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Pathogens
Vulvovaginal candidiasis (candida1vaginitis) is a common vaginitis, vaginal fungal study said, after the incidence of trichomoniasis vaginitis. By Candida albicans infection. Oval bacteria, budded cells spore germination and elongation, and formed pseudomycelium. pseudomycelium and linked into spores or branched chain. Candida is not strong resistance to heat, heating to 60. C1 hours can be fatal; But dry solar ultraviolet radiation and chemical agents such strong resistance. When glycogen vagina increased acidity increased, the most suitable breeding Candida cause inflammation, so prevalent in pregnant women. and a large number of diabetic patients receiving estrogen therapy. Candida infections are usually in the vaginal pH 4-5. If long-term use of antibiotics has changed the mutual restraint between the vaginal microbiology, Propagation is easy to make and can cause candida infection.
Mode of transmission
Oral candidiasis can be found in the intestinal and vaginal mucosa without causing symptoms. These three parts of candida infection can be. When the incidence of local environmental conditions suitable for the times.
Clinical manifestations
1, genital itching, burning severe symptoms feel restless, very painful.
2, it will be vasopressin, irritation and pain sexual intercourse.
3, leucorrhea Baidai more typical kind of white thick bean dregs. Labia minora and the medial examination shows that white membrane-like material attached on the vaginal mucosa, erasure after his inflamed mucosal surface. Acute also likely to see a white membrane-like material under cover of erosion and damage to shallow ulcers.
Diagnosis
Typical easy diagnosis. If found in the secretions of Candida albicans, can be diagnosed.
1, the hanging-drop method under the microscope to find spores and pseudomycelium.
2, Culture and repeatedly check if negative symptoms, may culture.
Persistent cases should check glucose, glucose necessary investigation and detailed history. taking steroids or any substantial long-term use of antibiotics in history to find out the causes and conditions of the disease.
Treatment
1. Eliminate incentives if diabetes, active treatment; Promptly suspended broad-spectrum antibiotics, hormones. Qinhuan underwear and used underwear C. should wash basins and towels.
2. PH changes in vaginal douching with 2% " 4% sodium bicarbonate and create conditions conducive to the survival of Candida.
3. Fungicides alkaline solution to wash, use the following drugs :
¢Ù clotrimazole (clotrimazole) suppository or tablet, every one. 1 tablets each or one tablet, insert a vaginal deep, for 7 days;
¢Ú Miconazole Nitrate (miconazole nitrate miconazole) suppository. 1 vaginal tablets squeezed every night, for 7 days;
¢Û nystatin (uncommon) suppository or tablet, every one. 1 tablets each or one tablet (100,000 U) was given 7-10 days;
¢Ü meters will be vaginal effervescent tablets, one tablet every night, squeezed vagina, for five days;
¢Ý 1% otic solution eraser vagina, 3-4 times per week for 2 weeks, and the drug is cheap; effects are good, but it must pay attention to the concentration of drug, if drugs or drug frequent tendencies. easily cause skin lesions and chemical vulvitis, easily contaminated clothing and medicine, now has fewer clinical use.
4. Dealing with stubborn cases
¢Ù The disease usually associated with diabetes complications. Should influence the investigation if glucose, glucose;
Second, sometimes with trichomoniasis vaginitis, Trichomonas infection should be screened;
¢Û to prevent cross-infection of the intestinal candida. U " can be oral nystatin 500,000, three times a day for a 7-10 day course of treatment to eradicate intestinal candida;
¢Ü of local recurrence or ineffective treatment, will be taking Lane-workers (ketoconazole. ketoconazole), 400mg daily, serving Dayton (meals), a course on the 5th. Acute and chronic hepatitis banned, pregnant women Jiyong.
5. Pregnancy treatment of pregnant women with vaginal candidiasis, in order to avoid infected newborns
This article was posted on 2007-02-27
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