Bacterial vaginosis, diagnosis and treatment

Content

  • What is bacterial vaginosis and bacterial vaginosis?
  • How common is bacterial vaginosis?
  • Major risk factors for bacterial vaginosis
  • What are the symptoms of bacterial vaginosis?
  • How to diagnose bacterial vaginosis and bacterial vaginosis?
  • Do I have to kill gardnerella?
  • Treatment of bacterial vaginosis and bacterial vaginosis



  • What is bacterial vaginosis and bacterial vaginosis?

    Normally, a large number of lactic acid bacteria (Lactobacillus acidophilus,
    yet they are called lactobacilli and chopsticks Doderlyayna), which
    creating an acidic environment therein. When the number of bacterial vaginosis
    lactic acid bacteria decreases, and in their place come
    pathogens and so-called opportunistic bacteria - bacteria,
    which cause disease only with reduced immunity. it
    It causes a reduction in acidity of the vagina.

    Previously we thought
    Bacterial vaginosis is caused mostly by some unimodal
    bacteria (for example, gardnerella - Gardnerella vaginalis or hemophilic bacilli - Haemophilus vaginalis),
    therefore bacterial vaginosis is still sometimes called hemophilic
    gardnerelleznoy or vaginitis. Now, it was found that the bacterial
    vaginosis is not caused by a single microbe, and a violation of the ratio of
    various kinds of bacteria. Therefore, bacterial vaginosis is not
    infectious disease and is transmitted through sexual contact. AT
    Unlike vaginitis (kolpitov) bacterial vaginosis does not cause
    inflammation of the vagina.



    How common is bacterial vaginosis?

    exact
    incidence of bacterial vaginosis is not known. It is assumed that
    bacterial vaginosis in their lifetime at least once every ill
    third woman.

    Bacterial vaginosis is more common in women aged 35-40 years.



    Major risk factors for bacterial vaginosis

    Bacterial vaginosis, diagnosis and treatment
    The main risk factors for bacterial vaginosis include:

    • Availability
      intestinal dysbiosis. Dysbacteriosis intestines and vagina often
      develop simultaneously. May develop during treatment
      antibiotics.
    • decreased immunity, but it is difficult to prove.
    • drinking large amounts of antibiotics. Antibiotics kill the lactic acid and other "useful" bacteria.
    • poor nutrition. Exclusion from the diet of milk and acidic foods also increases the risk of dysbiosis.
    • wearing tight underwear impermeable air, too frequent (up to daily) Use pads and tampons.
      This prevents the flow of oxygen in the vagina, killing harmful anaerobic bacteria.



    What are the symptoms of bacterial vaginosis?

    The main
    manifestation of bacterial vaginosis are abundant (20-30 ml
    day) grayish vaginal discharge. Discharge is quite liquid and
    different characteristic fishy odor, worse after sex
    act. Possible discomfort and a burning sensation during sexual intercourse, or irritation of the vulva. Sometimes bacterial vaginosis may not cause any complaints.



    How to diagnose bacterial vaginosis and bacterial vaginosis?

    Bacterial
    vaginosis is diagnosed by the presence of characteristic of vaginal discharge,
    reduce acidity and changes in the vaginal smear. decrease
    the acidity of the vagina is determined by a rapid method
    (Special test strips). It is affordable, reliable and inexpensive
    diagnostic method, but unfortunately not very accurate.

    critical
    important to study the vaginal smear (scraping cells from the
    vaginal walls) under a microscope. In bacterial vaginosis in a smear
    practically no lactic acid bacteria (Doderlyayna coli), but
    It is determined by many other species of bacteria (Gardnerella, Haemophilus)
    as well as special "key" cells - exfoliated vaginal cells
    bacteria adhering to them. Sometimes more subtle study
    vaginal microflora inoculated allocation for special nutritional
    environment that allows you to accurately determine the type of bacteria living in it.



    Do I have to kill gardnerella?

    Bacterial
    vaginosis should be treated, if only because without treatment it
    It keeps vaginal discharge. Furthermore, this
    state can move to a given time with
    inflammatory and infectious disease. The goal of treatment is not
    as "death gardnerella" much needed restoration
    balance.

    Long dysbiosis, which is observed in bacterial
    vaginosis, can disrupt the normal functioning of the immune system.



    Treatment of bacterial vaginosis and bacterial vaginosis

    Treatment
    bacterial vaginosis consists of 2 stages: the elimination of pathogens
    and conditionally pathogenic bacteria (the same gardnerellas) and colonization of the vagina
    normal lactobacilli. To combat pathogens
    use vaginal suppositories and gels with various antibiotics or
    antiseptics (e.g., metronidazole, or clindamycin). selection
    the desired spectrum is difficult to do alone, and even more so without
    assays. Sometimes antibiotics administered in tablets for medical indication.

    The choice of specific
    drugs and dosage forms (tablets, suppositories, solutions, etc.).
    carries a gynecologist, according to the manifestations of the disease state
    the patient and the results of analyzes. True to the selection of therapy at this stage
    improves its efficiency, and to avoid the side effects
    unnecessary expenses. Keep in mind that no single infection is treated
    (Such as Candida or Chlamydia), and the balance is restored
    microflora, which is much harder to achieve.

    In pregnancy, antibiotics are not used.

    On
    the second stage of treatment may require drugs inside lactobacilli
    or directly into the vagina. Traditionally recommended diet
    Biokefir, yogurt, sauerkraut. Sometimes the treatment
    bacterial vaginosis using drugs that increase immunity.
    However, the effect of many of these agents has not been proven, and doctors
    guided primarily their own experience or tradition.
    The feasibility of various methods of treatment of intestinal dysbiosis in
    It is being challenged.

    The main
    criteria for cure bacterial vaginosis and bacterial vaginosis are
    cessation of vaginal discharge and the normalization of the vaginal smear.

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