Cause
Gonorrhea because of small bacteria is in the form of diplococcus ( form of like apart coffee seed) what recognized by the name of Neisseria gonorrhoeae. This bacteria sticks and breaks man the mucous membrane like the one is there is at genitals, anus cave, eye the mucous membrane, and red lane. This disease almost always is contagious through the relation of sexual, either vaginally, anus, or oral with someone who has experienced the infection without using condom. However, infection of this disease earns also is resulted by “ hand touch”, clothes, or goods which has been applied patient.
Infection risk from men to higher woman than woman infections to men, especially because broader contact and the duration the mucous membrane hit. For every times contact, men has possibility that approximately 20 % suffers from is, while woman has opportunity of 40 % to suffer from is from men infection. At contact at twice of the possibility rising becomes 75 %.
Gonorrhea can disseminate through blood stream to part of other body, especially skin and articulation. At woman, gonorrhea menjalar can to sex channel and infection of membrane in hip causing arises hip pain in bone and reproduction trouble even infertility ( barren). Woman of highest berisiko experiences spreading of infection at the time of menstruation. Infection earns also happened to baby when bearing, which if unknown and cured, can result blindness.
Symptom and Sign
www.nacjamaica.com/sti/gallery.htmPada man, initial symptom of gonorrhea usually arises within 2-10 days after infection. Its(the symptom having beginning of as taste is not delicious, “ temperature” at urethra ( water outlet kemih), and a few hour(clocks then followed by pain in bone to and its(the exit rust colored matter of greenness from tip of genitals. In part big Case, man would soon having drug because symptom bothering the. Because its(the infection is quickly is known and cured, hence seldom there are man who is experiencing continuation komplikasi.
At woman, initial symptom can arise within 7-21 days after infection. Nevertheless around 50 to 70 % woman infection menunjukan symptom not to, and known to suffers from the only after couple the relation of its(the sexual is infected. If arises symptom, usually haves the character of light. But some patients shows symptom that is weight, like pressure for to, pain in bone when to, its(the exit dilution of matter from vagina, and fever. Woman that is a few or doesn't show symptom to become spreading primary source of infection and berisiko experiences penyulit. Infection can extend groans cervix uteri, womb, egg channel, ovary, urethra, and anus cave and causes hip pain in bone which in when correlating sexual.
Woman and homosexual man doing coitus through anus ( anal of sex) can suffer gonorrhea at its(the anus cave. Patient will feel not balmy around its(the anus, pain in bone at the time defecation, and from its(the anus cave dilution exit. Area around anus seems to squeezing and harsh, and its(the faeces is prepacked by mucus and matter.
The relation of sexual through mouth ( oral air mechanism sex) with a gonorrhea patient usually will cause gonorrhea at red lane ( pharyngitisgitis gonokokal). Generally the infection doesn't generate symptom, but sometimes causes red lane pain in bone and trouble when swallowing.
If dilution infection about eye, hence can cause the happening of infection of external eye ( konjungtivitis gonorrhea). At adult can happened through impure new hand finger of matter is not intentionally. Newborn baby also can be infection gonorrhea from its(the mother during copy process so that happened pembengkakan at both its(the eyelids and from its(the eye matter exit. If the infection was not cured, hence will generate blindness.
Diagnosis and Therapy
Gonorrhea disease diagnosis based on result of microscopic inspection to matter, where found [by] bacteria cause of gonorrhea. If at microscopic inspection was not found bacteria, hence done [by] breeder in laboratory.
Gonorrhea usually is dosed with injection of unique seftriakson intramuskuler ( through muscle) or with giving of antibiotic per oral air mechanism ( through mouth) during one weeks ( usually is given doxycycline). Beside curing gonorrhea disease, this patient also must be verified for possibility is suffering from other sex of which can generate penyulit which more serious. Other drug also is suggested covers penicillin, ampisilinamoksisilin, tetrasiklin hidroklorida, and or spektinomisin. But because often happened usage of drug that is promiscuously, often is found germ which resistant to some drugs. Usually is suggested reexamining 6 week after therapy, because around 15 % will be infection again, and probably because relapsing. If gonorrhea had disseminated through blood stream, usually patient taken care of in hospital and gets intravenous antibiotic ( through vein or infusion). Something else which must be paid attention is all sexual couples and patient sexual contact infection must be evaluated and on the market therapy to prevent spreading of this further disease.
Hitherto has not made available vaccine for this disease, as well as questionable existence of impenetrability after infection [by] this disease. Usage of condom can prevent this disease but doesn't guarantee for other venereal disease.
