Symptoms 1. Acute gonorrhea: primary urethritis
1. Lack of incubation period: The incubation period of acute gonorrhea is very short. Usually 2 to 5 days after sexual contact, very few patients can grow up to 10 days.Gonococcinism should go through three stages after the male urethra is invaded. ① Invasion phase: 36 hours after gonorrobia can be penetrated into the shallow layer of the mucosa and began to grow and grow.② Development stage: complete a life cycle within about 36 hours.③ Detoxification phase: After the life cycle, some gonococci died, and the internal toxins were discharged, which caused the body tissue to respond to toxins. At this time, clinical symptoms occurred.
Factors affecting the length of the incubation period are: a widespread effect of antibiotics; decreased resistance of physical weakness, alcoholism, excessive sexual life, etc.The incubation period of the alcoholic person can be shortened, and the incubation period of antibiotics can be prolonged.
2. Conscious symptoms
1. Urinary pain is often the early symptoms of the onset.The front of the urethra has a burning sensation, tingling, or burning pain. The pain is significantly intensified during urination, and it radiates towards the lower abdomen or spine.During the night pain, the "pain erection" that patients can occur.
2. The pain is slightly reduced after 12 to 24 hours of urethral lipstick, and the pain is slightly reduced, and a thin mucus -like secretion began to discharge. The amount is large. After 12 to 24 hours, a large amount of purulent secretions can be discharged.Sak 20 ~ 50ml.After 2 to 3 days, the amount of pus is reduced, thick, the color changes from white to yellow or yellowish brown, and then the pus is less and thick after 3 to 4 days. In the morning, the pus is gathered at the urethral mouth.Called "livelihood", pain is reduced, urethral lipstick, swollen out of the foreskin, the inside of the foreskin is also red and swollen.
3. Frequent urination urgency is similar to general urology infections. This causes the urethral sphincter to contract due to inflammation.In addition, because inflammation affects the small mucosa blood vessels there, "ending hematuria" often occurs.Sometimes there can be blood sperm.
4. It can fall in pain in clinical pain, which indicates that the lesions have surrendered to the urethral, prostate and seminal vesicles after upward violation.
5. Individual patients with systemic symptoms will also have systemic symptoms, such as about 38 ° C in thermal body temperature, full body burnout, weakness, discomfort, loss of appetite, and even nausea and vomiting.
3. Investigation: The urethral mouth and the inlet nest are red, swollen, bleeding, edema, and sometimes small, superficial abscesses, erosion or small ulcers.In severe cases, the urethral mucosa is turned, red and swollen affects the entire head, and the foreskin can be turned over. The foreskin cannot be turned up. Pressure the urethra can flow out of pus.The lymph nodes on both sides can also cause redness, spasm, and pus, obvious tenderness, and decreased as the urethral inflammation is reduced. After the inflammation disappears 2 to 3 days, the inflammation of the lymph nodes also disappears.
4. The evolution of the course of disease: The first week of symptoms is the heaviest. If the symptoms are not treated or treated in time, the symptoms gradually decrease after about 2 to 3 weeks, the secretions of the urethra are reduced, the tissue swelling also subsides, and the symptoms are completely after one month after one month.disappear.However, at this time, gonorrobia has invaded the deep gland, and even lurks to the scar tissue slowly, develops into chronic gonorrhea, and urethral stenosis can occur in the later stage.
