fungal urethritis
Introduction
Introduction to fungal urethritis Fungal urethritis is a urethral inflammatory lesion caused by mold. There are molds in the normal human body, usually in the skin, oropharynx, colon, vagina and other parts. When extensive burns, acute renal failure, and severe diabetes, the body's resistance is reduced; or long-term application of broad-spectrum antibiotics, and long-term application of corticosteroids, causing the flora imbalance in the body, the mold in the body to grow and multiply. It can directly produce fungal urethritis, and can also go up to the upper urinary tract, leading to fungal infections and even fungal sepsis, and fungal urethritis can be used as an early manifestation. Clinically, the symptoms of most patients with fungal urethritis can be expressed as urinary tract itching, burning sensation in urination, occasional tingling, and a small number of patients may have symptoms of discharge secretion. Treatment of Candida albicans infection should first eliminate the cause: if there is diabetes, active treatment should be given. Timely discontinuation of broad-spectrum antibiotics, estrogens and corticosteroids. Active treatment can eliminate predisposing factors. Clean the vulva every day to develop good hygiene habits. Ph4 weak acid formula female care solution is suitable for daily cleaning and maintenance, and keep the vulva dry and avoid scratching. It is not suitable to eat spicy and irritating foods, and the effect is very good. Change your underwear frequently and wash it with warm water. Do not mix it with other clothes to avoid cross infection. basic knowledge Sickness ratio: 0.1% Susceptible people: no special people Mode of transmission: sexual contact spread Complications: urethral stricture infertility urethral syndrome urethral diverticulum
Cause
Cause of fungal urethritis
Flora imbalance (35%):
Because mold is also present in various parts of healthy human body, when the body's resistance is reduced due to various reasons such as extensive burns, acute renal failure, severe diabetes, or long-term application of broad-spectrum antibiotics, long-term application of corticosteroids, Causes the flora imbalance in the body, the mold in the body waits for growth and reproduction.
Reduced body resistance (15%):
Long-term chronic consumptive diseases, such as leukemia, diabetes, tuberculosis, etc., reduce the body's resistance and develop into fungal urethritis. Organ transplantation uses immune overcoming therapy to overcome the immune system and develops fungal urethritis.
Sexual contact (15%):
Sexual contact spreads to each other and causes the occurrence of fungal urethritis.
Iatrogenic infection (15%):
After placement in the catheter, prolonged use will develop fungal urethritis.
Prevention
Fungal urethritis prevention
(1) Persist in a large amount of drinking water: the urine excreted by the kidneys plays a role in flushing the bladder and urethra, which is beneficial to the discharge of bacteria. Drinking plenty of water every day, urinating once every 2 to 3 hours, can avoid the proliferation of bacteria in the urinary tract, can be reduced The incidence of urinary tract infections is the most practical and effective way to prevent urinary tract infections. In the stage of the onset or remission of the disease, drinking plenty of water every day is also conducive to the recovery of the disease. Tea drinking or light bamboo leaves also have a certain preventive effect.
(2) Pay attention to personal hygiene: Female genitals and urethra are home to a large number of bacteria, which is a prerequisite for urinary tract infection. Therefore, always pay attention to the cleansing of the genitals, use the Ph4 weak acid formula of the female care solution to clean the private parts, take a bath, and do not use the pool bath or bath, you should change the underwear frequently, especially in the wedding, menstruation, pregnancy and puerperium. The baby girl has to change the diaper.
(3) Try to avoid the use of urinary tract infection devices and intubation: urinary tract devices are easy to bring bacteria at the distal end of the urethra into the bladder and upper urinary tract. Continuous bacteriuria is prone to occur after urinary catheter intubation. Therefore, it should be avoided as much as possible. . When it is necessary to use it, it should be strictly disinfected. After 48 hours of use of the urinary tract device, urine culture should be used to observe whether a urinary tract infection occurs. Before using urinary tract instruments, patients with bacterial urine should control infection first.
(4) patients with fungal vaginitis should try to avoid sexual life, pay attention to personal hygiene care, diet should be light, avoid the spicy and stimulating food treatment when the best husband to treat together, this can prevent reciprocal infection leading to repeated attacks affecting life.
Some patients had no bacterial urine at the time, but had a history of recurrent urinary tract infections or urinary tract abnormalities. Antibiotics should be taken at the urinary tract examination or 48 hours before and after to prevent infection. In the first three days of indwelling catheterization, administration of an antibacterial agent can prevent or delay the occurrence of urinary tract infection, but administration after 3 days has no preventive effect. In addition, the closed drainage system is connected to the urinary indwelling catheter, which can significantly reduce the incidence of urinary tract infection.
Complication
Fungal urethritis complications Complications urethral stricture infertility urethral syndrome urethral diverticulum
After urinary tract infection, it will cause abscess in the urethra. In the future, the result of scarring will narrow the urethra. Patients will feel difficulty in urination and small urine flow. In addition, the prostate may also be attacked to produce mastitis. There are symptoms of perineal pain and lower back pain. In severe cases, the patient's epididymis will also be injured and cause infertility. Children born to infected women may have conjunctivitis. When the infection is severe, the bacteria invade the knee joint and cause arthritis. Non-sexual urethritis may also cause similar complications.
Symptom
Symptoms of fungal urethra symptoms Common symptoms genital burning when urinating... Urine pain urinary tract burning urinary tract itch urethra itching vaginal vaginal thick
Mold is what we call Candida albicans. When the external genitalia is infected with Candida, it can be transmitted through mutual contact and cause fungal urethritis. Clinically, the symptoms of most patients with fungal urethritis can be expressed as urinary tract itching, burning sensation in urination, occasional tingling, and a small number of patients may have symptoms of discharge secretion.
Examine
Examination of fungal urethritis
1, the urethra is red and swollen, there is purulent secretion, there may be tenderness along the urethra. The marginal valgus, the mucosal surface is often bound by serous or purulent secretions, sometimes with shallow ulcers.
2, according to urinary tract irritation symptoms, that is, frequent urination, urgency, dysuria, dysuria and other symptoms. These symptoms vary from patient to patient. Acute inflammatory patients often have obvious urinary tract irritation; however, in elderly, pediatric and chronic urinary tract infections, the urinary tract irritation is usually mild, such as mild urination, urgency, or urination discomfort.
3, urethral secretion smear stain test or bacterial culture has pathogenic bacteria, can be identified with gonococcal urethritis.
4, there are a lot of red blood cells, white blood cells in the urine, the first cup of urine in the three cups of urine test is obviously abnormal.
Diagnosis
Diagnosis and diagnosis of fungal urethritis
Diagnose based on
1. Symptoms of urinary tract itch, burning sensation when urinating.
2. Check the urethral orifice for a small amount of secretions, watery or mucus-like, a few red or black.
3. Laboratory examination: take urine sediment, urethral secretions or urethral swabs for mold or culture. Especially when indwelling catheters should be checked regularly.
Differential diagnosis
1. Non-specific urethritis is a urethral inflammatory lesion caused by non-specific bacteria. There is urinary tract sensation, pain, often accompanied by frequent urination, hematuria, and urethral secretions, initially mucinous, followed by a lot of purulent. Non-specific bacteria can be found in urine culture.
2. Trichomonas urethritis is a change in urethral inflammation caused by Trichomonas. There is urinary tract sensation, discomfort, a large amount of mucous thin urethral secretions, secondary infection can be purulent. Microscopic examination of urethral secretions can be found in trichomoniasis.
