12/10/16

Veneral.infections

Gonorrhoea



     WHEN A PERSON CONTRACTS gonorrhoea there is an inflammation of the urinary passage, accompanied by a whitish or yellowish discharge. The disease is caused by the gonorrhoea germ and is contracted by sexual 
intercourse with a person who has gonorrhoea. 

      Symptoms: The disease usually begins in from three to seven days after sexual intercourse. The symptoms are itching, smarting, or stinging pain in the urinary passage, pain at the time of urination, and a watery discharge from the urinary passage. This watery discharge soon becomes thick and yellow or white. If untreated the disease spreads up the urinary tract 

to produce stricture of the urinary passage with resulting in ability to pass urine. This is a serious complication which if neglected may ultimately cause death. The Gonorrhoea germ 
is distributed through the blood stream to the joints where it may produce one of the most painful conditions produced by any disease. 
    Gonorrhoea is a common cause of blindness. Since infants may contract the disease from the mother at birth, it is essential that the eyes of every child should be treated as soon as it is born to prevent blindness from this infection. This treatment consists of instilling a drop of 1% solution of silver nitrate or penicillin ophthalmic ointment in each eye. The attending nurse or doctor puts the ointment under the lower lid of the eyes at  the time of birth and nothing more is needed. This ointment i s (5 grammes) tube and is marked with the word "ophthalmic".Never put any medicine in the eye that is not so marked.
  Where one member of the family has the disease there is danger of its being spread to other members of the family, this being a particularly dangerous possibility where there are small children, especially small girls. It will spread among small girls like measles. They should be segregated from the infected person, and not allowed to live in the same home until the infection
has been controlled.

Treatment : Gonorrhoea can be safely treated only by a competent physician. If treatment is with sulpha drugs, the one of choice is sulphadiazine. The dosage should be two tablets four times daily for ten days. During this time the patient should

drink an abundance, of water or better yet, fruit juices. He should be under the observation of a physician who will watch for possible unfavourable effects of the medicine. Only by laboratory examination can it be determined that the disease
has been cleared up.

    The quickest results are obtained with penicillin treatment.
An intramuscular injection of 400, 000 units of penicillin is given.
This is followed after twenty-four hours with a second
injection. This is usually sufficient to check an acute case of gonorrhoea.  

Gonorrhoea in Women


The infection in women causes burning and frequent urination. It comes on three days after exposure. The discharge becomes profuse with a thick yellow pus. If not treated it may go up into the Fallopian tubes and cause a severe infection
resulting in the permanent closure of the tube. This is one of the causes of sterility in women. Sometimes the infection is just enough to disturb the tube so that the fertilized ovum cannot
make its way to the uterus and it stops in the tube to develop into an ectopic pregnancy. After about six or eight weeks the tube bursts and the patient must be operated at once to prevent her from bleeding to death. Early treatment of gonorrhoea with
penicillin is needed to prevent this complication.

 Syphilis


Syphilis is a germ disease that is acquired through sexual intercourse with a person who already has this disease. If a mother has syphilis the disease may be transmitted to the infant in her womb before it is born. Syphilis and tuberculosis are two of the greatest scourges in the world.

Symptoms : The first symptom of syphilis is a small pimple or sore on the sexual organ or wherever the point of infection may be. This usually appears not later than five weeks after sexual intercourse. A raw sore which feels hard follows
the pimple. Along with this, lumps usually appear in both groins.
  Six or seven weeks after the first pimple or sore appears, a copper-coloured eruption, resembling measles, appears on the body. There may be other symptoms such as headache, nausea, and loss of appetite. There may be sore throat also. Moist
sores may appear in the skin, in the arm-pits and about the bowel opening. The hair often falls out in patches. These symptoms do not all occur in, every case of syphilis.
   The third stage of the disease comes on after a person has had the infection for several months or several years. Deep sores develop on different parts of the body. The nose often rots away slowly, leaving an unsightly cavity. Pieces of the bone of the skull or pieces of bones in other parts of the body may slough away as a result of syphilis. Many serious diseases of the brain, nerves, heart and blood-vessels are caused by syphilis.

    Treatment : To determine positively whether Or not a person has syphilis is of the greatest importance, since the earlier the treatment can begin the more certain it is that a cure can be

effected. In almost every case it requires a skilled physician to diagnose the disease. A blood test or special microscopic examination may. Be required to learn whether the disease is present. There is no home medication for syphilis. Medicines
which can be taken by mouth at home are fakes.
   The treatment that is most effective against syphilis is the use of penicillin in massive doses. In adult cases a total of twelve million units should be given in a period of twelve days. Any treatment of syphilis should be checked by blood tests to determine the effectiveness of the medications given.




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