Driving ureaplasmas treatment over time in women is becoming more efficient. Now medicine highlights how ureaplasma opportunistic pathogens. Doctors already know, that it may be part of the natural microflora of healthy women. Therefore now ureaplasmosis diagnosed much less frequently and therefore the impact of strong antibiotics on the female body is much smaller.
Short description
Ureaplasma is a bacterium, parasitizing the urogenital system organs of both men, and women. It may be contained in bakposeve and smears of healthy people. There it is adjusted by the impact of local healthy microflora, local immunity. But increased levels of stress, hormonal disruptions, Infectious diseases are the cause of weakening the overall immunity. The result may occur exacerbation conditionally pathogenic. This becomes a cause of ureaplasmosis.
When ureaplasmosis women having symptoms:
- unpleasant discharge yellow or yellow-green, It has a pronounced odor;
- pain in the lower abdomen;
- frequent urge to empty the bladder;
- painful urination, and can be accompanied by a burning sensation;
- pain and discomfort in the vagina after sexual intercourse, and during it.
When left untreated ureaplasma can pass into a chronic stage. It is characterized by periodic exacerbations, where each subsequent more and more difficult treatable.
Dr. Komarovsky ureaplasmosis calls "commercial" diagnosis. This is because the, many gynecologists, and begin to treat dermatovenereologists, even if ureaplasma does not manifest itself as a pathogen.
In some cases, the treatment is performed
Since ureaplasma in women can be found in a healthy condition, conduct treatment aimed at identifying each exciter inexpedient. Ureaplasma is a bacterial organism and therapy, aimed at overcoming it, It includes the administration of antibiotics. This group of drugs is systemic effects on the whole organism. Therefore, for the treatment of ureaplasma women require medical tests, confirming the presence of the inflammatory process, it is caused by the microorganism.
Performing ureaplasmas course of treatment carried out in the following cases:
- determination of the inflammatory process in a woman's body, caused by ureaplasma and in the absence of test material in the presence of other, more likely, pathogens;
- set infertility;
- women with spontaneous abortion history.
If the clinical picture is consistent with the above factors, treatment will be carried out.
Important! In implementing ureaplasmosis therapy is parallel to pass tests and be treated sexual partner. This will help prevent re-infection.
according to the standard, dermatovenerologists adopted by the Council in 2012 year, ureaplasmosis treatment is not carried out, if the index has been identified in the analyzes more 104 CFU / ml, but there are no signs of inflammation. When selecting a course of therapy should be taken into account, that drugs, used to treat ureaplasma women, has a strong influence on the functioning of all organs and systems. Therefore, the appointment of treatment necessarily assessed the potential risk to health. If it exceeds the benefits of therapy, treatment can not be held.
The goal of therapy is to regulate the amount of the pathogen in the body of the patient. Also conducted relief of the inflammatory process. In the absence of inflammatory treatment can also be carried out.
From taking any medications should refrain
All the more spread phenomenon gaining polypharmacy - prescribing of excessive. This practice is most often used in the treatment of sexually transmitted diseases. When excessive use of drugs increases the load on the system, and the excretory organs liver. It is also possible mutual inhibition therapeutic effect. Therefore, it is not necessary to use a large number of similar funds in the treatment ureaplasmosis - it can reduce the overall therapeutic effect.
To get rid of women from receiving enough ureaplasmas one antibiotic during the course duration 10-14 days. The combination of antibiotics, and especially the use of the different groups, It can cause a variety of complications:
- excessive load on the liver can cause failure;
- an overabundance of antibiotics leads to disruption of the natural intestinal microflora;
- antibiotics of different groups, combining them into a course of treatment, can cause resistance (drug resistance) exciter.
Immunomodulators do not carry a therapeutic effect in the treatment of ureaplasma. They strengthen the immune system, but does not eliminate the pathogen. immunomodulators course can be carried out upon completion of the basic course of therapy.
The effectiveness of vaginal baths, as douching urethra, not proven. Therefore it is necessary to refrain from the use of such treatments.
For the prevention of violations of the vaginal microflora in the treatment of ureaplasma women often prescribers based on fluconazole. It is used in the treatment of yeast and has a strong antifungal effect. But its use in combination with antibiotics can decrease the effectiveness of the latter and the occurrence of adverse side effects.
Regimen ureaplasma
To produce the most effective treatment regimen is taken into account a full clinical history. Obligatory in blood chemistry and analysis of certain liver enzymes, to prevent possible liver failure.
established, Ureaplasma that is highly sensitive to these types of antibiotics:
- dzhozamitsin (vilprafen);
- doxycycline (Yunydoks Soljutab);
- of azithromycin (Sumamed);
- clarithromycin (Klaricid);
- roskitromitsin (rulid).
The efficacy of antibiotics is above about 88% in the treatment of ureaplasma. there are drugs, showing the results to 100%, but they are too pronounced effect, and therefore do not use without consulting your doctor.
Important! Selection for antibiotic treatment is carried out only gynecologist or dermatologist on the basis of the obtained analysis results. Conducting bacteriological inoculation to determine the sensitivity of microorganism strain, which makes it possible to carry out the best possible fit.
Ureaplasma women show low efficacy to antibiotics such groups:
- ciprofloxacin;
- erythromycin;
- ofloxacin.
Because exciter shows sufficiently high resistance to the antibiotics these groups, should refrain from using them in the course of therapy.
Important! In the presence of chronic pathologies of the gastrointestinal tract may be realized with the use of the local action. Usually it is a candle and vaginal tablets.
The treatment regimen ureaplasmosis women necessarily complemented with protective agents:
- Eubiotics help keep the vaginal and intestinal microflora.
- Immunomodulators and similar tablets are used for completion of the course to strengthen the immune system and to prevent repeated exacerbations.
- Hepatoprotectors appointed in the presence of liver function disorders.
- Vitamins and minerals have a restorative effect.
Additionally, the treatment regimen includes the use of a medical diet, excludes fatty consumption, fried, salty food, semi-finished products and snacks. Such a diet reduces the load on the intestines and the liver at the time of treatment. Also worth completely stop smoking and drinking alcohol.
At the time of treatment should refrain from sexual intercourse. If there is a permanent partner about the treatment recommended for both - it promotes a more rapid remission and prevents reinfection. In formulating such a diagnosis a woman should avoid further contact, to prevent the spread of infection.
It is important to the hygienic norms. When treating ureaplasmosis women should avoid wearing clothes made of synthetic fabrics. Should give preference to textiles of natural origin. It is also not recommended to use panty liners - they retain moisture, creating favorable conditions for bacteria.
diagnosis remissions
Recovery and successful completion of the treatment carried out in 2 phase. Upon completion of the course of reception of antibiotics performed bacteriological seeding swab from the vagina or cervix. If not detected in the test material ureaplasma, by an additional PCR analysis. It is carried out through 2-3 weeks after the end of treatment. According to its results, and is diagnosed in complete remission.
