Viem am dao do loan khuan

Hien co nhieu y kien kha trai nguoc nhau ve viec co hay khong viec coi viem am dao do loan khuan va do nam la benh lay truyen qua duong tinh duc (hien co hon 20 benh).

Do su phat trien qua muc, den muc mat can bang cua nhieu loai vi khuan binh thuong van song o am dao. Viem am dao do loan khuan khong lay truyen do quan he tinh duc va khong nguy hiem nhung gay nhieu phien phuc cho phu nu, vi khi ra khi hu nhieu va hoi thi deu phai loai tru benh do chlamydia va benh lau.

Trieu chung

Thuong ra khi hu hoi, co mau xam nhat va thuong khong kem theo trieu chung gi khac.

Can kham vung tieu khung, quan sat va xet nghiem dich am dao (loai tru chlamydia va lau), danh gia the tich cua buong trung va tu cung, muc nhay cam cua ca tu cung. Mot xet nghiem de lam va dang tin cay la nho mot giot dung dich thuoc tim len mot giot khi hu cua benh nhan se ngui thay mui ca uon boc len. Khoang mot nua so phu nu bi viem am dao do loan khuan khong the hien trieu chung gi.

Nguyen nhan

Hinh nhu co vai tro phoi hop cac loai vi khuan o am dao. Li do vi sao lai co su “hiep dong gay benh” cua vi khuan van chua ro.

Dieu tri

Khang sinh clindamycine 300mg (uong 2 lan/ngay, trong 7 ngay) hoac kem clindamycine 2%, dua vao am dao (5g/ngay, trong 7 ngay). Hoac metronidazole (uong hoac gel boi tai cho. 2g - uong 1 lieu duy nhat hay gel metronidazole 0,75% 5 g dua vao am dao, 2 lan/ngay, trong 5 ngay).

Tuy chua tri co ket qua nhung cung co ty le tai phat khoang 15%. Neu tai phat, thuong chi dinh them mot dot khang sinh nua.

Viem am dao do loan khuan co the chua khoi hoan toan, khong lay truyen theo duong tinh duc do do khong can dieu tri cho ban tinh.

Khi mang thai, viem am dao do loan khuan co the gay vo oi som, de non, nhiem khuan buong oi va nhiem khuan tu cung sau de, vi the can phat hien viem am dao khi co thai de duoc dieu tri som nhung khong dung trong giai doan dau cua thai nghen va phu nu cho con bu. Viem am dao do loan khuan la mot yeu to de de bi nhiem va lay truyen HIV.

Theo BS Dao Xuan Dung

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