Лікування хламідіозу лікування хламідій фото хламідіос

Лікування хламідіозу лікування хламідій фото хламідіос

Лікування хламідіозу

Лікування хламідіозу в даний час зводиться до використання комплексного поєднання антибактеріальної терапії, з включенням сучасних препаратів останніх поколінь, що проникають через клітинну мембрану. У лікуванні хламідіозу застосовуються імуномодулятори, так як хламідії активно впливають на імунну систему серйозно пригнічуючи її.

У лікуванні хламідій необхідно використання ферментних препаратів, протеолітичних коштів, адаптогенів, вітамінів, гепатопротекторів, препаратів – пробіотиків, що захищають шлунково – кишковий тракт від розвитку дисбактеріозу. Не останню роль відіграє і місцеве лікування у вигляді інстиляцій лікарських засобів в сечовипускальний канал, ванночок, клізм, ректальних свічок, вагінальних тампонів і супозиторіїв.

Останнім часом, в переважній більшості випадків, використовуються численні фізіотерапевтичні впливу: квантова терапія, ультразвукова дія, магнітне поле, інфрачервоне випромінювання, струми змінної частоти, електрофорез, іонофорез лікарських речовин.

Ефективність лікування залежить від шляху введення лікарських препаратів: внутрівенне і внутрішньом’язові шляху введення ліків є пріоритетними, оскільки в цьому випадку підвищується біодоступність препарату, і він максимально розподіляється в клітинах. Доза антибіотиків, що використовуються для лікування хламідійної інфекції, повинна бути ретельно вивірена, так як субтерапевтических дози, а також деякі групи лікарських засобів призводять до формування форм хламідій, стійких до лікування та персистенції мікроорганізмів в організмі.

Лікування захворювання, асоційованого з гонореєю. препаратами групи пеніциліну може стати причиною рецидиву інфекції або його безсимптомного носійства.

Хламідії часто поєднуються з іншими ЗПСШ – сифіліс. гонореєю. трихомоніазом, мікоплазмоз, уреаплазмоз, молочницею.

Поєднання з трихомоніазом або гарднеллезом вимагає першочергового лікування трихомоніазу або гарднереллеза і тільки потім – хламідіозу. Після закінчення курсу лікування через 20-25 днів проводяться контрольні аналізи.

При повторному виявленні збудників потрібен додатковий курс лікування. При негативному аналізі, контроль в подальшому проводиться 1 раз на місяць протягом 2 місяців, у жінок – перед або під час менструації.

Недуга вважається вилікуваним за відсутності клінічних симптомів захворювання, морфологічних змін в області зовнішніх і внутрішніх статевих органів, стійкої нормалізації лейкоцитарної реакції, наявності клініко-мікробіологічного вилікування. Встановлення виліковності слід проводити з урахуванням методу діагностики. Культуральне дослідження, не можна проводити раніше 14-20 днів після закінчення антибіотикотерапії, щоб не отримати помилково негативні результати. Пряму імунофлюоресценція, ПЛР – (ДНК-аналіз) не можна виконувати раніше 3 – 4нед, щоб не отримати хибнопозитивних результатів через збереження нежиттєздатних мікроорганізмів або їх залишків.

Щоб запобігти поширенню хламідій, всіх жінок перед пологами і абортами перевіряють на хламідіоз. Пари, які збираються планувати сім’ю, повинні в обов’язковому порядку обстежуватися на приховані інфекції. в тому числі хламідійну. При виявленні хламідій, лікування проводиться обом партнерам. Google +

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