Ureaplasma: to treat or not to treat
the Ureaplasma raises many questions both at gynecologists, and at patients: to treat or not to treat, “bomb“ antibiotics or to refrain? About in what cases the ureaplasma is dangerous and why it is considered conditionally - pathogenic, the gynecologist Natalya Tsoi tells.
What is an ureplazma?
the Ureaplasma - a specific microorganism which can cause inflammatory processes of the lower departments of urinogenital system. On the properties the ureaplasma is intermediate between viruses and monocelled microorganisms: has neither DNA, nor a cellular cover. 14 serotypes of ureaplasmas which are divided into 2 biovar are known: biovar Parvo includes 4 serotypes (1, 3, 6, 14), biovar T - 960 (U. urealyticum) - other 10 serotypes. At one person several serotypes can come to light at once. In recent years the role of various serotypes in developing of an infection is actively investigated. Data on what to development of chronic pathological states gives in the basic biovar T - 960 though it is impossible to take it finally for granted are obtained.
Pathogenic or it is conditional - pathogenic?by
C of 1986 of U. urealyticum it is brought, excluded from the list of infections, sexually transmitted. It is connected with the fact that to this day there are different opinions of scientists on pathogenicity (a possibility of a microorganism to cause an inflammation) ureaplasmas. Since 1998 ureaplasmosis in Russia was considered as a sexually transmitted infection. But in connection with introduction of “The international classification of diseases of the X revision“ it was excluded from the list of diseases, sexually transmitted. Therefore now understand inflammatory process in urinogenital bodies when at laboratory inspection U. urealyticum is found as ureaplasmosis and other pathogenic microorganism capable to cause this inflammation is not revealed. Men have uretrita, prostatitises, women have uretrita, cystitis, endotservitsita and vaginita.
Natalya Tsoi (“Center of modern medicine“):“ Ureaplasma - it is conditional - a pathogenic microbe, that is in one conditions it is absolutely neutral, safe for an organism, and in others - can become pathogenic and promote development of an inflammation. Infection occurs sexually, also the transmission of infection at the time of delivery and is possible a household way“.by
Diagnostics of an ureaplasma
most often use the following methods Now:
- PCR (polimerazny chain reaction);
- identification in blood of specific antibodies;
- a cultural method (sowing of microbes and their cultivation on an artificial nutrient medium).
to Treat or not to treat?
of Opinion of doctors still disperse in the solution of this question: one consider it absolutely necessary, others refuse to recognize an ureaplasma as the culprit of inflammatory process. As an ureaplasma conditionally of a pathogen, it is necessary to find out, whether pathogen it in each case before imposing any treatment.If both partners have
- no complaints, at survey the inflammation is not revealed, couple does not plan to bring shortly the child, at the same time earlier treatment of an ureaplasma them was carried out, it is possible to appoint, repeatedly, treatment does not make sense.
- If at one or both partners of the complaint are present, during inspection existence of inflammatory process is revealed if pregnancy or any plastic surgery on a vagina, a bladder or a neck of a uterus is planned, and also in case of desire to use an intrauterine contraceptive (Naval Forces), treatment should be carried out to both partners.
the Ureaplasma and pregnancy
during pregnancy arise favorable conditions for activization and pathogenicity of an ureaplasma. It is connected with decrease in immunity, hormonal reorganization. So it is necessary to conduct the sparing course of treatment preparations, admissible to use, it is desirable in the term