Candida infection
Introduction
Introduction Candida is a common species in the vagina. When the vaginal acidity decreases and the normal balance between mold and bacteria is destroyed before, during, or after the menstrual period, the number of Candida will increase rapidly and cause infection. . It is characterized by a grayish white cheese-like leucorrhea, which is extremely itchy. It is most common in women with poor immunity such as diabetes, pregnant women, or trousers that are too tightly worn.
Cause
Cause
Candida is a common species in the vagina. When the vaginal acidity decreases and the normal balance between mold and bacteria is destroyed before, during, or after the menstrual period, the number of Candida will increase rapidly and cause infection. . It is characterized by a grayish white cheese-like leucorrhea, which is extremely itchy. It is most common in women with poor immunity such as diabetes, pregnant women, or trousers that are too tightly worn.
Anatomically speaking, the female vulva is in a naturally closed state, ensuring that the vagina does not communicate with the outside world. The anterior wall of the vaginal wall is also closed, and the cervix is also closed. In addition, indirect contact infection is also a route of transmission for fungal vaginitis. Which items are in contact with may be infected with vaginitis.
Toilets, bath tubs, bath chairs, towels, and unclean toilet paper that are in contact with mold patients can cause spread. When the infected person has a certain number of candida vagina, moldy vulva can occur. Vaginitis. Other behaviors that can cause vaginitis are antibiotics and anti-inflammatory drugs that are guilty. Taking large amounts of antibiotics can also cause vaginitis. As long as the use of antibiotics, whether oral or injection, will inhibit the vaginal lactobacillus disrupting the natural ecological balance of the vagina, changing the microenvironment of the vagina, the pathogenic bacterial pathogens may multiply, eventually leading to local candidal vaginitis. Therefore, do not take antibiotics in large quantities under normal circumstances.
Frequent flushing can cause illness
Some women often use medicated lotion to clean the vagina in order to maintain hygiene. This is easy to destroy the acid and alkali environment of the vagina, but it is easy to get infected with candida vaginitis. In addition, diabetes, pregnancy may cause the vaginal Candida mass reproduction rate increased.
Examine
an examination
Related inspection
Anti-epidemic hemorrhagic fever virus antibody (EHF-AB) rabbit infection test bacterial infection immunoassay
It is characterized by a grayish white cheese-like leucorrhea, which is extremely itchy. It is most common in women with poor immunity such as diabetes, pregnant women, or trousers that are too tightly worn.
According to typical clinical manifestations and visual inspection of vaginal discharge, it is usually not difficult to diagnose fungal vaginitis. However, for atypical cases, in order to confirm the diagnosis, those suspected of having mold, or understanding the therapeutic effect, must be examined for vaginal secretions. Can directly take the vaginal secretions on the slide, add a small drop of isotonic sodium chloride solution or 10% ~ 20% potassium hydroxide solution, add a cover glass, micro-heat microscopy, red, white blood cells and epithelial cells dissolve immediately, and The mold is shown in the form of a wire-like fiber or mycelia, and is attached with micro-buds or molecular conidia. However, this method is less reliable (60%). For example, the smear of vaginal secretions is stained with Gram. Under the microscope, a group of gram-positive densely stained oval-shaped spores can be found, or the pseudohyphae and the budding cells can be connected into a chain or branch, which is easy to identify. Reliability can be increased to 80%. The most reliable method is to carry out mold culture. In addition, we must also pay attention to the relevant incentives, such as the application of large doses of steroids or broad-spectrum antibiotics history, and diabetes patients need to do urine sugar and blood sugar check.
Diagnosis
Differential diagnosis
Trichomonas vaginitis: The vaginal discharge produced by it is yellow or yellow-green thin pus, sometimes foamy. In addition to the general vaginal wall, the vaginal wall often sees spotted or bayberry-like hemorrhagic spots in the cervix and vaginal wall. The secretion test can confirm that there is no purulent fluid in the neck of the general case because the trichomoniasis infection rarely exceeds the outer cervix.
Fungal vaginitis: The vaginal discharge is white thick paste or curd, the vaginal wall is generally red, and some areas are covered with a diphtheria-like membrane. Wipe off the white film to see the rough red erosion surface, mostly caused by mold infection caused by vaginitis, taking secretion tests can also be confirmed.
Vaginal outflow of yellow or bloody smelly secretions: purulent white with odor, yellowish or yellowish green color, caused by purulent infection or trichomoniasis; so it can be determined by vaginal examination, vaginal pathogen examination, etc. Pathological causes of abnormal leucorrhea. It is characterized by a grayish white cheese-like leucorrhea, which is extremely itchy. It is most common in women with poor immunity such as diabetes, pregnant women, or trousers that are too tightly worn.
