RESUMO
El Herpes genital es una infección de transmisión sexual vírica que representa la causa más frecuente de úlcera genital en nuestro medio. Clínicamente, cursa con episodios recurrentes que pueden ser asintomáticos o con lesiones características vesículas-úlceras. Aunque existen pruebas serológicas que confirman el diagnóstico, así como el cultivo viral de las lesiones, en Atención Primaria el diagnóstico es eminentemente clínico. El tratamiento de elección consiste en fármacos antivirales sistémicos, que acortan el tiempo de eliminación del virus, aunque no evitan la recidiva. Es importante recordar su frecuente predisposición con otras infecciones de transmisión sexual y, en especial, con el VIH. Por ello, no debemos desaprovechar la ocasión para realizar su búsqueda. Presentamos el caso de un varón adulto de 36 años con lesiones características que acude a nuestra consulta (AU)
The genital herpes is an infection of viral sexual transmission that represents the most frequent reason of genital ulcer in our environment. Clinically it deals with recurrent episodes who can be asymptomatic or with typical injuries vesicles-ulcers. Though there are serologic tests that confirm the diagnosis, as well as viral culture of the injuries, at Primary Care the diagnosis is eminently clinical. The treatment of choice consists of antiviral systemic medicaments, wich they shorten the time of elimination of the virus though they do not avoid the recidivation. It is important to remember the frequent predisposition with other infections of sexual transmission especially with the HIV infection. So we must not fail to take advantage of the opportunity to do search it. We present a case of a 36 years old adult male with typical injuries that comes to our consultation (AU)
Assuntos
Humanos , Masculino , Adulto , Herpes Genital/diagnóstico , Herpes Genital/terapia , Comportamento Social , Doenças Virais Sexualmente Transmissíveis/complicações , Doenças Virais Sexualmente Transmissíveis/diagnóstico , Doenças Virais Sexualmente Transmissíveis/terapia , Antivirais/uso terapêutico , Aciclovir/uso terapêutico , Herpes Genital/complicações , Herpes Genital/fisiopatologia , Atenção Primária à Saúde/métodos , Sinais e SintomasRESUMO
El número de embarazos en jóvenes sigue aumentando cada año en España, siendo preocupante en niñas menores de 15 años en las que aumentó un 76% desde el 2001 al 2005, según el Instituto Nacional de Estadística (INE). El descenso de la edad en la que los jóvenes inician las relaciones sexuales, las actitudes cada vez más liberales, el mayor número de parejas y las prácticas sexuales de riesgo, les exponen a problemas de salud tan importantes como los embarazos no deseados y las infecciones de transmisión sexual. La adolescencia constituye una etapa vital clave en el proceso de construcción de la identidad personal y sexual. La educación sexual es cada vez más necesaria en una sociedad que parece estar bien informada, y que sin embargo, tiene altas dosis de desconocimiento y de errores que pueden afectar al equilibrio emocional de las personas. Enseñar a conocer y aceptar el propio cuerpo, a buscar información o a demandar ayuda es educar para ser capaces de establecer con los demás unas relaciones más sanas y satisfactorias. Por otra parte, el aumento de los embarazos no deseados y las infecciones de transmisión sexual, incluido el virus de la inmunodeficiencia humana, hacen más acuciante la necesidad de esta educación. Nuestra experiencia en educación sexual para jóvenes responde a esta necesidad. Los jóvenes tienen derecho a una educación sexual efectiva. Una información de calidad y educación sexual pueden aportarles el conocimiento, las capacidades y las actitudes necesarias para la toma de decisiones informadas durante el presente y el futuro(AU)
According to the National Institute of Statistics (INE) the number of unwanted pregnancies in Spain is increasing every year. This is particularly worrying as regards unwanted in young people, particularly those under 15, which increased by 76% from 2001 to 2005.The younger age when people begin sexual relationships, the increasingly liberal attitudes, a higher number of sexual partners and high risk sexual practices, expose them to very important health problems, such as unwanted pregnancies and sexually transmitted diseases (STD). Adolescence is a vital phase in the personal and sexual identity process. Sexual Education is necessary in a society which seems to be well informed but on the other hand has a high proportion of ignorance and errors, which could seriously affect the emotional balance of people. Teaching to know and accept their own body, seek information or ask for help is an education that can help them to maintain healthier and satisfactory relationships. On the other hand, the increase in undesired pregnancies and sexually transmitted diseases, including HIV, makes this kind of education a priority. Our experience in sexual education for young people answers this need. Young people have the right to an effective sexual education. Information and comprehensive sexual education provide them with the knowledge, skills and attitudes necessary to take decisions in the present and future(AU)
Assuntos
Humanos , Masculino , Feminino , Adolescente , Educação Sexual/tendências , Sexualidade , Infecções Sexualmente Transmissíveis/prevenção & controle , Gravidez na Adolescência/prevenção & controle , Comportamento Sexual , Anticoncepção/tendências , Comportamento ContraceptivoRESUMO
According to the National Institute of Statistics (INE) the number of unwanted pregnancies in Spain is increasing every year. This is particularly worrying as regards unwanted in young people, particularly those under 15, which increased by 76% from 2001 to 2005. The younger age when people begin sexual relationships, the increasingly liberal attitudes, a higher number of sexual partners and high risk sexual practices, expose them to very important health problems, such as unwanted pregnancies and sexually transmitted diseases (STD). Adolescence is a vital phase in the personal and sexual identity process. Sexual Education is necessary in a society which seems to be well informed but on the other hand has a high proportion of ignorance and errors, which could seriously affect the emotional balance of people. Teaching to know and accept their own body, seek information or ask for help is an education that can help them to maintain healthier and satisfactory relationships. On the other hand, the increase in undesired pregnancies and sexually transmitted diseases, including HIV, makes this kind of education a priority. Our experience in sexual education for young people answers this need. Young people have the right to an effective sexual education. Information and comprehensive sexual education provide them with the knowledge, skills and attitudes necessary to take decisions in the present and future.
