1, what is condyloma acuminata?
A: Condyloma acuminatum, also known as acromegaly, genital warts. It is a skin disease caused by the human papilloma virus (HPV). In the last 15 years, the number of warts in the United States has increased fivefold. Condyloma acuminatum is also one of the most predominant sexually transmitted diseases in our country, ranking as the 2nd or 3rd most common sexually transmitted disease in many areas. By 2001, the actual number of patients in China had exceeded 10 million, and the number of patients is still on the rise.
2.What is HPV?
A: HPV is the abbreviation for Humanpapillomavirus, a DNA virus with obvious host and tissue specificity. The human skin and mucous membranes of the complex squamous epithelium on the only – host of HPV, has not been successfully cultured in vitro. Viral particles are 50-55 nm in diameter, which is very small and cannot be seen with a light microscope, but only with the aid of an electron microscope. The current genotyping of subtypes has reached more than 200, of which more than 30 subtypes are associated with the occurrence of condyloma acuminata.
3.What are the high-risk and low-risk types of HPV?
A: clinically, according to the HPV subtype pathogenic power or cancer risk is different, can be divided into low risk type and high risk type of HPV. Low-risk types mainly cause condyloma acuminata in the anus, external genitalia, urethral orifice and lower vagina, as well as low-grade cervical intraepithelial neoplasia CINⅠ. For example, HPV subtypes 611, 30, 39, 42, 43 and 44. In addition to genital warts, high-risk types can cause external genital cancer, cervical cancer and high cervical intraepithelial neoplasia CIN, CIN III, such as: HPV16, 18, 31, 33, 35, 45, 51, 52, 56, 58, 61, etc., especially HPV16, HPV 18.
4, male condyloma acuminata have what performance?
A: Male condyloma acuminata are found in the circumcision, coronal groove, foreskin, urethra, pubic spasm, around the anus and scrotum.
5, what is the performance of female condyloma?
A. The female condyloma is mainly seen in the vagina, especially in the clitoris, labia, vagina, around the anus and cervix, the damage is papillary, coronary or fusion into cauliflower, size varies, part of the fusion into a piece or a plaque performance. Women can usually detect vulvar or perianal damage through self-examination, but HPV occurring in the vagina and cervix is more insidious and not easily detected. Patients are prone to ignore the occurrence of the disease.
6, what are the special parts of the condyloma acuminata?
A: Now the dermatology clinic in the perianal, anal canal, rectal warts in a few patients, there are many homosexual anal sex behavior contracted, there are some heterosexual seeking sexual lifestyle diversity and anal sex contracted, and some are through the hands of their own inoculation or contaminated washing utensils contracted. The perianal warts are often enlarged, cauliflower-like, moist or bleeding, and may emit a foul odor that is accelerated by scratching. The actual fact is that you can find a lot of people who have been in the business for a long time.
7, male condyloma acuminata is most likely to be confused with what disease?
A: penile pearl-like papillomatosis
8, female condyloma acuminatum is most likely to be confused with what disease?
A: Pseudocondyloma
9, condyloma acuminatum is good for who?
A: The disease is more likely to have an unclean sex life of sexually active people, 20 to 40 years of age most of the age group.
10, condyloma acuminata are through the unclean sex infected?
A: In the population of condyloma acuminata 70% is due to sexual contact infection, and 30% of patients are infected by non-sexual contact transmission routes, such as 1. contact items infected 2. medical source infection 3. smoke infection 4. mother-to-child transmission 5. self-inoculation infection.
11, how long is the incubation period of condyloma acuminata?
A: From the HPV infection to the human skin mucous membrane to the condyloma acuminata damage needs a period of time, this period of time known as the condyloma acuminata incubation period. The length of the incubation period of condyloma acuminata varies from person to person, generally ranging from 2 weeks to 10 months, with an average of 3 months. The actual fact is that you can find a lot of people who have been in the business for a long time.
12, condyloma acuminata can not treat themselves well?
A: Some foreign scholars speculate that 1/3 of the initial external genital warts can subside within 6 months, 2/3 of the warts will not subside, and further development. The actual clinical observation is that spontaneous regression is very rare, and because it grows in the genital area, patients have an urgent desire for treatment.
13.Will warts occur after a person is infected with HPV?
A: Not necessarily, because there are many diseases caused by HPV other than warts, such as flat warts, plantar warts, common warts, Bowen-like papulosis, cervical cancer, cervical intraepithelial neoplasia, vulvar intraepithelial neoplasia, penile intraepithelial neoplasia, perianal intraepithelial neoplasia, squamous skin cancer, warty epidermal dysplasia, etc.
14.What are the results of HPV entering the human body?
A: 1.Long-term latent
2.Subclinical infection, the
3, causing a variety of skin diseases, including condyloma acuminatum
4, the development of tumors
5, self-receding
15, what is the latent infection of condyloma acuminata?
A: HPV latent infection refers to the presence of HPV viral DNA but not the formation of viral particles, cellular morphology is also normal, HPV latent infection can not be diagnosed through cytology or histology, but can be confirmed through the DNA examination.
16.What is subclinical infection of condyloma acuminatum?
A: HPV subclinical infection refers to patients without symptoms and signs, but there are cytological abnormalities consistent with HPV infection, which can be clinically confirmed by cervical film, colposcopy, tissue biopsy, white acetate test or DNA test.
17, can the acetic acid test confirm the diagnosis of condyloma acuminata?
A: No, for atypical warts, doctors often use the white acetate test to aid diagnosis, with high accuracy, but can not be considered the gold standard for confirmation. The actual fact is that you can find a number of methods to confirm the diagnosis of the atypical condyloma.
18, why do warts always recur?
A: There are more factors that lead to the recurrence of warts, such as HPV subclinical infection and the existence of latent infection, incomplete treatment of warts, HPV reinfection between spouses, poor self-immunity, male circumcision or circumcision, female leucorrhoea or vulva moist, their own inoculation transmission, contact with HPV contaminated items, psychological and mental long-term depression and tension, can not follow medical advice regular follow-up, excessive smoking and drinking, etc. The reason for this is the fact that the actual person is not a person.
Why is condyloma acuminata transmitted through skin lesions?
A: Humans are the only hosts of HPV. This breakage may be minor and often invisible to the naked eye, or it may be a more obvious injury. The small damage caused by sexual intercourse, scratching, and friction can give HPV a chance to enter the body.
20.Does HPV spread through blood in patients with condyloma acuminata?
A: No. HPVDNA and viral particles can be detected only in the cells of the granular layer of the epidermis and its upper part.” After the virus enters from the site of infection, it survives only in the epidermal layer of the skin and the mucosa, and the virus particles are not detectable in other parts of the body except the cells in the granular layer of the epidermis and its upper part.
21.Is it accurate to take a blood test to diagnose condyloma acuminata?
A: No. HPV infects humans mainly through direct or indirect contact with contaminated objects or sexual transmission. The virus invades the body and stays in the skin and mucous membranes of the infected area without producing viraemia. Within 1 to 2 months of the appearance of the infected lesion, the corresponding antibodies are produced in the blood against the virus, and at this time, if the blood is drawn for examination, the result will be positive, and the positive rate is around 50-90 percent. HPV has more than 200 types and can cause more than 10 kinds of diseases, such as flat warts, common warts, condyloma acuminata and other diseases. An ordinary person with a wart will probably have a positive blood test for HPV. However, a positive result does not mean that the person has warts. This is why a blood test cannot verify if you have warts.
A: Photodynamic therapy, microwave therapy, cryotherapy, laser therapy, electrocautery therapy, surgical excision, surgical scraping method, surgical ligation method, drug therapy (5-Fu, ghost toxin ointment, imiquimod cream, trichloroacetic acid, pinyamycin, etc.), etc. The specific treatment with what therapy, need to be based on the patient’s condition, by the doctor and patient to decide.
23, photodynamic therapy for condyloma acuminata has what advantages?
A: 1, the treatment of drugs on the skin mucous membrane cells infected by HPV virus has a high degree of selectivity;
2, non-toxic, harmless and non-invasive;
The only kind of HPV subclinical infection and warts at the same time with the role of smelting therapy;
4, photodynamic therapy has a low recurrence rate of only 5-10%. The recurrence rate of other is 30-40%.
5, treatment at the same time with diagnostic value.
6, the urethral opening, urethra, cervix, rectum or anal canal acromegaly and other therapies can not effectively treat the same special parts of the treatment.
24, with antiviral drug infusion can be a good treatment for condyloma acuminata?
A: Anti-viral broad-spectrum drugs on the herpes virus is certainly effective, but the HPV virus that causes warts is not supported by evidence-based medicine, and clinical use or not the efficacy of the difference is not significant. The actual cost of this type of drug infusion will be very high.
25, can warts be prevented with HPV vaccine?
A: HPV vaccine is mainly used for the prevention of cervical cancer and is suitable for the following groups.
(1) 12 to 26 years old sexless women are most suitable, 9 to 12 years old parents and physicians to discuss whether to inject.
(2) Women over 26 years old can decide whether to have the injection or not based on the physician’s recommendation and assessment of their financial ability.
(3) Females who are sexually active and have undergone a negative cervical film test within one year are eligible for injection.
(4) Men can discuss with their physicians whether to inject according to their sexual activity.
26, pregnant women condyloma acuminata why fast growth?
A: warts combined with pregnancy, due to pregnancy after the immune function is low, the body hormones, especially the influence of estrogen, Yin Tong mucous membrane congestion, increased secretions lead to vaginal mucosa moist, conducive to papilloma virus growth and reproduction.
27, how to treat condyloma acuminata in pregnant women?
A: Because no treatment will continue to develop, and the traditional topical drug treatment of pregnant women warts may cause fetal abnormalities, freezing, laser treatment may cause abortion; so generally speaking, pregnant women with warts should be recommended to terminate their pregnancy. If a pregnant woman insists on continuing her pregnancy, she can be followed up by a dermatologist and an obstetrician-gynecologist. If there is any uncomfortable reaction, the patient should be seen promptly. In order to avoid infection to the newborn, it is recommended to use transabdominal cesarean section to remove the fetus during delivery.
28, condyloma acuminata patients what are the treatment of misconceptions?
A: the demand for a complete one-time cure never to recur, suspicion of virus transmission in the blood, due to recurrence and desperation for treatment and even life, only to treat warts not to check other sexually transmitted diseases, only to treat themselves not to treat sex partners or spouses, sex during treatment, drinking and smoking inordinately, work or entertainment fatigue, etc.
29, condyloma acuminata patients how to have a sex life?
A: Patients with condyloma acuminata during the onset, during treatment should avoid sexual life, according to the authors of statistics at home and abroad, some recurrence cases show that 85% of patients with condyloma acuminata recurrence interval in about 1 to 2 months. Therefore, within 3 months after treatment without recurrence, you can wear condoms to have sex or listen to medical advice. The actual fact is that you can find a lot of people who have been in the business for more than 6 months, so you can have a normal sex life or listen to medical advice. The actual fact is that you can find a lot of people who have been in the business for more than 6 months and still have the possibility of relapse.
30, condyloma acuminata patients should pay attention to how to reduce or prevent recurrence in their lives?
The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. Under the guidance of a doctor, you can use Imiquimod topical preparations for prevention.