Chlamydia during pregnancy
What are the causes of chlamydia during pregnancy, what could be his treatment, what dangers for the mother and the child entails the lack of therapy
Pregnancy is a sacred and reverent state for each woman. And many of them come to horror when a gynecologist makes a diagnosis of chlamydia during pregnancy, or suggests a suspicion of this infection.
Chlamydia is an infection that is caused by chlamydia – pathogens with properties and bacteria, and virus, as well as having a complex development cycle inside the cell and abroad. They are introduced into tissue cells, destroy them, thereby provoking the inflammatory process, lead to adhesive processes and a complex decrease in immunity.
Antibiotics treatment in the past did not necessarily completely destroy the infection. This is due to the specifics of intracellular reproduction of this infectious agent. In addition, often primary infection proceeds asymptically either with a very lubricated picture, moving into a chronic form.
As a result of the incorrectly selected methodology of therapy, a persistent, T.E. «Sleeping» The form of an infectious process that is periodically activated. This is caused by the changed shapes of the pathogen resistant to antibiotics.
Hazardous consequences of chlamydia: inflammation of the urogenital system in men and women, secondary infertility, as well as chronic eye inflammation, joints, lungs and hearts.
The consequences of chlamydia arising from the occurrence of pregnancy are expressed in the usual unbearable (these are repeated spontaneous miscarriages), intrauterine infection of the child, infection in the process of childbirth.
In a medical environment, there are opposite points of view regarding hypothetical complications of the fetus, after a intrauterine chlamydial infection: one side considers the consequences of meager due to the fetoplacentar barrier, and the other on the contrary – that serious consequences are possible and including damage to this barrier is possible.
Hypothetically chlamydia can lead to malfunctions of the fetus in the first trimester of pregnancy, to the formation of lack of interaction of the fetus and placenta, child infection – in the second and third trimester.
In the genus consequences of chlamydia can be premature oral influence and weak generic activity.
Survey
The survey is recommended for pairs that marry or planning to have a child. Given the fact that the disease could be acquired long before the marital life, but it can provoke an adverse effect on the fruit, the course of pregnancy, mother and newborn health.
In pregnancy, the survey on chlamydia is optional. It is recommended to women with inflammatory diseases, infertility, unbearab, ectopic and frozen pregnancies in the history, chronic diseases of the upper and lower respiratory tract, joints and eyes.
Such a survey is especially important when inflammation in the urinary sphere is combined with inflammation in other bodies.
There are several frequently used methods of laboratory diagnostics of chlamydia.
To those can be attributed:
- Cultural research (crops);
- Molecular (DNA) diagnosis, or PCR, which allows to determine the elements of chlamydia DNA in the material under study;
- Immuno enzyme method (blood antibodies);
- Immunofluorescent method – study of the scope under fluorescent microscope to detect the antigen chlamydia.
Despite the fact that PCR is «gold standard» Diagnosis of chlamydia, worldwide, cause doubts «Local» Methods of such a diagnosis.
This is caused by the high technologicality and the cost of the method requiring strict adherence to sanitary and hygienic standards (multiple air filtration, bauxed laboratory, personnel sterile clothing and T.NS.) and expensive imported reagents.
Completely minor errors in analyzing may entail false positive results, unjustified treatment and discredit of the research method. The same applies to crops on Chlamydia: with non-fulfillment of technology, they can give a certain proportion of false negative results.
According to experts engaged in venereal and sexually transmitting infections, high reliability gives the use of both two relatively inexpensive and diagnostic methods.
Direct immunofluorescence based on the identification of the antigen of chlamydia in the scraping from the vagina, and an immunoassay analysis that defines antibodies to chlamydia in venous blood used by pairs.
These methods complement each other, remitantly eliminating their own inaccuracies. In addition, ELISA provides useful information about the duration and degree of acuteness of the infectious process. Actually, the choice of treatment depends on this.
Treatment
When chlamydia is found in the early pregnancy period, the interruption is not necessary, but careful treatment is required for generally accepted schemes and standards.
In addition, treatment is prescribed solely in cases of infection. Without signs of exacerbation, antibiotics do not apply
The main treatment of chlamydia during pregnancy – antibiotics of the tetracycline group. In some cases, preferences are preferred by macrolids and late generation offlines. Immunal status is also adjusted, taking into account the specifics of infection.
Also treatment of chlamydiosis involves the reception of drugs supporting the liver, as well as the prevention of fungal infection. Sometimes therapy is complemented by enzymes (enzymes), vitamins, and at the end of antibiotic therapy by eubiotics (lacto and bifidobacteriums).
In any case, it is not necessary to scare the diagnosis of chlamydia during pregnancy. It must be remembered that it is dangerous by his consequences, and carefully fulfill all the recommendations and appointments of the doctor.
