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.

Ina von Broich – animal healer

The theme vaccinations is very comprehensive, so I will help you with my collection to make a personal decision in the sense of your pet! Vaccinations should be a reliable protection against infectious diseases in the first place. However, they always offer material for controversy. They include not only the actual vaccine also contain other additives such as Preservatives, aluminum hydroxide, formalin, antibiotics and foreign protein, which often cause unwanted reactions. “Combination vaccines” are often bad tolerated than “single vaccination”. The following list gives an overview of the possible vaccinations and their pros and cons! Vaccinations for horses Tetanus (wound Tetanus) One of the most effective vaccinations. It is not mandatory. The primary vaccination in foals should be followed by booster after 6 after weaning – 12 weeks. After a year of renewed refresh. Vaccines with Impfintervallen 2 years are available.

Recent studies show that a vaccine protection even after 4 years is available! Equine herpesvirus infection This vaccination is not mandatory. There are up to today 8 different herpesviruses – species can be vaccinated against the two most important species. The primary immunization is done by two vaccinations at 4 – 6 weeks, after a biannual refresher. It makes sense as a vaccine would be in my opinion, strengthening the immune system. mushroom Vaccination is not compulsory. is vaccinated against a highly contagious skin fungus disease. Because the vaccine does not cover all pathogens should be noted that a horse can fall ill despite vaccination at Pilz. Vaccinated is two times at intervals of 2 weeks. The vaccination should be 9 months after the manufacturer. Horse flu (influenza)

For Tunierpferde prescribed by the FN vaccination. Refresh after primary vaccination course, every 6 months. Vaccines with Impfintervall of one year are available. A wholly owned protective effect is not given by the vaccine, due to the high variability of the virus strains. For recreational riders, therefore, the consideration of whether a strengthening of the immune system may be an alternative to vaccination. rabies Vaccination is not compulsory. Rabies in horses is very rare in Germany, so this is not recommended vaccination. Vaccines are available with Impfintervallen of 2 years. All information is provided without warranty. The above proposals have been examined separately and are only a recommendation.

Myocarditis (myocarditis) – Causes


Myocarditis is caused primarily by viruses. However, other pathogens and drug or autoimmune responses can cause myocarditis Updated on 01/28/2015 Caution: even the heart can be drawn at a feverish infection affected PhotoAlto / RYF Myocarditis is rare mainly caused by enteroviruses, adenoviruses, parvovirus B19, herpes viruses, by cytomegalovirus virus, hepatitis C virus and HIV. The show molecular studies of heart muscle tissue, which was taken in patients with suspected myocarditis using a special catheter (myocardial biopsy). Myocarditis, however, can also be caused by bacteria, fungi, protozoa and parasites. Also hypersensitivity reactions to certain drugs and autoimmune reactions play a causative role. In the latter, the defense system of the body attacks “mistakenly” endogenous structures. Finally may be caused by radiation therapy of the chest as well as certain medications and drugs myocarditis. Pathogens such as viruses, which cause a heart muscle inflammation, the immune system can often eliminate already within a short time. This is known from histological examination of biopsy-derived cardiac muscle tissue.

However, the virus does not rarely leaves a genetic information in the form of nucleic acids (viral genome) in the cardiac muscle cell. This can be maintained over long periods of time and inflammatory reactions lead to a worsening of the disease symptoms. Finally, may persist (chronic myocarditis) by an autoimmune response even after elimination of the virus is a chronic inflammation. Before with severe forms of chronic myocarditis is an antiviral or immunosuppressive therapy used, must be clarified whether a virus persistence or not.

Road Test: 10 Cheap Road professional models – FIT FOR FUN

The Road Test: Alpine passes, Cobblestone – Tour de France decides not only the best form between victory and defeat. Races are always a battle of material. Because so that drivers start rolling without waste of energy, is continually evolving. Light, stiff and comfortable are the tools the professionals be – properties that are manageable barely under one roof. But a material makes the impossible possible: Carbon! But top equipment and best technology comes at a price. Good carbon bikes are to have until 2000 euros, more than 5000 euros you have to shell out part, if you want to go in the future on a original wheel of a professional team. But do not worry, it is also considerably cheaper. In our test bike we have ten bikes with aluminum frame of the price range 1000 euros with an absolute high-end machine is compared (Specialized Tarmac SL3 6999 euros, 6. 4 kilos). Road test: good and cheap (er) Good news: Almost all road bikes are worth the money. However, the test also shows – and unsurprisingly: The beginner bikes have nowhere near the same quality frames and components facilities.

After all, the Shimano Ultegra circuit our test winner is just one step below the top group Shimano Dura Ace, which provides the 6000 Euro expensive Profirad. but particularly striking is the difference in weight: The heaviest testbike you need up to 3. 9 kilos up balancing the mountain – an extra effort of about seven percent. Whether you want to avoid this extra work with a Superbike is up to you. But in every case: The bike should fit you perfectly, so it does not again disappear at the first minor ailments in the basement. buying Advice Especially as a beginner you should buy your bike in the shop. There you can often complete a test drive – so you play it safe, that you really like the wheel and the seating position is correct. Who ordered for reasons of cost to an Internet provider, you should at least know his custom frame size and be prepared to still carry out some installation work (see our bike shipper test). For the correct frame size, first determine your stride. Given clamp standing (barefoot) a level as high as possible between the legs. Measure the distance from the top of the level to the floor. The value corresponds to your stride.

Use the formula “inseam (in cm) x 0. 66” You calculate then your frame size – at least as long as this is understood by the manufacturer as the distance between the bottom bracket and the middle of the top tube. If the frame size is given to the top edge of the seat tube, simply add 1. 5 to 2 centimeters – combined with our Road Test see so your individual dream bike. More called the trend of the new e-bikes, also pedelec, see the jump! Info for Road Test We have ordered 10 racing bikes around 1000 Euro. An experienced test crew assessed the equipment. Higher scores were on wheels, which were equipped with Shimano Ultegra and quality Alubauteilen. In addition, quality and workmanship of the frame have been checked. In practical tests each bike was driven in verscheidenen situations (such as in the mountains), and directly comparable to a professional bike from Specialized. BULLS Desert Falcon 1 Klas Neidhardt / FIT FOR FUN

Price: 999 EURO CONTACT: www. bulls. de WEIGHT: 9. 2 kg (size 52) FRAME MATERIAL: aluminum 6061 CIRCUIT: Shimano Ultegra; 3x FSA cranks FRAME / FORK: ••••• AMENITIES: ••••• PRICE-PERFORMANCE: ••••• PLUS: Excellent features, flashy paint, top price / performance MINUS: welds not cut off the frame

Most favorable VS. PROFI-BIKE: – 6000 Euro; + 2. 8 kg CONCLUSION: FIT FOR FUN test winner! THE racing trumps its harmonious overall appearance, the best circuit under any test wheels, balanced driving characteristics, good components and the competitive price. CANYON Road Lite 6. 0 Klas Neidhardt / FIT FOR FUN Price: 999 EURO CONTACT: www. canyon. com WEIGHT: 8,5 kg (52)

FRAME MATERIAL: aluminum 7005 CIRCUIT: Shimano 105; 2-way compact cranks FRAME / FORK: ••••• AMENITIES: •••• PRICE / LIES TUNG: ••••• PLUS: Lightest testbike, anodized frame, good workmanship MINUS: a switch group worse than the test winner Most favorable VS. PROFI-BIKE: – 6000 Euro, + 2. 1 kg CONCLUSION: The shipping Bike offers super attachments (Ritchey), a good circuit and the lowest weight in the test. Solid Sports Equipment perfect for ambitious skiers but also for beginners! QUANTEC Race Comp

Klas Neidhardt / FIT FOR FUN Price: 1099 EURO CONTACT: www. quantec-bikes. de WEIGHT: 9. 2 kg FRAME MATERIAL: aluminum 7005 CIRCUIT: Shimano 105; 2-SRAM cranks FRAME / FORK: ••••• AMENITIES: •••• PRICE-PERFORMANCE: •••• PLUS: With newest switching group Anbauteiel Deda

MINUS: Wheel Decoration only glued, simple tires Most favorable VS. PROFI-BIKE: – 5900 Euro, + 2. 8 kg CONCLUSIONS: All-inclusive wheel: rigid, by the straight fork extremely maneuverable and around well equipped – the only test bike with the brand new Shimano 105! We are only the paint something to dull. STEVENS Stelvio Klas Neidhardt / FIT FOR FUN Price: 1099 EURO CONTACT: www. stevensbikes. de WEIGHT: 8.

9 kg FRAME MATERIAL: aluminum 6061 CIRCUIT: Shimano 105; 3-way compact cranks FRAME / FORK: •••• AMENITIES: •••• PRICE-PERFORMANCE: •••• PLUS: solid equipment, beautiful overall appearance, comfort seatpost MINUS: simple saddle Most favorable VS. PROFI-BIKE: – 5900 Euro, + 2. 5 kg CONCLUSION: The Stelvio is the ideal vehicle for sportive and ambitious bikers. Somewhat weaker switching group as the winner, but without any flaws – but without highlights.

CANNONDALE Caad 8 Klas Neidhardt / FIT FOR FUN Price: 1099 EURO CONTACT: www. cannondale. com WEIGHT: 9. 1 kg FRAME MATERIAL: aluminum 6061-T6 CIRCUIT: Shimano 105; Cranks FSA 2-fold compactly FRAME / FORK: •••• AMENITIES: ••• PRICE-PERFORMANCE: ••••

PLUS: Good frame processing and optics MINUS: simple saddle, poor brakes, tires Most favorable VS. PROFI-BIKE: – 5900 Euro, + 2. 7 kg CONCLUSION: Stiff and agile frame with very good handling characteristics. However, with weakness in the equipment. We are particularly disturbs: Trains rattle in uneven ground. BERGAMONT Dolce 5. 0 Klas Neidhardt / FIT FOR FUN Price: 999 EURO CONTACT: www.

bergamont. de WEIGHT: 8. 8 kg FRAME MATERIAL: aluminum 6061 CIRCUIT: Shimao 105; Winches: 3x Truvativ Elita compact FRAME / FORK: ••• AMENITIES: •••• PRICE-PERFORMANCE: •••• PLUS: Very stiff frame, relatively easy MINUS: Low comfort, danger from short wheelbase Most favorable VS. PROFI-BIKE: – 6000 Euro, + 2.

4 kg CONCLUSIONS: Relatively easy, with good handling characteristics and components. Drawback: The short wheelbase makes the bike although maneuverable, but by grinding the toe in the curve on the front tire. TRENGA DE SLR 5. 0 Klas Neidhardt / FIT FOR FUN Price: 1099 EURO CONTACT: www. trenga. de WEIGHT: 9. 0 kg FRAME MATERIAL: aluminum 7005

CIRCUIT: Shimano 105: 3-way compact cranks FRAME / FORK: •••• AMENITIES: •••• PRICE-PERFORMANCE: ••• PLUS: Above average frame processing, good wheels MINUS: Simple saddle, very hard and not very comfortable Most favorable VS. PROFI-BIKE: – 5900 Euro, + 2. 6 kg CONCLUSION: The frame is processed very noble and expensive and has nice details (eg the saddle clamp and cable guide on the frame. ). The equipment could be better. CUBE peloton

Klas Neidhardt / FIT FOR FUN Price: 899 EURO CONTACT: www. cube. eu WEIGHT: 9. 2 kg FRAME MATERIAL: aluminum 7005 CIRCUIT: Shimano Tiagra; 3-way compact cranks FRAME / FORK: •••• AMENITIES: ••• PRICE-PERFORMANCE: •••• PLUS: Successful appearance, good frame processing, Deda-carbon fork

MINUS: inferior cranks, favorable switching group Most favorable VS. PROFI-BIKE: – 6100 Euro, + 2. 8 kg CONCLUSION: The Road of the cube makes visually looks very impressive. The handling is good. Although low in price, but with significant weaknesses in the equipment. For absolute beginners Road. FOCUS Variado Klas Neidhardt / FIT FOR FUN Price: 899 EURO CONTACT: www. docus-bikes.

com WEIGHT: 10. 3 kg FRAME MATERIAL: aluminum 6061 CIRCUIT: Shimano Tiagra; 3-way compact cranks FRAME / FORK: ••• FEATURES: •• PRICE-PERFORMANCE: •••• PLUS: frame processing, overall appearance MINUS: Supreme court with the Test, favorable switching group Most favorable VS. PROFI-BIKE: – 6100 Euro, + 3. 9 kg

CONCLUSION: A direct and very agile road bike. The painting catches the eye and is perfectly matched to the other components (eg. As stem and fork). However, the weight is too high. GIANT Defy 2 Klas Neidhardt / FIT FOR FUN Price: 999 EURO CONTACT: www. giant-bicycles. com WEIGHT: 9. 8 kg FRAME MATERIAL: Alu 6000

CIRCUIT: Shimano Tiagra / Sora mix; 3-way compact cranks FRAME / FORK: ••• FEATURES: • PRICE-PERFORMANCE: ••• PLUS: Comfortable frame, sanded and polished welds MINUS: Worst switching groups mix in the test, high weight Most favorable VS. PROFI-BIKE: – 6000 Euro, + 3. 4 kg CONCLUSION: Shapely frame Comfortable. Unfortunately, the greatest weakness in the test with respect to the entire equipment. Especially the brakes below the level of all other racing wheels!