Candida is a common strain in the vagina. when the vaginal acidity decreases before and after menstruation, after menstruation or after menstruation, the normal balance between mold and bacteria is destroyed, the number of Candida increases rapidly.
Patients with long-term use of broad-spectrum antibiotics corticosteroids or immunosuppressants should consider drug withdrawal or reduction, such as diabetes and malignant tumors, and should be treated accordingly. Keep the affected area dry and clean.
one. Internal therapy
(1) nimycin: this product can inhibit Candida albicans, but it is not easy to absorb from the stomach and intestines, so it is only suitable for Candida albicans infection or atomization absorption in the treatment of respiratory infection. The underwear is used 3 times a day for 500000 ~ 1 million units a day for 1 to 2 weeks.
(2) Amphotericin B and ball erythromycin are effective in the treatment of visceral candidiasis, but they are toxic, so we should pay attention to observe that domestic Lushanmycin has similar curative effect with amphotericin B.
(3) clotrimazole: the adult daily dose of 2-3g was taken orally for three times for 2 weeks.
(4) ketoconazole: adult 200mg, once a day. Some people put forward this product 200mg, clothing every other day, the effect is the same.
(5) garlic injection 20~40ml, add glucose solution to intravenous drip, once a day. The curative effect is satisfactory and the toxicity is less.
(6) transfer factor intramuscular injection of cimetidine 300mg once every other day or cimetidine four times a day can improve the cellular immune function of the body and promote the rehabilitation of patients.
II. External use therapy
Skin and mucous membrane Candida albicans can be effective only with topical therapy. Clinical application can choose gentian purple, mycin, amphotericin b ball erythromycin
penis pumping vibrator for men , imidazole and other drugs as the main drug to make solution, ointment, mud or emulsion.
III. Local therapy
(1) Clotrimazole, miconazole or ketoconazole cream or compound razoxine smear twice a day, mainly suitable for many kinds of skin candidiasis. Papular candidiasis with erythema can also be externally applied with sulfur calamine lotion containing nystatin 4-6 times a day. Occasional rash often needs to be added with powder.
(2) nystatin smear (fungal disorder 100000, glycerol 10ml
deep anal dildo , distilled water 60ml) is mainly suitable for thrush and genital candidiasis, 2 or 3 times a day.
(3) Fibromycin suppository (51.1 million U) is suitable for candidal vaginitis, once a night for 1 week or 2 weeks.
(4) 50000 u of polyaldehydes were added to normal saline 5ml, or amphotericin B5mg was added to water for injection 20m1, fog inhalation 2 times per day was suitable for oral and respiratory Candida infection.
IV. Systemic therapy
Systemic therapy is mainly suitable for all kinds of visceral candidiasis and severe skin and mucosal Candida infection.
(1) nystatin: 2 million ~ 4 million U / day, 4 times per day, 50 ~ 100000 U / kg ·d for children. The drug is rarely absorbed in the intestine and is mainly used for gastrointestinal candidiasis.
(2) ketoconazole: 0.2g, once a day. The course of treatment depends on the type of infection and the reaction of the patient. Patients with abnormal liver function should be used with caution.
(3) itraconazole: 200mg, once a day for more than 4 weeks.
(4) Amphotericin b (0.5~1mg/kgd) intravenous drip combined with oral 5-flurouraquine (150-200mg/kgd) has synergistic effect in improving the curative effect.