Wednesday, 10 of March of 2010

Chickenpox

Question: I am 30 years old, I got sick chicken pox, my daughter, she was 4 years old, that the strangest thing – I first got sick, and not she. In this regard, I have 2 questions for you. Thank you in advance. 1. Can I visit my daughter to continue speech therapy sessions in the children's team, if it is in contact with me? I understand, the person becomes contagious rash and ill be at 12-21, but could it not become ill, so it is necessary to isolate or not? And how to protect it from disease? No one to help me, I sit with her alone, how can it protect? 2. She read about the complications of adult chickenpox following: blindness, deafness, mental retardation, death. . . Yesterday, on the ambulance refused hospitalization in! infectious diseases hospital – no one with whom to leave her daughter, now worried, I did not commit an error. Very afraid. . . Do not sleep all night, nightmares. . . Thank you in advance for your attention and answers!

Answer: hide child later, he was already in contact with you and continues to touch. Sick or not? If you do not hurt before – sick. Formally, for 21 days, it should be left at home quarantine. Fears of chickenpox in adults – especially in your presentation – are exaggerated. Treat yourself, not a bull. Sincerely, Zakharenko SM


Rubella and pregnancy

Question: Hello dear Sergey beg you to answer my question. 12. 07. 08. vaccinated against rubella 12. 10. 08. was tested and received an answer here IGG-positive, IGM-doubtful 14. 10. 08. get pregnant (judging from ovulation). Please tell us if it is irresistible to the child. Beforehand grateful.

Answer: After vaccination is recommended to pause 3 months, for some vaccines write about 2 months. Formally 3 months are sustained. The risk is minimal. Sincerely, Zakharenko SM


get rid of Epstein Barr virus

Question: Due to pregnancy I have been appointed to various tests, including DNA of Epstein-Barr virus. Cdavala PCR (blood) at 18 weeks pregnant. Virus OOBNARUZHEN. I feel good. In the morning, only in the throat is going to goo, as in angina, but that I have long. Another child was often ill with quinsy, sometimes inflamed lymph nodes – then I was fed antibiotics and it was held. When I picked up this virus? How much is he in the body may be? How to get rid of it? How does it affect the pregnancy and the fetus?

Answer: Your finding does not automatically mean there are problems. In the presence of the virus in the body will periodically PCR positive and negative. Your well-being, the child develops in the term of pregnancy – is a more reliable signs of assessing prognosis. Sincerely, Zakharenko SM


Posle potseluev nachinaet bolet 'gorlo

Question: I have a problem. After kissing with my girlfriend, the next day my throat begins to ache a little, over time, symptoms Dumb descends, it happens that a long term (by the way it is smoking, I – no). He tried to tell her about it, she said it is my own paranoia. Could it be some kind of infection and which doctor is better to address. Or is it really paranoia. . .

Answer: Infection with one kiss does not appear over night and does not disappear. This may well be the reaction of your mucous membrane to the unfamiliar / unusual irritation. The tobacco part of the question is quite appropriate. Sincerely, Zakharenko SM


Lyme disease

Question: Friend! Not whether you use in your practice test system for determining the genotype of Borrelia. If yes, what, what companies and links. Thanks in advance. Andrew.

Answer: We have your diagnostic laboratory there, our experts are collaborating with several organizations. One Pitersky Helix. They have a completely adequate set of primers for PCR and the greater part of the scientific and practical work is with their participation. With a great desire can introduce you to our "borreliologami. Sincerely, Zakharenko SM


Drank course vilprofen Tiberal of ureaplasma. . . . Can I play sports?

Question: Can I visit the gym, ie loading the muscles and heart, while I drink a course of antibiotics?

Answer: In the period of treatment should be limited too much physical exertion.


my problem

Question: Four years nazat, I caught trihomanadomi and later it turned out ureoplazmoy, not knowing about this problem surely infected Portner, one was treated, but then had a partner infected me, everything turned into a chronic but when applied to the specialists were treated together for the past 2 years, all priporatami that I believe are in the world, and already last year, tests are negative, as trihomanady and at ureaplazmos, but whether it is possible that the more we do not recall, t . is, could we vylichetsya to the end??

Answer: Dear Dean! If repeated control tests showed the absence of the pathogen, we can talk about recovery.


treatment of ureaplasma

Question: Hello. . . help me in solving the following problem. I found ureaplasma. Prescribe treatment. Antibiotic Sparflo, 200 mg per day for 12 days, in addition Trihopol, two tablets three times a day and on the last day of treatment capsule Flucostat. after five days of taking pills. . I could not drink trihopol from him I was very bad. . In addition to the last day of taking pills to me because of bad circumstances in life had to drink a large number of alcohol. Three days after the course. . and the symptoms appeared again. above all above, I set out earlier, too, was receiving medical treatment only basis ureaplasma treatment was klabaks. But, again, without getting completely healthy because it is too ill with angina. . Help please advice. . . What should I do??? Will my third course of treatment. . and generally what preparations will need to drink??

Answer: Dear Valery! Regimens ureaplasmosis lot. Scheme selection of treatment depends on age, concomitant diseases, immunity, etc. But no, even the most unique technique will not work if the patient does not comply with requirements of the treating physician. If I understand you correctly, you are never getting completely healthy until the end. I recommend to see a doctor, urologist and undergo full treatment course. You can make an appointment in the Andrology Clinic.


STDs

Question: I am having sex with an untested partner, prezarvativ was over 3min. oral sex, I changed the condom and was vaginal, about 10min. Last 3 days, no symptoms are observed. To Tell the high probability of being infected with something?. thanks

Answer: Dear Alexander! A condom protects against sexually transmitted diseases in 98% of cases (put on correctly, not jumped into the process of sexual intercourse, was held after the necessary hygiene). When oral sex with a partner, previously infected with syphilis, gonorrhea, HIV, genital herpes, there is a risk of contracting diseases listed. In our clinic, held emergency prevention of casual sex. You can also pass the tests for sexual infections (anonymity guaranteed).


How people live with papilloma virus?

Question: Condyloma were found in my two years ago. Rented then tests for papilloma virus negative. Gynecologist explained that the papilloma virus is not such a terrible and if you regularly visit a gynecologist, then nothing terrible will. I calmed down. Then I had a difficult financial times, and I had to walk with my milkmaid in the year in the district antenatal clinics. I was told that it's okay there, and this virus is 80% of the population. Since February this year, go to the clinic for LCA. First I went there with ineradicable milkmaid, but I have also been found enterococci. Gynecologist waited until the allocation will be normal and it will be possible to cauterize the laser erosion. In December, they became normal. The doctor said that it would not hurt to do a biopsy of the cervix. Results do not know. The only thing that I was seriously scared in her words Papillomavirus, sooner or later manifest. I looked on the Internet, what kind of papillomavirus. At one point found that papillomavirus is the same as that of HIV. Recently tested for papillomavirus negative. Other infections also negative. I am now quite scared. That is now my life must be registered with a doctor? If I had negative tests, then I could infect someone with the virus? How people live with such papilloma virus? Whether it reduces life expectancy? Can I give birth to a healthy baby? If say, a married couple, a woman or man will be with papilloma virus, then both spouses should the whole family to protect themselves with condoms, as HIV infection?

Answer: Dear Elena! Human papillomavirus (HPV) is widespread and causes several diseases of the skin and mucous membranes. Currently, more than 100 known types of this virus. Thus different types of HPV cause different diseases. For example, HPV type 1 causes plantar warts, HPV types 2 and 4 common warts, HPV types 3 and 10 are flat warts, HPV types 6 and 11, genital warts, HPV types 16, 18, 31, 33 and 35 cause cervical dysplasia and increased risk of cervical cancer. Currently, the treatment that saves on HPV infection does not exist. Current treatment of genital warts is essentially symptomatic and aims to remove or reduce the symptoms of the disease. It does not eliminate the HPV infection and does not prevent further transmission of the virus. After any method of treatment are possible relapses. Condyloma usually occur in places that are traumatized during sexual intercourse. From the moment of infection until the appearance of genital warts can take from several weeks to several years. Genital warty education appear pink or flesh colored. The size of elements from 1 mm to several centimeters. The rash can grow, gradually acquiring the appearance of cauliflower. Infection with HPV occurs through contact with infected skin or mucous, possible contamination of the way home. Feature of HPV infection is that it can indefinitely remain in a latent (dormant) state. This virus is found in the depths of the skin, but the surface is not allocated. In this state it is unlikely the contamination of other people, and the identification of HPV by laboratory methods. Judging by your letter, you need comprehensive treatment (HPV, Candida, enterococci). I invite you to the reception.