Chronic Chlamydia - Signs And Symptoms Of The Disease

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Chronic Chlamydia - Signs And Symptoms Of The Disease
Chronic Chlamydia - Signs And Symptoms Of The Disease
Video: Chronic Chlamydia - Signs And Symptoms Of The Disease
Video: What is Chlamydia? | What are the Symptoms of Chlamydia? 2023, February
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Causes and treatments for chronic chlamydia

Content

  • 1 Description
  • 2 Epidemiology
  • 3 Causes of pathology
  • 4 Signs and symptoms of illness
  • 5 Complications
  • 6 Diagnostics
  • 7 Risk group
  • 8 Treatment

    • 8.1 Treatment of women
    • 8.2 Treatment of men
  • 9 Forecast and prevention

In modern times, chronic chlamydia is one of the most common sexually transmitted infections. In the world, the number of sick people is constantly growing, especially for young people who start sexually early, often change partners, and neglect contraception. If the acute stage of the disease is not treated in time, it passes into the chronic stage, which is difficult to diagnose and heal.

Description

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Chlamydia urogenital is an STD that develops when the bacteria Chlamydia trachomatis enters the body, which affects the mucous membrane of the urethra and the epididymis of the human genital organs. An incorrect diagnosis and treatment regimen leads to the fact that the pathology becomes chronic. In the chronic form, the disease is sluggish and asymptomatic, so it is difficult to identify it. The disease can develop in the body for many years, provoking the development of various complications. This is what makes many go to a medical facility. Patients complain of itching in the urethra, edema and redness of the genitals. Female representatives have no discharge.

Chlamydia first affects the human genitourinary system, in particular the urogenital canal, therefore, very often the patient develops urethritis, but the development of the disease can occur in different ways. The eyes, nasopharynx, and lungs are often affected.

Epidemiology

This disease is the most common of all STDs. It can be observed in both men and women, the latter have a much higher chance of getting sick. In half of the cases, chlamydia is transmitted through unprotected intercourse from a patient to a healthy partner. The number of sick people is constantly growing due to the lack of symptoms of the disease, the complexity of diagnosis, an increase in extramarital sex, population migration, prostitution, and others.

Causes of pathology

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Causes of pathology

The reason for the formation of urogenital chlamydia is Chlamydia trachomatis, which enters the human body through the sexual, contact-household, intrapartum and transplacental routes. Chronic chlamydia in women can appear due to non-observance of hygiene rules in the sauna, pool and other recreational areas. With the bloodstream, the bacterium spreads throughout the body, settling in organs and tissues, therefore the disease has several lesions. It causes the development of an adhesive process in the affected organs as a result of the inflammatory process, a weakening of the immune system. In the external environment, chlamydia easily die under the influence of boiling, ultraviolet radiation, antiseptics. Chronic chlamydia in men most often develops as a result of unprotected intercourse or oral sex; it affects about 10% of men under the age of thirty.

Signs and symptoms of the disease

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Signs and symptoms of the disease

Chronic chlamydia is characterized by a long infectious process, in which bacteria at a certain stage stop their development and do not divide. Most patients with chronic chlamydia do not show symptoms, therefore they consider themselves healthy and do not undergo appropriate treatment. But when exposed to provoking factors, the disease can show signs, it often leads to the formation of adhesions in the small pelvis, as a result of which infertility is observed in men and women. In some cases, there is a serous-purulent discharge from the genital tract, urethritis, frequent painful urination. The patient may develop arthritis and conjunctivitis. Newborn children develop pneumonia, vulvovaginitis, urethritis.

Chlamydia chronic symptoms in women against a background of reduced immunity has the following

  • Profuse discharge with an unpleasant odor;
  • Discharge with blood impurities;
  • Burning and itching when urinating;
  • Pain in the lower abdomen.

Chronic chlamydia in men has the following symptoms:

  • Acute urethritis;
  • Itching when urinating, burning at the entrance to the urethra;
  • Pain in the scrotum;
  • Discomfort in the testicular area;
  • Vitreous discharge from the urethra.

After some time, the symptoms completely disappear, but in some cases, an increase in temperature, chronic fatigue, and so on are added to it.

Complications

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Complications of pathology

If not treated, female representatives develop diseases such as cystitis, colpitis, erosion of the cervix, adhesions of the fallopian tubes, infertility. Their libido decreases, sexual intercourse may be accompanied by painful sensations, the menstrual cycle is disrupted. The most dangerous is the formation of cervical cancer. During a woman's pregnancy, chronic chlamydia leads to premature birth, spontaneous miscarriages, and frozen pregnancies. Moreover, 50% of newborns have this infection. When bacteria damage the rectum, pain and discharge from the anus appear.

In men, chlamydia causes damage to the testes, prostate, epididymis and urethra, often developing vesiculitis or epididymitis. The negative consequences of the disease include chronic prostatitis, which increases the risk of impotence, as well as orchiepididymitis, which leads to infertility. All this can be accompanied by a decrease in potency, acceleration of erection, and so on. Also, in a sick person, chlamydia can cause inflammation in the kidneys, Reiter's syndrome, ophthalmochlamydia, pharyngitis or proctitis. After a complete cure, many people develop autonomic and neurasthenic reactions, accompanied by sexual discomfort, fatigue, and more.

Diagnostics

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Diagnosis of the disease

Since chronic chlamydia has mild symptoms, it is not possible to recognize the disease. The diagnosis is made based on the results of laboratory tests for the presence of the pathogen and its antigens. For analysis, scrapings are taken from the cervical canal, urethra or conjunctiva. In 30% of cases, the Romanovsky-Giemsa test helps to identify the bacterium. PCR, enzyme immunoassay, and culture are also common. Chlamydial antibodies in blood serum are often examined, liver function tests, and an immunogram are performed. Doctors carry out differential diagnostics with trichomoniasis, mycoplasmosis, gonorrhea and other STDs.

In addition, the doctor examines the cervix in women, conducts colposcopy, which makes it possible to determine the presence of purulent discharge, hyperemia and edema of the mucous membrane near the external pharynx. Suspected pathology is caused by adhesions between the peritoneum and the liver, which can be detected during laparotomy or laparoscopy.

Risk group

Doctors must necessarily conduct a study for the presence of chlamydia in the following patients who have:

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  • Chronic pathologies of the urinary and reproductive systems;
  • Menstrual irregularities;
  • Intrauterine device;
  • History of abortion;
  • Atypical pneumonia;
  • Fever of unknown origin;
  • Newborn babies with an infection in the mother.

Treatment

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Treatment of the disease

For each patient, an individual treatment of chronic chlamydia is selected, which depends on the results of diagnosis and the severity of symptoms. To treat this pathology, doctors use:

  1. Antibacterial agents. Such drugs are essential in the elimination of the disease. During treatment, two types of antibiotics are used, the dosage of which depends on the duration of the course of the disease. The attending physician must conduct an antibioticogram to determine the sensitivity of the medication to the bacteria.
  2. Probiotics that protect the intestines from the development of dysbiosis and diarrhea.
  3. Immunostimulants to be used on the first day of treatment. According to the results of some studies, it was found that patients with compromised immune systems, in 65% of cases, completely recovered after immune correction. But it is recommended to prescribe immunostimulants after an immunological examination, since in most patients lymphocytes do not respond to such a group of medicines.
  4. Hepatoprotectors that increase the liver's resistance to the influence of antibacterial agents. Most of them have anti-inflammatory, antioxidant effects.
  5. Enzymes (enzymes) that have a beneficial effect on human immunity, increasing the concentration of the drug in the lesion, stimulating kidney activity, neutralizing toxins.
  6. Vitamins, antioxidants help to strengthen the immune response in response to infection.

Treatment of women

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Treatment of women

When prescribing medications, the doctor must take into account the individual characteristics of the woman's body, in addition, some antibiotics should not be used during pregnancy.

The treatment regimen for chronic chlamydia in women should include drugs such as "Rovamycin", "Vilprafen", "Azithromycin", "Doxycycline" and others. In addition, the physician must take into account the presence of concomitant diseases. In this case, he prescribes immunomodulators, multivitamins, sulfonamides. Special suppositories help to restore the vaginal microflora. A woman should remember that her sexual partner is most likely also infected and requires immediate treatment.

Treatment of men

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Treatment of men

Chronic chlamydia in men also requires complex treatment. First of all, the doctor prescribes antibacterial drugs of the tetracycline series: macrolides or fluoroquinolones. It is possible to use several drugs, which helps to cure the disease.

Such a treatment regimen for chronic chlamydia is designed for fourteen days, if the pathology is neglected, it may take one month. In addition to antibiotics, the patient must take adaptogens, multivitamins and immunostimulants, as well as probiotics, for example, Linex. In some cases, the doctor prescribes enzymes, enemas, prostate massage, suppositories are often prescribed, physiotherapy is performed, for example, iontophoresis, ultrasound and others.

During the period of treatment, a man must give up addictions and follow a diet. Also, the therapy of the sexual partner must be carried out, since the risk of developing his pathology is very high. During the period of therapy, it is recommended to exclude sexual intercourse or use a condom.

Forecast and prevention

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If the disease is detected on time, and the doctor prescribed effective treatment, then the prognosis of the disease will be favorable, since the patient can be completely cured. If the pathology is neglected, it can take a long time. In addition, one should take into account the development of complications with an ailment that negatively affect the health and life of the patient, self-medication in this case is contraindicated. The attending physician must strictly monitor the patient's compliance with all recommendations and prescriptions.

Prevention of chlamydia is based on the use of a contraceptive during intercourse. A person must also have one sexual partner. If there has been unprotected intercourse with an unfamiliar partner, it is recommended that you be tested for chlamydia immediately, even if there are no symptoms or signs of the disease.

When planning a pregnancy, both partners must comply with preventive measures, they must pass all tests to detect hidden infections, as well as STDs. Such preventive measures help maintain good health.

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