Content
- 1 Indications and contraindications
-
2 methods
- 2.1 The chemical method
- 2.2 diathermocoagulation
- 2.3 Argon ablation
- 2.4 laser cauterization
- 2.5 radiowave coagulation
- 2.6 cryolysis
Launched cervical erosion refers to the background state, and without proper treatment the likelihood of malignancy in the background pathology at times increases. In cases of serious tissue damage conservative therapy is not effective, and to defeat the erosion of its sear or destruction is carried out by other physical methods.
Indications and contraindications
Moxibustion cervical erosion relates to surgical treatments. During the operation, made an impact on the affected cells, they break down and leave behind the wound defect in the mucosa. Through the use of drugs that accelerate the regeneration, healing is fast.
Cauterize erosion shown in several cases:
- If conservative treatment does not yield any results;
- lesion covers a large area (more than two centimeters);
- the results of cytological or histological examination not cause oncological alertness by a doctor;
- Erosion often occurs repeatedly.
Cauterize erosion of the cervix only, if there is no suspicion of a malignant nature of the lesion.
Cauterization by doctors recommend to give in the case of aggravated history:
- active inflammatory processes in the body;
- vaginal dysbiosis;
- infections, sexually transmitted infections in the acute stage;
- pregnancy;
- endocrine pathology under sub- and decompensation (diabetes mellitus, hypothyroidism);
- bleeding;
- blood disorders (hemophilia);
- planning to become pregnant - in this case carried out not burning and cryotherapy or radio wave method is used.
After surgery often leaves scars that hinder conception and may adversely affect the carrying of a pregnancy. Cauterize erosion only to those women who are not going to have any more children.
methods
Cautery conventionally called several methods in which cell destruction occurs in two ways: contactless influence or direct the provision of physical action on the damaged areas of the cervix uterus.
Timing operations directly depend on the phase of the cycle: cauterize erosion need to tenth day, to the mucosa has healed to the beginning of a new menstrual period.
The chemical method
Cauterizing damaged tissues chemically includes processing cervical os special preparations. Used for this Solkovagina. It is applied with a cotton swab on the dried surface precision of adjusted colposcope. The average duration of treatment - no more than five minutes.
Process is completely painless and is performed without the use of anesthesia. Cauterize the cervix uteri erosion Solkovagina can even nulliparous women. The only drawback of the method is that the procedure must be repeated several times. With little area affected audio processing enough. Efficacy in a large area of destruction and damage to the deep - low.
diathermocoagulation
With serious damage to cauterize permissible using high frequency electric current. The operation is performed under local anesthesia and lasts about half an hour. At the site of the impact appears scab, leaving behind a dense scar. Complete healing takes about 10-12 weeks.
For several weeks the patient can not do manual labor and douche, appointed by sexual rest. Scar narrows the cervical canal and reduces the elasticity of the tissue, which makes the method unacceptable for nulliparous women. It is also possible complications: endometriosis, inflammation, bleeding.
Argon ablation
In this case, cervical erosion sear ionized argon. the plasma torch is held at a distance of half a centimeter of the problem area. Due to the influence of high-frequency electromagnetic waves are ionized. Damaged cells are heated and "evaporated".
The procedure is almost painless, healthy tissues are not damaged during the operation. Due to the absence of direct contact can be called gentle operation. In place of a thin crust erosion under which passes the active and rapid healing.
laser cauterization
The intensity of the laser action depends on the size of the lesion and the degree of cervical lesions. Directed beam at a certain point, a problem if the fabric is cut like a scalpel. So cauterize erosion under local anesthesia. It appears on the mucous thin protective film.
Healthy tissue laser is not affected. Postoperative complications are rare: the laser coagulates blood vessels and form a film under the wound is protected from infection. Bleeding and inflammation is diagnosed very rarely after this kind of cauterization. Thanks to this method, you can completely remove the erosion, leaving at the same scars. Full recovery takes one month.
radiowave coagulation
Coagulation radio waves is considered one of the safest ways that sear cervical erosion. During surgery, "sick" cells heat up and evaporate. The process is painless, and the probability of infection is almost zero. Broken capillaries immediately sealed under high temperature, after the intervention of bleeding is possible.
The whole operation takes less than an hour, recovery of the body takes about a month. Among the contraindications - pacemaker or exacerbation of chronic diseases. cervix uteri erosion radio waves completely removed in one procedure.
cryolysis
During cryodestruction "cauterize" cervical erosion by liquid nitrogen, or rather, it is frozen. Nitrogen in the extremely low temperature is guided directly to the damaged surface by a special probe. Using local anesthesia, the surgery takes about 5-10 minutes. For 1-1.5 months, the mucosal surface is completely healed.
It is forbidden to carry out cryotherapy if there are gaps or cervical lesions are as high as three centimeters in diameter. It also contraindications include inflammation of the urogenital tract in the acute form. Nitrogen erosion sear even nulliparous women: bleeding after surgery available, scars are formed in exceptional cases.
The postoperative period is accompanied by profuse watery discharge from the vagina.
The optimal method is chosen individually. Operation with high efficiency and minimal trauma often quite expensive. Fundamental importance in the selection of the method is determined to cauterize the patient's reproductive plans.
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