Friday, January 11, 2008
Chlamydia infections and infertility.
Sexual intercourse by the spread of the disease known as total sexually transmitted diseases, including gonorrhea, syphilis, chlamydia, Mycoplasma infection and toxoplasma infections. These diseases, and some can cause tubal obstruction, caused some endometritis, uterine muscle wall damage, other endocrine dysfunction and infertility; Some important cause organ damage and endanger lives; Some of the illness can occur during pregnancy abortion, premature or stillbirth. Chlamydia infection causes female reproductive tract -- Non-gonococcal infection is one of the main pathogens Chlamydia trachomatis flu dyeing. The pattern of infection is mainly transmitted sexually, followed by the hands, eyes or patients contaminated clothing, equipment and other objects of indirect transmission. Chlamydia trachomatis infection in cell development, in the cytoplasm of the formation of inclusion bodies-only infected epithelial cells. without infringing on the subcutaneous tissue. Women of reproductive tract infection causes large vestibular hordeolum and cervicitis, salpingitis, endometrial influencing, about 3 / 4 of the patients with asymptomatic, Neglected, thereby delaying diagnosis and treatment, so long-term sustainability of infection, the spread of the spread even lead to infertility or ectopic pregnancy and other destructive side effects.Clinical manifestations -- Female Genital Chlamydia trachomatis infection to cervical uveitis most common. Cervical infection, mucopurulent secretions, cervical congestion, edema, hemorrhage contact, but also completely asymptomatic, uplink infection endometritis and acute salpingitis. Yi also cause acute urethral syndrome (urgent urination, frequent urination, magnificent, sterile urine) and vestibular big hordeolum. Pregnant women with chlamydia trachomatis reproductive tract infections, vaginal childbirth newborns infected with Chlamydia trachomatis can be suffering from conjunctivitis and Chlamydia pneumonia. Infertility is reported 25.5% of patients testing positive for Chlamydia trachomatis. Cervical infection chlamydia trachomatis, the sperm is not easy uplink lead to infertility; Chlamydia trachomatis infections can lead to reproductive cavity Road inflammatory adhesion and obstruction lead to infertility; it is of such infection clinicians should be very seriously. Diagnosis -- history, gay and auxiliary diagnosis can be made. 1. Cytology Giemsa staining inclusion investigation, the method is simple, rapid diagnosis, but the positive rate is not high; tissue culture, complicated and time-consuming, and costly. 2. immunological screening ELISA; monoclonal antibody assay; ۠PCR technology. Tetracycline treatment -- 500mg, 4 / d, for 7 days; Or erythromycin 400 mg, 4 / d, for 7 days; or doxycycline 100 mg, 2 / d, for 7 days; or use good chlortetracycline, azithromycin treatment. Salpingitis with chlamydia trachomatis or pelvic inflammatory disease, the best hospitalization. Tongzhi couples. Pregnant women with chlamydia cervicitis, given erythromycin 250mg second trimester, 4 / d, for 7 days. If Chlamydia trachomatis infection caused by adhesions or tubal obstruction parcels use abdominal surgery or laparoscopic surgery for infertility.
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