Nongonococcal urethritis is a clinical manifestation of urethritis, but it is less severe than gonorrhea, with mucus or mucopurulent urethral discharge in small amounts, often requiring hand squeezing to overflow. It is also called “post-gonorrheal urethritis” because of its incubation period of 1-3 weeks and often appears when gonorrhea is cured. Women may have urethritis, but the symptoms are not obvious, and there are signs of cervicitis. The causative organisms are Chlamydia trachomatis, Mycoplasma solium, Haemophilus, fungi, Trichomonas vaginalis, Condyloma acnes and Herpes simplex virus.
Clinical manifestations
The incubation period is 1-3 weeks, with an average of 2 weeks. The incubation period is 1-3 weeks, with an average of 1 week. 30%-40% of men and 80%-90% of women have no conscious symptoms or the symptoms are too mild to be noticed by the patient. Typical symptoms are painful urination and a small amount of mucous or mucopurulent discharge from the urethra, which is small and sometimes requires squeezing the anterior urethra to find a small amount of discharge.
Disease regression: Symptoms can disappear after active treatment and can be cured. If treatment is not timely or incomplete it can retrograde causing prostate infection.
Diagnosis: Gram stain of the discharge, polymorphonuclear leukocytes >4 per high-powered view under oil microscopy without intracellular gonococci. Or morning urine sediment with >15 leukocytes per high-powered view, excluding gonorrhea can be diagnosed.
Non-gonococcal urethritis (NGU) refers to urethritis caused by pathogens other than gonorrhea, mainly Chlamydia trachomatis and ureaplasma mycoplasma. This disease has now surpassed gonorrhea to become the first sexually transmitted disease in Europe and the United States. In China, the number of cases is increasing and it has become one of the most common sexually transmitted diseases. Non-gonococcal urethritis is a type of urethritis transmitted by sexual contact, but gonococcus is not detected in urethral secretions. Women also have inflammatory diseases of the reproductive tract such as cervicitis. The pathogens are mostly Chlamydia, Mycoplasma, Trichomonas, Herpes virus, Candida, and Chlamydia and Mycoplasma infections account for more than 80%.
Easy to repeat
1, because the incubation period of non-gonorrhea is relatively long, the self-perceived symptoms are not obvious, so it is often ignored.
2. Irregular use of medicine affects the efficacy of treatment. Many patients are diagnosed, and after several days of medication, the symptoms improve or disappear, so they think that non-gonorrhea has been cured and stop the medication earlier, but the symptoms appear again soon afterwards.
3, mixed infection, increasing the difficulty of treatment of non-gonorrhea. The actual fact is that there are a lot of people who have gonorrhea, Candida albicans or other infections, and these diseases can cause symptoms of urethritis. If you only pay attention to the treatment of non-gonorrhea, but ignore the presence of other infections, the symptoms will not disappear completely. The actual fact is that you’ll be able to get a lot more than just a few of the most popular and most popular items.
The actual fact is that you can find a lot of people who are not able to get a good deal on this. The actual fact is that you can find a lot of people who are not able to get a good deal on this. In order to avoid this situation, it is best that the couple with the examination, with treatment, so as not to form a ping-pong type of transmission, long delayed difficult to cure.
Prevention methods
(1) the key to prevention is to eliminate impure sexual intercourse. In addition, the hygiene of public baths is also very important, do not advocate washing basin ponds, clothes should be stored separately.
(2) Gonorrhea increases the chances of developing this disease, so it is necessary to actively treat gonorrhea and cure it completely after suffering from it. After gonorrhea is cured, laboratory tests should be performed to check if you have non-gonococcal urethritis.
(3) When one of the spouses has the disease, the other spouse should have a laboratory test and be actively treated after the disease is found.
Effects
The medication for non-gonorrhea is mainly tetracycline and erythromycin, and it is emphasized that the medication should be used continuously and uninterruptedly, and the treatment should be regular, quantitative and thorough. Non-gonorrhea treatment is cured when it is rechecked again in 10-20 days after the medication is administered and the clinical symptoms disappear. The course of treatment required for this disease is longer. Although the symptoms of non-gonococcal urethritis are lighter than gonorrhea, the harm is not lighter than gonorrhea. Because of the mild symptoms, many patients lose the best time for treatment, which makes treatment very difficult. The symptoms of this disease are extremely mild especially in women, and women who are infected often do not receive treatment because of the mild symptoms, which increases the chance of spreading the disease. In addition to causing urethritis, more than half of women have comorbidities such as endometritis, tubitis, ectopic pregnancy, infertility and miscarriage. At the beginning of the disease, there is painful urination, urethral discomfort, urethral itching, burning or stinging sensation, urethral redness and swelling, urethral discharge, thinning, etc. As the disease progresses, the above symptoms will gradually worsen. Improper treatment or untimely treatment may cause recurrence of the disease, leading to premature ejaculation, acute epididymitis, prostatitis and other diseases, or may directly lead to male infertility.
Food treatment methods
1, with wolfberry 50 grams, Poria 100 grams, black tea 100 grams. The Chinese wolfberry and Poria coarsely grinded, each time take 5 – 10 grams, plus 6 grams of black tea, brewed with boiling water for 10 minutes. 2 times a day, drink as tea.
2, take 50 grams of adzuki beans, 50 grams of corn husk. Boil the soup and drink it, once a day for 20 days.
3.Take 10 grams of light bamboo leaves, 50 grams of fresh rutabaga and 10 grams of wild chrysanthemum. Decoction, 20 days for a course of treatment.
4.Take 30 grams of Tongcao and 30 grams of fishy grass. Drink as tea, as many times as necessary.
5.Take 10 grams of Huanglian, 30 grams of each of Bupleurum and Amaranthus, l5 grams of each of Fu Ling, Bitter Ginseng, Bai Xian Pi, Qomai, Dioscorea Z, Shi Calamus and Chuan Niu Kne, 6 grams of each of Mouton and Licorice. 1 dose daily, water decoction in 2 doses.
6. Take 10 grams each of winter amaranth seeds or roots and raw licorice. Take with water decoction.
7.Take 30–50 grams of mucuna pruriens and the right amount of white sugar. Decoct with water two and a half bowls to a bowl to take.
8.Take 200 grams of pig bladder and 60–100 grams of fresh plantain (20-30 grams for dried product). With boiling soup, add a little salt to taste.
9.Take 30 grams each of Fu Ling and Bitter Ginseng, 20 grams each of Phellodendron and Radix et Rhizoma. 1 dose daily, decoction with water for external washing.
Precautions
(1) No alcohol is allowed during the treatment period.
(2) Follow-up should be conducted when a course of treatment is completed.
(3) Whether the patient is treated on time and according to the dosage. Because the treatment of non-gonococcal urethritis is different from gonorrhea, which can be treated in sufficient quantity for a short period of time. At this time do not rush to change the drug.
(4) Since as many as 45% of gonorrhea patients are currently infected with chlamydia and mycoplasma along with gonococcal infection, a combined program of simultaneous treatment of non-gonococcal urethritis can be used in the treatment of gonorrhea.
(5) Sexual partners should be treated at the same time if they have an infection. The most likely reason that a patient’s symptoms persist after treatment, or relapse after symptoms disappear, is that the sexual partner is untreated. If the patient has untreated sexual intercourse with a partner, the germs are retransmitted to the patient by the untreated partner. It is important to know that 40% of patients with non-gonococcal urethritis do not have any symptoms. Therefore, not only should the patient himself be treated, but his sexual partner should also receive preventive medication. The method is the same as for the patient, and in the case of pregnant women, erythromycin or amoxicillin can be used.
(6) For patients who have been treated in multiple hospitals and have not recovered. It is important to understand the condition and the course of treatment in detail. If there is no improvement or ineffective according to the regular treatment, it should be changed to another method or even combined treatment. Do not use similar antibiotics in combination therapy in general.
(7) If the patient is confirmed to have Chlamydia trachomatis urethritis, the course of treatment should be extended to 4-6 weeks when treating again.
(8) There have been many reports of decomposing Mycoplasma urealyticum being resistant to tetracycline, if this is suspected to be the case, use other antibiotics promptly.
(9) If the patient has recurrent attacks, he should be alert to complications, such as prostatitis, and should do the appropriate bacteriological investigation and timely treatment.
(10) Medical units that are in a position to do so should do detailed clinical and bacteriological investigation of each patient, especially those with recurrence, and carry out targeted treatment so that they can be completely cured.
(11) The clinical manifestations do not match the symptoms of non-gonococcal urethritis, and the pathogen is not detected in the laboratory, consider whether it is neurohypersensitivity, at this time to explain, comfort and use sedative drugs, by the clinical application of Boloxin is more effective.
(12) If it is trichomonas, mycobacteria or other rare diseases, especially mycobacterial urethritis, you can not just add the vegetation, otherwise it is more harmful to the patient, should be investigated and treated symptomatically.
(13) Non-gonococcal urethritis treatment should not abuse antibiotics, such as the vast majority of penicillin drugs are ineffective against chlamydia, mycoplasma, should not generally be used. Sulfanilamide is effective against chlamydia and ineffective against mycoplasma, streptomycin daikonomycin is ineffective against chlamydia and effective against mycoplasma, gentamicin, neomycin and polymyxin are ineffective against chlamydia.
Hazards
Although the symptoms of non-gonococcal urethritis are milder than gonorrhea, the danger is not less than that of gonorrhea. Because of the mild symptoms, many patients lose the best time for treatment, making it very difficult to treat the disease. In addition to causing urethritis, about half of the patients in women have comorbidities such as endometritis, tubitis, ectopic pregnancy, infertility and miscarriage.
Care
Care of non-gonococcal urethritis – column on treatment of non-gonococcal urethritis
The incubation period of non-gonococcal urethritis is usually 1 to 3 weeks, and the onset is slow, and the symptoms are not obvious in a significant proportion of patients, so they are often overlooked.
Male patients feel itching and burning sensation at the urethra, redness and congestion at the urethra, frequent and urgent urination, and sometimes mild difficulty in urination, such as not urinating for a long time, or watery or thin mucus flowing out of the urethra in the morning. Sometimes there is a scab-like film “sealing” the urethral orifice, or there is dirt on the underwear, and some patients have no urethral discharge or very little discharge, and need to squeeze the penis hard to have the discharge overflow from the urethral orifice.
Female patients show increased leucorrhea, vaginal redness, cervical erosion or cervicitis with a small amount of discharge, some patients have mild painful urination without discharge, and some patients have back pain but no other symptoms.
Although the symptoms of non-gonococcal urethritis are lighter than gonorrhea gonorrhea, it is not less harmful than gonorrhea. The symptoms are mild and many patients lose the best time for treatment, which makes treatment very difficult. The symptoms of this disease are extremely mild especially in women, and women who are infected often do not get treatment because of the mild symptoms, which increases the chance of spreading the disease. In addition to causing urethritis, more than half of women have comorbidities such as endometritis, tubitis, ectopic pregnancy, infertility and miscarriage.
The care of non-gonococcal urethritis.
1, advocate cleanliness and eradication of sexual confusion.
2, patients should not have sexual relations with anyone before they are cured.
3, personal prevention of infection is similar to gonorrhea.
4, patients should be dedicated bath tubs, bath towels, along with underwear should be boiled often to disinfect.
5.Treat sexual partners.
Attention
Drinking alcohol, exertion and staying up late for sex are prohibited during treatment. When one of the spouses is infected, both of them should be examined and treated at the same time. Do not share towels and basins for washing the pubic area with others, and do not mix underwear. If you have infants and children at home, you should strictly disinfect your belongings and hands to prevent transmission through close contact. The use of condoms during sex can reduce the spread of non-gonococcal urethritis.
Western medicine treatment
1. At present, there are many strains of tetracycline, doxycycline and erythromycin that are resistant to them. The new generation of synthetic antimicrobials, quinolones, are not only effective against Chlamydia and Mycoplasma, but are also highly sensitive to gonococci.
(1) Fluoperidol 200mg, 3/d for 14d.
(2)Fluazinic acid 200mg,2/d for 14d.
(3)Ciprofluoperazine 250mg,2/d for 14d.
2.Sulfanilamide and rifampicin are effective for Chlamydia, but not for Mycoplasma.
3.Gentamicin, neomycin and polymyxin are not effective against Chlamydia.
4.Streptomycin and spectacularin are ineffective against Chlamydia and effective against mycoplasma.
5.Tetracycline 0.5g, 4/d, total 7d, change to 0.25g,4/d, total 14d.
6.Doxycycline 0.1g,2/d for 7d.
7.Erythromycin stearate 0.5g,4/d,total 7d.
8.Erythromycin ethyl succinate 0.8g,4/d for 7d.
9.Melanomycin 0.2g instantly, 0.1g, 2/d for a total of 14d.