Схема лікування уреаплазмозу в чоловіків і жінок

Схема лікування уреаплазмозу в чоловіків і жінок

Схема лікування уреаплазмозу

Мікоплазми (уреаплазми) – грамнегативні кокко-бацилярні мікроорганізми. Це самі дрібні з усіх існуючих бактерій, приблизно діаметром 0,3 мкм в діаметрі. Ці мікроорганізми і є збудниками уреаплазмозу, який надзвичайно поширений. Наприклад, до 60% всіх виявлених у пацієнток інфекційних вагінітів викликані уреаплазмами.

Як правило, уреаплазмоз передається статевим шляхом. Побутовий шлях зараження малоймовірний. Крім того, можливе внутрішньоутробне зараження плоду від інфікованої матері, а також передача інфекції малюкові під час процесу пологів. Потрапивши, таким чином, в статеві шляхи дитини, бактерії зберігаються в ньому протягом усього життя людини, залишаючись в «сплячому» стані і ніяк себе не проявляючи.

Багатьох цікавить, яким же чином виявляється захворювання, які симптоми повинні насторожити і чи існує певна схема лікування уреаплазмозу. Давайте розберемося в цих питаннях.

Захворювання має гостру і хронічну форми перебігу. Як і більшість інших інфекційних хвороб, уреаплазмоз не має жодних ознак, типових для даного збудника. Клінічна картина розвитку хвороби залежить від того, який саме орган інфікований. Крім того, уреаплазми часто виявляються випадково, при обстеженнях з приводу якого-небудь іншої недуги, або при профілактичному обстеженні.

Симптоми уреаплазми у чоловіків:

– Найчастішим проявом уреаплазмоза у чоловіків є негонококовий уретрит.

– Крім того, спостерігаються часті позиви до сечовипускання;

– поява не рясних мутнуватих виділень з сечівника, особливо вранці;

– Розвиток орхоепідіміта. Це восплітельний процес в придатку яєчка, зазвичай з’являється при уповільненому уретриті.

– Захворювання може виявлятися не гостро, симптоми можуть то виникати, то зникати.

Симптоми уреаплазмоза у жінок:

Дуже часто інфекція у жінок проявляється розвитком цервицита. Причому нерідко цервицит виявляється тільки в результаті проведеного обстеження (аналізу мазка).

– Спостерігаються часті позиви до сечовипускання, що супроводжуються хворобливими відчуттями;

– Поява болі в нижній частині живота.

– Розвиток бактеріального вагінозу, кольпіту, з появою виділень з піхви;

– Розвиток міометріта, в деяких випадках, сальпінгооофоріта;

Як правило, людина довго навіть не здогадується про своє захворювання. Інкубаційний період хвороби складає 1 міс. Але навіть після закінчення цього терміну, симптоматика буває надзвичайно мізерна.

Схема лікування інфекційного захворювання уреаплазмоз

Звичайно, лікування будь-якого захворювання передбачає певну схему, яку складає лікуючий лікар індивідуально для кожного хворого. Однією схеми на всіх просто не може бути. Адже в неї входять лікарські препарати, які призначають пацієнтові, виходячи їх результатів аналізів та інших факторів.

Я розповім вам про приблизною схемою лікування людей, яку часто використовують при даної інфекції, щоб ви могли мати про неї уявлення. Але індивідуальне, ефективне лікування може призначити тільки лікар. Отже:

На початковій стадії хвороби, коли вона носить несистемний характер, лікування не складне і полягає в призначенні єдиного препарату, а саме, одноразового прийому 1 грама азитроміцину всередину. Або призначається тижневий курс прийому доксицикліну по 100 мг, двічі на день, або еритроміцин по 500 мг перорально, чотири рази на добу. Але його призначають не часто, тому що занадто висока дозування. Крім того в терапевтичних цілях призначають офлоксацин по 300 мг два рази на день.

Потрібно обов’язково пам’ятати, що ці лікарські засоби не ефективні у разі тривалого носійства бактерій. У цьому випадку подібна схема не вилікує, а лише посилить розвиток ускладнень.

У цих випадках застосовується інша, комбінована схема. В її основі лежить послідовне лікування антибіотиками, що відносяться до групи макролідів і фторхінолонів.

Лікування складається з двох етапів:

На першому етапі хворому призначають 500 мг кларитроміцину в день.

На другому етапі хворому призначають левофлоксацину по 500 мг, або 400 мг авелокс.

Крім того в лікуванні обов’язково використовують імуномодулятори та гепатопротектори. Вони необхідні для підвищення імунітету і нормалізації функції печінки, а також для прискорення одужання. У цих цілях призначають тактовно, тималін. Рідше виписують лізоцим або метилурацил. Після закінчення курсу лікування рекомендований прийом вітамінів і лактобактерій.

Протягом усього курсу лікування хворому рекомендується обов’язкове дотримання дієти.

Вона полягає в підвищеному вживанні вітамінів, молочнокислих продуктів. З раціону слід виключити алкоголь, солоності, копченості, прянощі, кетчуп, гостру, жирну і смажену їжу.

Крім того, на час лікування не допускаються будь-які сексуальні контакти. Відновити їх можна тільки по завершенні повного курсу терапії і після проведення контрольного дослідження. І тільки в тому випадку, якщо воно показало відсутність інфекцій і запального процесу.

Також потрібно знати, що запалення, викликане уреаплазмами неможливо вилікувати народними засобами. Самостійне лікування може лише погіршити перебіг хвороби. Тому при підозрі на розвиток уреаплазмоза зверніться до лікаря. Будьте здорові!

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