Bacterial vaginosis (BV) is a mixed infection caused by vaginal Gardnerella and some oxygen-producing bacteria, which leads to an imbalance of the microecological balance in the vagina, resulting in increased vaginal discharge, fishy leucorrhea, and vulvar itching and burning. It can be divided into Haemophilus vaginitis, Corynebacterium vaginitis, oxygen-producing bacterial vaginitis, Gardnerella vaginitis, etc. This disease can also be transmitted through sexual contact, and the incidence rate is higher in people with promiscuous sexual relationships. A smear examination of the secretions can reveal a large number of pus balls and find the pathogenic bacteria. Increased vaginal discharge, vulvar itching, vulvar burning, itching or pain during urination, pain during sexual intercourse, bacterial infection, vulvar burning, yellow or bloody vaginal discharge with a foul odor, increased vaginal discharge 10% to 50% of patients are asymptomatic, while those with symptoms complain of grayish-white leucorrhea with a fishy odor, vaginal burning and itching. Increased leucorrhea is not a unique symptom of this disease. For example, gonorrhea, candidal vaginitis, and trichomoniasis vaginitis can all present clinical symptoms of increased leucorrhea. Most patients with this disease are women of childbearing age. The onset is slow, and the subjective symptoms are not obvious. The main manifestation is increased leucorrhea. Vaginal secretion examination has the following characteristics: ① The pH value is 5.0-5.5, which is higher than normal. ② The leucorrhea is gray or gray-green, homogeneous, and has a paste-like viscosity, and may contain bubbles. ③ There is a rotten fish-like odor. The odor of women worsens after menstruation or sexual intercourse, and the genitals of their sexual partners may also emit the same odor. ④ Those with combined Trichomonas or Candida infection may experience vulvar itching, vaginal burning, or sexual intercourse pain. This disease can often be combined with other vaginal sexually transmitted diseases, and its clinical manifestations may vary depending on the complications. When combined with gonococcal infection, vaginal discharge is obviously purulent and urinary tract irritation symptoms such as urinary pain and dysuria may occur; when combined with Trichomonas infection, foamy vaginal discharge may occur, itching may intensify, and it may become extremely itchy; when combined with Candida infection, vaginal discharge may appear curd-like or tofu-like. 1. Indirect contact infection Contact with toilets, bathtubs, bath seats, towels in public toilets that are contaminated with bacteria, and using unclean toilet paper can cause infection. 2. Sexual transmission It is one of the causes of the disease. At least 10% of men with symptoms on the female side have bacterial urethritis. 3. Taking large amounts of antibiotics Antibiotics change the vaginal microenvironment, causing pathogenic bacterial pathogens to multiply and leading to localized bacterial vaginosis. 4. Excessive attention to hygiene In order to maintain hygiene, some women often use medicated washes to irrigate the vagina, which can easily destroy the acid-base environment of the vagina and make it easy to get bacterial vaginitis. 1. Mentality: A positive and optimistic mental state is an excellent way to resist disease. You should learn to relieve stress appropriately and talk to others on a daily basis. Don't suppress negative emotions, so as not to provide opportunities for disease. 2. Exercise: Strengthen exercise, improve physical fitness, get more sun exposure, do aerobic exercise, etc., which can reduce the chance of bacterial infection and growth and proliferation. 3. Hygiene: Pay attention to personal hygiene and keep the vulva clean and dry; pH4 weak acid formula feminine care liquid is more suitable for daily cleaning and maintenance. Wash and change underwear frequently, do not share bath towels and bathtubs with others, do not wear nylon or similar underwear, and bath towels and underwear used during illness should be boiled and disinfected. 4. Diet: Eat more foods rich in antioxidants, which are good for enhancing immunity and resisting infection. Vitamin A, vitamin C, vitamin E and trace elements such as zinc, iron, magnesium and selenium are antioxidants. Grapes, bell peppers, bitter melon, tomatoes and broccoli, as well as herbs such as turmeric and ginkgo contain bioflavonoids, lycopene, etc., which have very strong antioxidant effects. Eat more cinnamon and garlic juice as seasonings to fight infection and kill Candida albicans that causes urinary tract infections. 5. Drinking water frequently can prevent vaginitis: With the change of seasons, the body's immune function weakens, and many women are affected by vaginitis. Doctors say that drinking boiled water frequently every day can easily prevent vaginitis. 1. General treatment Keep the vulva clean and dry, and avoid scratching. Do not eat spicy food. Change underwear frequently, wash with warm water, and do not mix with other clothes to avoid cross infection. 2. Medication (1) Metronidazole is currently considered to have reliable therapeutic effects and should be taken twice a day for 7 consecutive days. (2) Methicillin (clomiphene) is used for 3 days. (3) Thiamphenicol (Thiamycin) is effective against a variety of Gram-negative and Gram-positive bacteria, and has a good therapeutic effect on the growth of anaerobic bacteria, so it can also be used. (4) Cleansing and ampicillin can also be used. In recent years, it is advocated that asymptomatic patients do not need treatment. 3. Local therapy Topical medications can be used for treatment, such as metronidazole suppositories, once a night for 7 consecutive days. 4. Treatment of comorbidities If other pathogens are detected, use drugs to treat other pathogens and avoid abusing antibiotics. Pay attention to the medication for systemic conditions, and supportive and immunotherapy can be given at the same time. Pay attention to adverse drug reactions. 5. Partner therapy Male sex partners are treated at the same time. Pay attention to dietary nutrition; eat more fresh vegetables and fruits to keep bowel movements smooth; drink more water; prevent urinary tract infection. Diet therapy 1. Kapok Porridge Preparation: Add appropriate amount of water to 30 grams of kapok flowers, boil it, remove the residue and take the juice, add 500 grams of rice and cook into porridge. Take the porridge once a day. Each course of treatment lasts for 7 consecutive days. 2. Winter melon and ginkgo drink Preparation: 30 grams of winter melon seeds, 10 ginkgo nuts, wash them, and then boil them with 1.5 cups of water. Eat after cooking. Drink frequently instead of tea, not for long periods of time. 3. Ginkgo Nut Eggs Preparation: Grind 1 ginkgo nut into powder, make a small hole in an egg, put the ginkgo nut powder into the egg, seal it with wet hemp paper, steam it until cooked, and remove the shell. Take 1 egg each time, on an empty stomach in the morning and evening, for 1 week. 4. Cistanche drink Preparation: Boil 20 grams of Cistanche deserticola in water and take it once in the morning and evening every day. 1. Avoid spicy food. Eating too much spicy food (pepper, ginger, onion, garlic, etc.) can easily cause dryness and heat, which can cause heat and toxicity to accumulate in the internal organs, resulting in swollen and painful gums, sores in the mouth and tongue, short and red urine, burning sensation in the anus, itchy pain in the front and back of the genitals, etc., which can aggravate the symptoms of this disease. 2. Avoid seafood. Smelly foods, such as mandarin fish, yellow croaker, hairtail, black fish, shrimp, crab and other aquatic products can promote dampness and heat, which can aggravate vulvar itching and are not conducive to the disappearance of inflammation, so they should be avoided. 3. Avoid sweet and greasy food. Greasy food such as lard, fatty pork, cream, butter, mutton fat, etc., high-sugar food such as chocolate, candy, desserts, cream cakes, etc., these foods help to increase moisture and heat, which will increase the secretion of leucorrhea and affect the effect. 4. Dietary precautions for bacterial vaginitis also include avoiding tobacco and alcohol. Smoking can aggravate the disease because nicotine in tobacco can weaken the binding force between arterial blood and oxygen, and alcohol can promote dampness and heat, so it should be avoided. Similarly, foods containing alcohol, such as fermented glutinous rice and medicinal wine, should not be consumed. |
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