooling the child. Independent treatment will not lead to the desired result due to the infectious nature of pathology. Before treating Colpit, a gynecologist will conduct a number of laboratory research to identify the species affiliation of the causative agent of the disease.

Basic principles of treatment

Pathogenic yeast fungi, pathogenic bacteria and viruses can become causative agents. During laboratory studies, not only the type of infectious agent, but also its sensitivity to pharmacological preparations is established. Most of the pathogens of the vaginite have developed sustainability even to modern wide range antibiotics, therefore an integrated approach to the treatment of collision in women is practiced. The following therapeutic techniques are used:

• the use of drugs for systemic and local treatment;
• conducting physiotherapy procedures;
• compliance with diet;
• strengthening immunity;
• restoration of the vaginal microflora.

The reasons for the development of the Coligation are most often endocrine disorders, venereal infections, non-compliance with intimate hygiene rules. If the colpit is triggered by diabetes mellitus formed by malignant tumors, thyroid diseases, then simultaneous treatment of the underlying disease is carried out. The most effective will be the treatment of vaginitis at the remission of these diseases. When patient with diabetes is neglecting the reception of antidiabetic agents or the correct introduction of insulin, then the colpit is rapidly progressing. The reason for this is the high level of glucose in the systemic bloodstream.

An important meaning for fast and effective therapy of vaginites of any genesis has an appeal to the doctor at the first signs of pathology. Self-treatment, as a rule, leads only to strengthening symptoms: discharge from the vagina, pulling pain at thenime of the abdomen, clinical manifestations of general intoxication. At home it is impossible to establish the type of pathogen, correctly pick up and apply drugs:

• antimicotic with fungal pathologies;
• antiviral in herpetic disease;
• antimicrobial and antibiotics in bacterial infections.

Daily and one-time doses of drugs, as well as the duration of the therapeutic course appoints a doctor. It takes into account the age of the patient, the degree of tissue damage, the presence of a history of liver diseases, the organs of the cardiovascular or urinary system.

During the treatment of the colusion, it should be launched at least three times a day with funds for intimate hygiene.

Colpit is good to treat, especially if the woman listens to the advice of the attending physician. Not only a quick recovery depends on this, but also a prevention of re-infection. What recommended gynecologists, urologists, venereologists to their patients:

• During the treatment of collision, regardless of the type of infectious pathogen, the sexual contacts should be completely stopped. The reason for such a ban is not only uncomfortable and painful sensations as a result of irritation of the mucous membranes of the vagina. Sexual contact will cause the advancement of pathogenic bacteria on rising paths. Also large is the likelihood of re-infection with colpitis of women, and with its specific infectious origin and men. In the diagnosis of venereal pathology, a sexual partner is treated.
• Collision therapy should be accompanied by a diet compliance to increase the efficiency of the pharmacological preparations used. It should be limited to the use of saline and acute products. If the patient's colpit is caused by pathogenic yeast fungi, then an indispensable condition for rapid recovery becomes a complete refusal of sweets and baking. In the diet, it is necessary to include as much fresh vegetables and fruits as possible.
• During the treatment of Coligation, intimate hygiene should be observed. The arms should be carried out at least three times a day, but during menstruation after changing the gaskets. When pathology is detected at a small girl, the genitals need to be washed after each emptying of the intestine or bladder. Doctors do not recommend using hygiene tools with fragrances or other additives.
• During the day, at least two liters of pure non-carbonated water should be used. The increase in urination contributes to the removal of infectious pathogens from the genitourinary system. Abundant drink helps to wash out the inflammatory foci of pathogenic bacteria and toxic products of their livelihoods.

Physiotherapeutic procedures

To speed up recovery and improve the efficiency of conservative therapy methods, physioproles are prescribed. They are not used in the acute flow of collision, but when chronic helped very well. Almost all physiothereders are painless and do not provoke any side effects. Gynecologists recommend to patients with these treatments due to the diverse impact on the body of a woman:

• reducing the severity of common and local symptoms;
• stopping the inflammatory process;
• increase the body's resistance to fungal, bacterial, viral infectious agents;
• improving the overall state of health;
• regeneration of damaged tissues.

To cure any colpitus will help the reception of pharmacological preparations and conducting physioturn sessions.

Their number varies depending on the severity of the clinical picture. In the therapy of bacterial and fungal vaginites, speed up the recovery will allow the application of the following techniques:

• ultraviolet irradiation with waves of small length;
• semi-posted with mangartee-acid potassium to replace infected areas;
• electrophoresis with zinc sulfate solution for the destruction of pathogenic fungi.

Intensive UHF therapy allows you to quickly stop inflammatory processes, prevent damage to the vaginal mucosa of infectious agents, reduce the activity of the mediators. Also, a woman is recommended to hold the following physiotherapy procedures:

• second-wave ultraviolet irradiation;
• thalassotherapy;
• air baths;
• laser blood irradiation;
• heliotherapy.

Such methods of physiotherapy do not affect the infectious agents directly. But after 5-10 sessions, the patient immunity is strengthened, as well as the general health condition.

Antibiotic therapy

This type of treatment is applied only in the diagnosis of chronic, difficult to therapy of colpits, or vaginites provoked by the gonococci. In the latter case, the prescription of the drugs of the cephalosporine series in the form of intramuscular infections is practiced:

• Ceftriaxone;
• Zefisim;
• Cefasoline.

And in the treatment of nonspecific chronic collision, protected semi-synthetic penicillins are used:

• Flemoclav;
• Panklav;
• Amoxiclav;
• Augmentin.

Conventional penicillins (amoxicillin, ampicillin, oplicsacin) are ineffective in vaginites, since the pathogenic bacteria has acquired resistance to their effects. Doctors prescribe antibacterial agents to patients, which include clavulanic acid. This chemical compound does not show any therapeutic activity, but has the ability to prolong and strengthen the effect of antibiotics. Clawulanic acid prevents the production of specific enzyme enzymes by bacteria, making microorganisms insensitive to drugs. When in force or the small efficiency of semi-synthetic penicillins, doctors replace them on macrolides - clarithromycin or azithromycin.

For dicks and baths in the treatment of collision, you can use infickers of healing herbs, such as calendulas

Sprinting

These procedures are very effective for external treatment of collision. The duration of such therapy is several days, until antimicrobial and antibacterial drugs of systemic and local action affect. They contribute to the destruction of causative agents of infection, which significantly reduces the severity of symptoms and the number of viruses, bacteria and fungi on the mucous membrane of the vagina. For douching, you can use such drugs:

• Chlorhexidine or its imported analogue of Mirisma;
• weakly pink potassium permanganate solution;
• Rivanol;
• Chlorophyllipt.

A solution of drinking soda has good antiseptic properties, especially if the candidial vaginitis occurs on the background of the abundant release of purulent white. For its preparation, 0.5 teaspoons of soda should be diluted in a glass of warm boiled water. For douching, infusions and champs of medicinal herbs are often used:

• sage;
• chamomile;
• calendulas;
• hypericum;
• nather.

To prepare the infusion, a liter of boiling water should be boiled. Spoons of dry vegetable raw materials and insist within an hour. After cooling and filtering, you can proceed to the procedure using a fringe. Such a local therapy method allows you to remove all pathogenic microorganisms from the vagina, prevent the damage to the mucous membrane to the toxic products of their livelihoods.

Treatment of atrophic pathology

The symptoms of atrophic collision suffer from a certain age category. As a rule, this type of vaginite is diagnosed in women after 50 years on the background of hormonal changes. The ovaries are terminated to fully produce estrogens, which causes climacteric manifestations - tides, emotional instability, headaches. One of the signs of natural menopause is thinning the mucous membrane of the vagina. It is easily injured, and fungi and bacteria are joined to the area of \u200b\u200bdamage. Hormonal pills and dragee are used as drugs and dragee, including vaginitis recurrences:

• Clair;
• Fermoston;
• Norcut;
• Duphaston;
• Angelica.

Vaginal PIMAFUCIN suppositories are used to treat robusts of fungal origin

The treatment of atrophic collision is to restore the mucous membrane of the vagina, eliminating the feeling of "dryness" and irritation. To do this, it is practiced to patients with vaginal candles or sheep cream with an active ingredient edging. The course of treatment is about two weeks, and then repeated as needed. Systemic replacement hormone therapy can last several years, which makes it possible to achieve maximum treatment efficacy. Not only menopausal symptoms disappear - the restoration of the mucous membrane of the vagina becomes excellent prevention of colpitis of any etiology.

Treatment during pregnancy

During the baby tooling, Colpit is developing more than 50% of women. In the role of provoking pathology of factors, a decrease in immunity and a change in the hormonal background are performed. The acidic medium of the vagina is gradually replaced by alkaline, and this serves as a favorable setting for the reproduction of pathogenic organisms. In some trimester, the vaginite is diagnosed, immediately proceeds to its treatment. Gynecological pathology can have a negative impact on the health of the mother, intrauterine growth and development of the child. How to treat colpit for pregnancy:

• Terezhinan is a combined antimicrobial, antifungal and antiseptic agent in the form of vaginal candles.
• Hexicon - the active ingredient of vaginal chlorhexidine suppositories violates the structure of the cell membrane of bacteria, contributing to the death of pathogenic microorganisms.
• Betadine - After the introduction of the candle, the vagina is released by the release of active iodine, which has a coagulating effect on microbial cells. Gynecologists prescribe this drug in early pregnancy to prevent damage to the thyroid gland of the child.
• Polizinaks - a combined means in the form of vaginal capsules is used in bacterial and fungal colpites. The drug can only be used in the last week of the child's nodding for the prescription of the doctor.
• Neo-Penotran - Vaginal suppositories exhibit antimicrobial, antifungal, antibacterial, antiprotozoic activity.

When diagnosing fungal vaginitis, Pimafucin, Clotrimazole, Nystatin is prescribed to a pregnant woman. Drying does not apply during pregnancy, but the use of seating baths will be very productive. The solutions of chlorhexidine, potassium permanganate, as well as infectios of medicinal herbs are suitable for washing the genuine organs. These procedures help to wash out the vagina of causative agents of collision and their growth and reproduction.

Systemic treatment

This type of therapy is almost always carried out at home and must be accompanied by dyeing, compliance with diet and intimate hygiene rules. Ethiotropic treatment is always directed to the destruction of the main cause of the gynecological disease - infectious pathogens. For this, drugs involve antimicotic, antiviral and antimicrobial activity. Often the woman is diagnosed with a mixed view of the vaginite. For example, in the absence of medical intervention, pathogenic bacteria are quickly attached to fungal colpitus:

• staphylococci;
• streptococci;
• intestinal wand.

In the treatment of colpits, a combination of drugs for internal and local use is applied

In order not to prescribe several diverse drugs at once, the doctor stops the choice on combined medicines of a wide range of action .. In order to make sure of the discharge from the vagina and pain at the bottom of the abdomen, the doctor may prescribe the following drugs:

• antimicotic - fluconazole, ketoconazole, itraconazole;
• antiviral - acyclovir, interferon;
• antimicrobials - trichopol, metronidazole.

An important part of the treatment of vaginitis of various genesis is the use of vaginal suppositories, balls, pills. They have a direct impact on pathogens formed inflammatory foci on the mucous membrane of the vagina. What drugs can prescribe the attending physician:

• Pimafucin;
• Clion d;
• Polizinaks;
• Hexicone;
• TERJIN;
• Nystatin;
• Clotrimazole;
• Caisten;
• Hynalgin.

The duration of the therapeutic course is from 10 to 14 days. Its duration depends on the species affiliation of the pathogen, the degree of damage to the mucous membrane of the vagina and the age of the patient.

Microflora restoration

If after etiotropic therapy in biological samples, the patient was not detected traces of infectious pathogens, the final stage of treatment was carried out. At this stage, women are prescribed drugs for the restoration of useful microflora in the vagina. Under the action of antibiotics and pathogenic microorganisms, lacto and bifidobacteria were killed. It is their livelihood products that created an acidic medium into the vagina, destructive for pathogenic fungi and bacteria. Vaginal suppositories are usually prescribed as eubiotics:

• Bifidumbacterin;
• Acilakt;
• Vagilak;
• Bificol.

The course of treatment is 5-10 days. At the recovery stage, patients also recommended receiving polyvitamins with trace elements, and in some cases immunomodulators.

Little girls and older women are sick vaginite. After the examination for all age categories, the doctor will make an effective therapeutic scheme individually for each patient. The earlier the gynecological disease will be diagnosed, the fewer consequences it will provoke.