DISEASES TRANSMITTED DISEASES AND OTHER

Chlamydia. The disease causes chlamydia, parasites on the mucous membranes of various organs. This is not a benign infection suffer 2-3 times more often than gonorrhea. Men can cause inflammation of the urethra, prostate, epididymis, and rectum in homosexual acts and even destruction of the joints. In women, causes inflammation of the urethra, fallopian tubes and cervix, changes in the structure of its mucous membrane, can cause ectopic pregnancy. In children, because of the disease occur destruction of mucous membranes of the eyes, lungs, ear, it can lead to the death of newborns. Chlamydia is the cause of venereal lymphogranuloma adults, caught the infection is usually in tropical countries.
Symptoms and flow. The first symptoms usually appear 1-2 weeks after contact with patients. Men usually complain of mucopurulent, translucent or watery discharge from the urethra, itching or pain when urinating. Sponges urethra are slightly reddened, swollen, often sticky. In some cases, symptoms are absent, although a person is infected through sexual contact and can infect their partner. Over time, itching in the urethra is reduced or completely, separation becomes insignificant and is usually observed only in the morning before the "first" of urine. However, this does not mean that the disease has passed, it shifted from acute to chronic infection with the spread along the urethra.
Quite often there are lesions of the prostate. Appear discomfort in the perineum, rectum, pulling back pain. Urethral minor, rheuma, usually in the mornings. Another common complication of chlamydia in men is an inflammation of the epididymis. It often begins suddenly. Temperature rises, becomes edematous scrotum, her skin hot, red and tense, parorchis increases. Sometimes the pain spread to the inguinal canal. Patients may disrupt the formation of sperm, develop infertility. A major complication is Reiter's syndrome. In this disease, in addition to the urethra, affects the conjunctiva and joints (usually knee and ankle). Sometimes the illness lasts a few months.
In women, chlamydia usually parasitic on the mucous membrane of the urethra and cervix. Appear allocation, itching, burning, frequent urge to urinate, mucous-purulent discharge, pain, heaviness in the pelvis. Often infection progresses to the mucous membrane of the uterus, fallopian tubes and ovaries. Accompanied by pain in the abdomen, general malaise, fever, irregular menstruation, increased uterus, slizistognoynymi secretions. Sometimes the temperature rises to 40 deg C. However, more than half of the patients no signs of illness, and therefore they do not seek medical help. Meanwhile, the consequences of this inflammatory process are quite serious - from infertility and ectopic pregnancy to preterm birth and death in childbirth of mothers and children. Nulliparous women with chlamydia do not have to use intrauterine contraceptive devices (coils), as well as their use contributes to complicating inflammation appendages. It is better to avoid the introduction of the spiral has endured an inflammation of the fallopian tubes. The cause of exacerbations of chlamydia in women can be sexual partners who did not know they have it, without end "flashes" of the infection.
Cytomegalovirus infection. Sexually transmitted. Pathogen - CMV is found in saliva, urine, blood, breast milk, secretions from the vagina and cervix, as well as in extremely large quantities in semen. Most often found in the genital tract of women with promiscuity.
Cytomegalovirus infection in adults is common and usually asymptomatic, with a slight degree of destruction of the lungs and liver, usually without jaundice, recalling a very mild form of hepatitis. The infected can shed the virus from saliva (up to 4 weeks) and urine (up to 2 years). Children infected in utero from the mother. One of thousands of newborns with serious complications that can lead either to the death of the fetus in the womb, or cause congenital deformities. Scabies infectious disease that is transmitted through close contact with the patient, in most cases, through sex or when sharing a bed. The connection between the rising incidence of scabies and sexually transmitted diseases in sexually active age group of 16-29 years. The sexual partner is often the source of infection, but the sexually transmitted disease called scabies is not true, because the agent is a parasite on the skin and sexual intercourse is the only condition of close contact. As is evident from the title, the patient's skin itches, especially in the evening and at night. To the wrists visible mangy moves - wavy whitish or gray, slightly rising line. Often the end of their ends a transparent bubble. In addition to moves on the spot ticks and bites the young males there are small, blister-like nodules, which are covered by scratching bloody crusts. Constant scratching, damaging the skin, promote the ingress of microbes in it and suppuration. Scabies rash, but brushes (especially between the toes), is located on the palms on the chest (near the nipples, especially in women), abdomen, buttocks, penis in men, behind the knees.
Chancroid (soft chancre, chancroid). Isolated cases of the disease, marked in our country, linked to the importation of infection from abroad. The main mode of infection - sex. Causative is streptobatsilla, easily detected by microscopic examination of fluid from the sores. Pus soft chancre at room temperature remains the infectiousness of up to 8 days. The incubation period of chancroid in men often is 2.3 days, in rare cases up to 2-3 weeks. In women, this period is longer: up to 2-3 weeks. Characterized by the appearance of peculiar festering sores with soft ground, prone to inoculation of the genital organs. 3-4 weeks after the formation of ulcers of the bottom of them begins to be purged of pus, granulation and appear in 1-2 months, the process ends scarring. Immunity after chancroid is left. The disease may be complicated by lesions of the lymphatic system, as well as the development of phimosis and paraphimosis. Chancroid should be differentiated from chancre, herpes simplex virus and other diseases.
PRINCIPLES transmitted disease treatment
Treatment of diseases that are transmitted sexually, is held after the diagnosis and confirmed by laboratory studies. Arsenal of drugs rather extensive, but at present are the major antimicrobials: antibiotics and sulfonamides. For the treatment of syphilis most commonly used drugs penicillin group, which injected intramuscularly or endolymphatic. Individual, daily dose and the course chosen by a doctor individually depending on the stage of disease, age, patient's weight, concomitant diseases.
Duration of treatment for several days to 1-2 months. In order to guarantee complete recovery after treatment for patients being long-term (up to 5 years) clinical, laboratory, dispensary observation. Final conclusion about the cure of syphilis is done by specialists only after this period: patients are not prohibited then start a family and having children. For each of the specific medicine has its own indications and contraindications. The most serious complications of treatment with antibiotics is anaphylactic shock. Of the other complications must be borne in mind - toksidermii, dizziness, fainting, thrombophlebitis, toxic-allergic condition. In such cases, prescribe antihistamines. In the case of intolerance to penicillin, erythromycin, or use drugs tetracycline number (tetracycline, olitetrin, doxycycline). Side effects of erythromycin are rare (nausea, vomiting, diarrhea, and prolonged use - jaundice). Tetracycline should not be administered to pregnant women, while treating them in the summer should avoid prolonged sunlight exposure because of the possible manifestations of photosensitizing action.
Preparations of bismuth used in the later stages of syphilis, they are administered concurrently with antibiotics. Side effects are rare, they are usually limited to the emergence of so-called bismuth fringe - a narrow strip of gray on the edge of the dental gums, as well as bismuth cells in the urine - an incarnate of the renal epithelium.
Iodine is not acting on the pale treponem is only a subsidiary tool in promoting resorption of infiltrates and designated intervals between treatments, as well as nocturnal pain in the joints, bones. 3-5% solution of potassium iodide are inside and 1 tablespoon three times daily after meals, it is better with milk, soda or mineral water. In some cases, iodine preparations cause side effects - destruction of mucous membranes and skin (conjunctivitis, rhinitis, swelling of the tongue, larynx, bronchitis), gastrointestinal disorders, as well as toksidermii, often in the form of acne.
Although protivosifiliticheskaya drug therapy has a high effect, it is useful to combine with stimulants. This primarily refers to the late forms of the disease, to patients who have comorbidities, including alcoholism. The methods of non-specific therapies include: pyrotherapy, ultraviolet irradiation, injection of biogenic stimulators (extracts of aloe, placenta, vitreous body, Splenin), immunomodulators (levamisole, diufitsin, Methyluracilum, piroksan, etc.), vitamins, especially C and Group B.
External therapy in most cases not appropriate to use, it resorted to only in individual cases. Local treatment is reduced mainly to hygienic maintenance of affected places. If the patient's large ulcer, multiple chancre with significant infiltrates appoint warm baths, lotions and solutions of benzylpenicillin in demikside, application of ointments "Atsemin, yellow mercury, geparinovoy. To speed up the reversal weeping papules on the genital parts and around the anus recommend powders of calomel mixed with talcum powder, or ointment with antibiotics. In the presence of rash in the mouth (papular and ulcerative tonsillitis) - rinse rivanola, 2% boric acid or grimitsidina (1 ml per glass of water). Treatment of pregnant women and children, as well as the recipients (people who have blood transfused patients with syphilis), and preventive treatment (to prevent contamination of persons who were in close household or sexual contact with syphilis) have their own characteristics and are conducted in accordance with them.
Treatment of patients with gonorrhea and other diseases with a primary lesion of the urinary tract (chlamydia, trichomoniasis, ureoplazmoz) is venerolagami physicians and gynecologists. Methods depend on the cause of the inflammatory process, its stages, localization, type of infection and tolerability of drugs. Use a variety of antibiotics (penicillin, tetracycline, erythromycin, tsefalospariny, etc.), sulfonamides (sulfadimizin, sulfaksin, Biseptol etc.) imidazole preparations (trihopol, fazizhin, tinidazole), antifungal agents. After graduating from medical treatment must be monitored up to several months with periodic laboratory testing. The final recovery is installed after the provocation - and substance, exacerbate the process. Duration of treatment: if the process is acute - a few days, chronic - a week.
Prevention. The surest cure for venereal diseases and especially AIDS - fidelity. It truly can be considered safe only with one partner - monogamy, which is perceived as loyalty to one companion for life. However, in reality it is a rare exception. And the main threat to health have a connection with unfamiliar partners. If you notice that soiled underwear is unclear what or you have any discharge from sexual organs (sometimes with itching, pain or burning), frequent and painful urination, pain during sexual intercourse, consult your doctor. This must be done and as soon as the PA body, head, mucous membrane of spots, lumps, sores, blisters, etc., hair loss, change in skin color. All these signs of diseases, sexually transmitted diseases. Over time, they may subside without treatment. However, the apparent improvement does not mean that the disease has passed, the appropriate same time for effective treatment is missed. To avoid this, you must follow these rules: If you are concerned that the infection occurred, or after sexual intercourse with an unknown partner, even if there are no signs of infection should immediately seek venereology. Typically, the study helps to detect syphilis, venereal warts, genital herpes, gonorrhea of the rectum and pharynx, but the infection, symptoms, diagnosis is difficult. This may require repeated tests, sometimes in the hospital. All this, of course, unpleasant, but it seems a trifle next to the really unpleasant consequences when the lost time.
So, if there are any suspicions should be, first, to see a doctor (rather than trying to cure yourself or with friends), and secondly, to see a doctor without delay (do not wait until everything goes by itself) in Third, access to opportunities to see a specialist (not to lose a lot of time on the diagnosis), and fourthly, to ascertain the nature of his illness did not take antibiotics (because it is difficult to diagnose and contributes to the development of resistance by weakening the possibility of cure).
And if any symptoms yet, but there was a random sexual intercourse and were not taken to prevent an individual? Do I have examined, in what timeframe, and where better to do it? Must - either in the district kozhnovenerologicheskom clinic, or in paragraphs anonymous service. A single analysis is not enough, because the latent period of disease, sexually transmitted infections can range from 2-3 days to several months. The first survey can be done in the absence of any evidence of disease after 10-14 days. At this time, can be identified gonococci and Trichomonas in smears, as well as information about the infection of syphilis. The study should be repeated after 2 months after the suspected exposure, when it becomes a positive Wassermann reaction in syphilis. If there is reason to be afraid of contracting AIDS, the study of blood expedient to carry out no earlier than after 3-6 months after possible infection. Other diseases, sexually transmitted infections (herpes, genital warts, molluscum contagious, and so on.) Detected only in the presence of symptoms. "People do not need to become monks. They need only do stupid things, "- wrote a Swedish specialist. For example, do not engage in a fleeting sexual encounter with a stranger, leaving the house, or not to sleep with someone who is ready for this after the first drink. These people, whether male or female, tend to do so is not the first time. The most reliable means of protection from all diseases, sexually transmitted infections - a condom. It reduces the risk of infection in dozens of times, but, unfortunately, does not give an absolute guarantee for promiscuous. For example, when a kiss could be damaged mucous membrane of the mouth, and through this damage are being introduced in the saliva of the sick germs of AIDS and other sexually transmitted diseases.
And if it was a one-night stand without a condom? A man should wash his hands, pee, then thoroughly rinse with warm water and soap, penis, scrotum, thigh and perineum, dry out their towel and wipe with cotton wool soaked in a disinfectant solution. In the urethra, enter 6.8 drops gibitana or tsidipola (gibitan and tsidipol come in special bottles with tips), lightly massaged with external orifice of the urethra. After that, should try not to urinate for 2-3 hours. Underwear is recommended to change.
Women should also wash your hands, pee, wash with warm water and soap genitals, thighs and crotch, dry out their napkin or towel and carefully wipe the pad soaked in a solution gibitana. Then, should proceed with vaginal douching solution gibitana, 150-200 ml (glass). Treatment should be made not later than 2 hours after sexual intercourse.