Wednesday 24 October 2012

Bv Cures>>>Treatment Of Bacterial Vaginosis



Diagnosis, treatment of bacterial vaginosis (Gardnerella)

Bacterial vaginosis is one of the most common infectious diseases of sexual organs in women.
According to the Scientific Center for Obstetrics, Gynecology and Perinatology, bacterial
vaginosis was diagnosed in 24% of healthy women and 61% of patients with clinical symptoms
of vaginitis.

What is bacterial vaginosis?
Bacterial vaginosis (Gardnerella) is characterized by the appearance of a more or less abundant
leucorrhoea, often with the smell, in the absence of these pathogens (gonococcus, trichomonas,
chlamydia, etc.), and the lack of visible signs of inflammation of the mucous membrane of the
Bacterial Vaginosis.

First describe the clinical picture of nonspecific vaginitis, later called bacterial vaginosis
(gardnerellezom) Gardner and Dukes in 1955. They are also called the most likely causative
agent - Haemophilus vaginalis, later renamed Gardnerella vaginalis in honor of one of the
scientists.

Bacterial vaginosis can be regarded as a common infectious non-inflammatory syndrome
associated with quantitative and qualitative disorders vaginal environment. It is characterized by
extremely high concentrations of opportunistic pathogens and sharp reduction or absence of lactic
acid bacteria in the discharge of the vagina. Let us consider the mechanism of bacterial vaginosis.

REASONS
In healthy women of reproductive age a leading position in the vaginal microenvironment
occupied by lactobacilli, which account for 95-98% of the vaginal flora.
Thanks to these properties of lactobacilli, such as:
The ability to produce hydrogen peroxide,
Create an acidic environment in the vagina due to the high concentration of lactic acid, Compete
with other microorganisms for attachment to the epithelium of the vagina; stimulate the body's
immune system and ensures the normal relationship of the vaginal flora, preventing excessive
growth of 20-30 other opportunistic bacteria that normally live in the vagina in small numbers.

The composition of the vaginal flora may affect the following factors:

• Infections, sexually transmitted

• The use of antibiotics, cytostatics, hormones

• Endocrine disorders, menstrual dysfunction

• Immunosuppression

• Surgical termination of pregnancy, surgery

• Penetrating diagnostic and therapeutic manipulations

• Intrauterine contraception

• Allergy, environmental issues

• Ionizing radiation

Bacterial vaginosis is changing the composition of the vaginal flora. Under the influence of these
factors, there is a sharp decrease in the number of lactobacilli, which in turn leads to a decrease in
lactic acid and pH shift to the alkaline side. This creates the conditions for a massive reproduction
of pathogenic microorganisms and gardnerella. Because more than half of women with bacterial
vaginosis, revealed intestinal dysbiosis, we can talk about a single dysbiotic process in the body
with a primary manifestation or in the genital or digestive system.

SYMPTOMS
To date, the discussion is the question of transfer of gardnerella infections. Skeptical view of
sexual transmission is based on several studies in which the statistical reliability transmission of
bacterial vaginosis is not only sexually detected. Bacterial vaginosis is characterized by long and
more or less profuse discharge from the genital tract, often with an unpleasant odor, especially
after intercourse or during menstruation. At the beginning of the disease whites have a liquid
consistency, white or grayish hue. In some of them experienced itching with urination disorders,
local discomfort. In the long isolation of bacterial vaginosis on a yellowish, greenish color,
become denser, often curd. Numbers are whiter in bacterial vaginosis (Gardnerella) range from
moderate to very heavy. However, in 25% of patients there are no clinical manifestations of the
disease. Among related infectious agents lurking amid manifestations of bacterial vaginosis,
the most common chlamydia, human papillomavirus. In 40% of cases are detected background
diseases of the cervix (erosion, cervicitis).

DIAGNOSIS
"Clue cells", ie fully coated bacteria vaginal epithelial cells. These cells are typical of vaginitis
caused by gardnerella vaginalis.
Laboratory diagnosis of bacterial vaginosis is not much difficulty. Most informative for bacterial
vaginosis are diagnostic smear microscopy and DNA identification of gardnerella. Identify
concomitant gardnerella pathogenic flora helps seeding overgrowth of vaginal discharge with
simultaneous determination of antibiotic sensitivity of flora. To the overall assessment picture
bacterial vaginosis also recommended research on chlamydia, mycoplasma, etc.

Treatment Gardnerella
Widespread of gardnerella is detectable in 20-30% of women of childbearing age, the possibility
of complications that are associated with this disease - miscarriage, amniotic infection,
postpartum and post-abortion endometritis, an inflammation of appendages - cause topical
treatments for bacterial vaginosis. Gardnerella conducted a two-stage treatment.

Stage of the treatment of bacterial vaginosis
Elimination of pathogenic organisms, Gardnerella achieved designation of specific antimicrobial
stimulating general immune status immunomodulators, vitamins.

Local treatment
Number two stage of the treatment of bacterial vaginosis.
Create a normal vaginal environment by reducing the amount of lactic acid bacteria,
lactobacilli correction of intestinal micro flora, thereby reducing the number of relapses.

Destroys pathogenic microorganisms that cause infection,
normalizes vaginal flora and reduce vaginal pH to normal physiological values.

Provide long-term protection against reinfection and relapse. If you suspect the possibility of
bacterial vaginosis or any infection, the woman to treat gardnerella should see a gynecologist, and
her partner - for venereal diseases.

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