The human papilloma virus

3 March 2020

The human papilloma virus (HPV) is exclusively in the basal layer of the skin, and its verification in the upper layers. This illness is characteristic for the chronic form, with its effects.

The period of incubation and the stage of development

The incubation period of the virus is different. For this kind of virus is peculiar to of a hidden. The form subclinical incidence of the disease, characterized by the appearance of a subtle as a simple means of skin rashes that cause discomfort to the patient in the genital area. Once you can be infected by multiple variants of the human. Under the influence of some factors the virus becomes active and begins its reproduction, and the disease enters a period of clinical manifestations. In 90% of cases for a year and a half, is going on self-healing, in some cases, can occur with chronic relapsing within with great probability a malignant tumor (depends on the type of virus). The disease is in four phases (phase):

Stage 1 (initial) – the period of latency of hpv infection. The virus is in the body, but does not occur, does not cause the transformation of cells. In this phase, you can reveal the PCR analysis;

2 – there are clinical signs – in the form of growths on the skin. The virus causes accelerated division of the epidermal cells. In this phase, the virus is detected during the course of PCR, cytology and histology (detected the presence of hyperkeratosis);

3 – dysplasia. Change the structure of the cells (coloridos) – this can be seen under a microscope, as well as the DNA of the virus begins to interact with the DNA of cells and causes the development, the so-called integrated form. For the diagnosis are used in PCR, techniques of cytology and histology, and colposcopy;

Phase 4 – cancer. The development of the virus that causes the mutation of cells and the appearance of the malignant cells. You form an invasive cancer. The diagnosis is made with all of the above methods, and clinical manifestations.

The types of HPV

Defined more than a hundred types of HPV that infect urogenitalny human digestive, which affects the epithelium of the skin and mucous membranes of the genitals – 35 species. For all HPV types is used a classification based on the type of less, warts, rashes and other skin manifestations. HPV typing with the description looks like this:

different types of warts for their pop-up responsible for HPV 1-5 type;
plantar warts (that are reminiscent of the corn) – 1-4 types of HPV. Usually form in those places where there is rubbing calluses or squeezing. In these places the skin becomes thicker, and when you press causes unpleasant feelings. These warts do not go alone and need surgical removal. There are two subspecies of plantar warts. A view of germinates in the depth in the tissue and it hurts a lot, reminds of another type of multiple growths, such as glued, to one another – this type of warts almost brings a feeling of pain
flat warts– 3, 5, 10, 28, 49 types. Most often affect the palm of the hand, the face. They are usually found in young people and because of this, this type of warts called youth. The body often he gets away with this infection;
common warts – 27 type of HPV;
warts vulgar – virus-type 2 (usually, the same body, he manages well with this type of virus). Transmitted home through;

tip to warts, which affects women have the vagina, the vulva, the sex organs, the cervix, the anus, men can be on the head of the penis, the skin of the foreskin, you can also find their location in the respiratory system – types of 6, 11, 13, 16,18, 33, 35;
HPV high oncogenic risk, leads to a state precanceroso – 39 type;
meets warty epidermodysplasia. She is one of two types: caused by HPV 5, 8, 47 types of skin cancer 9 out of 10 cases of this virus is present in the blood of a patient, another type, called HPV-14, 20, 21, 25 types of usually causes benign tumors;
laryngeal papillomatosis — a virus 11 type. Is usually transmitted from mother to child, but perhaps the infestation through oral sex. Because of difficulty swallowing, hoarseness, if the number of papillomas great – worsens with breathing;
boveney papulez. This is usually caused 16, sometimes 18, 31-35, 42, 48, 51-54 types of HPV. Can often arise from representatives male half, who have many sexual partners. Externally, these formations seem to be semi-circular or flat growths with a smooth surface or rough surface, the color is different – from light to almost black. The disease can pass in and of itself, is neocolony type of virus.

The symptoms and the specificity of the flow of HPV in men, women, and children

To fight the infection in the initial stages the immunity of a person is strong enough. Very often the disease does not develop and the presence of HPV people do not even know the external, the symptoms may not be apparent. But after some time (months or years), you may experience some symptoms of HPV infection. Statistics say that approximately 5-10% of cases, in which there is the external symptoms of the disease from HPV (Human papillomavirus). The disease is asymptomatic — most of cases do not have any signs of the disease. With the activation of the virus may occur from the accumulation of various kinds, that speak of the presence in the body of different types of HPV. Location they say also about the type of virus. For example, papilloma have a view of the soft, elongated warts (filiform warts), which are attached to the stem, color may not be different from the color of the skin, but it happens and pigmented. May appear rod-shaped growths, soft to the touch, are pinkish in color.

In women, the specificity of the disease is such that the development of the disease can occur in a hidden form, and sometimes causes the formation of genital warts. Infected the virus, a woman may not notice the symptoms until menopause, at this time, the virus can cause malignant cells of the genital mucous membrane. Prevent the beginning of the development of cancer of the neck of the uterus, caused by the presence of HPV, it will help the periodic inspection by the doctor. As well as externally this disease may not manifest itself. In children under the influenza virus may develop warts on the skin, papillomatosis of the larynx (usually the chronic, recurrent form). Papillomatosis larynx causes respiratory problems, up to the syndrome of choking. Skin warts are present in 12% of the students, is the most common skin disease in children.

HPV and pregnancy

HPV in women in pregnancy is not a disease dangerous for her and for the unborn child. The mom-to-be should only to be on guard, if she was discovered 6 or 11 types of HPV cause genital or anal condyloma), that during the transfer of a newborn baby can have consequences in the form of respiratory the. In the presence of genital warts in such quantity or the public, prevent the expulsion of the fetus is possible, the appointment of a caesarean section, as well as in normal childbirth genital warts are capable of causing the development of bleeding. All other forms of papilloma virus (conciliatory defeats) are not dangerous for the baby and the pregnancy.

Diagnosis and who should we contact

For the diagnosis of human papilloma virus, the following research methods:

the personal inspection of the patient;
analysis of the blood;
colposcopy;
smear cytology – PAP-test;
the histology of the tissue;
PCR – polymerase chain reaction. This analysis allows us not only to know the presence of the virus, but also determine the type. But if the analysis is positive, this does not mean that this type of HPV will not go alone. This analysis also defines all the types of human papilloma virus;
urethroscopy;
in the biopsy.

If signs in the form of precipitation no, complaints the patient is not available, and the presence of HPV DNA is only defined for the analysis – you can go from a transient ischemic attack viral infection (man is the bearer). Due to the fact that HPV can cause diseases of different organs, when the presence of turn to doctors of different directions. If you have warts on the skin of the face and body are turning to the dermatologist. When the plantar warts to a dermatologist or a surgeon. When kondilomah men with a urologist (surgeon), women from the obstetrician (the surgeon). If the warts are in the anal area, you must apply to a proctologo. If you suspect barodawala epidermodysplasia to a dermatologist or an oncologist. Laryngeal papillomatosis requires the use of ent or surgeon, boveney papulez – it is necessary to consult a urologist or venereal diseases. In addition, it is necessary the differential diagnosis with diseases such as micropapillomatosi, papillomatosis vestibular – that, unlike HPV, the treatment is not necessary, as the similarity of the outward signs are a variant of normal anatomical. Transcription regulation of the values of the blood analysis will show the lack of HPV.

Treatment

So treated completely HPV or not? Until now not known nor an antiviral medication, that can remove the HPV from the body. Several interferons and other drugs in this series – only reduce is already available for genital warts, but do not reduce the frequency of appearance of new. The main method of treatment is removal of warts. The main methods of removal are the following:

surgical. Is performed under local anesthesia;
the radiosurgery. Wave radio conventional electrode, cut off the tumor, tannic coagulated blood. After antiseptic range;
laser. This method is non-contact and without the shedding of blood. On the spot removal remains a crust, below it occurs the healing. The disadvantage of the method is considered to be at high risk of relapse of the disease, a price that is relatively high, and the need of a correction left scars;
electrocoagulation. The results and the effectiveness is similar to the two previous methods;
cryocoagulation. The complete removal of the warts takes place after a series of sessions.

Even if with the help of these methods, and verify the complete removal external manifestations of the virus, this is not considered an absolute freedom from the infection, but only relative, as well as a man does not cease to be an infected person, and after a certain period of warts can occur again. It is a universal way non-operative treatment for all categories of patients (men, women, and children) does not exist. An alternative can only be considered laser removal. But in its application there is the risk of malignancy (malignancy grade) papillomas. After the operation the patient is prescribed the infusion of a dose of steroid medication to prevent swelling, also prescribe antibiotics to prevent infection of the wound. During the therapy of HPV completely stop the sexual life up to complete healing, but also to perform a check and, if necessary, the treatment partner.

The treatment at home and folk remedies

In addition to traditional treatment methods, use and other, that are officially recognized by medicine, and that can be done at home:

Treatment of warts salicylic acid. Every day you need to treat warts with a solution of acid (15-20%). This method has one disadvantage – the treatment should produce enough for a long time;
The treatment cream. They have smeared on the warts three times a week. But during application you can feel itchy, it is possible to erosion, redness of the skin;
Retinoids as a cream. Process the warts in the course of 12 weeks. Its application is also prohibited during pregnancy;
Injection in an outbreak of infection once in 7 days, for three to four weeks. The application not smoking during pregnancy;
Cauterization of verruca, papilloma, destruction of pathogenic microbes. The treatment the wart must be constantly in the span of an hour. Then pause for a week and it still plays the treatment. If hpv does not disappear after 14 days is another treatment, and then not more than 4 treatments. Do not use if warts senile and in pediatrics;

If you are talking about the treatment of pure folk remedies, here is a great popularity gained the use of the celandine. Its juice treat the wart several times a day. When she darkens, then remove the dark skin and continue to spread forward, until the complete removal of the warts.

The prevention of the disease

The main measures of prevention are:

the personal hygiene in public areas;
the respect of a healthy life style, keeping the immune system;
a constant sexual partner, during sexual intercourse with your partner not to use condoms;
an adequate intake of vitamins;
to have a sexual life before 18 years, when the mucosa of the neck of the uterus is already quite mature and able to protect themselves;
avoid artificial interruptions of pregnancy and rough sex;
time-to treat inflammatory diseases.

During the course of vaccination at times there may be some side effects in the form of deterioration of well-being, increased temperature, redness of the skin in the injection site of the vaccine.