Treatment and prevention of trichomoniasis

Treatment. The most effective of antitrichomonas funds (see) - metronidazole (flagyl, trichopol, orvagil). Adults appoint the following method: the first 4 days of 0.25 g 3 times a day and the next 4 days 0.25 g 2 times per day. Girls older than 10 years - 0.25 g 2 times a day for 10 days; girls under 10 years - 0,125 g (0.5 tablets) 2-3 times a day (depending on age) in turning 10 days.
Local treatment of trichomoniasis is of secondary importance. It is assigned patients who have hypersensitivity to metronidazole. For local therapy of the most widely used osarsol in combination with boric acid, sulfa drugs, antibiotics and glucose.
In acute, rapidly flowing colpitis appointed sitting baths (2 times a day) from the infusion of flowers of chamomile or sage (120 g colors brew two cups of boiling water and insist for 3-4 hours, infusion filter through a gauze, add warm water to 1.5 l and heated to a temperature of 37-38 degrees), solution of potassium permanganate 1:10000, or 0.5% solution of bleach. Positive therapeutic effect is douching these same solutions; for the night in the vagina impose one ball containing osarsola and boric acid 0.3 g, streptocide, or chloramphenicol 0,5, After remitting inflammatory processes, and chronic trichomoniasis conduct more active dry treatment osarsola: carefully clear mucous membrane of the vagina from mucus and pus and pour the powder containing osarsola 0.5 g, white streptocide or levomitsetina, boric acid and glucose 0.3 g; some of the powder is injected into the cervical canal. After removing vaginal mirrors powder carefully rubbed in the mucous membrane of the vagina and labia minora. At the same time, after a preliminary urination globulinam probe or through the cone of urethroscope in the urethra enter 0.25 - 0.3 g osarsola. Spend 12-14 procedures: first 8 - every day, then every other day. Instead osarsola you can apply methylene blue. A cotton swab soaked 4% water solution of methylene blue, wipe through a mirror Cuzco the lining of the vaginal walls and vaginal portion of the cervix. After removing the mirror lubricate the same solution mucous membranes of the vestibule and do the installation in the urethra. The course of treatment is 10-12 procedures through the day.
The principles of local treatment of trichomoniasis in females do not differ from those in adults. In the acute stage of vulvovaginitis - warm sedentary baths from the extract of chamomile flowers, sage or solution of potassium permanganate 1:10 000 duration 10-15 minutes and vaginal washing these funds through the rubber catheter inserted to the rear of the vault. At the same time at night is introduced into the vagina sticks of the following composition: osarsol, boric acid and glucose 0.25 g, white streptocide (or chloramphenicol) - 0.3 g and oil cocoa. In order wand, melted, not leaking from the vagina, on the eve put the pieces of cotton. On the subsidence of inflammation of the vagina through the tube of urethroscope every day or two, until the disappearance of trichomonads, fall asleep a powder containing osarsol, boric acid, streptocide and glucose. Osarsol can be applied in the form of emulsion: osarsol and streptocid 10 g, glucose 20 ml and 4% solution of boric acid - 100 ml Moistened with this emulsion turunda enter the vagina every day or two.
When treating trichomoniasis in men apply washing urethra solutions oxycyanides mercury, nitrate of silver (1 : 6000-10, 000)in the rivanol (1 : 2000) and others After washing in the urethra enter 10-15 minutes 8-10 ml water mist osarsola and boric acid (osarsol 5,0, boric acid 3,0, distilled water 100,0).
Long-term results of treatment of trichomoniasis can be obtained only with the simultaneous treatment of both spouses (partners).
Prevention of trichomoniasis (trichomoniasis) lies in the exclusion of casual sex, timely detection and treatment of patients with trichomoniasis. With the purpose of preventing the spread of trichomoniasis recommended clinical examination of patients with trichomoniasis.