Candidoza Genitala - Simptome, Diagnostic Si Tratament - Obstetrica-ginecologie

5/26/2018 Candidoza Genitala - Simptome, Diagnostic Si Tratament - Obstetrica-ginecologie

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2/2/2014 Candidoza genitala - simptome, diagnostic si tratament - Obstetrica-ginecologie

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Candidoza genitala - simptome, diagnostic si tratament

Candidoza genitala este o infectie fungicaa penisului sau vaginului.

Popular i se spune afta si este cauzata de o specie de ciuperci numita Candida.

Cauza cea mai frecv enta esteCandida albicans, care se gaseste in mod normal

in intestinul uman , dar si in v agin. Cand creste prea mult in zonele genitale,

duce la simptome suparatoare pe care majoritatea femeilor le simte c el putin

o data in viata.

Simptomele candidozei genitale

Cel mai des, boala se manifesta prin prurit vu lva r (organul genital feminin

extern)si vag inal. Clasic, in tim pul infectiei, peretii v aginului se inrosesc si

contin placi albe, aderente si inchegate. Rar, poate sa apara o scurgere

v ag ina la i n ca nti tat e ma re, edem(umflatura nedureroasa caracterizata prin

acumu lare de lichid in tesut), eritem(inrosire a pielii care dispare la apasare)

sau fisuri (pierderi de tesut) in zona v ulv ei. In cazul barbatilor, sunt afectate

penisul si scrotul ("punga" de piele si muschi in care stau testiculele).

Trebuie sa retii, totusi, ca majoritatea femeilor care sufera de candidoza

genitala are simptome atipice, scurgeri v aginale reduse si nu prezinta eritem.

Cauzele candidozei genitale

Candida albicans este principalul agent etiologic al candidozei mucoase. Unele

cazuri, insa, s-au dovedit a fi cauzate de agenti precum : Candida dubliniensis,

Candida tropicalis, Candida parapsilosis, Candida guilliermondii, Candida

glabrata sau Candida krusei, denumite generic specii nonalbicans.

Desi Candidaeste identificata in organismul um an sanatos, candidoza se

dezvolta atunci cand schimbarile de rezistenta sau raspuns imun a le gazdei

determina aparitia inflamatiei.

Cresterea exagerata a acestor specii saprofite (care cresc pe resturi organice in

descompun ere) este favorizata de anum ite conditii:

-utilizarea ant ibioticelor cu spectru larg si a m edicamentelor im unosupresive

(afecteaza reactiile imu nitare ale organismului);

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NATURISTE

PSIHOLOGIE

-diabetul zaharat ;

-intertrigo (inflamatie a pielii in locurile in care face cute);

-utilizarea contraceptivelor orale;

-imunodeficienta;

-spitalizarea (infectia nozocomiala);

-ultimul trim estru de sarcina;

-contactele sexuale si dusurile vag inale frecvente.

Complicatiile candidozei vaginale

Netratata, candidoza ajunge in diferite zone ale organismului. Din regiunea

perineala, ciuperca poate migra spre tractul urinar daca se instaleaza un

cateter (sonda) v ezical. Secretiile v aginale pot contamina pielea. Atunci cand

integritatea tegum entului sau mu coasei infectate este afectata (prin traum a,

chirur gie, ulceratie peptica sau lezarea mucoasei), candida ajung e sa

colonizeze tesutur ile profunde.

5% dintre femei prezinta infectii complicate, definite ca infectii recurente,

severe sau cau zate de specii nonalbic ans.

Diagnosticul in candidoza vaginala

Medicul ginecolog se orienteaza spre un diagnostic de candidoza v agin alain

urma tabloului clinic(descris de pacient si observat in timpul consultului

clinic de specialitate). Pentru certitudine, este necesara prelevarea u nei

mostre de secretie vag inala.

Testul cu hidroxid de potasiu (KOH) presupune adaugarea hidroxidului de

potasiu mostrei. Flora v aginala normala v a fi distrusa, evidentiind speciile

care prov oaca aparitia candidozei.

Ph-ul secretiei va ginale poate fi uneori scazut. Efectuarea unei cultu ri

(insam anta rea secretiei pe un mediu special de crestere) este folosita frecv ent

in tara noastra.

Tratamentul candidozeivaginale

Terapia locala v aginala este cea mai

utilizata, tim p de 3-5 zile pentru

infectiile necomplicate si 7 -14 zile in

cazul celor complicate, cu simptome

severe.

Barbatii care sufera de candidoza

trebuie diagnosticati si tra tati,

pentru a prev eni infectiile

recurente ale femeilor.

In cazul unei candidoze genitale

recurente sau rezistente la

tratam ent, se recomanda

efectuarea testului de toleranta la

glucozasi de identificare a HIV,

pentru a exclude diabetul si infectia

cu acest v irus ca promotori ai

infectiei.

Desi nu s-a dov edit stiintific, un ele

femei au scapat de candidozacu

ajutorul un or diverse remedii

naturiste:

-1-2 catei de usturoi sau capsule cu extract de usturoi ingerate zilnic;

-consumul a 2 -3 iaurtur i zilnic, sau tablete cuLactobacillus acidophilus,

elementul activ din acest aliment (se gaseste in farma cii);

-bea infuzii de plante cu efect antiseptic: galbenele, rozmarin, isop, cimbru;

-capsule gelatinoase care contin ulei de oregano, menta sau alte uleiuri

v olati le;

-spalaturi locale cu ceai de galbenele sau pelin in care se poate adauga o

lingurita de bicarbonat.

Candidoza genitalapoate deveni foarte dificil de tratat, asa ca cel ma i bine ar

fi sa previi aparitia acesteia. Ce poti face pentru asta? Igiena locala trebuie

efectuata cel putin o data pe zi, dar ev ita sapunurile colorate si parfumate si

bai le spum ant e. Este in dica t sa port i doar lenj erie i nti ma din bu mba c si h ain e

care lasa zona inghina la sa respire. Redu bautu rile cofeinizate si nu uita sa

urmezi un regim alim entar sanatos.

Bibliografie:

- R. Harrison:Harrison's Principles of Internal Medicine(1 6 th edition), Tinsley;

- http://www.u nitedhealthdirectory .com/diseases-and-conditions/genital-

candidiasis/;

-James R., Md. Scott, Ronald S. et al.: Danforth's Obstetrics and Gynec ology,

9th Ed. Lippincott Williams & Wilkins Publishers, 2003;

- http://www.i-medic.ro/analize/test-secretii-va ginale;

- http://www.terapii-naturiste.com/remedii_naturiste/candidoza.htm ;

- http://retete-miraculoase.blogspot.com/2011/01/tratament-naturist-

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Claudia (anonim)31 octombrie 2013 1 0 : 290(0 voturi)

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Sfaturi din Sanatate:ce tratament ex ista ptr lichen plan bucal?

am hipotensiune arteriala ?

probabi am ruptura de perineu,mai pot avea copii?

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nota obtinuta3.0(56 v oturi) 47686vizite

1Comen tariu despre:Candidoza genitala - simptome, diagnostic si tratament

Cel mai bine este sa gasesti o modalitate de prevent ie, de inta rire a sistemulu i

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Candidoza Genitala - Simptome, Diagnostic Si Tratament - Obstetrica-ginecologie