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Ngi trnh bay: Nguyen Pham Quynh Phng Thi gian: 60 phut. Ngay: 10/01/2008.
MUC TIEU
Sau khi hoc xong bai nay, hoc vien: 1.Ke c trieu chng cac the lam sang cua viem am ao. 2.Xac nh c cach ieu tr thch hp cho moi loai viem am ao.
H1-572
I.AT VAN E
Viem nhiem c quan sinh duc la benh kha pho bien trong i song cua ngi phu n. Nguyen nhan a dang, dien bien phc tap dan en viec ieu tr kho khan, oi luc e lai bien chng nh viem tieu khung, vo sinh, thai ngoai t cung, say thai, e non, viem ket mac mat tre s sinh.
I.AT VAN E
Viem am ao la bieu hien thng gap nhat. Am ao la ni gan vi ben ngoai va cung la ni thng xuyen co nhng va cham trong i song hang ngay. Kh h la trieu chng noi bat lam cho ngi phu n en kham benh.
I.AT VAN E
Bnh thng co t cung va am ao co mot chat dch trang trong hi ac, hoac nh long trang trng, lng t, khong chay ra ben ngoai, khong lam cho ngi phu n e y, o la dch sinh ly, dch nay co pH # 3,8- 4,6 tao nen moi trng bao ve cho am ao chong lai s nhiem khuan nhng cung co the la yeu to thuan li cho s phat trien cua mam benh.
I.AT VAN E
Khi am ao b viem nhiem, chat dch tiet ra nhieu, gay kho chu lam cho ngi phu n lo lang, trong trng hp nay du mau sac nh the nao trang hay vang, co mui hay khong eu la benh ly.
h1-493
Trieu chng
-Kh h: so lng nhieu, loang co bot, mau vang xanh, hoi. -Co the kem nga, i tieu kho va au khi giao hp. -Kham: viem am ho- am ao, co t cung viem o, phu ne, co nhieu kh h mau vang xanh loang va co bot cung o.
Hnh 2-496
ieu tr
-Ve sinh am ao, quan ao lot sach, phai c phi nang hoac ui la trc khi dung. -Khong giao hp trong thi gian ieu tr. -Metronidazole 2g uong lieu duy nhat, hoac -Metronidazole 500mg uong 2 vien/ngay x 7 ngay. -Co the phoi hp at thuoc am ao. -Can ieu tr cho ngi chong hoac ban tnh.
Chu y
Metronidazole khong dung cho phu n co thai trong 3 thang au va can dan benh nhan khong c uong ru khi ang dung thuoc va cho en 24 gi sau khi ngng thuoc.
2.Viem am ao do nam
La benh do nhiem mot loai nam co ten la Candida (chu yeu la Candida Albicans). Chiem khoang 20% cac trieu chng viem am ao. Co cac yeu to thuan li nh dung khang sinh nhieu ngay, ai thao ng, co thai, mac quan qua chat, hoac thay oi cac san pham dung cho ve sinh phu n.
Trieu chng
-Benh nhan thng nga nhieu. -Kh h co mau trang uc nh vang sa, khong hoi, nhieu hoac t. -Co the kem theo tieu kho, au khi giao hp. -Kham: am ho- am ao viem o, co the b xay xc, nhiem khuan do gai, trng hp nang b viem ca vung tang sinh mon va ui ben. Kh h thng nhieu, mau trang nh vang sa, thanh mang day dnh vao thanh am ao, di co vet trt o.
ieu tr
-Ve sinh am ao, quan ao lot sach, phai c phi nang hoac ui la trc khi dung. -Khong giao hp trong thi gian ieu tr. -Sporal 100mg uong 2 vien/ngay x 3 ngay. -Fluconazole 150mg uong 1 vien duy nhat. -Nystatine 100.000UI, vien at am ao, at 1 vien vao am ao trc khi i ngu x 14 ngay lien tuc (ke ca nhng ngay co kinh).
Chu y
Trieu chng
-Co dch tiet t co t cung: mau vang hoac xanh, so lng khong nhieu, co t cung o, phu ne va cham vao de chay mau. -Nga am ao, tieu kho. -Ngoai ra, co the co ton thng viem nieu ao, tuyen Bartholine, hau mon hoac nhiem trung cao hn buong t cung, voi trng- buong trng.
H9-501
ieu tr
Co the la chon mot trong cac loai thuoc sau: -Doxycylin 100mg uong 2 vien/ngay x 10 ngay. -Erythromycin 500mg uong 2 vien/ngay x 10 ngay. -Azithromycin 1g uong lieu duy nhat.
III.KET LUAN
-Tat ca cac trng hp mac hoi chng tiet dch am ao eu phai c t van ve tnh duc an toan,s dung bao cao su ung va thng xuyen. -Biet c hau qua cua benh viem tieu khung,vo sinh,thai ngoai t cung.Cac nguy c lay nhiem cho tre s sinh. -Tuan thu phac o ieu tr du trieu chng benh a het va kham lai theo hen.
D.A, B, C ung.
D.Metronidazole
XIN CHAN THANH CAM N S CHU Y LANG NGHE CUA CAC BAN