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Возбудитель — гонококк **Neisseria gonorrhoeae** [3](https://www.VIDAL.ru/encyclopedia/infektsionniebolesni/gonorrhoea)[14](https://minzdravtuva.ru/%D0%B8%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D0%B8%D0%B8-%D0%BF%D0%B5%D1%80%D0%B5%D0%B4%D0%B0%D1%8E%D1%89%D0%B8%D0%B5%D1%81%D1%8F-%D0%BF%D0%BE%D0%BB%D0%BE%D0%B2%D1%8B%D0%BC-%D0%BF%D1%83%D1%82%D0%B5%D0%BC-%D0%B3%D0%BE%D0%BD%D0%BE%D1%80%D0%B5%D1%8F.html). Чаще всего страдают органы мочеполовой системы, но в некоторых случаях инфекция поражает и другие слизистые — глаз, носовой и ротовой полости, гортани [3](https://www.VIDAL.ru/encyclopedia/infektsionniebolesni/gonorrhoea). \n\nДиагностикой и лечением гонореи занимается венеролог, а также у мужчин — уролог, у женщин — гинеколог [5](https://alfazdrav.ru/zabolevania/urologiya/gonoreya-tripper/).\n\n\n\n## Причины\n**Основной путь передачи** — половой контакт, причём как при вагинальном, так и при оральном или анальном [3](https://www.VIDAL.ru/encyclopedia/infektsionniebolesni/gonorrhoea)[5](https://alfazdrav.ru/zabolevania/urologiya/gonoreya-tripper/). Заражение через бытовые предметы (мочалки, полотенца, бритвы) происходит крайне редко [3](https://www.VIDAL.ru/encyclopedia/infektsionniebolesni/gonorrhoea). \n\n**Редко** инфекция передаётся от матери к ребёнку при родах [7](https://doct.ru/articles/gonoreya.html).\n\n## Симптомы\n**У мужчин** гонорея имеет ярко выраженную симптоматику [14](https://minzdravtuva.ru/%D0%B8%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D0%B8%D0%B8-%D0%BF%D0%B5%D1%80%D0%B5%D0%B4%D0%B0%D1%8E%D1%89%D0%B8%D0%B5%D1%81%D1%8F-%D0%BF%D0%BE%D0%BB%D0%BE%D0%B2%D1%8B%D0%BC-%D0%BF%D1%83%D1%82%D0%B5%D0%BC-%D0%B3%D0%BE%D0%BD%D0%BE%D1%80%D0%B5%D1%8F.html). Некоторые признаки: \n* обильные гнойные выделения из полового члена, в некоторых случаях с примесями крови [13](https://mac-ivf.ru/pacyentam/stati/lechenie-gonorei/)[14](https://minzdravtuva.ru/%D0%B8%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D0%B8%D0%B8-%D0%BF%D0%B5%D1%80%D0%B5%D0%B4%D0%B0%D1%8E%D1%89%D0%B8%D0%B5%D1%81%D1%8F-%D0%BF%D0%BE%D0%BB%D0%BE%D0%B2%D1%8B%D0%BC-%D0%BF%D1%83%D1%82%D0%B5%D0%BC-%D0%B3%D0%BE%D0%BD%D0%BE%D1%80%D0%B5%D1%8F.html); \n* боль и сильное жжение во время мочеиспускания [13](https://mac-ivf.ru/pacyentam/stati/lechenie-gonorei/); \n* боль и отёк в области яичек [13](https://mac-ivf.ru/pacyentam/stati/lechenie-gonorei/); \n* зуд в заднем проходе, запоры, могут быть кровянистые выделения из ануса [13](https://mac-ivf.ru/pacyentam/stati/lechenie-gonorei/). \n\n**У женщин** заболевание часто протекает бессимптомно, иногда инфекция проявляется симптомами, связанными с воспалением мочеполовых органов [14](https://minzdravtuva.ru/%D0%B8%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D0%B8%D0%B8-%D0%BF%D0%B5%D1%80%D0%B5%D0%B4%D0%B0%D1%8E%D1%89%D0%B8%D0%B5%D1%81%D1%8F-%D0%BF%D0%BE%D0%BB%D0%BE%D0%B2%D1%8B%D0%BC-%D0%BF%D1%83%D1%82%D0%B5%D0%BC-%D0%B3%D0%BE%D0%BD%D0%BE%D1%80%D0%B5%D1%8F.html). Некоторые признаки: \n* зуд в области половых органов [14](https://minzdravtuva.ru/%D0%B8%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D0%B8%D0%B8-%D0%BF%D0%B5%D1%80%D0%B5%D0%B4%D0%B0%D1%8E%D1%89%D0%B8%D0%B5%D1%81%D1%8F-%D0%BF%D0%BE%D0%BB%D0%BE%D0%B2%D1%8B%D0%BC-%D0%BF%D1%83%D1%82%D0%B5%D0%BC-%D0%B3%D0%BE%D0%BD%D0%BE%D1%80%D0%B5%D1%8F.html); \n* боль при половом контакте [14](https://minzdravtuva.ru/%D0%B8%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D0%B8%D0%B8-%D0%BF%D0%B5%D1%80%D0%B5%D0%B4%D0%B0%D1%8E%D1%89%D0%B8%D0%B5%D1%81%D1%8F-%D0%BF%D0%BE%D0%BB%D0%BE%D0%B2%D1%8B%D0%BC-%D0%BF%D1%83%D1%82%D0%B5%D0%BC-%D0%B3%D0%BE%D0%BD%D0%BE%D1%80%D0%B5%D1%8F.html); \n* изменение характера выделений [14](https://minzdravtuva.ru/%D0%B8%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D0%B8%D0%B8-%D0%BF%D0%B5%D1%80%D0%B5%D0%B4%D0%B0%D1%8E%D1%89%D0%B8%D0%B5%D1%81%D1%8F-%D0%BF%D0%BE%D0%BB%D0%BE%D0%B2%D1%8B%D0%BC-%D0%BF%D1%83%D1%82%D0%B5%D0%BC-%D0%B3%D0%BE%D0%BD%D0%BE%D1%80%D0%B5%D1%8F.html); \n* боль или жжение во время мочеиспускания [14](https://minzdravtuva.ru/%D0%B8%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D0%B8%D0%B8-%D0%BF%D0%B5%D1%80%D0%B5%D0%B4%D0%B0%D1%8E%D1%89%D0%B8%D0%B5%D1%81%D1%8F-%D0%BF%D0%BE%D0%BB%D0%BE%D0%B2%D1%8B%D0%BC-%D0%BF%D1%83%D1%82%D0%B5%D0%BC-%D0%B3%D0%BE%D0%BD%D0%BE%D1%80%D0%B5%D1%8F.html); \n* тянущая боль в животе [14](https://minzdravtuva.ru/%D0%B8%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D0%B8%D0%B8-%D0%BF%D0%B5%D1%80%D0%B5%D0%B4%D0%B0%D1%8E%D1%89%D0%B8%D0%B5%D1%81%D1%8F-%D0%BF%D0%BE%D0%BB%D0%BE%D0%B2%D1%8B%D0%BC-%D0%BF%D1%83%D1%82%D0%B5%D0%BC-%D0%B3%D0%BE%D0%BD%D0%BE%D1%80%D0%B5%D1%8F.html).\n\n## Диагностика\n**Для выявления гонореи используют лабораторные методы** [2](https://www.OnClinic.ru/diagnostika-i-lechenie-gonorei/). Некоторые из них: \n* **ПЦР-диагностика** — обнаруживает ДНК возбудителя в биологическом материале [13](https://mac-ivf.ru/pacyentam/stati/lechenie-gonorei/). \n* **Культуральный метод** — бактериологический посев, позволяет определить чувствительность к антибиотикам [15](https://MedPortal.ru/enc/sexology/sexinfection/14/). \n* **Метод окраски по Граму** — на взятый образец воздействуют красителями, результат изучают под микроскопом [15](https://MedPortal.ru/enc/sexology/sexinfection/14/).\n\n## Лечение\n**Гонорея лечится только с помощью антибактериальных препаратов**, которые назначаются строго врачом [15](https://MedPortal.ru/enc/sexology/sexinfection/14/). Народные методы, БАДы или иммуномодуляторы не способны уничтожить гонококков и не заменяют полноценную терапию [2](https://www.OnClinic.ru/diagnostika-i-lechenie-gonorei/). \n\n**Курс лечения** проводится обоим партнёрам одновременно [1](https://Megapteka.ru/specials/simptomy-i-lechenie-4309). После окончания курса необходимо повторно сдать анализы для подтверждения эффективности терапии [1](https://Megapteka.ru/specials/simptomy-i-lechenie-4309). \n\n**Самостоятельное лечение** гонореи недопустимо — оно опасно переходом заболевания в хроническую форму [18](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_venereology/gonorrhoea).","linksData":[{"sourceId":1,"url":"https://Megapteka.ru/specials/simptomy-i-lechenie-4309","shownUrl":"https://Megapteka.ru/specials/simptomy-i-lechenie-4309","title":"Триппер симптомы и лечение у мужчин и женщин: Как передается","shortUrl":"Megapteka.ru","isTranslated":false,"description":"","greenUrl":"Megapteka.ru"},{"sourceId":2,"url":"https://www.OnClinic.ru/diagnostika-i-lechenie-gonorei/","shownUrl":"https://www.OnClinic.ru/diagnostika-i-lechenie-gonorei/","title":"Гонорея у женщин (триппер) - причины, симптомы, диагностика, лечение и профилактика","shortUrl":"OnClinic.ru","isTranslated":false,"description":"","greenUrl":"OnClinic.ru"},{"sourceId":3,"url":"https://www.VIDAL.ru/encyclopedia/infektsionniebolesni/gonorrhoea","shownUrl":"https://www.VIDAL.ru/encyclopedia/infektsionniebolesni/gonorrhoea","title":"Гонорея - 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