Urogenital mycoplasmosis

Description:

The infectious disease of urinogenital bodies caused by the microorganisms relating the smallest microorganisms capable to the Mycoplasma.Eto family is autonomous to live and breed. In a light microscope of a mycoplasma are not visible. Mycoplasmas are formative on artificial mediums, breed division and budding. Urogenital mycoplasmas do not carry to pathogenic microorganisms, sexually transmitted. Moreover, they as symbionts can breed in urinogenital ways, without causing inflammatory processes. It is confirmed by the fact that mycoplasmas come to light at 5-15% of healthy women. Most of researchers consider them as the opportunistic microorganisms capable only under certain conditions to cause infectious processes. However some scientists consider them absolutely pathogenic microbes responsible for development of infectious diseases.

Symptoms of Urogenital mycoplasmosis:

The characteristic clinical picture of urogenital mycoplasmosis does not exist. The asymptomatic infection occurs both at men, and at women. Features of biological properties of activators define the imperceptible beginning of a disease and its often asymptomatic current. The mucopurulent endocervicitis (an inflammation of the channel of a neck of uterus) can be a symptom of genital mycoplasmosis. Along with an endocervicitis, the specific or nonspecific urethritis (an urethra inflammation) can take place. Spread of an infection up - in a cavity of the uterus, uterine tubes, a peritoneum respectively involves development of an endometritis (an inflammation of an internal cover of a uterus), a salpingitis (an inflammation of uterine tubes), commissural process of bodies of a small pelvis. Often only display of a disease is the endocervicitis and bright red, with smooth edges a metaplasia of an epithelium of a neck of uterus.

The most frequent complaints of patients with urogenital mycoplasmosis are the itch of generative organs, slightly increased number of mucous allocations from generative organs, periodically arising pain in the bottom of a stomach, the dysuric phenomena (various disturbances of an urination), disturbance of a monthly cycle, infertility, usual not incubation of pregnancy, the stood pregnancy, still births, the phenomena of threat of abortion and toxicosis at pregnancy in the anamnesis, existence at the sexual partner of an urethritis, weakening of its potentiality (owing to development of prostatitis) or the direct instruction on sexual contact with the infected sexual partner.

Indications to inspection on a mycoplasmal infection are:

    * existence of the chronic repeatedly escalating inflammatory processes of genitals;
    * infertility;
    * the burdened obstetric anamnesis (misbirths, an oligoamnios, a hydramnion);
    * existence at women of the sexual partner with inflammatory diseases of urinogenital ways.

Reasons of Urogenital mycoplasmosis:

Now more than 180 types of mycoplasmas are known. Some types have pathogenic properties: M of hominis, M. of genitalium, M. of pneumoniae, M. of penetrans, U. urealyticum.

The majority of other types of mycoplasmas are parasites of membranes of cells of mucous membranes of respiratory and urinogenital paths, live on them, without doing visible harm.

The main ways of spread of an urogenital mycoplasmal infection – sexual and transplacental (through a placenta at pre-natal fetation). The incubation interval from infection before development of symptoms of a disease makes 15-20 days.

Due to the lack at mycoplasmas of a cell wall, the expressed specific immune response of an organism and durable immunity after the postponed disease does not develop. Above the specified factors cause a long persistention (presence at an organism without disease symptomatology) these microbes. A source of repeated development of an infection and the main tank of mycoplasmas in a human body is marrow. Variability of membrane proteins which leads to an uskolzaniye them from an immune response and resistance to antibacterial therapy is characteristic of mycoplasmas.

Treatment of Urogenital mycoplasmosis:

Treatment by antibiotics is carried out at allocation of urogenital mycoplasmas and in the presence of clinical signs of infectious and inflammatory processes of urinogenital system. Treatment at the burdened obstetric anamnesis is also shown (of course, in the presence above the specified factors).

In the absence of clinical signs, changes of laboratory indicators and at allocation of urogenital mycoplasmas in small quantities, consider existence of mycoplasmas as a carriage, and do not carry out antibacterial therapy. Antibacterial therapy includes use of drugs of the following groups: tetracyclines, macroleads, ftorkhinolon, aminoglycosides.

Considering characteristics of urogenital mycoplasmosis – the chronic current with periodic aggravations which is followed by decrease in immunity therapy by antibiotics supplement with immunomodulatory drugs – tsikloferony, laferony, viferony. For the purpose of recovery of normal microflora of a vagina and correction of local immunity recommend a probiotics – бифиформ, yogurt in capsules, etc.