3、念珠菌性外阴阴道炎(霉菌性阴道炎) 科普指南
念珠菌性外阴阴道炎(俗称“霉菌性阴道炎”)是由白色念珠菌(一种真菌)过度繁殖引起的外阴及阴道炎症,是女性常见的阴道感染之一。约75%的女性一生中至少患过一次,部分人可能反复发作。
为什么会得病?
菌群失衡:阴道内正常乳酸菌减少,念珠菌过度生长。
诱因:
– 长期使用抗生素(破坏阴道菌群)。
– 妊娠、糖尿病(血糖高促进真菌生长)。
– 免疫力低下(如HIV、长期用免疫抑制剂)。
– 穿紧身化纤内裤、卫生巾更换不及时。
– 过度冲洗阴道(破坏酸性环境)。
治疗方法
局部用药(首选轻度感染)
– 注意事项:
– 性伴侣通常无需治疗(除非有症状)。
– 用药期间避免性生活,疗程结束后复查。
预防复发小贴士
– 保持干燥透气:穿纯棉内裤,避免久坐、紧身裤。
– 正确清洁:清水清洗外阴即可,勿冲洗阴道,护理产品也是起到辅助作用,例如红核妇洁洗液。
– 合理用药:避免滥用抗生素或激素。
– 控制血糖:糖尿病患者需稳定血糖。
– 增强免疫力:均衡饮食、规律作息。

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