Cauterization of cervical erosion

Cervical erosion is a fairly common disease. According to statistics, the erosion during gynecological examination diagnosed in 30-50% of women.

The term "erosion" is not quite true. Often under this diagnosis mean doctors or pseudo ectopia. This pathology, which often involves the treatment of moxibustion.

The cervix is ​​the lower body of the department. Her supravaginal portion is invisible when viewed. The vaginal speculum visualized only part which has a flat multilayered cells on the mucosal surface.

The cervix connects the uterine body and vagina due to the presence of the cervical canal. It is known that the cervical canal is lined with a single layer of columnar epithelium. Moreover, gland located in the art that produce mucus protecting from infections.

Defect mucous vaginal part of the uterus, doctors called erosion. Despite the fact that this pathology is the background, there is a need for its treatment. Erosion can provoke infectious and precancerous processes.

Cervical erosion occurs in several forms.

• True erosion - a wound that appears as a consequence of damage to the surface epithelium. The development of a true erosion is accompanied by inflammation. However, there is a defect in about two weeks. Then the real erosion of self-healing. With proper healing of spots is not a trace remains on the mucous membrane. In most cases, the ulcer is healing properly, passing in ectopia or pseudo.
• Ectopic represents substitution flat multilayered epithelium cylindrical monolayer cells. Flat stratified epithelium gives mucous pale pink color and a smooth surface. While the columnar epithelium is velvety and has a more saturated color.
• In congenital erosion observed displacement of the transformation zone, which is a compound of two different epithelia. Congenital erosion or ectopic is small and flat shape. Such a spot there temporarily. By 23-25 ​​years mucosa matures and stabilizes hormones that contribute to the regression of the defect.

The most frequently diagnosed form of erosion is considered to be acquired ectopia, which otherwise is called pseudo. Often, such a defect is accompanied by infections and other gynecological diseases, which contribute to the progression of the pathology.

Causes of

Before exercising moxibustion ectopia, you must remove the causes of its appearance. Elimination of provoking factors reduces the risk of recurrence of erosion.

Ulcerative cervical defect can occur under the influence of several factors. Among the theories of experts put forward the following triggers.

1. Infectious inflammatory disease initiated Chlamydia, Ureaplasma and myco, opportunistic flora.
2. cervical trauma as a result of abortion, birth give rise to ectropion meaning cervical eversion.
3. Hormonal disorders, especially in ovarian dysfunction earlier or later delivery, can also cause the formation of erosion.

Predispose to the occurrence of the defect can be:

• early sexual life;
• multiple sexual partners;
• impermanent nature of intimate relationships;
• weakened immunity;
• receiving hormonal preparations;
• using chemical spermicides as a contraceptive;
• heredity.

It is believed that the most common cause of ectopic - infection. Timely visit to the gynecologist and the elimination of pathogenic microorganisms can prevent erosion and cauterization procedure.

Symptomatology and diagnosis

In most cases, erosion is asymptomatic. Because the cervix has no nerve endings, the pathology is not accompanied by pain. Such manifestations of hormonal imbalance, as the change in cycle length, bleeding is also not typical.

Signs of cervical defect seen a gynecologist during the inspection of the epithelium in the mirrors.

• When uncomplicated pseudo visualized increase in mucous secretions. This is due to the fact that the cylindrical cells contain ectopic glands that produce mucus.
• Congenital ectopia has a regular shape, and there are no signs of inflammation.
• True erosion looks like a wound surface epithelium. Upon contact with gynecologic instrument may cause minor bleeding.

However, most are complicated by ectopia. Often at the same time with pseudo-doctor detects the inflammatory process, accompanied by hyperemia and abnormal discharge.

erosion diagnostics include the following methods.

• Gynecological examination. Inspecting the cervix in the mirrors, the doctor determines the spot that has the characteristics of a true congenital or erosion, pseudo.
• Colposcopy. Specialist conducts both simple extended procedure. During colposcopy simple visual inspection is carried out by the neck colposcope magnifying and lighting systems. In order to detect abnormal areas on the cervix are applied special solutions with which you can analyze the colposcopic picture.
• Biopsy. This procedure is sampling tissue for examination in a laboratory. A biopsy is performed only in cases of suspected precancerous process.
• PCR diagnostics. Detection of genital infections is necessary before the cauterization procedure, for example, diathermocoagulation.
• Smear on onkotsitologiyu. This basic research, through which it is possible to detect abnormal cells, indicating precancerous process.
• Smear on the flora and bakposev. These studies are needed to identify the inflammatory process.

Detailed examination can detect precancerous and inflammatory conditions, as well as related gynecological diseases.

Of particular value are the results of the study before prescribing treatment. Cauterization of erosion, including diathermy, conducted after preliminary sanitation.

methods

Before the cautery should be possible to eliminate its causes. Consequently, the infection need to be treated with antibiotics, antiviral, antifungal drugs.

The method of cauterization selected on the basis of the following criteria:

• age of the woman;
• the presence of parity;
• the value of erosive spots;
• reproductive plans.

The use of modern gynecology cautery methods that largely allowed to use in nulliparous patients. The exception is the technique diathermocoagulation.

It is noteworthy that the term "cauterization of erosion" is not quite true. This term began to be used in relation to diathermocoagulation, which has long been the only way of surgical treatment of erosion. Currently used in more modern and sparing methods of eliminating cervical defect.

Experts use several methods of cautery in order to eliminate cervical pseudo.

• Chemical coagulation. Cauterization involves treating cervical portion chemical solutions, particularly Solkovagina or vagotilom. Such cauterization would be effective at low erosion value. Usually to eliminate erosive spot requires several cautery procedures.

After cauterization scab is formed on the surface, which is torn away for a few weeks. The advantages cauterization chemical solutions include painless, simple and inexpensive processing. However, moxibustion is suitable for small size ectopia.

• Diathermy. This high-frequency cauterization current, causing the formation of a scab. By cons diathermocoagulation include pain, risk of infection and bleeding. In the long term diathermy can cause scarring of the cervix, which causes some difficulties during pregnancy and childbirth.

Diathermocoagulation often used due to its high efficiency. Besides holding diathermocoagulation possible in every medical institution gynecological orientation. Diathermocoagulation recommended only for women who carried out the genital function.

• Laser vaporization. Unlike diathermocoagulation, laser processing is contactless manner cauterization. During laser vaporization of pseudo cells evaporate. This technique is also used to treat other cervical abnormalities. The advantages of cauterization include high efficiency, no scarring and painless.
• Cryodestruction. Cauterization by liquid nitrogen takes about fifteen minutes. Under the influence of cauterization cell destruction occurs after crystallization. After the processing there are abundant liquid separation. Complete healing observed after six weeks. Cryodestruction suited for moderate cervical lesions. The method is practically painless and is not accompanied by scarring tissue.
• Radio wave cauterization. This technique is considered to be optimal cauterization, unlike diathermocoagulation. Treatment is carried out in a contactless manner by means of a special apparatus "Surgitron". The impact is only on the affected tissue, while healthy epithelium cauterization is not exposed. The procedure is performed under local anesthesia and can be recommended for young nulliparous patients.

In modern gynecological moxibustion cervical erosion is often carried out by women, is not carried out the genital function. However, a tactic with which to cauterize cervical erosion, determined by the attending doctor, taking into account the survey data and medical history of the patient.