Content
- 1 Causes of
- 2 Symptomatology and diagnosis
- 3 Treatment
The number of gynecological diseases each year has been steadily growing. A significant portion of the total number of pathologies occupy background cervical condition. Cervical erosion occurs in more than half of women of any age.
Quite often erosive cervix defect is detected in nulliparous women. This is due to the early entry of girls into sexual activity to which the cervical epithelium is not yet ready. Frequent detection of cervical erosion also contribute to preventive examinations, during which experts and reveals the true innate or erosion, and ectopia.
Usually women and nulliparous women hear about the diagnosis, which sounds like "cervical erosion". In fact, a common name for several cervical states, some of them are not a pathology.
Erosion is a defect formed on the surface of the cervix, which looks like a spot, characterized by color from the remaining mucosa. This spot can have a different volume and shape, as well as accompanied by signs of inflammation.
The cervix is like a muscular tube, which is located in the center of the cervical canal. the cervix can be presented in two parts:
- vaginalis;
- supravaginal.
Vaginal area got its name thanks to its location. This is the visible part of the uterus, which tested at a gynecological examination. Vaginal flat part is covered multilayer cells that give the epithelium a kind of a pale pink color and a smooth texture.
Cervical canal is lined with epithelium other kind, which is formed by single-layer cylindrical cells. In addition, cervical cancer also comprises a channel for generation of protective mucus infection. cervical tissue has a red color and is characterized by velvety.
In its lower part, defines an outer channel cervical os, in which the transformation zone. This area involves the transition from one species to another epithelium.
Causes of
The etiology and pathogenesis of different types of erosion are characterized by numerous differences. In general, among the causes of the defect can be identified:
- early onset of sexual life in adolescence;
- various genital infections;
- inflammatory diseases which must be treated in a timely manner;
- hormonal fluctuations;
- violation of the integrity of the epithelium as a result of traumatic factors;
- especially intrauterine development of the genital organs.
The impact of adverse factors causes the appearance of erosion of certain species. Some pathological conditions to be treated, even giving birth to girls.
Gynecologists are the following types of erosion that occur on the cervix.
Congenital defect of form It is not considered a disease. Spot consisting of cervical cells appear during fetal development. Vaginal part of the cervix was originally lined with cervical cells. But over time, the epithelium is replaced by a multi-layer flat. Thus, congenital erosion disappears on its own, and is not required to treat it.
true erosion It develops when the surface epithelium is injured and damaged under the influence of various factors. If there is a defect of the true variety wound, which often fails to detect. This is due to the fact that the true erosion heals within two weeks. The wound is treated only if it is detected in time.
ectopia It represents improper wound healing, leading to the appearance of the cylindrical cells on the surface of the damaged portion. The defect is dangerous because it can be transformed to dysplasia or cancer. For ectopic or pseudo exacerbated by the presence of infections, especially HPV.
More than 80% are acquired and pseudo complicated infections and inflammation. It is therefore recommended to treat ectopia, including giving birth to girls. Elimination of pseudo should be after the patient manages to cure sexual infections.
Symptomatology and diagnosis
Contrary to popular belief, erosive defect has no specific symptoms. Often this causes its random identification during routine inspections.
The cervix has no nerve endings, so the erosion can not cause pain. In addition, ulcerative defect does not affect the hormonal balance and does not cause violations of the cycle.
Some women may see an increase in the number of mucus secretions of character that are associated with the production of secretion glands cylindrical cells. During a pelvic exam, and sexual intercourse defect may undergo injury. In connection with the erosion often appear contact bleeding in small amounts.
Cervical erosion is determined visually during the inspection of the mucosa. This means that the diagnosis is carried out in the assessment of the cervical epithelium. The physician views classifies the erosion in accordance with the external features.
True erosion represented wound, which often bleeds during inspection and has external signs of inflammation. Congenital erosion has the form round spots, with the symptoms of the inflammatory process is usually not detected. Appears as a pseudo defect, wherein different volume and shape. When pseudo can often diagnose the signs of an infection that needs to be cured before correcting the fault.
Before treating the erosion, it is necessary to pass inspection. Erosion should be differentiated from other diseases, as they have a similar clinical picture. In order to prevent dysplasia and cervical cancer, which is often disguised as ulcerative defect, and to identify associated diseases recommended inspection:
- cytological diagnosis;
- smear on the flora and bakposev;
- colposcopy in simpler and extended embodiment;
- PCR method for detection of pathogenic organisms;
- biopsy in the case of oncological alertness.
Treatment is often carried out in respect of an ectopia. However, before proceeding to the elimination of the affected tissues, it is necessary to cure the inflammation.
Treatment
Cure cervical erosion is not difficult, if you choose the best tactics. Before treating the pathology, doctors prescribe the patient examination. In general, treatment selection depends on the following factors:
- species erosive spots and its value;
- the age of the patient and her reproductive plans;
- reproductive status of women;
- presence of concomitant diseases.
Specialists treat erosion even in women who have not given birth. Some time ago it was believed that to treat erosion in nulliparous women is not necessary, since its elimination can have serious consequences. However, in modern gynecology apply tactics that allow erosion to cure even in nulliparous.
Many women diagnosed with the corresponding interested in how to treat cervical erosion nulliparous. Pseudo treat women who have not given birth, more gentle way.
It is known that not every kind of stain should be treated in nulliparous. In particular, the erosion of the cervix in nulliparous is not treated in detecting congenital ectopia. Such education is not treated and watched. However, when it detects signs of inflammation, it is necessary to cure.
Real erosion treated using medicines that affect the pathogenic microflora. Are essential means by which doctors treated to enhance healing processes.
Ectopia nulliparous treated in several stages. The first thing to cure the infection. This is due to the fact that the inflammation in patients who have not given birth, will prevent the healing of tissue.
Treat the infection in nulliparous possible by means of the following drugs:
- antibiotics;
- antiviral agents;
- antifungal medications;
- antiseptics.
Then pseudo treated by cauterisation. Women who have not given birth, are not suitable for all methods of surgical treatment, which involves cauterizing.
In particular, pseudo treat nulliparous electrocution or diathermocoagulation contraindicated. Despite the fact that diathermocoagulation able to heal erosive spot, it has several serious complications. In this connection, this method can cure only those patients who have given birth.
To treat ectopic nulliparous, these tactics are used.
- Chemical coagulation. This treatment is suitable nulliparous girls who have a slight loss of epithelial tissue. To treat the stain, the cervix is applied to a special chemical solution that causes the burn. Cure the pathology is possible by means of several successive treatments.
- Cryodestruction. A method of treatment for quite a long time is used in patients who have not given birth. In this case, the disease is treated with liquid nitrogen, which promorazhivaet tissues, causing them to crystallization and subsequent rejection.
- Laser vaporization. Tactics of treatment can be performed in nulliparous. Exposure to the laser beam can effectively treat the pathology contactless method. It is noteworthy that laser vaporization can cure other benign cervical disease in patients who have not given birth.
- Radiowave treatment. For the representatives, who did not give birth, it is the optimal method of surgical treatment. During this procedure are treated with the help of radio waves "Surgitron" apparatus. Radio-wave method can not only cure the erosion in nulliparous, but also to prevent complications in the process of rehabilitation. That is why the radiowave treatment longer show the girl who did not give birth.
The need for surgical treatment have representatives who have not given birth, determined by a physician, guided by clinical and survey data.
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