Course 4
Chlamydia I
Chlamydia II
Chlamydia III
Chlamydia II
 能治癒性傳播疾病    Curable STDs
 衣原體 II 
4. 症狀是什麼?
因為衣原體感染相當廣泛,尤其在青年人中更普遍,還因為大多數男女感染者沒有症狀,所以它常常被稱為“隱行流行病”。如果症狀本來有的話,則通常在感染的頭三周裏會出現。下面是簡要概述:
女性的症狀:衣原體通常首先感染尿道和子宮頸。往上則播散到輸卵管而導致不孕,所有這些病變都不是必然地產生症狀。如果症狀出現,有低燒、陰道流膿、無經血、背痛、腹痛或性交疼痛。 
男性的症狀:出現症狀的比率甚至比女性還要小,但是可能包括有睾丸腫脹或疼痛、陰莖流膿或尿痛。
兩性的症狀:經由口交感染後可能引起咽喉痛;接受肛門性交者,可能有直腸疼痛、流膿或流血。

5. 如何診斷?
用棉簽擦拭感染部位(例如子宮頸或陰莖),製作樣本塗片,置顯微鏡下觀察,可觀察到衣原體病菌。也可通過尿液的間接實驗觀察到細菌。

美國衣原體感染,1984-2002年(單位:比率/十萬)
Chlamydia in the United States, 1984-2002: Rates per 100,000 population

 

美國衣原體感染,2002年:年齡與性別比率
Chlamydia in the United States, 2002: Age- and sex-specific rates

 
資料來源:美國中央疾病控制中心,國家HIV、性傳播疾病和結核病預防中心/性傳播疾病的分類、性傳播疾病的監測、國家統計概圖,2002年

Source: CDC, National Center for HIV, STD and TB Prevention
Division of Sexually Transmitted Diseases, STD Surveillance, National Profile 2002

 Females

 男Males

統計所示,女性患病數高於男性。尤其青年女性患病率更高。
As the statistics show, many more females are infected with chlamydia than males. This is especially true for very young females.

 Chlamydia II

4. What are the symptoms?
Chlamydia is often called a “silent epidemic” because it is fairly widespread, especially among young people, and because most infected females and many infected males have no symptoms. If symptoms appear at all, they usually do so within the first three weeks after the infection. Here is a brief summary:
Females: Chlamydia usually first infects the urethra and the cervix. From there it may spread to the Fallopian tubes causing sterility, and all this without necessarily producing any symptoms. If symptoms appear, they may consist of a low fever, vaginal discharge, non-menstrual bleeding, back pain, abdominal pain or pain during intercourse.
Males: Symptoms are even less common than in females, but they may include swollen or painful testicles, a discharge from the penis or a burning sensation when urinating.
Both sexes: Men or women infected through oral intercourse may develop a sore throat; those infected through receptive anal intercourse may experience pain in the rectum, a pus-like discharge, or bleeding.

5. How is it diagnosed?
Chlamydia can be detected by taking a swab of the infected area (for example the cervix or the penis). Staining the sample will make the bacteria visible under the microscope. There is also an indirect test that detects the bacteria in a urine sample.

 

[Course 4] [Description] [How to use it] [Introduction] [Curable STDs] [Infections] [Infestations] [Incurable STDs] [STD Prevention] [Additional Reading] [Examination]