Treatment of gonorrhea in women
Treatment of gonorrhea in women should be carried outimmediately after the diagnosis is made. Late initiated therapy can lead to the development of irreversible changes in the appendages due to the chronic course of the inflammatory process.
Treatment of gonorrhea in women mostly reducesto the use of antibiotic medicines. In modern medicine, the drugs of the latest generation are used, which have the ability to affect gram-negative flora. It should be borne in mind the increased resistance of the gonococcus to antibiotic agents. In addition, it must be borne in mind that the treatment of gonorrhea in women at different stages requires a different dosage. That is why self-medication is by no means unacceptable.
Reception of antibiotic drugs causesdysbacteriosis, both in the intestines and in the vagina. In this regard, the treatment of gonorrhea in women is completed by the use of microflora-repairing agents. One of the mandatory conditions during therapy is the rejection of sexual contacts and alcohol.
Since curing gonorrhea in many casesit is quite difficult, the therapy should be carried out under constant bacteriological control. The disease is considered to be eliminated only if laboratory tests show the absence of gonococci in scrapings or smears.
It should be noted that in the absence of treatment orInadequate (self) therapy is high risk of spreading the infection up the mucosa. In this case, the envelope of tubes, uterus, ovaries, and in some cases peritonea, is involved in the inflammatory process.
Than to treat a gonorrhea?
Despite the identity of the reasons and conditionsthe occurrence of disease in men and women, the mechanism of spread of infection and the course of pathology in each case has its own characteristics. Depending on the affected area of the genitourinary system, treatment is selected.
The most common gonorrheal urethritis is acute. It is detected in 90% of patients. In this case, sulfanilamide preparations are prescribed, antibiotics in combination with local procedures.
In chronic and subacute stageswashing of the urethra by means of a solution of potassium permanganate is carried out. Such therapy is also applicable in acute cases in case of patient intolerance to sulfonamides and antibiotics. After washing, the canal is smeared with ichthyol or a 1% solution of lugol or silver nitrate.
Persistent urethritis suggests the use of gonovaccine or penicillin. The drugs are injected into the submucous layer of the urethra.
When gonococcal lesions of the paraurethral ducts are diagnosed, gonorrheic pararethritis.
Treatment of this disease is carried out attherapy of urethritis. In advanced cases, in the absence of the effect of local and general effects, cauterization of the ducts using crystalline silver nitrate is used. With the development of an abscess, surgical intervention is prescribed.
Gonorrheal vulvitis is a very rare disease. It is noted more often in pregnant women against the background of loosening of the superficial epithelial layer, in women during menopause on the background of pronounced thinning in multilayer flat epithelium.
In this pathology treatment is carried out withuse of antibiotic drugs, sulfonamides, as well as local effects on the foci of infection. In acute course, sit-up baths with a solution of potassium permanganate are recommended. In the subacute period after them, the lubrication of the affected areas is prescribed with a one- to two-percent solution of silver nitrate or a three- to five-percent solution of protargol. To get rid of cracks use a five percent liniment of synthomycin.
