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血检疱疹的准确度 [复制链接]

151#

回复 149楼ququ6的帖子

确认完跑了,或者排除了走了说明都放下了重新生活了,反而能给新人鼓励,新人一般都描述自己的症状就怕一些老人说这症状和他一样,只会让他恐慌,还有我即使知道wb不准我也不会说出来,因为wb是论坛所有恐友的最后希望,你发的东西太多针对一阳二阴的人了
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152#

知道也不说?
好吧
血检是准确的,阴就算了
你们都没有,好好生活
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153#

嗯,血检都不准,又没典型症状。你天天研究吧。希望你能攻克啊。真心希望。
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154#

血检准,尤其是北京的医院,我亲身验证,地坛,北大,协和,佑安都很准,所有的医生都告诉我血检97%准,两次即可排除。
我不研究我怎么能和专业人士比呢,见笑了。相信医生,血检可以绝对排除。不要纠结了。我诚恳的道歉,误导大家了。血检是正确的,美国fda认证,北京,上海,广州g各大医院认可,多名顶级医生肯定。放心吧
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155#

回复 156楼ququ6的帖子

你就是太相信论文了,论文很多东西尤其数据都是可以捏造的,置信区间放10%,任意两组数据都能扯上关系,我也发过论文,知道其中的猫腻
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156#

是的,我没写过论文,有也影响因子小,不懂,各位放心吧,血检多次一定排除,考虑复发性龟头炎一类的,复发了,就洗洗澡,没事
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157#

。。。。。。
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158#

ququ   我第七天查罗氏试剂 电化学发光法  FDA认证。。  IGG IGM 四阴。。
22天查IGM2 阴  30天 查 IGM2阴       31天查 四阴    满六周查 4阴。。。  可以排除么?
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159#

回复 158楼ququ6的帖子

ququ  
2月28日同房,有戴套, 第二天带对方去检查,得知对方2型 IGG是阳。。
3月7号我去检查   一型 二型 IGG IGM全阴
3月22号我去检查   二型IGM阴     3月30号去检查   2型IGM阴。。
3月31号去检查  一型二型IGG  IGM 全阴。。
4月12号去检查   一型二型IGG  IGM 全阴。。
  可以排除么? 罗氏试剂 电化学发光法  FDA认证。。
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160#

.I am 42 years old and was diagnosed with genital HSV 1 about 10 years ago by an infectious disease specialist using the standard testing methodology.  In the absence of suppressive treatment with valacyclovir, I continue to have genital outbreaks anywhere from every 6-12 weeks.  I recently stopped all treatment and validated that I still get moderately severe outbreaks every 6 - 12 weeks.  I have not other health issues and exercise regularly.  I also avoid all of the "suspect" foods (i.e.: nuts, chocolate, etc.)

I understand that recurrent genital outbreaks of HSV 1 are extremely rare, particularly this long after diagnosis. Is there anything I can be doing to to help resolve this problem other than suppressive valacyclovir therapy? Are there any other medications / treatments that could boost my immune system capability to suppress the virus over the long term?  Are there any clinical trials that I can volunteer for?

Thanks


Frequent recurrences with genital HSV-1 are infrequent, but not quite as rare as your question implies.  In the main research study on recurrence frequency, in the first 2-3 years after initial genital infection with HSV-1, 40% of patients had no recurrent episodes and about 50% had 1-2 outbreaks then none.  But the remaining 5-10% had outbreaks with frequency similar to HSV-2 infections.  It isn't known how many continue with frequent outbreaks beyond 2-3 years isn't known, but my guess is that 1-2% have the sort of recurrence frequency that you describe.

I suggest you see a provider to confirm the diagnosis of HSV-1, especially if that has not been done since the initial diagnosis.  And what do you mean by "standard testing methodology"?  If a culture or PCR test showed HSV-1 and not HSV-2, it's probably definitive -- but still worthy of confirmation.  If only by blood test, that isn't adequate to be certain.  For now, stay off the valacyclovir and see a provider within 1-2 days of the next outbreak, for another culture or PCR test.  It would not surprise me if additional testing shows you actually have HSV-2.

Assuming the diagnosis of recurrent genital herpes is correct, whether due to HSV-1 or -2, there are no known treatments, diets, exercise, avoiding stress, or other methods that are known to affect the frequency or severity of symptomatic outbreaks.  If you are convinced that your "suspect foods" really make a difference, by all means avoid them. But research shows that most such beliefs don't hold up when examined objectively.

However, here is one aspect that might be worth considering:  If the outbreaks are not too severe and/or you are not sufficiently sexually active to put new partners at risk, I would advise staying off suppressive therapy for a year or two and treat each outbreak with brief episodic therapy instead.  The natural course of genital herpes is a gradual reduction in outbreak frequency, but being on suppressive therapy might prolong the time until that happens.  This isn't proved but some experts consider it a reasonable possibility.  If so, you may find that your outbreaks decline in frequency when not taking continuous valacyclovir.

Finally, it would be good for you to be under the care of a true herpes expert; some but not all infectious diseases specialists have that expertise.  Although MedHelp does not make referrals to specific providers, if you'll say where you are, I might be able to recommend a medical institution in a nearby metropolitan area.



Thanks for your prompt reply.  I will try your suggestion to stop taking valacyclovir as suppressive therapy and let you know how it works out.

It was, in fact, a PCR test that confirmed HSV1 infection



Still you should confirm the virus type with more recent testing.  The technology and reliability of PCR has moved a long way in the past decade, and I would not guarantee that it's HSV-1 based on that single test.  If you don't want to wait for the next outbreak, have a blood test to assure it is positive only for HSV-1 and not HSV-2. .



This seems to be an intresting statistics on recurrences with genital HSV-1, could you also cite the study so that I can have a read. Thanks .


.The frequency of HSV-1 versus HSV-2 genital recurrences has been discussed many times on this forum; use the search link to find lots of threads.

The only study that has carefully addressed this issue, to my knowledge, is Benedetti J et al, Ann Intern Med 1994; here is a link to the abstract:  http://www.ncbi.nlm.nih.gov/pubmed/7978697

In one way, the data are expressed in a non-intuitive fashion, as outbreaks per month.  To me it is easier to convert to outbreaks per year.  For example, 0.36 episodes per month is 4.3 per year (multiply by 12). .


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