RU2007122C1 - Method for diagnosing trichomoniasis in women - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves administering anticandidiasis therapy perorally and locally from the middle of menstrual cycle, simultaneously introducing biostimulants and performing local ultrasonic therapy with an interval for the time of next menses then continuing, a week after its end, the local anticandidiasis therapy up to the beginning of next menses within which smears are taken beginning from the 4th day after the beginning of menses in the course of four days running. EFFECT: higher accuracy and timeliness of discovering trichomonas in case of clinical lesion of urogenital system and gastroenteric tract.

Description

 The invention relates to medicine, namely to obstetrics and gynecology.

 A known method for the detection of Trichomonas by bacterioscopy and cultural diagnostics.

 However, these methods do not fully reveal trichomonads located in the human body, since trichomonads have the ability to move freely in tissues via the intracanalicular and lymphogenous pathways.

 The aim of the invention is to improve the accuracy and timeliness of the detection of Trichomonas in clinical lesions of the genitourinary system and gastrointestinal tract.

 This goal is achieved by the fact that from the middle of the menstrual cycle, nystatin is prescribed for 500,000 units. x 4 times a day (or levorin 500,000 units x 3 times a day) for 12-14 days with simultaneous douching with a 2% soda solution and subsequent lubrication of the vaginal walls with levorin ointment.

 At the same time, aloe vera 2.0 IM is prescribed every other day 15 times or 1.0 IM daily 20 times, depending on the general condition of the patient. In the presence of scar-adhesive processes in the pelvis, ultrasound is recommended to the lower abdomen according to the Strogonov scheme up to 15 times. During the expected menstruation, physiotherapy, aloe and local vaginal treatment are stopped. With the end of the next menstruation, aloe and ultrasound continue, and a second course of local treatment of the vagina is prescribed a week after the end of menstruation, which consists only in the fact that the patient lays candles with nystatin deep under the cervix at night, and in the morning they make the vagina douch with a warm solution for 12-14 days before the next menstruation.

 Smears are taken, starting from the 4th day from the beginning of menstruation, necessarily from three points: the urethra, cervical canal and vagina (from the vagina, you should take the detachable most foaming from the back arch). Smears should be taken for 4 days in a row, since Trichomonas can be detected only in one of them. Taking smears after the named days is impractical, since Trichomonas again goes to deep foci.

 An example of a specific implementation of this method. Patient A., 42 years old. 04.09.85, a physical examination. The patient is anamnestically and according to objective examination, taking into account the complaints presented, chronic trichomoniasis is suspected. Delivery - 2, abortion - 6, as if without complications.

 Objectively: the urethra is significantly infiltrated. The discharge is light, but caustic 1. In the taken smears, the leukocytes are single, although there is a focal calcipy phenomenon visually. In a bimanual study: the uterus is 7 weeks old, moderately painful on its anterior surface, a nodule of 0.5 x 0.5 cm. Appendages with no apparent pathology at the moment.

 Diagnosis: chronic urethritis. Chronic metroendometritis. Subserous uterine fibroids. Chronic focal colpitis. Trichomoniasis is clinically suspected. Denies sexuality for several years. The proposed treatment: aloe 2.0 IM 15 times, electrophoresis with zinc 2% 15 times, levorin 500,000 units. x 3 times 12 days and levorin ointment for the treatment of the vagina. It was explained that it was necessary to appear on the control four smears: on 4,5,6,7 days from the beginning of menstruation. During the appearance, smears became liquid, watery with an unpleasant odor, caustic.

 In the taken series of smears, high leukocytosis appeared in the range of 60-80-100 in p / vision. Appointed 2nd course, 7 days after the end of menstruation.

 1. A suppository with nystatin in the vagina at night for 14 days.

 2. In the morning, douching with warm soda solution for 14 days. And again, smear control for 4,5,6,7 days from the beginning of menstruation. In the taken series of menstrual smears, Trichomonas was revealed in two analyzes.

 Using the proposed method for the active identification of chronic forms of Trichomonas, the percentage of their detection in a antenatal clinic can be brought up to 75.

 Thus, the prevalence of the population with this pyarasite is many times higher than the percentage of its detection by obstetrician-gynecologists during its random diagnosis during the treatment of women.

 The proposed method for the active detection of trichomonads is simple, it is a method of gentle provocation, it has a therapeutic character for the patient herself, contributing to the absorption of extensive adhesions into the pelvis, does not worsen the general well-being of women, it does not require that huge time for daily visits to the doctor, since the patient can carry out all treatment at home. (56) Mandelstam A.Z. Semiotics and diagnosis of female diseases. M.: Medicine, 1964, p. 321-323.

Claims (1)

 METHOD FOR DIAGNOSTIC OF TRICHOMONOSIS IN WOMEN by examination of smears, characterized in that, in order to improve the accuracy and timeliness of detection of trichomonads in the clinical lesion of the genitourinary system and gastrointestinal tract, anticandidosis therapy is administered orally and topically from the middle of the menstrual cycle, and biostimulants are administered simultaneously and biostimulants are administered and ultrasound therapy with a break for the period of the next menstruation, and a week after its completion, local anti-candidiasis therapy is continued until the next menstruation, in which smears are taken, starting from the fourth day from the onset of menstruation for four days.