淋病合并症前列腺炎

　　淋病是由淋病双球菌引起的泌尿生殖系统的化脓性感染，是最常见的性病之一，其主要表现是淋菌前列腺炎和尿道炎。下面，我们具体认识下淋病合并症前列腺炎诱因。

　　Humans are the only host of gonococci, and gonococci are not pathogenic to lower animals. Many times, pus containing gonococci from the human urethra has been transplanted into rabbit eyes to try to cause gonococcal conjunctivitis, but it has never succeeded, indicating that humans lack the ability to kill gonococci. The main mode of transmission of this disease is sexual transmission.

　　Gonorrhea is transmitted from the anterior urethra to the posterior urethra, causing posterior urethritis, prostatitis, seminal vesiculitis, epididymitis, orchitis, bulbourethral glanditis, and prepuce glanditis. Clinically, there are local redness, swelling, heat, and pain, tenderness, and some may form abscesses and perineal坠胀, pain, and discomfort.

　　In summary, complications of gonococcal prostatitis are harmful, and daily prevention of complications of gonococcal prostatitis should be emphasized. It is important to understand the treatment principles of complications of gonococcal prostatitis and to cure the disease as soon as possible.

　　Since the use of antibiotics, the complications of complications of gonococcal prostatitis have greatly decreased. Complications usually occur due to the failure to receive timely and effective treatment during the acute stage or due to weakened physical condition and low resistance. Repeated episodes can lead to urethral stricture, seminal duct stricture or obstruction, and secondary infertility. Severe cases in women can produce peritoneal irritation signs and systemic symptoms. Repeated episodes can lead to the stricture or occlusion of the fallopian tubes, leading to ectopic pregnancy and infertility.

　　Complications of gonococcal prostatitis are caused by the entry of gonococci into the excretory ducts and glands of the prostate, presenting with fever, chills, perineal pain, and urinary tract infection symptoms such as difficulty in urination. During examination, the prostate is swollen and tender. However, gonococci are not a common cause of acute prostatitis. Prostatitis caused by gonococci mainly presents as chronic changes, with mild symptoms such as perineal discomfort, penile pain, a 'gluey mouth' phenomenon at the urethral meatus in the morning, and gonococcal threads in the urine. Prostatic massage fluid shows pus cells and a decrease in lecithin. Gram stains or cultures find gonococci. Digital rectal examination can feel small nodules on the prostate, with discomfort or pain, and pus formation near the excretory ducts leading to scar contracture affecting ejaculation and causing infertility.

　　1. It often occurs several weeks after acute gonorrhea, with sudden onset of symptoms such as fever, aversion to cold, anorexia, general malaise, nausea, and vomiting.

　　2. There are symptoms of urinary urgency, frequency, dysuria, and urinary tract irritation, such as difficulty in urination, terminal hematuria, pain in the lumbar sacral and suprapubic areas, and rectal irritation symptoms.

　　3. If an abscess forms, it may be accompanied by acute urinary retention.

　　4. There is tenderness in the lower abdomen, and there is a fluctuating sensation in the prostate area.

　　5. Urinary secretion and prostatic fluid smears show an increase in white blood cells, with Gram-negative diplococci present in polymorphonuclear leukocytes. Cultures show the growth of gonococcal strains. Prostatic fluid examination requires prostate massage, which may cause sepsis and is generally contraindicated. Blood routine examination shows an elevated neutrophil count, and the urinalysis has typical symptoms of prostatitis. When abscesses form, B-ultrasound examination shows dark areas reflecting in the prostate area, irregular in shape, with an irregular and discontinuous capsule. Pus can be aspirated by needle puncture.

　　Since gonococci can be transmitted through sexual contact, the prevention of gonorrhea with complications and prostatitis should refer to the prevention of sexually transmitted diseases.

　　1. Publicize knowledge of sexually transmitted diseases and advocate for noble moral sentiments, strictly prohibit prostitution and solicitation.

　　2. Use condoms to reduce the incidence of gonococcal infection.

　　3. Preventive use of antibiotics can reduce the risk of infection. Fluoroquinolones or amoxicillin can be taken before and after sexual intercourse to effectively prevent the infection of sexually transmitted diseases.

　　4. Treat sexual partners simultaneously.

　　5. Patients should pay attention to personal hygiene and isolation, and should not sleep or bathe with family members, especially children and girls.

　　5. Implement the system of instilling silver nitrate solution or other antibiotic solutions into the eyes of newborns or children to prevent the occurrence of gonococcal ophthalmia.

　　Gonorrhea with complications and prostatitis is a major disease in urology that poses a long-term threat to male health. Timely treatment is necessary, so before treatment, which methods should be used for examination? The following will introduce it specifically:

　　1. General examination

　　Some patients have greatly reduced complications of gonorrhea since using antibiotics. Complications often occur due to the failure to receive timely and effective treatment during the acute stage, or due to weakened physical condition and low resistance. In males, gonorrhea is mainly caused by ascending infection from the anterior urethra; in females, clinical symptoms such as lower abdominal pain, dragging, local tenderness, palpation, lumbar and back pain, and an increase in leukorrhea and secretion may occur. In severe cases, peritoneal irritation signs and systemic symptoms may develop.

　　2. Culture examination

　　Gonorrhea with complications and prostatitis usually undergoes culture examination, mainly aimed at checking the presence of gonococci in the seminal vesicles. Since the culture of gonococci is an important evidence for diagnosis in clinical practice, generally, a positive culture result can be diagnosed. Before the advent of gene diagnosis, culture is still the only method recommended by the World Health Organization for screening gonorrhea.

　　3. Smear examination

　　Another major examination method for gonorrhea with complications and prostatitis is smear examination. In clinical practice, it mainly involves extracting the patient's urethral secretion or cervical secretion, which can be observed under a high-power magnifying glass to find Gram-negative diplococci within polymorphonuclear leukocytes. For patients with simple gonococcal urethritis with a large amount of purulent secretion, the positive rate of this method is about 90%, which can be diagnosed preliminarily.

　　For the dietary treatment of gonorrhea with complications such as prostatitis, it is recommended to choose cool and nourishing foods. Avoid or eat less fried, fried, and spicy, hot foods, as well as drinks such as coffee, cocoa, and strong alcohol, and smoking is also prohibited. The following is a brief description of suitable dietary therapy methods:

　　1. Stewed eel with tofu

　　500 grams of live eel, 250 grams of fresh tofu, salt, ginger, and monosodium glutamate are required in appropriate amounts. During preparation, first cut the eel open, remove the gills and internal organs, wash it, and place it in a stewing bowl. Add an appropriate amount of salt, ginger, and clear water. Boil it with high heat first, then simmer it with low heat until it is five degrees of doneness. Then, add tofu blocks to the stewing bowl, and continue to simmer with low heat until the eel meat is tender and well-cooked. Season with condiments and it is ready to be served with meals.

　　2. Codonopsis and Astragalus Wolfberry Porridge

　　Codonopsis 30 grams, Astragalus 30 grams, Chinese Wolfberry 10 grams, rice 100 grams. When making it, first put Codonopsis and Astragalus in a pot, add some clear water, and cook with medium heat to make a decoction. At the same time, put Chinese Wolfberry and rice in another pot to cook porridge. When the porridge is half-cooked, pour the decoction of Codonopsis and Astragalus into it and cook it into porridge, season it, and eat it in the morning and evening.

　　3. Astragalus and White茅根 Drink

　　Raw Astragalus 30 grams, White茅根30 grams (fresh 60 grams), Cistanche 20 grams, Watermelon Skin 60 grams (fresh 200 grams), sugar to taste. When making it, first cut the Astragalus and White茅根, and put them in a pot with Cistanche and Watermelon Skin, cook with medium heat to make soup for drinking, 2-3 times a day.

　　4.Magnolia Lean Pork Soup

　　Fresh Magnolia (also known as White Orchid) 30 grams (dried 10 grams), fresh lean pork 150 grams. When making it, first wash and cut the lean pork, and put it in a pot with the Magnolia, add some clear water, and cook with medium heat. After the soup is cooked, add a little salt to taste.

　　The treatment methods for gonorrhea complications and prostatitis are briefly described as follows:

　　The treatment of gonorrhea complications and prostatitis requires the配合 of medication, for penicillinase-producing gonococci (PPNG), that is, penicillin-resistant gonococci, when the prevalence rate of penicillin-resistant gonococci reaches 5% or more, penicillin should be used with sulbactam sodium. Other drugs that can be used include:

　　1. Spectinomycin:Also known as Gonorhex, 2g intramuscular injection once, and some people advocate using 4g intramuscular injection once.

　　2. Cephalosporins:Ceftriaxone 3.0g intravenous infusion, cefotaxime sodium 4.0g intravenous infusion.

　　3. Combination of β-lactamase inhibitors and penicillin drugs:Urocin is a combination of penicillin sulphone and ampicillin, 1.5g intramuscular injection once, and Tetrocin is a combination of piperacillin sodium and sulbactam sodium, 3.0g intramuscular injection or intravenous infusion once.

　　4. Quinolone drugs:Fluoroquinolone, also known as Tilybit 600mg, taken orally once, and ofloxacin, 200mg intravenous infusion.

　　In summary, it is necessary to go to a regular hospital for the treatment of gonorrhea complications and prostatitis, and pay attention to symptomatic treatment.