What is non gonococcal urethritis
what is non gonococcal urethritis
non gonococcal urethritis refers to obvious urethritis transmitted through sexual contact, But a group of infectious diseases was not found in urethral secretions. Chlamydia trachomatis is the most common pathogenic microorganism of non gonococcal urethritis, followed by Mycoplasma genitalium and Ureaplasma urealyticum, occasionally caused by Trichomonas vaginalis and simple sore rash virus.
non gonococcal urethritis mostly occurs in sexually active people, mainly through sexual contact, both men and women. Newborns can be infected during delivery through the birth canal, and the incubation period is 1-3 weeks.
symptoms of non gonococcal urethritis
symptoms of male non gonococcal vaginitis:
1. The common symptoms are urethral itching, tingling or burning, and a few have frequent urination and urination pain.
2. The physical examination shows that the urethral orifice is slightly red and swollen, and the urethral secretion is mostly serous, with a small amount. The daily life phenomenon or the underwear is polluted.
3. Some patients may have no symptoms or atypical symptoms.
untreated non gonococcal urethritis is often accompanied by complications:
1. Epididymitis: mostly acute, unilateral, often coexisting with urethritis.
2. Prostatitis: subacute prostatitis is common. Chronic patients can show asymptomatic or dull perineal pain and penile pain.
3, Reiter syndrome: manifested as the triad of urethritis, conjunctivitis and arthritis
4, others: such as proctitis, iritis, ankylosing spondylitis, etc.
female non gonococcal vaginitis symptoms:
1, mainly involving the cervix; Nearly half of the patients are asymptomatic, and those with symptoms also lack specificity. They only show the increase of leucorrhea, and cervical edema and erosion can be seen during physical examination.
2. Urethritis can be manifested as urinary system symptoms such as urethral orifice congestion, frequent urination, and even dysuria.
treatment of non gonococcal urethritis
in principle, early diagnosis, early treatment, regular medication and individualized treatment scheme should be achieved. The best treatment period of non gonococcal vaginitis is within 1-4 months after infection. The commonly used drugs are tetracycline, erythromycin, doxycycline, azithromycin and so on. The commonly used treatment schemes are:
1, doxycycline 200mg / D, oral administration in two times for 7-10 days.
2, azithromycin 1.0g, taken 1 hour before meals or 2 hours after meals.
3 and minocycline 200mg / D were orally taken twice for 10 days.
4 and erythromycin 2.0g/d were taken orally for 4 times for 7 days.
the standard of cure is that the patient’s conscious symptoms disappear, there is no urethral secretion, there is no leukocyte in urinary sediment, and there is no chlamydia in cell smear. When judging the cure, pathogenic microorganism culture can not be used generally.
traditional Chinese medicine in the treatment of non gonococcal urethritis can overcome the shortcomings of the side effects of Western medicine. There are traditional Chinese medicine prescriptions that can clear away heat and detoxification, diuresis and relieve drenching, promote blood circulation and remove blood stasis, and can be added or subtracted with the syndrome. Especially for those with a long course of disease and weak physique, they are given Qi and kidney tonifying to improve the immune function of the body. Non gonococcal urethritis is more common in damp heat injection type. Traditional Chinese medicine is treated with clearing heat and dampness, and Bazheng powder is added or subtracted.