Thrush: Do we know enough to get rid of it?

Thrush: Do we know enough to get rid of it?

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Thrush: Do we know enough to get rid of it?

Almost every woman at some point in their lives faced with such unpleasant disease, as thrush, and some of this problem constantly haunts much compromising mood and relations within the family.Discharge and itching (the most frequent symptoms) can be simply unbearable, making run to the doctor and may be moderately severe but debilitating, continue day after day, and in this case, a woman usually comes to the pharmacy for help.

There has been a high incidence of fungal diseases, the most common yeast infection. Thrush (or vulvovaginal candidiasis) is caused by yeast fungi such as Candida albicans.

Candidiasis genitals more likely to occur in the vagina. the percentage of detection in healthy women reaches 15-20: cases of asymptomatic vaginal infection by fungi such as Candida is very common. According to statistics, Candida is the cause of fungal infections in 80% of young women.

The most common cause of yeast infection is a course of antibiotic therapy. Such courses are largely kill beneficial bacteria that protect our bodies to cause dysbacteriosis not only in the intestine, and vagina. Also a big role in the pathogenesis of fungal infections withdrawn diseases stomach and intestines, diabetes, hypovitaminosis and a number of other endocrine diseases.

Women suffering from candidiasis vulva and vagina, mainly complain of itching and whites with a dash of cheesy-kroshkovidnyh inclusions, hence the name “thrush”. Selections can be dense, white, yellowish-greenish, depending on the severity of the process, usually accompanied by sour, unpleasant smell. Itching causes a lot of anxiety patients, sometimes making them unable to work and strongly shaking the nervous system, as it practically does not stop, worse at night and leads to mucosal trauma due to scratching. In chronic forms of thrush itching may be almost the only complaint, sometimes worse after intercourse, and before menstruation.

Candidiasis one or more times in the life of many women suffer because “Favorable” conditions for the emergence of thrush (hormonal shift, antibiotics) can be set. About half of the women to 25 years of time to move up two or more episodes of thrush. The main problem lies in the fact that in some women the candidiasis becomes chronic and disturbs them at least 2-4 times each year.

Treating thrush occurs in two stages: elimination of symptoms and prevention of relapse of the disease. Symptoms of yeast infection is easy to suppress, but to completely forget about thrush, it is necessary to conduct a serious treatment.

When treating thrush is to find out what caused the disease. As I mentioned above, its appearance a pregnancy, hormonal changes, hormonal contraception, antibiotics, diabetes. Chronic yeast infections can occur immune disorders, mostly of a local nature. In women predisposed to thrush can be a special form of allergy – hypersensitivity to Candida, which explains the frequent exacerbations of the disease.

For successful treatment of candidiasis and relapse prevention requires an integrated approach. For the treatment of acute forms of yeast used local antifungal therapy. Now there are a variety of forms of drugs: creams, ointments, suppositories, vaginal tablets. A woman can choose the form that best suits her. The composition of these formulations include such substances as butoconazole, clotrimazole, econazole and others.

In more complex cases, it requires not only etiotropic treatment (i.e., removal of the causative agent), but also the elimination of predisposing factors. Used different scheme, in which the antifungal drugs are taken orally and topically, be sure to use Immunopreparat, eubiotics and vitamins. In the selection of vitamins must be considered that a thrush often affects not only the vulva and vagina, and intestine. So be sure the appointment of vitamin B. It is advisable to use a multivitamin containing a complete set of vitamins and minerals.

It should be emphasized that the resistant candidiasis vulva and vagina, poorly treatable, often a sign of a serious illness such as diabetes, so the study of blood sugar when candidiasis necessarily at any age. As for the antibiotics that they have not been treated, it is necessary to supplement the course with antifungal drugs for the prevention of side effects, it is sometimes for some reason forget the doctor. This is very important, because when antibiotic therapy may develop as a complication of vaginal candidiasis is not only, but also intestines that promises a lot of problems. Among the antifungal agents for oral preparations should be made of fluconazole, which quickly and effectively act on pathogenic fungi, excluding a negative impact on the body. Admission fluconazole does not lead to an imbalance of normal bacterial flora, since it is only effective against fungi and does not affect the beneficial bacteria. In severe cases of chronic relapsing course may apply preparations of itraconazole under various schemes reception.

Expert opinion
Zuhra Zhemoldinova, an obstetrician-gynecologist of the highest category, the general director of a network of medical centers “Women’s clinic”

Thrush is called vulvovaginal candidiasis (VVC) is a disease of the lower genital system of women caused by yeast fungi of the genus Candida. C. albicans is traditionally considered to be the main and most famous agent of VVC, causing disease in 85-90% of cases. Now, however, a growing number of resistant strains of antifungal as well as increased contributions from other Candida species in the development of the disease. Thus, the prevalence VVK, caused by non-albicans species, only doubled over the past 10 years. Thus candidiasis usually occurs in chronic relapsing form of resistance to drugs used locally, and to a number of systemic antifungals. So if earlier and practiced “treatment of candidiasis one capsule”, it is now increasingly have to appoint fluconazole on longer patterns, at higher doses.

In general, it should be noted that the incidence of VVC has increased dramatically both in Russia and in many countries around the world, the disease is one of the most common reasons for treatment to a gynecologist. This sharp rise in the incidence begins after 20 years, and its maximum is in the next 20 years of life. Risk factors for IHC: pregnancy, oral contraceptives, antibiotics, corticosteroids, immunosuppressants, diabetes, immunodeficiency states.

Depending on the clinical variants are three forms VVK:

  1. Kandidonositelstvo – no complaints, but a study in the discharge of the vagina detect yeast-like fungi. In some cases, the carrier may proceed in clinically expressed form.
  2. The acute form – disease duration does not exceed two months. Characterized by redness, itching, swelling and discharge.
  3. The chronic form of IHC – the duration of the disease for more than two months, and the symptoms are not as sharp.

The diagnosis of recurrent vaginal candidiasis set, when at least four registers symptomatic episodes of the disease within one year. Thus 50% of women with this form of candidiasis symptoms appear in the range from a few days to three months after successful treatment episode IHC.

A typical symptom VVK are curdled whitish thick discharge and itching, worse during menstruation, in the afternoon, after a long walk. Also, there may be a burning sensation and sharp pain when urinating.

Treatment is indicated only in the presence of clinical disease, confirmed by laboratory data. Therapy is not indicated when detecting C. albicans, but in the absence of clinical symptoms. In acute VVC often prescribe topical therapy (butokonazol, clotrimazole, econazole, natamycin, etc.), but are currently being used and system agents (fluconazole, itraconazole). Extremely common mistake is to appoint such agents as Nystatin and Levorinum. Their bioavailability is less than 5%, so outside the gastrointestinal tract, these antimycotics ineffective. In the treatment of chronic vaginal candidiasis in the first place should be given systemic treatment with fluconazole, itraconazole in combination with local therapy, as local drugs quickly relieves symptoms of thrush and systemic – vnevlagalischnye Candida destroy tanks. Also shown prophylaxis and relapse prevention IHC: after the main treatment for chronic IHC after primary treatment of acute forms of synchronization in the presence of risk factors, the use of antibiotics.