Under the milkmaid, gynecologists understand strictlya certain disease that is caused by such a known pathogen as a Candida fungus. Very often a thrush during pregnancy. As evidenced by medical statistics, this affliction is encountered by about 80% of all future mothers. Thrush is a special threat to the course of pregnancy is not, but the development of a number of complications can still lead. Yes, and a lot of discomfortable feelings for the future mother is provided. The main symptoms of thrush are:
- Appearance of abundant discharge from the vagina, having a curd texture and a sour smell.
- Strong itching in the area of the vulva, aggravated after taking a shower and at night.
- The swelling of the external genitalia.
However, not only thrush during pregnancycauses burning, itching and discharge. Exactly the same inflammatory symptoms are characteristic for trichomoniasis, gonorrhea, bacterial vaginosis, genital herpes, ureaplasmosis, mycoplasmosis, chlamydia and other infections. Therefore, when the described complaints cause concern, it is necessary to go for examination to a specialist, finding out the pathogen, and in no case to be treated independently, because the exact choice depends on the exact diagnosis. Like any other infection during pregnancy, candidiasis is a danger, causing complications in the course of pregnancy and increasing the risk of infection of the fetus. That's why, despite the relatively common thrush in pregnant women, this disease is not an innocuous and normal pregnancy companion, as some women believe. Thrush during pregnancy should be diagnosed and treatment measures taken.
Methods of diagnosis of candidiasis
If you have any complaints about the allocation, you must firstto conduct a study such as a bacterioscopy, i.e. examination under a microscope on the flora of a stained smear. The normal microflora of the vagina is very important for a woman's health. In a smear, along with epithelial cells and a small number (up to 20) of leukocytes, which are protective cells and with an increase in the number indicate infection, milk bacteria (Dederlein Sticks) should be determined. The diagnosis of candidiasis (true thrush) is made if spores or fungal bodies have been found in the smear. However, normally these fungi can be found in the vagina of an absolutely healthy woman, appearing in a smear in the form of single spores, which does not require treatment. Treatment will require a situation where there are complaints of white discharge, curdled, having a sour smell, and also itching, worse at night, after intercourse or water procedures. Complaints of this kind are of a periodic nature, provoked by hypothermia, starvation, stress or illness outside of pregnancy, as well as the intake of hormonal drugs. As a rule, candidal colpitis or thrush during pregnancy is aggravated, which is associated with an increase in the level of sexual female hormones, leading to a change in the microflora in the vagina and the creation of favorable conditions for the reproduction of fungi. Sometimes the symptoms, either alone or after self-treatment, disappear, but after a while they resume. If the characteristic symptoms in the form of secretions are disturbed, and with it there are no fungi in the smear, then resort to more sensitive diagnostic methods, such as PCR and bacteriological method. PCR (polymerase chain reaction method) is based on the detection of individual DNA molecules of infectious agents in the test material and is the most sensitive method of infection diagnosis, which is very effective in finding pathogens not visible in the usual smear and poorly growing in nutrient media. Using the PCR method to diagnose candidiasis is an unreasonable luxury, because the method is laborious and expensive, often giving a false positive result, which means positive in the absence of an agent. Therefore, the main criterion, talking about the need for treatment, are specific complaints, confirmed by the results of a bacterioscopy. However, if the thrush is in pregnant women, the doctor may prescribe a similar study. Bacteriological or cultural method is a culture on the Saburo medium - a special nutrient medium. In this method, individual cells of fungi, hitting in favorable conditions, even in a small amount, which is insufficient for diagnosis in the smear, begin to multiply, forming a colony and thereby confirming their presence and viability in the material.
Causes of the disease
The reasons for persistent candidiasis are:
- Chronic infection, both sexual and any other body system, in which the body's immune system is depleted in the fight against inflammation, which is manifested in the form of candidiasis;
- Chronic diseases, for the same reason;
- Hormonal disorders;
- Admission of hormonal drugs;
- Genital herpes;
- Reception of antibiotics, which cause immunodeficiency, as well as intestinal dysbiosis. The intestine is a reservoir of candidiasis, from which the fungi enter other habitats;
- Malnutrition, leading to the development of dysbiosis;
- Chronic intestinal diseases;
- Incorrect use of eubiotics.
Thus, candidiasis indicatesand in addition to special treatment with antifungal agents, a thorough examination and elimination of the underlying cause of immune deficiency is required. How to treat thrush during pregnancy? This question is very disturbing to every second pregnant woman. After all, on the one hand, in no case should not be idle, and on the other - the taking of certain drugs is strictly prohibited to women "in position." A treatment of thrush during pregnancy is absolutely necessary! You do not want to have a perineal rupture during childbirth, or did your baby get infected? And the union of pregnancy and thrush in most cases leads to exactly this result, Candidiasis is not classified as one of those classic diseases that are sexually transmitted. This is an internal condition caused by a decrease in immunity. That is why with prolonged and poorly responding candidiasis, one should look for pathology in the body, which could be caused by immunodeficiency manifested by candidiasis. Due to changes in the hormonal background and some other features of the work of immunity, pregnancy itself is the factor that supports the well-being of fungi. Given these features, it is necessary to conduct timely diagnostics and to remove serious changes that may carry at least the slightest danger for the pregnant woman and fetus. Candidiasis arises as an internal condition and can be transmitted sexually, so it is very important that both partners simultaneously take treatment, using a condom during treatment.
Drugs intended for the treatment of candidiasis,are divided into system and local. Systemic are taken internally tablets, primarily acting in the intestines, and then absorbed into the blood and penetrating into all tissues and organs. Compared with the local, this method is preferable and the main thing is beyond pregnancy, because in the first place fungi should be eliminated in the intestines, where their main focus is. In addition, fungi in the vagina live in the thickness of the walls, and local drugs have an effect only on the surface, reducing the manifestation of infection, but not eliminating the causative agent, which is the main difference from the action of systemic drugs that act on all cells through the blood. However, due to side effects and toxicity, taking systemic drugs during pregnancy is limited. During pregnancy, only treatment with the help of ineffective nystatin and pimafucine, which are antifungal drugs chosen during pregnancy and feeding due to non-toxicity and sufficient effectiveness, is possible. Local treatment consists of creams, vaginal pills and suppositories. During pregnancy, especially in the early stages, it is necessary to treat this method in a similar way. For the treatment of candidiasis, in addition to specific antifungal agents, anti-inflammatory and antiseptic agents are often used, which have already become popular. These include borax in glycerin and zelenka. These solutions have no side effects and are selected for the treatment of candidiasis in the early stages of pregnancy, when the intake of almost any medication is contraindicated. Treated one of these solutions with a gauze pad for the night, the walls of the vagina are wiped. In a similar way, thrush can be treated up to 7 days in a row. Fungi live in the intestines and in the vagina of all, and pregnancy only predisposes them to reproduction, but candidiasis does not develop in all pregnant women. In any case, Candidiasis is a sign of immunodeficiency, and if it is not possible to cure it easily and definitively, it indicates a serious chronic pathology, therefore immunomodulatory and restorative drugs are included in the treatment regimen. All drugs must be prescribed by the attending physician, based on the individual characteristics and characteristics of the course of pregnancy. Self-medication is always unfavorable, and in pregnancy it can be a threat. Only a gynecologist can determine exactly how to treat thrush during pregnancy of a particular patient and, accordingly, prescribe the most optimal treatment with the use of acceptable medications. In the treatment of a partner, which is mandatory even in the absence of sexual activity, all effective drugs can be used. In conclusion of the topic, let us summarize:
Timely examination and treatment will help to preserve the most valuable - your health! We advise you to read: