Herpes

Content

  • What is herpes?
  • herpes Treatment
  • Preventing herpes




  • What is herpes?

    Herpes - an infectious disease caused by a herpes simplex virus (HSV).

    The most common virus infects:

    • skin
    • eyes - conjunctivitis, keratitis
    • mucosal face
    • mucous membrane of the genitals
    • central nervous system - encephalitis, meningitis

    The disease is transmitted through sexual contact
    (Genito-genital, genital-anal, oral-genital) at
    contact with the patient or carrier of herpes simplex virus.

    Infection is likely to happen when
    contact with patients during relapse (recurrence) of the disease, as well as when there is a
    isolation of the virus without showing clinical symptoms. maybe
    infection during oral-genital contact, if herpes partner
    face.

    In pregnant women, the virus can cause
    violation of pregnancy, spontaneous abortion, premature birth.
    During childbirth possible HSV infection of the fetus.

    The probability of transmission, as well as the development of neonatal herpes in the child depends on several conditions:

    • the level of neutralizing antibodies in the mother, who went to the fetus transplacental (in utero)
    • Local levels of antibodies that bind to the virus in the genital tract
    • duration of anhydrous period
    • having a baby skin damage during delivery

    Infection may occur baby and after the birth, it depends on the
    how many active herpes symptoms in the mother.

    Herpes

    There are three stages of lesions of genital herpes:

    • I - the defeat of the external genitalia
    • II - herpetic urethritis, kolpity, cervicitis
    • III - herpetic endometritis, cystitis, salpingitis

    In women, herpes blisters usually form on
    small and large labia, clitoris, cervix. However, infection
    may penetrate into the lining of the uterus, tubes, epididymis ascending
    means. In place of the bubbles formed ulcers that do not bleed, and
    After healing does not leave scars. Herpes Appearances can be
    triggered by other infections, sexually transmitted diseases.
    Recurrences usually occur after menstruation or sexual
    relations.

    Men are affected more often extreme
    flesh, the head of the penis, balanopreputsialnaya groove. For men
    characterized by recurrent nature of the disease, in which form
    herpes blisters and erosions. The infection can cause
    herpetic urethritis and balanoposthitis (inflammation of the glans penis).

    Given that the herpes symptoms may be
    similar to the symptoms of other infections, sexually transmitted infections,
    One of the main tasks is to identify the disease.

    For the diagnosis of HSV used the following methods:

    • virological methods for the detection and identification of herpes simplex virus
    • polymerase chain reaction (PCR)
    • detection of HSV antigens
    • Check immune response to HSV
    • cytomorphological methods
    • evaluation of the immune status


    The presence of HSV antigen in biological material is determined by serological methods:

    • neutralization (RN)
    • immunosorbent assay (ELISA)
    • radioimmunoassay (RIA)
    • complement fixation (RSK)
    • gemmagglyutsinatsii passive reaction (PHA)



    herpes Treatment

    Herpes Treatment requires an integrated approach and shall be appointed only after the diagnostic studies.

    For the treatment of herpes is used:

    • antiviral drugs
    • estrogen interferon
    • interferon inducers
    • immunomodulators
    • local media

    The main antiviral drug is
    Zovirax (acyclovir, a synthetic purine nucleoside), which through
    inhibition of viral DNA synthesis is able to successfully deal with HSV. AT
    During treatment of herpes, until the complete disappearance of clinical manifestations,
    the patient is recommended to refrain from sexual activity. All sex
    infected partners should be tested and, if
    and treatment needed.



    Preventing herpes

    For prophylaxis of herpes vaccine is used,
    it also can be used for immunotherapy of patients with HSV. If the patient does not
    suffering immunodeficiency, it would make 5 injections 2-3 days not
    at least 2 times a year. If the patient suffers from immune deficiency and relapses
    diseases are repeated at least 1 time per month, the vaccination is carried out
    1 every 7-14 days in an amount of 5 injections.

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