HERPES SIMPLEX

                             venerealdiseaseabout.blogspot.com  -this time I will discuss about venereal disease that is herves Simplex better known as Herpes Simplex Virus (HSV) is the cause of the disease which can cause skin changes in bubble-shaped bubbles (blisters) and pain, stinging, itching and heat. Changes in these symptoms can occur at the surface of the skin. Feeling sick or pain is mainly felt in the area around the mouth, and nose or genital areas and buttocks.

Infections caused by HSV is indeed very disturbing because it can occur repeatedly. Feeling sick or sore can be very painful, but the lesions are not visible or very subtle. In patients who are chronic and in newborns, the infection can be more serious but rarely fatal .

HSV Type:

1. HSV type 1.

2. HSV type 2.

HSV Virus type 1:

Can cause pain, painful but not hot. Most people get type 1 virus infection in infancy and children. They are contracted through close contact with family members or friends who suffer from this virus. The disease is transmitted through kissing, or through other cutlery and through the towel. Feeling sick and sore are common on the lips, around the mouth, nose or cheeks and occurs some time after contact. The symptoms of this disease can occur assortment of very light but can also take the patient to the health facility with stinging pains.

HSV Virus type 2:

Can cause pain and sore on the genitals. Most people with type 2 got the infection through sexual contact with an infectious patient. The disease attacks people anywhere. Existing data states that between 5 million to 20 million people or approximately 20 percent of sexually active adults in the United States suffer from the disease because the virus is spreading rapidly in the era of sex bebes.

HERPES SIMPLEX TYPE 1.

Also referred to as fever bubbles (blisters) or cold lesions. HSV type 1 is the form of fine bubbles, clear, fluid-filled blisters and his regular areas often arise in advance. Can also occur, although rarely in the genital area. HSV type 1 can occur on the skin lika area. Health workers sometimes suffer from painful lesions resembling herpes lesions after HSV entry through the skin due to scratches on his fingers.

HSV type 1 infections are of two kinds, primary and recurrent. Although nearly every person infected with the virus, but only 10% were developed further in the form of bubbles / blisters or lesions that are painful at the time of infection. Pain or pain in primary infection terminated after 7 to 10 days, and appeared after 2 to 20 days after contact with infectious patients.

Number of blisters varies, from one bubble blisters alone until the blisters are flocking. Before the bubble blisters occur, the skin feels itchy or become more sensitive. Formed bubbles can burst or rupture due to subtle nudge yourself, discharge melt and then harden to form a scab. Usually off the scab will leave redness on the skin.

Lesions in primary infection recover completely and very rarely cause scarring. However, the virus that causes the infection remains in the body. Viruses are the nerve cells in a resting state.

HSV type 1 rarely cause recurrent. In patients with recurrent lesions occurred in the same place as the primary or the surrounding events. Recurrent lesions occur every few weeks or may be more rare.

Recurrent infections tend to be milder than primary infections and can occur due to several factors such as fever, sunstroke or menstruation. However most recurrent and unpredictable factors identified originators.

HERPES SIMPLEX TYPE 2.

Infection with HSV type 2 usually cause painful lesions on the buttocks, penis, vagina or cervix that occurs 2 to 20 days after contact with infectious patients. Sex is often a way that a candidate can infect people. Primary and replay attacks cause problems such as redness or itching, lesions were very sore, fever, muscle pain and a burning sensation / burning during urination. This disease can also occur in areas other than the genitals but no higher than the waist.

As with HSV type 1, the frequency and location of recurrence of the disease varies. Initiating event can occur very light so people can not recognize that he had been infected with HSV. Several years later, after a recurrence of the patient mistakenly said that the incident as the first attack, and there will be mistakes in estimating the source of infection.

After the initial attack occurs, the virus will move into nerve cells to settle there until circumstances allow such a menstrual period, fever, physical contact, stress or other things.

Pain or not feeling on the skin can be started between one to several days before the primary and recurrent infections occur. This situation is called prodromal.

HOW TO DIAGNOSE HSV INFECTION?

Pop of HSV sanagt clear and needed no test for confirmation. However, if the diagnosis is uncertain, such as lesions on the genitals or the cervix, it is necessary examination of specimens in the laboratory. Several laboratory tests for diagnosis by looking at them under a microscope preparations, culture and blood test for antibodies. Using more than one test is needed to confirm HSV infection. Herpes in the genital area often misdiagnosed with syphilis. Small proportion of women do not know have suffered due to HSV infection occurs in the cervix which is not sensitive to pain.

HOW HERPES INFECTION TREATMENT?

Until now there is no vaccine to prevent this disease. Anti-viral drug called acyclovir or famcyclovir have been found to cope with cases of severe and recurrent infections. Low doses can help reduce the number of attacks in patients with herpes are often under attack.

HOW HSV TO PREVENT TRANSMISSION?

Between 200 thousand - 500 thousand people worldwide suffer from herpes in the genital area every year and HSV type 1 more. Prevention before and at the time of the incident it is important to avoid the disease. Arise when the tingling, burning, itching, or less good-which is a recurrent symptom-feel on the skin as you know the early signs of herpes, then avoid touching the parts with others. If no lesions around the mouth, then you should avoid kissing and the sharing utensils such as cups, spoons and lipstick. In patients with herpes in the genital area, then avoid sexual contact including oral / genital symptoms during or active lesions. Condoms can prevent sexual transmission of herpes to a friend.

SERIOUS CONDITION OTHER INFECTIONS HSV's.

Eye infections.

HSV can infect the eye and the condition is called herpes keratitis. Feel less comfortable on the eyes. It could even be accompanied by pain and sensitivity to light and discharge. Without quick treatment, scarring can occur in the eye. In the currently available drugs are effective to eliminate the severity of the infection and prevent scarring of the cornea. Any patient suspected herpes infection should be promptly referred to an eye disease.

Infection in infants.

A pregnant woman who suffers from genital herpes during labor can transmit the virus to her baby through the birth canal. If this incident is a genital herpes infection in the first time, the baby will be able to suffer a great distraction. Therefore, a pregnant woman who knew that she had suffered from herpes in the genital area, or he felt that the possibility of suffering from herpes during pregnancy should be delivered at the doctor, so that the baby will be protected.

Pregnant women are advised to avoid sexual contact with herpes denagn couples who are active in sex (especially during late pregnancy). Using condoms is recommended to couples who can not resist to have sex.

Newborns can also be exposed to herpes virus infection derived from lesions other than sex. If the mother or other health care workers have a lei bubbles on the lips or hands, the baby will be exposed to infection. Family members or other relatives should be prevented from handling a newborn.

Special handling is not required in women who have no symptoms of active, as long as the infection is not active then the baby is not at risk for contracting.

PATIENTS AND SERIOUS HSV gravity.

HSV can be life-threatening patients with cancer, patients who had organ transplants or patients with severe pain due to decreased immune power of this disease can be fatal and very serious need of treatment experienced side.

Compiled by: dr.Wihardi Triman, MQIH; Field epidemiologist

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