How to get rid of mandavos. About pubic lice and the treatment of the disease with modern drugs. Eyelash and eyebrow treatment
Symptoms of pubic lice
Good day. My young years, especially student years, passed in such a way that some moments are sometimes inconvenient to remember.
Pubic lice
What is pubic pediculosis? Pubic pediculosis (syn: phthiriasis) is caused by pubic lice (syn: flatheads). The pubic louse attaches itself to the pubic hair. In order to survive, she needs to suck fresh blood twice a day. The laid eggs (nits) are firmly attached to the pubic hair by the female; they cannot be washed off with water.
How can you get lice pubis? Infection in most cases occurs through sexual contact. However, transmission through bed linen, towels and clothing is possible.
What parts of the skin are affected by pubic lice? Pubic lice live mainly on the hair located on the pubis, genitals, around the anus. Sometimes they spread to other areas of the skin covered with hair - chest, abdomen, armpits.
How does pubic pediculosis manifest itself? Characterized by itching, which is usually worse at night. Sometimes the patient does not care. In some cases, pubic lice bites cause an allergic rash at the affected site.
Often, patients with pubic pediculosis independently identify nodules on their pubic hair (nits).
How is lice pubis diagnosed? Diagnosis is based on the clinical picture and the detection of lice or nits.
What is the treatment for pubic pediculosis? A good drug is SPRAY-PAX (aerosol for external use). It is sprayed in the pubic area, genitals, around the anus and left for 30 minutes. The treated areas are then washed with soap and rinsed thoroughly with water.
The drug is used 1 time. One vial is enough to treat 2 people. After using the drug, it is necessary to change underwear and bed linen. Old linen should be boiled and ironed on both sides.
Risk of other sexually transmitted diseases. It should be noted that sexually transmitted skin diseases (scabies, pubic lice, molluscum contagiosum) are markers of other sexually transmitted diseases.
Therefore, if a person who is sexually active has scabies, lice pubis or molluscum contagiosum, it is necessary to test for other sexually transmitted diseases.
source: http://www.venerologia.ru/venerologia/vshi.htm
Epidemic of intimate pediculosis
Pubic lice are controversial animals. On the one hand, they can live for months in suspended animation, being without a host, or rather his skin and hair. They can withstand pressure up to 1.3 kg, live under a 30-cm layer of sand for 4 days, and under water for 2 days.
On the other hand, they cannot stand hunger: if they are suddenly torn from the body, then without food, lice suddenly die within 24 hours. In addition, they are lazy and if they cling to the hair, they do not get off it until their death. And lice live and breed well only at a temperature of + 30-38 ° C.
Scientists cannot yet explain this selectivity, but pubic lice do not eat all people. But if the person seemed tasty, then the insect instantly crawls to the causal place and clings to the hair with three legs on one side of the body. If you try to tear the louse away from its familiar place, it shows signs of life and clings to the hair even more strongly, which is why it can only be removed with great difficulty and most often together with the hair.
Ways of infection
The “ploschitsy” prefer the inguinal region, because there are the most apocrine glands, which secrete a special sweat with a strong, “animal” smell.
But they can live not only "there", but also on the hips, torso, armpits. And if you kill them from these places, then lice can crawl onto a beard, mustache or eyelashes. It all depends on the degree of hairiness of the victim.
Self-diagnosis of an intimate disease
- Itching. First of all, lice inject a substance that thins the blood and causes a characteristic itching.
- Spots. After the lice settle on the host's skin, blue or shadow spots appear up to 1 cm in diameter, which quickly disappear. These are either small hemorrhages, or the deposition of the secretion of the salivary glands of pubic lice.
- Dark dots on linen. On the areas of underwear that come into contact with the inguinal region, small dark dots appear. This means that the lice have settled down: the spots are the products of their vital activity.
- blisters. Scratching itchy areas leads to the appearance of red bumps, blisters and eczema.
- Lice themselves. As the hair grows, the nits, along with the hairs, rise above the surface of the skin and are easier to see. And by the height of their location, you can approximately estimate how much they are already “visiting”.
Treatment of pubic pediculosis
Obviously, a normal soapy shower does not kill lice or get rid of nits. But do not pour kerosene, there are modern and trouble-free means.
Attention!
If there is a lot of hair, it is better to shave them off. This will immediately eliminate many lice and nits and make it easier to inspect the affected areas. To dissolve the sticky substance that holds the nits on the hairs, you need to wash with hot water and vinegar.
Precautionary measures
Dirty laundry must be boiled with a solution of soda for 25-30 minutes to kill nits that can live there for another 6 days. Iron the clothes with a hot iron, especially the folds.
And, the most unpleasant, to be examined for the presence of syphilis, gonorrhea, chlamydia and other sexually transmitted diseases. You never know whose blood these pests sucked before?
source: https://medportal.ru/enc/dermatology/infectionskin/5/
What are pubic lice?
Usually, pubic lice settle on the hairy areas of the body in the genital area, however, they can often be found on the eyebrows, eyelashes, armpits and beard.
Ploshchitsy (another name for pubic lice) are inactive, but multiply quickly enough by laying nit eggs. They feed exclusively on human blood and live for about 24 days.
Reasons for the appearance
The fact is that pubic lice cannot live without a carrier for more than a day, but nits retain the ability to develop much longer.
It is for this reason that some care should be taken in swimming pools, saunas, solariums and public toilets, where the risk of picking up unpleasant neighbors is highest.
What happens when you get infected?
Having moved to the body of a new host, pubic lice attach themselves to the hair and begin their destructive activity. First of all, they pierce the skin of the host and extract the first portion of blood. The salivary glands of insects produce a special enzyme that enters the wound and prevents blood from clotting.
Because of this, pubic lice bites cause a lot of inconvenience. Human skin constantly itches and itches, sometimes allergic reactions appear on the arms, legs and groin. A closer examination of the skin can reveal bluish bite marks.
After saturation and mating, pubic lice lay eggs (7-9 pieces). They are tightly fixed on the hair with the help of a secret and therefore are not washed off with water during hygiene procedures. Nits develop for about two weeks, and then new pubic lice hatch from them.
Pubic lice - symptoms and consequences
The first signs of pubic lice are observed a month after the appearance of the first individuals. The most characteristic symptom is severe itching at the site of the bites.
Most often it is noted in the pubic region, but sometimes the hips, arms and torso are also itchy. People with abundant hair are especially affected by it, since in their case pubic lice can live literally all over the body.
The intensity of itching depends on the individual anatomical features of the person and the time of day.
If, at the diagnosis of pubic lice, treatment was not carried out or was insufficient, then small damage to the skin develops into eczema and facilitates the penetration of secondary infections into the body.
A sign of pubic lice may also indicate an allergic rash or the detection of lice eggs.
Since secondary infections easily penetrate through damaged skin, all patients with pubic lice are tested for syphilis, gonorrhea, chlamydia and other sexually transmitted diseases.
Treatment of the disease
More recently, people got rid of lice with the help of kerosene, dust, laundry soap and other improvised means. Fortunately, those days are in the past.
Next, sulfuric ointment or any ointment with benzyl benzoate is applied to the skin. In pharmacies, you can also buy more convenient drugs, for example, nittifor or spray-pax. They can be applied directly to the hair without worrying about shaving the intimate parts of the body.
Since pubic lice can get on bedding or clothes, you should soak clothes in hot water and add bleach to it.
source: http://www.neboleem.net/lobkovye-vshi.php
Pubic lice
Much less often, pubic lice can be found in the area of \u200b\u200bthe mustache, beard, eyelashes, eyebrows or hair on the head of a child.
Infection with pubic pediculosis occurs sexually or through bedding.
Symptoms
The first manifestations of pubic lice will be severe persistent itching in the pubic region and in the perineal region. This itching is caused by lice bites and leads to irritation of the skin in these places, which is the result of scratching.
In the center of each such spot there will be a barely noticeable point - the bite site. In appearance, these spots resemble syphilitic roseola. But, these spots disappear on their own after two weeks, and do not leave marks.
With the advanced form of this disease, the patient has an increase in lymph nodes. With a long-term course of the disease, the patient's skin becomes modified - rough, thick, hyperpigmented. And in place of scratching, cicatricial traces of a white tint remain.
Diagnostics
Diagnosis of phthiriasis or pubic pediculosis never causes difficulties. The doctor examines and interviews the patient, and if nits and the lice themselves are found, he makes an accurate diagnosis.
In a more advanced state of the disease, the diagnosis is also made when glued hairs are found during the examination - this occurs with the help of serous-purulent discharge and is called "tangled".
Prevention
Preventive methods of pubic pediculosis or phthiriasis consist in constant medical examinations and individual sexual hygiene.
When detecting and diagnosing pubic pediculosis, it is necessary to disinfect linen, clothes, bedding not only for the patient himself, but also for all his sexual partners or those who had contact with his bed linen.
Treatment
The skin is washed with sufficiently hot water and medical soap. Now in medicine, the use of a spray is widespread - Pax, a drug that is an aerosol for external use.
After using all these funds, the patient needs to undergo water procedures quite often. All linen must be thoroughly disinfected.
Subject to all the rules of treatment and disinfection, a complete recovery from pubic lice is guaranteed.
source: https://nebolet.com/bolezni/vshi-lobkovye.html
Description of the disease pubic pediculosis
Such pubic lice preferentially settle in the genital area (pubis, perineum, scrotum), hair in the anus, armpits.
The reason for this choice is that a significant number of apocrine glands are located in such areas, and the sense of smell of pubic lice is specially oriented towards them. Less commonly, they affect the eyebrows, mustaches, eyelashes, hair on the head of children.
Causes
Often, pubic lice are transmitted by sexual contact, then insects from one partner jump to another.
In addition, according to research, a louse that has unhooked from a person lives only no more than a day, but the larvae are able to remain viable for about a week.
Thus, you can become infected with pubic pediculosis through towels or bedding, clothes. Infection is possible in baths, pools, solariums and even toilets.
Symptoms
At first, an incubation period begins, when there are no symptoms, but pubic lice already settle on the human body, lasting about a month.
Then several symptoms appear. The main one is skin itching in the habitat of lice. This is usually itching in the pubic area, but other areas of the body are possible, such as the thighs, torso (for example, in people with increased body hair), or beard and mustache.
Attention!
Sometimes a person may not even notice itching, and sometimes, especially at night, such itching is unbearable. The patient begins to comb the skin and its irritation and redness appear, eczema occurs, and secondary infections penetrate through scratching.
Also, a sign of pubic pediculosis is the appearance on the skin of blue or shady soon disappearing spots with a diameter of up to 1 cm. They appear from small hemorrhages from the sucking of blood by lice, or from the deposition of the secretion of the salivary glands.
The symptoms of pubic pediculosis include an allergic rash. An unconditional sign of pubic pediculosis is the detection of pubic lice, as well as their larvae, on the skin or underwear.
How to treat
- Bed linen and underwear must be thoroughly washed and ironed.
- It is recommended to shave the pubic hair.
- The effect of the treatment of pubic lice is very high, subject to all the rules.
- It is necessary to process clothes, upholstered furniture, bedding, mattresses - upon contact with them, you can get sick again.
Prevention of pubic pediculosis
Compliance with personal hygiene and the exclusion of casual sex.
source: http://medicina.ua/diagnosdiseases/diseases/639/4675/
Since they are very small and often less than 3 mm, they are quite difficult to detect. Most often, these yellow-brown lice, as seen in the photo, choose the hairy groin area for habitat, but can be found on the armpits, eyebrows, beard, eyelashes, etc.
Young, sexually active people get sick more often, since promiscuous sexual relations contribute to infection. In a third of patients, as a rule, other pathologies of a venereal nature are also found.
Symptoms
As previously specified, infection with pubic lice occurs through sexual contact, so the causes of the disease are associated with a promiscuous sex life.
But you can get infected by the household contact method when visiting a solarium, swimming pool, sauna or bath, as well as through underwear or bedding. It often happens that the pathology is epidemic in places where a large number of people live, such as a hostel, barracks, hotel or on a train.
It is not worth remembering the antediluvian grandmother's methods of treatment, today there are many remedies that have proven themselves well in getting rid of pubic lice. To do this, it is enough to use the processing tool several times, following all the recommendations and rules.
To begin with, it is recommended to shave off the hair in the habitats of the pubic louse. This is already a treatment, because with the hair removed, you will also eliminate lice with nits. In addition, the treatment will be much more effective when the ointment and other medicines are applied directly to the skin.
If such a procedure is sickening to the patient, then it is not necessary to shave off the hair. For processing, a remedy such as sulfuric ointment is more often used, the treatment of which lasts no more than 3 days.
If pubic lice move to another habitat, then the treatment can be supplemented with shampoo, gel, spray, etc. To eliminate uncomfortable itching, a rather effective remedy is recommended, such as a saline or acetic aqueous solution.
This remedy is simply rubbed into the skin. Pharmacies offer alternative medicines such as calamine lotion, which is also very good at eliminating itching from pubic lice.
When the treatment is over, clothes, underwear and bedding should be boiled, and after drying, be sure to iron. Since pubic lice are often accompanied by concomitant sexually transmitted pathologies, after the end of treatment, a preventive examination is desirable in order to possibly detect genital infections.
source: http://asclepii.ru/zabolevaniia/lobkovye-vshi.php
Pubic lice
Attention!
Lice are quite tenacious - they are able to withstand pressure up to 1 kg, a 30-cm layer of sand and survive in water for two days.
In European countries, the disease is widespread, mainly lice affect young people.
What does a pubic louse look like?
Lice live on average 27 days, during this period one individual lays a huge number of larvae.
How are pubic lice transmitted?
Pubic lice cause phthiriasis (pediculosis pubis), which is considered a sexually transmitted disease.
The main symptom of pubic pediculosis is itching, which appears after the end of the incubation period. In addition to itching, bluish spots (bites) may appear on the body, which disappear rather quickly.
If the itching is not strong, then the person may not know about the lice infestation for a long time.
In advanced stages, blisters, wounds appear on the skin, eczema develops.
Pubic lice can be transmitted to children while sleeping together with parents, when using other people's towels, after visiting public baths, etc.
A patient with pediculosis should carefully wash bedding and underwear, and it must also be ironed without fail.
In addition to underwear and bed linen, it is very important to treat upholstered furniture, a mattress and other items that the patient has come into contact with with special preparations.
Preparations
When pubic lice are detected, special drugs are prescribed that quickly help to destroy insects.
The most popular drugs are:
Spray for pubic lice. There are several types of sprays for pubic lice on the pharmaceutical market:
Ointment for pubic lice. In the pharmacy you can see a large selection of ointments for pubic lice.
Sulfur-mercury ointment, xylene, nittifor, which contain a natural insecticide, have maximum efficiency.
Before applying the ointment, you need to shave your hair or treat it with vinegar water. The procedure is best done before bedtime.
Treatment at home
Sulfur ointment shows good efficiency, which has a pungent odor, but is almost 100% effective. Also, for the treatment of pediculosis, tar soap is used, with which the affected areas are thoroughly washed.
Modern medicine allows you to get rid of lice quite quickly (some drugs can destroy parasites and their larvae after just one procedure), but there is a high risk of contracting sexually transmitted diseases.
A disease such as pubic lice has become a very common disease of the dermis, the causative agent of which is pubic lice. And today we will consider in more detail the symptoms and causes of pubic pediculosis in women and men, its treatment and diagnosis.
- crotch;
- pubis;
- scrotum.
They also live on:
- hairs that grow around the anus;
- axillary hairs.
Read about the causes of pediculosis on the pubic part below.
The specialist will tell about the features of pubic pediculosis in the video below:
Much less often, infection with pubic pediculosis can occur through:
- towels;
- bed sheets.
You should be extremely careful when visiting swimming pools, solariums, saunas, public toilets.
Symptoms
The development of pubic pediculosis is indicated by itching on the pubis, sometimes it is felt on the hips, legs, upper body, mustache, and beard. The spread of this type of lice over a significant part of the body occurs more often in those who suffer from increased body hair.
Skin itching can occur in different patients with varying intensity. Some are disturbed by a slight feeling of discomfort, while others suffer from severe itching during the day and at night. In some cases, an infected person may not even feel the symptoms of the disease.
Diagnosis of pubic pediculosis is carried out without any difficulties. Patients come to the doctor with characteristic complaints. In addition, when visually inspecting linen, the affected area of the body, it is easy to detect lice and nits. Therefore, examination of the patient is considered the main method of diagnosis. If necessary, health workers use a magnifying glass. Insects are clearly visible after they drink blood.
This video will tell about the treatment of a new and advanced form of pubic pediculosis:
Treatment of pubic pediculosis
Therapeutic
After an accurate diagnosis is made, the treatment of pubic pediculosis begins. Treatment involves the use of such means as:
- medicated shampoos;
- ointments;
- sprays.
During the treatment period, it is important to monitor personal hygiene. It is necessary to change underwear, bed linen. It is advisable to boil dirty, worn clothes or at least wash them in a typewriter at maximum temperature. After washing, it must be ironed. It is desirable to carry out the processing of the mattress, bedding, upholstered furniture.
Read about ointments and other drugs for the treatment of pubic pediculosis below.
Medical
Drug treatment involves the use of special products that are made in the form of shampoos, solutions, emulsions, soaps. Quite effective are:
- "Veda-2".
- "Spray Pax".
- Vitar.
- "Pedillin".
We will tell you further about how to treat pubic pediculosis at home.
At home
For the treatment of pubic pediculosis, treatment can be carried out with the following means:
- vinegar;
- kerosene. This remedy is rubbed into the skin;
- sulfuric ointment;
- kerosene with soap;
- cranberries. The acid of these berries has a deadly effect on lice.
The most effective way to treat at home is to shave your head. This is how both adults and their eggs, which are firmly attached to the hairs, are destroyed.
Disease prevention
The main preventive method of pediculosis in this area is considered to be early diagnosis of the disease, as well as subsequent immediate treatment. Both the patient and his sexual partner should be treated. This should be done to prevent recurrence.
To avoid infection with pubic lice, you should carefully lead your intimate life, be careful when choosing a sexual partner. Personal hygiene rules must be followed strictly. Underwear, bed linen should always be washed and ironed.
If symptoms of the disease are detected, you should contact a special service for diagnosing and treating the disease. A dermatologist will make the correct diagnosis, recommend the most effective means for treatment.
Complication
Due to the incessant itching, the patient constantly scratches the bites. This is how scratching occurs, allergic reactions can occur. On the affected areas of the skin may form.
In the presence of scratching, the likelihood of infection with a secondary infection increases. This complication complicates the course of the disease, its treatment.
If an infected person has pediculosis pubis, the dermis often ceases to act as a natural barrier. This allows various infections to enter the body, especially sexually transmitted diseases. For this reason, a patient with this type of pediculosis is recommended to undergo an additional examination for the presence of such diseases: syphilis, gonorrhea, chlamydia.
Forecast
The prognosis for pubic pediculosis is good, subject to early detection of the disease, its treatment with special means.
Get rid of pubic lice is now possible even in one day. Special lice remedies are very effective for treating skin, hair, bedding, and underwear.
Elena Malysheva will tell you more about pubic lice in this video:
Nits are located at the very bottom of the hair, almost near the very base of the follicle. The pubic louse is always in close proximity to the oviposition. The insect is localized near the nit, drills the skin of the intimate zone with its proboscis and absorbs the blood of its carrier. During a bite, the flatfish releases a chemical substance, the composition of which is close to that of an analgesic. As a result of this, the patient does not feel the moment of the bite, but only feels a strong itch that occurs after the louse has drunk enough blood.
How can you get infected?
In medical practice, there are two main mechanisms of infection with pubic lice. This is a household and the most common way of infection - sexual. Based on this, it has been established that pubic pediculosis occurs for the following reasons:
Symptoms
Symptoms of the disease do not appear immediately. First comes the incubation period, the duration of which is at least 1 month. Practically from the first days from the moment when the numerical population of blood-sucking insects increases, the symptoms of the disease increase accordingly.
Pediculosis of the intimate zone is manifested as follows:
Read also related
What is pediculosis, why does it occur, and how is it treated?
All of the above symptoms are a serious reason to seek help from a dermatologist and undergo an examination to confirm or refute the lice of the intimate area. With the timely start of the therapy process, the removal of flats will not take a lot of time. The very same scheme for the treatment of pubic lice is carried out only with medication.
Diagnostics
Visually, nits glued by pubic lice at the base of the hair resemble small white scales. The same can be observed in patients with dermatitis or seborrhea. When they are carefully examined with magnification, one can see that each egg has the correct oval shape, and inside its protective shell an individual develops. After confirming the diagnosis, the patient is prescribed treatment.
Disease therapy
The life and activity of the pubic louse is just over three weeks, but during this time the insect manages to lay so many eggs that its offspring can easily fill the entire hairline. Outside the human body, an adult will not live more than one day, although nits can survive for quite some time without food.
When infected with phthiriasis, symptoms of the disease appear within 30 days.
Nevertheless, the incidence of pubic pediculosis is usually associated with deterioration in living conditions, the movement of large masses of people, and a decrease in the standard of living of the population. The large crowding of people and the lack of basic sanitation standards increase the risk of infection with pubic lice.
How to avoid infection
If you know the ways of infection with pubic pediculosis and follow the necessary precautions, you can easily avoid this unpleasant disease.
If there is a suspicion of infection with pediculosis or phthiriasis, towels and bedding should be urgently boiled in a soda solution, which may be a refuge for insects. Usually, underwear should not be washed in boiling water, as the products can be deformed. To disinfect it, you can use another method. You just need to put things in a plastic bag, tie and leave for 2-3 weeks. This time will be enough for the "mandavokhs" to die of starvation.
In addition, if signs of the disease are found, it is necessary to inform the sexual partner about this, since phthiriasis is treated in people who make up a sexual couple at the same time.
When visiting a bath or pool, you should use only a personal towel. The same advice can be given to people who often travel by train. Do not rely on the quality of washing bed linen and towels used by different people. It is better to grab a personal sheet or completely abandon comfort for the duration of the trip than to treat an unpleasant disease later.
How to recognize pubic pediculosis
Pubic lice are very small in size. If a large adult individual reaches 1-1.5 mm, then the nits are not at all visible to the naked eye.
The presence of areas of severely damaged skin can provoke the attachment of a microbial infection, since harmful microorganisms can easily enter the bloodstream through the broken skin.
The second symptom of phthiriasis is a rash in the form of bluish spots, reaching a diameter of 2-3 mm. When bitten, the insect injects saliva into the wound, which prevents blood clotting and leads to the breakdown of hemoglobin. As a result of this process, decay products that have a bluish color accumulate at the site of the bite. If you press on the spot, it will disappear.
In addition, dark spots can be seen on the underwear of a patient with phthiriasis, which are waste products of lice.
What drugs to treat phthiriasis
Before you get rid of pubic lice, you need to take a number of measures to prevent re-infestation.
- First of all, a complete disinsection of clothing and personal items that can become potential carriers of the disease should be carried out.
- Clean the apartment: wash the floors and wipe all surfaces with a solution of laundry soap and vinegar.
- Clean upholstered furniture and treat with a special lice spray.
- Things that cannot be washed at high temperatures should be put in bags and put out of the room for a month.
Folk remedies for pubic lice, prepared on the basis of kerosene, vinegar, denatured alcohol, hydrogen peroxide, sulfuric ointment, have long been inferior in effectiveness and safety to medications. If you try to remove lice with kerosene or industrial alcohol, you can get burned and severely damage the skin. Soap with dust, which experts often advise to use to solve the problem, contains the dangerous insecticide DDT, which can cause cancer cells to grow.
Cranberry juice and hellebore water are considered the most effective and safe of the folk remedies for combating phthiriasis. They destroy adults and soften the shells of nits, while at the same time they are almost safe and rarely cause adverse reactions.
Despite the delicacy of the disease, it is possible and necessary to fight pubic lice. The main thing is to start treatment on time, and before that, consult a specialist who will take into account all the features of the victim’s body and help you choose the right medicine.
Pubic lice (phthyriasis) - ways of infection, symptoms, diagnosis, treatment
Thank you
The site provides reference information for informational purposes only. Diagnosis and treatment of diseases should be carried out under the supervision of a specialist. All drugs have contraindications. Expert advice is required!
Pubic lice are not only a source of skin pathology, but also carry pathogens of various infections, including epidemic and dangerous ones - for example, typhus, trench fever, etc. In addition, if a person is infected with pubic lice, then another sexually transmitted infection is detected in every third individual with phthiriasis.
If a person cannot resist, and scratches the skin, then strong scratching is formed. Often the skin begins to peel off, a large amount of dandruff is formed. Red bloody crusts form on scratches. In severe cases, dermatitis or an eczema-like condition develops.
Scratching also leads to the formation of excoriations - areas of severely damaged skin. The presence of excoriations seriously increases the risk of any bacterial infection, since pathogenic microorganisms easily enter the bloodstream through the broken skin and lead to the development of inflammation.
With the empirical use of hormonal anti-allergic ointments, the pubic louse begins to multiply intensively, and the itching increases significantly.
The second sign of phthiriasis is a rash that looks like numerous papules and bluish spots on the skin. Blue spots (maculae caeruleae) are due to the fact that the saliva of the pubic louse leads to the breakdown of hemoglobin, and as a result, bluish-colored decay products accumulate at the site of the open bite wound. Usually the spots are small, up to 2-3 millimeters in diameter. Pressing on the spot leads to its elimination. These blue spots are very similar to spotted syphilis, typhoid or syphilitic roseola.
Foci of localization of the rash may be subject to lichenification. Lichenization is a process in which the skin under the rash thickens, the line pattern appears more clearly, and sometimes normal coloration is disturbed. The skin looks rough, furrowed with various deep wrinkles and lines.
Itchy and painful small papules and vesicles develop at the sites of pubic louse bites.
With the localization of pubic louse on the eyelashes, blepharitis often develops.
Modern diagnostics
According to modern concepts, pubic pediculosis is considered a disease that is rarely diagnosed. This is due to the fact that the main diagnostic method for detecting pediculosis, including pubic lice, is a superficial examination of the human body. Moreover, the criterion for the accuracy of diagnosis is the indispensable detection of live lice. Since nits do not necessarily lead to lice, they are not an indication for temporary isolation of a person from others.Traditional methods of diagnosing pubic pediculosis
Often, the diagnosis is carried out by combing the hair with a thin comb with frequent teeth, during which live lice or nits are detected, which the doctor sees with the naked eye, or with a magnifying glass.Also, videodermatoscopy allows you to detect pubic lice in the presence of a large amount of dandruff.
Principles of treatment and agents used for the treatment of pubic lice
The following measures are taken as the basis for effective treatment and prevention of the spread of pubic pediculosis:1. Two stages of therapy, which are necessary due to the peculiarities of the vital activity of the pubic louse.
2. Mandatory preventive treatment for all people who had close contact with the patient.
3. Measures for the disinfection of things of patients.
For the treatment of pubic pediculosis, special chemotherapeutic substances are currently used - pediculocytes, which are insecticides that selectively act on lice and nits. Pediculocytes do an excellent job of eliminating pubic lice and nits, but a minimum of two treatments should be carried out, since the destruction of the next, nascent insect generation is necessary.
Before the advent of pediculocytes, a variety of formulations were used as insecticides against pubic lice, with which the affected surfaces were treated. So, the following compositions were widely used to combat pubic lice:
- soap-kerosene mixture;
- Sulfuric ointment;
- tar ointment;
Medications
The main modern drugs for combating pubic lice, presented on the domestic pharmaceutical market, are shown in the table:Aerosol Spey-pax should not be used during pregnancy and lactation, as well as in the presence of severe scratching on the surface of the skin. To prevent re-infection, it is necessary to treat the pubic area of people who are in close contact with the patient with Spray-Pax aerosol.
Treatment of phthiriasis of eyelashes and eyebrows
For the treatment of phthiriasis of eyelashes and eyebrows, mercury ointment (1% mercury oxide) is used. Eyelashes are pre-treated with petroleum jelly for 3-4 days, after which mercury ointment is applied to the edges of the eyelid 4 times a day, for at least 2 weeks.Disinfection of personal belongings
To disinfect the personal belongings of a patient suffering from pubic lice, special substances are used - disinfectants. Aerosol A-steam has excellent efficiency as a disinectant. In the treatment of pubic pediculosis, in parallel with the treatment of the pubic area with Spray-Pax, it is necessary to disinfect with A-pair aerosol all the patient's linen, both bedding and underwear, including T-shirts and underpants, which are worn as underwear in the cold season. Aerosol A-steam does not affect the cleanliness of things and does not change the properties of fabrics. After processing things, they do not need to be cleaned.If a person does not have the opportunity to carry out pest control using a specialized tool, then it is necessary to boil all the linen, since pubic lice and nits cannot withstand high temperatures, at which they instantly die.
Complications
The basis for the development of complications of pubic pediculosis are scratching the skin and places of lice bites. These wound surfaces are places through which any infection can enter the human body. Therefore, the most common complication of pubic pediculosis is pustular skin infections (pyoderma). More serious complications of pubic pediculosis are inflammation of the lymph nodes (lymphadenitis), development of boils, carbuncles and abscesses. If the human body cannot cope with these purulent infections, then a very serious complication is possible - sepsis
