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Herpes Simples Genital

Este espaço é dedicado a informações sobre prevenção, tratamento e convivência com Doenças Sexualmente Transmissíveis.

Herpes Simples Genital

Mensagempor Horus » Ter Fev 16, 2010 11:35 pm

Conceito
Infecção recorrente (vem, melhora e volta) causadas por um grupo de vírus que determinam lesões genitais vesiculares (em forma de pequenas bolhas) agrupadas que, em 4-5 dias, sofrem erosão (ferida) seguida de cicatrização espontânea do tecido afetado. As lesões com frequência são muito dolorosas e precedidas por eritema (vermelhidão) local. A primeira crise é, em geral, mais intensa e demorada que as subsequentes. O caráter recorrente da infecção é aleatório (não tem prazo certo) podendo ocorrer após semanas, meses ou até anos da crise anterior. As crises podem ser desencadeadas por fatores tais como stress emocional, exposição ao sol, febre, baixa da imunidade etc.
A pessoa pode estar contaminada pelo virus e não apresentar ou nunca ter apresentado sintomas e, mesmo assim, transmití-lo a(ao) parceira(o) numa relação sexual.

Sinônimos
Herpes Genital

Agente
Virus do Herpes Genital ou Herpes Simples Genital ou HSV-2. É um DNA vírus.
Observação: Outro tipo de Herpes Simples é o HSV-1, responsável pelo Herpes Labial. Tem ocorrido crescente infecção genital pelo HSV-1 e vice-versa, isto é, infecção labial pelo HSV-2, certamente em decorrência do aumento da prática do sexo oral ou oro-genital.

Complicações/Consequências
Abôrto espontâneo, natimorto, parto prematuro, baixo peso, endometrite pós-parto. Infecções peri e neonatais. Vulvite. Vaginite. Cervicite. Ulcerações genitais. Proctite. Complicações neurológicas etc.

Transmissão
Frequentemente pela relação sexual. Da mãe doente para o recém-nascido na hora do parto.

Período de Incubação
1 a 26 dias. Indeterminado se se levar em conta a existência de portadores em estado de latência (sem manifestações) que podem, a qualquer momento, manifestar a doença.

Diagnóstico
O diagnóstico é essencialmente clínico (anamnese e exame físico). A cultura e a biópsia são raramente utilizados.

Tratamento
Não existe ainda tratamento eficaz quanto a cura da doença. O tratamento tem por objetivo diminuir as manifestações da doença ou aumentar o intervalo entre as crises.

Prevenção
Não está provado que a camisinha diminua a transmissibilidade da doença. Higienização genital antes e após o relacionamento sexual é recomendável. Escolha do(a) parceiro(a).

Fotos

Imagem
Lesões no pênis (fase inicial).


Imagem
Lesões no períneo feminino.


Imagem
Lesões localizadas no pênis.


Imagem
Herpes Labial.
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