Трихомоніаз, симптоми, фото, лікування у чоловіків і жінок

Трихомоніаз, симптоми, фото, лікування у чоловіків і жінок

Трихомоніаз

Трихомоніаз відносять до захворювань, що передається статевим шляхом. Збудник – піхвова трихомонада ( Trichomonas vaginalis ). Трихомоніаз є одним з найбільш поширених венеричних захворювань. У жінок вражається піхва, у чоловіків – сечовипускальний канал і передміхурова залоза.

Зараження трихомоніазом

У більшості випадків зараження трихомоніазом відбувається при статевих контактах в піхві. Зараження при оральному та анальному сексі малоймовірно.

Тріхомонада виживає у вологому середовищі по кілька годин. Тому при цьому захворюванні допускається побутове зараження (наприклад, через шники та мочалки). Варто відзначити, що (1) трихомоніаз – єдине венеричне захворювання, при якому допускається побутове зараження; (2) Імовірність побутового зараження дуже мала. Більшість випадків трихомоніазу, які пов’язують з нестатевим шляхом зараження, є пізно виявленою хронічною інфекцією.

Інкубаційний період трихомоніазу

Інкубаційний період складає 1-4 тижнів.

Симптоми трихомоніазу

Симптоми трихомоніазу у жінок:

– виділення з піхви (звичайно жовті, іноді з неприємним запахом)

– свербіж та почервоніння зовнішніх статевих органів

– біль при сечовипусканні

– біль при статевих контактах

Рис 1 Трихомоніаз, фото. © Ілюстрація наводиться з дозволу видавництва БИНОМ.

У чоловіків захворювання в більшості випадків протікає безсимптомно. Іноді при трихомоніазі у чоловіків виникають такі симптоми:

– виділення з сечівника

– біль і печіння при сечовипусканні

– при ураженні передміхурової залози – симптоми простатиту

Ускладнення трихомоніазу

Раніше небезпека цього захворювання недооцінювали. В даний час доведено, що трихомоніаз збільшує ризик передчасних пологів і передчасного вилиття навколоплідних вод. У чоловіків він може призводити до простатиту.

Діагностика трихомоніазу

У діагностиці трихомоніазу застосовують загальний мазок. У жінок досліджують виділення з піхви, у чоловіків – виділення з сечівника і секрет передміхурової залози. Результат загального мазка підтверджують більш точними методами дослідження – ПІФ, ПЛР або посів.

Лікування трихомоніазу

Лікування гострого неускладненого трихомоніазу включає:

– метронідазол, 2 гр внутрішньо одноразово

або

– метронідазол, 500 мг всередину 2 рази на добу протягом 7 діб

Комерційні назви метронідазолу: Акваметро, Клион, Медазол, Метронидазол Нікомед, Метронидазол-Рос, Метронидазол-Русфарм, Метронидазол-Тева, Тріхазол, Трихопол

У ряді випадків призначають додаткове лікування (імунотерапія, масаж передміхурової залози, інстиляції уретри, фізіотерапія і т. Д.).

При хронічному трихомоніазі (тим більше ускладненому) протимікробна терапія більш тривала, часто комбінована (застосовують кілька протимікробних препаратів). Крім того призначають додаткове лікування (імунотерапія, інстиляції уретри, фізіотерапія і т. Д.).

Дана інформація наводиться виключно в ознайомлювальних цілях і не повинна використовуватися для самостійного лікування.

Профілактика трихомоніазу

Про способи, що дозволяють знизити ризик зараження, можна прочитати в розділі Як захистити себе від венеричних хвороб.

Про профілактичному лікуванні трихомоніазу протягом декількох діб після контакту див. Розділ Профілактика після випадкових зв’язків.

Статеві партнери

Якщо Ви вилікуєтеся, а Ваш статевий партнер – ні, Ви легко можете заразитися повторно.

Дуже важливо повідомити своїх статевих партнерів про захворювання, навіть якщо їх нічого не турбує, і переконати їх пройти обстеження і лікування. Адже безсимптомний перебіг не знижує ризику розвитку ускладнень.

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