Treatment of Ureaplasma in pregnancy - approaches to the selection tactics
pregnancy, which occurs in the background ureaplasmosis characterized by complicated variants of the course.Complications lead to adverse pregnancy outcomes and negatively affect the developing fetus.Treatment during pregnancy ureaplasmas Ureaplasma in pregnancy: to treat or not to treat conducted with the appointment of antibiotics, but only with strict indications for their appointment and subject to trimester.
In structure ureaplasmas differ from other microorganisms so that they do not have a cell wall.This explains the choice of certain antibacterial agents for therapeutic purposes.This pathogen has a sensitivity to the following groups of antibiotics:
- macrolides, fluoroquinolones, aminoglycosides
antibiotic cephalosporin, penicillin, sulfonamides should not be given, since the effect of these drugs is associated with the effect on the cell wall of the microorganism,which in this case is absent.The effectiveness of such treatment would be minimal, and its purpose is not justified.
When ureaplasmosis which complicates the course of pregnancy, shows the use of antibiotics.This therapy is usually prescribed in the second trimester, ie after 18-22 weeks of pregnancy.The question of the admission of this group of drugs should be resolved taking into account the individual approach, the clinical picture of the disease and presence of complications.The drugs of choice for pregnant women is erythromycin Erythromycin - if you are allergic to penicillin , josamycin and spiramycin.Good therapeutic effect was observed at taking josamycin (dose of 1.0 grams per day) and spiramycin (9 million dose per day).Erythromycin should be taken up to four times a day at a daily dose of 2 g average duration of antibiotic therapy should be at least ten days.To the therapeutic effect was achieved by the therapy, it is necessary to combine antibiotics Antibiotics - whether they will help you in the foreseeable future? with enzyme preparations.It is safe for pregnant women taking the drug "Wobenzym" in a dose of 3-5 coated tablets three times a day.The drug has a systemic effect on the body and enhances the action of antibiotics, it should be taken within two weeks.
correction of violations
Antibiotics are not the only tool in the treatment in pregnant ureaplasmosis.The approach to the choice of treatment strategy must be comprehensive, taking into account the revealed violations at different levels of the female organism.Pregnancy in a large percentage of cases is complicated course, so it is necessary to carry out treatment, taking into account the identified pathology.The most characteristic ureaplasmosis complication during pregnancy is 24-26 weeks after the development of preeclampsia.This is one of the most adverse complications, and the treatment should be carried out in a specialized hospital maternity.The complex pharmacological activities include antispasmodic preparations, improving the metabolic processes and the processes of hemostasis (coagulation state).Not recommended for this therapy at home or outpatient basis, since only in a hospital, you can create health-protective mode, which is one of the important healing factors and carry out the necessary treatment in full.
Ureaplasmosis during pregnancy in 24% of cases the cause disturbances in the production of amniotic fluid (the development of polyhydramnios and oligohydramnios).Antibiotic therapy in combination with antioxidant drugs, metabolic and antiplatelet therapy helps to normalize the amount of amniotic fluid.Monitoring the effectiveness of this therapy in the form of complications should be conducted based on the results of objective examination (abdominal circumference and height of the uterus), on the conclusion of an ultrasound scan.
Particular attention should be paid to the treatment of placental insufficiency, which occurs in pregnant women at ureaplasmosis in 78% of cases.If ureaplasmosis Ureaplasmosis - inflammation of the urogenital system was diagnosed in women before pregnancy, and the pregnancy is at an unfavorable infectious background, it is necessary to carry out a course of therapy of placental insufficiency, since the first trimester.To this end, experts advise to enter a normal human immune globulin intravenous drip of 25 ml three times.You can repeat administration of the drug in pregnancy 20-24 and 35-36 weeks.It should also be carried out by indications Vaginal.It is often possible to observe a combination of ureaplasma infections with other types of bacterial pathogens.Timely detection and treatment of local infection in women helps to prevent the spread of infection.