{"id":6056,"date":"2020-03-10T12:53:28","date_gmt":"2020-03-10T12:53:28","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=6056"},"modified":"2020-03-10T12:55:45","modified_gmt":"2020-03-10T12:55:45","slug":"candidoza-vaginala","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/candidoza-vaginala\/","title":{"rendered":"Candidoza vaginal\u0103"},"content":{"rendered":"
\"\"<\/a>
Dr. Paul-Doru Cotu\u0163iu \u00a0 \u00a0 \u00a0\u00a0<\/strong><\/em> medic specialist \u00een specialitatea de Obstetric\u0103-Ginecologie la Clinica \u2019\u2019Ginecologie 1\u2019\u2019 Cluj-Napoca www.ginecologultau.ro<\/em><\/figcaption><\/figure>\n

\u00a0Infec\u021bia vaginal\u0103 micotic\u0103 este o infec\u021bie comun\u0103 care afecteaz\u0103 vulva \u0219i vaginul. \u00cen majoritatea cazurilor infec\u021bia micotic\u0103 este dat\u0103 de Candida Albicans. Mai sunt \u0219i alte specii care pot da\u00a0 vulvo-vaginite micotice \u00eens\u0103 \u00eentr-un procent mult mai redus, dintre acestea amintesc: Candida Tropicalis, Candida Parapsilosis, Torulopsis Glabrata. \u00cen ceea ce prive\u0219te \u00eencadrarea infec\u021biei printre cele cu transmitere sexual\u0103 p\u0103rerile sunt \u00eemp\u0103r\u021bite, neput\u00e2ndu-se demonstra p\u00e2n\u0103 \u00een momentul de fa\u021b\u0103 cert aceast\u0103 leg\u0103tur\u0103.<\/p>\n

De aceea \u00een cazul femeilor cu candidoz\u0103 vaginal\u0103 neobiectivat\u0103 clinic (doar paraclinic-examen de secre\u021bie vaginal\u0103 sau cultur\u0103) nu se indic\u0103 tratarea partenerului. Men\u021bionez c\u0103 \u00een mod normal aceste ciuperci sunt saprofite \u0219i necesit\u0103 un dezechilibru \u00eentre organism \u0219i ciuperc\u0103 pentru a deveni patogen\u0103 (provoac\u0103 un proces patologic \u00een cazul nostru infec\u021bia micotic\u0103).<\/p>\n

Factori favorizan\u021bi ai infec\u021biei candidozice<\/u><\/p>\n

    \n
  • sarcina (datorit\u0103 influen\u021belor hormonale \u0219i a modific\u0103rilor con\u021binutului de glicogen din epiteliul vaginal fac ca aceast\u0103 infec\u021bie s\u0103 fie mult mai frecvent\u0103 pe parcursul sarcinii)<\/li>\n
  • contraceptivele orale (anticonceptionalele scad turnover-ul celular de la nivelul epiteliului vaginal)<\/li>\n
  • antibioticele (produc un dezechilibru la nivel vaginal, distrug\u00e2ndu-se lactobacilii Doderlein)<\/li>\n
  • alte cauze de sc\u0103dere a florei saprofite (bacilii Doderlein)<\/li>\n
  • citostaticele (medicamente utilizate \u00een tratarea diferitelor forme de cancer)<\/li>\n
  • tratamentele imunosupresive (scad imunitatea organismului \u0219i astfel capacitatea de a se ap\u0103ra \u00eempotriva infec\u021biilor)<\/li>\n
  • diabetul zaharat<\/li>\n
  • igiena deficitar\u0103 local\u0103<\/li>\n
  • sudora\u021bia \u0219i c\u0103ldura excesiv\u0103, lenjerie intim\u0103 din materiale sintetice<\/li>\n<\/ul>\n

    Semne \u0219i simptome<\/u><\/p>\n

      \n
    • aceast\u0103 infec\u021bie poate fi complet asimptomatic\u0103 sau cu o simptomatologie redus\u0103 (mai ales \u00een cazurile de infec\u021bie cronic\u0103)<\/li>\n
    • leucoree alb br\u00e2nzoas\u0103 abundent\u0103 nemirositoare<\/li>\n
    • prurit intens la nivel vlulvar \u0219i vaginal<\/li>\n
    • senza\u021bie de usturime \u0219i arsur\u0103 vulvo-vaginal\u0103<\/li>\n
    • usturime la nivel vulvar \u00een timpul mic\u021biunii<\/li>\n
    • dispareunie<\/li>\n
    • vulva \u0219i vaginul sunt congestionate \u0219i edematiate<\/li>\n
    • consultul este dureros<\/li>\n
    • pot apare ulcera\u021bii (pu\u021bin ad\u00e2nci)<\/li>\n
    • accentuarea simptomatologiei premenstrual \u0219i atenuarea ei postmenstrual (datorit\u0103 turnover-ului celular diferit \u00een diferite perioade ale ciclului menstrual)<\/li>\n<\/ul>\n

      Diagnosticul se stabile\u0219te pe baza simptomatologiei clinice \u0219i unor examin\u0103ri paraclinice (izolarea tulpinilor pe medii de cultur\u0103 \u0219i\/sau a examenului de secre\u021bie vaginal\u0103).<\/p>\n

      Tratament<\/u><\/p>\n

      Tratamentul const\u0103 \u00een administrarea de antimicotice sub diferite forme de prezentare (ovule, unguente pentru uz extern \u0219i antimicotice orale). De asemenea alegerea unui tratament \u021bine seama de dorin\u021ba pacientei, de costul medicamentului \u0219i de durata tratamentului (exist\u0103 antimicotice care se pot administra \u00een doz\u0103 unic\u0103 \u00een caz de simptomatologie mai redus\u0103).<\/p>\n

      De\u0219i nu s-a dovedit c\u0103 ar avea o influen\u021b\u0103 negativ\u0103 asupra sarcinii, se prefer\u0103 tratarea candidozelor \u00een sarcin\u0103 cu antimicotice pentru uz local.<\/p>\n

      Mai jos va redau c\u00e2teva antimicotice utilizate \u00een tratarea candidozelor vaginale:<\/p>\n

        \n
      • Fenticonazol 600mg sau 1000mg ovule \u00een doz\u0103 unic\u0103 seara (la nevoie se poate repeta tratamentul la 3 zile)<\/li>\n
      • Clotrimazol 100 mg ovule, un ovul pe zi timp de 6-12 zile<\/li>\n
      • Clotrimazol crema 1% intravaginal 5g timp de 7-14 zile<\/li>\n
      • Miconazol 250mg sau 150mg comprimate vaginale, un comprimat pe zi timp de 7-14 zile (se poate administra \u0219i \u00een timpul menstrua\u021biei)<\/li>\n
      • Ketoconazol 400mg, un ovul vaginal pe zi seara timp de 3-5 zile<\/li>\n
      • Nifuratel 200 mg, ovule intravaginal 1-2 ovule.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

        \u00a0Infec\u021bia vaginal\u0103 micotic\u0103 este o infec\u021bie comun\u0103 care afecteaz\u0103 vulva \u0219i vaginul. \u00cen majoritatea cazurilor infec\u021bia micotic\u0103 este dat\u0103 de Candida Albicans. Mai sunt \u0219i alte specii care pot da\u00a0 […]<\/p>\n","protected":false},"author":9,"featured_media":6060,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[67,155],"tags":[],"class_list":["post-6056","post","type-post","status-publish","format-standard","has-post-thumbnail","category-articole","category-obstetica-ginecologie"],"yoast_head":"\nCandidoza vaginal\u0103<\/title>\n<meta name=\"description\" content=\"Articol: Candidoza vaginal\u0103 Autor:Dr. Paul-Doru Cotu\u0163iumedic specialist \u00een specialitatea de Obstetric\u0103-Ginecologie la Clinica \u2019\u2019Ginecologie 1\u2019\u2019 Cluj-Napoca www.ginecologultau.ro\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/pacienti\/candidoza-vaginala\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Candidoza vaginal\u0103\" \/>\n<meta property=\"og:description\" content=\"Articol: Candidoza vaginal\u0103 Autor:Dr. Paul-Doru Cotu\u0163iumedic specialist \u00een specialitatea de Obstetric\u0103-Ginecologie la Clinica \u2019\u2019Ginecologie 1\u2019\u2019 Cluj-Napoca www.ginecologultau.ro\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jurmed.ro\/pacienti\/candidoza-vaginala\/\" \/>\n<meta property=\"og:site_name\" content=\"Jurmed - 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