Thrush during pregnancy


Thrush is one of the most common female diseases. Called the disease fungus of the genus Candida, and very often occurs during pregnancy. According to statistics: about 80% of pregnant women face thrush.

I must say that is a huge threat to pregnancy, and even more so for the life of mom and baby thrush does not represent , but it is quite capable of provoking the development of some complications, so it should not be ignored.

So, in order to begin to fight with the thrush, you must first make sure that we are dealing with it. The reason for going to the doctor should be the appearance of abundant vaginal discharge, having a sour smell and curd consistency. In addition, the area of ​​the vulva can be very pruritus, especially at night and after taking a shower. In especially neglected cases, swelling of the genital organs can occur.

However, the same itch, burning, discharge can accompany not only the thrush, so you should not yourself diagnose , and you must always consult a doctor. Simila

r symptoms are accompanied by such diseases as chlamydia, mycoplasmosis, ureaplasmosis, genital herpes, bacterial vaginosis, gonorrhea, trichomoniasis and other infections.

What methods can diagnose candidiasis? If the future mother notices the characteristic for the yeast infection, first of all, a bacterioscopy is carried out-a study in which a colored smear on the flora is examined under a microscope. The diagnosis of candidiasis will be made if the body smears or fungus spores are found in the stained smear. However, fungi can be found in the vagina of a healthy woman, appearing as single spores, in which case treatment is not required.

But if a woman complains about the allocation of white, having a sour smell, the itching, which is worse after water procedures, intercourse or at night, it will be necessary to prescribe a treatment.

Thrush is usually aggravated during pregnancy, which is associated with hormonal changes in the body , which lead to changes in the microflora in the vagina, while creating a favorable atmosphere for the reproduction of fungi. It is not recommended to treat thrush alone - even if you can get rid of the symptoms of this disease, it is likely that after a while the thrush will again make itself felt.

If a woman complains of discharge, itching, burning, but with no fungi in the smear, doctors will resort to more sensitive diagnostic methods - bacteriological method and PCR.

PCR is a polymerase chain reaction method that detects individual DNA molecules of infectious agents in a study material. However, the use of PCR for the diagnosis of thrush is inexpedient, since this method is expensive, time-consuming, in addition, it often gives a false-positive result( that is, it shows the presence of infection in its absence).

As for the bacteriological or cultural method, we are talking about sowing on the Saburo medium - a nutrient special medium. With this method of research, individual fungal cells, when they fall into favorable conditions, begin to multiply rapidly, form a colony, thereby confirming their viability in the material.

About the causes of thrush

There are many reasons that can provoke thrush development:

is a chronic infection that leads to exhaustion of the body's immune system in the fight against inflammation, which is why thrush appears;

is also chronic diseases leading to thrush for the reasons described above;

- is a hormonal treatment, any hormonal disorders;

- genital herpes;

- misuse of eubiotics;

- chronic intestinal diseases;

- malnutrition, which leads to the development of dysbiosis;

- the reception of antibiotics that cause immunodeficiency, intestinal dysbiosis.

In other words, in most cases, candidiasis is a kind of signal that there are some glitches in your body that you are missing something. Therefore, in addition to direct treatment of the disease itself, it is also necessary to undergo a complete examination in order to eliminate the underlying cause of the immune deficit.

About treatment of thrush

If, under normal conditions, treatment of thrush does not cause any particular anxiety, problems, then if we talk about thrush during pregnancy, the anxiety in the patients becomes many. On the one hand, it is impossible to leave the disease without any attention, on the other hand - most drugs during pregnancy are prohibited.

To treat thrush, no doubt, it is necessary, but only under the supervision of a doctor. And the treatment is necessary for both sexual partners, since candidiasis is transmitted including sexual by. During treatment for sexual acts, you need to use a condom.

Conditionally, all the drugs that are used in the treatment of candidiasis, can be divided into two groups - local and systemic. Systemic are tablets that are taken orally, act in the intestines, absorbed into the blood, penetrate into all organs and tissues. The systemic method of treatment compared with the local is more preferable - and outside of pregnancy for the treatment of thrush it is used it, as fungi must be destroyed mainly in the intestine, because there is their main focus.

With regard to local drugs, they can only affect the surface - local drugs can reduce the manifestation of infection, but can not eliminate the pathogen.

However, if we are talking about treating thrush during pregnancy, the choice is severely limited - the vast majority of systemic drugs during pregnancy are not recommended.

During the waiting period of the baby, it is possible to use ineffective nystatin and pimafucin - antifungal drugs, which differ in non-toxicity and sufficient effectiveness to fight candidiasis. Local treatment - candles, vaginal pills, cream. If we are talking about the treatment of thrush during pregnancy, especially in the early stages, then it is recommended to treat candidiasis precisely in this way.

In addition to antifungal specific agents for the treatment of thrush, antiseptic, anti-inflammatory drugs are often used, which today can be considered as folk - it's green, borax in glycerin. The merits of such solutions include the absence of any contraindications, side effects. It is necessary to treat the gauze swab with one of these remedies and wipe the vaginal walls for the night - the treatment is carried out in this way for seven consecutive days.

If if you can not cure candidiasis completely, if the treatment does not give noticeable results, then it's about the immunodeficiency of , about a serious chronic pathology, so treatment is also supplemented with restorative and immunomodulating medications. In this case, all drugs are prescribed only by a doctor, who will take into account the individual characteristics of the patient, especially the course of pregnancy.

Remember that self-medication can lead to negative consequences - do not put your health and your baby's health in danger, in case of any doubt, immediately contact a doctor, only in this case you can count on fast, effective, safe treatment.

VN: F [1.9.22_1171]
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