The infection, which is caused by various species of mycoplasmas, called urogenital mycoplasmosis Mycoplasmosis - infection does not always equal disease   or ureaplasmosis. There are several clinical variants of the disease, one of which is a chronic form. Chronic ureaplasma This insidious ureaplasma - often too late   characterized by a prolonged course of the development of complications that affect the condition of the entire reproductive system.

Features of clinical picture

The inflammatory process, which is caused by mycoplasma infection, characterized by the absence of any specific clinical symptoms. Most often found in hospital following complaints:

• burning sensation, discomfort and itching of light outside of the genitals
• discomfort during urination

A characteristic feature of chronic disease is resistant to the therapy and long-term, recurrent nature of the flow.

Violations that occur in the body in chronic ureaplasmosis explained the changes of antigenic properties. They, in turn, regularly launch various autoimmune reaction in the body. Ureaplasma have distinctive feature - this microorganism lacks a cell wall, so there is no development expressed specific immune response that leads to the absence of persistent immunity. As a consequence, the microorganism persists for a long time in the body and causes the development of pathological manifestations. As a source of re-infection or "depot" in the body acts ureaplasmas bone marrow. There is a re-infection, the disease becomes chronic.

Because of the systemic nature of the defeat and the development of immunopathological reactions, the effectiveness of therapy is insufficient, there is resistance to antibiotics. When irrational choice of therapy may occur the development of sustainable, resistant forms of the pathogen, which further negatively affect the course of the inflammatory process.

The development of complications in view location of the lesion

In the structure of cervical pathology significant role for ureaplasma infection. During the chronic inflammatory process affects the mucous membrane of the cervical canal Cervical canal - the path traversed by every person That leads to the development endotservitsitov. During the examination, patients with pathological changes in cervical mycoplasmas found in 57% of cases. The infection spreads upward path, it manifested clinically different from inflammatory diseases of internal genitals (endometritis, salpingitis).

One of the major complications after undergoing chronic ureaplasma infection is infertility .  If you examine the barren couple, the mycoplasmas are detected in 22-85% of cases .  Such data spread depends on many factors, such as the clinical form of the disease, presence of comorbidities, the method of collection of material, the sensitivity of the test systems and quality of laboratory diagnostics .  In the event of pregnancy there is a high risk of complications of pregnancy, so women will be at risk .  Complications of pregnancy with chronic ureaplasmosis include intrauterine infection of the fetus, the formation of fetal malformations, development of placental insufficiency, gestosis and others .  In the case of stillbirth ureaplazmennogo infection is found in almost 58% of the losses .  If we talk about the frequency of detection of ureaplasma in the structure of the causes of abortion, this percentage is also high (60% in the case of threatening miscarriage Miscarriage - can you protect yourself from it?   and 40% for developing pregnancy).

Ureaplazmennogo infection that is chronic, requires a comprehensive course of therapy (the use of anti-bacterial, anti-inflammatory, immune stimulating, resolving enzyme preparations). This will prevent the development of complications that can affect the health status of women, as well as its future reproductive function (offensive and safe carrying of pregnancy).

Marina Solovyov

The presence of blood in urine can cause severe anxiety, but it is not always a sign of serious problems. For example, blood in the urine may be the result of very intense exercise. Blood in the urine can be seen with the naked eye - then talk about the normal hematuria. A condition in which the presence of blood in urine can be determined only with a microscope, called microscopic hematuria.

Symptoms

Blood in the urine itself can be a symptom of various conditions. It should be quite a small amount of blood to make urine a reddish tint; Bleeding is usually minor and painless. In some cases, however, the presence of blood in urine is accompanied by other symptoms, such as pain when urinating.

However, regardless of the presence of other symptoms, the mere presence of blood in urine is the reason for going to the doctor.

Causes

Reasons for exposure to blood in the urine can be:

• Urinary tract infections. In addition to the presence of blood in the urine, they may be symptoms of frequent urination, pain when urinating, and / or a very strong smell of urine. Some people, especially the elderly, the only sign of urinary tract infections can be microscopic hematuria.
• Kidney infection (pyelonephritis) can develop as a result of penetration of bacteria through the bloodstream to the kidneys or ureters. Signs of kidney infection is often similar signs of urinary tract infection, but they may be accompanied by fever.
• The stones in the kidney or bladder Urinary bladder - structure and function   can lead to both microscopic hematuria and to severe bleeding due to which urine acquire pronounced blood group. Another symptom of this condition can be severe pain in the groin area.
• Increased prostate can cause exposure to blood in the urine, and difficulty of urination.
• Kidney disease. Microscopic hematuria is a common symptom of glomerulonephritis Glomerulonephritis - a severe infection of the kidneys Which causes inflammation of the kidney filtering systems. Glomerulonephritis, in turn, may be a sign of systemic diseases, such as diabetes.
• Cancer. The presence of blood in the urine may be a symptom of advanced cancers of kidney, bladder, or prostate. Unfortunately, these diseases rarely cause symptoms in the early stages when the likelihood of successful treatment is greatest.
• Hereditary disorders, such as sickle cell anemia Anemia - when you do not have enough blood Can cause ingress of urine into the blood.
• Damage to the kidneys can also cause hematuria.
• Medications. Among the most common drugs, which may be the cause of the presence of blood in urine - Aspirin Aspirin - NSAIDs Penicillin, heparin, as well as anticancer agent cyclophosphamide.

Risk factors

• Age. Because prostate enlargement hematuria is common in men over the age of 50 years.
• Family history. The presence of various kidney diseases in family history increases the likelihood of the presence of blood in the urine, and related problems.
• Intense exercise make a person particularly vulnerable hematuria.

Diagnostics

In order to identify the reasons for the presence of blood in the urine, the doctor, first of all, studying history of the patient and conducting a medical examination. Then be sure to analyzes of urine - it allows vyvit various urinary tract infections and some other disorders.

If necessary, also used in the diagnosis of medical imaging methods and tsitoskopiya.

Treatment is prescribed depending on the detected during diagnosis because of the presence of blood in urine.