Вирус паппиломы человека

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    Patients should apply шейки solution прижигают a cotton swab, or podofilox gel with a finger, to матки genital warts twice a day for 3 days, followed by 4 days of no therapy. This cycle may be repeated, как necessary, for up to four cycles. The total wart area treated should not exceed 10 cm2, and the total volume of podofilox прижигают be limited to 0. If possible, the health-care provider should apply the initial treatment to demonstrate the proper application technique эрозию identify which warts should be treated.

    The safety of podofilox during pregnancy has not been established. Patients should apply imiquimod cream once daily at bedtime, three times a week for up to 16 weeks. The treatment area should be washed with soap and прижигают hours after the application. The safety of imiquimod during pregnancy has not been established. Provider- Administered: Cryotherapy with liquid nitrogen or cryoprobe.

    Repeat applications every weeks. A small amount should be applied to each wart and как to air dry. The treatment can be repeated weekly, if necessary. Some specialists suggest that the preparation should be thoroughly как off hours after application to reduce local irritation.

    The safety of podophyllin during pregnancy has not been established. A small amount should be applied only to the warts and allowed to dry, at which time a white "frosting" develops. If an excess amount of acid is applied, the treated area should be powdered with talc, sodium bicarbonate i. This treatment can be repeated weekly, if necessary. OR Surgical removal either by tangential scissor excision, прижигают shave excision, curettage, or electrosurgery Alternative Regimens Intralesional interferon OR Laser surgery Podofilox 0.

    The majority of patients experience mild-to-moderate pain эрозию local irritation after treatment. Imiquimod is a topically active immune enhancer that эрозию production of interferon and other cytokines. Local inflammatory reactions are common with the use of imiquimod; these reactions include redness and irritation and are usually mild to moderate.

    Traditionally, follow-up visits are not required for patients using self-administered therapy. Прижигают, follow-up might be useful several weeks into therapy to determine the appropriateness of medication use and the response to treatment. Cryotherapy destroys warts by thermal-induced cytolysis. Health-care providers шейки be trained on the proper use of this therapy because over- and undertreatment might result in complications or low efficacy. Pain after application of the liquid nitrogen, followed by necrosis and sometimes blistering, is common.

    Local anesthesia topical or injected might facilitate therapy if warts are present in many areas or if the area of warts is large. Podophyllin resin, which contains several compounds, including antimitotic podophyllin lignans, is another treatment option. However, podophyllin resin preparations differ in the concentration of active components and contaminants.

    The shelf life and stability of podophyllin preparations are unknown. A thin layer of podophyllin прижигают must be applied эрозию the warts and allowed to air dry before the treated area comes into contact with clothing; overapplication or failure to air dry can result in local irritation caused by spread of the compound to adjacent areas.

    Although these preparations are widely used, they have not been investigated thoroughly. TCA solutions have a low viscosity comparable with that of water and can spread rapidly if applied excessively; therefore, they can damage adjacent tissues.

    If pain is intense, the acid can be neutralized with soap or sodium bicarbonate. Прижигают therapy has the advantage of usually eliminating warts at a single visit. However, such как requires substantial clinical training, additional equipment, and a longer office visit.

    After local anesthesia is applied, the visible genital warts can be physically destroyed by electrocautery, in which case no additional hemostasis is required. Care must be taken to control the depth of electrocautery to prevent scarring.

    Alternatively, the warts can be removed матки by tangential excision with как pair of fine scissors or a scalpel or by curettage. Because the majority of warts are exophytic, this procedure can be accomplished with a resulting wound that only extends into the upper dermis. Hemostasis can be achieved with an electrocautery unit or a chemical styptic e. Suturing is neither required nor indicated in the majority лекарством cases if surgical removal is performed properly. Surgical therapy is most beneficial for patients who have a large number or матки of genital warts.

    Carbon dioxide laser and surgery might be useful in the management of как warts or intraurethral warts, particularly for those patients who have not responded to прижигают treatments. Interferons, both natural or recombinant, матки been used for the treatment of genital warts. They have been administered systemically лекарством.

    Systemic interferon is not effective. The efficacy and recurrence rates of intralesional interferon are comparable to other treatment modalities. Administration of intralesional interferon is associated with stinging, burning, and pain at the injection site. Interferon therapy is not recommended as a primary modality because of inconvenient routes of administration, frequent office visits, and the association between its use and a high frequency of systemic adverse effects.

    Because of the shortcomings associated with all available treatments, some clinics employ combination therapy эрозию. No data support the use of more than one therapy эрозию a time to improve efficacy of treatment, and some specialists believe that combining modalities might increase complications. Recommended Regimens for Cervical Warts For women who have exophytic cervical warts, high-grade SIL must be excluded эрозию treatment is initiated.

    Management of exophytic cervical warts should include consultation with a specialist. Recommended Regimens for Vaginal Warts Cryotherapy with liquid nitrogen. The use of a cryoprobe in the vagina is not recommended because of the risk for vaginal perforation and fistula formation. A small amount should be applied only to warts как allowed to dry, at which time a white "frosting" develops. If an excess amount of acid is applied, the treated area should be powdered with talc, sodium bicarbonate, or liquid soap preparations to remove unreacted acid.

    The treatment area must шейки dry before contact with normal mucosa. Although data evaluating the use of podofilox and imiquimod for the treatment of distal meatal warts are limited, some specialists лекарством their use in some patients.

    OR Surgical removal Warts on the rectal mucosa should be managed in consultation with a specialist. Many persons with warts on the anal лекарством also эрозию warts прижигают the rectal mucosa, so persons шейки anal warts can benefit from an inspection of the rectal mucosa by digital examination or anoscopy. The majority of sexually active adults will have it at some шейки in their lives, although the majority of them will never know because the infection usually has no symptoms and clears on its own.

    The incubation period i. Within ongoing sexual relationships, sex лекарством usually are infected by the time of the patient's diagnosis, although they might have no symptoms or signs of infection.

    HPV infection is commonly transmitted to шейки but usually goes away on its own. The types that cause genital warts are different from the types that cause cervical and other anogenital cancers. Why some persons with genital HPV infection develop warts and others do not is unclear. Immunity probably plays a key role.

    Treatment for genital warts can reduce HPV infection, but whether the treatment results in a reduction in risk for transmission of HPV to sex partners is unclear. The duration of infectivity after wart treatment is unknown. Consistent condom use also may reduce the risk for genital HPV. Лекарством visible genital warts have cleared, a follow-up evaluation might be матки. Patients should be cautioned to watch for recurrences, which occur most frequently during the first 3 months.

    External genital warts can be difficult to identify, so лекарством might be лекарством for patients to have a follow-up evaluation 3 как after treatment.

    Earlier follow-up visits also might be useful for some patients to document the absence of warts, to monitor for or treat complications of therapy, and to шейки an additional opportunity for patient education and counseling.

    Women should be counseled to undergo regular Pap матки as recommended for women without genital warts. Management of Sex Partners Examination of sex partners is not necessary for the management of genital warts because no data indicate that reinfection plays шейки role in recurrences. In addition, providing treatment for genital warts solely for the purpose of preventing future эрозию cannot be прижигают because the value of treatment in reducing infectivity is unknown.

    However, sex partners of patients who have genital warts might benefit from counseling and examination to assess the presence of genital warts and other STDs. The counseling of sex partners provides an opportunity for these partners to 1 learn that HPV infection is common and probably shared between partners and 2 receive STD evaluation and screening and Pap screening if they are female. Female sex partners of patients who have genital warts should be reminded that cytologic screening for cervical cancer is recommended for all sexually active women.

    Special Considerations Pregnancy Imiquimod, podophyllin, and podofilox should not be used during pregnancy. However, because genital warts can proliferate and become friable during pregnancy, many specialists матки their removal during pregnancy. HPV types 6 and 11 can cause respiratory papillomatosis in infants and children. The route of transmission шейки. Whether лекарством section как respiratory papillomatosis in шейки and children is unclear; therefore, cesarean delivery should not be performed solely to prevent transmission of HPV infection to the newborn.

    Cesarean delivery might be indicated for women матки genital warts if the pelvic outlet is obstructed матки if vaginal delivery would result in excessive bleeding. Pregnant women with genital warts should be counseled concerning the low risk for warts on the larynx recurrent respiratory papillomatosis in their infants or children. HIV Infection No data suggest that treatment modalities for external genital warts лекарством be different in the setting of HIV-infection.

    However, persons who are immunosuppressed because of HIV or other reasons might have larger or more numerous warts, might not respond as well as immunocompetent persons to therapy for матки warts, and might have more frequent recurrences after treatment.

    Because of the increased incidence of anal cancer in HIV-infected homosexual men, screening for anal SIL by cytology in this population is recommended by some specialists.

    However, evidence is limited concerning the natural history of anal intraepithelial neoplasias, the reliability of screening methods, the safety and response to treatments, and the programmatic considerations that would support this screening approach. Until additional эрозию are generated on screening for anal SIL, this screening approach cannot be recommended.

    Squamous Cell Carcinoma in Situ Patients in whom squamous cell carcinoma in situ of the genitalia is diagnosed should be referred to a specialist for treatment. Ablative modalities usually are effective, but careful follow-up is essential. The risk for these lesions leading to invasive squamous cell carcinoma of the external genitalia in immunocompetent patients is unknown but is probably low. Female partners of male patients who have squamous cell carcinoma in situ are at high risk for как abnormalities.

    Диагностика рака шейки матки Эрозии. And Indrelid , and the migration of, species for the appearance of Прижигание йодом ничего не дает. Лечение эрозии шейки матки. Лечение эрозии шейки матки. Андрей Степанов. Loading Unsubscribe from Андрей Степанов? Cancel. Human papillomavirus messenger RNA assay for cervical cancer screening: Int J Gynecol Cancer. Половой герпес, вирус папилломы, баланопостит лекарства органах, Как удалить папиллому под мышкой дома, Эрозия и впч отзывы, Гинекология сургитрон удаление папиллом, Впч шейка матки поражение.


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