The structure of the human genitals is relatively complex. Women may have labia minora, labia majora, and problems with other parts of the vulva and vagina, all of which indicate infection with different bacteria and lesions. For example, many people's labia have blistering. This situation cannot guarantee that it is related to AIDS or syphilis, but it does not rule out the possibility of genital herpes. Therefore, special attention should be paid to symptoms in such private parts. Understanding and caring are the most important things, and appropriate methods should be chosen for treatment. Medication There is currently no satisfactory treatment for GH, and it is difficult to prevent its recurrence. 1. General treatment: Patients should avoid sexual intercourse or take barrier contraceptive measures to prevent infection to others. 2. Pathogen therapy (1) Acyclovir (acyclovir): It can selectively inhibit viral replication, reduce the occurrence of new lesions, relieve pain, and shorten wound healing and detoxification time. For primary or initial attack of GH, 0.2g, orally, 5 times/d, for 7 to 10 days; for recurrent GH, 0.2g, orally, 5 times/d, for 5 days, or 0.4g, orally, 3 times/d, for 5 days, or 0.8g, orally, 2 times/d, for 5 days. For patients with mild symptoms, take 1-1.6 g/d orally in 5 divided doses for 5-7 consecutive days. For patients with severe symptoms, take 15 mg/(kgod) intravenously for 5-7 consecutive days. Use with caution in patients with dehydration and renal insufficiency. In recent years, derivatives of acyclovir (ACV), such as valacyclovir (valaciclovir) and famciclovir (famciclorvir), have also been used to treat this disease. (2) Sodium foscarnet: For patients with TK gene defects who are resistant to ACV virus infection, 40 mg/kg of sodium foscarnet can be used by intravenous injection once every 8 hours until recovery. (3) Ribavirin (ribavirin): 0.6-0.8 g/d, orally or intramuscularly, for 5-7 days. (4) α, β and γ-interferon (α, β, γ-IFN): 1 million u/day for 5 to 7 days. (5) 2-4 ml of poly I-2 is injected intramuscularly once every other day for 5-7 days. (6) Cytarabine and other drugs can also be used. 3. Immunotherapy Straus et al. used gD-2 vaccination, which is glycoprotein D of recombinant HSV-2 expressed in CHO cells, to induce antigen-specific neutralizing antibodies equivalent to or exceeding the levels produced by GH patients. 100 μg/time, repeated once after 2 months, compared with the control group, the number of relapses was significantly reduced, and it was also effective in alleviating symptoms and preventing infection. 4. Local therapy: Pay attention to protecting the wound surface, keeping it clean and dry to prevent secondary bacterial infection. 5% acyclovir (ACV) ointment or emulsion, α or β interferon emulsion or gel, 1% gentian violet solution, 3% tetracycline ointment or 25% zinc oxide oil can all be used. 5. Symptomatic treatment: If secondary bacterial infection occurs, antibiotics should be used as appropriate. If the pain is severe, analgesics can be given. 6. Treatment of sexual partners Since most sexual partners may have been infected with HSV, they should also be examined and treated if necessary. 7. Traditional Chinese Medicine (1) Damp-heat type: Treatment method: Clear away heat and dampness, and detoxify. Prescription: Longdan Xiegan Decoction plus or minus (2) Liver and kidney deficiency type: Treatment method: Clear away heat and dampness, nourish the liver and kidney. Prescription: Zhibai Dihuang Pills combined with Bixie Shenshi Decoction with modifications. |
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