{"id":10521,"date":"2007-11-16T11:59:44","date_gmt":"2007-11-16T08:59:44","guid":{"rendered":"https:\/\/www.synevo.ro\/afectiuni\/profil-infectii-urogenitale-barbati\/"},"modified":"2020-07-10T14:16:27","modified_gmt":"2020-07-10T11:16:27","slug":"profil-infectii-urogenitale-barbati","status":"publish","type":"synevo_diseases","link":"https:\/\/old.synevo.md\/ru\/afectiuni\/profil-infectii-urogenitale-barbati\/","title":{"rendered":"Profil infec\u0163ii urogenitale (b\u0103rba\u0163i)"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong><span style=\"color: #000080;\"><span style=\"color: #00539f;\">Infec\u0163ii urogenitale &#8211; Uretr<\/span>a<\/span><\/strong> reprezint\u0103 calea ascendent\u0103 de acces a infec\u0163iei spre tractul urinar inferior \u015fi tractul genital. <!--more--><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #00539f;\"><strong>Tractul genital masculin<\/strong><\/span>, alc\u0103tuit din prostat\u0103, canale ejaculatoare, vezicule seminale, canale deferente, epididim, testicule este normal steril. Aceast\u0103 condi\u0163ie este asigurat\u0103 prin ac\u0163iunea mecanic\u0103 a mic\u0163iunii \u015fi ejacul\u0103rii, dar, mai ales prin ac\u0163iunea antibacterian\u0103 a unui polipeptid (con\u0163ine zinc) eliminat prin secre\u0163ia prostatic\u0103.<sup>2<\/sup><\/p>\n<p style=\"text-align: justify;\"><strong>Uretritele<\/strong><br>\u00cen func\u0163ie de etiologie se \u00eempart \u00een:<\/p>\n<ul>\n<li style=\"text-align: justify;\"><strong>uretrite gonococice<\/strong> \u2013 peste 70% din cazuri au evolu\u0163ie acut\u0103 cu disurie marcat\u0103 \u015fi scurgere uretral\u0103 frecvent purulent\u0103, \u00een aproximativ 5\u201310% din cazuri infec\u0163ia evolueaz\u0103 inaparent; netratat\u0103, gonoreea se cronicizeaz\u0103 \u015fi pot ap\u0103rea complica\u0163ii (prin propagare canalicular\u0103 \u015fi limfatic\u0103 la prostat\u0103 \u015fi epididim) \u015fi sechele (stricturi uretrale); infec\u0163ia se poate generaliza pe cale sangvin\u0103 \u015fi pot ap\u0103rea interes\u0103ri articulare (localizare metastatic\u0103).<sup>2<\/sup><\/li>\n<li style=\"text-align: justify;\">pot ap\u0103rea \u00een cazul infec\u0163iilor duble (ex. gonococ+C. trachomatis) cu o perioad\u0103 de incuba\u0163ie mai mare a celei de a doua infec\u0163ii fa\u0163\u0103 de gonoree; \u00een aceea\u015fi categorie sunt incluse \u015fi infec\u0163iile cu U. urealyticum, de asemenea pot ap\u0103rea uretrite cu Cryptococcus neoformans posibil favorizate de terapia cu tetracicline a gonoreei;<\/li>\n<li style=\"text-align: justify;\">reinfec\u0163ii gonococice, prin e\u015fec terapeutic \u00een cazul tulpinilor de N. gonorrhoeae secretoare de beta-lactamaz\u0103.<sup>2<\/sup><\/li>\n<li style=\"text-align: justify;\"><strong>uretrite non-gonococice<\/strong> \u2013 evolueaz\u0103 cu disurie mai pu\u0163in intens\u0103 \u015fi se \u00eenso\u0163e\u015fte doar \u00een aproximativ 38% din cazuri de scurgere uretral\u0103 \u015fi \u00een pu\u0163ine cazuri purulent\u0103; etiologia este dominat\u0103 de C. trachomatis (50%), urmat\u0103 de Ureaplasma urealyticum, Mycoplasma hominis, Trichomonas vaginalis, virus Herpes simplex; bacilii Gram negativi pot fi implica\u0163i ca agen\u0163i etiologici la pacien\u0163ii cu stricturi uretrale sau la cei cu fimoz\u0103; \u00een cazuri rare sifilisul poate debuta cu \u015fancru uretral.<sup>2<\/sup><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>Prostatitele<\/strong><br>Clasificare: prostatite bacteriene:<\/p>\n<ul>\n<li style=\"text-align: justify;\">acute: cel mai frecvent determinate de N. gonorrhoeae;<\/li>\n<li style=\"text-align: justify;\">cronice: mai frecvent \u2013 C. trachomatis, Enterobacteriaceae, pseudomonade, enterococi; mai rar Staphylococcus saprophyticus, Trichomonas vaginalis; pot ap\u0103rea localiz\u0103ri metastatice \u00een infec\u0163ii sistemice (tuberculoz\u0103 sau micoze -blastomicoz\u0103, coccidioidomicoz\u0103, criptococoz\u0103, histoplasmoz\u0103), prostatite non-bacteriene: rar Candida spp.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong><span style=\"color: #000080;\"><span style=\"color: #00539f;\">Prostatita bacterian\u0103 acut\u0103<\/span> <\/span><\/strong>clinic se caracterizeaz\u0103 prin: frisoane, febr\u0103, durere perineal\u0103 \u015fi lombar\u0103 joas\u0103, polakiurie \u015fi senza\u0163ie imperioas\u0103 de urinare, simptome variabile de obstruc\u0163ie subvezical\u0103, disurie, nicturie \u015fi uneori hematurie macroscopic\u0103. Prostata este sensibil\u0103, tumefiat\u0103 focal sau difuz \u015fi indurat\u0103.<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #00539f;\"><strong>Prostatita bacterian\u0103 cronic\u0103 <\/strong><\/span>reprezint\u0103 una din cauzele cele mai frecvente de bacteriurie asimptomatic\u0103 la b\u0103rba\u0163i. Este \u00eenso\u0163it\u0103, \u00een majoritatea cazurilor, de infec\u0163ia veziculelor seminale, av\u00e2nd o etiologie identic\u0103 (prostato-veziculit\u0103 cronic\u0103). Simptomatologia sa este de obicei necaracteristic\u0103\u00b9.<\/p>\n<p style=\"text-align: justify;\">Prostatitele evolueaz\u0103 cu reac\u0163ie inflamatorie \u00een secre\u0163ia prostatic\u0103, bacteriurii \u015fi piurii intermitente. Apar, de obicei, pe cale ascendent\u0103 pornind de la o uretrit\u0103.<br>Infec\u0163ia tractului urinar se asociaz\u0103 la toate prostatitele bacteriene, ca episode unic \u00een prostatitele acute sau ca infec\u0163ii recurente \u00een prostatitele cronice.<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><strong>Prostatodinia <\/strong><\/span>reprezint\u0103 un sindrom caracterizat prin simptomatologie asem\u0103n\u0103toare prostatitei, dar f\u0103r\u0103 reac\u0163ie inflamatorie \u00een secre\u0163ia prostatic\u0103.<br>\u00cen diferen\u0163ierea infec\u0163iei prostatice de infec\u0163ia segmentelor inferioare ale tractului urinar sunt utilizate probe de urin\u0103 emis\u0103 \u00een timpul actului mic\u0163ional \u00eemp\u0103r\u0163ite \u00een mai multe frac\u0163iuni, c\u00e2t \u015fi lichidul prostatic ob\u0163inut prin masaj prostatic.<sup>2<\/sup><\/p>\n<p style=\"text-align: justify;\"><strong>Epididimite<\/strong><br>Infec\u0163iile epididimului sunt frecvente, \u00een special \u00een perioada de activitate sexual\u0103 \u015fi la bolnavii cu afec\u0163iuni obstructive subvezicale.<sup>3<\/sup><br>Apar de obicei, ca infec\u0163ii ascendente, ca urmare a unei prostatite, uretrite sau unei infec\u0163ii urinare. Ca factor favorizant amintim traumatismele locale (instrumenta\u0163ie urologic\u0103), mai ales \u00een condi\u0163ii de bacteriurie.<br>Clinic, se constat\u0103 congestie cu tumefiere dureroas\u0103, de obicei unilateral\u0103 a scrotului, scurgere uretral\u0103 \u015fi semne de irita\u0163ie a tractului urinar inferior.<\/p>\n<p style=\"text-align: justify;\">Din punct de vedere etiologic se descriu:<\/p>\n<ul>\n<li style=\"text-align: justify;\">Epididimite bacteriene nespecifice: cel mai frecvent cauzate de Enterobacteriaceae, urmate de pseudomonade \u015fi ocazional coci Gram pozitivi.<\/li>\n<li style=\"text-align: justify;\">Epididimite cu transmitere sexual\u0103: produse de C. trachomatis, N. gonorrhoeae.<\/li>\n<li style=\"text-align: justify;\">Epididimite \u00een boli sistemice: apar rar \u00een tuberculoz\u0103, blastomicoz\u0103.<sup>2,4<\/sup><br>Secre\u0163ia uretral\u0103 prezent\u0103 trebuie examinat\u0103 pe preparatul nativ, prin colora\u0163ie \u015fi culturi. Examenul urinii \u015fi urocultura identific\u0103 sau exclud o infec\u0163ie cu germeni banali.<sup>3<\/sup><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>Orhite<\/strong> determinate de:<\/p>\n<ul>\n<li style=\"text-align: justify;\">Virusuri: virusul urlian \u015fi virusul Coxsackie B, ce infecteaz\u0103 testiculele uni- sau bilateral, pe cale hematogen\u0103.<\/li>\n<li style=\"text-align: justify;\">Bacterii: de obicei, infec\u0163ia apare prin contiguitate de la o epididimit\u0103.<br>Probele prelevate intraoperator sunt examinate pentru diagnosticul etiologic.<sup>2,4<\/sup><\/li>\n<\/ul><div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\"><div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\"><p><strong>Analize medicale disponibile \u00een laboratoarele Synevo:<\/strong><\/p><\/div>\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\"><div class=\"synevo-shop-products\">\r\n    <div class=\"sysprod\">\r\n        \r\n        <div class=\"sysprod-products\">\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/mycoplasma-hominis-ureaplasma-urealyticum-cultura-identificare-antibiograma\/\">Mycoplasma hominis + Ureaplasma urealyticum &#8211; cultur\u0103, identificare, antibiogram\u0103<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>450 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=9436\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"9436\"\r\n                                data-product_sku=\"MI109\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/cultura-secretie-uretrala-cu-antibiograma-dupa-caz\/\">Cultura secretie uretrala (cu antibiograma dupa caz)<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>350 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=29917\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"29917\"\r\n                                data-product_sku=\"MI101\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/urocultura-cu-antibiograma-dupa-caz\/\">Urocultur\u0103 (cu antibiogram\u0103 dup\u0103 caz)<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>375 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=9331\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"9331\"\r\n                                data-product_sku=\"MI29\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                    <\/div>\r\n        \r\n    <\/div>\r\n<\/div>\r\n\r\n<style>\r\n.synevo-shop-products {\r\n    padding: 24px 0;\r\n    margin: 24px 0;\r\n    border-radius: 10px;\r\n    background: #F6F7F9;\r\n}\r\n.synevo-shop-products .sysprod-product {\r\n    position: relative;\r\n    margin: 0 24px;\r\n    margin-bottom: 24px;\r\n    border-radius: 10px;\r\n    background: #fff;\r\n    display: flex;\r\n    flex-direction: row;\r\n    align-items: center;\r\n}\r\n.synevo-shop-products .sysprod-product:last-child {\r\n    margin-bottom: 0;\r\n}\r\n.synevo-shop-products .sysprod-product-title {\r\n    flex-grow: 1;\r\n    padding: 15px;\r\n    margin-left: 14px;\r\n    font-family: Poppins,sans-serif;\r\n    font-weight: 600;\r\n    font-size: 16px;\r\n    color: #29263F;\r\n}\r\n.synevo-shop-products .sysprod-product-price {\r\n    flex-shrink: 0;\r\n    font-family: Poppins,sans-serif;\r\n    font-weight: 600;\r\n    font-size: 18px;\r\n    color: #FDB813;\r\n}\r\n.synevo-shop-products .sysprod-product-addcart {\r\n    flex-shrink: 0;\r\n    position: relative;\r\n    width: 38px;\r\n    height: 38px;\r\n    margin-left: 24px;\r\n    margin-right: 24px;\r\n}\r\n.synevo-shop-products .sysprod-product-addcart .button {\r\n    top: unset;\r\n    right: unset;\r\n}\r\n<\/style>\n\n<p><\/p><\/div><\/div><p><small><strong>Bibliografie:<\/strong><\/small><\/p><p><small>1. Dorin Nicolescu, Infec\u0163iile nespecifice ale aparatului genital masculin, In Urologie, Ed. Didactic\u0103 \u015fi Pedagogic\u0103, 1990, 50-53.<br>2. Dumitru Buiuc. Diagnosticul de laborator al infec\u0163iilor tractusului genital masculin. \u00cen Tratat de Microbiologie Clinic\u0103. Dumitru Buiuc, Marian Negu\u0163, Medicala, Romania,1 ed. 1999, 295 \u2013 304.<br>3. Dorin Nicolescu, Infec\u0163iile nespecifice ale epididimului, In Urologie, Ed. Didactic\u0103 \u015fi Pedagogic\u0103, 1990, 56.<br>4. Betty A.Forbes, Daniel F.Sahm, Alice S.Weissfeld. Genital tract infections. In Bailey and Scott\u2019s Diagnostic Microbiology. Mosby, USA, 11 ed. 2002, 939-953.<\/small><\/p><hr class=\"wp-block-separator\"\/><p>Mai multe informa\u021bii despre teste:<\/p><ul class=\"wp-block-list\"><li><a href=\"\/shop\/chlamydia-trachomatis-arnr-neisseria-gonorrhoeae-arn-urina-barbati\/\" class=\"rank-math-link\">Chlamydia trachomatis ARNr + N. gonorrhoeae ARNr \u2013 urin\u0103<\/a><\/li><li><a href=\"\/shop\/mycoplasma-hominis-ureaplasma-spp-cultura-identificare-atb\/\" class=\"rank-math-link\">Mycoplasma hominis + Ureaplasma urealyticum \u2013 cultur\u0103, identificare, antibiograma<\/a><\/li><li><a href=\"\/shop\/cultura-secretie-uretrala-cu-antibiograma-dupa-caz\/\" class=\"rank-math-link\">Cultur\u0103 secre\u0163ie uretral\u0103<\/a><\/li><li><a href=\"\/shop\/urocultura\/\" class=\"rank-math-link\">Urocultur\u0103<\/a><\/li><\/ul><p><\/p>","protected":false},"featured_media":0,"template":"","synevo_diseases_category":[903],"class_list":["post-10521","synevo_diseases","type-synevo_diseases","status-publish","hentry","synevo_diseases_category-urologie"],"_links":{"self":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/synevo_diseases\/10521","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/synevo_diseases"}],"about":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/types\/synevo_diseases"}],"wp:attachment":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/media?parent=10521"}],"wp:term":[{"taxonomy":"synevo_diseases_category","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/synevo_diseases_category?post=10521"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}