Gonorrhea refers to classical sexually transmitted diseases and the urogenital tract with damage to the cylindrical epithelium. The causative agent is Gonokokk (Neisseria Gonorrhoeae). This microorganism will soon die in the external environment, but is very resistant when it turns out inside the body.
The modern name of the disease introduced Galen, erroneously attempting the selection from the urethra of men as a seeding (Greek, Hone seed - + - Rhoia-expiration). People who do not speak medical terminology are called tripper gonor, thus, this disease has a second definition. The disease is affixed predominantly mucous membranes of urinary organs. It is also possible to defeat the conjunctiva, mucous membranes of the pharynx, the rectum.
Unfortunately, with gonorly, symptoms may not be sharp, it flows in most cases ether, so it is often complicated. If you do not pose how to treat gonorrhea at home, it can cause inflammatory processes in the small pelvis organs leading to infertility in women and men.
The disease is common mainly among people of 20-30 years, but may occur at any age. The main symptoms of the disease are purulent discharge from the urethra, frequent urge and cutting during urination.
How Gonorrhea is transmitted
NEISSERIA GONORRHOAE gonococcal infection occurs as a result of sexual contact with an infected person without a condom. By the way, the transfer of the pathogen can occur not only in the case of a vaginal intercourse, but also oral and anal.
Women get sick in almost all cases of contacts with sick gonorrhea, and men are not always, which is associated with the narrowness of the bore of the urethra. The first signs of the disease are manifested in 2-5 days after infection.
Gonokokki amazed predominantly departments of the urogenital system, lined with cylindrical epithelium - mucous membrane cervical canal, uterine pipes, urethra, parauretral and large vestibular glands. People do not have congenital immunity before the causative agent of gonorrhea, and also can not buy it even after transferring the aless.
There is also a likelihood of fetal infection during pregnancy. In this case, the infection of a woman can occur both before conception and during the baby tool. To prevent heavy consequences, you need to cure gonorrhea on time. For this use special drugs that destroy the causative agent of the disease. We will tell about them just below.
The first signs of gonorrhea
As for the gonorrhea, it is possible to notice the first signs 2-5 days after sexual contact, it is so much the incubation period.
- Signs in men - itching, irritation in the head of a member head, which becomes more painful in the process of urination;
- Signs in women - either the complete absence of complaints or frequent urination, tingling, burning in the field of genital organs.
When infecting a newborn in the process of childbirth, the mucous membranes of the eyes and genital organs in girls are amazed.
Symptoms of gonorona
Gonorrhea may be acute and undercover - from the moment of infection before the manifestation of symptoms passed up to 2 months, and chronic - more than 2 months later. As you already know, the incubation period of gonorrhea rarely exceeds 7 days. At the expiration of this period, the first signs of the disease are listed above.
Then the gonorrhea itself is manifested, the symptoms of which are very characteristic - these are frequent urge on urination and purulent thick yellowish-brown discharge from the urethra. Selection have an unpleasant smell and after a while they become more dense.
General symptoms in women:
- Purulent and serous-purulent discharge from the vagina;
- Frequent and painful urination, burning, itching;
- Redness, swelling and ulceration of mucous membranes;
- Intermenstrual bleeding;
Unfortunately, the female symptoms are not such obvious, like men, in 50-70% of women, patients with gonorrhea, there are no unpleasant sensations, so they often diagnose illness in chronic form.
In men, Tripper begins with a burning and a member of the penis, especially during urination. When pressed on the head, a small amount of pus is highlighted. If the problem is not treated, the process goes to the entire urethra, prostate, seed bubbles, testicles.
Major symptoms in men:
- Itching, burning, swelling of urethra;
- Abundant purulent, serous-purulent discharge;
- Student painful, sometimes difficult urination.
It should be borne in mind that now there is a noticeable number of low-impact and asymptomatic cases of the disease. In addition, the symptoms are not always typical, as a combined infection is often found (with trichomonas, chlamydias), it all makes it difficult to diagnose and timely treatment of gonorrhea.
Diagnostics
The diagnosis of gonorrhea is based on the data of bacteriological and bacterioscopic research and identification of the pathogen. There is a use of such modern methodslike DNA diagnostics, ELISA method and reef.
In mandatory, representatives of both sexes are investigated from the genital organs. Materials taken from each affected organ and urogenital tract are preparing strokes on two glasses. How much to treat the gonorrhea will depend on timely diagnostics, so do not hesitate if the first symptoms occur in the very symptoms.
Treatment of gonorona
It is not necessary to carry out self-treatment of gonorrhea, it is fraught with the transition of the disease into the chronic stage, and the development of irreversible lesions of the body.
Given that in 30% of cases, the disease is combined with chlamydial infection, the treatment of gonorrhea should include:
- The drug, active in relation to Gonokokkov - Zefisim, Ciprofloxacin, Oplexacing.
- The drug, active in relation to chlamydia - azithromycin, doxycycline.
- With a fresh stage, the antibiotics is sufficiently single.
In addition, a complex of procedures is appointed, which contribute to the recovery of the patient. This includes local treatment, tools for strengthening immunity, microflora restoration by and methods of physiotherapy.
It is necessary to refrain from drinking alcohol, spicy and acute food. Sexual contacts exclude. Intensive exercise, cycling and swimming in the pool is prohibited - compliance with all these measures will help cure gonorrhea faster. Mandatory treatment of all sexual partners. It is strongly recommended to undergo control after the treatment of the tripper, even if you feel well.
Gonorrhea tablets are prescribed at the initial stage of the development of the disease and in the absence of its complications in the form, etc.
The consequences of gonorona
Among the consequences, during the launched form of the disease, men can be called spermatogenesis, inflammation of the penis and the inner leaflet of the extremely flesh, as well as the lesion of the egg and its appendage orchitis, epididiment or, which can lead to infertility.
In women, inflammation moves from the vagina to the uterine cavity and the uterine pipes, the inflammatory process in which threatens the formation of obstruction provoking infertility.
To avoid complications, it is necessary to take care of timely prevention - this is a refusal of random sex contacts and using a condom in those situations when you are not sure about the health state of your partner. In compliance with these uncomplicated rules to think, how and how much to treat gonorrhea does not have to.
Gonorrhea (in commoner - tripper, trepac) - sexually transmitted infection (STIs) caused by bacteria called neisseria gonorrhoeae, neisseria gonococcus, which can grow and easily multiply in the mucous membranes of the body. The word "Gonorrhea" is translated as an expiration of pus. Gonoron bacteria can grow in warm, wet places of the reproductive tract, including the cervix, the uterine and phallopy tubes in women and in the urethra in women and men. Bacteria can also grow in mouth, throat and anus.
Gonoron can be treated with antibiotics, but today it is more difficult to do it, because Gonorrhea becomes resistant to some common antibiotics.
How can I get infected with gonorads? How to find out if I have a gonorrhea?
Not all people, sick gonorads, symptoms appear, so it is sometimes difficult to understand when we need to begin treatment. But if signs of gonorrheans appear, then usually 2-10 days after infection, but may appear in 30 days.
Symptoms of gonorrhea in women
- Greenish and yellow or whitish discharge from the vagina.
- Pain at the bottom of the abdomen (abdominal) or in the pelvic region.
- Luggage when urination.
- Conjunctivitis (red, merchant eyes).
- Bleeding between menstruation.
- Blood stains after sexual intercourse.
- Highway vulva (vulvit).
- Swollen glands in the throat (due to oral soil).
Some women have symptoms so easy that they remain unnoticed.
Many women are confused by the release of gonorrhea with a thrush (yeast infection) and are engaged in self-medication with drugs purchased without a recipe. Since the discharge from the vagina can be a sign of a number of different diseases, it is better to always seek advice to the doctor for proper diagnosis and treatment.
Symptoms of gonorrhea in men
- Greenish yellow or whitish separation from the penis.
- Luggage when urination.
- Burning in the throat (due to oral soil).
- Painful and / or swollen testicles.
- Swollen glands in the throat (due to oral soil).
In men, symptoms usually appear in 5-7 days after infection.
How to discover gonorrhea?
Your doctor will use a tampon for taking a sample of a liquid from the urethra in men or from the cervix in women, as well as for throat or anus to find out if there is an infection in the throat or anus. There are other tests that test the urine sample for the presence of bacteria. You may have to wait a few days that your analysis results returned from the laboratory.
Gonorrhea and, other common sexually transmitted infection are often encountered together, so you can take testing and treatment for both.
Is it possible to cure gonorrhea? How to treat gonorrhea?
Yes. Gonoron can be treated and cured. However, Gonorrhea is becoming more and more resistant to antibiotics and very quickly develops resistance to new drugs, so you need to apply all new and new antibiotics. If oral antibiotics were used in the past, then injections are made.
To cure infection, your doctor usually recommends oral (through the mouth) and injection (injections) antibiotic. At the same time, you need to treat your sexual partner to prevent re-infection and further dissemination of the disease.
It is important to clearly stick to the prescribed course of the course of antibiotics, even if you feel better. In addition, never take someone else's medicine for the treatment of your illness. By doing so, you can make an infection more complicated for treatment, because This can contribute to the development of the drug sustainability of your infection. As well as:
- Tell everyone who you recently engaged in Satias that you are infected. This is important because gonorrhoids have no symptoms. They may especially be invisible in women and therefore it will not take tests and be treated because she thinks that if they feel well, there are no diseases.
- Do not work while your doctor does not say that you are healthy.
- Always use elastic bands in Socytia.
What will happen if not to treat gonorrhea?
Not treated gonorrhea can cause serious and constant problems of both women and men.
Among womenif not treated, infection can cause inflammation of pelvic organswhich can damage the phallopi tubes (tubes connecting the ovaries with the uterus) or even lead to infertility, and the residual, not cured gonorrhea increases the risk of occurrence ectopic pregnancy (When the fertilized egg is developing outside the uterus), this is a very dangerous state.
In men Gonorrhea can cause epidididochitis, the painful state of the testicles that can lead to infertility if they are not treated. Without immediate treatment, gonorrhea can also affect the prostate and can lead to the formation of scars inside the urethra, making it difficult to urinate.
Gonorrhea can spread to blood and joints. This condition can be life-threatening. In addition, people with gonorads can easier to infect HIV, the virus that causes. People with HIV infection and gonorrhea more often than people are only with one HIV infection, give HIV to another person.
How does gonorrhea affect pregnancy and childbirth?
Gonorrhea in a pregnant woman can cause premature genera or spontaneous abortion. An infected mother can infect a child when the kid passes through the generic canal during childbirth. This can cause blindness, create conditions for attaching an additional infection or life-threatening infection of blood (sepsis) in a child. Timely treatment of gonorrhea in a pregnant woman will significantly reduce the risk of these complications. Pregnant women should consult a doctor to obtain the appropriate drugs.
What needs to be done not to infect gonorads?
- Use gums correctly every time you are engaged in SOTIMI.
- Limit the number of partners and do not change them.
- Practice abstinence or search only with one healthy partner.
- If you consider yourself infected, avoid contacts and consult medical care.
Any signs of the disease in the genital organs: the selection of pus or burning during urination, pain, rash - a signal, that it is necessary to stop engage in SOTIMIA and immediately seek medical care.
Gonorrhea, which is often called a tryrper in the people, is a pathology of sexual origin. Its development provoke gonducts, moving from the media through sexual contact. When developing gonorrhea in men and women, pathological processes initially affect the mucous layers of the genitourinary system. The inflammatory response, spreading through the body, often affects all departments and organs relating to the urinary tract. The disease can adversely affect the organs of vision, the mucous layer of the pharynx or the rectum. Gonococci die quickly quickly, hitting the external environment under the influence high temperatures and direct sunlight. Eliminate them can be processed by antiseptic. And at the same time, the disease is so inclous that when signs of gonorrhoids, it is necessary to immediately appeal to the attending physician.
Under what circumstances are infected
Most often - in 99% of cases - the symptoms of the tripper appear after unprotected sexual contact with the carrier, while the infection can be transmitted at different methods of combination:
- Vaginal, both ordinary and incomplete.
- Anal.
- Oral.
In the case of sexual contact with an infected partner in women, the disease is detected in 50-80%, but men in similar circumstances affects 30-40%. The thing is that women and men have their own anatomical features, the same applies to the organs of the urinary tract. So, the urethra from representatives of strong sex is distinguished by a narrow canal, so that the gonococci is often washed away with urinis in the process of urination. At the same time, the risk of infection for men increases if the partner had a menstruation during the sexual act of a partner, and the copulation was long, and the completion was very violent. There are other reasons if you have a tripper:
- With an indispensable household infection, the infection is transmitted through personal hygiene items - washcloths or towels, bed linen. As a rule, such a situation may occur in girls.
- In some cases, there is a contact infection of the child when it appears when an infected mother transmits a baby infection through the generic paths. At the same time, the infants of both sexes may affect the conjunctiva or genitals in girls. The blindness at least in 50% is caused by trypper.
An important question in this case is how the gonorrhea is manifested. The duration of the incubation (hidden) period in the infection of gonorads lasts on average from 1 to 14 days, the situation is less common when the manifestation of the first symptoms of the Tripper begins a month later.
Why signs of pathology are inconsistent
Once at the mucous layer of urethra, the gonococci begin to multiply in the cells of the channel, after which they are moved into the space between them. As a result, an inflammatory response occurs. Depending on how many days the gonorrhea is manifested, doctors define a fresh tripper, which takes less than two months from the moment of infection, and the chronic form of pathology. In the second case, from the beginning of infection takes more than two months. However, such a separation is sufficiently conditionally, since each victim has individual characteristics. Given them, it is impossible to exclude that infection will be widely spread over a short time period. In particular, it is difficult to predict the result in the presence of prostatitis or inflammation of the appendages in anamnesis. Accordingly, it is necessary to focus on how tryryper is manifested and contact a specialist in the case when the first symptoms of gonoron are developing.
In turn, there are several stages of fresh gonorrhea:
- shape;
- malosymptomatic or torpid.
In some cases, a gonoconimension can be diagnosed, in which the subjective manifestations of the gonorrhea is not observed, although when checking the pathology pathogen is detected by the analyzes. To date, classical symptoms of gonorrhea are not in all cases, considering often mixed infection with chlamydia or trichomonas. Such a "Neighborhood" is capable of changingly change the signs, lengthen the incubation period, significantly complicate the diagnosis and therapy of pathology. Another feature of gonorrhea - the symptoms of gonorrhea may not be either they are minor.
The first signs of the Tripper begin to manifest a few days or a week later, less often in three weeks or a month. The increase in the incubation period is often observed against the background of taking antimicrobial preparations, and in an incorrectly calculated dose, or as a result of reduced immunity. When converting the disease, its long duration accompanied by sharp periods is observed in the chronic flow. Spikes are formed in the sections of a small pelvis, men have a decrease in sexual attraction, women are disturbed reproductive functionAnd there are failures in the menstrual cycle.
Gonorrhea (Tripper) - Venericual disease, affecting the mucous membrane of urinary organs, less often the mucous meal, the rectum, conjunction. Another 3.5 thousand years ago was described in Papyrus Ebres, then in the second century of our era Galen first gave the name "Gonorrhea", which is translated as "semi-in-meaning". In his work, he pointed out the difference between this state from the erection of seed during the erection. Detection of the pathogen - the merit of Albert Naisser. He allocated it from the pus of urethra and conjunctions. In honor of him was and called the causative agent of gonorrhea - Gonokokk Neisser.
Video about symptoms and treating gonorrhea
Tells the doctor Venereologist Sergey Lenkin
Cauditator Gonorona
Gonokkok Neisser is a causative agent of gonorrhea.
Gonokokk has the form of beans folded with concave sides inside. He is unstable in the external environment, but very stable inside the body. This is due to a protective capsule that protects the gonococcus from immunoglobulins (substances that protect our organism from microbes).
Another feature of the causative agent of gonorrhea is the production of beta - lactomase, which reduces the actions of the antibiotics taken. These most beta - lactam strains are most often responsible for the chronic course of the disease and numerous complications.
How Gonorrhea is transmitted
Gonorrhea is transmitted by sexually, can be transmitted and during childbirth from the mother to the fetus. Infection occurs, in addition to sex contacts, as well as oral and anal connections. When the genitals only come into contact, without the introduction of a penis in the vagina, gonoraly infection is also possible.
Women "pick up" gonorrhea from men almost 100% of sexual intercourse with sick.
Gonococci can be listed in the genitals of girls also with polluted hands, towel, sponge, linen.
Symptoms of gonorona
Incubation peride of gonorrhea (from the moment of infection until the first symptoms appear) lasts from 2 to 7 days. Sometimes it can be delayed up to 2 - 3 weeks, this is facilitated by the reception of antibiotics in the wrong dose for a gonococcal, a decrease in immunity, which in our period of time is not uncommon. Fake on the mucous membrane of the urethra, the gonococci multiplied on its cells. Then penetrate into the intercellular space, causing it a strong inflammatory response.
The course of the disease is divided into acute and chronic. It is believed to be an acute form of gonorrhea lasts 2 months, and then chronic. But this is a conditional division. Every person has its own body features, their own immune system, etc. So it is possible that the infection "penetrates too far" much earlier, especially if there were or there is prostatitis (inflammation of the prostate gland in men), inflammation of the appendages in women.
Therefore, at the first symptoms of gonorads immediately contact the dermatovenerologist.
Symptoms of gonorrhea in men and women in effect Anatomo - physiological features somewhat different.
Symptoms of gonorrhea in men
In men, Tripper begins with burning and itching, especially during urination. When pressed on the head, the pus drops. Head of the penis and extreme flesh are inflamed.
In the penetration of infection in the back of the urethra, rapid urinals appear. By the end of this act, a drop of blood can join. In the process, the inguinal lymph nodes with their inflammation and magnification are quite often involved.
If gonoron is not treated, the process extends to the entire urethra, prostate, seed bubbles, testicles. It appears painful, frequent, difficult urination. The temperature may increase, the chills occur, pain during defecation.
Symptoms of gonorrhea in women
In women in the initial stage of gonorrhea, as a rule, urethra, vagina, endocervix (cervical canal) are involved. With inflammation of the urethra will be itching, painful and rapid urination, and with inflammation of the vagina and endocervix - purulent discharge, pain, including under the sexual act. If the ingestion of ingestion occurred on the exterior of the genitals, their inflammation (vulvit) often appears with the symptoms.
Unfortunately, the female symptoms are not such obvious, like a strong floor, 50-70% of women, patients with gonorrhea, there are no unpleasant sensations, and often they diagnose gonorrhea in chronic form. That is why it is necessary to listen to your body, and even with the slightest changes to contact the doctor. Later, the appeal to medical care with asymptomatic gonorads leads to the fact that the disease passes from the cervix on the mucous membrane, the uterine pipes, ovaries. There is a risk of ectopic pregnancy, infertility, complications for childbirth.
Separately allocate ascending gonorrhea, when the infection immediately penetrates into the bladder, the prostate gland, the appendages in the acute flow.
Gradually, the symptoms subscribe, a period of imaginary well-being and gonorrhea appears in a chronic form, which is characterized by a mass of complications that I will say later.
Gonorrhea during pregnancy
You can be infected with tryryper both during and before pregnancy. Unfortunately, the disease can be asymptomatic (without pain at the bottom of the abdomen, discharge), but can lead to premature birth, miscarriages and intrauterine infection, especially in girls. It is rapidly dangerous infection of the mucosa of the mucous eye (Blenoria of children), leading to blindness. That is why after childbirth at once all the kids, 30% sodium sulfacyl is buried. A few days after birth, the child blush their eyes, yellow or green allocations begin. You need to immediately consult a doctor and begin treatment to prevent the damage to the cornea and all the fabrics of the eye leading to blindness.
Extragolyteal forms of gonorrhia
Currently there are extraganital forms of gonorrhea. Most often it is associated with non-traditional sexual contacts.
1) Gonorrhea rectum. The back of the intestine is infected with the anal connections and the deposit of the pus into it. As a rule, it is hidden or itching in the rear pass and the painful act of defecation.
2) Gonococcal pharyngitis, tonsillitis (inflammation of the mucous phantage, almonds) is a marker of oral ties. It usually does not cause anxiety or may be small soreness when swallowing. This state is dangerous, since a person remains contasing yet appropriate treatment. Guests are in the people erroneous opinion about safety oral affection. Here you are my answer to this ...
3) (adult Blenharya) - may be the result of the distribution of infection or driving the pathogen through dirty hands. At the same time there will be purulent separated from the eyes, tearing. As the process is determined, all this ends with partial or complete blindness.
Analyzes for gonoron
Differential diagnosis of gonorrhea is carried out with other urogenital infections, which can also be combined with gonorrhea. And for this you need to appear on the reception to the doctor with the morning urine delay (best), otherwise, with a 3-hour delay. Mazzo in men is taken from the urethra, in women from the vagina, endocervix, urethra. If there were extragnenital sexual bonds - scraping from pharynx, rectum. The material looks under a microscope or sowed to nutritional media. It is also necessary to be examined on other STDs (syphilis, AIDS, hepatitis B, C, trichomoniasis, chlamydia, mycoplasma, ureaplasma). Frequently common combination of trichomonade and gonococcal.
Treatment of gonorona
The most first antibiotic for the treatment of gonorrhea was Penicillin and a group of peniciline antibiotic groups, but in this time period, the gonducts had stability to him, and they do not act on hidden infections (mycoplasm, ureaplasma), which can be "obtained with the Tripper".
Currently, fluoroquinolones (abaltal), tetracycline series (UNIDS), macrolides (summale, josamamicine) are widely used. In chronic and complicated gonorility, it is obligatory to appoint immunomodulators (goganovakcin, pyrogenal), absorbent treatment (lidase), biostimulants (scarlet), local treatment (instillations in the urethra of Mozymistine solution, also a guin), physiotherapy on prostate, appendages, ovaries (UHF, ultrasound).
During the treatment of gonorrhea, alcohol and sexual connection is strictly prohibited.
Sexual connections only after complete control. Be sure to show the daily toilet of genital organs with warm water with soap and underwear change. When using tetracycline antibiotics, avoid staying in the sun, as they increase skin sensitivity to ultraviolet and you can simply burn.
Be sure to undergo control after the treatment of gonorrhea, even if you feel good. Control in men and women is carried out 7-10 days after the end of the course of antibiotics. Mashers for microscopy and sowing after provocation (goganovaccine or pyrohenal injection). Further, in men, the same algorithm in 2-3 weeks, in women for 2 - 3 menstrual cycles.
Effective treatment of the tripper appeared only in the era of antibiotics and therefore applying folk remedies - direct path to complications.
Complications of gonorona
Complications are very diverse. The most frequent complications are gonorrheal prostatitis, orchitis and adnexitis, the support (inflammation of the prostate gland, eggs in men and appendages and ovaries in women). The consequence of what is infertility, since scar tissue is formed in these organs. As a result, the quality of the seed fluid suffers and the difficulty of penetrating spermatozoa to the egg and the meycecket itself.
Stricking Urethra is a narrowing of the urethra in effect of the formation of the same scar tissue, leading to impaired urination and ejaculation.
Honory phimosis and paraphomy (partial or complete difficulty open or close the head of the penis). The reason is the infection of the outer and internal leaflet of the extreme flesh in men. It is especially dangerous paraphomosis, since the head is compressed, a violation of its blood circulation, followed by its necrosis (fabric death).
In advanced cases, generatization of infection is possible: Gonococcal peritonitis (inflammation of peritoneum) , Arthritis (joint inflammation), sepsis (blood infection). Summarizing it, I will say:
"Gonorrhea may be a fatal disease."
Prevention of gonorrhea
As I already wrote in past articles about the STD, that the most reliable prevention is a monogamous relationship. Condoms save from gonorrhea, but do not give 100% warranty, although if they are still in your life, they cannot be neglected in any case. It is also necessary to show the toilet of the outer genital organs with warm water with soap + washing the urethra with chlorhexidine solution, Mirismine. In women, the use of candles "Hexicon", Pharmatex. If there are several sexual partners, it is necessary to undergo a survey from a urologist / gynecologist, even if there are no symptoms of the disease.
It should be added that gonorrhea is the most common venereal disease in Russia, it is much more common than syphilis. She, as, however, and syphilis, you can hurt several times. Many, without suspecting that they are sick, continue to live sex life, infecting their partners, are not treated, and the disease progresses, leading to difficult complications.
Consultation Media doctor:
Question: Is it possible to diagnose gonorrhea handing blood from Vienna?
Answer: Such work was carried out, but on this moment not. Only a common smear and sowing.
Question: Is it possible to infect gonorrhea in the pool?
Answer: No. Gonococci confused in the external environment.
Question: Does that random oral ties should be in a condom?
Answer: Yes. Required + follow-up prophylaxis, what I wrote above.
Doctor dermatologist, venereologist Mansurov A.S.
