When she met in pregnancy and vaginitis, how should Bao’s mother use it?

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Vaginitis is a common infectious disease of women’s reproductive systems. It mainly focuses on bacterial vaginitis, vulvar vulva infection, and trichomonas vaginitis. This disease has been delayed and patients are very painful.

For pregnant women, due to changes in hormone levels, the environment in the vagina has also changed accordingly. The growth and reproduction of bacteria become active, which also increases the possibility of vaginitis.Once you are sick during pregnancy, if you do not actively treat, a high probability event will have adverse effects on pregnancy, such as premature birth, premature fetal membrane, low weight, and so on.The most tangled is that the treatment of vaginitis during pregnancy also takes into account the effects of the drugs used on the fetus. Therefore, when pregnancy and vaginitis are unexpectedly encountered, reasonable drugs are particularly important.

In the final analysis, bacterial vaginitis is caused by the decrease in lactobacillus in the vagina, and the anaerobic bacteria such as Gedner and Prodorb, which causes imbalances in vaginal flora. The clinical manifestations are increased vaginal discharge.It is accompanied by a fishy smell, and the secretions are mostly gray -white and pH> 4.5.For women with bacterial vaginitis during pregnancy, it is generally recommended to use metronidazole, clinithromycin, lactobacillus alone or combined with medication. There are also reports of traditional Chinese medicine smoking treatment.

Both metronidazole and clinomycin are drugs for pregnancy safety level B (pregnancy medication is generally defined as A, B, C, D, X level 5, and the safety decreases step by step.It is still safer.The treatment of symptoms of bacterial vaginitis is as follows: 500 mg of metronidazole oral metronidazole, twice a day, for 7 days; or vaginal metronidazole, once a night, last 7-10 days; or 0.75%of 0.75%Tyniazole gel vagina is applied in the vagina, once a night, lasts for 5 days; or 2%of clinomycin cream vagina, once a night, last 7 days;, Or 250mg vaginal plug, for 10 days.

For pregnant women with asymptomatic bacterial vaginitis, whether it is necessary to treat some controversy in the treatment of clinical clinicals. Preventive medical groups recommend that pregnant women with low -risk premature risks do not need to screen and treat them.The effective evidence of screening and treatment is not sufficient.Studies have shown that oral patients with oral metharomycin are used to treat pregnant women who are asymptomatic without bacterial vaginitis, which can reduce the risk of premature birth at about 10%, and reduce the risk of abortion of pregnant women in advanced pregnancy.

Candida infectious vaginitis is second only to bacterial vaginitis. The main symptoms are severe vulvar itching, accompanied by burning pain, increased leucorrhea and often white bean slag -shaped or condensed.The problem.Pregnant women during pregnancy are high in estrogen and progesterone, the vaginal epithelium has increased sugar content, and Candida grows a lot of growth and reproduction, so it is easy to suffer from this disease.In the middle and late pregnancy, if you suffer from Candida vaginitis and not treated in time, it may lead to complications such as premature birth, premature fetal membrane breakfast, and chorionic amnioceitis.

Candida vaginitis during pregnancy is mainly local therapy. It can be rinsed with 2 to 4%sodium bicarbonate solution to create an alkaline environment that is not conducive to the survival of Candida; clonole polio or tablet, vaginal plug, every night, every night, every nightOne capsule, treatment for 7 days; nit The vaginal plug, one capsule per night, for 7 days; one capsule per night for 7 to 10 days; nitrodium turtle 200mg is taken three times a day a day, and 7 is used.God, or 20mg vaginal plugs for 10 days.In addition to western medicine, there are also combination of traditional Chinese and Western medicine for treatment. For example, in addition to local treatment, it is supplemented by cinniations, snake beds, yellow cypress, rhubarb, hundreds, and baoccoli.Essence

Trichomonas vaginitis is a common vaginitis caused by vaginal tricia.For women during pregnancy, changes in vaginal micro -environment are prone to trichomonal vaginitis.Trichomonas vaginitis can produce adverse consequences such as miscarriage, intrauterine infection, and low birth weight.The disease is mainly treated with metronidazole, which can be orally for 400 mg metronidazole, 2 to 3 times, 7 days; or 2g metronidazole once; or 200 mg metronidazole vaginal placing;Oral, 7 days, or vaginal plug, for 10 days.

After careful reading of metronidazole’s drug manual carefully, readers can find that there is an explanation of "prohibited for pregnant women", which can not help but worry about people.In fact, as mentioned earlier, metronidazole is a level B drug for pregnancy medicine, which is still relatively safe. Some random control tests abroad also show that taking metronidazole does not increase the probability of fetal malformations.

In fact, although metronidazole’s instructions suggest that pregnant women are banned, it is generally believed that metronidazole does not necessarily cause fetal malformations, and on the contrary, there is also a report that reducing the risk of premature birth.Therefore, the author believes that when vaginitis is onset during pregnancy, it is still possible to use metronidazole preparations due to the consideration of greater prosperity. However, while actively treatingThe possibility of eliminating abnormal tires throughout pregnancy is essential for ordinary pregnant women. It is more important for pregnant women with vaginitis, because in some sense, the health of the pregnant woman’s own physical health is for the fetus for the fetus.The impact will greatly exceed the drug itself.Of course, taking metronidazole may cause gastrointestinal discomfort, such as nausea, vomiting, abdominal pain, diarrhea, etc., so it is best to take food with food.In addition, patients should avoid alcohol in the use of metronidazole within at least 3 days to avoid "sulfurite -like" toxic reactions.

In summary, when the pregnancy and vaginitis are encountered in an unexpected, the mother of Baoshi should go to the doctor in time to confirm which type of vaginitis belongs to it as soon as possible, and under the guidance of a doctor, use appropriate drugs for active treatment.In fact, if pregnant women blindly worry about the adverse effects of the drug on the fetus, they may have a lot of bad pregnancy results, leaving regret.


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