尖圭コンジローマ

尖圭コンジローマ
■どんな病気なのか

◎性器にイボが出来る。
性器、肛門周辺などにニワトリのトサカ(カリフラワー状)、若しくは乳頭のようなイボが出来る。

◎治療を行っても再発する事がある。
イボは外科的手術を行って切断をします。ただ、ウイルス自体を完全に取り除くという事は難しい。3ヶ月以内に約25%が再発すると言われている。

◎パートナーも同時に感染している事が多い。
自分に症状が出た場合、パートナーも感染をしている事が非常に多いです。
その時、パートナーに症状がなかったとしても数ヶ月経ってから症状が出る場合があるので要注意。

■どうしてうつるのか

あらゆる性行為(アナルセックス、セックス、オーラルセックス)で感染する。
◎性口いによる感染が主。性行為でない場合でも、皮膚や粘膜の傷口から感染する事がある。
◎妊婦の方は、妊婦検診を受ける事によって、出産時の母子感染を防ぐことが出来る。
◎尖圭コンジローマは《良性型》のヒトパピローマウイルス(HPV)が原因。
■どんな症状がでるのか

男女共に同じような症状が出る。
症状は、うすピンク色、または茶色のニワトリのトサカ状(カリフラワー状)か乳頭状(おわんを伏せた形)のイボが出来る。
軽い痛み、かゆみがある場合がある。
自覚症状は殆どありません。
また、男女の肛門内や肛門周辺、尿道口に出来る事もある。
進行するとイボは徐々に大きくなっていき、数も増える。
治療としては表面のイボを取り除く事しか出来ない為、再発する可能性が高いSTD(性病)です。
※男性の場合
亀頭、陰茎、包皮の内側、陰のうなど

※女性の場合
膣前庭、膣、大小陰唇、子宮警部など
■口腔への感染
オーラルセックスによって感染する可能性がある。
悪性型HPVの感染は、口腔がんの発生の可能性につながる。

■検査について

患部の視診を行います。病変部分からウイルス感染細胞を綿棒で採取して調べる。

①性行為などによって感染した日
発症まで約3週間~8ヶ月間
症状が出ていない状態でもパートナーに感染させる可能性がある。

※症状出てから、ウイルスを採取出来る状態であればいつでも検査出来る。

②症状が出る。

■病院を受診する場合

◎受診科
男性の場合→性病科、皮膚科、泌尿器科
女性の場合→性病科、皮膚科、婦人科(産婦人科)
◎治療費用
診察料→3.000~5.000円
検査代→2.000円
薬代 →3.000円~

※保険適用の場合、上記の金額3割負担となる。
■治療について
①感染していると診断

②外科的治療、または軟骨の塗布
多くの場合は、外科的治療を行う。液体窒素による凍結療法などでの切除)軟膏を塗布する方法もある。

③病変部分が治った
治療後、最低3ヶ月は再発がない事を確認する必要性がある。
■どんな予防法があるのか

◎コンドーム
ウイルスは、剥がれた皮膚と共に他の部位や他人に感染する。
広い範囲に症状が出ている場合がある。コンドームあの使用だけでは完全な予防は出来ない。症状が出ている時の性行為は避ける事が大切。
◎パートナーの検査の必要性はあるのか
パートナーも感染している事が多いですので共にに受診をし、症状があるようならば治療をする事が必要です。
◎ワクチンの接種
日本は2009年10月《悪性型》HPV(子宮頸がんの原因)のワクチンが承認。
※期間をあけて3回接種する必要がある。

 

 

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