Anatomically, the vulva is naturally closed to ensure that the vagina does not communicate with the outside world. The vaginal wall is normally closed at the front and back, and the cervix is also closed.
Indirect contact is also a route of transmission for mycosis fungoides. What are the items that can be infected with mycosis vaginalis?
Contact with toilet seats, tubs, bath seats, towels, and unclean toilet paper can cause transmission when the infected person has a certain amount of Candida in the vulva and vagina. Other behaviors that can lead to vaginitis Antimicrobials and anti-inflammatory drugs are the main culprits taking a lot of antimicrobials can also lead to vaginitis. As long as antibiotics are used, either orally or by injection, they will inhibit the natural ecological balance of the vagina and alter the microenvironment, so the pathogenic bacterial pathogens may multiply and eventually lead to a localized attack of Candida vaginitis. Therefore, do not take large amounts of antibacterial drugs in general.
Frequent douching can cause disease. Some women often use medicinal lotions to clean their vaginas for hygiene purposes. This can easily damage the vaginal acid-base environment, which can lead to Candida vaginitis. In addition, diabetes and pregnancy can cause a high rate of vaginal proliferation of Candida.
Etiology
There are many species of molds, but the most important one in the human body is Candida albicans. Vaginal infections are caused by Candida albicans in 80-90% of cases, while the rest are Candida spp. and Candida globosa, so mycosis vaginitis is actually Candida vaginitis or vaginal candidiasis. Candida albicans is ovoid in shape and consists of budding spores and cells that germinate and elongate to form pseudomycorrhizae, which are connected to the spores in a branched or chain-like manner.
Candida is usually a spoilage parasite that can live in normal human skin, mucous membranes, digestive tract or other organs, and is often present in the vagina without symptoms. About 10% of non-pregnant women with increased leucorrhea and about 30% of pregnant women have this bacteria parasitic in the vagina. When vaginal glycogen increases and acidity rises, or when the body’s resistance decreases, it can be the cause of the disease. Long-term application of broad-spectrum antibiotics and adrenocorticosteroids can greatly increase mycobacterial infections. Because these two drugs can lead to dysbiosis in the organism, changing the interrelationship between microorganisms in the vagina and decreasing the ability to fight infection. In addition, vitamin deficiency (vitamin B complex), severe infectious diseases, and other wasting diseases can become favorable conditions for Candida albicans to multiply. During pregnancy, the glycogen content of vaginal epithelial cells increases, the acidity of vagina is enhanced, and the renal sugar threshold of pregnant women is reduced, often with nutritional diabetes, and the sugar content in urine is increased to promote the growth and reproduction of Candida albicans.
Treatment measures
1, change the pH of the vagina, such as alkaline drugs to rinse the vagina, 2-4% soda solution can be used to rinse the vagina to change the living environment of mold.
2, cast with fungicides.
(1) mycobacterium (nestatin) vaginal pessary (containing mycobacterium 250,000 U), inserted deep into the vagina, once in the morning and once in the evening or once every night for 2 weeks.
(2) 500,000 U of oral mycoplasma 4 times a day.
(3) Topical application of compounded mycoplasma cold cream twice a day.
(4) Oral ketoconazole (ketoconazole) 400mg twice a day for 5 days.
(5) Trichomycin, see treatment of trichomoniasis for details. In addition, oral clotrimazole (clotrimazole) or chlorambucil 0.5~1g 3 times a day, or topical 1~5% ointment cream or application 3~4 times a day is also effective.
(6) 1 to 2% gentian violet solution applied locally is a long-established therapy, which is also very effective and widely used, but has the disadvantage of contaminating underwear. (The use of gentian violet has been banned in China because of its strong carcinogenic effect.)
If a pregnant woman has mycosis vaginalis, it may heal itself after delivery, but the newborn is at risk of infection, so timely treatment is still needed.
3. Routine treatment is also necessary for male carriers, which is one of the important measures to eliminate recurrence in female patients.
Chinese medicine treatment
Chinese medicine believes that genital candidiasis is due to damp heat in the body, coupled with external poisonous evil. The damp heat is the internal cause, and the poisonous evil is the external cause, the internal and external causes interact to make the disease entangled. The damp-heat evil is bound to injure yin over time, resulting in yin injury, damp-heat blockage of the mixed symptoms of deficiency and reality. The Chinese medicine treatment pays special attention to different symptoms and different constitution, give different drugs.
Mycosis Fungoides 10g, Zeligia 15g, Ziziphiopogon 18g, Radix et Rhizoma 20g, Yunling 15g, Huai Shan 15g, Bryophyllum 15g, Chuanxiang Dioscorea 15g, Jinyinhua 18g, Bupleurum Serpentis 15g, Verbascum 15g, Heder 9g, Xianhecao 12g.
Food therapy
When suffering from acute mycosis fungoides, patients are advised to use dietary remedies that have the effect of clearing heat and relieving dampness.
Prescription one for mycosis vaginalis.
The first is to make a small amount of sugar. The first thing is to boil the juice of the sodomite and the castor seeds in the right amount of water to remove the dregs, then add the japonica rice to cook the porridge and mix in the rock sugar when serving. This recipe has the function of dampness and laxative, inhibiting bacteria and relieving itching.
Treatment of mycosis fungoides prescription II.
Tsubaki white bark, white moss bark and yellow cypress. Decocted with appropriate amount of water. This formula can clear heat and promote dampness.
In chronic mycotic vaginitis, the patient’s vulvar itching and pain symptoms can be inconspicuous, usually more leucorrhea and white in color, it is advisable to use a dietary formula with the effect of strengthening the spleen and dispelling dampness.
Treatment of chronic mycotic vaginitis prescription one.
White lentils, white atractylodes and rock sugar in appropriate amounts. Atractylodes with bags and lentils decoction after the bag, into the sugar, drink soup and eat beans.
Treatment of chronic mycotic vaginitis prescription two.
Lentil flowers and Chinese yam in the right amount. Take the lentil flowers with buds not yet opened, dried, grinded, with the appropriate amount of Chinese yam, cook rice porridge every morning and evening, the porridge into the flowers, boiling is ready. This formula has the effect of strengthening the spleen and relieving dampness.