Strong antibiotics for female inflammation. Gynecology and antibiotics: what drugs are used for inflammation

Acute or chronic inflammation of the uterine appendages (ovaries and fallopian tubes) is most often observed in women under 30 years of age who have an active sex life. According to medical terminology, the inflammatory process in the uterine appendages is called adnexitis or salpingo-oophoritis. As shows clinical practice, adnexitis increases the likelihood of developing ectopic pregnancy. It can also affect the course of pregnancy and labor activity. Every fifth woman who has undergone this gynecological pathology subsequently has serious problems with fertility function.

Causes

The occurrence of adnexitis is associated with the penetration of pathogenic microorganisms into the internal genital organs. The causes of inflammation of the uterine appendages are various sexually transmitted infections (gonorrhea, chlamydia, trichomoniasis, etc.). It is possible to establish the exact cause only after a special laboratory and instrumental examination. It should be noted that one of the determining roles in the development of the inflammatory process in the body is played by the state immune system. What are the predisposing factors that contribute to the onset of the disease:

1. Strong hypothermia.
2. Frequent physical overwork.
3. Psycho-emotional stress.
4. Excessively active sex life.
5. Several sexual partners.
6. Neglect of barrier contraceptives (condom).
7. Use of an intrauterine device.
8. Rapid restoration of sexual activity after the birth of a child, artificial termination of pregnancy or any gynecological surgery.

As a rule, inflammation of the appendages in women can be successfully cured if you seek medical help in a timely manner.

Clinical picture

The nature of the course of the inflammatory process and the prevalence of the lesion (unilateral or bilateral) determine the clinical picture of the disease to a greater extent. When the first signs of inflammation of the appendages appear in women, it is strongly recommended to immediately contact a gynecologist. Given many years of clinical experience, in the absence of timely treatment inflammation can progress to chronic course, which, of course, is not the best way to affect the patient's health.

acute form

With acute inflammation of the appendages (ovaries and fallopian tubes), the rapid development of the disease will be noted. Typical complaints allow you to immediately suspect a gynecological pathology. Typical clinical symptoms and signs of inflammation of the uterine appendages (ovaries and fallopian tubes):

• A sharp rise in temperature.
• The woman is shivering.
• Weakness, fatigue, decreased performance.
• Headache.
• Increased sweating.
• Pain in the lower abdomen of varying intensity and duration.
• Tension of the abdominal muscles.
• Certain discomfort and pain during sex.
• Discharge from the internal genital organs (most often mucopurulent or purulent).
• Difficulty urinating.

The prevalence of the pathological process will determine the features of the localization of the pain syndrome. If left-sided adnexitis is observed, pain appears in the lower abdomen on the left. If right-sided inflammation of the appendages is noted in women, pain is localized in the lower abdomen on the right. For a bilateral lesion, diffuse pains in the entire lower abdomen will be characteristic.

Subacute form

For most women, the term "subacute disease" is not entirely clear. A distinctive feature is that the symptoms of inflammation of the uterine appendages in subacute course are almost the same as in acute form, but less pronounced. In addition, the increase in the clinical picture, as a rule, occurs gradually. In the absence of effective treatment, the symptoms of inflammation of the appendages and ovaries often become chronic.

Only a highly qualified specialist can tell you how to treat and what to drink for inflammation of the uterine appendages in women.

Chronic form

As with previous variants of the course of the disease, chronic inflammation of the appendages can be unilateral or bilateral. One of the leading signs chronic adnexitis are dumb aching pain in the lower abdomen. Painful sensations can spread to the external genitalia and perineum. However, only in case of exacerbation, the pain syndrome becomes very intense. In addition, by its localization, one can judge the prevalence of the pathological process. What are the main clinical symptoms of inflammation of the ovaries and appendages, characteristic of a chronic course:

• Violation of menstrual function.
• Frequent complaints of painful irregular menses.
• Some patients have scanty short periods lasting less than two days.
• Discharges during inflammation of the appendages are mucous, serous-purulent, purulent or bloody.
• Quite often, women's sexual desire decreases.
• Intimacy often causes unpleasantly painful sensations.
• High risk of infertility.
• Violation of the intestines and urinary system.

Chronic inflammation of the uterine appendages can periodically worsen. Provoking factors include hypothermia, physical fatigue, psycho-emotional stressful situations, unbalanced nutrition, etc. It is not always easy to finally cope with the chronic form of the disease. But in no case should you leave without therapy.

Even in the absence of pronounced signs and symptoms of inflammation of the appendages in women, treatment must be carried out.

Diagnostics

How to determine inflammation of the appendages inflammation of the uterus? Complaints of the patient and correctly performed clinical examination give good reason to suspect gynecological pathology. Changes in key parameters in blood tests (for example, increase in ESR, leukocytes, etc.) will indicate the presence of an inflammatory process in female body. The study of a smear from the internal genital organs helps to identify the pathogen and its sensitivity to antibiotics.

Ultrasound examination is the main instrumental method diagnostics, which makes it possible to determine inflammation of the uterine appendages. In the chronic form, hysteroscopy is often resorted to, in particular when it is not possible to establish the exact cause of infertility in a woman. If necessary, use magnetic resonance imaging or laparoscopy.

Want to minimize the risk of infertility - take care of the uterine appendages from a young age.

Treatment

The choice of optimal drugs for inflammation of the uterine appendages in women is made taking into account the characteristics of the course of the disease, the type of pathogenic agent, the intensity clinical manifestations, age of the patient and the presence of concomitant pathology. What therapeutic methods can be used:

1. Drug treatment (antibiotics, non-steroidal anti-inflammatory drugs, antifungals, recombinant interferons, multivitamin complexes and etc.).
2. Non-drug therapy (physiotherapy, hirudotherapy, acupuncture, exercise therapy).
3. Ethnoscience.

At self-treatment inflammation of the appendages with antibiotics (tablets, capsules, injections) without medical supervision, there are frequent cases of serious complications.

acute form

Almost all women who have an attack of acute salpingo-oophoritis require hospitalization in a gynecological hospital. Only patients with mild degree severity can be treated on an outpatient basis. In the acute period it is recommended bed rest. To relieve pain, it is categorically impossible to do warm compresses or put a heating pad. Antibacterial drugs are considered the basic medicine for the treatment of this form of adnexitis. At the first stages, antibiotics with a very wide spectrum of action are used. After determining the type of pathogen, highly specialized drugs are used to which the pathogenic microorganism is sensitive.

Among painkillers, non-steroidal anti-inflammatory drugs (Ibuprofen, Indomethacin, Naproxen, etc.) can be noted. Interferons and immunoglobulins are prescribed to stimulate the immune system. After passing acute stage switch to physiotherapy methods of treatment:

• Ultrahigh frequency therapy.
• Electrophoresis with anti-inflammatory drugs.
• Paraffin therapy.
• Hydrogen sulfide and iodine-bromine baths.

At severe course to remove purulent foci or other pathological formations, laparoscopy is performed. Sometimes the pelvic cavity is washed using a solution of sodium chloride. Recovery period after the laparoscopic procedure takes 2-3 weeks.

It is quite possible to cure inflammation of the uterine appendages if the treatment is timely, comprehensive and effective.

Chronic form

Quite often, improperly treated acute adnexitis acquires a chronic course, which is not so easy to quickly get rid of. In the treatment of chronic inflammation of the appendages, antibacterial drugs are prescribed only in case of an exacerbation of the disease. Basically, preference is given to restorative, antiallergic and immunostimulating drugs. To combat inflammation and pain, non-steroidal anti-inflammatory drugs are effective. It is recommended to supplement therapy with enzyme preparations (for example, Wobenzym) and combined oral contraceptives(Rigevidon, Silest or Marvelon).

As a prevention of the occurrence of adhesions in the pelvic cavity, it is justified to use various physiotherapeutic procedures:

• ultrasound therapy.
• Electrophoresis with drugs.
• Mud cure.
• Laser therapy.

If a woman has an intense pain syndrome, expressed adhesive process and volumetric pathological foci that are not amenable to conservative treatment, one has to resort to surgical intervention. Preference is given to modern operational techniques that allow:

• Remove adhesions formed in the pelvis.
• Restore the anatomical patency of the fallopian tubes to preserve the fertile function.
• Eliminate purulent foci (cavities) formed as a result of the inflammatory process.

In very severe forms of the disease, sometimes you can not do without radical operations involving the complete removal of the uterine appendages.

Features of antibiotic therapy

As mentioned earlier, antibiotics for inflammation of the uterine appendages and ovaries in women are considered a basic component in complex treatment. The peculiarity of antibiotic therapy depends not only on the pathogen, but also on the severity of the disease. Incorrect use of it usually ends with chronicity of the pathological process and the occurrence of various complications. What tablets, capsules, suppositories or injections are needed for inflammation of the appendages - this is decided by the attending physician.

In most cases, if a mild form of the disease is diagnosed, antibacterial drugs are used for oral administration for 5-7 days. Given the possible pathogen, the following types of drugs can be prescribed:

1. Amoxicillin in combination with clavulanic acid has a wide range of effects on Klebsiella, Shigella, gonococci, Escherichia coli, Salmonella, etc.
2. Tetracyclines (eg, doxycycline) are effective against gram-positive and gram-negative cocci, chlamydia, and mycoplasmas.
3. Macrolides (Azithromycin, Roxithromycin, Clarithromycin). They cope with gram-positive cocci, gram-negative bacteria, chlamydia, mycoplasma and ureaplasma.
4. Derivatives of fluoroquinolones (ciprofloxacin) are able to destroy gram-positive and gram-negative bacteria.

In addition, Metronidazole or its analogues are used for adnexitis, which was provoked by anaerobes or pathogenic protozoa. In severe inflammation of the uterine appendages, it is recommended to start treatment with strong antibiotics such as Ceftriaxone, Cefepime and others. similar situations antibiotic therapy is carried out for 8-10 days. Therapeutic efficacy is assessed after 3 days. If necessary, the change of the drug is carried out approximately on the 5-6th day of ineffective treatment.

If you want to know which antibiotics to take for female inflammation, contact your gynecologist.

ethnoscience

How to treat inflammation of the appendages in women at home? Today, many patients are increasingly turning to folk medicine especially in chronic forms of the disease. If there is a mild inflammation of the appendages in women and approval has been received from the attending physician, treatment can be done at home using the following folk recipes:

• St. John's wort. To prepare the infusion, take a tablespoon of a medicinal plant and fall asleep in 200 ml of water. The liquid must be boiled for 15 minutes. We carefully filter. It is advised to take a quarter cup 3 times a day.
• Kalina. Pour one tablespoon of dried viburnum flowers into a glass of boiling water. Then the liquid should be boiled for 7-10 minutes. The cooled decoction of the flowers of the common viburnum is drunk in a tablespoon up to three times a day.
• Infusion of eucalyptus and yarrow. We will need eucalyptus leaves and yarrow grass. Take 2 tablespoons of each ingredient and pour into a container containing 500 ml of boiling water. We cover with a lid. The infusion process should last approximately 90 minutes. This infusion is used for daily douching for two weeks.
• Rowan-rosehip decoction. In half a liter of boiling water, add five tablespoons of rose hips and mountain ash. Boil the liquid over low heat for about 10-15 minutes. After removing from the stove, let the broth brew for about 180 minutes. Then the healing potion is filtered and drunk 100 ml three times a day.

Without an experienced specialist doctor who knows how to cure inflammation of the appendages, it is almost impossible to successfully get rid of a gynecological disease.

Prevention

If you do not want to deal with burdensome treatment and drink various pills for inflammation of the ovaries and uterine appendages, pay attention to the prevention of gynecological diseases. We list the most affordable preventive measures for every girl and woman. For more detailed information, please consult a medical specialist. What can be recommended to do to prevent the development of acute and chronic adnexitis:

1. Do not forget about daily personal hygiene.
2. enjoy underwear from natural fabric.
3. Avoid hypothermia.
4. Do not neglect barrier contraception (condom) during sex.
5. Stick to a balanced diet.
6. Exclude bad habits(smoking, alcohol).
7. At least once every 6 months, visit a specialist for a comprehensive gynecological examination.

The treatment regimen for inflammation of the uterine appendages using tablets, capsules, suppositories or injections is determined exclusively by the attending doctor.

Inflammation in the uterus often occurs due to the fault of pathogenic microorganisms that enter its cavity. In some cases, the lesion extends to the fallopian tubes and affects the ovaries. This allows us to attribute these phenomena to a class of diseases called inflammatory diseases of the pelvic organs. Inflammation of the uterus requires a woman to immediately contact a doctor to prescribe the appropriate individual treatment.

What is inflammation of the uterus

The inflammatory process in the uterus affects the outer, muscular or mucous layer of the female reproductive organ. If left untreated and trigger inflammation, it can reach cervical canal cervix, touch the tubes, lead to infertility. The acute form of the disease can turn into a chronic form, the treatment of which will be more difficult and will require more time. One of the causes of this disease is sexually transmitted infections, as a result unprotected sex.

Symptoms

The first signs of inflammation of the uterus will be a sharp increase in body temperature, which can reach 40 degrees. Women often complain about pain in the abdomen, blood appears in the secretions. Chills are possible, the discharge changes color, acquires an unpleasant odor. Postpartum inflammatory processes appear a few days after the birth of the child. The chronic form passes almost imperceptibly.

Chronic inflammation of the uterus

Chronic inflammatory disease of the uterus is manifested by the formation of small cysts, atrophy or hypertrophy, which indicate damage to the endometrium. One of the symptoms is a violation of the cycle of menstruation, the appearance of bleeding. With a chronic illness, even conception is possible, but it will be difficult for the embryo to implant in the affected endometrium, which will not allow the fetus to form normally and can lead to problems with pregnancy. The chronic form appears purulent secretions, aching pain in the abdomen.

Acute inflammation

It is called acute endocervicitis, in most cases it affects muscle layer cervix, which leads to an increase in secretions of mucus, mixed with epithelial cells and exudate, reduces the body's ability to protect against infection and accelerates the reproduction of pathogenic bacteria. Symptoms are general weakness, pain in the lower abdomen, fever, pus in the discharge, leukocytosis, an increase in the size of the uterus, pain on palpation.

Causes

Uterine disease occurs due to infections such as fungal, bacterial, viral, and sexually transmitted infections. Among the most common pathogens of inflammation are gonococci and chlamydia, followed by coli and mycoplasmas, close the list of pathogenic microorganisms, which include staphylococci, streptococci, spirochetes, and the herpes virus.

The occurrence and development of inflammation is also possible for reasons of a traumatic nature. These include mechanical damage during gynecological procedures with non-observance of hygiene rules. An inflammatory process may occur after an abortion or if curettage was performed due to a missed pregnancy. Difficult labor can lead to damage to the uterus.

C-section doubles the risk of inflammation. The risk increases even more with a weak contractile function of the uterus. Women should remember that during the days of menstruation, their body is vulnerable to all kinds of infections, so at this time you should refrain from sexual intercourse. Prolonged use leads to an inflammatory process intrauterine devices.

Types of inflammation of the uterus

In mucosal lesions ( inner layer uterus) we are talking about the occurrence of endometritis. If the inflammation goes to the muscle layer, then this is metroendometritis, the cause of which may be problems with blood circulation, stagnant processes in the small pelvis. In this case, fever, pus and blood in the discharge are possible. Fallopian tubes affected by the disease lead to salpingitis. Inflammation of the appendages can go to the peritoneum. This is called perimetritis, which is identified by a feeling of tension in the lower abdomen, painful urination.

Inflammation of the uterus during pregnancy

The greatest danger of inflammation of the female organ is during childbearing. The disease often leads to thrombosis, placental abruption, early withdrawal of amniotic fluid and other phenomena that threaten the life of the fetus. In pregnant women, inflammation of the uterine appendages is more likely. Treatment is possible only after finding out the cause and passing a smear for analysis to determine the type of pathogenic bacteria that provoked inflammation.

Diagnostics

To determine the cause of inflammation, the gynecologist must conduct a thorough examination. It will allow him to understand the extent of the lesion and what pathological effect it had on the organ. Analysis of a smear from the cervix will reveal pathogens. If a more detailed examination is necessary, the woman will be recommended to use other methods of examination, to do an ultrasound of the small pelvis, biopsy, colposcopy. Treatment of the inflammatory process in the uterus should begin immediately.

Treatment

Antibiotics are included in the mandatory treatment program. The gynecologist also prescribes hormones, vitamins, drugs to improve metabolism, immunostimulants, antimicrobial agents, physiotherapy procedures such as massage, electric currents, ultrasound, cool compresses for pain relief during inflammation. It is advisable to visit a gynecologist and take repeated tests to make sure that the infection is completely eliminated. Treatment is also necessary for the sexual partner.

Antibiotics

For the treatment of inflammation of the female organ, the gynecologist prescribes drugs antibiotic action according to the results of the examination and identification of the pathogen. The doctor prescribes metronidazole (Metrogil), sulfonamides, Flucostat, Azithromycin, Tarivid, Doxycycline, Zovirax, Acyclovir, Erythromycin. In addition to treatment, there are pills, vaginal suppositories Ovestin, Isoconazole, Clotrimazole.

After the elimination of the main symptoms to complete treatment and preventive measures Dimexide, 2% Chlorophyllipt and silver nitrate solution are prescribed for local treatment. The inflammation that has spread to the appendages is treated with tampons with Levomekol (in case of erosion), Dimexide (in case of infection and inflammation). Tampons are forbidden to use the patient with a recent abortion.

Candles

Candles are one of the most common ways to treat many gynecological diseases. Endometritis is cured with the use of rectal suppositories, injections. The doctor may prescribe suppositories that relieve pain and inflammation in the uterus. Popular among them are Movalis, Indomethacin, Flamax, Diclofenac, Voltaren; vaginal (Terzhinan, Fluomizin). Upon completion of the course of treatment, it is recommended to restore the microflora of the vagina with the help of suppositories containing lacto- and bifidobacteria.

Treatment with folk remedies

There are many folk remedies that can help with inflammation. One of them involves the use of oak leaves or bark. To prepare the medicine, take a little ingredient, pour a glass of boiling water, keep on fire for another 30 minutes and let it brew for half an hour. The decoction is used for external compresses and douching. For the same purpose, strawberry infusion is used for treatment.

Complications

The worst complication is the spread of infection in the female genital organ, resulting in sepsis. If the disease becomes chronic, then pus may accumulate in the uterus. A neglected disease at a certain stage causes severe pain lower abdomen leading to high temperature, changes menstrual cycle and causes infertility. Inflammatory diseases of the uterus require timely diagnosis and treatment to avoid unpleasant and dangerous consequences.

Video

Now it is difficult to imagine how people lived without antibiotics. Then the mortality rate was a hundred times higher than today. But, we must say thanks to Alexander Fleming, who in 1928 conducted a routine experiment with pathogenic bacteria. And he noticed an interesting thing, which in the future he called "penicillin". Namely, he was the first antibiotic in the world. True, at first he was not recognized at the meeting of the Medical Club.

And only in 1938 there were daredevils who proved the usefulness of such medicines. Moreover, it coincided with the beginning of hostilities in the world and caused a storm positive feedback. So, we can say that antibiotics during the Second World War saved the life of more than one soldier.

Antibiotics have antibacterial effects and are available in many forms:

• Powder;
• syrups;
• solutions;
• Drops;
• Aerosols;
• Ointments.

Today, these drugs act selectively. That is, they find only the pathogenic cell of the microorganism, and human body while not being affected. Some tools have a wide range of impact, others - a narrow one. A wide spectrum of action fight several types of bacteria at once. These antibiotics are used different types diseases.

For example, one and the same drug treats otitis, inflamed tonsils, etc. They are believed to have minimal impact on humans.

Gynecology has also not lagged behind other areas of medicine in the issue of antibiotics. Doctors widely and successfully use them in their practice.

Antibiotics in gynecology originate from three types. This:

• Vegetable;
• Animal;
• And semi-synthetic origin.

With the help of these properties, these medicines can cure many diseases caused by inflammation.

And in their many:

Antibiotics and gynecologists

• Vaginitis. Inflammation of the walls of the vagina;
• - inflammation of the external genital organs;
• Colpitis;
• Inflammation of the uterus;
• inflammation of the ovaries;
• Appendages;
• Fallopian tubes;
• cervical canal;
• Labia;
• Diseases of the endometrium;
• Cervicitis. Cervix;
• And much more.

Usually, in nature, if one organ in a woman becomes inflamed, then, often, it will pick up another organ. Especially if the disease is allowed to take its course or they try to treat it on their own. The causes of these diseases are many:

• hypothermia;
• Actions of medicines;
• Allergy to sperm or to (its material);
• Side effect or childbirth.
• Other.

Diseases of the genital organs of a woman may not come on their own, but with additional inflammation in the body.

For example, fever, headaches, fatigue, digestive problems and more.

It should be borne in mind that female organs can become infected with infections, such as:

• Chlamydia;
• Staphylococcus;
• yeast infection;
• And so on.

To detect inflammation or infection in a woman, you need to start by seeking help from a gynecologist. He, in turn, will examine her, take swabs, direct her to additional tests. And according to the results, treatment will be prescribed.

If you need a narrow-acting antibiotic, then you need to do a test for the body's sensitivity to this drug and the sensitivity of the bacterium to this drug.

But, most often a broad-spectrum antibiotic is prescribed. The course of treatment can be from 5-10 days. Some of these drugs can affect the intestinal microflora or cause vaginal yeast (), then in such cases, additional medications are prescribed to prevent the occurrence of consequences.

Unfortunately, such diseases begin with a "bouquet" of symptoms, moreover, in an acute form. If you ask for help in time, then it will be possible to get rid of the problem this or next week. And the exacerbation of the disease will be removed on the second day after you start taking medication.

In situations where a girl starts the disease, it becomes chronic. And she will treat her almost all her life. So it's better to immediately take a course of antibiotics and live life to the fullest.

Without a doctor, few people can give a correct diagnosis of their disease. Dear women, you do not want to harm yourself with an unconscious action, do you?

We have already said that there are broad-spectrum antibiotics and are aimed at a narrow range of microbes.

So, I would like to note the most popular drugs of the new generation, which were noted by many doctors and patients according to the final result.

So, among the wide spectrum of action is:

• An antibiotic that contains penicillin: amoxicillin, ampicillin, and ticarcycline;
• Tetracycline group: this is called Tetracycline;
• Fluoroquinolone groups: Levofloxacin, Moxifloxacin, Gatiprofloxacin and Gatifloxacin.
• The aminoglycoside component is found in Streptomycin;
• The substance amphenicol is present in Chloramphenicol (common Levomycitin);
• The content of carbapenem is found in Imipenem, Meropenem, Ertapenem.

Here is a short list of broad spectrum antibiotics.

In addition to them, they also talk about such popular drugs as:

• Sumamed;
• Cefamandol;
• Unicodes Salutab;
• Rulid;
• Amoxiclav;
• Lincomycin;
• Cefaperazone;
• Cefotaxime;
• Cefixime.

If we talk about a narrow spectrum of action, then drugs with the substance penicillin are used here. They are taken from the vital activity of some mold fungi.

And the antibiotic itself is made from the most active benzylpenicillin:

• Antibiotic Bicillin,
• oxacillin,
• Ampicillin
• And so on;

Such drugs are aimed at microorganisms with a name (streptococci, staphylococci, etc.), and also with a list of sperochetes. They do an excellent job with severe skin lesions, such as: boils, lichen.

Penicillin drugs are prescribed even for children who have problems with pyococcal diseases: dermatitis, pseudofurunculosis, pemphigus of newborns. Lupus erythematosus and scleroderma are also treated.

Streptomycin is also noted for narrow-spectrum antibiotics. It is produced by a radiant fungus called Actinomyces globisporus streptomycini and some other organisms. Their action is aimed at a group of bacteria such as gram-negative, gram-positive and acid-resistant.

Among them are famous titles, How:

• streptomycin sulfate;
• Dihydrostreptomycin pantothenate;
• Dihydrostreptimycin ascobbinate.

Often such drugs are prescribed for diagnoses of tuberculosis, and they can also treat many skin diseases.

A narrow-purpose antibiotic is prescribed only by a doctor. It is necessary to strictly observe the dosage and recommendations for admission, and also read the instructions before starting the course.

Separately, I would like to highlight antibiotics. In many cases, the gynecologist resorts to such a convenient and effective antibiotic. They are made from the same active substance on a special basis.

Their advantage is a soft and comfortable shape, which is stored at a certain storage temperature. And when they reach their destination, they turn into a fat-like form, which is perfectly absorbed by the woman's body.

Candles are divided into the following types:

• Rectal. Introduced into the rectum;
• Vaginal. Inserted into the woman's vagina. The most popular suppositories among inflammatory diseases in;
• sticks. They are inserted into the ureter or into the cervix.

The popularity of candles is easy to explain. They are aimed at the focus of inflammation itself, and their harmfulness is minimal. After entering the suppository, the active substance enters the bloodstream within 30-60 minutes. Yes, and almost no one causes allergies.

In the world there are candles against such ailments as:

• Inflammation of the appendages. In their composition, which can be used for preventive purposes.
• infections. Such suppositories with metronidazole, and they treat Trichomonas infection.
• bactericidal action. They normalize the microflora of the vagina.
• Pimafucin. All problems are related to yeast diseases.

Analgin and paracetamol are added to some suppositories, so they relieve pain and reduce elevated temperature body.

Everyone knows where positive sides, there exist and Negative consequences from the same drug.

Consider the most common side effects from taking an antibiotic:

• Allergic reactions. May be in the form of urticaria, Quincke's edema, asthma, etc.;
• intestines. The intestinal microflora is disturbed.
• Decrease ;
• Toxic effect on: liver, circulatory system, digestive tract;
• Anaphylactic shock;
• Antibiotics for children can destroy the formation of bones and teeth;
• Different types of candidiasis;
• And other.

Plus, after taking such drugs, immunity decreases. This is due to the fact that the antibiotic kills, in addition to pathogenic bacteria, also needed by the body microbes. After the end of the course of the drug, there is an active settlement of new microorganisms. And the immune system can't figure out so quickly what it needs and what it doesn't. Moreover, other bacteria are active, since the antibiotic has no effect on them. Hence the reduced immunity.

There are also contraindications to the use of such drugs. This:

• Pregnancy. Some drugs can be used, but only if they are prescribed by a doctor;
• Lactation. Same situation as ;
• allergic reactions for certain antibiotics. Before taking, you need to do a test;
• Part of drugs contraindicated for children of a certain age. You need to read the instructions carefully and listen to the doctor;
• If the antibiotic contains tetracycline, then here should not be used in people with kidney failure;
• Those who have leukopenia(decreased white blood cell count).

Take antibiotic treatment very seriously, any self-administration in the treatment of these drugs can cause irreparable harm. But, any woman wants to be a healthy, beautiful, loving mother, wife and just a Woman with a capital letter.

Under inflammation in a feminine way, as people often say, it is customary to mean inflammation of the appendages, which are indicated medical terms- adnexitis or salpingoophoritis. The appendages, in turn, consist not only of the ovaries, as many mistakenly think, but also of the fallopian (uterine) tubes.

The etiology of inflammatory processes in the female organs is most often infectious, bacterial in nature. Moreover, in 70% of all cases, chlamydia and gonococci are the cause of inflammation. The culprits of the remaining cases of the disease are strepto-, staphylococci and other infections of a venereal nature. As a rule, antibiotics are used to treat inflammation of this etiology. Moreover, an antibiotic should be prescribed by a specialist, which is aimed at eliminating a specific type of virus.

A gynecologist should diagnose and treat. Mycoplasma, chlamydia, trichomaniasis and ureplasma can be detected using a blood test. A smear of the cervix and vagina is made without fail, which allows you to grow a bacterium and, as a result, make the most accurate solution to the problem. Therapy of inflammation of the ovaries with antibiotics is carried out for 2-4 weeks. Sometimes taking antibiotics for diseases of the appendages takes a longer time.

Antibiotic treatment for adnexitis

Today, antibiotics remain one of the most effective ways neutralize inflammatory processes in the body, including inflammation female organs. It is very important that an antibiotic is selected by a specialist individually for each case and brings minimal damage to a woman's health. It is important to remember that viruses can become accustomed to certain types of antibiotics over time, so when chronic inflammation it is necessary to periodically change the tactics of treatment and replace the usual antibiotic with another belonging to the same group.

In no case should a woman start the disease and go to the clinic when the first symptoms of adnexitis appear: pathological discharge; intense pain in the lower abdomen; malaise and weakness; violation of the cycle of menstruation; soreness during sexual intimacy, etc. One or another antibiotic is prescribed exclusively by a specialist. Often, women themselves purchase drugs recommended by pharmacists (Metronidazole, etc.). Self-administration of an antibiotic can harm health.

Antibiotics for the treatment of adnexitis

As already mentioned, the most correct solution for inflammation of the appendages caused by various viruses is the use of antibiotics. Among existing species drugs of this group are most often prescribed (tablets, suppositories, injections):

• Azithromycin, Erythromycin (belong to the group of macrolides);
• Tetracycline, Doxacycline (tatracycline group);
• Kanamycin, Gentamicin (aminoglycositis group);
• Clindamycin (a group of lincosamides);
• Ampicillin, Ampiox, Oxacillin (penicillin group);
• metronidazole (nitroimidazoles);
• Ofloxacin (gkppa fluoroquinolones).

Each of the drugs is aimed at treating certain types of bacteria, and some can have a complex effect on different kinds viruses. So with chlamydia, Metronidazole and drugs containing azithromycin will be the most effective. You can eliminate the inflammatory processes caused by gono-, entero- and streptococci with the help of Cedex and Ceftributen (tablets).

Zoomax is quite effective in the treatment of diseases genitourinary system. Erythromycin will help get rid of chlamydia and mycoplasmosis (prescribed as injections).

Most of these drugs are prescribed in a complex, where the components of one drug enhance the effect of another. Exactly complex therapy inflammatory diseases of the appendages gives a positive result.

Tetracyclines for adnexitis

Not so long ago, the treatment of inflammation different nature was carried out most often by a group of tetracycline antibiotics. As a result, a large number of bacteria have developed immunity to the action of such drugs. In addition, drugs with tetracyclines have a fairly extensive list of side effects.

Despite this, with inflammation of the appendages, doctors quite often recommend taking Doxycycline, which belongs to the group of tetracyclines. This remedy must be taken 2 tablets per day. Among all tetracyclines, doxycycline is characterized by the least number of side effects, is quickly excreted from the body and is effective in inflammation of the ovaries and appendages in general.

A group of antibiotic derivatives of nitromidazole

This group of drugs includes Metronidazole, which has a wide spectrum of action and affects various types of bacteria. According to the instructions, Metronidazole should be taken one tablet three times a day. But with inflammation of the ovaries, any doses recommended by the instructions must be agreed and adjusted by a specialist. Metronidazole is effective in the complex therapy of inflammatory diseases.

Macrolides for inflammation of the appendages

The macrolide group of drugs is quite effective for the treatment of ovarian diseases. Specialists prescribe for inflammation the following drugs. Related to macrolides: klacid, sumamed, vilprafen, erythromycin, azithromycin, etc. All these drugs actively suppress vital activity infectious agents that cause diseases of the genitourinary system.

Unlike the tetracycline group of antibiotics, these antibiotics remain in the body longer, as they are characterized by a relatively slow decay time. As a result, the healing process is much faster.

A group of penicillin antibiotics for adnexitis

Among penicillin drugs, popular and effective for inflammation of the ovaries and appendages are such drugs as: Amoxicillin, Amoxiclav, Ampiox, Oxacillin, etc.

Antibiotics of the penicillin group are often prescribed in combination with drugs from other groups (Metranidazole and its derivatives, antifungal agents, macrolides, etc.).

A group of fluoroquinones in the treatment of appendages

It is this group of antibiotics that is considered the most effective today in the treatment of diseases of the ovaries and the entire genitourinary system. It is quite difficult for bacteria to adapt and resist the action of fluoroquinones. If the patient does not have any contraindications, then the doctors prescribe exactly the drugs of this group. Among them, it is worth highlighting: Tarivid, Pefloxacin, Tsiprobay, Urobacid, Lomefloxacin, Tsifran, etc.

Group of cephalosporins

This group drugs are obtained from fungi. The most effective in the treatment of diseases of the ovaries and appendages from this group of drugs is Cefazolin. Ceftriaxone (including its analogues) is also characterized by a good result. Both drugs are administered intravenously. The dose is set exclusively by a specialist. The minimum duration of therapy with drugs of the cephalosporin group is a week.

Complex use of drugs for adnexitis

Many women are interested in the question of which of the antibacterial agents is most effective in ovarian diseases and is sufficient to treat one type of antibiotic. It has already been written above that most often the treatment of ovarian diseases is complex. This is due to the fact that it is usually caused not by one pathogen, but by several at the same time, therefore, after an accurate diagnosis of the cause of the inflammatory process of the ovaries, doctors can prescribe a wide variety of combinations of antibacterial drugs various groups to maximize the bacterial suppression power. Sufficiently high activity to anaerobic type bacteria is characterized by Metronidazole. In addition, it is Metronidazole that is much more affordable than most other drugs.

Before the pathogen is determined with the help of tests, but the diagnosis of an inflammatory disease of the genitourinary system is established, broad-spectrum antibacterial drugs are prescribed. When the causative bacterium is grown, the drug can be replaced by another, stronger one. Replacement of the drug is also necessary if there is no improvement in the patient's condition after taking previously prescribed drugs. Under broad-spectrum drugs, it is necessary to understand drugs that effectively suppress the pathogens of chlamydia, mycoplasma and ureplasma, because it is these bacteria that most often cause diseases of the genitourinary system of a woman.

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To date, pharmacists can offer us a large selection of antibiotics. And they are very widely and successfully used in gynecology.

Antibiotics are substances of plant, microbial or animal origin, the action is aimed at the destruction of pathogens. They are divided into classes, generations, chemical composition, their spectrum of activity, etc. Antibiotics affect only bacteria, they are not prescribed for fungal and viral infections.

Inflammatory processes and treatment

Treatment of inflammatory processes in gynecology is often carried out with the help of antibiotics in various forms. For successful treatment, it is important to choose the right drugs and their dosage.

What do we have to do:

• Take tests to establish the body's sensitivity to a particular antibiotic, as well as the sensitivity of the infectious agent to a particular drug.
• If the first point is not observed, antibiotics are most often prescribed, which have a wide range of applications. Antibiotic treatment should not be carried out for more than 7 days. The antibiotic acts on the microflora of the genital organs and their pathways, so treatment should be carried out in conjunction with antifungal drugs.

The action of drugs

All antibiotics according to the mechanism of action are divided into bacteriostatic and bactericidal and preparations.

• Bacteriostatic antibiotics inhibit growth and prevent microorganisms from multiplying.
• Bactericidal antibiotics kill pathological bacteria, which are then excreted from the body.

Due to these properties, antibiotics are needed in the treatment of inflammatory diseases. After all, it is pathogenic bacteria and are the culprits of women's suffering. And there are a lot of such diseases in gynecology, here are some of them:

• inflammation of the labia;
• inflammation of the vaginal mucosa;
• inflammation of the cervical canal;
• inflammation of the fallopian tubes;
• inflammation of the uterus;
• inflammation of the ovaries.

If infections such as chlamydia and gonococci, as well as staphylococci, streptococci, etc., enter the body, they immediately begin their vigorous activity. Unfortunately, our body, namely the immune system, is not able to cope with these bacteria alone. And then antibiotics come to our aid, and remove the entire inflammatory process in the body.

Usually, inflammatory processes manifest themselves very sharply, it may be temperature. sharp pain, discharge, etc. And you should not wait and hope that everything will go away on its own. Just during these pain the disease is treatable. And usually from 7-14 days is enough for complete recovery, depending on the severity of your illness. Untimely access to a specialist can subsequently lead to a chronic disease. Treatment, which will be long and expensive.

Antibiotics and their classification

It is also not worth choosing one or another treatment for yourself, namely, choosing antibiotics. After all, you do not know what kind of disease you have. The wrong choice of antibiotic can only harden the infection, which will require a stronger drug to remove.

Antibiotics in gynecology of a wide spectrum of action, universal - list:

• Ampicillin;
• Azithromycin;
• Aminoglycoside;
• Erythromycin;
• Kanamycin;
• Metronidazole;
• Monomycin;
• Neomycin;
• Penicillins;
• Rifamcin;
• Streptomycin;
• Tetracyclines;
• Cephalosporins.

The active substance of these drugs affects a large number of microorganisms. But there is also a negative side to these antibiotics. They oppress not only harmful to the body bacteria, but our immunity also kills the intestinal microflora.

But sometimes in gynecology, potent broad-spectrum drugs are also used. In such antibiotics, the active substance is more purified and therefore it does not have such a high toxicity in comparison with the above drugs.

List of potent new generation antibiotics with a wide spectrum of action:

The use of suppositories for inflammation

In addition to tablet forms, intramuscular and intravenous injections antibiotics, there are also suppositories. They are of two types, general and local, these are rectal and vaginal. They are very effective in treating infectious diseases. Candles are used in gynecology, both as a separate treatment and in complex therapy. Thus, the treatment of the disease is faster and more effective. The active substance of the drugs acts on pathogens simultaneously from two sides. Candles are distinguished by the drugs that are part of them.

• infectious- suppositories with metronidazole, which are used in the treatment of trichomonas infections;
• bactericidal candles - betadione, which destroy the harmful environment in the vagina, under the action of iodine released from the candle. With bacterial vaginosis, candles "Terzhanin" and "Dalacin" are prescribed.
• Anti-inflammatory- candles, which contain hexicon. They are hastily used both in the treatment and prevention of inflammatory diseases. Thanks to these suppositories, the risk of sexually transmitted diseases is minimal.
• Pimafucinaceae candles are used for inflammatory diseases that are caused by a fungus.

Also, in gynecology, suppositories with analgesic and antipyretic effects are used. They include analgin and paracetamol.

The use of suppositories is necessary under the strict supervision of a gynecologist after a thorough examination. Before using any of these drugs, you must tell your doctor if you are allergic to one or the other. medical preparations. After all, it is better to prevent than to treat the consequences later.

timely correct use antibiotics in the treatment female diseases, this is a guarantee of your health, as well as an opportunity for many to conceive, endure and give birth to a healthy child.

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Etiology

directly caused infectious process are pathogenic and opportunistic microorganisms. Infection of the body can occur as a result of sexual intercourse with a sick partner, less often - to have household way transmission. But in most cases, it is provoked by certain factors that give impetus to the development of the inflammatory process, and first of all, this is a decrease in general and local immunity, as well as a change in the normal composition of the vaginal microflora.

Others, no less an important factor contributing to the development of inflammatory diseases, is any wound surface. This can be either microscopic damage to the mucosa after violent intercourse, or an extensive field after childbirth, abortion, curettage and other operations on the pelvic organs. Against the background of reduced immunity, the opportunistic microflora is quickly activated and spreads further along the ascending path. Summing up, we can say that any damage to the mucosa (mechanical, thermal, chemical) is the entrance gate for infection, and disturbed microflora and reduced immunity can no longer stop it.

Among other factors that may indirectly cause female diseases, we can name the presence of foci of chronic infection in the body, prolonged use of antibiotics, hypothermia, constant stress, endocrine disorders and malnutrition. But all of them, one way or another, primarily cause a weakening of the immune system or disrupt the normal environment in the vagina.

Symptoms of inflammation in women

Signs of inflammatory diseases of the genital organs are focal (local) and general. The main symptom complex is as follows:

• pulling, aching pain in the lower abdomen;
• pain and discomfort during intercourse;
• slight fever and chills;
• sleep disorders, appetite;
• the phenomena of dyspepsia and the painful act of defecation;
• change in the menstrual cycle;
• leucorrhea - copious discharge from the vagina with bad smell;
• itching of the genitals;
• pain when urinating.

Complications of female inflammatory diseases

With self-treatment or late referral to a doctor, an acute inflammatory process can turn into a chronic phase. More formidable consequences - adhesions, obstruction of the fallopian tubes, menstrual irregularities - can cause infertility. In addition, inflammation affects general condition body, causing general intoxication and involving other systems and organs in the process, such as the liver, kidneys and nervous tissue. suffer metabolic processes, because the ionic balance is disturbed and acidosis develops.

Treatment of inflammation in a feminine way

Therapy of any inflammatory processes of the genital organs should be only complex. In many cases, the woman's sexual partner must also be treated.


The main treatment regimen:

• etiotropic therapy aimed at the destruction of the pathogen with the help of antibiotics and sulfa drugs;
• stimulation of the body's defenses with immunomodulators (thymalin, thymosin, gamma globulin, pyrogenal);
• increasing resistance to infections with drugs from the group of biostimulants (aloe extract, placenta extract, plasmol, FiBS);
• physiotherapeutic methods (ultrasound, phonophoresis, electrophoresis, UHF, microwave, laser therapy), mud therapy, balneotherapy, exercise therapy and therapeutic massage.

In severe acute processes, the following groups of drugs are additionally included in the general treatment regimen:

• detoxification (hemodez and glucose-vitamin solutions);
• desensitizing (antihistamines or glucocorticoids);
• enzymatic (lysozyme, trasilol);
• painkillers;
• vitamins.

Treatment of any inflammatory process begins with the appointment of broad-spectrum antibiotics. These include drugs of the penicillin group, cephalosporins, macrolides, polymyxins and some others. What to treat specifically - only a doctor can say. All drugs have a pronounced bactericidal effect on most gram-positive microorganisms. But it is best to do a bacterial culture of a smear for sensitivity in order to know exactly which drug will help to cope with the infection.

In addition to antibiotics, the doctor may prescribe treatment with sulfonamides, which are effective not only against gram-positive bacteria, but can also cope with gram-negative microorganisms, as well as some protozoa. In some cases, such drugs are prescribed if the patient has intolerance to antibiotics or, conversely, to enhance their effect.

Immunostimulants increase and strengthen the body's defenses by targeting a specific part of the immune system. Biogenic stimulants accelerate tissue regeneration, increase the body's resistance, enhance metabolism and normalize redox processes.

The action of drugs for detoxification is aimed at neutralizing and quickly removing toxins from the body. They increase the volume of circulating blood, improve its rheological properties (viscosity), have an antihypoxic effect, saturating the blood with oxygen and stimulating metabolic processes.

Desensitizing drugs by neutralizing inflammatory mediators (serotonin, histamine) help to reduce the inflammatory response, relieve swelling and redness, remove itching. Some of them have sedative and hypnotic effects.

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List of antibiotics used in gynecology in the treatment of inflammation of the appendages in children:

• Metronidazole.
• Ampicillin, Amoxicillin.
• Amikacin.
• Erythromycin.
• Ceftriaxone.

For the treatment of salpingo-oophoritis associated with gonococcal, staphylo- and streptococcal infection use a combination of penicillins with macrolides, less often aminoglycosides and sulfonamides.

In the treatment of trichomonas, nitroimidazole derivatives are prescribed.

Antibacterial drugs of the macrolide series occupy a leading position among safe antimicrobials. This group of antibiotics is used to treat nosocomial infections caused by gram-positive flora or atypical pathogens.

These antibacterial drugs inhibit the growth of bacteria, making it possible to cope with the disease quickly and effectively.

Inflammation of the appendages is a common phenomenon, which often begins due to hypothermia of the body. Usually, complaints of pain in the lower abdomen associated with inflammation of the appendages occur in the cold season (seasonal exacerbation).

Rarely, but there are also infectious lesions. They can develop against a background of reduced immunity or be transmitted during sexual intercourse.

How to increase your immunity, you can learn from the article: “What is immunity and effective ways boosting immunity in adults and children: folk remedies and nutrition to strengthen the immune system. The best suppositories that are prescribed for the diagnosis of "inflammation of the appendages" include:

• Mykozhinaks
• Movalis
• Terzhinin
• Metran combi

Methyluracil vaginal suppositories have an anti-inflammatory effect, and also restore and renew the cell structure. They stimulate the healing of the epithelium, improve metabolism.

At gynecological diseases such candles are assigned to additional treatment, both rectally and vaginally with cervical erosions, mechanical damage vagina, after surgical intervention. They help to avoid infectious lesions and all kinds of inflammation.

Today, antibiotics remain one of the most effective ways to neutralize inflammatory processes in the body, including inflammation of the female organs. It is very important that an antibiotic is selected by a specialist individually for each case and brings minimal damage to a woman's health.

It is important to remember that viruses can eventually get used to a certain type of antibiotics, therefore, in chronic inflammation, it is necessary to periodically change the treatment tactics and replace the usual antibiotic with another belonging to the same group.

As already mentioned, the most correct solution for inflammation of the appendages caused by various viruses is the use of antibiotics. Among the existing types of drugs in this group, the most commonly prescribed (tablets, suppositories, injections):

• Azithromycin, Erythromycin (belong to the group of macrolides);
• Tetracycline, Doxacycline (tatracycline group);
• Kanamycin, Gentamicin (aminoglycositis group);
• Clindamycin (a group of lincosamides);
• Ampicillin, Ampiox, Oxacillin (penicillin group);
• metronidazole (nitroimidazoles);
• Ofloxacin (gkppa fluoroquinolones).

Each of the drugs is aimed at treating certain types of bacteria, and some can have a complex effect on different types of viruses. So with chlamydia, Metronidazole and drugs containing azithromycin will be the most effective.

You can eliminate the inflammatory processes caused by gono-, entero- and streptococci with the help of Cedex and Ceftributen (tablets).

Zoomax is quite effective in the treatment of diseases of the genitourinary system. Erythromycin will help get rid of chlamydia and mycoplasmosis (prescribed as injections).

Most of these drugs are prescribed in a complex, where the components of one drug enhance the effect of another. It is the complex therapy of inflammatory diseases of the appendages that gives a positive result.

Doxycycline - available in capsules, active against a wide range of bacteria, has a bacteriostatic effect. Doxycycline is prescribed in case of inflammatory diseases of the pelvic organs in women (with endometritis), with infections urinary tract with chlamydia, mycoplasmosis, syphilis, gonorrhea.

The drug can be drunk after a meal, and then drink it with plenty of water. Daily dose- 2 tablets (100 or 200 mg each), which must be drunk every 12 hours. Also, the drug is administered intravenously, for which the contents of the ampoule are mixed with water for injection.

Not so long ago, the treatment of inflammation of a different nature was carried out most often by a group of tetracycline antibiotics. As a result, a large number of bacteria have developed immunity to the action of such drugs.

In addition, drugs with tetracyclines have a fairly extensive list of side effects.

Etiology

Against the background of reduced immunity, the opportunistic microflora is quickly activated and spreads further along the ascending path. Summing up, we can say that any damage to the mucosa (mechanical, thermal, chemical) is the entrance gate for infection, and disturbed microflora and reduced immunity can no longer stop it.

Among other factors that can indirectly cause women's diseases, we can name the presence of foci of chronic infection in the body, prolonged use of antibiotics, hypothermia, constant stress, endocrine disorders and malnutrition.

The direct cause of the infectious process are pathogenic and conditionally pathogenic microorganisms. Infection of the body can occur as a result of sexual intercourse with a sick partner, less often - have a household transmission route.

But in most cases, it is provoked by certain factors that give impetus to the development of the inflammatory process, and first of all, this is a decrease in general and local immunity, as well as a change in the normal composition of the vaginal microflora.

Another equally important factor contributing to the development of inflammatory diseases is any wound surface. This can be either microscopic damage to the mucosa after violent intercourse, or an extensive field after childbirth, abortion, curettage and other operations on the pelvic organs.

Against the background of reduced immunity, the opportunistic microflora is quickly activated and spreads further along the ascending path. Summing up, we can say that any damage to the mucosa (mechanical, thermal, chemical) is the entrance gate for infection, and disturbed microflora and reduced immunity can no longer stop it.

Among other factors that can indirectly cause women's diseases, we can name the presence of foci of chronic infection in the body, prolonged use of antibiotics, hypothermia, constant stress, endocrine disorders and malnutrition.

But all of them, one way or another, primarily cause a weakening of the immune system or disrupt the normal environment in the vagina.

Antibiotics and their classification

Depending on the severity of the course of inflammation, there are:

• acute endometritis,
• chronic endometritis.

Acute endometritis most often appears after gynecological interventions. Incubation period this disease does not last more than 3-4 days. Symptoms of the disease are always pronounced:

• a sharp increase in body temperature (up to 38-40 degrees);
• symptoms of intoxication of the body (weakness, dizziness, headache, chills, sweating, nausea, vomiting, lack of energy, loss of appetite, pallor skin);
• pain in the lower abdomen and lower back (acute, cramping, pulling, aching, radiating to the legs and shoulder blades);
• vaginal discharge (mucus, bleeding, pus, ichorus), discharge with an unpleasant odor may occur.

The more pronounced the symptoms of the disease, the greater the area of ​​damage on the uterine mucosa.

Antibiotics in gynecology of a wide spectrum of action, universal - list:

• Ampicillin;
• Azithromycin;
• Aminoglycoside;
• Erythromycin;
• Kanamycin;
• Metronidazole;
• Monomycin;
• Neomycin;
• Penicillins;
• Rifamcin;
• Streptomycin;
• Tetracyclines;
• Cephalosporins.

The active substance of these drugs affects a large number of microorganisms. But there is also a negative side to these antibiotics. They inhibit not only bacteria harmful to the body, but our immunity and kill the intestinal microflora.

But sometimes in gynecology, potent broad-spectrum drugs are also used. In such antibiotics, the active substance is more purified and therefore it does not have such a high toxicity in comparison with the above drugs.

In order to choose the right antibiotic that can cope with the infection, you need to know what pathogen caused the disease and at what stage the disease is. Too weak an antibiotic can simply harden pathogenic bacteria, and it will be more difficult to fight them.

Too much strong medicine capable of completely destroying beneficial microflora which will lead to additional problems. Therefore, in no case should you self-medicate.

Assign medications the doctor should, sometimes combining antibiotics with other means.

In gynecology, broad-spectrum antibiotics are most often used. These include:

• Streptomycin
• Vifamycin
• Aminoglycoside
• Kanamycin
• Erythromycin
• Ampicillin
• Penicillins
• Cephalosporins
• Metronidazole
• Neomycin
• Monomycin
• Azithromycin
• Tetracyclines.

List of potent new generation antibiotics with a wide spectrum of action:

• Amoxiclav;
• Cefamandol;
• Unidox Solutab;
• Cefuroxime;
• Rulid;
• Cephroxitin;
• Ceftazidime;
• Cefotaxime;
• Latamoxef;
• Cefixime;
• Cefpodoxime;
• Spiramycin;
• Rovamycin;
• Fusidin;
• Avelox;
• Ciprofloxacin.

It is also not worth choosing one or another treatment for yourself, namely, choosing antibiotics. After all, you do not know what kind of disease you have. The wrong choice of antibiotic can only harden the infection, which will require a stronger drug to remove.

The active substance of these drugs affects a large number of microorganisms. But there is also a negative side to these antibiotics. They inhibit not only bacteria harmful to the body, but our immunity and kill the intestinal microflora.

But sometimes in gynecology, potent broad-spectrum drugs are also used. In such antibiotics, the active substance is more purified and therefore it does not have such a high toxicity in comparison with the above drugs.

Treatment of inflammation in a feminine way

Signs of inflammatory diseases of the genital organs are focal (local) and general. The main symptom complex is as follows:

• pulling, aching pain in the lower abdomen;
• pain and discomfort during intercourse;
• slight fever and chills;
• sleep disorders, appetite;
• the phenomena of dyspepsia and the painful act of defecation;
• change in the menstrual cycle;
• leucorrhoea - abundant vaginal discharge with an unpleasant odor;
• itching of the genitals;
• pain when urinating.

Among gynecological diseases, inflammatory diseases of the genital organs in women are the most common pathologies. Approximately 60% of women seek advice from gynecologists precisely because of the development of inflammation.

In addition, gynecologists argue that in fact the number of cases may be even greater, since inflammation sometimes has an erased form. Therefore, the woman does not go to the doctor.

Causes of inflammatory diseases of the female genital organs

When trouble occurs in the reproductive system in pathological process the whole body is involved.

Causes of inflammatory diseases in women

Inflammation is most often caused by an infection brought into the urogenital tract from the outside.

Complications of female inflammatory diseases

In addition, inflammation affects the general condition of the body, causing general intoxication and involving other systems and organs in the process, such as the liver, kidneys and nervous tissue.

Metabolic processes suffer because ionic balance is disturbed and acidosis develops.

Therapy of any inflammatory processes of the genital organs should be only complex. In many cases, the woman's sexual partner should also be treated. The main treatment regimen:

• etiotropic therapy aimed at destroying the pathogen with the help of antibiotics and sulfa drugs;
• stimulation of the body's defenses with immunomodulators (thymalin, thymosin, gamma globulin, pyrogenal);
• increasing resistance to infections with drugs from the group of biostimulants (aloe extract, placenta extract, plasmol, FiBS);
• physiotherapeutic methods (ultrasound, phonophoresis, electrophoresis, UHF, microwave, laser therapy), mud therapy, balneotherapy, exercise therapy and therapeutic massage.

In severe acute processes, the following groups of drugs are additionally included in the general treatment regimen:

• detoxification (hemodez and glucose-vitamin solutions);
• desensitizing (antihistamines or glucocorticoids);
• enzymatic (lysozyme, trasilol);
• painkillers;
• vitamins.

Treatment of any inflammatory process begins with the appointment of broad-spectrum antibiotics. These include drugs of the penicillin group, cephalosporins, macrolides, polymyxins and some others.

What to treat specifically - only a doctor can say. All drugs have a pronounced bactericidal effect on most gram-positive microorganisms.

But it is best to do a bacterial culture of a smear for sensitivity in order to know exactly which drug will help to cope with the infection.

In addition to antibiotics, the doctor may prescribe treatment with sulfonamides, which are effective not only against gram-positive bacteria, but can also cope with gram-negative microorganisms, as well as some protozoa.

In some cases, such drugs are prescribed if the patient has intolerance to antibiotics or, conversely, to enhance their effect.

Immunostimulants increase and strengthen the body's defenses by targeting a specific part of the immune system. Biogenic stimulants accelerate tissue regeneration, increase the body's resistance, enhance metabolism and normalize redox processes.

The action of drugs for detoxification is aimed at neutralizing and quickly removing toxins from the body. They increase the volume of circulating blood, improve its rheological properties (viscosity), have an antihypoxic effect, saturating the blood with oxygen and stimulating metabolic processes.

Desensitizing drugs by neutralizing inflammatory mediators (serotonin, histamine) help to reduce the inflammatory response, relieve swelling and redness, remove itching. Some of them have sedative and hypnotic effects.

In addition to general treatment for many diseases of the female genital organs, they are also prescribed local therapy candles, douching, tampons. When conservative treatment does not give results, doctors decide on surgical intervention.

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There is no single antibiotic that would help absolutely all women with oophoritis. For each patient, there should be individual treatment, which will be most effective in her case.

Depending on the pathogen causing infection in organism, antibiotic drugs divided into several groups:

Antibiotic drugs that belong to one of these groups can be produced not only in the form of tablets, but also in the form of suppositories, ointments and injection solutions.

According to the rules, antibiotics are taken for no more than one week. If by the end of therapy the patient does not show significant improvement, then another drug with a similar effect is prescribed to her.

Inflammation of the ovaries and fallopian tubes during pregnancy

Bearing a child is a contraindication for tetracyclines, due to the fact that these drugs easily overcome the placental barrier and accumulate in the tissues of the embryo or already fully developed fetus. This can negatively affect the formation of the child's skeleton.

During pregnancy, some macrolides are also contraindicated, for example, the harm of Clarithromycin has been proven clinical research. From the action of macrolides during pregnancy, a woman will receive the least harm if she is treated with the following drugs:

• Erythromycin.
• Spiramycin.
• Josamycin.

If the inflammatory process of the appendages is very difficult, and the woman is pregnant, she may be prescribed Azithromycin.

Antibiotics of the fluoroquinolone group during pregnancy are not prescribed at all.

Symptoms of inflammation in women

Treatment of inflammatory processes in gynecology is often carried out with the help of antibiotics in various forms. For successful treatment, it is important to choose the right drugs and their dosage.

What do we have to do:

• Take tests to establish the body's sensitivity to a particular antibiotic, as well as the sensitivity of the infectious agent to a particular drug.
• If the first point is not observed, antibiotics are most often prescribed, which have a wide range of applications. Antibiotic treatment should not be carried out for more than 7 days. The antibiotic acts on the microflora of the genital organs and their pathways, so treatment should be carried out in conjunction with antifungal drugs.

With self-treatment or late referral to a doctor, an acute inflammatory process can turn into a chronic phase. More formidable consequences - adhesions, obstruction of the fallopian tubes, menstrual irregularities - can cause infertility.

In addition, inflammation affects the general condition of the body, causing general intoxication and involving other systems and organs in the process, such as the liver, kidneys and nervous tissue. Metabolic processes suffer because ionic balance is disturbed and acidosis develops.

Treatment

In the treatment of almost all diseases and inflammations in the field of gynecology, suppositories (suppositories) are used in combination with the main prescriptions.

Suppositories are solid oblong cylinders of dosed medicinal product that melt at body temperature. Introduced into body cavities.

Anti-inflammatory suppositories include vaginal suppositories. They are intended for the treatment of diseases of the appendages with a local effect on the site of inflammation.

Candles used in gynecological therapy, have antiseptic, anti-infective, antifungal action and work like this:

• The vaginal mucosa is rich in blood vessels, this contributes to the entry of the active substance from the suppository into the bloodstream in just 15-20 minutes;
• the active substance moves to the appendages, where it fights pathogenic microflora.

Candles do an excellent job of eliminating itching, swelling, discomfort and other symptoms that manifest themselves in gynecological diseases.

As a rule, inflammatory processes in the vagina and reproductive organs women are caused by various microorganisms (chlamydia, gonorrhea). The most common symptoms of inflammation are: cutting or aching pain in the right or left side in the groin area.

In this case, suppositories are used, which can be administered both vaginally and rectally. The most popular drugs are:

1. Movalis. Rectal suppositories with the active ingredient meloxicam. It is a non-steroidal anti-inflammatory drug. The dosage is prescribed by the attending physician and is strictly individual. The drug is not taken in case of intolerance to its main component, severe cardiac and liver failure, during pregnancy. Taking suppositories can cause anemia, headaches, increased blood pressure.
2. Longidaza. The active ingredient is longidase. It is used for the treatment of prostatitis, cystitis, for the prevention of scarring after surgery. The drug is known for helping to get rid of adhesions. It is administered rectally or intravaginally, one tablet at a time (preferably at bedtime) for ten to twenty days. The drug is contraindicated in malignant tumors, during pregnancy, children under twelve years of age. Main side effects are allergic reactions(itching, burning).

1. Monotherapy. This refers to the appointment of schemes that do not cover the entire spectrum of possible pathogens, but are directed only against a specific one identified in PCR or seeding. So beloved by all studies to determine sensitivity to antibiotics, righteous anger “I was assigned a scheme at random without doing research”, “what I am being treated against, what inflammation means, who lives there specifically” - you also encounter such claims daily. And there are doctors who speculate on this desire to know the mathematical truth and prescribe schemes specifically based on the results of crops, without covering the full range of possible, and not just identified, pathogens. There is no mathematics in medicine, the identified microbe does not always mean that it is the pathogen, that there are no other pathogens that the tests did not reveal. And you can’t cut the schemes according to the identified pathogens, the scheme must necessarily include an anti-chlamydial drug and a drug against anaerobes, even if all this is not found in the analyzes. Those. schemes are selected empirically.
2. Insufficient doses and courses of antibacterial drugs. Everything is clear here. Pseudo-care and shortening of the course to 5 days, insufficient frequency of taking the drug - and that's all, you got all the side effects of antibiotics, there is no direct effect - the complete destruction of the pathogen. The infection remained and became resistant to the drugs used. Now it needs to be treated with something else, and the body is weakened by the first treatment, and you again feel sorry for yourself (or the doctor for you), and again the scheme is shortened, and again everything is in vain. Then they tell you that "in fact, chlamydia is rarely completely cured, let's better raise your immunity."
3. Refusal of antibiotic therapy. Passion for immunocorrection, the use of digestive enzyme preparations (enzyme therapy) and other methods with unproven and dubious effectiveness often replaces the basis of infection treatment - antibiotic therapy.
4. Treatment of only one partner. Treatment is always prescribed to all partners, according to the results of the worst analysis (i.e. if a woman has purulent discharge, leukocytes in a smear are increased, and a man has nothing and PCR “for everything” is negative - he is assigned the same scheme as her, except vaginal remedies.) Therefore, there is no point in examining a partner if nothing bothers him himself. He still needs treatment, and if he gets negative results analyzes - it will be even more difficult to persuade him to do so.