Anyone familiar cold, appearing on the lips. However, few people know the consequences that may be caused by the herpes simplex virus. The medical classification known type 2 herpes simplex virus. HSV-1 (the first type) affects most of the skin and mucous membrane of the mouth, nose, eyes and other organs, and HSV-2 (second class) - genitals. This is the genital herpes. Currently, due to the wide spread of oral-genital contact are becoming more frequent occasions when this type of herpes virus called HSV-1.
According to medical international centers about 80% of the population are infected with the herpes simplex virus, in addition, the bulk of them are asymptomatic carriers. And only 20% of infected people are familiar with one or other clinical manifestations of herpes.
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Ways of transmission of genital herpes
Genital herpes is categorized diseases, sexually transmitted diseases.
Infection occurs not only on the person who is suffering rashes on the genitals (relapse), but in the absence of the characteristic symptoms of the disease that is observed in asymptomatic virus infection and atypical forms.
Infection is possible and at the oral-genital contact. Transfer of infection through everyday is extremely rare. The highest incidence occurs in the age group 20-29 years. The herpes virus afford to dwell in the body throughout life. In interrecurrent period he is in the nervous system, and does not manifest itself, so patients are often unaware of the presence of the disease, can be a source of infection to sexual partners.
In addition to the sexual mode of transmission of genital herpes infection is possible by passing the baby through the birth canal during birth or fetus through the placenta to her sick mother. In some cases, human infection can occur in the absence of sexual intercourse: infection in this case is the result of non-compliance with the rules of personal hygiene, dirty hands when a person carries the herpes simplex virus from her lips on his genitals.
Herpes simplex virus, which once penetrated into the body through the skin microtrauma and genital mucosa for life remains in the body. A person with strong immune systems, leading the right way of life, can never know of a virus in the body and is not acquainted with the clinical signs of the disease. However, the favorable factors for infection (severe fatigue, stress, hypothermia, colds, overheating in the sun, mental and physical trauma, prolonged alcohol intoxication, hormonal changes) activates the virus and exacerbation of genital herpes.
The most severe complication of genital herpes - herpes is neonatal infection when a child passes from the mother during childbirth. The probability of transmission of the herpes virus increased newborns, if a mother caught in the last 3 months of pregnancy. Infection of the newborn leads to serious violations of the child's nervous system, blindness and even death. If it was found that during pregnancy the expectant mother herpes infection moved into an active phase, it is recommended that delivery is by caesarean section to avoid the passage of the fetus through the birth canal.
In adults, genital herpes does not cause disruption of the internal organs and provokes infertility. This disease - the least dangerous of all those that are sexually transmitted way. The question of how to treat genital herpes, is relevant because it brings a lot of suffering to the patient during exacerbation worsens his emotional and psychological state, reducing the capacity of man. In addition, infection facilitates HIV infection and stimulates the transition from HIV to AIDS.
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Genital herpes: symptoms of infection
In medical practice, there are several stages of the disease: primary genital herpes in which the disease manifests itself first and second - following cases and relapses. In most cases, recurrences occur more easily in comparison with the initial manifestation of genital herpes.
The first signs of genital herpes appear after 2-14 days after infection (in case of a weakened immune system). It shows its presence in the body itching, burning, swelling in the genital area. In addition, the disease is accompanied by a rise in temperature, general malaise, headache, a condition that is similar to a cold or flu, occasional numbness, ache in the upper part of the thigh, back pain or buttocks, pulling pain in the scrotum or perineum.
Within a few days at the genital mucosa and the skin, inner thighs, buttocks, in the urethra, cervix, small bubbles are formed which are filled with a transparent liquid. After the bursting of bubbles appear in their place painful sores that cause great suffering to the patient. Healing ulcers occur in a week, without leaving any traces.
Relapses are accompanied by similar symptoms, except for the temperature rise, headache and general malaise. Area rashes less and heal them faster. Relapse provoke any infectious diseases, exposure to cold or emotional stress. Relapses can occur with varying frequency of 2 times per month to 1 times a year. After the first episode of genital herpes can occur without obvious clinical manifestations.
In addition, genital herpes is very vague symptoms that are similar to other diseases. So many women are being treated for a long time cracks the vagina, thereby persistently recur thrush, cystitis, painful urination uncertain nature. The above-described current form of herpes occurs in women who have lesions localized in the vagina and on the cervix, and are not visible to the naked eye.
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Diagnosis of genital herpes
In some cases, for the diagnosis of herpes symptoms with a strong enough visual examination of the patient. The appearance of specific bubbly rash in the genital area accompanied by itching, burning and pain is a good indicator of herpes. However, obtaining confirmation of the diagnosis carried out in the laboratory by a fence material directly from the eruption, and detect the presence of virus (carried out by scraping the cervix from the urethra or the rectum given lesion). For the detection of antibodies in the absence of symptoms characteristic of the test material is a patient's blood.
Herpes often occurs in conjunction with a number of other sexually transmitted infections, so accurate diagnosis is performed after the testing for trichomoniasis, chlamydia, syphilis, AIDS and other infections.
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Principles of treatment of genital herpes
Why treat genital herpes? All cases of genital herpes necessarily require treatment. Otherwise, a number of developing complications will not take long:
acute urinary retention as a result of neuropathy or dysuria;
persistence of symptoms for a long time;
increase the likelihood of developing cervical cancer;
infecting a sexual partner;
the spread of infection through the body, the brain penetration and massive damage to internal organs. This occurs rarely provided immunodeficiency. Most noted the appearance of extragenital herpes skin on different parts of the body (buttocks, hands, breasts), mucous membranes of the eyes.
Long-term complications of herpes in women may cause psychological and psychosexual problems: 70% of women reported the appearance of a variety of experiences and a tendency to depression after the first episode of genital herpes. Therefore, effective treatment is not possible without the positive motivation of the patient.
Herpes virus remains in the body for life and persists in nerve cells. Modern medicine has no cure, which would bring the power of the herpes virus from the body, so doctors often against herpes use the term "incurable disease." However, there are drugs that can suppress viral replication, to significantly increase the intervals between exacerbations of the disease, to smooth the clinical symptoms of the disease at relapse (to reduce pain, burning and itching, accelerate the healing of ulcers).
Such tools include drugs that prevent the multiplication of viruses in cells: Acyclovir Zovirax and issued in the form of tablets, ointments and creams. This is a relatively inexpensive but effective drugs are available for the majority of patients.
Antiviral therapy should be combined with actions that contribute to strengthening the immune system, which in turn helps to prevent recurrences of genital herpes. If you experience severe pain recommend the use of painkillers, such as paracetamol or well-known analgin.
In exacerbations of more than 6 times a year long preventive treatment for several months. Thanks to him we can reduce the severity of repeated exacerbations and reduce the relapse rate by 75%.
Treatment involves the mandatory compliance with the strict rules of personal hygiene. The affected area should be dry and clean. After touching a contaminated area is necessary to wash hands to avoid the spread of infection.
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Driving herpes treatment
Making a decision than to treat herpes, make a choice in favor of etiotropic and immunocorrecting drugs.
Stage 1. Acyclovir is a drug for the treatment of acute and recurrent forms of genital herpes.
The preparation has a powerful etiotropic effects by activating within infected cells and inhibit viral DNA polymerase. Acyclovir has a very low toxicity to normal cells. The treatment involves enteral intake of capsules of acyclovir. In patients with acute primary infection and in patients with symptoms of herpes infection when immunodeficient states of various etiologies dose may be doubled.
Since it is necessary to treat herpes mandatory application of ointments and creams are recommended Acyclovir 5% cream, which is applied to the affected skin and mucous membranes. As a topical therapy is also used Tebrofen as 2% or 3% ointments, Interferon ointment, and others. Feature-purpose local antiviral ointment - the frequency of application to the affected area (at least 5-6 times a day).
At the same time, based on the testimony can be realized antibiotic therapy, so as to treat patients with secondarily infected banal flora complicated. Let's face appointment at this stage of interferon inducers (Neovir, reoferon, dibasol), natural antioxidants (vitamins E and C). In marked exudative component using prostaglandin inhibitors (indomethacin).
Stage 2. Treatment of genital herpes in remission.
Stihaniya major clinical manifestations of the main purpose of pursuing the preparation of the patient to the vaccine therapy. Displaying nutrition, adherence to rest and labor rehabilitation of chronic foci of infection. Due to violations of various components of immunity, remaining in remission, it is advisable to use herbal adaptogens (golden root, lemongrass) or immunomodulators (eg Neovir, Wobenzym, dibasol).
Stage 3. Specific relapse prevention using a herpes vaccine (inactivated, live, recombinant).
The purpose of the vaccination - activation of the cellular immune response, desensitization of the body. It should be noted that the conduct of this step possible after 2 months after the acute phase of herpes infection.