Candidiasis is an inflammatory disease of fungal etiology that affects the skin, mucous membranes, as well as the respiratory, genitourinary, nervous or digestive systems of the body. Called by unicellular microorganisms - fungi of the genus Candida.
These microorganisms are saprophytic forms that are constantly on the skin of healthy people. They are opportunistic flora and are activated with a decrease in immunity.
In men, candidiasis is often manifested in lesions of the genitourinary system. So, bladder candidiasis develops, balanitis or fasting, which can be observed if personal hygiene is not observed. In women, genital candidiasis in the form of vulvitis or vulvovaginitis is most often diagnosed.
It is worth noting that without appropriate treatment, the ailment can take a chronic course and cause a number of serious complications. This disease lends itself well to therapy, but in cases where etiological factors continue to affect a person, frequent relapses are observed. In addition, it must be remembered that when genital candidiasis develops, treatment should be given not only to the patient, but also to his sexual partner, since there is a high risk of re-infection.
Candidiasis: treatment of this pathology. Basic moments
When candidiasis develops, treatment should be comprehensive and include pathogenetic and mycotic drugs of both systemic and local effects. If the patient is found to have concomitant endocrine pathology or certain immunological disorders, corrective therapy should be carried out taking into account the etiology and characteristics of the clinical manifestations of the disease.
With candidiasis of nails, skin, mucous membranes or in cases where common candidiasis develops, treatment must necessarily include antifungal therapy. Among the antifungal agents, those are prescribed, which include fluconazole, ketoconazole or nystatin.
Often, against the background of damage by fungi, pronounced inflammatory changes in the skin occur. Such candidiasis, the treatment of which should be carried out as quickly as possible, can be eliminated using combined ointments. They include miramistin or triamcinolone acetonide. Lotions with a solution of soda, boric acid, silver nitrate can also be used . It is recommended to lubricate the affected areas with solutions of aniline dyes, as well as special antifungal ointments containing levorin or omoconazole. If skin candidiasis develops in a newborn, it is allowed to use 10% vicasol paste or 1% methylene blue (only an aqueous solution!).
If the oral mucosa is affected, rinsing with a weak soda solution has a good therapeutic effect.
With vaginal candidiasis, therapy in most cases is carried out by local means in the form of vaginal suppositories or tablets, but with a pronounced pathological process, it is recommended to combine them with systemic drugs (triazole derivatives). Among the local remedies for the treatment of genital candidiasis, it is worth mentioning such drugs as Nystatin, Clotrimazole, Miconazole and Econazole. The systemic effect is shown by the medicine "Fluconazole" and "Intraconazole". In the treatment of candidiasis in pregnant women, it should be remembered that they are allowed to use only local drugs.
With fungal pathology of any localization, it is necessary to carry out nonspecific therapy, which includes the intake of vitamin, antihistamines and desensitizing drugs, as well as a diet that provides for the restriction of the use of foods with excess carbohydrates.
Given the development of vaginal or cutaneous candidiasis, the maximum duration of treatment in most cases is 4 weeks, with a fungal infection of the nail plates, the course of therapy can last up to 4 months.
In order to increase resistance to repeated fungal infections, general strengthening drugs are prescribed, and if antimicrobial therapy is necessary, the simultaneous administration of probiotics and antifungal agents is recommended.