Trichomoniasis (Trichomoniasis) - urinary tract disease caused by Trichomonas vaginalis, the simplest single-celled organisms from the class of flagellates. Infest only people. Are unstable outside the body, die quickly at temperatures above 40 ° C, dried in salt solutions, as well as the effects of disinfectants
Transmitted sexually, at least - Domestic. In men, Trichomonas parasites in the urethra, but may also affect adventitious sex glands. The women hit the urethra, prostate and vestibule, the cervical canal. Trichomoniasis are often combined with gonorrhea, chlamydia and other bacterial urethritis. The incubation period is 7-14 days or more. The clinical manifestation depends on the virulence of the pathogen and the reactivity of the human body. There are fresh with an acute illness, an acute and oligosymptomatic course, chronic trichomoniasis (if lasts more than 2 months) and asymptomatic trichomoniasis (trihomonadonositelstvo).
Trichomoniasis (Trichomoniasis) in men
In men, trichomoniasis clinical picture is very similar to gonorrheal urethritis, but the symptoms are less pronounced. Only in 10-12% of patients it occurs acutely with copious purulent secretions and rezyami when urinating. In most patients, signs of inflammation of men worn, the patient may be a long time did not know about their disease and be a source of infection.
In chronic Trichomonas urethritis in some men occasionally appear itching and tingling in the channel. Drinking alcohol, a large number of beer, hard physical work, sexual arousal contribute to the appearance of complications, the most formidable of which are prostatitis and epididymitis Trichomonas. It is the development of these complications is often the cause of infertility in men. If untreated, Trichomonas urethritis in men can last for years, periodically sharpening.
Trichomoniasis (Trichomoniasis) in women
In women, trichomoniasis occurs more sharply. Most often affects the vagina (vaginitis Trichomonas) have yellow foamy liquid discharge, often with an unpleasant odor that can irritate the skin of the external genitalia, perineum, inner thighs, causing burning and itching. With the defeat of the urethra in patients with marked stinging and burning sensation when urinating. Patients become irritable, conflict, suffering from insomnia. Sexual intercourse is often painful. Gradually and without treatment, the intensity of inflammation is reduced, the process takes a chronic course, may be asymptomatic. If the inflammation goes to the bladder neck, then add the frequent urge to urinate, and pain at the end of it.
Chronic Trichomonas urethritis is usually asymptomatic. With the defeat of trichomonads glands are swollen vestibule, the lumen of the duct is closed you have the water, which leads to the formation of a false abscess, with the defeat of cervical mucus becomes red, swells from the cervical canal flow separation, which often provoke the erosion of the cervix, especially on the rear lip. There trihomonadnyh lesions of the uterus and its appendages with symptoms identical to similar lesions of other etiologies. Due to the rising of the inflammatory process may disrupt the menstrual cycle, uterine bleeding are possible.
Trichomoniasis affects the course of pregnancy, causing a miscarriage and severe postnatal complications. In women it can also be a cause of infertility in lesions of the cervix and uterus, the fallopian tubes. Trichomoniasis in girls is characterized by the same symptoms as in women, except for subjective sensations, which are often not expressed.
Treatment of trichomoniasis (trich)
Treatment of trichomoniasis (trich) is carried out as intended and under the supervision of a physician (venereology, gynecologist or urologist) and lasts from several days to a month. A common prerequisite for successful treatment is the simultaneity of treatment for both spouses, even in cases where the trichomonads one of them has not been found.
During treatment and follow-up sexual activity is prohibited. As a rule, the means used protivotrihomonadnyh general steps: metronidazole, tinidazole, etc. In general intolerance protivotrihomonadnyh of action or contraindications to their use compared, and sometimes during the acute inflammatory resolution to speed up the process of conducting a local drug treatment nitazola, trihomonapida, oktilina etc .