August 21, 2012
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Erosion (translated from the Latin - "corrosive") of the cervix - a pathological phenomenon, which occurs in the process of shedding a vaginal portion of the cervix cells surface epithelium.
Today, the erosion of the uterus is considered to be the most common pathology of female genitals, which confirms the medical statistics. It is often diagnosed in the erosion of a woman who visits a doctor in connection with the development of other diseases of the genital organs.
How does the cervix
Doctors cervix divided into two parts: her vaginal part of the specialist may consider using a special mirror that uses a gynecologist during routine inspection. In the middle of the cervical supravaginal passes the so-called cervical canal (cervical canal).
Vaginal part of the cervix with a smooth mucous membrane. This shell pink color forms a stratified epithelium. Endocervix covers single-layer epithelium. Thus, generally the mucosa of the cervix consists of two different types of epithelium. It also has a transition zone: this is the place where one type of epithelium is replaced by another. This area in women of different age groups found in different places. For example, with age, it gradually shifted inland, to the cervical canal.
What causes cervical erosion?
When the manifestation of the patient of cervical erosion reasons for its development may be different. However, most superficial epithelial cells begin to be torn away as a result of the previously develop an inflammatory process.
Very often, the occurrence of erosion due to the mechanical action on the mucous membrane of the cervix. Because of certain physical influence in a certain place is destroyed epithelium and developed inflammation.
The original cause of erosion are often manifestations infectious diseases Which are sexually transmitted, as under the influence of microorganisms destroy the structure of cell membranes. In addition, such microorganisms produce toxic substances.
Experts say the fact that the erosion often diagnosed in women who long period of time suffer violations hormonal balance and monthly cycle .
According to the theory of immunological cervical erosion occurs in women suffering from violations of the protective functions of the body. Quite often in these patients there may be a violation of cycle, inflammation of the genital organs and a large number of abortion history. The so-called "risk" also includes those women whose sex can not be called an orderly.
In gynecology there are two different terms: true cervical erosion and pseudo (ectopia) . True erosion in women diagnosed relatively rare. It usually heals about two weeks after emergence. Sometimes true cervical erosion manifests itself in just a woman who gave birth after a difficult birth process and other interventions that are carried out in utero. Erosion may develop as a consequence of breaks.
More often designated "cervical erosion" is used to refer to the phenomena associated with the displacement on the surface of the cervix two different layers of the epithelium. In this case, the epithelial cells of the cervix is gradually replaced by columnar epithelium, whose boundaries shift. At certain periods of life pseudo found in about a third of women.
Symptoms of cervical erosion
Given that the development of the erosion of her being a woman does not change dramatically, the symptoms of cervical erosion can not be called pronounced. In most cases, patients with erosion do not even feel discomfort in the abdomen, as sometimes happens in inflammatory diseases. In the absence of the cervix pain sensitive receptors are not manifested in the process of sexual intercourse. But after ended sexual intercourse, a woman may notice the appearance of small bleeding or discharge sukrovichnyh. In such a case, without delay, be examined by a gynecologist.
If erosion of the cervix joins the infectious disease, the symptoms become more pronounced. In particular, it could increase discharge after sexual intercourse, there is a periodic pain sensations in the lower abdomen.
Diagnosis of cervical erosion
Detect the presence of cervical erosion physician may already in the course of normal inspection of the cervix using a speculum. It is often detected by chance erosion. It looks like a small portion of the bright red hue on the cervix.
But for more detailed information on the nature of the pathology of the patient is necessary to colposcopy as an additional study. In the application of this method of investigation involved a special optical device, which allows you to enlarge the image about 25 times. Thanks to this specialist can examine in detail all the affected areas and establish an accurate diagnosis. Such a study is painless, it takes about twenty minutes.
Colposcopy also allows to do biopsy that portion of the cervix, which changes were observed. The decision to biopsy the doctor takes on the basis of a suspicious area on the cervix.
Biopsy should be about 5-7 days of the menstrual cycle, immediately after the monthly stop. During sampling of material for research in the vagina should not occur inflammatory processes. After excision of a small portion of the tissue it is sent to a laboratory for histological examination . A detailed study enables the gynecologist to make the right decision about how to treat cervical erosion and apply effective tactics of therapy. Besides clarifying the diagnosis can also exclude the development of cancer process.
Before starting the full treatment of the disease and the woman should undergo cytological examination, hand over a smear on the flora, blood tests and a study to determine the presence of genital infections.
Complications of cervical erosion
The fact that the symptoms of cervical erosion in women do not appear particularly pronounced, does not indicate the absence of the need for treatment of the disease. In the event pseudo-around endocervical epithelium appears, does not possess property of protection against penetration of the vagina into the uterus infection.
In certain cases, it is also possible for spontaneous epithelialization of cervical erosion, as a result, the formation of defective epithelium.
With long-term existence of the patient of cervical erosion and the lack of adequate treatment of the disease can occur irreversible changes in cervical cells. As a result, significantly increases the risk of cancer. In the process of degeneration appear abnormal cells that precede a precancerous condition. Exacerbate the degeneration of cells can develop in women genital infections , in particular papilomavirus , Combined with genital herpes viruses .
To avoid such complications every woman should twice a year to carry out a preventive visit to a gynecologist. All women diagnosed with cervical erosion, should always be observed in the treating specialist.
Treatment of cervical erosion
First of all, it is important to realize that the treatment of cervical erosion must necessarily start immediately after the appropriate diagnosis was made. Bathrooms for successful treatment of cervical erosion is a comprehensive approach to therapy. Initially it should completely cure inflammation. Therefore, identifying the specific infection requires treatment with antibiotics . It is also important to eliminate hormonal imbalance in the body. Sometimes cervical erosion disappear on their own after this phase of treatment. But if this does not happen, the next step in treatment is to destroy the methods of allowing changes in the epithelium.
Often, women with cervical erosion is assigned to physical therapy: applied treatment with low-frequency ultrasound, laser gelioneonovogo.
In addition, the practice also other therapies. Use moxibustion cervical erosion using electrical current (method diathermocoagulation) freezing using liquid nitrogen (method cryoablation), the processing laser (lazerokoagulyatsii surgical technique) and chemical coagulation using drugs. When chemical coagulation uses special formulations, for example, Solkovagina . As a result of the application of this method of scarring in the cervix do not appear, however, it is only suitable for the treatment not too large erosions. 3-5 can be cured by procedures erosion, the amount of which does not exceed 12 mm.
Moxibustion is used quite often because of the availability of the method. However, there are a number of shortcomings that could significantly affect the status of women. In particular, when cauterization of erosion woman feels pain, also after cauterization scars may remain. Because of this, sometimes women develop endometriosis. Therefore nulliparous women should not undergo this procedure.
After completing the procedures in place land erosion appears dead tissue, under which later gradually emerging new healthy cells. Once the crust is torn away, continuing the rapid formation of healthy cells. It is important that before the time, until the place of erosion not fully heal, the patient abstained from sexual activity.
If the desired effect after practicing the above methods does not occur, then it is possible the use of surgical treatment of cervical erosion. However, women who have not given birth of the child, it is not recommended to treat the disease by surgery. After the surgery was performed, the patient is shown to adhere to gentle treatment: stay cool, do not lift weights, for some time to avoid the sex life. It is desirable during the operation Paulsen drink plenty of fluids. Surgery is about the erosion carried out in the same days as the biopsy - at 5-7 days of the menstrual cycle.
Women diagnosed with "cervical erosion" is often practiced as treatment with the help of some people's methods. In particular, traditional medicine recommends the use of tampons, pre-moistened with plenty of sea buckthorn oil. These swabs are introduced into the vagina at night. It is advisable to make a row of eight to twelve treatments.
Improvised swabs can also be done from a pumpkin: her flesh wrapped in gauze. These swabs should be inserted into the vagina for four consecutive days. Cotton swabs can also moisten the aloe juice, half mixed with honey and lay for a week in the vagina overnight. Another option - chop onion and wrapped in gauze fresh weight. These swabs should be administered during the week at night.
You can cook some herbal teas for irrigation. For this purpose, the best use of oak bark, chamomile, herb St. John's wort, wormwood, Bergenia latifolia.
Homeopathic medicines It is also useful in the treatment of uterine erosion. In addition, experts say the beneficial effects of hormonal contraceptives. They contribute to a more intensive healing of erosion.
Erosion of the cervix and pregnancy
Due to the fact that cervical erosion is found in women of childbearing age often one of the most urgent issues in this case is the question of how to combine cervical erosion and pregnancy . In particular, women are interested in, whether can be erosion indication for abortion.
According to the long-term observations of experts, the presence of cervical erosion does not affect the development of the pregnancy and the condition of the expectant mother. In some cases, the erosion of a pregnant woman may occasionally occur highlight bloody nature of the sexual organs. But abortion is not associated phenomenon. However, in this case it is important that the diagnosis has been confirmed, since isolation of pregnancy may be associated not only with erosion, but with certain hazardous conditions.
However, in the process delivery the unpleasant consequences of pregnancy may occur. In particular, the tissues affected by erosion, less stretched and can tear. But during pregnancy the usual treatments doctors do not practice: a pregnant woman is assigned only restorative treatment or medication drugs is strictly indicated. All procedures are being implemented for effective therapy, used only when the young mother recovered menstruation.
Prevention of cervical erosion
In order to prevent the development of this pathology, experts recommend to ensure the correct application Contraception in order to minimize the risk of unintended pregnancy. If a woman has more than one sexual partner, she must certainly use a condom.
Another important point - the regular routine visit to the doctor. This precaution allows to detect the disease in a timely manner, and to ensure proper treatment. The manifestation of the woman warning signs - pain, burning, discharge from the genitals - a reason to immediately go for inspection to the gynecologist.
Personal hygiene - is another important measure of prevention. Twice a day you need to wash your genitals with soap. This hygiene sexual partner also has a high priority, since the sexual contact there is always a risk of internal damage and, consequently, the transmission of infection.
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