Gonorrhea is an infectious sexually transmitted disease. If a person becomes infected with it, then the pathogen attacks his mucous membranes and begins to weaken the immune system.
What to do if this happens? What is the treatment for gonorrhea? What drugs are effective? How long will it take to heal? There are a lot of questions regarding this topic. And now some of them should be answered.
Symptoms
These must be considered before proceeding to the study of the treatment of gonorrhea. Signs of this disease can be identified in the following list:
- Painful and frequent urination.
- Deterioration of the general condition.
- Increase in body temperature up to 39 °C.
- Diarrhea, vomiting and nausea.
- Irregular menstruation in women.
- Prostate and testicular disease in men.
- Pain in the lower abdomen.
- Ulceration, swelling and hyperemia of the mucous membranes.
- Itching and burning of the genitals. These feelings are also accompanied byurination process.
- Serous-purulent discharge from the vagina and urethra is observed.
Since we are talking about the symptoms and treatment of gonorrhea, it is fair to say that often the disease occurs without any symptoms at all, especially in women. Or only some of them appear.
But this is just the beginning. Then, when the infection spreads throughout the body, the person's condition worsens. And the symptoms are showing up. Therefore, it is necessary to visit a doctor immediately at the first suspicious manifestations.
Antibacterial and antimicrobials
Of course, for the treatment of gonorrhea, drugs are prescribed by a venereologist after examining the patient and studying the tests he has passed. But this is already clear to everyone.
There is one fact that must be taken into account before proceeding to the study of the drugs and methods used in the treatment of gonorrhea. In women and men, this disease is treated in the same way. It's important to remember this!
Many pharmaceutical companies and private clinics offer patients "special" medicines designed specifically for women or men. However, this is a marketing ploy, nothing more. Since the infection manifests itself equally in any organism, regardless of gender, and it needs to be affected by certain substances.
So, from the medicines of this group, they are usually prescribed:
- Bassado capsules. Take orally, daily, 1 tablet every 12 hours after meals. The duration of the course is determined individually.
- "Doksal". 100 mg twice a day.
- "Doxylan". Take within 5 days, maximum 200 mg.
- Zinpat. This second generation cephalosporin is effective if the infection is in the genitourinary system. Usually these are the cases when a woman develops cervicitis or urethritis with gonorrhea.
- "Cotrimoxazole". Assign for the treatment of chronic gonorrhea. Take 1 tablet 2 times a day.
- "Levomycetin" in capsules. An effective remedy against the division of microbial cells. The course lasts up to 10 days.
- "Miramistin" in solution. Can neutralize the pathogen if douching and cleaning the genitals within 2 hours after unprotected sex. After that, another 1.5 hours you can not go to the toilet.
- "Raxar". The tablet is taken once. Helps with the initial form of the disease.
- Renor. Prescribed for gonococcal cervicitis or urethritis.
- "Rifamor". The drug helps with the disease in an acute form. It is taken once on an empty stomach.
- "Rovamycin". The allowed daily dose is 6-9 million IU, divided into 2-3 doses.
In some cases, a combination of several drugs is required. By the way, they are quite pricey. A pack of Bassado capsules, for example, costs about 1200-1300 rubles. And there are only 10 of them.
Injections
Rarely in the treatment of gonorrhea does without injections. The following drugs are injected:
- Zinacef. This powerful second-generation antibiotic is administered onceintramuscularly in the amount of 1.5 g.
- "Lendatsin" and "Longatsef". Do intramuscularly in the buttocks.
- "Ketocef". Indicated when penicillin is not available.
- Modevid. The drug will help if there are no complications.
- "Netromycin". The injection is done once intramuscularly, 0.5 doses in each buttock.
- "Novosef". Helps in the treatment of gonorrhea uncomplicated form. The powder is diluted with a local anesthetic such as Novocain.
- "Pipraks". It is administered once intramuscularly. The remedy is indicated only for the disease in an acute form. The dosage is determined by a specialist.
- "Pipracil". Intramuscular daily injections. The course lasts 10 days.
- "Rifogol". Administer intramuscularly at intervals of 8-12 hours.
- "Rocefin" in solution. The powder is diluted with Lidocaine.
As a rule, injections of many drugs are done in the venereal room. Sometimes even immediately, on the day of arrival for test results and a diagnosis.
Antibiotics
Their intake is necessarily accompanied by treatment with gonorrhea drugs in men and women. However, antibiotics must be taken correctly. Otherwise, resistance (insensitivity) of gonococci to their components may develop.
Therefore, it is customary to divide antibiotics into three groups.
- Basic. These are antibiotics that have high activity against the pathogen. They begin treatment as soon as laboratory confirmation of gonorrhea has been obtained. The most effective drugs in this group are Ceftriaxone and Cefixime. Their actionis aimed at inhibiting the synthesis of cell walls of parasitic bacteria.
- Alternative. This group includes antibiotics with moderate activity against gonococci. They are used in the event that a person does not tolerate drugs of the main group, or they do not have the desired effectiveness. The most popular antibiotics in this group are Spectinomycin and Ciprofloxacin.
- Reserve. These antibiotics are prescribed for the treatment of gonorrhea in men and women only if neither the main nor the alternative have been effective. They have a very high activity against gonococci. A doctor can prescribe them only after a course of antibiotics has already been completed (as a result of which its ineffectiveness is found out).
If a person decides to prescribe them himself, then there will be a possibility of developing a strain (microorganisms) that is not at all sensitive to any modern drugs.
The drug "Ofloxacin" can be added to this category. This substance belongs to fluoroquinolones, and it has a very wide spectrum of action. After taking it, the blocking of the DNA-gyrase enzyme in gonococcal cells begins with their complete destruction.
Frequently prescribed drugs
Continuing to talk about how gonorrhea is treated in men and women, you need to list some antibiotics that doctors prescribe most often for this disease. The list is:
- "Ciprinol". Its active ingredient is ciprofloxacin. An antibiotic isan antimicrobial agent that inhibits the synthesis of bacterial DNA and suppresses DNA gyrase. The dosage is determined individually. In acute cases, a dose of 125 mg is prescribed in the morning and evening. Popular analogues: "Ekotsifol", "Cifran", "Tsiprolet", "Tsiprobay".
- Zoflox. It works similarly to the previous drug. It is prescribed for uncomplicated gonorrhea at the initial stage. The daily dose is 800 mg, this amount of the drug should be divided into several doses. Analogues are "Zanotsin" and "Tarvid".
- "Azaran". It is administered parenterally by a doctor. It has a bactericidal effect, inhibits cell synthesis, and also acetylates membrane-bound transpeptidases. Shown in uncomplicated form. Of the popular analogues, one can distinguish "Cefson", "Longacef" and "Rocephin".
- Kirin. It acts bacteriostatically, destroys gonococcal strains. It is a tricyclic antibiotic related to aminocyclotols. Indicated for the treatment of gonorrhea of any stage. But in severe cases, the dosage reaches 10 ml. There is only one analogue - "Trobitsin".
- "Supraks". It is a semi-synthetic antibiotic based on cefixime. It is administered once in an individual dosage for mild stages of gonorrhea, and for severe ones, the course is extended to 7-14 days. Popular analogues include Pancef, Ixim Lupine, Cemidexor, Tsespan and Ceforal Solutab.
- "Azicide". An antibiotic belonging to azalides (a subgroup of macrolides). Its main active ingredient is azithromycin. It is effective not only for gonorrhea, but also for chlamydia. Dosage is determineddoctor depending on the severity of gonorrhea. Analogues include drugs "Ecomed", "Azimycin", "Zimaks" and "Azitroks".
Of course, each of the listed medications has contraindications and a list of possible side effects. Therefore, the doctor will decide which drug is suitable for the patient, making the appropriate conclusions based on the results of tests, examination and study of the person's history.
Other drugs
Continuing to talk about the symptoms and treatment of gonorrhea in men and women, it is necessary to list some more medicines that were not previously mentioned. These include:
- "Sulfadimethonic". An antibacterial drug that is a derivative of sulfanilamide. It has a long lasting effect when taken orally.
- "Sumamed". An antibiotic belonging to the group of azalide macrolides. The action is aimed at suppressing protein synthesis of microbial cells.
- Sumetrolim. A combined drug that has an antibacterial and antiprotozoal effect. It also blocks the metabolism of parasitic cells.
- "Tarivid". Refers to fluoroquinolones. Has a bactericidal effect.
- "Trimosula". A highly effective antibacterial agent that can cure both cholera and typhoid, as well as prostatitis with gonorrhea.
- Hikontsila capsules. An antibiotic belonging to the group of semi-synthetic penicillins. Capsules are drunk on an empty stomach at intervals of 8-12 hours, like one of the previously mentioned drugs.
As you can see, there are many drugs that can cope with gonorrhea. It can't notplease. However, as well as the fact that with timely treatment, the prognosis is always favorable.
Non-drug treatment
It is usually given to patients who have been suffering from gonorrhea for many months. In this case, gonorrhea is called chronic. And competent treatment with antibiotics in this situation will not help. Rehab will be much more difficult.
Men, for example, are required to wash the urethra. This is an extremely unpleasant procedure, which involves the repeated injection of a special solution in the amount of 15 ml through a syringe into the urethra (which one, the doctor will say). It must be carried out regularly. The frequency is determined on an individual basis.
Also, with chronic gonorrhea, you need to take immunomodulatory medications. They are necessary in order to maintain the body's defenses. After all, such serious diseases deplete the immune system, and it stops working properly.
For the same reason, it is recommended to review your diet. It is necessary to give up junk food and alcohol, start drinking more clean water and eat foods enriched with vitamins, macro- and microelements.
In addition to the above, physiotherapy courses may be prescribed. As a rule, the patient is referred for electrophoresis, ultrasound and phonophoresis. If there are complications, they will have to be treated as well.
Achieving remission is possible, even if it is not easy. But even then, at the end of therapy, the patientI have to come every few months for examinations and tests, so that the doctor confirms that everything is in order with him.
Folk remedies
Doctors are skeptical about their use. But, nevertheless, many people decide to start treating gonorrhea at home, and they use folk remedies for this. Here are some recipes:
- Burdock root (1 tablespoon) pour a glass of boiling water and send to the fire. Boil for 20 minutes. Then cool and strain. Take three times a day for 1 tbsp. l.
- Calamus root (30 g) pour a liter of boiling water. Leave for an hour. Add the resulting tincture to hot baths 2-3 times a week. She can also do douching before bed. But no more than 3-4 times a week.
- Field yarutka (1.5 tablespoons) pour a glass of boiling water. Close the container tightly and leave for 4 hours. The resulting infusion should be taken 4-5 times a day for 1 tsp.
- In 1 kilogram of honey, mix ground dill seeds (50 g), chopped walnuts (300 g), steamed and well-mashed garlic (100 g). Put everything in a blender and turn into a homogeneous mass. Eat 1 tbsp three times a day. l. this mixture. Each time - 2 hours after eating.
- In equal proportions mix dandelion roots, juniper fruits and birch leaves. Pour a glass of boiling water, let it brew for 30 minutes. Then strain, drink 1 tsp. three times a day before meals.
These are just a few of the existing ones. However, they (as well as taking drugs) should not be carried away. And in naturalingredients contain substances, an excess of which can adversely affect he alth.
Surgery
Surgical treatment of gonorrhea is a last resort. The likelihood of encountering it is only in the presence of serious complications that are not amenable to drug treatment. And only for women.
Surgical intervention is indispensable if the patient is sick with acute salpingitis (inflammation of the fallopian tubes) and pelvioperitonitis (infectious and inflammatory lesions of the pelvic peritoneum).
If within 1-2 days anti-inflammatory therapy does not give a result, and clinical symptoms increase, an operation is performed - laparoscopy. It involves opening, sanitation and drainage of a purulent focus.
Also, surgery is necessary for diffuse or diffuse peritonitis. In these cases, a laparotomy (incision of the abdominal wall) is performed and further necessary manipulations are performed.
These are all consequences. That is why, in order to avoid such terrible complications, you should not think about how to treat gonorrhea at home, but immediately make an appointment with a venereologist in order to get qualified advice and adequate treatment recommendations.
Consequences and prevention
There is no need to explain once again why gonorrhea is a dangerous disease. This is a STD and should be treated immediately if infected.
The disease is especially dangerous for women. If you run it, then the infection will reach the fallopian tubes,resulting in their obstruction. And the result is infertility, which for many women is a real tragedy.
What to do after gonorrhea treatment? Of course, casual sex should be avoided. And if they occur, then use condoms. But it is better, of course, to have sex with only one partner, whose loy alty is beyond doubt.
However, just in case, it is sometimes recommended to visit a venereologist's office for the sake of undergoing preventive diagnostics. And even more so, do not delay it when alarming symptoms appear.
