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Candidiasis

Candidiasis – the fungal disease which is mainly affecting skin and mucous membranes is more rare internals. Distinguish candidiasis of respiratory, digestive, urinogenital systems. At sharp easing of immunity generalized candidiasis (kandidozny sepsis) can develop. Urinogenital candidiasis at men is shown by a penis inflammation (reddening, puffiness, a covering a grayish raid and erosion, an itch, burning and pain in the field of a penis head). Are possible kandidozny uretrit also cystitis. Women have a damage of genitalia and a vagina. Without timely treatment candidiasis accepts a chronic recidivous current.

Candidiasis

Candidiasis – the fungal disease which is mainly affecting skin and mucous membranes is more rare internals. Distinguish candidiasis of respiratory, digestive, urinogenital systems. At sharp easing of immunity generalized candidiasis (kandidozny sepsis) can develop. Urinogenital candidiasis at men is shown by a penis inflammation (reddening, puffiness, a covering a grayish raid and erosion, an itch, burning and pain in the field of a penis head). Are possible kandidozny uretrit also cystitis. Women have a damage of genitalia and a vagina. Without timely treatment candidiasis accepts a chronic recidivous current.

Urogenital candidiasis is caused by drozhzhepodobny fungi of a sort Candida, representatives of normal microflora of mucous membranes of genitals. Development of candidiasis results from intensive reproduction of fungi Candida and violations of natural balance of the environment of an urinogenital path by them. Development of candidiasis is promoted in no small measure by the general decrease in resilience of an organism.

Urinogenital candidiasis is not the disease threatening health and life, however it is extremely unpleasant the manifestations leading to violations in intimate and psycho-emotional spheres. Besides, existence of candidiasis can speak about the heavy accompanying pathology (diabetes, HIV infection, etc.).

Candidiasis of genitals or, so-called, the milkwoman, affects mucous membranes of an urogenital path of men and women, being in essence a sexually transmitted infection.

Quite often the milkwoman is accompanied also by other diseases from sexually transfer: clamidiosis, gonorrhea, trichomoniasis, etc.

The sharp and subsharp course of candidiasis lasts no more than 2 months. During this period hypostasis, hyperaemia, allocations from a genital tract and other inflammatory symptoms are brightly expressed. Chronic forms of candidiasis are characterized by prescription of a current over 2 months. On mucous membranes the centers of dryness, a hyperpegmentation, infiltration, an atrophy of fabrics develop.

Recently became frequent atypical, erased and steady against the carried-out treatment of a form of urinogenital candidiasis.

Development of candidiasis of genitals

According to the researches conducted in the field of venereology most often development of candidiasis of genitals is promoted by the following factors:

  • reception antibacterial and number of hormonal medicines;
  • pregnancy;
  • candidiasis (dysbacteriosis) of intestines;
  • diabetes;
  • The HIV and other infections suppressing immune system;
  • excessive syringing;
  • wearing synthetic and close linen;
  • a long adverse effect of physical factors (work in warm damp rooms, etc.).

Displays of candidiasis at women

Urinogenital candidiasis is more widespread among women. About 75% of women at least once in life faced displays of vulvovaginalny candidiasis, and at a half of them the disease had recidivous character.

At women candidiasis of an urinogenital path is characterized by defeat mucous vulvas and vaginas, is more rare – necks of a uterus, an urethra and a bladder.

Kandidozny vulvit and vulvovaginit, not affecting urinary tract, have the following manifestations:

  • plentiful, milky-white color and a curdled consistence of allocation from a vagina with an unpleasant smell;
  • feeling of irritation, itch or burning or in a vulva, amplifying after an urination, during sleep or after acceptance of a bathtub;
  • began to smell morbidity of the sexual intercourses, strengthening of symptoms of irritation and characteristic unpleasant after sexual intercourse.

At a kandidozny vulvit there is a defeat drozhzhepodobny fungi of area of genitalia: clitoris, small and big vulvar lips, vagina threshold. Candidiasis of a vulva can proceed in typical and atypical clinical forms:

Treat typical forms of candidiasis of a vulva:

  • catarrhal vulvit a sharp and subsharp current;
  • catarrhal chronic vulvit.

Distinguish from atypical forms of candidiasis of a vulva:

  • leykoplakiyevidny chronic vulvit;
  • kraurozopodobny chronic vulvit;
  • asimptomny pruriginozny chronic vulvit;

Also quite often the mixed options of a sharp fungal infection meet: kandidozno - bacterial, kandidozno – chlamydial, kandidozno – gonorrheal, kandidozno – trikhomonadny vulvita.

The current of typical forms of candidiasis of a vulva is characterized by burning and an itch which intensity amplifies before periods and decreases or disappears during the menstrual and post-menstrual periods.

The mucous membranes of a vulva affected with candidiasis are hyperemic, have a crimson and cyanotic shade. On mucous are visible small - dot bubbles which when opening are formed extensive erosion. Small vulvar lips are covered with stratifications in the form of white curdled films.

In a chronic form of candidiasis of a vulva stagnant hyperaemia and infiltration of fabrics, their thickening and the increased dryness is noted.

The atypical course of candidiasis of a vulva meets seldom and flows in a chronic form.

From mucous membranes of a vulva candidiasis can extend to inguinal and femoral folds and perianalny area. Such manifestations are usually observed at chronic candidiasis at patients with miksedemy, diabetes, hypofunction of ovaries.

Distribution of fungal defeat on mucous membranes of a vagina and quite often vaginal part of a neck of a uterus is characteristic of a kandidozny vaginit.

Candidiasis of a vagina proceeds in four main forms:

  • kandidozny catarrhal - vaginit a sharp and subsharp current;
  • mixed kandidozno-bacterial catarrhal vaginit a sharp and subsharp current;
  • kandidozny catarrhal subsharp and chronic vaginit;
  • asimptomny kandidozny chronic vaginit.

At vagina candidiasis mucous membranes are brightly hyperemic, covered with a smetanoobrazny or friable kroshkovaty raid. Walls and arches of a vagina, and also vaginal part of a neck of a uterus of an erozirovana. Allocations are plentiful, a curdled or slivkoobrazny consistence, sometimes foamy and even purulent character with an unpleasant smell. Subjectively patients note moderate morbidity, burning and an itch in a vagina.

Kandidozny endotservitsit does not meet independently, and develops only in connection with vaginal candidiasis.

As a result of vagina candidiasis the fungal infection gets in the ascending way through an external pharynx into the canal of a neck of a uterus. It serves frequent the reason of development of a kandidozny endotservitsit defective function of ovaries. At the typical course of candidiasis of a neck of a uterus from the tservikalny channel white kroshkovaty lumps or white dense slime are allocated. Outside the surface of a neck of a uterus is covered with whitish films. The erased form of candidiasis of a neck of a uterus is characterized poor dairy and mucous separated.

Rather rare displays of urinogenital candidiasis at women are kandidozny uretrit also cystitis. Sharp kandidozny uretrit is characterized by constant dull aches in the lower part of a stomach and dizurichesky frustration: the gripes, burning which are speeded up and painful desires to an urination. At survey puffiness and hyperaemia of sponges of an urethra, curdled lumps at an external opening of an urethra is noted.

Sharp cystitis at candidiasis is shown by morbidity at an urination and frequent false desires.

Uretrit chronic kandidozny and cystitis out of aggravations proceed with the erased symptomatology or without it.

Displays of candidiasis at men:

Urinogenital candidiasis at men is more often shown in the form of a balanit - an inflammation of a head of a penis or a postit – an inflammation of an internal leaf of extreme flesh, or in their combination.

Kandidozny balanopostit treats infections, sexually transmitted. Its growth is connected with prevalence of urinogenital candidiasis at women in connection with application of hormonal contraceptives, antibacterial and protivotrikhomonadny means.

The clinical picture of a kandidozny balanopostit depends on a form of its current: membranozny, erosive or eritemno-pustulous. The itch and burning of a head of a penis is subjectively usually noted. Skin in the field of a head of a penis, a coronal furrow, and also an internal leaf of extreme flesh are hyperemic, edematous and inflamed, covered with a whitish-grayish raid. Infiltration of extreme flesh complicates a head exposure. The head of a penis can erozirovatsya and become wet that facilitates accession of a secondary purulent infection. At a kandidozny balanopostit symptoms of frustration of an urination are absent.

The chronic current of a kandidozny balanopostit can become complicated fimozy because of gradual cicatricial narrowing of extreme flesh. Occur among other complications of a kandidozny balanopostit lymphadenitis, limfangit, an erysipelatous inflammation of a penis, a kandidagranulema, warty growths, a penis carcinoma.

The urethra at candidiasis at men is surprised less often, and usually kandidozny uretrit proceeds in a subsharp form. The incubatory period makes from 2 weeks to 2 months. Candidiasis of an urethra is followed by a slight itch and burning sensation, usually poor, mucous and watery, is more rare - plentiful and purulent allocations from an urethra. At an uretroskopichesky research the whitish raid in a look on a mucous membrane of an urethra is noted. Removal of a raid is followed by an exposure of edematous and sharply hyperemic mucous membrane of an urethra.

As urethra candidiasis complications often serve prostatitis, cystitis, an epididymite.

Generalized form of candidiasis

In especially adverse cases pathological process can occupy many bodies with development of a generalized form of candidiasis. As risk factors in development of generalization of candidiasis serve prematurity, application of glucocorticoids and antibiotics, artificial nutrition, chemotherapy, drug addiction, surgeries and the postoperative period, etc. Generalized candidiasis proceeds with the expressed fever, reactions from the central nervous system, violations of functions of digestive tract, changes of indicators of peripheral blood (leykotsitozy, neytrofilezy with shift to the left), violations of a homeostasis.

Diagnosis of candidiasis of genitals

At emergence of symptoms of candidiasis of the man usually ask for the help the urologist, and women come to consultation of the gynecologist. Diagnosis of urinogenital candidiasis is performed on the basis of complaints and survey of mucous membranes of genitals. The diagnosis of candidiasis is confirmed by a research of the separated vagina or penis method of light microscopy, bakposevy and definition of sensitivity of the allocated kinds of Candida to antifungal medicines.

Consultation of the venereologist is necessary for behavior of differential diagnosis of candidiasis with trichomoniasis, gonorrhea, a bacterial vaginosis, other urogenital infections and exceptions of the accompanying STD.

At candidiasis of genitals it is necessary to exclude existence of chronic diseases of an organism, to carry out assessment of a condition of immunity.

Diagnosis of candidiasis does not require use of the high-precision laboratory techniques, such as mutual fund or PTsR revealing even single activators. As criterion of diagnosis at candidiasis of urinogenital bodies serves identification of the fact of intensive reproduction of fungal activators.

Treatment of candidiasis of genitals

For treatment of urinogenital candidiasis hold events of both local, and general character. The choice of a method of therapy is defined by weight of a course of candidiasis. Easy forms of candidiasis of genitals are usually treated with use of local medicines whereas severe forms assume additional use of medicines of the general action.

Local therapy of candidiasis is carried out by the vaginal candles and tablets, ointments containing antifungal medicines: nystatin, , , , .

Medicines of the general action for treatment of candidiasis are accepted inside. Are for this purpose appointed , .

To side effects of the majority of the called medicines for treatment of candidiasis suppression of normal microflora of genitals, especially the lactobacilli normal excluding growth of pathogenic microorganisms is. For restoration of normal balance of microflora of genitals, after a course of antifungal therapy of candidiasis eubiotik, the including lactobacilli, or injections of the medicine containing the inactivated options of lactobacilli are appointed.

As candidiasis affects not only genitals, but also intestines, in its treatment group B vitamins which synthesis is broken at an intestinal dysbiosis are applied. It is also justified at candidiasis purpose of polyvitamins.

Simultaneous treatment of urinogenital candidiasis is carried out to all sexual partners of the patient.

Candidiasis - treatment should be carried out only under the supervision of a doctor. Self-treatment is unacceptable!!!

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