Mycoplasma, ureaplasma - are microorganismsoccupying an intermediate position between the bacteria, fungi and viruses. Independently, they can not exist as parasites on cells of the host organism to give basic of these nutrients. Typically, mycoplasma, ureaplasma attach to epithelial cells of the intestinal, respiratory and urinary tracts.
These diseases are widespread amongpopulation (ureaplasmosis instead ureoplazmoz; ureaplasma, not ureoplazma). They are transmitted during sexual intercourse, and many researchers consider them to sexually transmitted diseases.
According to some authors (II Moors, 1987; V. Delektorskaya et al., 1987), diagnostic difficulty, and the prevalence of inadequate therapy led to the predominance of these infections on the "classic" sexually transmitted diseases.
It is noted that in 83-87% of cases were Ureaplasmaisolated from women who have had contact with male patients of NGU and Mycoplasma urea- nature, but also a carrier ureaplasma, mycoplasma.
For human pathogens are four types:
- Mycoplasma pneumoniae,
- Mycoplasma genitalium,
- Mycoplasma hominis,
- Ureaplasma urealyticum.
The latter three are the causative agentsurogenital mycoplasmosis, urogenital ureaplasmosis, who currently occupy a significant place among sexually transmitted infections (STIs), and Mycoplasma pneumoniae affects the respiratory system (throat, lungs, bronchi). Mycoplasmosis can cause premature birth, early discharge of amniotic fluid, fever during labor and postpartum mothers, the development of pneumonia, meningitis in children, morphological changes in spermatozoa, lead to the development of urethritis, cystitis, adnexitis, salpingo-oophoritis, erosion of the cervix.
Selection of drugs for the treatment ofdiseases determined by the peculiarities of biology of pathogens. Mycoplasma, Ureaplasma resistant to all drugs, the effect of which is associated with the biosynthesis of cell wall proteins, as well as to sulpha drugs, penicillin, streptomycin.
Treatment must be conducted withregular sexual partner, otherwise re-infection (infection) is inevitable. This is a rather complicated process, because mycoplasma, ureaplasma are very resistant to sulfonamides and antibiotics penicillin, and is often found with other sexually transmitted infections (STIs), sexually transmitted diseases (syphilis, gonorrhea, trichomoniasis, chlamydia and others.).
Controlling cure performed by bacteriological examination of smears from the genital tract after treatment by different methods (microbiology, PCR analysis).
Mycoplasmosis, ureaplasmosis is the reasonurethritis, prostatitis, postpartum endometritis, spontaneous abortion, premature birth, vaginitis, cystitis, salpingitis, so be sure to immediately visit venereologist, do not try to heal themselves and do not let things take their course.
Currently available in more than two dozenmycoplasmosis diagnostic methods in various samples of biological material. This culturing on special nutrient media, serological methods for the identification of colonies on solid medium. Maybe detection in clinical material mycoplasma antigens and antibodies.
Since mycoplasma infection currentlyusually occurs with other pathogens and diseases (syphilis, gonorrhea, trichomoniasis, chlamydia fungal diseases gerpesai al.). These diseases and infections is also necessary to diagnose and treat.
For assays of mycoplasma, ureaplasmaused microbiological, laboratory serological methods, as well as PCR. If you suspect that prostatitis is necessary to investigate the secret of the prostate (prostate) and for male infertility - sperm.
Man is the natural host atleast 14 species of mycoplasmas, among which stand out the most frequently M.pneumoniae, M.genitalium, M.hominis, M.fermentans, Ur.urealyticum. Therefore the main role in the prevention of early diagnosis plays sexually transmitted diseases and infections.
Prevention of mycoplasma also includesscreening for urogenital infections marrying, newborn, compliance with hygiene and sterilization regime in medical institutions; chlorination and disinfection of water in swimming pools and health education.
In Venereology necessary to carry out a systematicmedical examinations to detect mycoplasma, ureaplasma in the "high risk" groups (prostitutes, homosexuals). In gynecology great importance aimed pregnant women screening for different stages of pregnancy.
In urology group should allocate increasedRisk (persons in need of kidney transplants, etc.). Early detection and treatment of mycoplasmosis, ureaplasmosis is necessary for the prevention of gynecological and urological rising and infection.