Gonorrhea - A transmissible transmitted path leading to the pathogenic epithelial lesion of the sexual and urogenital tract. His extreme infectiousness is mentioned in the treaty between the Old Testament and the Greek scholar. The first word "gonorrhea" was applied in the second century BC Roman surgeon and philosopher Galen, who wrongly blunts the urinary isolation called "semyatecheniem» (gonos - seeds, rheos - flow).
Gonorrhea, there is no difference between gender and social dignity, as well as it can be a child and an adult. According to statistics from the World Health Organization, this crooked disease affects about one-quarter of the world's population every year. This mineral agent is highly resistant to some drugs, as well as a significant role in the spread of infection due to social adaptation and behavioral factors (prosperity, homosexuality, prostitution and extended indiscriminate).
The risk for gonorrhea includes 17 people aged 32 years old, sexual active adolescents, as well as those who have multiple sexual partners and use personal protective equipment.
Disease agent of the disease
Pathogen Neisseria Gonorrhea, which opens in 1879. This cellular and in-house parasite forced, reaching a length of 1.5 microns, having no mobility and having no spores. Under the aim of the microscope, it reminds a pair of diplococcus, coffee cereals or beans, to confront them with their concave surfaces and separate by opening like a narrow slit. The propagation of indirect gonococcus perforated pair is performed by dividing the floor on the cocci.
для свежей гонореи характерно внутриклеточное расположение гонококков, а для хронической - внеклеточное Note: Fresh gonorrhea Neisseria is characterized by gonorrhea's internal position and chronic - cellular.
Gonokokk - This is a typical mass of human parasites that can penetrate languages in white blood cells, but in larger bacteria cells. The outer layer of its body is surrounded by a membrane containing a variety of structural proteins. In order, the membrane protects dense multi-layered capsules. Cylindrical thin gonococcus organizes outward microfilaments (drinking). Pathogens follow epithelials of the mucous membrane cells of the urogenital tract with their help.
For adverse conditions, L-shapes can form under the gonococcus (suspended animation falls into a state). So, it is able to survive because the treatment process is alive, and after.
Infection source and gonorrhea infection mode
In most cases, gonorrheal transmission is transmitted (for genital contact). In this case, the source of infection works to grieve the sick person from the asymptomatic or light form of gonorrhea.
In the male body enter, the gonococcal flora causes the mucous membrane inflammation. Vulva and vagina - Female infections affect the urethra, moonlight and cervical canal and little girls.
Passive homosexuals often become a focus on the transmission anus (the girls are defeated and the women develops as a result of the flow of emission from the genitalia).
In oral genital contact, gonococcal infection can affect the mucous membranes of the mouth, swelling and tonsils. Some experts argue that pharyngeal gonorrhea can develop even in the form of a kiss, and children get occasional diagnosis of rhinitis or stomatitis gonococcal through dirty hands.
When gonococcal genital skinning skeleton developing eye disease, and if you suffer from gonorrhea pregnant woman in labor, the eyes of children gonorrheal threatened to arise.
Communication with infected amniotic fluid may cause fetal intestinal infection, as well as some experts allow hematogenous intestinal infection (gonokokkemiyu).
Indirect routes infections: Common household items, infected bedding, towels, sponge, etc.
Disease development process
Gonococcal infections, depending on the location of the initial application, to differentiate between the following types of gonorrhea
Genital (gonorrhea urine);
Extragenital (gonorrheal eye disease, throat and rectum);
Promotional or metastatic (complex gonorrhea).
With the help of parasitic body Pili of his new host, almost immediately after the penetration of gonococcal infection (attached to the region) is strongly attached to the epithelial cells, and pathogen can be detected in laboratory tests between 1-2 days. Characteristic wound gonococcal leads to decomposing defective colonization, which causes the subepithelial layers of durable microbes to penetrate and penetrate the lymphatic genital arteries. In the place of phagocytes of their gathering crowd, which causes the urinary discharge (extract containing a large amount of agent), and located under a layer epithelium - penetration, which can continually maintain parasite-after death. Often there is a replacement with the defect of the defect of tissue, and then forming a binding (narrow urine).
Despite the fact that gonococci can not be removed independently, inflammation gradually covers the upper layer of the mucous membrane in new areas due to the transmission of the parasite to the lasnikani.Gonorrhea form
In practice, the teacher is divided into gonorrhea intense and chronic. In the case of acute clinical cases, which do not last more than two months. Emotional processes occur more than two months, as chronic gonorrhea. According to experts, intense morphological changes in chronic formation constitute only in the calyx entrance and urine deep pockets of the structure.
It should be emphasized that in reality, Venereologists sometimes take asymptomatic gonorrhea. This emotional process which can not be an inflammatory response to the mucous membrane. In some cases, nothing other than disease with asymptomatic disease wherein there protracted egg boames at the end of the characteristic clinical symptom.
Gonorrhea symptoms
Gonorrhea signs in women
This pathology is characterized by multifocal and hygienic expression symptoms (this is due to the physical properties of female urogenital tract). So often surveys sensations can be detected in different places simultaneously, by survey women are not accompanied by gonorrheal defeat.
Gonorrhea difference between the two clinical diversity of doctors in "women":
Reduction of gonococcal defeat of the urogenital tract (vulvitis, vaginitis, urethritis, vestibulitis, Bartolini, endocervite).
Rising gonorrhea (top of urinary tract disease). In this case, women can be considered gonococcal salpingitis, endometritis, oophoritis and pelvioperitonit.
The most characteristic characteristics of the lower division of the disease genitourinary system include insomnia and urinary tract, swelling of the itch and vaginal sensation, painful urination, and a thick pussy-discharge discharge from the cervical canal.
Gonorrhea patients complain of pain, fever, vomiting, up to 39c from fever, painful urination, and irregular menstrual pain. Apart from this, thin stools may occasionally appear.
It makes sense that abortion should be stressed due to the sound of the uterus and other gynecological methods, infections can promote beyond the internal OS uteri.
Gonorrhea signs in men
When the emergence of "masculine" gonorrhea urethritis is observed. Therefore, complaining of severe acute pain caused by urination and excretion of patients, which may change the level of intensity,
Due to the intensity of symptoms of urethritis in the disease can be intense, subacute and inauspicious.
The acute swelling and urinary spleen are marked by redness, urinary tract canal during the day of germination of yellowish yellow pores, and thereby bending and burning sensation when urine.
Intense pain of gonorrheal urethritis in front of the urinary tract, marked at the beginning of urination, and painful sensations for the wound (intense total of urethritis), arise at the end of urination. In the second case, there may also be frequent urination, painful asshole and wet dreams. When gonorrheal inflammation stimulates blood emission, observed blood impurities, and gemospermiya (semen blood) develop.
Without acute urethritis appropriate treatment, the subacute stage, which can be transferred between any observed sleep and hyperemia urinary sponge. When the pain of urine and pus or diseases at this stage, blood-discharge-discharge is small and often happens only after one night sleep safely.
The subacute stage may follow the urethritis of recurrence with even less obvious clinical signs. At this stage, there is only a barren selection in the morning or when the urine is pressed.
It should be emphasized that due to lack of adequate treatment, paranasal and periurethral glands, which leads to the development of multiple complications. Among these are the most common prostatitis. Vaginal urinary tract in the development of the disease can go beyond the gonococcal infection, and both can continue in intense and lasting form.
Prostatitis is often accompanied by inflammation of metallic vesicles, epididymitis (epididymitis) inflammation, balanoposthitis and stenosis of the skin, contraction of the skin (contraction of elongation or gonorrhea).
Signs of extragenital gonorrhea
By the extragenital form of infections, that is located outside the genital organs, induced larynx and proctitis. Gonorrheal proctitis - An emotional condition that causes an inflammation of the anus, or anal sex due to vaginal discharge flow in women and women.
In acute gonorrheal, patients with proctitis pain in the anal area shit, as well as burning and complication of itch. Sometimes a mixed blood may be formed in the formation of mice crack. The marked redness was not found in the anus, and the accumulation of skin was not found in the fold.
Galapodial diseases arising from gonococcal tonsillis and oral genital contact can be detected only through therapeutic examination, since they will not usually have distinctive properties.Promotion gonococcal transmission
These emotional conditions occur when the inflammatory currents enter the primary site of infection. Often immunity occurs due to the natural genetic causes of blood gonococci, but in some cases they will breed there, and bleeding flow begins with causing a variety of tissues and organs, liver, joints, meninges, skin and endocardial damage.
It should be emphasized that the extent of pathogen expansion does not depend on the virulence or the initial wound nature. Generally, this immunodeficient occurs in the state, due to mechanical manipulation due to the current stranglechargement, insufficient treatment, as well as during pregnancy, sexual intercourse or period, provoked to hit the mucous membrane.
Light and heavy: In the clinical reality there are 2 forms of gonococcal transmission in circulation. Diseases associated with joint syndrome and for severe formation of the patient will be accompanied by severe inflammation of the patient, hepatitis, fiercely inflammation or meningitis.
Gonorrhea eyes
This is one of the manifestations of gonorrhea, which is the most common among newborns (gonococcal arises, iridocyclitis, gonococcal eyes). In this case, the infection occurs during utero or an infected birth canal passing through the mother. Symptoms of cataract infection occurs on the first day of life.
Gonococcal eyes arise due to inflammation of redness and inflammation of eyes, swelling of the eyes and radiant diseases. If not treated, the infection process was applied to the cornea. As a result, there is no penetration of bloating, blurred, ulceration and cornea.
In the case where gonococcal infection develops to occur in the spread of the inner membrane, corresponding ulceration and spots, which can eventually lead to blindness.
Gonorrhea diagnosis
Diagnosis of the patient is based on the presence of pathogenic signs of the sexual life and inflammation of the patient.
It makes the discharge from the genitals mandatory in both sexes. At the same time women can be determined to study disorders of the Bartholin gland, lacunar duct, vaginal wall of the vagina. In some cases men, studies show prostate and metallic vesicles, a survey of the anus's washing water as well as a survey of gaps and urinary gland.
Diagnosis "Gonorrhea" is only set when the discharge is detected in the tested pathogens. To do this, the different techniques used in the laboratory:
. 1. Microscopy. Village - To date, this is a study of two strokes separated by colored methylene (for estimated microscope), one of the most common methods of giving them one, and the other (of course, marked by pathogens). Both smears are generally considered form of gonorrhea, the analysis is considered positive.
. 2. The culture method. Unfortunately, due to its variability, the agent can not always be identified with telescoping tests. Therefore, diagnosis of routine culture methods of asymptomatic gonococcal infection. This technique provides for the use of culture media, it is for the detection of "gold standard" Neisseria gonorrhea.
. 3. PCR diagnostic. This method is based on the detection of pathogen DNA in a biological material.
. 4. Response transcriptional amplification This relatively new strategy, which has more sensitivity to PCR and other lucrative strategies. With possible it is possible to identify pathogen, even a very small amount of material, which can not control the treatment results.
Gonorrhea treatment
Experts do not try to cure gonorrhea alone, as they often are unwittingly tempted with a transition of disease into a chronic form of taking action. It noted that the detection of gonococcal infection in the patient, all sexual partners who had contact with him for two months, were subject to examination and treatment. During this time, with the exception of sexual intercourse, alcohol prohibits the returning and the consumption of fatty, spicy and smoked foods.
Gonorrhea treatment involves the use of bactericidal medicines. In the past decade, gonococcus acquired antibiotic penicillin resistance, and therefore, at the present level, the patient started recruiting bacterial and germicidal actions in other groups of bacteriopharmaceutical medicines.
While fresh intense gonorrhea often performs substantial causal treatments, the cause of the disease, however, is complex in the development, and the symptoms of having a special antimicrobial formation are the concealed chronic form of gonorrheal infection for patients applying complex treatment after primary determination.