Mbak Debby,
Saya carikan dari drkoop. Semoga berguna. Sebagai
tambahan, untuk kaum ibu yang akan atau sedang hamil,
pemeriksaan TORCH sangat membantu mengetahui
kemungkinan terkena, dan jika positif maka minta
nasehat dokter untuk menyiapkan rencana kelahiran,
karena untuk herpes genitalis tidak dianjurkan untuk
lahir normal tapi melalui operasi caesar.

Mamanya Dafi.


--- Debby <[EMAIL PROTECTED]> wrote:
> Dear netters,
> 
> Saya ingin mengetahui ttg penyakit Herpes, mengenai
> penyebabnya, dan alternatif penyembuhannya, kalau
> ada yg punya artikel tolong disharing yah...
> terimakasih atas perhatiannya
>  
> salam
> debby

Herpes 
Causes and Risks: 
Genital herpes is caused by two viruses known as
herpes simplex virus type 2 (HSV-2), and herpes
simplex virus type 1 (HSV-1). Although seen
predominantly in oral herpes , HSV-1 is responsible
for approximately 5% to
10% of genital herpes. Both viruses can be transmitted
by sexual contact.
Cross-infection of type 1 and 2 viruses is thought to
occur during oral-genital sex. HSV-1, the virus
responsible for common cold sores, can be transmitted
through oral secretions during kissing, and by eating
and drinking from contaminated utensils. Initial oral
herpes infection usually occurs in childhood and is
not classified as a sexually-transmitted disease.
While statistics vary, research shows that 85% of
adults have been exposed to HSV-1 (oral herpes) and
25% of the population in the United States has been
exposed to infection with HSV-2 (genital herpes). 1 An
stimated 86 million people worldwide are thought to
have genital herpes. 2 For people with no prior
contact with HSV 1 or 2, the initial infection is
characterized by systemic (whole body) as well as
local symptoms and
signs. Systemic symptoms include fever , malaise ,
generalized achiness (myalgia ), and decreased
appetite . Localized symptoms are described in the
symptoms section of this article. 
Since the virus is transmitted by virus-containing
secretions from the oral or genital mucosa , the
primary lesion is at the primary site of infection.
Common sites of infection include the shaft and head
of the penis , scrotum , inner thighs, and anus in
men; and the labia, vagina , cervix , anus, and inner
thighs in women. The mouth can also be a site of
infection in both sexes. 
Prior to the appearance of blisters , the infected
individual can experience increased skin sensitivity,
tingling , burning, or pain at the site where the
blisters will appear. The skin becomes reddened and
multiple small blisters (vesicles ) filled with a
clear straw-colored fluid appear. The blisters break
leaving shallow painful ulcers which eventually crust
over and slowly heal over a period of 7 to 14 days.
The outbreak may be accompanied by enlargement and
tenderness of the lymph nodes in the groin or inguinal
fold. Women may
develop vaginal discharge and painful urination
(dysuria). Men may have dysuria if the lesion is near
the opening of the urethra (meatus). Once a person is
infected, the virus finds a hiding place within nerve
cellswhere antibodies , the body's normal infection
fighters, cannot reach. Within the nerve cells the
virus may remain dormant, a period called "latency",
for an extended period of time then suddenly the
infection becomes reactivated and the individual has
another attack of pain and blistering . Recurrent
attacks may be rare, occurring only once per year or
so frequent that the symptoms seem continuous.
Recurrent attacks may be triggered by many things
including mechanical irritation, menses, fatigue , and
sunburn . Recurrent infections in men are generally
milder and of shorter duration than those experienced
by women. 
Research suggests that the virus can be transmitted
even in the absence of clinical disease, so that a sex
partner without obvious genital herpes may still     
transmit the illness. Asymptomatic spread may actually
contribute more to the spread of genital herpes than
does active disease. 
The herpes virus is of special significance to women
for several reasons. It has been implicated in causing
cancer of the cervix , especially when it is present
in combination with Human papilloma virus (HPV) , the
virus responsible for genital warts (condyloma). For
the pregnant women, the presence of either HSV-1 or
HSV-2 on the genitalia or in the birth canal is a     
threat to the infant. Infection in the newborn infant
can lead to herpetic meningitis , herpetic viremia,
chronic skin infection and even death. 
The herpes infection also poses a serious problem for
the immunocompromised person (someone with AIDS ,
undergoing chemotherapy, radiation therapy , or taking
high dose cortisone preparation). These people may
suffer infections of various organs including: eye
(herpetic keratitis ) persistent infection of the
mucous membranes and skin of the nose, mouth and
throat 
esophagus (herpetic esophagitis ) liver (herpetic
hepatitis ) brain ( encephalitis ) 
Prevention: 
Prevention is difficult since the virus can be spread
to others even when the infected person has no
evidence of a current outbreak. However, avoiding
direct contact with an open lesion will lower the risk
of infection. People with genital herpes should avoid
sexual contact when active lesions are present. People
with known genital herpes but without current clinical
symptoms
should inform their partner that they have the
disease. This will allow both parties to use barrier
protection ( condoms ) to prevent the spread of the
illness. 
Condoms remain the best protection against acquiring
genital herpes. Correct and consistent use of a condom
will help prevent the transmission of the disease. 
Pregnant women with the herpes simplex infection
should receive weekly viral cultures of the cervix and
external genitalia as the delivery date approaches.
At the time of delivery, if active lesions are
present, or if the viral culture is positive for
herpes, a cesarean delivery ( C-section ) is
recommended to avoid
infecting the newborn. 
Symptoms: 
Pain, tingling, or itching in the genital area is
usually the first symptoms of this disorder. This
first stage of the illness begins two to seven days
after
exposure to the virus. During the next stage, sores
appear. These small ulcers appear as painful, red
bumps, and then change into water-filled blisters
that eventually rupture. Yellow crusts form after the
rupture and heal in seven to 10 days. Pain and
tenderness in the groin area are common until the
infection is over. During the primary outbreak, people
often experience headache, fever, and swollen lymph
nodes in the groin area. Itching , burning or tingling
sensations (primary) Painful blisters filled with
fluid in the genital and/or rectal area mild fever
Groin lump (inguinal lymphadenopathy ) Difficult or
painful urination (dysuria) Urinary hesitancy Urinary
urgency 
Painful sexual intercourse Incontinence genital sores
(male) Genital sores (female) 
Signs and Tests: 
Viral culture of lesion is positive for herpes simplex
virus. 
Tzanck test of skin lesion is consistent with herpes
virus (this test is rarely done). 
Treatment: 
Treatment of genital herpes does not cure the disease
but can relieve the symptoms. Treatment can decrease
the pain and discomfort associated with an outbreak
and shortens the healing time. 
Oral acyclovir (Zovirax) does not cure the infection,
but it reduces the duration and severity of the
symptoms in primary infection, and to a lesser extent
in secondary attacks. It also reduces viral shedding,
which affects the duration of contagiousness. It may
be used in the first episode and for recurrence. For
maximum benefit during recurrences, therapy should be
started as soon as the tingling , burning, or itching
(sensations before the blisters ) starts, or as
soon as the blisters are noticed. 
Topical acyclovir (Zovirax) is also effective but must
be used more frequently than the 5 times per day which
is typically prescribed. During the first 24 hours,
application of the ointment every hour (during the
waking hours) will dramatically shorten the duration
of the outbreak. Warm baths may relieve the pain
associated with genital lesions. Gentle cleansing with
soap and water is recommended. If secondary infection
of the skin lesions occur, a topical antibiotic
ointment can be used. Oral antibiotics are sometimes
necessary. Acyclovir-resistant strains of herpes virus
are appearing rapidly. If symptoms are not rapidly
relieved by acyclovir, further evaluation by a
physician is indicated. 
Support Groups: 
The stress of illness can often be helped by joining a
support group , where members share common experiences
and problems. See herpes genital - support group . 
Prognosis: 
Once infected, the virus stays in the body for the
rest of a person's life. Some people never have
another episode, and some have frequent recurrences
throughout the year. Subsequent infections tend to
occur after sexual intercourse, exposure to the sun,
and after stressful events. In individuals with normal
immune systems, genital herpes remains a localized and
bothersome infection but seldom becomes a
life-threatening infection. 
Complications: 
Recurrent disease (common). 
Encephalitis (rare). 
Spread of the virus to other organs of the body in
immunosuppressed people. 
Transverse myelopathy (damage that extends across the
spinal cord). 
Incontinence . 
> 


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