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难言之隐,怎能一洗了之?
作者:陶旻枫

一天,门诊快结束时,一位30左右的女性,一脸的诱惑走了进来。“大夫,我等到了最后,就是想问点隐私的问题,我为什么总是反复的下身感染?我平时特别注意卫生,几乎天天用洗液洗,不舒服时到药店买了最贵的进口药,怎么还越来越重呀?是不是得了性病呀?”
??? 听了她的陈述,我进行了详细的检查,最后的结果是霉菌性阴道炎、细菌性阴道炎。我为她进行了耐心的咨询。首先什么是女性生殖道感染哪?生殖道感染是指由于各种病原微生物(包括滴虫、真菌、细菌、病毒、衣原体、支原体等等)的侵袭,发生在生殖道的一组感染疾病的总称,如霉菌性阴道炎、滴虫性阴道炎、细菌性阴道炎、盆腔炎、尖锐湿疣、淋病、梅毒等等。那为什么不是所有的女性都患有感染哪?因为女性的生殖系统的有防御机制:1、女性两侧的小阴唇正常情况下是合拢的,防止细菌的侵袭。2、正常的女性阴道有多种微生物寄生,包括正常的菌群和条件致病菌。这些菌长期寄生在阴道内,维持一个菌群平衡。阴道本身由于有乳酸菌的作用,能分解阴道内的糖元,使阴道维持在酸性环境,PH值保持在3.8-4.8之间,有助于杀灭阴道内的致病菌。3、女性的宫颈口在非经期的时候是关闭的,而且有黏液栓堵住宫颈口,可防止一些感染的细菌上行感染到盆腔。4、子宫内膜周期性的脱落,也会起到一个防御的作用。
??? 为什么女人容易感染阴道炎?我们可以做这样的比喻,实际上阴道里是有“正规部队”--乳酸菌驻扎的,如果外用一些药或洗剂的时候,在杀致病菌的同时,也把正常菌给消灭了。正常部队没有扶植起来,积存在阴道里条件致病菌反而乘虚而入,阴道微环境受到了破坏。
??? 女性为什么容易发生感染,跟女性生殖系统的生理解剖结构有密切关系的。我们女性的子宫前面是膀胱,膀胱下面连着尿道,后面有直肠,下面连着肛门。外生殖器从前到后有三个口:尿道口、阴道口和肛门。尿液、阴道分泌物和粪便的污染比较容易导致女性生殖道感染。另外性生活、外用药物、经期、孕期和产后这些因素都容易破坏阴道的平衡系统,导致生殖道感染的发生。
??? 女生阴道炎容易反复的原因是由于1、生理结构:外生殖器从前到后有三个口:尿道口、阴道口和肛门。尿液、阴道分泌物和粪便的污染比较容易导致女性生殖道感染。2、用药不科学,有的人得了阴道炎不及时去医院检查,或者到医院开了药用了两三天就不再继续用了;有的人则根据症状自行到药店买药,用药不对症,没有按照疗程来治疗。可能当时症状减轻了,可过一阵又会反复。3、生活习惯:我们女性每天都要清洗外阴,最好用流水清洗。可有的人没有自己固定的盆,用洗脚盆洗外阴,或与家人混用盆,就很容易感染阴道炎。这和毛巾也有关系,如果盆是固定的,可毛巾是混用的,或者毛巾每次用完没有彻底清洗,盆和毛巾都放在阴暗的角落里,就可能有霉菌滋生。有的人习惯用卫生护垫或穿紧身的内衣内裤,这样非常不透气,潮湿的环境也容易滋生致病菌,导致阴道炎反复发作。有的人清洁过度了,每天都要用一些特殊洗液清洗外阴甚至阴道,这也是不对的。女性不同的生殖道感染,需要的洗液是不一样的。比如霉菌性阴道炎一般建议用碱性洗液来洗,但有的人却买了偏酸性的洗液,这种情况可能会加重感染。建议大家在清洗外阴的时候,如果没有症状,最好用清水,不要过度信赖那些广告,不要盲目乱用洗液。
??? ?经过一周规范的治疗,当再次来到门诊室,她原来紧凑的眉头舒展开了,知道了科学的保健知识,做到明明白白的真正爱干净,不乱用洗液,“难言之隐,不能一洗了之!”










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日期:2013/4/19 13:15:46

 
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