Among the abundance of sexual infections, there are those about whom there are numerous and also everyone who is not careless. There are others— infections with an average name, of which many have not also listened to.
Nonetheless, around them there are entire clinical battles.Such is mycoplasmosis: an infection that was dealt with yesterday by every lady at any kind of detection, today some medical professionals like to lay off.
The details of the medical diagnosis of «mycoplasmosis» was assessed by the contributor of SHE.
Unseen front
Mycoplasmas are tiny bacteria that live in the organisms of people as well as pets. They are quite various, more than 100 varieties, in the human body can survive ordinary 16. Some of them stay in the mouth as well as throat (including the original agent of respiratory infection— Mycoplasma pneumoniae). Others are the occupants of the mucous genitalia and also urinary tract. These are M. hominis, M. genitalium as well as Ureaplasma urealyticum.
The last subspecies of mycoplasmas has actually also been separated in a separate category ureaplasma as a result of their capacity to damage urea (so they excel in the urinary tract and trigger cystitis, as an example).
Speaking of mycoplasmosis, normally refer to a couple of M. hominis, M. genitalium. About them and will certainly be talked about. Instantly I need to say that mycoplasmas are conditionally pathogenic bacteria: they can create illness, but they are frequently discovered in healthy people.
As Alla Teplitskaya, an obstetrician-gynecologist at the Zdravitsa facility, informed me, mycoplasma can be detected in every tenth healthy and balanced lady as well as nearly in 60-70% of ladies with an inflammatory procedure.
Resource of infection
Mycoplasmosis can be contaminated by sexual call in the vaginal area. Other techniques of infection physicians think not likely, including using toilet seats, brows through to the swimming pool, bathrooms as well as shared towels. However, there are much more serious infections that are transferred through shared towels, so these behaviors must still be eliminated. Just in case.
If you obtain contaminated, you might quickly find signs: scanty transparent or whitish discharge from the vagina, mild irritation and also burning (as if cystitis begins). To make an exact diagnosis, the doctor will take examinations.
With the help of a regular smear the physician can only think mycoplasmosis. If there is a rise in the variety of leukocyte, which suggests swelling, you need to be inspected additionally.
Evaluate this
To recognize the virus, the material is sent out to the laboratory for added studies. The major evaluation is microbial culture. Just with its assistance it is possible not just to expose the sort of pathogen, however additionally the variety of bacteria as well as their level of sensitivity to antibiotics.
If greater than 10 000 cfu/ ml were discovered in the bacteriosia (just, there are way too many microorganisms) as well as there are signs of swelling, the physician recommends antibiotic treatment.
Analysis of PCR in our nation is frequently designated indiscriminately, when it comes to mycoplasma it is half ineffective: it will «find» even single specimens, yet will certainly not claim whether there are several bacteria actually.
«Unfortunately, quantitative PCR in our nation is not yet applied,»— grumbles Alla Teplitskaya. If there are less microorganisms or if the physician makes a medical diagnosis on the basis of various other techniques (as an example, taking blood for antibodies) without bacterosseus, it is far better to locate another specialist as well as speak with him.
As Aleksei Khryanin, teacher of the Department of Dermatovenereology of NMMU, confessed, the issue of the pathogenicity of mycoplasmas is the most acute today in dermatovenerology. A growing number of at seminars such opinion is gone over: the only pathogenic kind of mycoplasmas is acknowledged M. genitalium, and also means, it is required to treat it only. You and the sexual partner.
If the medical professional has actually found M. hominis in low titers and also without signs of inflammation, his suggestion to poison you with an antibiotic goes to the very least suspicious.
By itself, mycoplasmal infection in its pure kind is dealt with fairly easily, physicians say. To do this, a ten-day course of antibiotics is suggested, and also a month later on a control evaluation is taken. If there is swelling, additional regional treatment will certainly be called for. The problem is that in concerning half of the instances of discovery of mycoplasmosis the medical professional finds the adversaries more severe. Usually it is chlamydia and trichomoniasis. They typically need to deal with them long and also drearily.
His concern does not draw
The only case when mycoplasmosis is better dealt with despite having reinsurance, is maternity preparation. As Alla Teplitskaya stated, mycoplasma can prompt the development of gestosis in the second phase of pregnancy, creates inflammatory changes in the placenta, which triggers the unborn child to suffer. In women with habitual miscarriages of pregnancy mycoplasma is planted about twice as usually as in healthy people. If a huge number of mycoplasmas is detected in a pregnant woman, her treatment in any instance will be delayed till the 20th week of the term and only with the help of accepted anti-biotics. All tests are very recommended at the planning phase, as physicians usually call.
A few words about prevention. It is elementary: a condom as well as one companion. If you do not locate your one, the recommendations boils down to a prophylactic. Use ointments, tablets with anatibacterial elements as well as syringing is not required: they kill the safety microflora and also, rather, offer more possibilities to develop unsafe microorganisms, than to assist you secure them.