女性尿道炎与阴道炎怎样鉴别 李旭东 西安交通大学第一附属医院 скачать в хорошем качестве

女性尿道炎与阴道炎怎样鉴别 李旭东 西安交通大学第一附属医院

女性尿道炎与阴道炎怎样鉴别 李旭东 西安交通大学第一附属医院 阴道炎主要是在阴道内产生一些感染，有真菌的感染，还有一般细菌的感染等情况，在做妇科检查的时候，能够明显的能够看出来阴道内的分泌物增多，阴道有豆腐渣样的东西；尿道炎患者表现出来得是尿急、尿频、尿痛，甚至尿血的一些症状。尿道炎的检查，首先我们应该做一个尿液的常规，看尿液里面有没有白细胞，细菌数是怎么样的，看看有没有感染的一些迹象。如果我们发生感染的迹象了，一般来说年轻的女性，发生以后它往往是一个单纯性的感染，我们往往不再需要进一步的检查了，直接进行治疗，简单的抗生素治疗就可以了。但是对于反复的泌尿系感染，年龄大的泌尿系感染，我们就应该更警惕一点，去做个B超，然后去看看有没有其它的病变，有没有结石的存在，有没有肿瘤的存在，有没有泌尿系的畸形等。对于反复发生泌尿系感染的患者，也应该警惕一下，去看看她有没有膀胱的病变，有没有肾脏的病变，畸形结石等。然后对于反复泌尿系感染，不痊愈的病人，我们要做细菌培养，甚至要反复做细菌培养，看她是什么样的病菌所造成的。 How to distinguish female urethritis from vaginitis Vaginitis mainly produces some infections in the vagina, Fungal infection, There are also general bacterial infections, When doing gynaecological examination, It can obviously show the increase of secretions in the vagina, There are tofu dregs in the vagina; Patients with urethritis show urgency, frequency and pain of urination, Even some symptoms of blood urination. Examination of urethritis, First of all, we should do a urine routine, Look for white blood cells in the urine, What is the number of bacteria, See if there are any signs of infection. If we show signs of infection, Generally speaking, young women, When it happens, it's usually a simple infection, We often don't need further inspection, Direct treatment, Simple antibiotic treatment will do. But for repeated urinary tract infections, Older urinary tract infections, We should be more vigilant, Go get a B-scan, Then we'll see if there are any other lesions, Is there a stone, Is there a tumor, Is there any abnormality of urinary system. For patients with recurrent urinary tract infections, We should also be alert, To see if she had any bladder lesions, Is there any kidney disease, Abnormal stones, etc. Then for repeated urinary tract infections, Patients who are not cured, We need to do bacterial culture, Even repeated bacterial culture, See what kind of germs she's caused.