Licorice in the person: symptoms, treatment
- 23 Jun 15:30
- Hemorrhoid Treatment
In dermatological practice, doctors are often faced with a disease such as scabies. The second name of the disease is herpes zoster. This pathology differs in that it affects not only the skin, but also the mucous and nervous system. This is a viraldisease that is accompanied by severe pain syndrome. What are the causes, clinical symptoms and treatment of this disease?
- 1 Features manifestations of herpes
- 2 etiological factors
- 3 Types disease
- 4 Clinical
- 5 Forms disease
- 6 Therapeutic measures
- 7 Drug therapy
- 8 Possible complications and preventive measures
1 Features manifestations of herpes
shingles in humans - isa viral disease caused by a herpes virus, which affects the peripheral and central nervous system. The disease is widespread. Mostly adult adults are ill. Males and females suffer equally frequently. The risk group consists of elderly people over 50 years old. The incidence among people over the age of 60 varies from 12 to 15 cases per 100,000 people. For a scaphoid fever, one-sided or bilateral lesions of the skin are characteristic. In children, a herpes causative agent causes chicken pox. The lichen occurs only in those who have previously contacted the virus. The disease is contagious. Children who are not sick with chickenpox can get infected from others.
After recovering from the background of measles, viral particles may remain in human cells. They may be in hibernation for decades. The favorite localization of the virus is the rear( sensitive) horns of the spinal cord, cranial nerves. Under certain conditions, activation of viruses is taking place. The latter move through the nerve fibers and reach the skin. Herpesvirus disease is called because the rash is localized along the course of nerve fibers and changes the localization. Herpes herpes in most cases ends with recovery without any special treatment.
2 Etiological factors
Leprosy in humans is caused by herpes virus. It has been established that more than a third of the Earth's population is infected with this virus. The causative agent is a type 3 herpes virus. The pathogen in man has the following characteristics:
- has two-stranded DNA;
- has a value of 120 to 200 nm;
- quickly dies in the external environment;
- is a neurotropic virus;
- is sensitive to ultraviolet and disinfectants;
- is resistant to low temperatures.
For people with normal immune status, the disease does not develop. Allocate the following trigger factors for the development of a scaphoid foot:
- severe injuries;
- infectious diseases;
- presence of oncological pathology;
- receiving hormonal medications;
- is old age;
- presence of HIV infection;
- organ transplant;
- decrease immunity against radiotherapy;
- injury to the skin.
An important risk factor is age. The older the person, the higher the probability of developing herpes zoster. The reasons may lie in close contact with the sick person. Herpes herpes is a contagious disease. The virus can be transmitted by aerosol, contact and vertical mechanism. The most frequent transmission path is airborne. During the activation of the viruses, spinal ganglia and posterior horns of the spinal cord are affected. In the process, the brain and other vital organs can be drawn.
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3 Types of Disease
If there is shingles, the symptoms will depend on the form of the disease. Allocate the following types of herpes herpes zoster:
In the onset of herpes, the edema of the trigeminal nerve is affected, against which the innervations of the eyeball are violated. This can affect the cornea, the eyelid, or the conjunctiva of the eye. In case of damage to the facial nerve, development of Ramsey Hunt's syndrome is possible. In this situation, the hearing and mimic muscles are involved in the process. When abortive form on the skin of the human body appear papules. The meningoencephalitis form of the disease is hard to come by. With her possible lethal outcome. In most cases, the skin lining affects the surface layers of the skin. In the gangrenous form of the disease, deep layers of the skin are affected. Often after treatment on the skin there are scars.
4 Clinical picture of
In young and elderly people, the symptoms of the disease are rather specific. Allocate the following general symptoms of the disease:
- high temperature;
- signs of intercostal neuralgia;
- increase in lymph nodes;
- appearance of rash on the skin;
- pain and itching;
- burning in the affected area.
Herpes develops suddenly. Symptoms increase gradually. The first signs of the disease are the symptoms of intoxication. Prodromal period lasts for several days. Following him comes the period of the onset of illness. It is characterized by an even higher temperature, loss of appetite, muscle pain, the appearance of rashes on the skin. The rash has the following features:
- is represented by pink spots or vesicles;
- is painful;
- rash elements are separated from each other;
- vesicles filled with liquid.
Vesicles do not merge together. They have a size of 3-5 mm and uneven edges. The rash is localized in the direction of the nerves. Most often the body is pulled into the process. The lower extremities are rarely affected. After the permission of the vesicles, the crust is formed, which disappears. Then there is hyperpigmentation of the skin. Signs of inflammation gradually disappear. In most cases, the disease lasts no more than 3-4 weeks. Some patients develop a gangrene form of the shingles. With her in the bubbles there is a secret with an admixture of blood.
The peculiarity of the disease is that the elements of the rash are formed on the skin wavelike. At first, one group of vesicles is formed, then it disappears and another appears. In this case, the rash can change the localization and scratch the body. Sometimes rash does not appear, but there is pain in the course of nerves. A similar condition is called herpetic neuralgia. With the development of the scaphoid, the pain almost always worries patients. It can be dull, burning, acute. Often, after the disappearance of the rash, the pain still worries patients for some time. This is due to lesions of the nervous tissue.
5 Forms of the Disease
Each form of herpes zoster has its own distinctive features. In bullous form, rash is very large. Elements of rash can merge with each other, forming large bubbles. In the case of the addition of secondary infection in the blisters accumulated purulent secret. The abortive form takes place most easily. It lasts only a few days. In this case, the symptoms of intoxication are rare.
In some cases, Ramsey Hunt syndrome develops. In this case, the rash is localized on the face near the anus, on the mucous membrane of the mouth. This is due to the causes of facial nerve defeat. Such people may have ear pain, dizziness. Often disturbed by the sense of smell. In the event of a lesion of the trigeminal nerve, the rash may appear on eyebrows and ages. In rare cases, meningitis may develop in the background of the scabies. It manifests itself in nausea, headache, vomiting, high sensitivity to loud sound and strong odor.
6 Therapeutic measures
Not everyone knows what to treat lichen. Treatment is performed only after diagnosis. Diagnosis includes anamnesis, external examination of the skin, a general blood test. To determine the pathogens of the disease for analysis, scrapes from the affected skin or the secret of bubbles are taken. A polymerase chain reaction or an enzyme-linked immunosorbent assay can be performed. Differential diagnosis is carried out with simple herpes, chickenpox, bekhea inflammation, eczema. Treatment in the absence of complications can be performed in outpatient settings. Antiviral therapy is performed for the elderly, people with reduced immunity and patients with complications. Antiviral drugs are also used in case of prolonged course of the disease.
Anti-viral agents are used internally in the form of tablets, capsules and externally in the form of ointments, gels, creams. Treatment of scabies is carried out by the following antiviral medicines: Acyclovir, Zovirax, Virollex, Valacyclovir. Duration of therapy and dosage is determined by the doctor. When treating scabies, treatment often includes various antiviral ointments and creams. They are effective in the early stages, when there is redness and bubbles. These products include the cream Zovirax, Deviers, Acyclovir, Panavir Gel. If erosion has already occurred on the skin, then the treatment of the scaphoid fever involves the use of lotions with antiseptic solutions( methylene blue or diamond greens).
7 Therapeutic Therapy
If herpes is affected by the lumbar spine or any other, the following medications may be used:
- anesthetics from the NSAID group;
To eliminate pain, the most commonly used painkillers are: dexcetoprofen, ibuprofen, naproxen. In the case of neuralgia can be used "Nikoflex", "Neomindantan".In the treatment of postherpetic neuralgia, antidepressants are often used. In some cases, anticoagulants( "Gabapentin") are used for treatment. An important place in the treatment is taken by immunomodulators. The most commonly used endogenous interferon inducers. Often introduced homologous immunoglobulin.
Sleep disturbance is an indication for the purpose of sedation. At temperatures above 38.5 degrees, antipyretics are prescribed. With scapular lichen, platelet aggregation is often disturbed. Anti-aggregates( "Kurantil") are indicated for preventing the formation of blood clots. Additional therapies include ultraviolet irradiation and laser application. In the case of the addition of secondary infection, antibiotics may be prescribed. In order to accelerate recovery, it is recommended that the diet is taken and vitamins are taken. You need to enrich your diet with sour milk products, fresh fruits and vegetables, nuts, seafood.
8 Possible Complications and Preventive Measures
Everyone should not only know how to treat lichen but also what it is dangerous for. In severe course of the disease, the following complications can develop:
- paralysis of the facial and other cranial nerves;
- pathology of the genitourinary system;
- neuritis of the optic nerve;
- decreased visual acuity;
In most cases, the disease proceeds without complications, and ends with recovery. Prevention is an effective way to protect yourself from the shingles. Prevention is specific and non-specific. Specific prophylaxis is divided into active( vaccine administration) and passive. The vaccine contains antigens of the pathogen. Vaccination is subject to persons who already had cases of herpes zoster, as well as persons who did not have chicken pox in childhood. The vaccine can be used in the development of postherpetic neuralgia. Passive immunization involves the use of serum.
It contains ready-made antibodies. Serum can be given to persons who come in contact with the sick or weakened people. Nonspecific prophylaxis includes hardening, frequent walks, taking vitamins, nutrition, exercise, stress management, refusal of cigarettes and alcohol. Thus, herpes zoster is not a big danger to the population.