Monday, June 22, 2020

Clinical treatment and prevention of vulvovaginal candidiasis

Vulvovaginal candidiasis (VVC), also known as fungal vaginitis. As the name suggests, it is a vaginal disease caused by fungi. It is a common gynecological disease, the pathogen is mainly yeast Candida albicans (85 ~ 90%), followed by Candida glabrata, Candida tropicalis and Candida parapsilosis.

Candida is found in the oral cavity, intestines, vaginal mucosa, female external genitalia and surrounding skin in normal people. Under normal circumstances, Candida is in equilibrium with other flora. At this time, the body has sufficient immunity to prevent the invasion of Candida albicans. When the balance is disrupted, Candida albicans grows and multiplies locally, transforming from the yeast phase to the mycelium phase, causing infection.

The clinical status of VVC is generally manifested as pruritus, burning pain, urinary pain, intercourse pain, and increased leucorrhea. Gynecological examination: genital flushing, edema, and white membranes attached to the vaginal mucosa. The fungal examination was positive. There are white okara-like secretions in the vagina.

There are many effective drugs for the treatment of VVC, mainly vaginal drugs. There are miconazole nitrate, clotrimazole, nystatin. Oral drugs include fluconazole and itraconazole. The treatment of VVC should be taken under the guidance of a regular doctor. For example, it is better to determine the effect of the drug according to the degree of the disease.

Once VVC occurs, in order to remove the cause, it is necessary to actively standardize treatment, pay attention to follow-up and consolidate treatment, so as to prevent repeated attacks of VVC.

Summer is the season of VVC prone, women should pay attention to their own care and health care, and actively prevent VVC.

1. Do not wear tight-fitting, airtight chemical fiber underwear and long-term use of pads, which will cause local vaginal temperature and humidity to increase.

2. Keep the shorts and towels in ventilated sunlight.

3. Do not rinse the vagina frequently, as this may easily break the vaginal environment and cause bacterial imbalance.

4. Do not take antibiotics casually, as this will easily break the natural balance in the human body.

5. Female patients with diabetes should control their blood sugar.

6. Patients with relapsed VVC should eat less sweets and drink more yogurt, which can help reduce the recurrence of VVC.

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