Content
- 1 The main forms of erosion
- 2 The etiology of the pathological process
- 3 signs of erosion
- 4 Diagnostic methods and treatment strategy
The statistics of modern gynecology indicate that cervical erosion appears in 50-70% of women. This fact testifies to the prevalence of this disease, the need for timely diagnosis and treatment.
Cervical erosion means the appearance defect in the form of ulcers on the surface of the surface epithelium. When a doctor diagnoses a pathology, as a rule, it implies its most common form - pseudo.
Erosion - is the common name of pathologies characterized by changes in epithelial tissue of the neck part. There is cervical erosion mainly in women of childbearing age.
The neck is a kind of continuation of the uterus. Her supravaginal portion localized in the pelvis, vaginal separated and visualized in the mirror when viewed. Cervical cervical canal, covered with cylindrical cells that connects the uterus with the vagina. It contains glands, which is an active mucus to protect against infection.
Vaginal part distinguishes stratified epithelium comprising flat cells. It is in this department of the cervix occurs background process that gynecologists called erosion. Despite its high quality, education should be evaluated and treated properly. Lack of treatment often causes appears dysplastic process. In some cases, there is a malignant tumor over time.
The main forms of erosion
As ulcerative defect, erosion can occur in one of three forms.
- True. This is an injury that occurs when the infection in a specific area of the epithelium of vaginal cervical department. Violation of mucosal integrity results in the appearance of inflammation. the true form of the progression observed about two weeks, after which there is:
- complete healing;
- appearance ectopia.
- Acquired pseudo. It occurs due to exposure to a traumatic factor or a result of hormone imbalance in the body. This form is called ectopia another: there is a replacement area of stratified squamous epithelium cylindrical cells.
Cylindrical or the so-called cubic epithelium similar appearance on velvet. On examination, the doctor determines the red spot with fibers.
- Congenital ectopia or pseudo. It is a small defect, which occurs as a result of displacement of the boundary between two different types of vaginal epithelium in the cervical department. The emergence of such a condition doctors call a normal option. Usually congenital erosion by the age of 21-23 years of self disappears.
Identification of erosion is essential to choose the tactics of treatment.
The etiology of the pathological process
Many women are interested in the answer to the question of why there is sickness. When cervical erosion doctors need to know why there is a defect. In modern gynecology developed several hypotheses, reflecting, because of what sometimes appears erosion.
- Inflammatory and infectious process in the reproductive organs. When some infectious diseases, e.g., endocervicitis, there is a predisposition to the occurrence of erosion. Often that the inflammatory process appear abnormal discharge due endometritis or fibroids. The appearance of these secretions have a negative effect on the lining of the cervix, as there is a constant irritation of the vaginal part. Over time, there is a defect of the true species.
- cervical trauma. Various surgical procedures, damage during childbirth or abortion explain, which is why there is cervical erosion. As a result, cervical ectropion, indicating the appearance and erozirovaniya ectropion.
- Change in the balance of sex hormones. When hormonal disorder often occurs erosion. At the dysfunction of the hormonal nature of the show:
- Lengthening or shortening of the cycle.
- Too early or late puberty.
- Inability to get pregnant.
Erosion can occur under the influence of various negative factors:
- early and late start of intimate life, its chaotic or irregular;
- a weakened immune system;
- the role of heredity;
- smoking;
- the use of COCs.
cervical erosion often appears due to the effect of several causes and adverse factors.
signs of erosion
The pathology is characterized by a latent course. Experts say that quite rare with the erosion of the characteristic symptoms appear. Detection occurs during the inspection of the cervix gynecologic instrument.
Erosion, whereby not appear related gynecological diseases, characterized by several main symptoms.
- Beli. The appearance of abundant white as a result of the production of mucus glands, which are located in the affected areas.
- Pain and discomfort. A woman may be concerned about the discomfort and pain present during intercourse.
- Bloody issues. Cervical erosion is often accompanied by excessive bleeding of the affected area, in which case the character appear allocation contact during inspection and intimacy.
When complicated by erosion raises the following warning signs of development of complications and the progression of the process:
- allocating different consistencies often malodorous;
- pain that occurs in the lower abdomen;
- violation of the cycle length.
If there are symptoms suggestive of the disease of the reproductive sphere, should consult a doctor for examination.
Diagnostic methods and treatment strategy
Identify abnormal cervical condition occurs during an inspection in the mirror. Gynecologist diagnoses the red spot that appears on the cervix. However, to determine the defect and a variety of diseases that often occur at the erosion, it is necessary to conduct an additional inspection.
As physicians diagnostic methods are used:
- colposcopy, cervical examination represents a multiple increase and conducting special tests for the detection of pathological sites;
- smear on flora to determine the number of leukocytes;
- blood to detect syphilis and HIV;
- smear on onkotsitologiyu that allows to detect inflammation and cells with signs of atypia;
- PCR study of sexually transmitted infections;
- biopsy, meaning fence small sample of tissue for histological examination;
- Ultrasound for detecting diseases associated pelvic;
- determination of hormone levels through blood tests.
when erosion Survey It depends on the clinical picture and patient history.
The data of the diagnostics have an impact on the effectiveness of the recommended therapy. It is important to know when erosion of the cervix, causing a defect may occur. Treatment involves removal of the erosion of a provoking factor. For this purpose, may be employed main groups of drugs:
- antibiotics;
- antifungal agents;
- antiviral drugs;
- antiseptics.
After treatment with conservative methods recommended by the surgical removal of erosion, which involves the destruction of the deformed portion. The choice of surgical technique depends on the following factors:
- formation area and its type;
- the individual characteristics of the patient;
- the desire to implement reproductive function.
The treatment takes place by means of several techniques.
- Chemical coagulation. If there is erosion, treatment may be conducted through the cervix processing chemical solutions. This method can be used with minor amounts of ulcer formation due to its low efficiency.
- Diathermy. Erosion can cauterize electric current, after which a pathological site occurs scab. Healing occurs within six weeks. The procedure is performed before the onset of menstruation in women giving birth.
- Lazerovaporizatsiya. This is a non-contact method, which involves the use of a laser beam. The procedure is painless, effective, and does not cause the appearance of scar tissue. Because of what laser vaporization are often prescribed nulliparous patients.
- Cryodestruction. Cauterization by liquid nitrogen is considered a simple and painless intervention that does not violate the anatomical features of the cervix. Such a method is indicated for the treatment of small areas of abnormal portions.
- Radio wave method. In modern gynecology this tactic is the most preferred treatment if there is erosion. Cauterization is done by a non-contact device, which is called Surgitron. In this procedure there is no burn, healthy and not affected areas. Scar tissue and complications also did not appear, and the tactics of the efficiency is equal to 100%.
modern methods surgical treatment allows even treat nulliparous women.
To the exclusion only applies diathermocoagulation method, which is traumatic tactics.
So that after cauterization of erosion does not have any complications, it is necessary to adhere to the doctor's recommendations:
- to comply with sexual rest;
- do not lift weights;
- limit physical activity;
- no access to the sauna, swimming pool or sauna.
The gynecologist may designate the local treatment drugs, after which occurs mucosal recovery. Six weeks later, a woman goes through inspection to control cure disease.
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