泌尿生殖系滴虫病

　　Trichomonads are mostly found in the posterior fornix of the female vagina or in the paraurethral glands. In men, they are mostly found in the bladder, urethra, and prostate. This disease is mainly transmitted through sexual contact and is a sexually transmitted disease. Women with trichomoniasis of the vagina, more than 3% of their partners also have trichomoniasis, but most have no obvious symptoms. Therefore, some scholars believe that trichomonads themselves do not cause disease but are related to secondary bacterial infection.

　　Trichomonads have a strong adaptability to the environment and reproduce most rapidly at 35～37℃ and pH 5～6. The pH of the normal female vagina is maintained at 3.8～4.0, thus inhibiting the reproduction of trichomonads. However, during pregnancy and before and after menstruation, the vaginal pH increases, and at the same time, the body's resistance decreases, making infection more likely. Trichomonas carriers are the only source of infection for this disease.

　　1. Direct transmission occurs through sexual contact between men and women. It has a high incidence in those with混乱 sexual relations and prostitutes, and often coexists with other sexually transmitted diseases such as gonorrhea, non-gonococcal cervicitis (infection by mycoplasma and chlamydia), condyloma acuminatum, and bacterial vaginosis, etc.

　　2. Indirect transmission can occur through underwear, swimming suits, towels, sanitary napkins, toilets, toilet seats, bathtubs, and examination beds, as well as unsterilized medical instruments, etc., that have been contaminated by carriers of trichomonads.

　　Trichomoniasis of the urinary and reproductive systems is a common female reproductive organ disease. Men are often infected due to sexual contact or the use of contaminated underwear, items, and utensils, etc., mainly affecting the urethra and prostate. Pyelonephritis caused by Trichomonas vaginalis is a renal pelvis inflammation. Common complications include urethritis, prostatitis, and cystitis, etc.

　　Patients are mostly married middle-aged people, common in women, with a history of unclean sexual contact, or a partner with a history of trichomonas infection.

　　1. Urethritis

　　Men may experience urethral itching, frequent urination, white discharge, and hematuria. Female patients may present with frequent urination, dysuria, incomplete urination, increased vaginal discharge, which may be serous or purulent, with an unpleasant odor, pain in the pubic area, and edema of the urethral orifice.

　　2. Prostatitis

　　Mainly manifested as increased seminal vesicle secretion, terminal pain during urination, rectal prolapse sensation, perineal distension, and tenderness in the seminal vesicle during rectal examination.

　　3. Cystitis

　　Caused by ascending infection, it may present with frequent urination, urgency, dysuria, and purulent urine.

　　4. Inflammation of the external genitalia

　　Scrotum and glans ulcers may occur with a burning sensation, and trichomonads can be found in the smear of living tissue.

　　5. Fear of cold, fever

　　Continuous distension in the renal area, general discomfort, and gastrointestinal reactions.

　　Trichomoniasis of the urinary生殖 system is completely preventable. Prevention methods include paying attention to personal hygiene, such as taking a bath often, changing underwear frequently; paying attention to maintaining the cleanliness of the vulva and sexual life hygiene; not sharing underwear, towels, and swimming suits; taking a shower; changing the toilet to squatting; strengthening the management of swimming pools and public bathhouses, and prohibiting patients with trichomoniasis or carriers from entering swimming pools or bathhouses.

　　Trichomonads can be found in the secretion or urine sediment of patients with trichomoniasis of the urinary生殖 system, which is the basis for diagnosing the disease. The specific examination is as follows:

　　1. Laboratory examination

　　Mix the urethral secretion or prostatic fluid with 1ml warm saline and place it under a microscope. If active trichomonads can be seen, it can be diagnosed. After smearing, it can be naturally dried and stained with methylene blue, Gram staining, acridine orange staining, etc. For patients with some difficulties in diagnosis, the secretion or urine sediment after prostate massage can be cultured to increase the detection rate, and the positive rate can reach 90%.

　　2. Cystoscopy

　　It can be observed that there is congestion, red small papillary polypoid protuberance in the trigone of the bladder neck, and a thin cotton-like substance is attached.

　　The harm of trichomoniasis of the urinary生殖 system to people is numerous. People in life should pay more attention to trichomoniasis of the urinary生殖 system, and pay attention to the diet of patients with trichomoniasis of the urinary生殖 system. Patients with trichomoniasis of the urinary生殖 system should pay attention to the details of life, and be cautious in handling it in life.

　　In terms of diet, attention should be paid to strengthen nutrition, eat more light foods such as vegetables and fruits, and supplement necessary vitamins, trace elements, etc., such as eating more cucumbers, bitter melon, and Shepherd's purse. Try not to drink strong alcohol, eat spicy foods, and avoid greasy, fried, moldy, and preserved foods.

　　Patients with trichomoniasis of the urinary生殖 system should be treated in a timely manner, commonly using 0.2 grams of Jialingling, taken orally, three times a day, for 7-10 consecutive days, or used externally to kill the trichomonads. During the period of vaginal medication, sexual life should be prohibited; before sexual life is resumed before the trichomonads are cured, a condom should be used for isolation to prevent mutual transmission.