cervical erosion - the most commonly diagnosed by gynecologists pathology of the female reproductive system.Due to the limited amount of reliable information and an abundance of rumors, many women perceive a diagnosis of a sentence, equating it to cancer if not, then at least to its forerunner.However, doctors do not carry many kinds of erosion even to diseases, have long excluded them from the international directory.What is erosion, than it is fraught with and what measures are required to take - the most common questions asked of the gynecologist.
cervical erosion is any violation of the normal state of its mucous membranes.Such violations can include both mechanical and chemical damage and abnormal development of the mucosal epithelium.To indicate the pathologies of modern medicine has allocated a separate term - cervical ectopia, although many doctors still call them erosions.The nature and causes of erosion belong to two main groups:
In addition to the classification of true erosions may be clarified and their features:
exception of the term from the official list of diseases speaks for itself: ectopia - not a disease.Such a diagnosis is the women who came from adolescence, when the separation of different types of uterine epithelium did not happen naturally.The normal structure of the mucous membranes involves delineation of zones a single layer of epithelium that covers the surface of the mother channel, and multi-layer, which is lined with vaginal cervical region.In different age periods of the border zone of these areas located in different parts of the uterine system, but their imposition is not typical, it is a violation and called pseudo, as seen from unusual for a smooth, pale pink epithelium vagina extraneous tissue can be mistaken for damage to the mucous layer.The danger is the deviation of the structure is only in the case of the development of the inflammatory process, triggered by other factors, in their absence, the woman often will not know about the disease in the absence of symptoms.
Often this disease is congenital and does not affect the normal sexual life, pregnancy and childbirth, which allows us to consider it as variability of the female reproductive system.Assessing the state of the surfaces and making sure that there is no risk of degeneration of the tissues or the development of inflammatory processes, a gynecologist can completely abandon the designation of any treatment, recommending that only regular monitoring.But on this particular one must remember the parents of girls, make sure that all the problems of the reproductive system begins only with the beginning of sexual life, and the first visit of gynecological cabinet can be deferred up to this period.Congenital erosion can cause inconvenience, even during the onset of menstruation, as well as true, which arose as a result of undergoing genital infection.
On the essence of the erosion process, the most accurate translation speaks of the concept - "corrosive" or "destruction".Any rejection of the mucous membranes of the uterus cells found at the gynecological examination, a preliminary diagnosis refers to the erosion.Brightly colored spot that is different from the general background of the inner surface - a reason for the appointment of a detailed survey.
Erosion of the cervix of a species is present in every second woman - it is a proven fact.The most common misconception is that the erosion is not determined anything but laboratory tests or gynecological examinations.In fact, a careful attitude towards the body of the true signs of erosion of the notice is not so difficult:
After the initial examination conducted by hand with the help of mirrors, giving reason to suspect the erosion, the patient is invited to undergo a series of tests to confirm and clarify the forms of deviation.It should be borne in mind that the survey results - it only detect abnormalities in the structure of the mucosa of the vagina and cervix, and focus on it, the more panic is not necessary.Benign or malignant, the presence or absence of inflammation, as well as the need for medical intervention urgency and can only show a detailed and thorough examination.In addition to determining the erosion of both tests are carried out and to all types of diseases sexually transmitted diseases (STDs), as many symptoms of these infections have similar forms.
Types of studies to clarify the diagnosis «erosion»
patient as a result of his own observations and survey the doctor appointed by a number of analyzes:
bacteriological analysis conducted by an employee of the antenatal clinic, is one of the most popular methods of diagnosis due to lack of availability and the need for sophisticated equipment.Research carried out visually under a microscope.The same factor is negative, since the accuracy of the study is too heavily dependent on the competence of personnel conducting the study taken from the vaginal smear.The purpose of research - counting the number of leukocytes in the volume of the medium, determining the presence of fungi and infectious agents.This preliminary analysis although it has no direct relation to the most erosion, but it is necessary because the use of many drugs prescribed to the patient, can cause concomitant erosion or even cause its processes.In the case of the definition of candidiasis, vaginosis and other bacterial diseases selection of forms and methods of erosion treatment is conducted with their account.
cytological analysis - the study, which is recommended annually for any woman, not even mentioned in his state of any ailments.This study cells, conducted on the basis of extensive scrapings from several areas of the cervix, which gives a vivid picture of the processes occurring in the tissues at the cellular level.The outcome of the study will be to identify cells with an altered state or not detection.The grounds for referral to an additional examination will only be the first report since the cytological analysis, as well as all techniques of visual studies, essentially depends on the quality of tissue sampling for analysis.No violation of the cell structure in this sample may indicate only the purity of one section and not a state as a whole.But deviations from normal development identified in this study - an essential basis for further analysis, since it indicates the changes occurring in the structure of cells, which may be a sign of the degeneration of tissues in poor-quality.
Kalposkopiya - another visual examination, but with a modern microscope and using chemicals.The purpose of this study - clarifying the presence of altered cells erosion and the boundaries of their localization.Applied at this study solutions change color depending on the structure of the medium, which applied that allows the doctor to draw up a detailed picture of the mucosal pathological processes.Principal of the two solutions used: acetic acid at a concentration of 3% Lugol solution containing iodine.Both solutions, despite the seeming caustic composition, are safe.Quite a lengthy procedure in which the doctor in detail with the aid of a mirror examine all suspicious areas, causing discomfort only when the surface of the walls of the uterus does have damage or ulcers.In this case, the patient will feel a sense of light burning.It is the result of research kalposkopicheskogo considered fundamental for an accurate diagnosis of the presence of foreign pathological inflammation or tumor formation.
Studying a sample of tissue taken from the suspicious area surface of the cervix or inside the cavity.cervical biopsy colposcopy often supplemented, when the doctor takes the modified sighting of land for research.Under the control of the endoscope when hysteroscopy is done completely painless microoperation to seize a certain number of living cells of the uterus for a detailed study.Appointment to the biopsy should not scare, because doctors often prescribe this type of study as a safety net, to determine the exact structure of the damaged section of erosion.
This analysis is considered to be the latest in a series of surveys of patients with suspected cancer of the cervix, it is by its results put a definitive diagnosis is made and treatment card.The main stages of histology material are fences and follow-up study with a number of specially prepared substances.The results of histological examination can not only understand the current structure of the cells, but also to determine the reasons for their rebirth, describe the development of the future and make the most accurate prescription to counteract the processes of modification of the structure, if any, is recognized as negative.Full histological examination in the laboratory takes up to two weeks, so doctors have warned of the possibility of fraud on the part of one-day clinics offering to undertake this work during the day.
Purpose of treatment is possible only after the full specification of the diagnosis, the definition of benign tumors and undergoing treatment in parallel all current diseases, especially infectious.Methods of treatment of erosion - a kind of operation, and their implementation is possible only in a totally clean environment.Therefore, the holding time is granted in accordance with the menstrual cycle, in the first week after menstruation.
main methods of treatment are erosions:
most gentle method is radiowave surgery that does not require direct contact with the affected area.Treatment aimed radio wave cells leads to their complete evaporation, leaves no visible traces even in the field of erosion.Although full recovery period, during which require periodic monitoring, continuing a month, the patient does not feel the effects of the operation, even immediately after its implementation.Unfortunately, not all clinics have the equipment for such services.
Cauterisation Solkovagina, a method called chemical coagulation, and virtually painless, but a full guarantee to destroy the disease he does not, moreover, applies only to the erosion of the small size, more nulliparous girls.The course of treatment consists of several procedures, appointed on an individual schedule.
Equipment for laser therapy are also not all clinics.Currently, this method is considered the most advanced and widespread, as after treatment of pathologically altered tissue on the surface of the cervix does not leave traces.In the case of the treatment of major erosions in patients who are planning to have more children, this method is a priority, because it gives the best chance for further capacity for nurturing and hassle-free childbirth.
Cryotherapy - one of the most common methods for removing erosion.Virtually painless procedure in which the affected area is cauterized with liquid nitrogen, can only be accompanied by a slight sense of discomfort.The recovery period, during which contraindicated exercise and sex after surgery last month.Scant allocation even with patches of blood during this period are the norm, although all state changes must be reported to your doctor immediately.The disadvantage of this method is the absence of guarantee removal of solid tumor mass located in tissues at depth, so it is used only for flat superficial lesions.
The most reliable method to guarantee the complete removal of the tumor, although not always for one procedure is diathermocoagulation or cauterization current.Affected tissue literally burned, so the procedure is accompanied by a characteristic odor and sensations.Responsive to the rank of active muscle tissue is reduced, so many women compare the procedure with birth pangs.diathermocoagulation method is used in almost all health facilities profile, although recently in connection with a large list of side effects and consequences of the doctors increasingly recommend that patients, especially those who are planning to have children, to seek more forgiving, albeit more costly treatments in the clinic with the besttechnical support.The method causes severe damage to the mucous membrane and leaves scars that subsequently affects the ability to gestation and neck injuries in childbirth.Cervix with scar loses its elasticity, buying propensity to rupture.
presence of erosion does not mean that a woman will not become a mother.Naturally, like any organ damage included in the genitourinary system, erosion - is the object of close surveillance gynecologist.Depending on the type of erosion, its size and location of the treatment may be administered both before and after pregnancy.Doctors warn that a planned pregnancy with a preliminary examination for the presence of all kinds of problems and their cure before conception increases the likelihood of successful pregnancy and birth of a healthy baby.
Self cervical erosion can not be large true, it requires a compulsory medical intervention, removal and control with the help of modern technology.All the methods of traditional medicine are the only prophylactic or auxiliaries, for example, in cases where the operation is delayed due to objective reasons.But the use of folk remedies repeatedly reduces the risk of erosion.