What is gonorrhea
Gonorrhea is caused by the microorganism Neisseria gonorrhoeae, refers to highly contagious diseases. Gonorrhea affects the mucous membranes of the urogenital organs with the development of local inflammation.
Gonorrhea often has no other clinicalmanifestations. Gonorrhea sick people of any age, gender, race and social status. However, higher risk for gonorrhea account for sexually active adolescents and persons aged 16 - 31 years.
The incidence of gonorrhea in this group annuallyIt reaches 80% of the total number of reported cases. High-risk group also includes people who are not practicing safe sex (barrier methods-condoms miramistin, etc.) or having multiple sex partners.
Infection with gonorrhea are sexually transmitted, including oral and anal sex.
Gonorrhea may be infected even after one intercourse with an infected partner. The risk of gonorrhea in this case reaches 50-90%.
Gonorrhea differently localized and manifests itself in women and men:
- In women, gonorrhea favorite localization inflammatory process is the cervix.
- Gonorrhea in men primarily affects lower parts of the urogenital system.
In gonorrhea also observed gonococcal mucosal lesions of the mouth and rectum, which is detected after oral-genital or homosexual contact.
Gonorrhea is transmitted almost exclusively through sex. Vnepolovoe gonorrhea infection may rarely through clothes, sponges, towels, which remained uncured gonorrheal pus.
Infection with gonorrhea newborn can occur during birth when the fetus passes through the birth canal sick mother.
Patients with gonorrhea are longcontamination sources. Patients with acute gonorrhea (if ostrovospalitelnogo process) usually avoid sexual intercourse, but gonorrhea quickly becomes chronic, and the clinical manifestations are smoothed.
Symptoms of gonorrhea
In men, gonorrhea incubation period flowlasts 2-15 days. The first gonorrhea symptoms appear 2-5 days after intercourse with a sick partner. First, a patient with gonorrhea felt discomfort in the urethra, in a few hours there are itching, burning and purulent yellow - green.
In women, gonorrhea incubation period flowIt lasts 1-3 weeks and is usually asymptomatic. A large percentage of asymptomatic gonorrhea in women leads to the detection of rare diseases in the early stages of the disease, and as a consequence - high frequency of complications such as inflammatory diseases of the pelvic organs (40%).
In patients with gonorrhea often develop complications,which lead to serious consequences. There are the following complications of gonorrhea in men: balanoposthitis; phimosis, paraphimosis; lymphangitis; serangitis; kollikulit; urethral stricture; orchitis; prostatitis; vesicles.
Epididymitis (inflammation of the epididymis)observed quite often and occurs due to the penetration of gonococci into the appendage from the prostate urethra through the vas deferens. The disease begins suddenly with the appearance of pain in the epididymis and in the inguinal region.
Patients are observed rise in body temperatureup to 39-40 ° C, chills, headache, weakness. On palpation the appendage is increased, dense and painful. The skin of the scrotum is tense, hyperemic. Gonococcal lesions of appendages lead to scarring in the ducts of the epididymis. As a result, they come and infertility Azoospermia.
In recent approaches to treatment of gonorrheahave undergone major changes. This is mainly due to the development of resistance of gonococci to antibiotics penicillin, which in the past formed the basis of the treatment of gonorrhea.
In the treatment of gonorrhea have major importanceAntibiotics, which have bactericidal and bacteriostatic effect on gonococcus. In acute gonorrhea for fresh produce therapeutic effect rather etiotrop treatment.
Patients with complicated, torpid and chronicforms of gonorrhea show complex etiological and pathogenetic therapy. Before starting treatment for gonorrhea, it is necessary to be screened for other sexually transmitted infections (STIs), syphilis, chlamydia, HIV, hepatitis B, C.
gonorrhea treatment should be carried out strictly under thesupervision of a physician. During the treatment of gonorrhea patients should abstain from sexual relations, diet (limit spicy, fatty, smoked food, drinking yoghurts with bifidokulturami). Evidence of successful treatment of gonorrhea is the disappearance of clinical symptoms and the lack of isolation of gonococci on a study of laboratory methods.
Self-medication patient with gonorrhea can lead to serious complications.