music It's a typical day. A patient has noticedsome itching, or maybe an unpleasant vaginal odor. During her exam, the ian willcheck vaginal pH, examine any discharge that's present, and collect a sample. Then, it'son to the microscope. music This is where you'll gather more specificinformationabout what's causing those vaginal symptoms. We'll show you how to prepare andexamine vaginal wet preps and how to do a whiff test. The results, combined with the patient's vaginal pH test, will aidthe diagnosis.
Under the microscope, you'll be looking for trichomonads, yeast, and the clue cells associated with bacterial vaginosis. We'll show you how to recognize them. music First, the microscope itself: This is a compoundlight microscope. It has several objective lenses on a rotating mount. For our purpose,one of these has to be a 10x low power objective, and one has to be a 40x for greater magnifiion.This flat part, under the objectives, is the stage. Under the stage is the condenser. Belowthat, at the base of the microscope, is the light source. There are two knobs that controlfocus; one for coarse adjustment and one for
fine adjustment. And these are the oculars,or eyepieces. We'll come back to the microscopea minute, but first, let's look at how to prepare wet mount slides. The complete vaginal wet mount involves botha saline prep and a potassium hyoxide, or KOH, prep. When the vaginal sample was collected,the swab was placeda test tube with approximately half a milliliter of saline. So, for the salineprep, you only have to take a op of the suspension and place it on a slide. Add acoverslip, being careful to avoid trapping air bubbles. Your saline slide is ready.Place a second op of the vaginal sample on another slide and add one op of 10 percentKOH. Sniff the preparation immediately, using
your hand to waft any odor toward your nose.This is the whiff test. Note if there's a fishy or amine odor. Then add a coverslip,avoiding air bubbles. Keepmind that you must work quickly to prepare and examine thewet mounts. That's because trichomonads may lose their characteristic motility within15 to 20 minutes. Before we move on now, though, let's lookat the cast of characters you may discover. These are normal squamous epithelial cellsfoundthe vagina. They're large, flat cells with a small nucleus and a large area of cytoplasm.Note that there is some granularitythe cytoplasm.
Polymorphonuclear leukocytes are known asPolys, or PMNs. They may also be called white blood cells, or WBCs. These are small roundcells. Several lobes of the nucleus are visible within the surrounding cell cytoplasm. Findingmany PMNs may indie infection. Trichomonads are pearshaped protozoa whichmove by means of flagella. Trichomonads are similarsize to PMNs and are identifiedby their characteristic jerking movement. The actual flagella may be too thin and toorapidlymoving to be seen. A clue cell is a squamous epithelial cellcoated with enough small bacteria that at least 75 percent of the cell's border is obliterated.It may look as if someone has spread glue
over the cell and pressed itsand. Cluecells are associated with bacterial vaginosis, a conditionwhich the normal microbialflora of the vagina is disrupted. Yeast may be foundtwo forms. Pseudohyphaeare the long, tubular, branching forms. Budding yeast are paired yeast cells that resemblea shoe print. The larger part is the sole and the smaller bud is the heel of the shoe. The saline prep will allow you to see epithelialcells, PMNs, trichomonads, and clue cells. You can also see yeastsaline, but sometimesit's hidden by epithelial cells or by PMNs. Red blood cells, sperm, and bacteria can alsobe seen.
Home Remedies for White Vaginal Discharge II II
One of viewer has wrote us that he has the problem of Leukorrhea asking for an episode on this. See, leukorrhea means (Shwet Pradar) or it is also called White discharge. This white discharge isevery females bodyless of quantity. And its not a disease. But when this white discharge's quantity getcrease its color started changing. And when you start having irritating and burning sensationyour vaginal area then this problem can happen. White discharge is normal, it not an disease but it can be the symptoms of other diseases just like : Diabetes or if you say Anemia, it can be its symptoms A bacterial infectionyour vaginal area that is also an reason to have white discharge.As it happens due to lots of reasons.
One of the major reason is that if you have taken birth bills from long time then also the problem of white discharge can happen. Or if you have got multiple abortions done, then also it can happen. Or if you have unlimited sex or with the multiple partners, even then this problem comes. It is seensome of the girls that before their fist MC(Monthly cycle) they face the problem of white discharge. In which if you have weakness that is also the reason it has lots of reasons.Now how to its treatment. Firstly, 3 Liter of water is must to be consumed so that the toxins which are getting generatedyour body they get nutrilized. Along with this don't wear tight undergarments.
And specially don't wear synthetic undergarments. Undergarment should be of cotton. They should be loose instead of very tight. And you have to take care of one more thing, that if you have so much of irritation and stinking discharge then you have to change your undergarments twicea day. along with this you have to wash your undergarments with hot water and make them y under sharp sunlight. If you want you can soak some margonsa leaves and before spinning them first soak from this water and then spin . so that there may not formed any type of bacteria. Apart from this it is very important to y your vaginal area after cleaning. People use to leave it wet, with this also the chances of infection and higher vaginal discharge become higher.
so, make it y. take cotton and wipe it nice or you can keep tissue paper with you. after wiping it from tissue paper. Moment you will wetnessyour vaginal area, immediately wash it out with the water. And i am telling you one remedy, take some Margosa leaves and boil them into 12 liter of water. after that strain the water and let is cool down. Clean you vaginal area with this water after cleaning is nicely, you may wipe it with the cotton nicely. and make it y. You will notice that you will start getting reliefthe vaginal discharge. Along with this you have to be careful about your eating habits. The problem of the white discharge happen due to having very chilled and very sweet food.
and don consume Red Meat asit increases toxinsour body. Consume Curd if you consume 1 Bowl the morning and 1 bowlthe evening. then you will get so mcuh of reliefwhite discharge, because if is often seen that during vaginal discharge irritation and burning sensation is felt and vaginal area become reddish so, one thing you can do this time. as I said, if you will clean it with margosa leaves water then you will get relief you are consuming curd if you have so much of irritation then you can apply some curdthe vaginal area wait for 10 minutes and then wash it with water and make it y with this also you will get reliefburningvaginal area
For applying there is one more good method is there, Take 2 Spoon of apple cider Vinegar add 1 Cup of water and mix it properly, even if you will wash your vaginal area with this mixture Irritation, Burning sensation, the redness, the problem of white discharge and the stinking smell which you face with this you will get relief, so you can wash it with this for 23 times or whenever you feel that the problem is increased and then clean your vaginal area and make it y you will notice that you are getting relief this. Apart from this one more thing you have to do, take 1 Spoon of fenugreek seeds and you have to soak it overnight and make its paste next morning consume this white paste empty stomachthe morning with this you will get reliefthe vaginal discharge.