- Treatment of gonorrhea - the consequences of self-confidence
- Among women
Treatment of gonorrhea in women
The defeat of the genitals while gonorrhea is a serious problem, since gonorrhea can cause serious complications in the reproductive health. Treatment of gonorrhea in women to be performed in conjunction with its treatment of the sexual partner, otherwise the success of treatment will be minimal. The main direction of the treatment is a rational choice of antibacterial agent.
When the first symptoms of gonorrhea should immediately consult a doctor to diagnose the disease. Gonorrhea - a highly contagious disease transmitted sexually, so a woman with gonorrhea can infect a sexual partner. Even more dangerous gonorrhea
Gonorrhea - self-ruled
pregnant women - in the absence of proper diagnosis and treatment of gonococcal infection is transmitted to the newborn baby and can cause a number of serious and even life-threatening complications of the baby.
Diagnosis and confirmation of the diagnosis
Diagnosis of gonorrhea in women is carried out sampling cells lining the cervix for further examination under a microscope. Treatment of gonorrhea in women is recommended to start immediately after the confirmation of the diagnosis. The main method of treating a disease - antibiotics, which are either taken orally, one tablet or administered intramuscularly (also single). Main drugs for the treatment of gonorrhea in women - ceftriaxone and spectinomycin tsefiksimin.
Quite common in the treatment of gonorrhea - resistant bacteria provoking disease, certain, the most commonly used types of antibiotics. This is the reason for the treatment of gonorrhea in women are often not recommended drugs such as penicillin. In the period of treatment to give up the sexual contacts to prevent further spread of gonococcal infection.
Fifty percent of gonorrhea complicated by Chlamydia trachomatis. In such cases, in addition to a standard course of antibiotics, requires reception of one of the following additional products:
- Amoxicillin (five hundred milligrams three times per day for seven days)
- Erythromycin (five hundred milligrams four times a day for seven days)
- Azithromycin (one gram orally, once)
Treatment of gonorrhea in women typically takes only a few days: the first dose of antibiotic
Antibiotics - whether they will help you in the foreseeable future?
improved health for three days. To confirm stopping treatment requires repeated analyzes.
What should be the scope of therapy
Various forms of gonorrhea require a different approach to the choice of therapy. When it comes to fresh or acute gonorrhea, it is enough to appoint a woman to antibacterial treatment. If gonorrhea has acquired a chronic course, we developed a variety of complications, require a comprehensive therapy. To choose the right antibacterial drug, should adhere to the following basic rules:
- gonokokk must be sensitive to this drug
- dose of the antibacterial agent should be adequate to the deaths occurred causative agent
These basic conditions for the appointment of treatment a doctor can perform venereal diseases, it is not recommended to resort to self-medication or to the recommendations of people who previously were receiving treatment for gonorrhea. Quite often, gonorrhea occurs with other kinds of infections that can be transmitted sexually. In this regard, it is imperative to pass inspection before prescribing therapy to deal simultaneously with treatment of opportunistic infections in the urogenital its detection.
Practical recommendations for treatment
For drugs that are successfully appointed women with gonorrhea are antibacterial agents of cephalosporin group (using the third generation of drugs). Most recommended regimen is a single dose of ceftriaxone appointment during the day (intramuscular injection). It may also be included in the regimen ciprofloxacin
Ciprofloxacin - action time-tested
. Preparations cephalosporin allowed for pregnant women, since the risk of pathological effects on the fetus is minimal. Treatment of pregnant women in the case of gonorrhea should be carried out in a specialized department in the hospital.
There are alternative circuits when used sulfa drugs, macrolide antibiotics. If gonorrhea in women takes the form of a subacute or chronic inflammation, it is shown in the form of injection immunotherapy special vaccine. The vaccine is appointed by the scheme of increasing the dose rate up to ten injections. The maximum total dose of vaccine can reach up to two billion microbial bodies. To increase the effectiveness of the treatment can be recommended as a means of stimulating non-specific immunotherapy. It will not only enhance the activity of antimicrobials, as well as anti-inflammatory effect.
In all cases, the treatment of gonorrhea should complete the course restoration of microflora in the vagina. If in the process of therapeutic interventions are found complications, the treatment should continue in the steady-state conditions. If a woman is assigned a course of treatment, it is recommended for the entire period of treatment refrain from sex. Controlling cure can be carried out not earlier than ten days after the start of therapy, and should carry out a visual and laboratory examination. Progress monitoring should be carried out one month after the completion of all therapeutic measures, and preferably in a period after menstruation.
Treatment of gonorrhea in pregnant women
Since the most common drugs used to treat gonorrhea is not recommended for pregnant women to suppress the symptoms of the disease during pregnancy, the following types of antibiotics:
- Cefixime (four milligrams orally, once)
- Ceftriaxone (two hundred and fifty milligrams intramuscularly once). Ceftriaxone is most often used for treatment of pharyngeal gonorrhea in pregnant women
Antibiotics fluoroquinolones and tetracyclines for the treatment of gonorrhea in pregnant women and breastfeeding women, are contraindicated.