Herpes: quali rischi in gravidanza?

I sintomi, cure him and i rischi per il fetus if contracted herpes or riattiva l’labiale, genitale, Zoster and gestationis during dolce attesa. Pelle che strip, minuscole punture di spillo sul labbro, the che mucosa if Arrossa: che sono i sintomi annunciano one dell’herpes riattivazione labiale, l’infezione provocata dall’Herpes Simplex Virus 1, a estremamente diffuso pathogenic agent. If Calcola infatti che, in average, l’il contratto abbia 68% degli adulti. Parente dell’HSV-1 and Herpes Simplex Virus l’2 herpes genitale notice eat, and per decisamente più rare fortune: if stima che in Italia il 10% della adult colpisca popolazione. I rispettivi nomi che sono fatto l’dovuti to HSV-1 if a livello più frequently manifest labiale, l’HSV-2 genitale livello, ma i possono virus entrambi Colpire sia l’genitale area, sia quella labiale, a seconda delle modalità cui è stata contratta with l’infezione, che avviene per diretto contatto con le lesioni gave a ammalata person. I sintomi per I riconoscerlo L’herpes un’infezione è di ricorrente type. Contratto a prima volta, mai il virus is completely non eliminato dall’organismo, ma nel core dei if Annida Neuroni delle terminazioni nervose cutanée and makes you quando periodically to manifestarsi difese immunitarie if abbassano ospite dell’organismo, per esempio with malattie concomitanza in altre with assunzione l’anche di farmaci immunodepressori or talvolta nei periodi di maggiore psychophysical stress. Non tutte le persone che sono nella loro vita entrate in contatto con l’HSV-1 or 2, but sperimentano nuovi episodi dell’infezione. A livello labiale, the riattivazione is comparsa nella di vescicole sulla sulla pelle mucosa or to marginalize delle labbra, associate to itching and bruciore, e che di pochi giorni nell’arco if asciugano and formano crosticine possono giallastre persistere one decina che di giorni. A genitale livello if manifest similarly with Presenza di vescicole infiammate e sulla bruciore dei GENITALI external surface. Riattiva in gravidanza know if . .

. During i 9 mesi you difese immunitarie future vanno della mamma incontro a physiological abbassamento lieve: infatti devono essere più “tolleranti” per consentire the suo body rischio di di ospitare senza il rigetto “corpo estraneo” the unborn child. CONDITION Questa non increases però l’incidenza di riattivazioni dell’herpes, labiale or genitale che sia. Typically, per attenuare i sintomi dell’herpes and ridurre the durata della manifestazione riattivata in gravidanza or during l’Allattamento if utilizzano farmaci per locale use pomate or cerottini ad azione antivirale, antinfiammatoria or anestetica. Gli antivirali per systemic use, come l’acyclovir and valaciclovir sono invece il sconsigliati, per il rischio di effetti tossici sul fetus. Ma in caso di riattivazione for l’attesa, il bimbo runs qualche rischio? Eventualità L’è di infezione estremamente nascituro rare. The mother può il trasmettere virus to the fetus, ma gli trasmette to stesso tempo anche gli Anticorpi presenti nel suo body, the proteggono che dal rischio di contagion. . . . And in delivery prossimità L’unica circostanza in cui the dell’herpes riattivazione involves a hazard effettivo per la salute the bambino è la comparsa di herpes genitale in prossimità the end dalla gravidanza.

It is during childbirth il il piccolo comes in contatto with lesioni herpetiche dei GENITALI, è il rischio di contagion dell’85%. Le conseguenze possono essere molto gravi: diffuso esantema, manifestazioni to Carico della naso mucosa e della Bocca, congiuntivite, infezioni disseminate to vari organi, encefalomeningite. Threes, e elevata mortalità. Per sicurezza, quando future mamma sa di soffrire di herpes genitale ricorrente Opportuno è programmare one cesarean section. Nel case in cui il un’infezione sospetto di che dopo il emerga only bambino è nato per via vaginale ed esista dunque che sia possibilità entrato in contatto con il virus, quanto è Opportuno sottoporre premium il piccolo to profilassi with immunoglobuline Specifiche. if it contracted per la prima volta rischio Il di verticale contagion, cioè di trasmissione dell’HSV-1 or 2 to fetus increases donna contracts is the premium per l’infezione in gravidanza volta. In questo caso, il che nel suo virus Circola body può attraversare the barriera della il raggiungere placenta and unborn child, ma non sono ancora disponibili Anticorpi Materni to proteggerlo. Il avviene is contagion, i danni per il possono fetus essere molto gravi, eat ritardo dello sviluppo, microcephaly or idrocefalia, compromissione della di altri organi view e. Quando il che sussiste sospetto future abbia mamma contratto l’herpes, necessario anzitutto è che si al più presto sottoponga a esame alla ricerca sangue degli Anticorpi specifici, IgM and IgG. Sono IgG was positive and negative IgM him, è l’infezione avvenuta, ma non di recente e il rischio di Attraverso trasmissione the placenta and minimum. Risultano IgM is positive, infezione è l’il recente e aver raggiunto potrebbe virus and contagiato il bambino. In questo caso, la donna è Opportuno sottoporre a therapy based di antivirali sistemici.

Di solito si fa ricorso all’aciclovir, che è normally controindicato in gravidanza in questa ma offre ai circostanza benefici superiori rischi. A distanza di alcune settimane dalla dalla diagnosi dell’infezione maternal and therapy, è consigliabile effettuare un’amniocentesi, alla ricerca di materiale virale nel amniotic fluid, oppure one prelievo di sangue dal ombelicale cordone, permette di che l’eventuale will diagnose fetal infection . A questi è possibile esami associare un’ecografia, valutare i danni per il che può aver provocato virus, tenendo conto che però of non tutte le conseguenze negative dell’herpes fatto riscontrabili sono con gli congenital ultrasuoni. Quando il virus non c’entra If chiama anch’esso herpes, ma non è un’infezione virale and non behaves alcun rischio per la salute the unborn child. È l’herpes gestationis a disturbo di natura autoimmune alcune donne che nel secondo colpisce or terzo quarter d’attesa and if manifest with intense itching associato comparsa di numerose vescicole alla rosa sul torso and talvolta sulle gambe e sulle braccia. Di solito l’eruzione spontaneamente regredisce one or due mesi dopo il delivery. È a fastidious disturbo soffre per chi ne, ma assolutamente benign. Non behaves rischi per the prosecuzione della gravidanza e per la salute the bambino. Non è dovuto a infettivo agent, ma to meccanismi non ancora tutto chiari, legati alle condizioni ormonali and metaboliche dell’attesa tipiche. È difficile confondere l’herpes simplex herpes gestationis with l’perché nel primo case you vescicole non compaiono in prossimità della mucosa labiale or genitale e l’eruzione cutanea è molto Estesa e diffusa. Comunque, per sicurezza, è Opportuno sottoporre future actions prove mamma che questi dovesse sintomi a esame of sangue, per escludere un’infezione virale and cercare invece one autoimmune anticorpo nei specifico, l’herpes gestationis factor, this appunto almost gave herpes gestationis. Herpes Zoster: A “fuoco” harmless

If manifest with the comparsa di quelle della vescicole analoghe to varicella, di solito localizzate to Abbraccia fascia forms a single che il torace, and gave a forte sensazione di bruciore. È il fuoco di Sant’Antonio cosiddetto, painful skin un’eruzione dovuta alla riattivazione the Herpes Zoster virus, varicella della l’pathogenic agent. Chi has contratto è questa infezione esposto per tutta la vita to che il rischio virus, che’ll Stay in latently nell’organismo if nel corso della vita riattivi in ​​condizioni di deficit immunitario. The gravidanza, but non increases rischio il di riattivazione dell’Herpes Zoster, e questa nel dovesse case eventualità verificarsi, il rischio di infezione the nascituro è nullo praticamente perché è il protetto maternal fetal dagli Anticorpi trasmessi dall’organismo.

HerpesWie carried the contagion?

Thank you for rating! 302 Print Email Report an error Spotted an Error? Please select the relevant words in the text. With just two clicks you report the error of the editors. The viruses migrate mainly through close physical contact from person to person. Kissing and cuddling are therefore in this context by far the biggest source of infection. But droplet infections, for example, by sneezing or coughing, are possible. dangerous at each stage Previously went physicians assume that the bubbles are especially contagious when they burst. Because the liquid exiting the process contains a large amount of particularly active viruses.


However, studies have shown that the bubbles are infectious at any stage. Efflorescence, bursting and even during Abheilens – Care is always required. So if a cold sore feels germinate or is already affected, talks to body contact better returns. The first kiss DRUGS COMPARE PRICES Save with FOCUS OnlineAlle pharmacies and providers can be found here Now remove the 50 Best Diet Tricks Our PDF guide shows you how to boost your metabolism and trick the yo-yo effect. 22 pages PDF – 4. 99 € Overview: Annoying sores oral herpes Ten questions about Herpes: How do you get rid of the painful pustules This is cause for sores

Why the bubbles formed mainly on the lips? What are the most common triggers for cold sores? How to contagion? Can you infect on glasses? Can cold sores also cause genital herpes? How should you treat cold sores is best? How useful are household and natural remedies? Shortens it the disease when aufsticht the bubbles? Can I be vaccinated against herpes? ON THE SUBJECT treatment herpes chin

disease tingle body air sweat stress viruses Other issues (3) wound FOCUS Classifieds Thank you for rating! 302 Print Email

Dermatologist Dr. Schnicke – Publications

Immediately instruct! Upon suspicion of the following diagnoses do not hesitate to teach your patients immediately stationary: periproctic abscess (Fig. 4), anal fistula, Crohn’s disease, acne Inversa, Pilonidalsinus, extensive skin tags (Fig. 5) with hemorrhoids greater than the 3rd degree (Fig. below). Always remember: 50% of patients with anal carcinoma (Fig. 6) also have hemorrhoids! Fourth degree haemorrhoids hemorrhoids Hemorrhoids women are often in most patients the collective term for all proctology diagnoses that take place “down there”. Every second over 30 already had hemorrhoids or anal discomfort. More often than men. Nevertheless, the persons concerned have inhibitions to your doctor about their secret sufferings speak Make it easier for patients:.

Hang leaflets in the patient toilet or hemorrhoids panel into the office, and you’ll be surprised how many patients you respond visibly relieved on the subject. Good Questions for short medical history in case of problems in the anal area often already lead to the correct diagnosis: Is treated ever anal? What preparations? Sclerotherapy? Fecal occult blood tests? Operations? Laxative? Is atopic dermatitis, a seborrhea or psoriasis known? What care products in the bathroom and toilet are used? Durations complaints for weeks (chronic eczema) or made them acutely (fissures, thrombosis)? Is fresh blood on paper or in the toilet (usually benign) or old blood in the stool or melena (usually malignant)? Leader anal eczema By far the most common diagnosis of proctologist is the chronic itchy anal eczema (Fig.

1). The patient has since weeks complaints (not acute). Clinically there is a often Crimson anoderm, where a strong Perianalbehaarung complaints intensified. In addition, one sees many scratch effects as an expression of a massive, mostly existing at night pruritus. Fig. 1 Anal Dermatitis Fig. 2 perianal Fig. 3 anal fissure Fig. 4 preiproktitischer abscess Fig.

5 Mariscs Fig. 6 anal carcinoma alongside Anal Tag Fig. 7 lichen sclerosus et atrophic Fig. 8 anal Psoriasis The fungus compromising on Candida are usually free. Often there is but skin atrophy due to steroid treatment. If the patient is treated with cortisone or anesthetic-containing ointment, you will be able to reduce this to zero immediately, but it is recommended to taper gradually, as with the cortisone class two (prednicarbat) 1: 1 mixed with soft zinc paste. Recipe: Dermatop® ointment (or fatty ointment, depending on the dryness of the skin) 10. 0 ad in Pasta Zinci Mollis. 20.

0. Later Zinksalbe or penaten to be used, these have a lubricating effect and prevent irritation by stronger perianal hair. This should never be shaved, as they “pure hell” during regrowth. Acute Perianal – totgelacht or cold sat? Most just before the weekend comes the acute perianal (Fig. 2), a painful, dark blue nodes. Whether the patient is heavy lifting, too much alcohol to drink, three days has been sitting or cold totgelacht be no bowel movements: All causes are possible. If the node kirschkern large, is treated conservatively. With steroid creams and suppositories, possibly ibuprofen to 3x600mg that healing is achieved after one to two weeks, in addition, the patient is given advice on nutrition and the sphincter training (leaflet for printing as a pdf file) Thank helps the intake of six over the day distributed prunes or until l Nedafrüchtewürfel evening at 19 o’clock to reach even 1/2 a soft stool without drastic measures. If the thrombosis cherry large, the opening is recommended. Never should create a straight cut, since this bonded again and can easily lead to relapse. Interested in is the creation of a hole with 6 punch under local anesthesia or with the cautery snare (Notice Power! Caution in patients with cardiac pacemakers) and subsequent Thrombusexpression.

This is one of the most rewarding procedures proctology and leads to spontaneous symptoms freedom. We tampon with hemostatic Clauden gauze, a binding template and allow the patient to 15 minutes sitting on a hard wooden bench. At the Eingriffstag then no coffee, alcohol or sports more. For home treatment there is for a week a recipe for a soothing, analgesic ointment: Recipe: panthenol Lichtenstein ointment 50. 0 in 20% Anästhesinsalbe ad. 100. 0 Razor speaks for fissure In stinging pain during stool – Quote: “Doctor, I think I have a razor blade in the Po” – is it an acute fissure (Fig. 3) Very often underlies a psychovegetative cause in which, itself. the patient for business or pleasure much must “resist”. Through this hypertonicity of the sphincter muscle with subsequent ischemia caused Analschleimhauterosionen.

Some also report on the cause frequent changes of hard stools, constipation with subsequent diarrhea. The experiment with the proctoscope alone is typically painful and sometimes only possible with the narrow Kinderproktoskop. Since two-thirds of fissures heal spontaneously, until there is no surgical treatment, but conservative treatment such as at a perianal. In Beschwerdepersistenz can with practice 1/2 to l ml Volon A 10 crystal suspension injected into the Fissurgrund and so solve the muscle cramping. Nevertheless, land more than 10% of anal fissures the surgeon to sloughing short anesthesia or fissurectomy. For years, and the calcium antagonist Diltiazem is used with success to achieve muscular, and vascular relaxation. Unfortunately, the recent Nitroglyzerinpräparate often cause headaches Recipe: 2% diltiazem in DAC base cream ad. 50. 0 apply at least 3 times daily. Hemorrhoids: anoint until then deserted For the 1st and 2nd degree hemorrhoids most colleagues have a fixed concept: First, conservatively treated with ointments and suppositories, later Clarify good to your patients about proper Analpflege: are soaps, shampoo and lotion radicals have anal removed and rinsed thoroughly , Even underwear must be well rinsed and ejected, otherwise detach by prolonged sitting softener and detergent residues by the warm moist Analmilieu and sensitize secondary. Therefore recommend Sensitiv- or organic detergent.

Toilets recycled paper is rectal unfortunately bad for the sensitive anal mucosa by glue and paper fiber residues, better soft toilet paper. Do not use wet wipes, these often contain preservatives and fragrances. After the toilet paper, the patient should rinse with lukewarm water and only dab with a disposable washcloth, do not rub! At high Analtrockenheit a finger beer large portion of fatty cream is recommended. The patient feels improvement, however, are the boiling-only ‘volcanoes zubetoniert’. All three to four years should be checked again the desolation. Eczema itches and the Po Easy to overlook, if you do not remember, is both psoriasis (Fig. 8) in the anal region and the eczema. Here would have more points on the body often lead to the diagnosis in the genital and groin area. Parallel you should always make a fungal smear. To treat mild to steroids are. Also Calcipotriol is ideal for the gluteal cleft area (as Curatoderm emulsion).

Not so often the loan sklerosus et atrophic (Fig. 7). Here saves the medical Teerzusatz cortisone: Recipe: Liquor carbonis detergent 2. 5 in Neribassalbe ad. 50. 0. This recipe is also used to treat Analjuckreiz ideal. Patients respond well to the addition of 1% testosterone propionate. At the end of the proctology examination, the patient receives detailed information sheet and an explanation regarding an exaggerated expectation chair. In the nearly 2000 kcal our daily diet of bowel movements every two days is more normal. No patient is ever burst because he was days without a bowel movement. Compact

Cough relaxes the anus One trick when inserting the proctoscope: Instruct your patient to cough. The advantage: First, the patient is distracted and secondly, the sphincter is totally relaxed and the proctoscope can be easily inserted. Irritated downside The increasingly frequent sedentary population is to blame for the poor ventilation of Analtrichters, which also tends moisture development to maceration. Soaps, detergents and toilet paper remnants do the rest. Furthermore Analpräparate ensure that wool wax and balsam of Peru or even antibiotic additives such as contain neomycin, in addition to a secondary sensitization, which in turn increases the itching, so the vicious circle is complete. What patients can do themselves Interesting tips we have for you in the section “Practical tips – haemorrhoids” together. download Measures haemorrhoids Your Dr. med.

Michael Schnicke

Practice Kathrin Schmidt | Specialist in general medicine and homeopathy

The homeopathic doctor treats people with different diseases. This may be acute infections or long-lasting chronic diseases. Indications for acute treatment: The acute treatment is always the opinion of the physician, and may provide for a variety of acute infections, bites and puncture injuries, heat stroke, motion sickness as well as accidents, strokes, shock states, the pain of separation and more for quick relief. The homeopathic accompanied by medical interventions (for example, in surgical or dental area) reduces complications and promotes the healing process. Indications for treatment Constitution: 1. Complaints by infections such as chronic recurrent infections of the respiratory tract, sinusitis, or inflammation of the urinary tract, chronic inflammation, treatment of severe infections (Lyme disease, mononucleosis, hepatitis, sexually transmitted diseases), susceptibility to infection and immunodeficiency 2. symptoms in the gastrointestinal area as inflammatory bowel disease (Crohn’s disease, ulcerative colitis (service), functional dyspepsia, irritable bowel syndrome, gastroesophageal reflux disease, heartburn, peptic ulcer disease (service), bloating, diarrhea, gallstones, liver disease, jaundice (depending on the cause), food intolerance (lactose intolerance) 3.

complaints of allergic Formenkreis as e. g. Hay fever, eczema, hives, asthma, intolerance and overreactions (e. g. to insect bites) 4. musculoskeletal problems such as acute and chronic back pain, diseases of the rheumatic type, (rheumatoid arthritis) diseases of the tendons and the ligaments (tendonitis), aftercare), chronic pain conditions, (Fibromyalgia Syndrome) 5. neurological symptoms such as Headaches and migraines, herpes zoster, neuralgia, paralysis (in-service), nerve disorders, MS, epilepsy (depending on the cause) 6. Complaints from the field of gynecology such as

Recurring Vaginalsoor (Candida infections) and Scheidennfektionen, effluent, hormonal imbalances, menstrual complaints, (Dysmennorrhoe), breast tenderness, milk flow, polycystic ovaries, menopausal symptoms, thyroid disease, infertility, pregnancy complications, birth preparation and aftertreatment, Still complaints and mastitis (mastitis) 7. complaints of the urogenital system such as Recurrent urethral infections (interstitial cystitis), irritable bladder, kidney inflammation prostate inflammation, kidney stones, impotence 8. Pediatric complaints such as Teething (as scarlet fever, croup, etc. ), allergic stress in children, developmental delays in children, arithmetic, reading and writing weakness (supportive) behavioral problems, attention deficit disorder (ADHD), school anxiety, difficulty concentrating 9. Complaints from the spirit and mind as area Fright and test anxiety, heartache, grief management, sleep disorders and insomnia depression, chronic anxiety, psychosomatic diseases, psychotic states and alienation from reality, eating disorders (bulimia, anorexia, obesity) obsessive-compulsive disorder, trauma management 10. cancers order to provide support and stabilization of the immune system

11. Stress-related complaints such as Chronic fatigue syndrome, burnout syndrome, 12. circulatory problems such as Heart problems (always after appropriate diagnostic evaluation), hypertension (service), tendency to fainting (orthostatic dysregulation), arrhythmia (depending on the cause), Concomitant treatment with heart defects and coronary artery disease 13. vascular disease such as Phlebitis (phlebitis), Raynaud’s syndrome, complaints by varicose veins 14, skin diseases, e. g. Acne, psoriasis (psoriasis), abscesses, eczema, urticaria, fungal infections 15 blood diseases such as

Anemia (anemia – depending on the cause), leukemias (part-time) 16: eye diseases such as Light refractive error, stye, conjunctivitis, rheumatic inflammation of the eyes 17: discomfort in the anal area