妇科感染病(Female-Genital-System-Infection)-张喜.ppt

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1、FemaleGenitalSystemInfectionWomen’sHospital,SchoolofMedicineZhejiangUniversityProf.LinJunNaturalresistancetoinfectionsvulvaevaginacervixendometriumfallopiantubesimmunesystemVulvovaginalinfectionSelf-purificationofvagina（阴道自净作用）estrogen→vaginalepithelium→glycogen↓lacticacid↓normalva

2、ginalflora←PH3.8-4.4(chieflylactobacilli)VulvovaginalinfectionEcosystemofvagina(阴道生态系统)BalancelactobacilliPHestrogenVulvovaginalinfectionTrichomonalVaginitisPathogen：TrichomonasvaginalisFormsoftransmission:SexualtransmissionIndirectcontacttransmissionTrichomonalVaginitisClinicalfin

3、dings：⒈Increaseinvaginaldischargegreenishextremelyfrothyfoul-smelling⒉VulvarpruritusTrichomonalVaginitisClinicalfindings：⒊Examinationvaginalerythemaso-calledstrawberryspotsoncervixtypicaldischargeTrichomonalVaginitisDiagnosis：DemonstrationoftrichomonadinvaginaldischargeTrichomonalV

4、aginitisTreatment：systemictherapymetronidazolevaginalocaltherapytreatpartnerssimultaneouslywithintercourseavoidedpatientswithpregnancy:metronidazole,systemictherapyVulvovaginalinfectionVulvovaginalcandidiasis（VVC）75%ofwomenwillexperienceanepisodePathogen：Candidacandidaalbicans(白假丝酵

5、母菌)80%-90%candidaalbicansfrequentlyinhabitsthemouth,throat,largeintestine,andvaginanormally.Vulvovaginalcandidiasis，VVCRISKFACTORS：pregnancydiabetesimmunesuppressivedrugsbroadspectrumantibioticsFormsoftransmission:EndogenoustransmissionSexualtransmissionVulvovaginalcandidiasis，VVCC

6、linicalfindings：⒈intensevulvarprurituswithburningsensation⒉vaginaldischargewhitecurdlike(白色凝乳状)Vulvovaginalcandidiasis，VVCClinicalfindings：⒊Examination:vulvae:erythema,edema,excoriationfromscratching（抓痕）vagina:edema,erythema,whitecurdlikedischargeVulvovaginalcandidiasis，VVCClassifi

7、cation：1.UncomplicatedVVCinfrequentmildcandidaalbicansnormalimmunefunction2.ComplicatedVVCrecurrentseverenoncandidaalbicansriskfactorsVulvovaginalcandidiasis，VVCDiagnosis：Demonstrationofcandidalspores(芽孢)andhyphae(菌丝)invaginaldischargeVulvovaginalcandidiasis，VVCTreatment：Aboutriskf

8、actors:controldiabetesdisc