Ureaplasmosis is an inflammatory disease of the urinary organs that occurs in women and men. The causative agent is a microorganism called ureaplasma. It enters the human body most often through sexual contact, but there are other ways of infection. Women suffer from ureaplasmosis more often than men, moreover, in most cases, their disease is asymptomatic.
The disease is determined by laboratory methods, and ureaplasma can be detected in smears under a microscope. However, the presence of a microorganism does not always indicate a disease. Ureaplasma is part of the natural microflora in the vagina, but in very small quantities.
Ureaplasma in women: symptoms and causes of development
The causative agent of ureaplasmosis does not have cell walls and DNA, when it enters the human body, begins to infect epithelial cells of the urinary organs, intestines and respiratory tract. The main ways of infection with ureaplasma are:
- Sexual - sexual contact with the carrier of the infection. The microorganism immediately enters the epithelial cells of the urinary organs, and the disease develops very quickly.
- Transmission of ureaplasma from mother to fetus during fetal development.
- Domestic way - infection when using common hygiene items, linen and towels.
- Transmission from mother to newborn during childbirth.
If the microbe is ingested by a person who has a strong immunity, the disease may not develop. The same happens in the case of hitting small amounts of ureaplasma. Uncontrolled multiplication of pathogens occurs in the presence of the following factors:
- Weakened immunity.
- Chronic diseases.
- Constant stress and prolonged stay in a state of nervous tension.
- Condition after surgery.
- Age from 14 to 30 years.
- Earlier onset of sex life.
- The presence of diseases caused by gonococci, trichomonads, chlamydia http://womeninahomeoffice.com.ru/materinstvo/beremennost-i-rodyi/zhenskoe-zdorove/priznaki-khlamidioza-u-zhenshchin and other sexually transmitted infections.
- Intestinal and vaginal dysbacteriosis.
- Prolonged exposure to radioactive radiation.
- Deterioration or non-compliance with personal hygiene.
- Treatment with hormonal and antibacterial drugs for a long period of time.
The first signs of the disease appear on the 19-23 day after infection. Symptoms are not specific, therefore, in order to make a correct diagnosis, it is necessary to conduct laboratory tests and identify the causative agent. The main clinical manifestations of the disease:
- Rezi, pain and burning during urination.
- Minor vaginal discharge, transparent, mucous, odorless. If the discharge has acquired a yellowish or green color and an unpleasant odor, then this indicates the beginning of the inflammatory process.
- Pain in the lower abdomen of a cutting character. The pain is usually mild, but it causes discomfort and can be prolonged. They indicate that inflammation has affected the uterus along with its appendages.
- Rarely observed fever.
- If the route of infection was an oral-genital disease manifested by sore throat and the appearance of plaque on the tonsils. Symptoms are similar to sore throat.
- Increased urination.
- Discomfort and pain during and after intercourse.
As mentioned above, in women, ureaplasmosis can be completely asymptomatic, it is diagnosed randomly when taking tests at a routine examination by a gynecologist or when visiting a doctor about other problems. It is necessary to treat the disease immediately, you should not try to use folk remedies, they are not effective with this infection. If the treatment is untimely or the wrong disease becomes chronic and it will be much more difficult to get rid of it.
Diagnosis of ureoplasma: the norm in women
After an external examination and anamnesis, the doctor prescribes a number of tests for the patient to make a final diagnosis. The main methods of research on ureaplasma:
- PCR diagnostics can detect fragments of microorganisms in a smear.
- Direct immunofluorescence and enzyme immunoassay.
- Microbiological method - identification of pathogens in a smear under a microscope.
- Serological method.
The normal number of microorganisms per 1 ml of the studied material is not more than 10 in 4 degrees of ureaplasma cells. If, as a result of the analysis, the figure does not exceed the limits of this value, the diagnosis of ureaplasmosis is not made, treatment is not prescribed, and if the norm is exceeded, therapy should be started immediately.
Analyzes to determine the causative agent of the disease is recommended to pass and the patient's permanent sexual partner, even if he has no clinical manifestations. It is also recommended to be treated together.
How to treat ureaplasma in women?
The main agents for the treatment of this pathology are antibacterial drugs from several groups:
- Macrolides: "Klacid", "Erythromycin", "Sumamed", "Rulid".
- Linkosamides: Dalatsin, Clindamycin, Lincomycin.
- Tetracyclides: "Tetracycline" and "Doxycycline".
These medicines have high activity against ureaplasma and allow to get rid of the infection in a short time. When choosing a drug, it should be noted that the pathogen is not sensitive to groups of penicillins and cephalosporins. Antibacterial therapy can be of 2 types: systemic, including oral pills and capsules, and topical using vaginal suppositories. The most effective will be the combination of both approaches, to which most doctors are inclined. The treatment regimen ureaplasmosis:
- The appointment of antiparasitic and antifungal drugs.
- Acceptance of immunomodulatory drugs such as Lysozyme, Methyluracil, Tactivin and Timalin.
- Appointment of vitamin complexes and dietary supplements for a long course.
- Treatment aimed at restoring the natural microflora in the vagina and intestines. Appointed funds containing beneficial bifidobacteria and lactobacilli.
- Topical treatment with vaginal as well as rectal suppositories.
- Correction of the diet, which includes the refusal of smoked meat, fatty and fried foods, seasonings, mayonnaise and ketchup, alcohol, spicy dishes.
- Exclusion of sexual contact for the entire period of treatment.
- Careful adherence to personal hygiene.
The most effective candles for the treatment of ureaplasmosis are "Genferon" and "Hexicon". Genferon has a strong antiviral and antibacterial effect, has a positive effect on the state of local and systemic immune protection. As part of the tool is alpha-2 interferon, taurine and anesthesin, due to which candles relieve painful sensations. Inflammation passes quickly due to the activation of immunoglobulins, which violate the processes of cell division of the pathogen and prevent their reproduction in the epithelium of the urinary organs.
In addition, the active components of candles "Genferon" contribute to the regeneration of the epithelium and stabilize the membranes of damaged cells. Pain, cramps and other discomfort pass in the first days of the drug. The tool should be used 2 times a day, in the morning and evening. The duration of therapy is 10 days. In chronic forms of infectious disease treatment can be extended. The tool is successfully used to treat ureaplasmosis in pregnant women, if the gestation period is more than 12 weeks. But the choice of the drug is carried out for each patient individually by her attending physician.
Candles "Hexicon" contain chlorhexidine digluconate, which belongs to the class of antiseptics. Chlorhexidine actively kills ureaplasma and has no negative effect on the natural microflora of the vagina. When ureaplasmosis recommend using 1 candle per day, preferably before bedtime. The duration of treatment is 7 days. The tool can be used on any period of pregnancy, as well as during lactation.
When prescribing a treatment course, the gynecologist should give a detailed explanation of how to take the drugs and what should be excluded from your life during and after treatment. It is possible to address with alarming symptoms similar to ureaplasmosis not only to the gynecologist, but also to the venereologist or urologist. The duration of treatment for ureaplasmosis is on average from 2 to 3 weeks.