What is mycosis fungoides?
Mycosis fungoides is also called vulvovaginal pseudomycosis.
Candida is a single-celled fungus that is found on the skin, mucous membranes and vagina of healthy people. Under certain conditions, Candida can invade human tissues and cause inflammation. Its infection in the female genital tract often invades the vagina and causes secondary inflammation of the vulvar skin and mucous membrane, so it is called vulvovaginal candidiasis, and the names Candida vaginitis, fungal vaginitis and mycotic vaginitis have been used in the past.
According to statistics, 70% of women have suffered from VVC at least once in their lifetime, and about 10-20% of healthy women have Candida present in their vagina. In the United States, VVC has the second highest incidence after BV. The prevalence of VVC in non-pregnant women has been reported to be 17.6%, while the prevalence of VVC in pregnant women is 30.2%. The pathogen of VVC is usually thought to originate from the oral or intestinal tract, and fungi on the skin are often not the source of VVC.
80-90% of VVC is caused by Candida albicans, and a small number of VVC can be caused by Candida smoothus, Candida subsmoothus, or Candida tropicalis. Candida albicans is oval single-walled cells, distributed in groups, with budding spores and pseudomycelium formed by cell germination and elongation. Candida is not heat-resistant and can die in 1 hour when heated to 60℃, but it is more resistant to dryness, sunlight, ultraviolet light and chemical agents. About 10% of non-pregnant women and 30% of pregnant women have Candida parasites in their vagina without symptoms.
How is mycotic vaginitis transmitted?
Mycosis vaginalis is transmitted directly through sexual intercourse, but also indirectly through bathrooms, toilets, swimming pools, underwear and various sanitary devices.
When the glycogen in the vagina increases and the pH value decreases, Candida can easily multiply and cause inflammation, so it is mostly found in pregnant women, diabetic patients and those who apply estrogen; after a large number of long-term use of antibiotics, the normal flora in the vagina is inhibited and Candida overgrows; long-term application of immunosuppressants or glucocorticoids can reduce the immune function of patients. All these factors can contribute to vaginal infection and the development of VVC.
What are the clinical manifestations of mycosis fungoides?
Clinical symptoms: Itching of the vulva with more white beanbag-like leucorrhea is the main symptom of the disease. It may be accompanied by burning sensation of vulva, urinary urgency, painful urination and painful intercourse, and painful sitting and lying down when symptoms are severe.
Signs: The vulva is swollen, the epidermis can be peeled off, there can be scratches, the inner labia minora and the vaginal mucosa are attached with white membranous material, after erasing, the vaginal mucosa is red, swollen or erosion surface and superficial ulcers can be seen. The typical leucorrhoea is white, clot-like and bean-like, with a slightly foul odor.
How should mycosis vaginalis be treated?
Systemic medication: For unmarried non-sexual women, those who are out and about and inconvenient for local medication and those who will have menstruation. Fluconazole 150mg, 1 dose.
Topical application: Clotrimazole suppository/tablet 500mg, single dose.
Clotrimazole suppository 100mg, once a night for 7 days.
Mycoplasma effervescent tablets 100,000U, once a night for 14 days.
Mycophenolate tablets 500,000 U once a night for 14 days.
Dacrynicin suppository 100mg twice daily for 7 days.
What are the precautions for mycosis fungoides?
No sexual intercourse or condom use during treatment. Wash the vulva daily, change underwear, underwear and towels should be disinfected by boiling or soaked with disinfectant to eliminate pathogens and avoid repeated infections. Alcohol should be prohibited while taking medication, and husbands or sexual partners should be treated at the same time.
For recurrent recurrence, oral fluconazole capsules 150mg should be given once a week for 6 months. Blood, liver and kidney function should be checked at the 3rd and 6th month. Husband or sexual partner should also take oral fluconazole capsules 150mg once a week for 3 months. The woman should review the discharge after each menstrual period to see if it has turned negative and apply topical vaginal medication for 7 days for 3 months to consolidate the effect.
What are the dietary contraindications for mycosis fungoides?
Suitable foods.
Celery, cauliflower.
1, mycosis vaginalis should generally eat light food, mainly high protein and low fat.
2, itching is appropriate to eat amaranth, cabbage, mustard, kelp, purple cabbage.
3, eat more vegetables and fruits, such as bananas, sweet potatoes, celery, etc.
4, increased leucorrhea, can eat more leeks, lentils, millet, tofu, lotus seeds, walnuts, white fruit and other foods.
5, drink more yogurt (especially the kind of yogurt with active lactobacillus acidophilus, which can destroy the harmful class of yeast).
Avoid food.
Chili peppers (red, pointed, dried), shallots, onions, green onions, small onions.
1, avoid eating chili, pepper, raw onion, raw garlic, white wine and other stimulating foods.
2, avoid hairy food: sea fish, crabs, shrimp, clams, arks, oysters, abalone and other aquatic products are hairy, not conducive to inflammation subsidence.
3, avoid sweet and thick food: too sweet food such as candy, cream cake, rice, glutinous rice cake, lard and fatty pork, mutton fat, egg yolk, these foods help the role of wet, will reduce the effectiveness of the results, so that the disease is delayed and difficult to treat.
4, avoid drinking wine: wine is a warm stimulating food, drinking alcohol will aggravate damp heat, aggravating the disease.
5, avoid fatty, fried, moldy, pickled food.
Food therapy prescription.
1, q Cao, Chuan Dios Z, round-grained rice, a little rock sugar. Boil 12g of Q Cao, 12g of Chuan Dioscorea Z with appropriate amount of water to get the juice and remove the dregs, then cook the porridge with round-grained rice and mix with rock sugar when serving.
2. 12g of Tsubaki White Peel, 12g of Bai Xian Pi, 12g of Huang Pao, decocted with appropriate amount of water. This formula can clear heat and dampness.
3.White lentil 30g, Atractylodes macrocephala 15g, icing sugar in appropriate amount. Atractylodes macrocephala in a bag with lentils decoction after removing the bag, into the icing sugar, drink soup and eat beans.
4, lentil flowers 10g, Chinese yam 30g appropriate amount. Take the budding lentil flowers dried, grind, with 30g of Chinese yam every morning and evening to cook rice porridge, porridge into the flower powder, boil that.