Content
- 1 Factors for and symptoms
- 2 methods of diagnosis
- 3 Treatment
Every second woman, according to statistics, is faced with benign cervical pathology, which is called erosion. This pathological condition often takes the form of ectopia in need of surgical treatment.
Ectopia can eliminate by cauterization. There are various tactics cauterization, which are selected individually taking into account the peculiarities of history. In gynecological practice for many years used a very effective method of cauterization, which is called diathermocoagulation. This method involves the cauterization current.
In some cases, after the diathermocoagulation a need for medical treatment. The use of drugs in the recovery period after cauterization current shortens the rehabilitation period and activates the regeneration processes.
Many women who had delivered a diagnosis, are interested in what the erosion. In fact, this definition is not entirely true, since it does not reflect all the processes that occur at a given cervical condition. It decided to use the term "ectopic" in the medical literature.
If the vaginal portion of the cervix occurs epithelium stain or defect, talk about the development of erosion. This good background process that should be treated to prevent more serious illness.
Conclude how serious erosion can only defining its kind. Gynecologists erosion classified as:
- innate;
- true;
- pseudo.
The cervix is a kind of muscular tube which connects the cavity of the body through the vagina and cervix. Erosion occurs on a visible portion of the cervix, which is called vaginal due to its location.
Vaginal part of the cervix investigated gynecologist during the inspection. In normal epithelium of the area it has a pale pink color and is lined with flat cells. In addition, the epithelium of the cervical vaginal part of a multi-layered.
Cervical canal different structure of their epithelium, since it consists of columnar cells. This epithelial tissue is a single layer, and its appearance is always bloodshot. Texture cervical epithelium different velvety. It is noteworthy that the cervical canal also contains mucus producing glands which prevent infection cast into the uterus from the vagina.
Flat multilayer epithelium embodiment is connected to a cylindrical single-layer fabric in the area of transformation. This transition zone is normally not detected during inspection.
It was found that in utero vaginal cervical region may be covered cylindrical cells, which are in process of development of the reproductive system are shifted toward the cervical channel. This is considered a congenital ectopia are normal and regress to the age of 23-25 years.
However, not all congenital ectopia disappears. Sometimes reddish flat form does not regress, and is complicated by infection. In such a case it is necessary medication.
If damaged cervical epithelial tissues forming the wound, called true erosion. The appearance of such ulcers cause traumatic, burns, infectious factors. The wound is usually accompanied by inflammation.
True erosion heals on its own within two weeks, which is why the plague is detected rarely. If the wound is determined during a pelvic exam, prescribe medical nature.
Often, there is healing epithelial tissue that is going wrong. As a result, erosion coated cells improper for cervical vaginal area. Wound healing using cylindrical cells, forming a pseudo-acquired or ectopy.
Gynecologists recommend treating ectopic, since there is a danger of its degeneration. In addition, the pseudo usually accompanied by inflammatory processes.
Factors for and symptoms
Erosion refers to pathologies that can arise due to many reasons, both external and internal. Among the causes of erosion, experts note:
- especially intrauterine development of the genital organs;
- hormonal fluctuations that lead to changes in epithelial tissues;
- infectious agents, e.g., Chlamydia and HPV;
- onset of sexual activity at a young age;
- irregular sexual contacts;
- having multiple partners;
- cervical injury, particularly during childbirth, abortion.
In order to be effective treatment for erosion, and reduced the risk of recurrence, necessary to identify the factors provoking pathology and possibly eliminate them.
Some patients believe that cervical erosion can cause a variety of symptoms. In fact, if a defect occurs abnormal discharge, cycle disorders or pain, then it is necessary to conduct a survey and identify comorbidities.
Erosion may be accompanied by only a contact discharges arising during intimacy or examination of the cervix, as well as mucous discharge. It is known that cancer cells produce mucus cylindrical, including pseudo-surface.
However, signs of erosion are determined visually by a gynecological cervical screening. Specialist identifies a spot that has typical symptoms, relating it to a specific species.
True erosion similar to the wound is often a sign of inflammation. Congenital ectopia - a flat spot forms, which rarely become infected. It looks like a pseudo defect uncertain shape and volume. Typically, when a diagnosed disease pathogenic microflora.
methods of diagnosis
A defect is detected during a gynecological examination. But more research is needed to differentiate the stain with other diseases. The first step is to exclude dysplasia and oncology, as well as identify related diseases that must be treated prior to cauterization.
Diagnostics for erosion comprises:
- colposcopy, in particular, simple and expanded;
- Smear on the flora;
- cytology;
- biopsy;
- bakposev;
- PCR screening for detection of infections.
treatment strategy depends on the type of defect, its magnitude related gynecological diseases and the individual characteristics of women. Congenital erosion is not treated to twenty-five years, if there is no inflammation symptoms. True erosion needs to conservative treatment. In surgical treatment of ectopic meaning moxibustion.
In modern gynecology successfully used a variety of tactics cautery:
- chemical coagulation;
- diathermy;
- laser vaporization;
- cryosurgery;
- radiowave treatment.
Not all modes of cauterization are effective for different embodiments erosion. In particular, cryosurgery chemical coagulation and characterized by low efficiency in extensive lesions of the cervix. Diathermocoagulation has elevated traumatic and is contraindicated in women who did not realize reproductive function.
Treatment
Cauterizing current is the most commonly used method of treatment of pseudo. When diathermocoagulation an influence on pathological high temperature portion, which is achieved due to the electric current.
Moxibustion cervical erosion current is applied for a long time. For many years the use of diathermy was highly effective, in spite of the serious consequences of cauterization, after which often requires treatment.
Cauterization current can be used only when indicated. The physician also allows for cauterization diathermocoagulation contraindications, which include:
- pregnancy;
- lack of parity;
- genital infections;
- diseases of the circulatory system;
- tendency to scar formation;
- precancerous processes;
- oncology.
Before the cautery need to be screened to identify possible contraindications. Treatment by cautery current is quite a painful procedure. Before treating diathermocoagulation erosion, the patient is recommended a local anesthetic.
Cauterization current lasts up to twenty minutes. Treatment involves several successive stages:
- the location of the patient on a gynecological chair;
- cervical rehabilitation;
- conduct of anesthesia;
- administering colposcope;
- implementation using cautery applying to the affected area of the electrode;
- re-processing.
After cauterization of erosion current complications may occur and long-term consequences. Diathermy can cause connection infection. That is why in order to prevent some doctors prescribe after cauterization of cervical erosion.
Treatment after cauterization diathermocoagulation includes the use of tampons soaked in ointments. As treatment used tampons with sea buckthorn oil, which contains essential vitamins and minerals. Sea buckthorn oil has anti-inflammatory, antiseptic and anti-inflammatory effect.
The rehabilitation period is also possible to use the ointment Levomekol. The medicament promotes softening of so-called eschar, which is formed during diathermocoagulation and healing. It has the same effect and tampons with methyluracyl ointment.
Some patients are wondering whether to treat erosion after cauterization with antibiotics and other medications needed. Generally, treatment involves only local processing means healing. Before cauterizing the genital tract undergo rehabilitation, so the postoperative period does not require antibiotic therapy. If the patient showed signs of infection, after the bacteriological seeding doctor assigns suppositories with antimicrobial substances (Terzhinan, Polygynax, Ginezol, and Rumizol others).
If treated by cauterization current, may scar cervical strain. As a result of cervical tissue becomes less elastic, which can cause its rupture during pregnancy and childbirth. After cautery treatment is often accompanied by the use of proteolytic enzymes (Vobenzim, Longidaza) as drugs have a preventive effect in the aspect of scarring.
After cauterization current treatment may include immunomodulating and antiviral agents, if the patient is detected HPV or HSV. Using drugs or interferon inducers - Genferon, TSikloferon, Kagocel, Isoprinosine.
At the final stage of treatment after cautery current is applied to the spark bifidobacteria and lactobacilli.
Treatment after cautery current includes the observance of several rules. The rehabilitation period is recommended to rule out sexually, sauna and lift weights. The first appointment should be scheduled no earlier than one month after the cauterization current.
The information and materials on this website are provided for informational purposes only. You should not rely on the information as a substitute for the actual professional medical advice, care or treatment.