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GENTIAL WARTS

生殖器疣(尖锐湿疣)

The topic of Genital warts is one that may cause people embarrassment and a subject that isn’t often discussed in public. Despite this, genital warts are very common especially from ages 15-30. At least 75% of adults having sexual intercourse will have a genital wart virus infection at some time of their life. Only about a quarter of these will develop warts.

在生殖器疣的话题中，可能会导致人们尴尬， 这不是经常在公开场合讨论的主题。尽管如此，生殖器疣的情况非常普遍，尤其是 15-30 岁这个年龄阶段。至少有 75％的成年在他们的性交生活中同时有了生殖器疣的病毒感染，约仅有四分之一的将发展成疣。

 

 

WHAT ARE GENTIAL WARTS?

什么是生殖器疣？

 

Genital warts are small wart-like lumps caused by certain types of the Human Papilloma Virus (HPV) which can be passed on during sexual contact. Genital warts may look like small cauliflower-shaped bumps or lesions that are flesh- coloured and can be found on the skin around the genital area, vagina, cervix, penis, scrotum, urethra (urine opening) or anus.

生殖器疣是小疣，就像混合在一起的小结节，如人类乳头状瘤病毒（HPV）， 可通过性接触传染。生殖器疣可能看起来像小菜花状肿块或病变是肉色状，可发现在生殖器周围的皮肤、阴道、子宫颈、阴茎、阴囊、尿道（尿道口）或肛门。

 

IMPORTANT: Have regular cervical smears! Some types of HPV have been linked with abnormal cell changes on the cervix. Smoking has been shown to work with HPV to increase the chance of abnormal cell growth or cancer.

要点：定期接受子宫颈涂片检查！有些类型的 HPV 与子宫颈细胞的异常变化联

 

系在一起。吸烟已被证明与 HPV 增加异常细胞的生长或癌症的机会同等。

 

 

 

HOW DO I KNOW IF I HAVE GENTIAL WARTS?

如何知道我是否患生殖器疣？

 

Most people with genital warts have no visible symptoms and may not know they are infected. For those with visible warts the symptoms may include:

大多数患生殖器疣的人没有明显症状，可能不知道他们已被感染。对于明显的疣的症状可能包括：

 

  • Itching, pain and bleeding

  • 瘙痒，疼痛和出血

 

Symptoms of HPV are usually more prominent in men than women because the warts are more visible to see on the shaft and base of the penis than in or around the vagina.

人乳头状瘤病毒症状，通常是男性比女性更加突出，因为阴茎根部的疣比起阴道周围的疣要更显而易见。

 

If infected with a type of HPV that causes genital warts, you may experience symptoms anywhere from a few weeks to a few months after initial exposure. 如果与人乳头瘤病毒类型造成的生殖器疣病毒，你可能会在任何地方的初期接触后的数周到几个月后出现症。

 

 

HOW IS IT CAUGHT?

是怎样患上这种疾病的呢？

 

Genital warts are very contagious and are passed on:

  • 生殖器疣的传染性非常强，其传染途径是：

 

  • By having skin to skin contact during oral, genital or anal sex with someone that has HPV.

  • 通过已经有乳头瘤病毒感染的人的皮肤与皮肤，口腔与生殖器或肛门性交的接触而传染

  • From mother to baby during birth

  • 从母亲到婴儿出生时。

 

 

 

CAN GENTIAL WARTS BE TREATED?

生殖器疣能医治吗？

 

Diagnosis and Treatment

诊断和治疗

 

 

Diagnosis is made by examination. There is no routine diagnostic test for subclinical (invisible) wart virus. However, subclinical wart virus infections of the cervix are common and may be detected by a cervical smear.

诊断是靠检验，没有常规诊断测试无临床症状的（无形）疣病毒。然而，无临床症状的宫颈疣病毒感染是常见的，可能是由子宫颈涂片检测发现。

 

Genital warts can be treated but this will not get rid of the virus (HPV) that causes the warts. The warts may come back in the future. Treatments to remove the warts include:

生殖器疣是可以治愈的，但是这不会摆脱病毒（HPV）引起的疣。疣可能会在未来复发。消除疣的治疗包括：

 

  • Burning off the wart with caustic acids, electrical heat or a laser.

  • 腐蚀性酸，电灼或激光燃烧掉疣

  • Cryotherapy which involves freezing the wart with a super-cold liquid which causes the affected tissue to blister and eventually break off.

  • 超级冷冻液体冻结疣组织，导致受影响的组织起泡，最终破坏了疣组织

  • Self-applied creams and liquids.

 

  • 自己应用冰淇淋和液体

  • Surgery at doctor’s office with local anaesthetic.

  • 在医生工作室局部麻醉下手术。

 

After treatment:

恢复期疗法：

 

 

  • Salty water baths to help soothe and heal the genital area during treatment. Two handfuls of plain salt per bath or two tablespoons in a large bowl, preferably twice daily.

  • 盐水浴，以帮助生殖器周围在治疗过后的愈合。每次盆浴放两把常用盐或两汤匙盐放在一个大盆里，最好每日 2 次。

  • Xylocaine® (2% lignocaine) gel is a useful local anaesthetic to put on raw areas two minutes prior to passing urine or having a bowel motion.

  • 利多卡因®（2％利多卡因）凝胶是一个有用的局部麻醉剂，把它涂在治疗后的创伤部位，两分钟后在小便或大便。

  • Keep the treated area clean and dry

  • 保持治疗部位清洁和干燥。

 

 

 

What about my partner?

我的性伴侣要做什么？

 

 

Your sexual partner needs to be checked and treated if necessary. Because treatment of genital warts does not eliminate wart virus infection, it is important to remember the virus may still be present and contagious, even though the warts are gone.

 

你的性伴侣需要检查和治疗，如果必要的话。由于生殖器疣的治疗并不能消除疣病毒的感染，重要的是要记住这种病毒可能仍然存在和有传染性，即使疣已经去掉了。

 

HOW CAN I PROTECT MYSELF AND MY CLIENT FROM GENITAL WARTS?

如何保护我自己和的客户不染上生殖器疣？

 

Preventative measures include:

预防措施包括：

  • Dental dams if the client wants to go down on you to create a barrier between the mouth and vagina or anal areas during sex.

  • 使用口腔保护膜。 如果客户想要继续下去，性交时在你的口腔，阴道或肛门之间的领域使用口腔膜形成一个屏障。

  • Condoms during vaginal, anal or oral sex. These reduce, but do not eliminate, the risk of transmission, especially in the area surrounding the genitalia.

  • 使用避孕套在阴道，肛门或口交时。可减少传染的机会，但并没有消除传染的危险，特别是在生殖器周围的传染性。

  • Preventive vaccines are now available which provide protection from some of the most common genital HPV types.

  • 预防性疫苗，现已提供一些最常见的生殖器 HPV 类型的保护型疫苗。

 

 

 

COMMONLY ASKED QUESTIONS

常见问题

 

 

Can I work with genital warts?

 

Genital warts are very contagious. It is possible to infect a client even if you do not have visible signs while the virus is in the incubation period. Therefore, it is possible to be infectious for a long time because the incubation period of the virus can be anywhere from two to nine months. If you do work use protection when having sex, and wash your hands if you touch the wart. Similar to herpes, genital warts can be spread through skin contact. Depending where the

 

 

 

 

我有生殖器疣可以工作吗？

 

warts are you may consider covering them up to avoid skin contact with the client.

生殖器疣传染性非常强。它可以感染客户，即使你没有明显的迹象，而病毒仍然存在潜伏期中。因为病毒的潜伏期在 2

至 9 个月，因此，有可能在相当长的时间内可以随时随地受到感染。如果你在性工作时使用保护性措施和洗手，如果你触摸过疣。类似疱疹，尖锐湿疣可以通过皮肤接触而传播， 取决于疣生长的地方。你可以考虑把疣遮盖起来，是为了避免与客人的皮肤接触。

 

 

 

Do I need to tell my boss?

 

 

我需要告诉我的老板吗？。

 

Your boss only needs to know that you are sick and need time off from work. If you need a doctor's note instruct the doctor to not include the diagnosis and to specify the number of days you need off from work.

你的老板只需要知道你有病，需要停止工作。如果你需要医生的证明，医生不会泄露诊断，但你要按指定的天数停止工作。

 

 

 

Do I have to stop working? 我要停止工作吗？

 

It is recommended that you take time off work until you have cleared the infection.

建议你请假，直到你已清除感染。

 

 

 

Should I tell my clients?

 

 

我应该告诉我的客户吗？

 

Since you will always use protection when having sex you shouldn't need to tell the client your current sexual health status. However, if a condom breaks during sex you should advise the client to get a sexual health check-up.

由于你始终使用保护型性交，你不必要告诉客户，你目前的性健康状况。但是，如果在性交时避孕套破裂你应该告知客户做性健康检查。

 

Should I tell           You should keep some things in your life private and an

 

other people I work with?

 

 

我应该告诉我的同事吗？

 

STI should be one of them. Some people are relaxed about disclosing that they have an STI to workmates. However, this information can be spread around and move beyond your control.

你应该保留私人生活中的一些东西，性传播疾病（STI）应是其中之一。有些人对此并不严格，而透露他们的性传播疾病的工友们。然而，这一信息可以传播到并超越你的控制

 

 

 

 

MORE INFORMATION?

更多的信息

 

Contact NZPC, your local Sexual Health Clinic or Family Planning Association.

与新西兰妓女组织，你所在地的性健康门诊或计划生育委员会联系

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