Mycoplasma and ureaplasma This insidious ureaplasma - often too late   - A small bacterium belonging to the family Mycoplasmataceae, belonging to the classes Mycoplasmatales. Family Mycoplasmataceae divided into two kinds - mycoplasma and ureaplasma. That is, both of these types of bacteria are mycoplasmas.

Types of mycoplasmas which cause disease in humans

Today, the main species of mycoplasmas which cause disease in humans, are:

• Mycoplasma pneumoniae - causes acute respiratory illness and pneumonia;
• Mycoplasma genitalium, Mycoplasma hominis, Ureaplasma urealyticum - cause of infectious-inflammatory diseases of the urinary organs; while Mycoplasma genitalium is considered a pathogen, and the remaining two - opportunistic, however, that Mycoplasma hominis, Ureaplasma urealyticum are often "culprits" destruction of the joints, the heart, brain and other serious complications in patients with impaired immunity.

What determines the sensitivity of mycoplasmas to certain types of antibiotics

Mycoplasmas differ from other bacteria not only in size (which is significantly less bacteria), but also by their lack of a full cell membrane. That is why they are introduced without problems in the epithelial cells and show no sensitivity to antibiotics destroying the cell membrane of pathogens, such as penicillins and cephalosporins.

All species of mycoplasmas are sensitive to drugs that affect the synthesis of proteins, including proteins that are part of the genome (the genetic material is not issued in the form of a cell nucleus) mycoplasma. These medicines include antibiotics tetracycline, macrolides, fluoroquinolones and aminoglycosides some.

The different types of mycoplasma exhibit different sensitivity to certain drugs listed groups. What matters is the overall condition of the patient and mycoplasmosis Mycoplasmosis - infection does not always equal disease   - At the same time it manifests the individual characteristics of the sensitivity of mycoplasmas to certain antibiotics. An increasing number of strains of mycoplasma, insensitive to different groups of antibiotics. In this regard, today is considered necessary before the appointment of antibacterial treatment to conduct laboratory examination of sensitivity of isolated strains of mycoplasma to antibiotics tetracycline and macrolides, and fluoroquinolones.

Antibiotics tetracycline

Of this group of drugs for the treatment of mycoplasma most often used doksitsillin. It has fewer side effects than tetracyclines Tetracycline - a natural broad-spectrum antibiotic   and, unlike the latter, it does not linger in the body. The most efficient technology doxycycline cooked Soljutab (yunodoks soljutab - Dutch pharmaceutical company Astellas), the technology is that the active substance is placed in the small balls (microspheres) with a filler, resistant to acids. The microspheres do not dissolve in the acidic gastric environment and dissolves only in the alkaline environment of the intestine.

Yunodoks soljutab particularly effective in the treatment of infectious and inflammatory processes of urogenital organs, caused by mycoplasma and chlamydia at the same time Chlamydia: insidious and widespread disease   (this combination is very frequent).

But this drug can not be used to treat young children and pregnant women.

Antibiotics macrolide

To macrolide antibiotics, used to treat mycoplasma include azithromycin, josamycin, midecamycin, clarithromycin and erythromycin.

The most effective drug is today considered azithromycin (sumamed) belonging to the second generation of macrolides. It is resistant to the acidic environment of the stomach, it can penetrate into the cells and destroy mycoplasma. However, azithromycin is contraindicated in pregnancy.

Effective against mycoplasma and first-generation macrolides, e.g., josamycin (vilprafen), which is also manufactured by technology Soljutab not degraded in the gut and is well tolerated. This drug may be assigned to pregnant women.

Other types of antibacterial drugs used to treat mycoplasma

All kinds of mycoplasmas are sensitive to drugs antibioterialnym fluoroquinolones, especially ofloxacin (pharmacies you can also buy under the names dzheofloks, zanotsin, tarivid and others). This drug helps to complete destruction of mycoplasmas, but does not apply during pregnancy.

Antibiotics minoglikozidov (e.g. gentamycin) is much less effective in the treatment of mycoplasmosis, however, and they are sometimes used to treat these diseases.

Selection of antimicrobials for the treatment of mycoplasma today carried out only on the basis of laboratory tests to identify the sensitivity of pathogens to these drugs.

Galina Romanenko

Removing genital warts is always a part of the comprehensive treatment of this disease. Today there are many methods to remove genital warts, they all have their advantages and almost all have certain disadvantages. Therefore, the choice of treatment in this case it is better to provide medical advice.

Why genital warts should be removed

Genital warts have to be removed. There are several reasons. The main reason is that pointed warts can be transformed into a malignant tumor Malignant tumor: cells are mad . Most of these tumors develop in the cervix in women and the head of the penis in men. But it is possible cancer and any other portion of the mucous membranes of the genitals.

Another reason for the removal of genital warts is the rapid growth of warts, sometimes they grow in large areas of the mucous membranes, fuse together and form a huge conglomerates as cocks' combs, or clusters of warts. Sex life in such expansions of is often made impossible.

Finally, for prolonged papillomavirus infection results in a significant reduction in the overall and local immunity. The person begins to ache often colds, he is constantly aggravated all chronic "sores." Reduction of local immune tissues and permanent injury to genital warts to form microcracks leads to additional bacterial-fungal infection Fungal infection: to prevent and defeat   and further stimulates proliferation of warts.

Therefore, the removal of genital warts is a required component of the combined treatment of human papillomavirus infection.

Removing genital warts using a laser and radionozha

Removing genital warts using radionozha (unit Surgitron) today recognized as the most effective and gentle. Radionozh not in direct contact with the tissues - radio waves contribute to evaporation of abnormal cells, without affecting healthy ones. This way you can remove genital warts on an unlimited area portion of the mucous membrane without compromising the health of the patient. Radionozh trying to use when you remove genital warts in pregnant women.

Removing warts with a laser is also considered a gentle method, especially if you use carbon-dioxide or neodymium. Less carbon dioxide laser damages the surrounding tissue, and neodymium has a more pronounced homeostatic (restores the constant internal environment tissues) effect. This method can also be used during pregnancy. But to remove warts on very large areas using a laser is not possible, repeated sessions are required, which can only be carried out in three weeks.

As commonly used anesthesia with anesthetic creams that are applied to the mucosa for 15 minutes to remove genital warts.

Removing genital warts surgically and using cryotherapy

In the absence of a surgeon in the arsenal of machine Surgitron to remove genital warts in large areas used surgical method - gradual removal with a scalpel. Surgery can be painful and after it leaves scars, so this method is rarely used today.

Cryotherapy (cold therapy) - is the removal of warts using liquid nitrogen. A safe and effective method. But the wound after cryotherapy hold long, up to two weeks. To remove genital warts, only one procedure.

Removing genital warts with chemicals

To remove genital warts used drugs with a cytostatic effect. When applied topically, they cause necrosis (necrosis) of the external genital warts due to caustic and mummified action. These drugs include kondilin (podophyllotoxin).

This medication the patient may be used by a doctor on their own, causing swab How to use sanitary pad - basic precautions   directly on the warts twice a day for three cycles in a four-day break. For application kondilina must use the included applicator. It must be dipped in a preparation so that the hinge hole filled with liquid and then the solution is applied to the loop condyloma. This action should be repeated several times (but not more than 50), the liquid wetting the rest of warts. The medicine should only get warts without affecting healthy parts of the mucous membranes - it will cause irritation and ulceration. After application the place applying the solution must dry thoroughly to avoid irritation of healthy skin in contact with the acuminata.

Kondilinom Treatment can last up to five weeks. Treatment often produces complications such as redness, swelling, Prevention and treatment of edema - it is important to understand the root cause , Soak, and even the formation of erosions. The effectiveness of such treatment is low.

Galina Romanenko