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單純單純皰疹是什么？又由什么原因造成的呢？

出處：網(wǎng)絡(luò)收集 日期：2024-06-19 10:00:59 編輯：秩名

單純皰疹是什么？

其實(shí)，皰疹是一類常見(jiàn)，而且歷史古老的傳染性皮膚病，有關(guān)的記載甚至早見(jiàn)于古希臘。單純性皰疹是由單純皰疹病毒所引起的一種急性皰疹性皮膚病，它可以在全身出現(xiàn)，人是單純皰疹病毒的唯一自然宿主。病毒經(jīng)呼吸道、口腔、生殖器粘膜以及破損皮膚進(jìn)入體內(nèi)，潛居于人體正常粘膜、血液、唾液及感覺(jué)神經(jīng)節(jié)細(xì)胞內(nèi)。
 
單純皰疹的病原體為人單純皰疹病毒，在病毒分類學(xué)上歸于人皰疹病毒科α亞科，單純皰疹病毒屬，分為HSV-1，HSV-2兩個(gè)亞型，HSV-1亞型主要侵犯腰以上部位，尤其是面部，腦組織等;而HSV-2 型主要侵犯腰以下部位，尤其是生殖器等，故有生殖器皰疹之稱;但這種區(qū)分并非嚴(yán)格。
 
人單純皰疹病毒對(duì)外界抵抗力不強(qiáng)，56℃加熱30min，紫外線照射5min，乙醚等脂溶劑均可使之滅活;但可在-70℃環(huán)境長(zhǎng)期保存其生物學(xué)活性。
 
在體外培養(yǎng)環(huán)境中，單純皰疹病毒幾乎可以感染各種胚胎和新生動(dòng)物來(lái)源的成纖維細(xì)胞及上皮細(xì)胞，并很快產(chǎn)生肉眼可見(jiàn)的病變;故在某些疑難病例，體外培養(yǎng)分離病毒的方法可被用于幫助臨床確診。
 

單純皰疹的癥狀

活血大家對(duì)單純性皰疹還不是很熟悉。前文中提到單純皰疹可以在全身出現(xiàn)那么，單純性皰疹有哪些癥狀表現(xiàn)呢?
 
單純性皰疹癥狀
 
1、原發(fā)性感染單純性皰疹的癥狀表現(xiàn) 原發(fā)性感染可為亞臨床性，如山現(xiàn)臨床癥狀，則其嚴(yán)重性大于復(fù)發(fā)性病變。潛伏期3~5天。
 
疤疹性齦口炎是引起的最常見(jiàn)原發(fā)性感染，好發(fā)于15歲兒童。牙齦紅腫、易出血，舌、咽、腭及頰粘膜有水皰、糜爛、潰瘍，潰瘍上覆淡黃色假膜，伴有發(fā)熱、不適、流涎、坐立不安、口臭及進(jìn)食疼痛，局部淋巴結(jié)腫大、疼痛。發(fā)熱在3-5天后消退，一般在2周內(nèi)完全恢復(fù)。
 
2、生殖器皰疹：
 
男性好發(fā)于龜頭、包皮及陰莖干、女性發(fā)生于外陰、陰道及宮頸粘膜：早期發(fā)生數(shù)個(gè)紅色丘疹及水皰，伴有局部瘙癢及灼熱感，皰破后形成淺潰瘍，以后干燥結(jié)痂，可有發(fā)熱、不適、頭病、乏力等今身癥狀。不經(jīng)治療，病程持續(xù)2到3周。
 
3、接種性單純皰疹：
 
正常皮膚或皮膚擦傷處病毒直接接種，5~7天后局部出現(xiàn)堅(jiān)硬丘疹、大皰或不規(guī)則散布的水皰，局部淋巴結(jié)腫大，全身癥狀一般輕微。指尖接種引起皰疹性凜疽，局部發(fā)紅、疼痛，深在水皰融合成蜂窩狀外觀或形成大皰。
 

復(fù)發(fā)性感染單純性皰疹

 
復(fù)發(fā)性與原發(fā)性感染相比，水皰較小，較密集，一般缺乏全身癥狀，常不累及頰粘膜。在發(fā)疹前1-2小時(shí)局部有瘙癢或燒灼感，隨后在炎性基底上出現(xiàn)群集的水皰，常在7~10天內(nèi)愈合，不留瘢痕。最常累及面部(特別是口周)，其他部位亦可發(fā)生。復(fù)發(fā)一般在同一區(qū)域，但并非總是在同一部位。生殖器皰疹復(fù)發(fā)極為常見(jiàn)，表現(xiàn)為群集的小水皰及淺潰瘍。
 

單純皰疹是怎么引起的？

了解了單純性皰疹的癥狀表現(xiàn)之后，患者朋友們一定要及早發(fā)現(xiàn)單純性皰疹的癥狀，及早投入治療?？刹簧偃瞬唤?，單純皰疹到底是怎么引起的呢？
 
DNA病毒的單純皰疹病毒感染（40%）：
 
本病是由DNA病毒的單純皰疹病毒所致，人類單純皰疹病毒分為兩型，即單純皰疹病毒I型(HSV-I)和單純皰疹病毒II型(HSV- II)，I型主要引起生殖器以外的皮膚，粘膜(口腔粘膜)和器官(腦)的感染，II型主要引起生殖器部位皮膚粘膜感染。
 
傳播途徑（20%）：
 
病毒經(jīng)呼吸道，口腔，生殖器粘膜以及破損皮膚進(jìn)入體內(nèi)，潛居于人體正常粘膜，血液，唾液及感覺(jué)神經(jīng)節(jié)細(xì)胞內(nèi)，當(dāng)機(jī)體抵抗力下降時(shí)，如發(fā)熱，胃腸功能紊亂，月經(jīng)，妊娠，病灶感染和情緒改變時(shí)，體內(nèi)潛伏的HSV被激活而發(fā)病。人是單純皰疹病毒唯一的自然宿主，此病毒存在于病人，恢復(fù)者或者是健康帶菌者的水皰皰液，唾液及糞便中，傳播方式主要是直接接觸傳染，亦可通過(guò)被唾液污染的餐具而間接傳染。
 
傳染源（20%）：
 
臨床上分為原發(fā)性單純皰疹感染和復(fù)發(fā)型單純皰疹病毒感染，原發(fā)性單純皰疹感染均因接觸了單純皰疹患者引起，單純皰疹病毒可經(jīng)口—呼吸傳播，也可通過(guò)皮膚，粘膜，眼角膜等皰疹病灶處傳染，單純皰疹病毒的活動(dòng)感染患者與無(wú)癥狀的排毒者，他們的唾液，糞便中皆有病毒存在，故本病患者應(yīng)避免接觸其他兒童與幼嬰，復(fù)發(fā)性單純皰疹感染的發(fā)生是由于體內(nèi)潛伏的單純皰疹病毒被激活以后引起的，目前尚無(wú)理想的預(yù)防復(fù)發(fā)的方法。
 

單純胞疹怎么治？

單純胞疹怎么治？目前中藥抑制療法最為有效治療方法：生殖器皰疹是一種頑固的疾病，很難將其根治，傳統(tǒng)藥物一直對(duì)于生殖器皰疹束手無(wú)策。外用皰力康藥物中富含活性極強(qiáng)的蛋白溶解酶，能快速溶解皰疹病毒的蛋白外殼，使藥物成份迅速進(jìn)入病毒內(nèi)部破壞基因鏈。
 
此外，抗病毒藥物治療也作為單純皰疹的主要治療方法！
 
1、無(wú)環(huán)鳥(niǎo)苷(ACV)是一種開(kāi)鏈嘌呤核苷，能抑制病毒脫氧核糖核酸合成，而對(duì)宿主細(xì)胞DNA的合成作用較少。被認(rèn)為是目前最有效的抗HSV藥物。病情嚴(yán)重者可靜脈給藥，劑量為每公斤體重5mg，每8小時(shí)1次，共5～7天。一般病人可口服，每次200mg，每日5次，或每次800mg，每日2次，共服5～7天。能使病毒迅速減少，癥狀減輕，愈合時(shí)間縮短。外用3%～5%ACV軟膏也能減輕癥狀和縮短病程。該藥無(wú)明顯副作用。
 
2、皰力康能明顯抑制皰疹病毒的復(fù)制，對(duì)原發(fā)性皰疹效果較好。
 
3.皰力康能明顯抑制皰疹病毒的復(fù)制，對(duì)原發(fā)性皰疹效果較好。
 

治療用哪些藥呢？一起來(lái)認(rèn)識(shí)一下！

 
疫苗與免疫抑制劑對(duì)嚴(yán)重的原發(fā)性生殖器皰疹和反復(fù)發(fā)作的病人，可試用非特異性疫苗如卡介苗、脊髓灰質(zhì)炎疫苗，以提高機(jī)體非特異性免疫力，但其效果不太可靠，有免疫抑制和免疫缺陷的病人慎用。
 
免疫增強(qiáng)劑對(duì)復(fù)發(fā)性生殖器皰疹患者可采用免疫增強(qiáng)劑以提高機(jī)體免疫調(diào)節(jié)功能。如左旋咪唑，每次50mg，每天3次，每連服3天后停藥11天，即每2周服藥3天。也可用左旋咪唑涂布液，涂于前臂屈側(cè)，每天1次，連續(xù)3天。每周用藥3天。
 
中藥外治法：中藥乳膏皰力康局部癥狀外用，30天即可消除，增加鍛煉不可懈怠。

 

單純胞疹能治愈嗎？

見(jiàn)到過(guò)面部單純胞疹定然印象深刻，希望此病癥能遠(yuǎn)而避之。單純胞疹能治愈嗎？醫(yī)生建議及時(shí)到醫(yī)院進(jìn)行治療，不要有太大的思想負(fù)擔(dān)，單純皰疹是能夠治愈的。
 
單純疹發(fā)俗稱“熱性皰疹”，是由病毒引起的皰疹性皮膚病，常發(fā)生在感冒等發(fā)熱性疾病的過(guò)程中。男女老幼四季均可發(fā)生。單純疹發(fā)于一處多似圓型發(fā)展,呈米粒大或高糧粒大小紅疙瘩,疼痛潰破,有似水泡狀,
 
治療主要是對(duì)癥處理和避免繼發(fā)感染。外用2％龍膽紫溶液，0.5％新霉素軟膏等。只有平日要注意鍛煉，提高自身的免疫力，遏制皰疹病毒的發(fā)作，才是根治單純性皰疹唯一方法。
 

單純皰疹傳染嗎？

了解單純皰疹，自然要了解其是否傳染！單純皰疹傳染嗎？生活中應(yīng)該注意哪些方面來(lái)預(yù)防單純皰疹呢？
 
單純皰疹是單純皰疹病毒所引起的一種急性皰疹性皮膚病，人是單純皰疹病毒唯一的自然宿主，此病毒存在于病人、恢復(fù)者或者是健康帶菌者的水皰液、唾液及糞便中，傳播方式主要是直接接觸傳染，亦可通過(guò)被唾液污染的餐具而間接傳染。
 

預(yù)防單純皰疹有三點(diǎn)需要注意：

 
1、保持皮膚清潔，每天洗澡，炎熱天氣可以每天洗2—3次。衣著要適宜，不要出汗過(guò)多。
 
2、保護(hù)皮膚不受損傷，衣服、和被褥要柔軟。勤剪指甲，以免抓傷表皮。
 
3、避免與皮膚感染病的人接觸，要勤洗手。

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