Content
- 1 clinical picture
- 2 Examination and treatment
Pathological signs are essential for timely diagnosis of any gynecological disease. They contribute to the early treatment of the patient to the doctor, thereby increasing the effectiveness of the treatment. Many manifestations of gynecological diseases are similar. In this case, only a thorough examination allows to make a differential diagnosis.
Some pathological conditions occur without characteristic features. It is known that the absence of symptoms leads to late diagnosis of the disease and the development of possible complications. In this connection, experts pay attention to preventive examinations that can detect early signs of the disease.
One of the pathological conditions, which progresses without obvious symptoms, is the erosion of the cervix. This is the background benign process, which is not in every case involves pathology.
Erosion means the appearance of defects on the visible signs of cervical region. This term includes:
- real erosion;
- congenital ectopia;
- Acquired ectopia or pseudo.
In view of the prevalence of erosion in the form of ectopia, often specialists use this term to refer to cervical defect. Erosion is located on a small portion of the vaginal cervix, which is lined with multilayer flat epithelium cells. The defect is a spot that can be characterized by different visual features.
If there is damage to the surface epithelium, cervical vaginal part formed ulcer or wound. Violation of the cervical portion of integrity is due to various factors that have damaging effects.
Ulcer there a short time, puffing on their own within two weeks. However, this process does not always happen properly. In this case, the substitution of flat cells multilayered epithelium that normally cover the cervical region adjacent to the vagina. Delayed wound, covered with cylindrical epithelium cell monolayer.
This substitution process leads to the appearance of the characteristic signs which imply appearance cervix reddish stains on the background of a pale pink mucosa. Flat and cylindrical cells differ in color and texture, covering certain parts of the internal reproductive organs.
Cylindrical cell elements in a different way called cube. They line the narrow surface of the cervical canal, which connects the uterine cavity and vagina. Inside cervical cancer also function by producing protective mucus from infections.
Sometimes the appearance of cylindrical cells in the vaginal area is observed in violation of pre-natal development of sexual organs. Vaginal part of the cervix is covered cylindrical cells, which eventually are shifted into the cervical canal. Signs spots disappear.
If it detects a defect in the form of injuries due to epithelial damage, gynecologists say the true erosion. The result of substitution of one type of epithelium other, called ectopia. If ectopia is intrauterine character, diagnosed congenital erosion. Improper healing of erosion is considered to be true or pseudo acquired ectopia.
clinical picture
As a rule, the development of the erosion of women do not have the characteristic features. Sometimes there may be spotting accompanying sexual intercourse or gynecological examination. These spotting associated with traumatization of cylindrical cells that are on the surface of ectopia.
In addition, the cylindrical cells contain pseudo gland. It is known that cancer actively produce protective mucus. In connection with ectopia usually an increase in mucous secretions.
Many women are interested in, can occur with erosion of other symptoms, such as pain or cycle disorders. Erosion may not have data attributes. However, the disease is often combined with infections and other diseases, which may have different signs. So, during the flow of the erosion on the background of an STI, she notes that there are various nature exudates - from the mucous to purulent. Often during intercourse painful sensations arise. Therefore, if you notice unusual symptoms should see a doctor and get tested.
When cervical erosion specific symptoms are absent. However, signs of cervical erosion are evident during the inspection of the cervix gynecologist.
- True erosion variety - it is the sore or wound that occurs in violation of vaginal cervical tissue integrity. The surface of the wound is often contaminated by pathogenic or pathogenic flora. In contact with a gynecological instrument of true erosion may bleed.
- Congenital ectopia has the form of regular shape stains. Usually symptoms such education no inflammation. In congenital defect gynecologist embodiment visualizes the transformation zone, which is a compound of flat and columnar epithelium. Normally, the transformation zone is hidden and not detected during the inspection.
- Pseudo is characterized by the formation of stains, which can take any shape. defect size also varies. Pseudo often complicated symptoms of inflammation.
In order to accurately carry spot on the vaginal part of the cervix erosion, you need to conduct a survey. In some cases, the cancer has symptoms of erosion, which differentiate impossible without special studies.
Signs of erosion occur for the following reasons.
- Hormonal fluctuations. The state of the uterine cervix epithelium affect estrogen. During pregnancy, menopause, sexual maturation varies the concentration of this hormone.
- Early sexual activity. Up to a certain age the epithelium of the uterine cervix is immature. This explains the increased cervical susceptibility to infections and traumatic factors.
- Inadequate contraception. Chemical spermicides used on a regular basis, can cause signs of erosion.
- Infection. In most cases, symptoms develop as a result of erosion of the infectious lesions. Especially dangerous is HPV, often causing dysplasia.
- Trauma epithelial uterine cervix. Abortion and other interventions lead to ectropion, which was then compounded by erosion.
The effectiveness of the treatment depends on the elimination of precipitating factors. Before the appointment of adequate therapy is recommended to women to get tested and to cure the symptoms of opportunistic diseases.
Examination and treatment
Symptoms of uterine cervical erosion should be time differentiated from other dangerous diseases. In order to eliminate manifestations of dysplasia, you should regularly visit the gynecologist and perform the necessary studies.
Identifying erosion symptoms often occurs as part of routine inspections. However, a visual assessment of the status of uterine cervix insufficient.
To confirm the diagnosis and exclusion manifestations related diseases, the patient is recommended inspection:
- smear on onkotsitologiyu;
- bakposev;
- Smear on the flora;
- colposcopy and expanded in a simple embodiment;
- detection of genital infection by PCR.
Treatment depends on the results of the survey. If there are symptoms of inflammation recommended drug therapy in accordance with the specific pathogen:
- antibiotics;
- anti-inflammatories;
- antiviral drugs;
- antifungal agents;
- antiseptics.
When detecting ectopic manifestation in most cases recommended its removal by cauterization. In modern gynecology used several techniques, which are chosen depending on the size of the pathological focus, age of the patient and her reproductive status. It is essential to carry out a woman's desire future fertility.
Gynecologists called cauterization of the following methods if found signs of cervical erosion, in particular, ectopia.
- Diathermy. One of the simplest and most effective ways to cauterize - the impact on the focus of electrocution. However, this technique involves the violent impact, as a result of which often occur manifestations of scar tissue. The rehabilitation period may appear symptoms of infection joining. In connection with diathermy is contraindicated if the patient has no birth in history.
- Chemical coagulation. In the process of cauterization uterine cervix is processed by chemical solutions. This strategy is effective if the pseudo value is small. In general, chemical coagulation is considered gentle way and can be recommended for nulliparous women.
- Laser vaporization. This non-invasive method, in which the pathological elements of the erosion of the uterine cervix evaporated. Moxibustion can affect healthy tissue. Some gynecologists say that after the intervention in the erosion of large size often develop symptoms of relapse.
- Radiowave treatment. This is the best method of cauterization, which can be used for symptoms of pseudo-even in nulliparous women. The impact device "Surgitron" affects only the changed tissue of uterine cervix. Restoration of the affected area is fairly fast.
- Cryodestruction. Cauterization liquid nitrogen efficiently, if erosion of the uterine cervix has an insignificant value. The disadvantage of this method may be mentioned of such symptom after the intervention as profuse watery.
Treatment of congenital erosion is not carried out. During pregnancy, it recommended dynamic observation pseudo uterine cervix, and after childbirth addressed the issue of its surgical treatment.
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.