Herpes simplex virus in the human body is most reliably confirmed with the help of an enzyme immunoassay - ELISA.With the help of this analysis, it is possible to detect not the virus itself, but the protective bodies Ig G and Ig M, circulating in the blood of the carrier of the infection. Immediately after penetrating the herpetic infection, Ig M is actively produced, and Ig G.
appears upon relapse. The reactions of ELISA can be of two types:
1. Qualitative - determine if Ig G and Ig M antibodies are present in the blood.
2. Quantitative -determine the amount of immunoglobulins in the blood.
Qualitative reaction allows to determine the type of herpes simplex virus - 1 or 2, and the presence of immunity to herpesvirus infection. The quantitative reaction makes it possible to assess the state of antiviral immunity.
Diagnosis of herpes on the lips, usually carried out on the basis of an external examination of the patient and his complaints.
In acute exacerbation of the primary infection or during relapse, herpes infection can be confused with diseases such as:
- atopic dermatitis;
To confirm herpes, in addition to enzyme-linked immunosorbent assays, PCR and immunofluorescence are performed. PCR - polymerase chain reaction allows to detect the DNA virus of herpes in the biomaterial taken from the patient. It can be blood serum, scraping of mucous membranes, saliva, amniotic fluid. To obtain the most accurate tests, the patient should not eat fatty foods the day before taking blood. The analysis is taken in the morning on an empty stomach.
Once the diagnosis has been made and the presence of the herpes simplex virus in the body has been established, effective therapies should be selected. Treatment of herpes on the lips can be carried out with the help of local medicines. The most known and often used antiherpetic drug is acyclovir.
Based on this substance, preparations such as:
- Acyclovir AZT;
Another no less popular tool in the treatment of herpes on the lips is Famciclovir, or Famvir. Zovirax and Panavir-gel give good results when treating the sites of infection by the virus even before the appearance of the first vesicles. If the lips are carefully lubricated with ointment, the disease will stop at this stage of its development. To relieve pain, you can use mild analgesics - ultracaine, lidocaine, benzocaine.