General information on inflammatory diseases of female genital organs
Definition and types of true cervical erosion
Diagnosis of cervical erosion
Treatment of cervical erosion
Introduction
By the terms of violating the barrier mechanisms of protection against penetration of infection in the genital tract and cause the development of inflammatory process include:
1. Generic perineal trauma, causing gaping gender gap and facilitate the smooth entry of pathogenic microorganisms in the vagina with the external genital organs.
2. Prolapse of the vagina.
3. Mechanical, chemical, thermal factors, which have damaging effects on the epithelium of the vagina. These include violation of hygienic rules, frequent douching, the introduction of chemical contraceptives in the vagina, etc. This is an increase desquamation of the surface layer of the epithelium or dystrophic changes in it. In such cases, the reduced amount of glycogen needed for life sticks Dederleyna decreases the acidity of vaginal contents, disturbed the formation of factors secretory immunity.
4. Gaps cervical conditional gape outdoor throat or the emergence of ectropion, with broken bactericidal properties of cervical mucus. So too is the isthmic-cervical insufficiency (organic or traumatic).
5. Childbirth, abortion, menstruation. Thus there is a washout blood cervical mucus, the contents of the vagina along with the factors of immune protection and lactic acid bacteria, there is a alkalization vagina. Microorganisms, easily penetrate into the uterus, are the optimal conditions for their livelihoods on an extensive wound surface.
6. Compounding effect is used in childbirth and abortion disinfectants, which completely destroyed saprophytic autoflora vagina and create favorable conditions for the introduction of pathogens.
7. Intrauterine. There is evidence of violation of the bactericidal properties of cervical mucus, and the infection gets into the cervical canal and uterine cavity on the threads of intrauterine devices.
8. The use of tampons like Tampax. Adsorbed blood, they create the optimal conditions for rapid multiplication of pathogens and suppression of protective mechanisms of the vagina. Especially dangerous is the use of tampons in countries with hot climates, there is, in some cases leads to fulminant sepsis.
General information on inflammatory diseases of female genital organs
Candidiasis (so-called “thrush”) cause yeast fungi of the genus Candida. Perhaps this is one of the few diseases of female reproductive system, which they know our women, vaginal candidiasis among the people known as “thrush”.
Coleitis (nonspecific vaginitis) – infectious and inflammatory disease of the vagina, caused by the action of conditionally pathogenic microorganisms (E. coli, streptococci, staphylococci, etc.). Provision is acute, subacute and chronic (recurrent) form of the disease.
Bartolinitom inflammation of the large gland called the vestibule of the vagina, or the so-called bartolinievoy cancer. Thus microbes affect both excretory duct cancer, and its very fabric. When a large gland inflammation of vestibule microorganisms affect the excretory duct cancer (kanalikulit), as well as the very gland.
Cervicitis (endocervicitis) – inflammation of the mucous membrane of the cervical canal.
Endometritis – an inflammatory disease of the uterus. Main common classification divides endometritis to acute and chronic.
Adnexitises. Inflammatory diseases of the genital organs are found in 60-65% of all gynecological patients. A significant proportion are inflammation of the fallopian tubes and ovaries.
Definition and types of true cervical erosion
The term “erosion” means a defect of tissue.
With prolonged duration endocervicitis in the pathological process, but the mucosa of cervical canal, and involved vaginal part of the latter. Chronic inflammation in the cervix, often acute, accompanied by a prolonged expiration secretions, leading to maceration and desquamation of the epithelium covering the vaginal portion of cervix, and the formation of true erosion, which has a bright red color, bleeds easily, but rapidly undergoes epithelialization and in 1 - 2 weeks covered by stratified epithelium and becomes a pseudo.
True are the following types of erosion:
1. inflammatory (as a result of maceration and rejection of epithelium);
2. traumatic (see exfoliated layers of multilayer flat epithelium);
3. trophic (with omissions and uterine prolapse).
Figure: The real erosion of the vaginal part of cervix with a whitish fringe exfoliated flat multilayered epithelium.
Diagnosis of cervical erosion
Diagnosis of true cervical erosion is based on the data:
* Clinical picture
* Colposcopy,
* Pap smears,
* Histological examination of biopsy specimen from the pathological focus.
When viewed with the naked eye the true erosion is a bright red area.
Colposcopic – epithelial defect with uncovering podepitelialnoy stroma, the bottom – below the level of multi-layered flat epithelium, the edges sharp. After application of 3% acetic acid bottom of the true erosion pales when using Lugol’s solution does not perceive the bottom of the painting, painted only the surrounding multilayer flat epithelium.
In cytological smears taken from the surface of the true erosion, red blood cells are detected, a large number of leukocytes and lumps of broken cell nuclei shaped panicles, rarely found in the smear cells of squamous epithelium.
In histological examination revealed the absence of epithelium on the border with thinned multilayer flat epithelium.
On the surface of the abnormal areas are seen deposits of fibrin and blood elements. In podepitelialnoy pronounced connective tissue inflammation, leukocytic infiltration, dilated capillaries, marked hemorrhage, swelling of tissue.
Treatment of cervical erosion
Treatment of true erosion takes place only after a careful differentiation from its pseudo-on the basis of the above methods of investigation, and reduces to therapy endocervicitis and related inflammatory diseases of the genitals.
To add treatment vaginal ointment tampons (with sea buckthorn oil, fish oil, rosehip oil).
Good effect gives vibesate “Olazol.
From physiotherapy treatments applied irradiation cervical shortwave ultraviolet light through the tube-localizer or impact on the cervix microwaves in the centimeter range, using a vaginal transducer.
The lack of complaints – still not an indication of your excellent health. Visiting various gynecological clinics or provide preventive care to a gynecologist, you protect yourself from exposure to infectious diseases. Be inspected by a gynecologist, you must at least once a year. Many diseases, including infectious, endocrine, and even cancer, asymptomatic. Some infectious diseases that cause dire consequences for women’s health, may not cause any unpleasant sensations, but lead to serious complications. Therefore, the earlier detected and treated, the easier it is to avoid severe consequences.
