Introduction
Vagina fungus infection is a common gynaecology disease, which accounts for a significant proportion of the daily treatment at the primary level. Because of its high incidence and its vulnerability to recurrence, patients suffer from physical and psychological discomfort and affect their quality of life. It is therefore essential for primary health-care workers to have access to science-based treatment, not only to effectively mitigate the symptoms of patients, but also to reduce relapse rates and increase patient satisfaction.
II. Overview of vaginal fungus infections
(i) Causes
Vagina fungus infections are mainly caused by white belloccus, which normally lives in symbiotic conditions in the vagina, and when the body’s immunity is reduced and the vagina’s environment changes (e.g., increased sugar plains and increased acidity), it is produced in large numbers and causes infection. In addition, the long-term use of antibiotics, sugar-coated hormones, whole-body diseases such as diabetes, and poor hygiene practices (such as tight-skinned underpants, neglect to clean the vagina) are common triggers.
(ii) Clinical performance
Patients are mainly in the form of external achings, with serious symptoms of stagnating and more visible at night. It is also accompanied by burns, increased pain during urination and, in some cases, sexual pain. White belts have increased, with white thicks in the form of condensed milk or tofu. The gynaecology check shows external red spots, oedema, often accompanied by scratches, and severe skin cracks and skin skins. Vagina mucous membrane, with a white block on the inner side of the small lip and the mucous membrane on the side of the vagina, is removed and exposed to red and mucous membrane, and can also be seen during acute periods with curvature and shallow ulcer.
Diagnosis
(i) Medical history collection
Detailed information on the time, severity, frequency of onset of the patient ‘ s symptoms, recent history of the patient ‘ s use of medicines (especially antibiotics, sugar-cortal hormone use), history of all-body diseases such as diabetes, and hygiene habits are important for the diagnosis and analysis of the condition.
(ii) Medical examination
The emphasis is on gynaecological examinations to observe the external and vaginal appearance, such as the presence of red and red, scratches, cracks, white circulinary possessions, and the condition of the vaginal mucous membranes.
(iii) Laboratory inspection
1. General white belt inspection
This is the most basic test method. Under the microscope, sprouts and fake fungus are observed, and if more fungus are found, the pyroclacteria are in a pathological state. Primary health-care facilities can operate with a simple and fast operation using the humid method of physico-saline water.
Fungi culture
Factal culture is available to patients with typical symptoms but with regular tests of negativeness or repeated treatment. Cultivation can be detected, while drug-sensitization tests can be conducted to guide follow-up treatments, but fungi is relatively long and generally takes days.
IV. Therapeutic approach
(i) Elimination of incentives
Actively treating all-body diseases, such as diabetes, and the timely elimination of inducing drugs such as broad spectrum antibiotics, estrogens and cortex steroid hormones. At the same time, the patient is instructed to keep his/her genitals clean and dry, to change his/her underpants, to choose cotton, air-transmitting, and to avoid wearing tight-skinned underpants. Pay attention to menstrual hygiene and avoid the use of irritating washing fluids to clean the vagina.
(ii) Local medicine
1. Antifluent embolism
Kroglycerin is a common drug, 1 (150 mg) per night, plugged into the depth of the vagina for 7 days; or 1 (500 mg) per night, a single drug. 1 grain (200 mg) per night for 7 days; or 1 (400 mg) per night for 3 days. Make a fungus embolism of 100,000 Us per night for 10-14 days. These embolisms can function effectively in the vaginal pyromococcus to mitigate symptoms.
2. Exterior washing fluids
An optional 2-4% sodium carbonate solution washes the vagina and vagina, changes the alkalinity of the vagina, and inhibits the growth of the pyrochlor. Usually 1 – 2 times a day, after washing and then using antifouling. Care must be taken, however, to avoid excessive rinsing in order to avoid disrupting the normal swarm balance within the vagina.
(iii) Full body medicine
In the case of unmarried women, those who are unable to withstand local drug use, and those who suffer from repeated outbreaks, full-body medicine is considered. Fluconium 150 mg, tux. For complex vaginal fungus infections (if they occur four or more times in a year), the treatment may be extended, as appropriate, if, after initial treatment, the drug is repeated before the next menstruation. At the same time, the effects of treatment can be enhanced by combining external drugs.
V. Care in treatment
(i) Upholding treatment
The importance of consistent use of medication was emphasized to patients, especially those with repeated outbreaks. Even if the symptoms are mitigated, the whole course of treatment will need to be completed as prescribed by the doctor in order to completely remove the pyrochlor and prevent recurrence.
(ii) Partner therapy
In the case of patients who have sex, their partners are advised to examine and treat them simultaneously. Although men are often not symptomatic after infection, they can become carriers, spreading over and over again between spouses. Men may be given external use of anti-fouling ointment to paint their penis, etc., and sexual life or condom use should be avoided during treatment.
(iii) Follow-up visits
Upon completion of the treatment, the patient shall be instructed to review the white tape after the menstruation and three successive reviews of the negative shall be a cure. In the case of repeated cases, follow-up visits should be intensified, changes in the situation should be identified and treatment programmes adjusted in a timely manner.
VI. Preventive measures
Health education is provided to patients to increase their self-health awareness. (c) Take care of a reasonable diet, exercise properly and improve the body ‘ s immunity. Avoiding the misuse of antibiotics and sugar-coated hormones. For diabetes patients, blood sugar levels are strictly controlled. At the same time, primary health-care facilities can regularly conduct gynaecology health talks to disseminate information on the prevention of vaginal fungus infections and to improve the health of women.
In general, in the treatment of vaginal fungus infections, primary health-care facilities must provide an accurate diagnosis, scientificly and rationally choose the treatment, and pay attention to prevention and follow-up in order to improve the effectiveness of the treatment and ensure the reproductive health of women.
