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Urethritis - Inflammation that develops in the urethra (urethritis). In today's world urethritis - a widespread disease, which occurs in both men and women.
Causes
Two groups of urethritis: infectious and noncommunicable . The development of infectious urethritis occurs in a patient under the influence of a variety of pathogens. Specific urethritis - The result of Neisseria gonorrhoeae, gardnerellas. Consequently, the infection most often occurs during sexual intercourse. Non-specific urethritis develops as a consequence of human exposure E. coli . staphylococci . streptococci . Also, it distinguishes acute urethritis and gleet .
The development in patients with nonspecific urethritis may begin as a result of injury to the urethra. Sometimes this occurs during medical procedures - cystoscopy, the introduction of a catheter into the bladder. Also injury can occur during the passage of the stone through the channel.
In addition, the development of urethritis due to possible allergic reactions, stagnation in the pelvis, narrowing of the urethra. However, it should be noted that the progression of non-infectious urethritis in the urethra is very often the reason for the activation of opportunistic pathogens (usually staphylococci). As a result, the patient noninfectious urethritis relatively quickly manifested a secondary nonspecific bacterial urethritis.
Given the fact that the causes of urethritis can be so varied, it is understood that they may be ill everything. Urethritis in children and adults can take place without striking symptoms, so sometimes a sick person does not even suspect that he developed this illness.
Very often, infection occurs during urethritis seksualn6ogo contact. Initially, the woman can complain about the fact that she had developed cystitis (inflammation of the bladder). Later, marked symptoms of urethritis.
Although exactly what causes provoked the disease, a person must realize that to make their own antibiotics or folk remedies can not be in any case. The correct tactics - immediately consult a specialist.
Symptoms
The symptoms of urethritis usually are expressed in about 3-7 days after infection occurred. But it happens that an acute urethritis seen after two or three-week incubation period. Symptoms in men and women appear primarily a strong burning sensation or pain during urination. Especially sharply stinging or burning the sick person feels when urination begins. Another symptom is manifested in both adults and children, it is discharge from the urethra. They typically show up in the morning. If a person develops nonspecific bacterial urethritis, such allocation may be abundant, they have a muco-purulent and foul odor. Sometimes urethritis develops without emissions. There is only pain and a burning sensation.
Generally, symptoms in men with urethritis are more pronounced, as it is promoted anatomy of the stronger sex. In men, the urethra is longer and narrower, so they feel the symptoms of the disease is usually acute. At the same moment women disease can occur generally asymptomatic or its attributes are not pronounced. But it is in any case does not mean that treatment of the disease is not required. Without adequate therapy, acute urethritis becomes chronic.
Urethritis in men may appear, and other features. In the morning, patients may notice that the sponges outer opening of the urethra stick and blush. Thus, although exactly what causes the disease provoked, obschevospalitelnye symptoms (fatigue, fever) do not appear.
In some cases, an acute form of the disease gradually becomes chronic. This usually occurs when the patient suffered gonorrheal urethritis Who were treated improperly. Gonorrheal processes can affect the urethra and prostate . In addition, chronic urethritis develops if the patient is weakened immunity. This happens when a person ill with other illnesses, taking certain medications, etc.
If the person who contracted urethritis, wondered how to cure this disease, and does not pay attention to the symptoms, then eventually all the signs themselves disappear, since there is suppression of the inflammatory process. However, germs and remain in the human body.
Men such pathogens are stored in the seminal vesicles, the prostate gland. In women, they can stay for a while in small glands of the vestibule, and in Bartholin gland. As soon as the chill, a person consumes large amounts of alcohol, or there is another stressful for the body, inflammation of the urethra develops again. But again, the development of inflammation in the patient manifested not only urethritis, but also vesiculitis . chronic prostatitis As well as other diseases that may eventually lead to even infertility .
Diagnostics
To confirm the disease, it is necessary to see a specialist urologist, who will conduct the necessary research. In this case, we are talking about planting discharge from the urethra. If the patient does not discharge, used for the analysis of the first portion of the urine sample trehstakannaya. Conducting such research makes it possible not only to determine which pathogen has provoked the development of the disease, but also to identify the sensitivity of the pathogen urethritis to antibiotics of different groups.
It is particularly important to quickly identify urethritis in women, as signs of the disease may be absent. Nevertheless, and acute and chronic urethritis easily detected, conducted laboratory studies. Diagnostics also provides additional studies, which allow not only to determine the causes of the disease, but also to establish, not whether the inflammation has spread to other organs. More often than men suffer from the seminal vesicles and prostate cancer, and women - the bladder. Based on these results, the physician makes a decision on how to treat the disease.
Treatment
For patients with urethritis most important point is to carry out the treatment of antibiotic therapy. How to treat urethritis, and what drugs to use in this case, the doctor decides, after examining the results of analyzes. Today in the course of treatment of urethritis is used a number of drugs-antibiotics. Than to treat the disease, the doctor determines, based on these analyzes. Regimen disease built depending on its severity. Therefore, it can last for a few days and several weeks. In most cases urethritis treatment is practiced at home. People can be hospitalized only in the event that acute purulent urethritis complicated forms of the disease.
Treatment of urethritis in men and women goes through the same scheme. But with the development of chronic forms of the disease therapy lasts much longer and more complex than in its acute form. Patients underwent antibiotic therapy, as well as the administration of drugs directly into the urethra. The treatment also includes immunotherapy drugs and drug-free means. Furthermore, some specific points recorded in treating urethritis in women during pregnancy, as well as in the treatment of disease in children.
Treatment gonococcal urethritis That people become infected mainly through sexual contact, it is performed by a qualified venereologist. Since recently scientists point to the high resistance of gonococci penicillin When applied gonorrheal urethritis cephalosporins and other antibiotics. At the same time the patient should drink plenty of fluids and to adhere to a strict diet, eliminate from the diet drinks and spicy food. If gonorrheal urethritis becomes chronic, the urethra can be introduced or solutions of silver nitrate solution Collargol. After suffering chronic gonococcal urethritis patient should be seen by a doctor within two months. It should be noted that the immunity after the disease is not produced, so the possibility of reinfection.
Development bacterial urethritis - The result of falling into the urethra of pathogenic bacterial flora. The treatment of this form of the disease involves compulsory registration of the sensitivity of its originator. When combined with a bacterial urethritis cystitis, the treatment is carried out comprehensively. In addition to antibiotics and physiotherapy practice. Chronic forms of the disease involve the use of methods of immunotherapy. Treatment of secondary urethritis must necessarily take into account the concomitant diseases - vesiculitis, prostatitis, urethral strictures.
Trichomonas urethritis Usually treated with metronidazole . tinidazole . tiberal . Since the infection occurs during sexual intercourse, it is important to simultaneously treat both sexual partners. Sometimes re-treatment is practiced.
Chlamydial urethritis treated under the scheme of therapy indolent infection, including antibiotics and immunomodulators. Sometimes the reception is also practiced polyene antibiotics to prevent damage candidiasis .
With viral urethritis doctors sometimes have some difficulties with the selection of the drug. As a general rule, apply antibacterial broad-spectrum drugs in combination with corticosteroid hormones. Treatment can last up to three weeks.
Kandidamikotichesky urethritis - A rare form of the disease, a consequence of lesions of the mucous urethra yeast. In setting up such a diagnosis antibiotics are canceled, and the treatment is carried out antifungals.
If as a result of chronic urethritis patient develops complications as urethral stricture, patients were probing (extension) of the urethra with the help of special tools.
Prevention
One of the primary prevention of urethritis - meaningful sex life and a permanent partner. If there are random sexual contact, it is absolutely necessary to use a condom. To those people who are sexually active, it should be checked regularly for sexually transmitted infections.
Another important point - the timely treatment of infectious and inflammatory diseases. It is necessary to prevent the development of diseases that can later provoke urethritis. It is primarily urolithiasis disease At which the injury occurs urethra stones and sand.
Furthermore, to avoid supercooling, the bladder is emptied regularly, avoiding interruption of three hours and longer. What is important is the optimal mode of drinking and diet Excluding very sharp and salty foods, alcohol. One should not allow violations of the chair.
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