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Najnoviji odgovori (93587)

  1. Plikovi na penisu
    Pitanje broj: #58085

    Doktore imam jedan problem ne znam šta da radim. Na glaviću penisa su mi se pojavili pufcice kao plikovi, jedan je bio nadut, onda sam ja to stisnuo i izašla je bezbojna tečnost. Sada mi se to suši, ali imam i dalje te kao pufcice i tvrde su, još par njih mi se pojavilo na penisu samo što su ove druge samo tvrde, bez tečnosti.

    Odgovoreno: 28. 01. 2019.
  1. Poštovani, imam bebu staru dva meseca i sedam dana koja je danas primila vakcinu dtp+polio+hem. Inf b. Danas sam saznala da je starije dete bilo u kontaktu sa detetom koje sada (7 dana posle kontakta) ima varičele. Starije dete nije preležalo boginje, a suprug i ja jesmo. Da li postoji neka opasnost za bebu i da li može da dodje do nekih komplikacija zbog vakcine? Šta nam je činiti? Unapred hvala!

    Odgovoreno: 28. 01. 2019.
    • Ništa ne činite, čekajte. Beba može dobiti od brata ako on ima boginje, ali vaša beba je stekla majčinska antitela tokom porođaja i zaštićena je.

  1. Enterobius vermikularis
    Pitanje broj: #58363

    Poštovani javila sam Vam se prije desetak dana u vezi mojeg problema, ali nije mi radio mail nešto se promijenilo ja se izvinjavam. Ponovo vam se javljam u vezi problema imam enterobius vermikularis. Doktori su mi davali najjače tablete nijesam mogla da izbacim pomenutu glistu mnogo sam nervozna, svrab oko čmara a ponekad crvići izadju a i osećam je kako se kreće u crijeva i i kako me golica. Napominjem da sprovodim dobru higijenu. Molim vas pomozite mi da li ima lijeka da je izbacim? Hoćete li mi vi dati lijek za izbacivanje ove gliste? Više mi je nepodnošljivo noću ne mogu da spavam od svraba.

    Odgovoreno: 28. 01. 2019.
    • Treatment

      • Mebendazole, albendazole, or pyrantel pamoate

      Because pinworm infestation is seldom harmful, prevalence is high, and reinfestation is common, treatment is indicated only for symptomatic infections. However, most parents actively seek treatment when their children have pinworms.

      A single dose of any of the following, repeated in 2 wk, is effective in eradicating pinworms (but not ova) in > 90% of cases:

      • Mebendazole 100 mg po (regardless of age)

      • Albendazole 400 mg po

      • Pyrantel pamoate 11 mg/kg (maximum dose of 1 g) po

      Carbolated petrolatum (ie, containing carbolic acid) or other antipruritic creams or ointments applied to the perianal region may relieve itching.

      Prevention

      Pinworm reinfestation is common because viable ova may be excreted for 1 wk after therapy, and ova deposited in the environment before therapy can survive 3 wk. Multiple infestations within the household are common, and treatment of the entire family may be necessary.

      The following can help prevent the spread of pinworm:

      • Washing the hands with soap and warm water after using the toilet, after changing diapers, and before handling food (the most successful way)

      • Frequently washing clothing, bedding, and toys

      • If people are infected, showering every morning to help remove eggs on the skin

      • Vacuuming he environment to try to eliminate eggs

      Key Points

      • Pinworm infestation is the most common helminthic infection in the US; most cases occur in school-aged children, in adults who care for children, or in family members of an infected child.

      • Pinworm infestation is seldom harmful, and reinfestation is common.

      • Ova deposited in the environment can survive 3 wk.

      • Pinworm eggs may be ingested when people touch their mouth after they scratch their perianal area or after they handle contaminated clothes or other objects (eg, bed linens).

      • Most infected people have no symptoms or signs, but some experience perianal pruritus.

      • Diagnose pinworm infestation by collecting ova in the morning on cellophane tape and using a low-power microscope to identify them; diagnosis can also be made by finding the female worm in the perianal region 1 or 2 h after a child goes to bed at night.

      • If patients have symptomatic infections, treat with mebendazole, albendazole, or pyrantel pamoate.

  1. Poštovani, da li se mogu javiti prvi simptomi infekcije hivom nakon 5 dana od eventualne mogućnosti zaraze. Naime, u toku analnog sexa, sa devojkom za koju znam da nije promiskuitetna i da je uvek sa svojim parterima koristila kondom, meni je kondom pukao, bio sam nezaštićen možda 5 sekundi, maximalno 2 minuta. Dobio sam upalu grla, bris grla je uredan, izolovana je candida na jeziku u malom broju, temeperaturu nisam nisam imao, max 37 i to uveče, sa leve strane na vratu, kod krajnika mi je reagovala žlezda koja je tu evo i nakon mesec dana, krvna slika je u redu, lekar opšte prakse kaže da je žlezda uvećana kao reakcija na upalu grla, na orl probleme sa grlom povezuju sa mojom devijacijom nosa i candidom na jeziku. Od tih prvih simpotoma do danas je prošlo mesec dana, zabrinut sam dosta, otićiću na testiranje, ali moram sačekati još malo, ali baš to čekanje je dosta frustrirajuće, pa me čisto interesuje da li se ti prvi simptomi mogu javiti i 5 dana nakon infekcije? Hvala

    Odgovoreno: 28. 01. 2019.
  1. Poštovani po treći put vam se javljam u vezi moje bolesti parazitske enterobius vermikularis prija 4 dana poslala sam vam pitanje molim vas hoćeteli mi odgovoriti na prethodno pitanje i pomoći, ptvo moje pitanje bilo je prije 15 dana ali meil adresa promijenila sa sa hotmail. Com na live. Me pa va molim još ovaj put da mi odgovorite na ovu adresu što vam sad šaljem i molim hvala.

    Odgovoreno: 28. 01. 2019.
    • mebendazol 1x500mg, ponoviti za 14 dana, leče sesvi ukućani

      iz udžbenika

      Treatment

      • Mebendazole, albendazole, or pyrantel pamoate

      Because pinworm infestation is seldom harmful, prevalence is high, and reinfestation is common, treatment is indicated only for symptomatic infections. However, most parents actively seek treatment when their children have pinworms.

      A single dose of any of the following, repeated in 2 wk, is effective in eradicating pinworms (but not ova) in > 90% of cases:

      • Mebendazole 100 mg po (regardless of age)

      • Albendazole 400 mg po

      • Pyrantel pamoate 11 mg/kg (maximum dose of 1 g) po

      Carbolated petrolatum (ie, containing carbolic acid) or other antipruritic creams or ointments applied to the perianal region may relieve itching.

      Prevention

      Pinworm reinfestation is common because viable ova may be excreted for 1 wk after therapy, and ova deposited in the environment before therapy can survive 3 wk. Multiple infestations within the household are common, and treatment of the entire family may be necessary.

      The following can help prevent the spread of pinworm:

      • Washing the hands with soap and warm water after using the toilet, after changing diapers, and before handling food (the most successful way)

      • Frequently washing clothing, bedding, and toys

      • If people are infected, showering every morning to help remove eggs on the skin

      • Vacuuming he environment to try to eliminate eggs

      Key Points

      • Pinworm infestation is the most common helminthic infection in the US; most cases occur in school-aged children, in adults who care for children, or in family members of an infected child.

      • Pinworm infestation is seldom harmful, and reinfestation is common.

      • Ova deposited in the environment can survive 3 wk.

      • Pinworm eggs may be ingested when people touch their mouth after they scratch their perianal area or after they handle contaminated clothes or other objects (eg, bed linens).

      • Most infected people have no symptoms or signs, but some experience perianal pruritus.

      • Diagnose pinworm infestation by collecting ova in the morning on cellophane tape and using a low-power microscope to identify them; diagnosis can also be made by finding the female worm in the perianal region 1 or 2 h after a child goes to bed at night.

      • If patients have symptomatic infections, treat with mebendazole, albendazole, or pyrantel pamoate.

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