Miscellaneous

Oral candidiasis, treatment at home

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Oral candidiasis - is an infectious disease caused by a type of yeast fungus Candida.

These bacteria are considered to be opportunistic, as are present in the human body is almost all his life, without causing problems. They are found in the nasopharyngeal mucosa, vagina, intestines and on the skin. However, under favorable for their growth and development conditions (low immunity), fungi activated and become infectious agents.

Most often the disease affects infants. According to statistics, 20% of children under one year had been ill with a thrush, and some of them even more than once.

What it is?

Oral candidiasis - a disease which provokes harmful fungus Candida. These yeast-like organisms can be found on the skin, in the gut, in the vagina, and so on. And often no symptoms may not occur.

With the weakening of the immunity fungus activated is introduced into the mucosa, it destroys it, causing the appearance of the first symptoms of oral candidiasis - pain, dryness, burning sensation.

Causes of

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There are many factors contributing to the revitalization and development of fungal diseases:

  1. A weakened immune system, lack of immune cells.
  2. Comorbidities: diseases of the digestive organs and the adrenal glands, tuberculosis, HIV.
  3. Radiation therapy of oncology patients.
  4. Dysbacteriosis deficiency of vitamins B, C and PP.
  5. Oral contraceptives in violation of hormones, thus creating favorable conditions for the growth and development of the fungus.
  6. Often, oral thrush in adults indicates the beginning of the development of diabetes.
  7. Pregnancy. In this condition, the woman changes the metabolism and hormonal and immune decline observed.
  8. Admission of drugs which depress the immune system. This cytostatic and corticosteroid agents.
  9. Long reception of antibiotics. Such preparations contribute to disruption of microflora composition. And, accordingly, the ratio of microorganisms is changed. Antibiotic resistant bacteria, without competition, are beginning to multiply.
  10. Use of dentures, particularly in those cases where they are installed unprofessional and injure the mucosa of the oral cavity. Acrylic structures can provoke an allergic reaction that contributes to the penetration into the cells of microorganisms.
  11. Small mechanical damage of the oral mucosa. They can appear as a result of impact damage to the teeth or malocclusion.
  12. Bad habits: drugs, alcohol. These substances contribute to the destruction of the balance and decreased immunity.

Furthermore, oral candidiasis can be transmitted through contact with a patient. For example, this can occur when using a common toothbrush or utensils, as well as during intercourse and kiss.

Signs and photos

Oral candidiasis clinically manifested in various forms (see. Photo):

  • Gingivitis - gums only;
  • Stomatitis (the most frequent form), - the whole is affected mucosa of the oral cavity;
  • Glossitis - isolated language loss;
  • Cheilitis - involved the mucosa of the lips. When angular cheilitis - only the lip corners (in people a condition called perleches).

The classical manifestations embodiment thrush mouth adult plaque is determined on the mucosa. Outwardly, it looks like a cheesy grains of yellow or white.

In some patients it can be easily removed, while others - be tightly welded to the underlying epithelium. Under the raid exposed eroded surface, touching it leads to easy bleeding.

In addition to the classical form of thrush, there are atypical variants. These include:

  1. Chronic oral - periodic dryness and redness, an increase in the amount of language that leads to difficulty swallowing.
  2. Acute atrophic - language acquires lacquered appearance by smoothing papillae. Typically, this condition is associated with antibiotic treatment and depressing immunity corticosteroids.
  3. Chronic hyperplastic - the appearance of white spots large and small on the mucosa, combined with the formation of a very thick and viscous saliva.
  4. Chronic atrophic due to wearing orthodontic appliances.

Vulvovaginal inflammation of the tongue leads to the following symptoms:

  • The appearance of plaque on it (easily removable at the beginning, and then tightly welded to the underlying layers);
  • Redness and swelling of the dorsum of the tongue;
  • tongue papillae may atrophy, and in chronic - increased threadlike papillae, causing the appearance of "black hairy tongue."

When Haley appear:

  • A lot of small cracks are coated with a gray-white scales, and films;
  • Redness and infiltration of the lips, their pain;
  • Under the film is eroded.

Diagnostics

The diagnosis of oral candidiasis can be set on the basis of clinical picture, complaints from patient, laboratory results and clinical analyzes, determining glucose index in blood serum. Carried out inspection of the skin and nails cover the presence of candidiasis.

The main expert who specializes in the disease - a dentist, but can also be assigned to the consultation of physicians as an endocrinologist, a mycologist, a gynecologist at women.

The final diagnosis is made in the case on scrapings from the mucous membrane of yeast-like fungi found Candida. Mikokskopicheskie conducted research and with oral mucosa, and with dentures. These procedures are carried out on an empty stomach before the teeth were cleaned, or at least five hours after eating the food.

Once the treatment is over, and the clinical picture is gone, mikoskopicheskoe study is conducted again.

How to treat oral candidiasis

General treatment of candidiasis in the mouth based on the reception of drugs which have a systemic effect on the body. They kill candida not only in the mouth but also in other organs and cure carriage of fungi.

Antifungal drugs (antifungals) are divided into polyene antibiotics, imidazoles.

  1. Polyene antibiotics: Nystatin and Levorinum. Apply 4-6 times a day after meals for 10-14 days. Tablets dissolve recommended to enhance the effect of these drugs and to extend the time of their actions on the mucous membrane. A noticeable improvement occurs on the 5th day. Reducing the amount of plaque erosions heal.
  2. If treatment Nystatin and Levorinum has no effect, prescribe Amphotericin B intravenously. Amphoglucaminum or tablets. Taken after a meal twice a day for two weeks.
  3. Imidazoles - miconazole, econazole, clotrimazole. A dose of 50-100 mg per day, the course - 1-3 weeks. Duration and dosage depends on the patient's age and severity of illness.

itself is also well proven antimicrobial and antiparasitic medicines that stop the growth of fungi:

  1. Fluconazole has a strong antifungal effect. Assign 1 times a day, 200-400 mg.
  2. Diflucan capsules of 50-100 mg taken once a day, course - 7-14 days.
  3. Nizoral tablets treatment course of 2-3 weeks with 200 mg.
  4. Dekaminovaya caramel. Dissolve the cheek for 1-2 pieces, the course - 10 to 14 days.

As a tonic for raising immunity prescribed B vitamins (B2, B6), and the C and PP. They restore the redox processes and the body's natural defenses.

For a speedy recovery, strengthen the immune system and prevent the spread of fungal infections vulvovaginal vaccine administered. With the same purpose, used drugs and Pentoxyl Metiluratsil. They activate the production of white blood cells and gamma-globulins, which are struggling with fungi.

local treatment

Are drugs that act on the mucous membrane, and are not absorbed into the bloodstream. They stop the growth and reproduction of Candida, relieve unpleasant symptoms, heal damage caused by the activity of the fungus:

  1. As a topical treatment of oral mucosa candidiasis apply aniline dyes. The most effective methylene blue, fukortsinom solution, brilliant green.
  2. Nistatinovaya Levorinovaya or ointment. Use for Hale (lesions of the lips), and the yeast binding.
  3. Lysozyme tablets for sucking or Lizak have a bactericidal effect.
  4. iodine preparations for applications: Yoditsirin, Lugol solution.

Of great importance is dental health, i.e. treatment of all diseases and inflammatory processes of the oral cavity. This includes the health of teeth, gums, and proper care of dentures. They treated the same as antifungal agents than aniline dyes.

Diet and Nutrition rules

From the diet completely exclude beverages that contain alcohol, sugar. The special features of nutrition in oral candidiasis relates prohibition of all products comprising yeast, limiting the use of tea, hot spices, fat meat, smoked.

  • Diet for candidiasis of the oral cavity should include vegetables, greens, vegetables, reviews patients suffering thrush, extremely useful properties has carrot. It is recommended to use in cooking carrots and fresh, as well as prophylactic use to 6 cloves of fresh garlic a day.
  • The diet for thrush is introduced cereals, eggs, lean fish, liver. Every day try to eat dairy products, olive oil, nuts, unsweetened fruit, blueberries, cranberries.

It is important to keep in mind when feeding your baby that when oral candidiasis hot or cold food causes pain, you can not also have a very solid food.

Folk remedies

Completely abandon drugs is not worth it, but to accelerate the process of healing of the mucous membrane in the home, you can, using herbal medicine:

  • Viburnum fruit - fresh juice to wipe the areas with fungal infection;
  • Water tincture of calendula - dry collection put in a thermos, pour boiling water there, close tightly and leave for half an hour. Making the mouthparts baths as necessary;
  • decoction of camomile - dried inflorescences pour boiling water and left at room temperature for half an hour. After infusion strain and rinse your mouth 3 times a day after meals;
  • stewed fruit of oak bark - a tablespoon of the mixture pour into a fireproof dish, pour the water and put on fire. After boiling boil for 5-10 minutes;
  • soda slurry - 7 g sodium carbonate dissolved in 100 ml of fluid and wipe the ulcerated area.

What not to do at a candidiasis

To get rid of the disease follow the doctor's advice. It should not do:

  1. Take antibiotics. Contrary to popular misconception these substances can have an effect only on bacteria. Antibiotics are not the means to eliminate all microorganisms, so to prevent the adverse effects of drugs of this group can be used only after consulting a doctor.
  2. Observe the low-calorie diet. By limiting the amount of nutrients entering the body, a person weakens his defense. Do it with Candida infections is impossible, as the main factor of its origin - a weakened immune system. The only change in diet, which should be made - to limit the digestible carbohydrate;
  3. Interrupt treatment after the onset of improvement. Duration of therapy is determined by calculating the destruction of a sufficient number of Candida fungi in view of preventing generation their resistance to a particular drug.
  4. Independently change the medication. The medicine is usually selected for the individual patient, based on his analysis. Therefore, the feasibility of replacing the doctor should assess;
  5. Stop taking immunosuppressive drugs, if they are prescribed by a doctor. During certain diseases can only be controlled by receiving a cytostatic or a hormone, so the cancellation of these drugs can cause aggravation or relapse. The decision to cancel immunosuppressants may take only a doctor.

It is important to properly and timely treat fungal diseases that violate state of the normal flora. Otherwise, a high risk of recurrent episodes of the disease and persistent mucosal injury. Treatment of advanced forms of conduct is much more difficult and longer. To prevent the formation of this state - much easier than get rid of it.

prevention

To prevent the occurrence of the disease need to follow the following tips:

  • ensure regular and complete oral care;
  • adhere to proper nutrition;
  • semiannually attending dentist for cleaning and preventive treatment;
  • limit contact with those suffering people.

To eliminate the occurrence of candidiasis in infants should be treated bottles, pacifiers and toys. Nursing mothers need to maintain hygiene chest.

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