thrush
Introduction
Introduction to Thrush Thrush, also known as Xuekou disease, is a disease caused by fungi that forms a white patch on the mucosal surface and is more common in infants and young children. The disease is caused by Candida albicans infection. This fungus can sometimes be found in the mouth and can develop when the baby is malnourished or physically weak. Newborns are mostly infected by the birth canal, or by the uncleanness of the breastfeeding nipple or the contamination of the fingers of the feeder. Thrush, also known as Xuekou disease, can be produced at any age, but infants and young children under the age of 2 are the most common. Oral mucosa appears milky white, slightly high plaque, no inflammatory reaction around, shaped like milk, no pain, after wiping off the plaque, visible red wounds underneath the bleeding, the size of the plaque varies, can appear in the tongue, cheek , on the mucous membranes of the jaws or lips. basic knowledge The proportion of illness: 18% Susceptible people: more common in infants and young children Mode of infection: non-infectious Complications: dehydration
Cause
Cause of thrush
Contact infection (30%):
Candida food, clothing and toys, in addition, infants begin to grow teeth 6 to 7 months, at this time the gums may have a slight pain, infants and young children love to bite their fingers, bite toys, so easy to put bacteria Mold brings the entrance cavity and causes infection. There is a mold infection in the mother's vagina, and the baby is infected through the birth canal at birth and in contact with the secretions of the mother.
Incomplete disinfection (25%):
Bottles, nipples are not completely disinfected. When breastfeeding, the mother's teat is not clean. It can be the source of infection. It has a collective life in kindergarten, and sometimes it can cause thrush due to cross infection. It can be seen that the usual lack of attention to cleaning is a major cause of illness.
Long-term use of antibiotics (20%):
Or improper application of hormone therapy, resulting in imbalance of flora in the body, molds take advantage of, and mass reproduction, causing thrush.
Prevention
Thrush prevention
1, the mother has vaginal fungal disease to actively treat, cut off the route of infection.
2, the tableware for infants and young children is cleaned and then steamed for 10 to 15 minutes.
3, lactating mothers apply warm water to wash the areola before feeding, and should always take a bath, change underwear, cut nails, wash hands every time you hold the child.
4, for infants and young children's bedding and toys should be regularly washed and washed, drying, baby's washing utensils as far as possible from the parents, and regular disinfection.
Complication
Thrush complications Complications dehydration
If you have a thrush, your baby's mouth will have a feeling of pain, and the baby will refuse to eat milk, resulting in reduced food intake and slow weight gain.
If the thrush spreads to the back of the mouth, it may "snap" the esophagus. The esophagus is the conduit from which the food is transported from the mouth to the stomach. Once the esophagus is implicated, the baby will feel uncomfortable when swallowing, even because of fear of pain. Even the water refuses to drink, so the baby may dehydrate.
If left untreated, yeast may spread to other parts of the body. Of course, diffuse yeast infections are rare, and if this is the case, more effective antifungal treatments are needed.
Symptom
Thrush symptoms Common symptoms Oral mucosa is tangible... Mucosa has adhesive white spots, lips, tingling, difficulty in opening mouth, low fever, irritability, difficulty in swallowing
Thrush, also known as Xuekou disease, can be produced at any age, but infants and young children under the age of 2 are the most common.
1, the oral mucosa appears milky white, slightly high plaque, no inflammatory reaction around, shaped like milk, no pain, after wiping off the plaque, visible red wound under the bleeding, the size of the plaque varies, can appear in the tongue On the mucous membranes of the cheeks, cheeks or lips.
2, good for buccal, tongue, soft palate and mucous membranes of the lips, white plaque is not easy to wipe off with cotton swabs or wet gauze.
3. When the infection is mild, unless you check the mouth carefully, it is not easy to find, and there is no obvious pain, or only the painful expression when eating. In severe cases, the baby will be restless due to pain, poor appetite, crying, difficulty in breastfeeding, sometimes accompanied There is mild fever.
4, damaged mucosal treatment can not be expanded in time, spread to the pharynx, tonsils, gums, etc., more serious lesions can spread to the esophagus, bronchi, causing candidiasis esophagitis or pulmonary candidiasis, breathing, Dysphagia, a small number of chronic mucosal candidiasis can affect the lifelong immune function, and even secondary bacterial infections, resulting in sepsis.
Examine
Thrush check
Thrush check items: urine routine, body temperature, measurement. Blood routine should be differentiated from the retained milk. Although the stagnation of the milk is similar to that of thrush, it can be moved and removed by warming with warm water or a cotton swab. The white debris of this disease is not easy to wipe off. If it is wiped hard, the mucous membrane underneath is flushed and rough.
Diagnosis
Diagnosis of thrush
The cause of thrush caused by fungal infection is relatively simple, and no other aspects of examination are needed. If the baby's thrush is repeated, take a small amount of white mucosa test and find Candida albicans hyphae and spores, which is the basis for laboratory diagnosis. The type of yeast can be determined by inspection so that the doctor can give the baby more accurate medication.
