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07:10 11/10/2017

Bệnh Lậu là bệnh thường gặp nhất trong số các bệnh lây truyền qua đường tình dục do vi khuẩn Gram âm Neisseria Gonorrhoeae (lậu cầu khuẩn) gây ra. [..]

Bệnh Lậu là bệnh thường gặp nhất trong số các bệnh lây truyền qua đường tình dục do vi khuẩn Gram âm Neisseria Gonorrhoeae (lậu cầu khuẩn) gây ra.


Bệnh thường khởi phát sau 2 - 10 ngày nhiễm bệnh (ủ bệnh) và thường gây ra những triệu chứng như:

  • Đi tiểu buốt.

  • Tiểu dắt.

  • Khó tiểu.

  • Chảy mủ màu trắng hoặc vàng ở bộ phận sinh dục.

Có khoảng 60% số phụ nữ và một số ít nam giới nhiễm bệnh nhưng không xuất hiện các triệu chứng.

Bệnh lậu nếu không được chữa trị kịp thời có thể gây ra một số biến chứng nguy hiểm như:

  • Vô sinh.

  • Viêm khớp.

  • Nhiễm khuẩn huyết.

  • Viêm nội tâm mạc.

  • Viêm tuyến tiền liệt, mào tinh, tinh hoàn đối với nam giới.

  • Viêm xương chậu, viêm vòi Fallope ở nữ.

  • Viêm kết mạc ở trẻ sơ sinh do lây truyền từ mẹ.

Để điều trị bệnh lậu cần lựa chọn kháng sinh có độ nhạy cao, không bị kháng kháng sinh bởi lậu cầu khuẩn, đáp ứng điều trị theo phác đồ được Tổ chức Y tế Thế  Giới lựa chọn để điều trị bệnh lậu:

  • Ceftriaxone 250mg tiêm bắp liều duy nhất.

  • Spectinomycin 2g tiêm bắp liều duy nhất.

  • Cefotaxime 1g tiêm bắp liều duy nhất.

  • Ciprofloxacin 500mg uống liều duy nhất.

  • Cefixim 400mg uống liều duy nhất.

  • Doxycyclin 100mg uống 2viên/ ngày x 7 ngày.

  • Tetraxyclin 500mg uống 4 viên/ ngày x 7 ngày.

  • Erythromycin 500mg, uống 4 viên/ ngày x 7 ngày.

  • Azithromycin 500mg, uống 2 viên liều duy nhất.

Hiện  nay lậu cầu khuẩn đề kháng kháng sinh rất nhiều, vì vậy cần làm kháng sinh đồ để xác định loại kháng sinh không bị đề kháng bới lậu cầu khuẩn, đáp ứng điều trị. Việc điều trị bệnh lậu nên điều trị kết hợp giữa người bị nhiễm và bạn tình.

>>>Các bài viết khác : Bệnh Lậu | Triệu chứng và điều trị bệnh Lậu. , Bệnh lậu và những điều cần lưu ý


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