Vaginal candidiasis (thrush)
Candida (candidiasis) - The infection vaginal mucosa, which often extends to the cervix and vulva. This is probably one of the few diseases of female reproductive system, which they know our women, vaginal candidiasis among the people known as "thrush". Disease is caused by yeast-like fungi, most often the genus Candida. These mushrooms can be part of the microbial landscape of the vagina, as in this case, conditionally pathogenic microorganisms, but they may fall into the vagina and from the external environment via infected subjects, from the intestine, as well as during sexual intercourse.
The development of candidiasis vulvovaginitis contribute the same reasons that we have mentioned above, but should once again highlight endocrine disorders, especially diabetes, as well as misuse of antibiotics. With the reduction of protective forces of organism fungi are activated and begin to penetrate into the cells of the vaginal epithelium, causing a reactive inflammatory response and massive desquamation of the affected cells.
In severe immunodeficiency syndrome (AIDS) possible systemic fungal lesions, but usually the process affects only the superficial layers of the epithelium of vaginal mucosa. It is common genital candidiasis in pregnant women. This is due to changes in hormonal and endocrine status and the weakening of the immune defenses that are typical of pregnancy.
Symptoms of candidiasis: women with candidiasis of the vulva and vagina, mainly complain of itching and whites mixed with caseous-kroshkovidnyh inclusions, hence the name - "thrush". Discharge can be thick, white, yellowish-green, depending on the severity of the process. The smell is usually sour and unpleasant. Itching is causing a lot of worries sick, sometimes leaving them unable to work and shaking the very nervous system, as it practically does not subside, worse at night, and leads to a traumatic vulvar mucosa due to scratching. Some patients note pain with urination, and burning.
To my readers a good idea of what a yeast coleitis, I'll tell you a story, sad and funny at the same time.
My only classmate met a young man who she liked. They started dating and it seems to be going to the wedding. During the summer session girlfriend worked during the day and at night met with his friend, so she had no time to sleep, and the session was heavy. The result against a background of chronic fatigue she had developed a yeast coleitis, all "charm" that poor young lady felt in the form of a wild itching. She had to go into all public toilets to scratch himself. On the way to the theater, which has invited her lover, it went to these institutions 18 times! The guy was a little surprised, but said nothing. While the suffering of poor performance have reached the limit, it whirled, twirled, not looking at the scene, and, finally ran out of the theater, leaving puzzled gentleman. Roman permanently wilted! After treatment, a friend said that the termination of itch has been the most fond memories about this romantic situation.
In chronic forms of candidiasis vaginal itching can be almost the only complaint the patient, sometimes it increases after intercourse, and before menstruation. On examination the patient in the acute phase of disease noteworthy swelling and redness of the vulva and vagina, cracks and abrasions caused by scratching. On the walls of the vagina revealed grayish raids, which are removed with difficulty, leaving behind a bright red, easily bleeding mucosa. Often detachable vagina represented a dense caseous masses of white, sometimes with a greenish tint. In the study of vaginal smear revealed threads of the fungus, called mycelium.
The treatment of vaginal candidiasis is held on the same criteria as other vaginal infections. Appointed antifungals old and new generations. New drugs are represented by such modern facilities as tablets and vaginal suppositories, as well as long-acting drugs, which are appointed by a special schemes.
In mild cases sometimes it is enough only local treatment in the form of vaginal suppositories and creams, after their use pursues eubiotics for the settlement of vaginal lacto-and bifidoflora necessarily the appointment of vitamins.
In more severe cases, systemic candidiasis, apply different treatment regimens in which the antifungal drugs are taken by mouth, as well as locally, we'll use Immunopreparat, eubiotics and vitamins.
In the selection of vitamins should be aware that thrush often affects not only the vulva and vagina, and intestines. So make sure the appointment of B vitamins, which are synthesized in the intestine dysbacteriosis violated. Use these vitamins can be in the form of injections or in pill form, such as a complex of vitamins of group B. It is advisable to use multivitamins containing a full set of vitamins and minerals, such as the "Centrum", "VITRUM", "Multitabs", "Duovit" "Oligovit" and others.
I think it is important to emphasize that the persistent candidiasis of the vulva and vagina are poorly amenable to treatment, often a sign of a serious illness such as diabetes mellitus, so the study of blood sugar during candidiasis necessarily at any age. With respect to antibiotics, then my advice to you: what would you or they were treated with supplements course antifungal drugs as prophylaxis of side effects, as is sometimes why some doctors forget the other professions. Do not hesitate to ask themselves "forgetful" of doctors that suits you as a prophylactic. It is very important. After all, with antibiotic therapy may develop as a complication of not only candidiasis of the vagina, and intestinal candidiasis, which promises the patient a lot of problems.
I also want to once again warn women against unauthorized and inappropriate use of antibiotics. These issues are better dealt with by a qualified physician.
