Malatya’da Konsomatris Olarak Çalisan Kadinlarda Trichomonas Vaginalis Insidansi+

Abstract

T. vaginalis, insanin ürogenital sisteminde yasayan, kamçili bir protozoon olup, ürogenital sistemdeki parazitligine Trichomoniosis denir. T. vaginalis monoksen bir parazittir ve kesin konagi insandir, insandan insana baslica cinsel iliskiyle dogrudan bulasir. Hastalik bu nedenle yasam tarzina bagli olarak farkli insidans göstermektedir. Bu çalismada, Malatya Adafi Frengi ve Lepra Savas Merkezine gelen ve pavyonlarda konsomatris olarak çalisan 33 kadinda T. vaginalis insidansi arastirilmistir. Olgular jinekolojik muayene ile degerlendirilmis, ayrica alinan dogum kontrol yöntemleri sorgulanmis ve vaginal akinti örnekleri direkt mikroskopi, Giemsa boyama ve kültür yöntemleriyle [ cycteine- peptone- liver- maltose (CPLM) ] incelenmistir. 14 olguda (% 42.4) T. vaginalis görülmüstür. Tani yöntemleri arasinda fark gözlenmemistir. Jinekolojik muayene ile lezyon saptanan 25 olgunun 14 tanesinde T. vaginalis saptanmis, diger saglikli 11 olguda T. vaginalis saptanmamistir. Ayrica dogum kontrol yöntemlerine göre korunmayan 27 kadinin 17’sinde, RIA kullanan 3 kadinin 1’inde ve oral kontraseptif kullanan 3 kadinin 1’inde T. vaginalis belirlenmistir. Olgu sayisinin azligi nedeni ile uygulanan dogum kontrol yönteminin insidansa etkisi belirlenememistir. T. vaginalis’in konsomatris olarak çalisip, jinekolojik sikayeti olan kadinlarda daha sik görüldügü saptanmistir.

T. vaginalis is a flagellated protozoon which lives in the urogenital system of human and causes of Trichomoniosis. T. vaginalis is a monoksen parasite and its definite host is human and usually transmitted with sexual contact. So incidence changes due to life style. This study was made to determine the T. vaginalis incidence on 33 bar girls that came to Malatya Adafi Syphilis and Lepra Preventorium. Women were examined by using gynecologic evaluation, saline wet mount and Giemsa staining techniques and cultivating of vaginal specimens. In addition the contraception methods ingiven were evaluated. In 14 (42%) of 25 women of whom lesions were observed in gynecological exam were found to be infected while remaining healthy 11 women were found to be uninfected. Trichomoniosis clinical findings were observed in 25 women and all of the infected women were from this group. From the point of contraception methods, 27 women used none, 3 women have used intrauterin device and another, 3 oral contraceptives Trichomoniosis has been seen in 17,1 and 1 cases respectively. The correlation between Trichomoniosis and contraception methods could not been determined because of the small number of cases. The incidance of T.vaginalis in bar girls that have gynecological complaints was found to be higher.