細菌性腟症

細菌性腟症

■どんな病気なのか

◎普段体内にいる菌が起こす炎症
淋菌、トリコモナス、クラミジア、カンジダなどの特別の菌が原因ではない。
普段体内にいる菌自体が膣内で過剰に繁殖する為に炎症を起こしてしまう病気。
◎無症状が多いですがかなり危険です
約半数が無症状ではありますが、妊娠している女性は治療が必要。
流産や早産の原因のひとつです。

◎セックスパートナーが多い人は十分に注意です。
セックスパートナーの多い人が掛かりやすいとされています。
月経時、病気をした時など、免疫力が落ちた時に起き易い。但し、STD(性病)と決め付ける事は出来ません。

■どうしてうつってしまうのか
性感染より、体内の菌の過剰な繁殖によって起こる。
◎多種の菌が増殖して起こると言われている。病因は完全に解明されていない。
◎通常の場合、健康な人の膣の中は強い酸性。免疫力が落ちる事もあり、膣内の洗い過ぎた場合によって膣内のPH(ペーハー)バランスが崩れてしまい、細菌が繁殖しやすくなる。
■どんな症状が出るのか
膣の炎症になりますので、女性だけの病気です。

主な症状
◎おりもの
量は少ない。
色は灰色でサラっとしている。
悪臭を伴う場合もある。
(約半数の人は症状を感じない事があります。)
◎妊娠している女性は注意が必要
細菌性膣症に掛かってしまうと、流産、早産の危険性が高まってきます。
また、絨毛膜羊膜炎(じゅうもうまくようまくえん)が起こってしまい、子宮口から柔らかくなる。その事によって子宮口が開いていき、早産になる危険性がある。
24~37週に早産する率は2.8倍です。特に16週以内ですと5.5倍高くなると予測されます。

■検査について
膣の分泌液を検査する。
症状を自覚する場合、妊婦と分かった人は特に早急に検査を受けましょう。
感染していたとしても妊婦14週までに治療を行う事が出来れば、早産になる事は殆どないと言われています。
■病院を受診する場合
自覚症状を感じた場合、医療機関で早期診断を。
◎受診科
婦人科(産婦人科)
◎治療費用
診察料→3.000~5.000円
検査代→3.000~5.000円
薬代 →3.000円~
※保険適用ではない場合のおおよその金額になります。保険適用の場合は、3割自己負担になります。
■治療について

腟錠の挿入、クリームの膣内への投与など治療薬などの服用を行う。
①k感染していると診断された

②7~10日間治療
クリンダマイシン(ダラシン)クリームの腟内への投与する
クロラムフェニコール系の腟錠(クロロマイセチン)の使用する
メトロニダゾール(フラジール)の服薬などを使用する。

③治療終了

膣の分泌液の状態を調べる。
治療の効果を判定する。

治った後でも、性行為によって感染の可能性がありますので、妊娠中のセックスは避けた方が良いでしょう。
■どんな予防法があるのか
◎コンドーム
感染予防にコンドーム使用は有効。
◎パートナーの検査の必要性
通常ですと、セックスパートナーに症状がない為、検査の必要性はないとされている。

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