Trihomonijaza

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7 godina 3 meseci pre #65361 od Boyanna
Boyanna je napravio novu temu: Trihomonijaza
Šta je to trihomonijaza?

Trihomonijaza u toku trudnoćeTrihomonijaza je jedna od najčešćih polno prenosivih infekcija, čiji je uzročnik mikroskopski parazit Trichomonas vaginalis. Neka istraživanja su pokazala da preko 7 miliona ljudi – uključujući 124 000 trudnica – se zaraze trihomonijazom u Americi svake godine.



Kako trihomonijaza utiče na trudnoću?

Trihomonijaza u toku trudnoće se povezuje sa povećanim rizikom od prevremenog porođaja, prevremenog pucanja membrane (pucanje vodenjaka) i rođenjem bebe nedovoljne telesne težine (bebe sa manje od 2.5kg po rođenju). Zbog zaraze trihomonijazom podložniji ste HIV-u, ako ste izloženi ovom virusu.
Postoji mogućnost da se i beba zarazi u toku porođaja, ali je to retka pojava, i infekcija se leči odgovarajućom terapijom antibiotika.

Kako se postavlja dijagnoza trihomonijaze?

Da bi dijagnostikovao trihomonijazu, doktor mora uraditi fizičko ispitivanje i test u laboratoriji. Laboratorijski testovi se rade na uzorku tečnosti iz vagine ili uretre, u kojoj se ispituje prisustvo parazita koji uzrokuje ovu bolest – trihomonasa. Prisustvo parazita je teže ustanoviti kod muškaraca nego kod žena.

Prevencija

Da biste smanjili rizik od infekcije:

Koristite kondome pravilno, svaki put kada imate polni odnos.
Ograničite broj seksualnih partnera, i ne menjajte partnere tek tako.
Apstinencija (uzdržavanje od seksa), ili ograničite polne odnose na jednog, zdravog partnera.
Ako mislite da ste inficirani, izbegavajte seksualne odnose i posetite doktora.

Koji su simptomi?

Možda nećete imati nikakve simptome. Ako osoba pokazuje simptome, onda je u pitanju žućkast ili zelenkast vaginalni sekret, često penušavog izgleda i neprijatnog mirisa. Možete uočiti crvenilo oko vagine i stidnice, osetiti iritaciju i svrab na ulazu u vaginu. Takođe, možete imati nelagodan osećaj tokom mokrenja ili seksualnog odnosa, i verovatno ćete uočiti blago krvarenje nakon odnosa. Simptom koji se retko javlja jeste blagi bol u donjem delu stomaka.

Simptomi se manifestuju odmah nakon zaraze ili mnogo kasnije. Znači, ako je postavljena dijagnoza trihomonijaze, ne mora da znači da ste se skorije zarazili.

Ako imate simptome, odmah se obratite lekaru kako biste se testirali na trihomonijazu i druge bolesti. Lekar će uzeti uzorak Vašeg vaginalnog sekreta i poslati na ispitivanje.

Da li ću biti testirana na trihomonijazu u toku trudnoće?

Ukoliko nemate simptome, nećete se testirati an trihomonijazu. Nije dokazano da lečenje trihomonijaze smanjuje rizik od nastanka drugih komplikacija, dok neke studije navode da lečenje može čak povećati rizik od prevremenog porođaja. Zbog ovog razloga, samo žene sa uznemiravajućim simptomima se testiraju i leče u toku trudnoće.

Kako se trihomonijaza leči u toku trudnoće?

Ako imate uznemiravajuće simptome i dijagnostikovana je trihomonijaza, lečićete se odgovarajućim oralnim antibioticima, koji su bezbedni za upotrebu u toku trudnoće. Vaš partner treba takođe da se leči u isto vreme, bez obzira na to da li ima simptome ili ne (mada se većina muškaraca ne leči).

Morate se uzdržati od seksualnih odnosa dok oboje ne završite sa lečenjem i dok svi simptomi ne nestanu – drugačije, rizikujete da se opet zarazite. Ne bi trebalo da pijete alkoholna pića u toku lečenja i 24 časa nakon uzimanja poslednje doze (trudnice ne smeju piti alkoholna pića).

Šta ako se ne lečite od trihomonasa?

Trihomonas kod trudnica može izazvati prerano pucanje membrana koje štite bebu i prevremeni porođaj. Zapaljenje u genitalnom području koje uzrokuje trihomonas, može takođe kod žena povećati rizik od dobijanja HIV infekcije kod žena, ukoliko bude izložena HIV virusu. Trihomonijaza kod žene koja je takođe zaražena sa HIV virusom, može povećati šanse od prenošenja HIV infekcije na seksualnog partnera.

Bilo kakvi genitalni simptomi, kao što su sekret ili peckanje pri mokrenju, ili neuobičajena rana ili osip, mogu da budu signal da privremeno prekinete sa seksualnim odnosima i da odmah posetite doktora. Ako vam doktor saopšti da imate trihomonijazu ili bilo koju drugu polno prenosivu bolest, i prepiše vam odgovarajuću terapiju, trebate da o tome obavestite sve svoje skorašnje seksualne partnere, tako da imaju na umu da trebaju da posete doktora i dobiju odgovarajuću terapiju.
.

Kako mogu da izbegnem trihomonijazu?

Upražnjavajte seksualne odnose samo sa partnerom koji ima odnose samo sa Vama. Ako ovo nije slučaj, upotreba kondoma smanjuje rizik od prenošenja trihomonijaze i drugih polnih bolesti.

Honesty is an expensive gift, don`t expect it from cheap people.

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