Treatment of condyloma acuminatum of vulva
medicine
In terms of drug treatment, Chinese medicine has a better therapeutic effect. The treatment of traditional Chinese medicine is mainly Qingyou powder, and traditional Chinese medicine is used for external treatment. Traditional Chinese medicine formula for clearing heat and promoting diuresis, eliminating damp heat, detoxicating and treating diseases. On the other hand, it can regulate the whole body's qi and blood, and enhance the immune function to prevent the recurrence of diseases. Western medicine is used to treat condyloma acuminatum. Some drugs have obvious toxic and side effects and are easy to relapse.
Surgical therapy
This method is often used to treat condyloma acuminatum, which is a serious application. For some small condyloma acuminatum, simple excision can be used; For some large condyloma acuminatum, a special excision method can be adopted.
Laser therapy
Suitable for isolated lesions. Many patients will choose laser therapy, which is easy to control, less bleeding, quick recovery after operation, and the one-time cure rate can reach more than 95%, leaving no scars, but this method does not guarantee that the symptoms will not recur, depending on whether the virus is still growing in the body.
Carbon dioxide laser therapy
This method is mainly aimed at patients with condyloma acuminatum and verruca, which usually occurs at cervical mouth and urethral orifice.
Systematic therapy
This method is suitable for patients with condyloma acuminatum with low immunity. When patients begin to have symptoms, such as small papules and papules around genitals, which are mostly gray and dirty, they should go to regular hospitals for treatment in time.
Common external prescriptions for treating condyloma acuminatum
1, crystal cream coated with crystal cream is a traditional Chinese medicine for external use. It is a plaster made of quicklime and glutinous rice, which can burn warts. Crystal cream can be directly applied to the affected area,/kloc-0 times a day for 3 ~ 5 days.
2. Fumigating and washing purslane 60g, dried alum 30g and mirabilite 100g. Decocting water for fumigation and washing, 1 ~ 2 times, daily 1 time, 20 minutes each time. After fumigation and washing, mix indigo naturalis powder with Liuyi powder, smear it on wart and keep it dry and clean.
3. Brucea javanica oil is a common Chinese herbal medicine. Brucea javanica oil can be obtained by mashing. Has the functions of clearing away heat and toxic materials and burning wart. If the wart is small, apply it to the affected area, or soak it in 1 part brucea javanica and 3 parts peanut oil for half a month and then apply it to the affected area.
4. Use 30g of Radix Isatidis, Rhizoma Smilacis Glabrae, Herba Portulacae, Coicis Semen, Radix Arnebiae, Equisetum Equisetum and Rhizoma Cyperi, 20g of Rhizoma Sparganii, Rhizoma Curcumae and Fructus Gleditsiae Abnormalis. Daily 1 dose, add 3,000 ml of water, decoct, remove the residue and take the liquid, pump it before washing, then take a bath, and repeatedly wipe the affected area with a towel dipped in liquid medicine for 30 minutes, morning and evening 1 time. The liquid medicine is stored after washing and reused after heating. 15 days is 1 course of treatment. Until the wart becomes discolored and shrinks.
5. The liniment is 250g each of Radix Isatidis, Radix Sophorae Flavescentis, Rhizoma Cyperi, Equisetum equisetum and Nidus Vespae, and 500ml of aged vinegar. Usage: put the medicine into a container, add 5000ml of water, boil for 65438 0 hours, remove residue and filter to get 2000ml clear liquid, and add aged vinegar to get the finished product. Sub-packaging, 50 ml per bottle, sealed from light; When in use, first dry the wart and its surrounding normal skin with a cotton swab, and use 0. Disinfect with 1% bromogeramine solution, and then apply the liquid medicine to the wart to dry. Three times a day, 2 weeks for 1 course of treatment.
Identification method of female condyloma acuminatum
1. Immunohistochemical examination: the virus protein in condyloma was displayed by peroxidase anti-peroxidase method, which proved that there was virus antigen in wart injury. When human papillomavirus protein is positive, the superficial epithelial cells of condyloma acuminatum can have reddish positive reaction.
2. Histochemical examination: Take a small amount of pathological tissues for smear and stain with specific antibody of human papillomavirus. If there is virus antigen in the lesion, the antigen-antibody combined with peroxidase anti-peroxidase method can dye the nucleus red. This method is specific, rapid and helpful for diagnosis.
3. Pathological examination: the degree of hyperplasia can be similar to pseudoepithelioma, because the spinous layer is highly hypertrophy, papilloma-like hyperplasia, and the epidermal process is thickened and prolonged. There is a lot of mitosis between spinous cells and basal cells, which seems to be cancerous. However, the cells are arranged regularly, and the boundary between hyperplastic epithelium and dermis is clear, which shows that there are obvious vacuoles in the upper cells of granular layer and spinous layer.
4. Gene diagnosis: Traditional virus culture and serological techniques are difficult to detect human papillomavirus, and the main experimental diagnostic technique is nucleic acid hybridization. The PCR method developed in recent years has the advantages of specificity, sensitivity, simplicity and rapidity, which opens up a new way for the detection of human papillomavirus.
5. Acetic acid white test: results of protein and acid coagulation whitening The keratin produced by human papillomavirus infected cells is different from that produced by normal uninfected epithelial cells, and only the former can be decolorized by acetic acid. Acetic acid white test is highly sensitive to detect human papillomavirus, which is superior to conventional test to observe histological changes. Acetic acid white test is not a specific test, and false positive is more common.
Daily nursing care of female condyloma acuminatum
1, please remember to wipe after going to the toilet, because the anus may carry a lot of bacteria, so please don't wipe the genitals from the anus after going to the toilet to reduce the chance of infection. This is the care of condyloma acuminatum should pay attention to.
2, do not over-rinse the vagina, because the vagina has a self-cleaning function, if it is deliberately rinsed, it will be unfavorable.
It is best to wash underwear by hand with mild soap, and don't use strong washing powder or washing machine.
4, wear cotton underwear, try not to wear nylon, synthetic fiber material, in order to maintain ventilation. So wear less jeans and more skirts or suit pants.
5, diet changes to enhance immunity can avoid frequent infection with mold, such as eating less starch, sugar and irritating foods (such as wine, spicy food, fried food), eating more fruits and vegetables, and having enough water. This is also one of the nursing measures for condyloma acuminatum.
The average incubation period of female condyloma acuminatum is 2-3 months, and the development of the lesion is not self-limited. Symptoms are local itching and pain, and a few patients are asymptomatic. Not only vulva, vagina, cervix, perianal region, etc. The two parts often occur at the same time, and the local manifestations are red or gray papules with verrucous processes, which often fuse to form vegetable-like vegetation and have a history of sexual dysfunction. After applying 5% acetic acid, the lesion turned white. Pseudo condyloma's incubation period is 3 days to 3 weeks, which is self-limited, generally asymptomatic, with some itching locally. It is common for labia minora to be symmetrically distributed on both sides, but it is rare for both parts to appear at the same time. The lesions are caviar-like or pearl-like papules, some of which are polypoid and villous, which are not fused and have a history of asexual disorders. It does not turn white after being coated with 5% acetic acid. The cause is still unknown. Some people think that it is related to various hormones, fungal infections or other chronic stimuli, and it is easy to be misdiagnosed as condyloma acuminatum.
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