Breastfeeding herpes - to interrupt or not?
Breastfeeding herpes (chronic and often even recurrent) interrupt is not necessarily as herpes simplex virus Herpes simplex - actually not so simple not allocated to human milk.But if herpes infection occurred during lactation, then the temporary interruption of breastfeeding can think, for the treatment of systemic infections prescribe antiviral drugs that can be allocated to human milk.
Treatment of primary HSV infection during lactation
Primary herpes infection in any case should be treated as necessary, including during lactation.Primary genital herpes can occur quite difficult, as the temperature rises, a violation of the general condition of women and intoxication, which is manifested headache, fatigue, joint pain, and so on.
Simultaneously genital mucosa appear redness, swelling and numerous blisters, accompanied by burning and itching.Approximately twenty-four hours, and bubbles burst on the mucosal surface formed extensive erosion.Healing erosion occurs at the primary herpes slower than relapse.
In primary herpes in women is no protection from the infection - antibodies to herpes viruses have not yet been worked out.Therefore, the body vulnerable to the virus and the latter can spread throughout the body.If the overall immunity of the woman is reduced (as is often the case during lactation), the infection can take generalized, spreading to the internal organs.This is very dangerous, so the treatment in this case should be a system - it requires a woman for health reasons.
of the antiviral drugs for the treatment of herpes Treatment of herpes - a serious problem usually prescribe acyclovir Acyclovir - as it is safe? , Valtrex or famfir.Acyclovir and Valtrex (after absorption in the intestine it is converted to acyclovir) are excreted in breast milk.It is not known whether Famvir with human milk, but laboratory studies on rats have revealed his selection with milk of these animals.
Acyclovir tablets are not contraindicated during breastfeeding, but this drug is not sufficiently effective when taken orally, and its intravenous administration during lactation is contraindicated.Experience also use Valtrex and Famvir during lactation not.
Based on these data, and given the status of women and the extent of the spread of herpes, the doctor decides (each individually), whether or not to interrupt breastfeeding or not.
If the decision of the interruption of breastfeeding, a woman must constantly express breast milk for after treatment did not stop breastfeeding.
Treatment recurrence of herpes infection during lactation
herpes during breastfeeding may have long recurrence and existing herpes infection.Recurrences of genital herpes during lactation can occur often, as a woman in this period is often reduced immunity.However, relapses are usually not severe and did not occur so long as the primary herpes.Therefore, treatment of herpes during breastfeeding if a relapse of chronic herpes, is carried out using antiviral drugs for external and local application.Basically this creams and gels - ointment for treating acute herpes not apply because they do not have a drying effect.
No less can often recurring herpes on the lips.Herpes during lactation can cause infection of the infected child.
Thus it is known that the herpes virus is not excreted in breast milk, the baby can be infected only through dirty hands, contaminated secretions or things when cold sores are located on the skin of the breast.
for the topical treatment of recurrent genital herpes applied: 5% cream acyclovir (Zovirax), 0.002% gel panavir (it possesses antiviral, immunomodulatory and anti-inflammatory).To remove the swelling, itching and burning in the genital area is widely used folk remedies: St. John's wort tincture, calendula, oak bark decoction and tyudyu
For the treatment of herpes on the lips Treatment of herpes on the lips - not so simple during lactationCream can be used fenistil pentsivir which acts only locally, without being absorbed into the bloodstream.
Herpes and feeding - how to avoid infecting their children?
herpes in nursing mothers, although the primary manifestation, although a relapse of a chronic infection, always threatens child transmission.Therefore, the focus in this nursing mother should be given to personal hygiene:
- thoroughly wash hands with soap after using the toilet;chest every time wash with soap is not necessary - this may cause cracks on the nipple;
- regularly change their underwear and underwear of the child;iron all linen baby on both sides with a hot iron;
- thoroughly wash and boil the dishes of the child;
- daily wash with soap and baby toys (soft toys the child can not be given).
Herpes breastfeeding is dangerous primarily as a source of infection and the threat of infection of the child.But if all the rules of hygiene to avoid transmission is possible while maintaining breastfeeding herpes.