[Is it painful to feel sharp and wet?]_ Performance_Features
After being infected with condyloma acuminata, cauliflower-like warts will appear around the genitals, but this kind of thing is also easy to avoid misdiagnosis. It cannot simply solve a symptom and correct it. A comprehensive diagnosis is very important.
Some people do not understand the situation of condyloma acuminatum, and will judge whether the symptoms are painful.
So, does it hurt to be sharp and wet?
What are the symptoms of genital warts?
General warts are not sensational to the touch, but if they are slightly larger you may feel uncomfortable in life.
Clinical manifestation latency 1?
8 months, an average of 3 months, mainly occurred in sexually active people.
Genital warts and perianal areas are typical sites. Males are more common in the foreskin, lacing, coronary sulcus, glans, urethral orifice, penis, perianal, rectum and scrotum. Females are more common in the labia majora, posterior union, vestibular, Clitoris, cervix and perianal.
Occasionally can be found outside the genitals and perianal areas, such as the armpits, umbilicus, oral cavity, breasts, and between the toes.
Vaginitis in women and excessively long foreskin in men are contributing factors to the occurrence of genital warts.
The damage started as a small, faint red pimples, and gradually increased afterwards, splitting or distributing, moist and soft, uneven surface, showing nipple-like, crest-like or cauliflower-like filling.
Red or stained gray.
Roots often have pedicles, and are prone to erosion and exudate, which is easy to bleed when touched.
Purulent secretions often stagnate between skin fissures, causing a foul odor, and can cause secondary infections due to scratching.
The disease is often unconscious, and some patients may experience foreign body sensation, pain, itching, or pain during intercourse.
Condyloma acuminatum in the rectum can cause pain, blood in the stool, and severe irritability after anxiety.
HPV subclinical infection refers to clinically unrecognizable HPV infection, but in the acetic acid white test (localized whiteness found after absorption with 5% acetic acid solution or wet compress), histopathology or nucleic acid detection technology can find evidence of HPV infection.
Relationship with tumors A large number of epidemiological data indicate that HPV infection (mainly high-risk HPV, such as HPV-16, type 18) is closely related to the occurrence of genital cancers, such as cervical cancer and penile cancer.
The prognosis is generally good after treatment.
However, treatment is not completely feasible and may be repeated.
The treatment of condyloma acuminatum must adopt comprehensive treatment.
Treatment incentives (too long foreskin, vaginitis, balanitis, gonorrhea, etc.).
Improve body immunity.
Chemotherapy (1) 0.
5% podophyllotoxin 酊 (or 0.
15% cream) is suitable for the treatment of genital fractures with a diameter of ≤10mm, and the clinical cure rate can reach 90%.
The total area of the medicinal intermediate exceeds 10 cm2, and the size of the daily herbal medicine exceeds 0.
The topical medicine should be allowed to dry naturally after application.
The retina is mainly stimulated locally, and may have ulcers, itching, burning, swelling, erosion and necrosis.
In addition, this medicine has teratogenic effects, and pregnant women are contraindicated.
(2) The treatment of condyloma acuminatum with 5% imidazole momote cream has an average clearance rate of 56%.
The advantage of this therapy is the low regeneration rate, which is about 13%.
The appearance of erythema is not an indication to stop the drug. If there is erosion or damage, the drug should be discontinued and re-examined. The doctor will treat the wound and decide whether to continue the medication. The main stimulus is local itching, burning, erythema, and erosion.
The safety of imiquimod during pregnancy has not been reconstructed and should not be used in pregnant women.
90% trichloroacetic acid or dichloroacetic acid requires treatment by a doctor.
When using, apply a small amount of liquid medicine on the evil damage and wait for it to dry. At this time, a layer of white frost is formed on the surface.
During treatment, care should be taken to protect the surrounding normal skin and mucous membranes. If the amount of topical liquid is excessive, you can apply talc, or sodium bicarbonate (soda powder) or liquid soap to neutralize excess, unreacted acid.
This medicine cannot be used as a hyperkeratotic or penetrating, multiple and area penetrating wart.
Adverse reactions were local irritation, swelling, and erosion.
Cryotherapy uses liquid nitrogen at a low temperature of -196 ° C to treat condyloma acuminatum by means of compression and freezing, and promotes the replacement of wart tissue necrosis. It is highly effective and easy to tolerate by patients.
This method is applicable to genital warts with small quantity and small area.
2 treatments with an interval of one week.
Laser treatment usually uses CO2 laser to treat condyloma acuminatum by cauterization. It is feasible to treat single or a small number of multiple warts at one time, and to treat multiple or large warts. 2?
3 treatments, usually at intervals of one week.
Electrocautery treatment uses high-frequency electric acupuncture or electric knife to remove genital warts.
This therapy is suitable for genital warts with small quantity and small area.
Amino-ketovaleric acid photodynamic therapy (ALA-PDT therapy) This method can selectively kill proliferative vigorous cells, and at the same time has a destructive effect on the condyloma acuminatum visible to the naked eye, and can remove subclinical damage and latently infected tissues.
It has the advantages of high cure rate, low recurrence rate, few and mild adverse reactions, and good patient compliance.
Surgical treatment is suitable for giant condyloma acuminata, and the wart body is removed in whole or in batches.
Immunotherapy is not recommended to be used alone, it can be used as an adjuvant treatment and prevent recurrence.
Interferon can be injected intramuscularly, subcutaneously and basally, IL-2 can be injected subcutaneously or intramuscularly, and intramuscular injection of polymyocytes.