inside of cells lining the cervix cylindrical shape.The epithelium is free to move, to go beyond the boundaries of the body to grow.In all cases the form of pseudo-cervix.This pathology, which is not a disease, but it requires competent treatment and constant monitoring.It is formed solely on a healthy portion of the mucosa and covers an existing real erosion.
General
cervix connects directly to the vagina and the uterus itself.From the last line the cervix flat cells in several layers.Cervical canal cover elements of cylindrical shape.They are arranged in a single layer.When these cells are outside the channel and multi-squeezed flat, talking about ectopic, that is, the pseudo-cervix.
most often a consequence of the pathological process appears to congenital disorders level.Sometimes it is formed due to the previously transferred the true erosion.The latter is extremely rare.Erosive focus is shallow sores in the mucous neck with bleeding vessels.For his healing it is enough to eliminate the focus of inflammation.If adequate treatment is not available, the pathology becomes pseudo.
Ectopic diagnosed primarily in women under 30 years with an elevated level of estrogen in the blood during pregnancy or when there are changes in hormone levels.
stages, types of pathology
- By origin pathology can be congenital, traumatic or dishormonal character.
- Depending on the type of isolated glandular epithelium proliferation, papillary and squamous cell metaplasia.
- development dynamics can be progressive, stationary and healing stage.
Initially, gradually increasing in size cylindrical epithelium forms a special erosion cancer, so this stage is called pseudo-glandular.It may take up to several years.In some cases, the foci of disease are observed papillary proliferation (glandular papillary pseudo cervix).Subsequently inflammation subside, atypical squamous epithelium cells are displaced.This process determines the stationary phase.In the case of progressive pathology ducts blocked glands secret and to the mucosal surface or in the interior of the uterus having specific education.In clinical practice, this process is referred to as glandulocystica pseudo cervix.Formation tend to infection, which entails the amplification of the inflammatory process.
reasons ectopic
- early sexual activity.Endometrium finally matured to 23 years.If this process intervene early, increasing the likelihood of ectopic.
- Hereditary predisposition.
- promiscuous.
- hormonal imbalance.
- bad environment, impair the quality of life in general.
- Addictions (smoking, drinking alcoholic beverages) affect the production of female sex hormones in the ovaries, which results in a violation of hormonal background.
- Immunosuppression.
- Injury (abortion, childbirth).
- Inflammation, infection, vaginal bacteria overgrowth.
clinical picture
congenital pseudo cervix more often than not characterized by overt clinical symptoms and is found during a pelvic examination.Doctors have observed it in the form of red spots, which surrounds the outer mouth of the cervix.From the vaginal mucosa, it has a more intense color, while its natural color varies from pale pink to moderate red.The area color change usually has torn contours, the diameter ranges from 3-13 mm.
ectopic option for the acquisition of the characteristic symptoms of the inflammatory process.The epithelium of the small cysts are formed, which are subsequently rejected.Their surfaces may be mucous or whitish discharge, which come from the so-called cervical canal.Papillary pseudo cervix characterized by the appearance of vaginal bleeding after intercourse, menstrual irregularities.
The dangerous ectopic?
pseudo if timely treatment can hardly be considered a serious threat to women's health.However, untreated pathology can lead to serious problems, from simple inflammation and ending with the appearance of malignancy, infertility.In addition, the pseudo different propensity to relapse again.
The main reason lies in violation of anti-bacteria function.Mucous healthy cervix forms a kind of cap that protects the uterus from the penetration of bacteria and viruses of different nature.
membranes of epithelial cells of the body have special receptors that distinguish the changes in hormone levels.Pseudo cervix does not allow them to adequately and timely respond to the release of hormones necessary.This situation is mainly felt during childbirth.
Ectopic pregnancy and
At first pregnancy conceive a baby and nurturing pseudo does not interfere.On the other hand, the defects of the cervix not normally allow it to expand during childbirth, causing multiple fractures.Poorly stitched fabric then at the next pregnancy will not be able to keep the fruit and will serve as a gate for the penetration of bacteria.
Due to inflammation and scarring papillary pseudo cervix may prevent a fertilized egg.In medical practice, there are cases of miscarriage and premature birth in women with this diagnosis.
If abnormalities discovered during pregnancy, it indicates that it was formed as a result of hormonal disorders.In such a situation, the usual change of the structure of the epithelium is considered an open wound.It can cause infection of membranes and lead to infection of the baby.Cauterize pathology during pregnancy can not, so doctors choose watchful waiting.In the first trimester of a woman recommended the monthly inspection, and the second and third - weekly.Pseudo cervix can cauterize only after birth, or rather, after 6-8 weeks, when the release of lochia stop.
main methods of examination
Diagnostic pathology has not caused any difficulties.Physical examination to determine the presence of cervical pseudo in the form of reddish spots on a light pink background.To confirm the definitive diagnosis, the definition and exclusion of the inflammatory disease process (eg, cancer) patients prescribed a series of additional tests:
- Taking cytological smears.
- Extended colposcopy.
- biopsy to rule out malignancy.
- Bacteriological sowings cervical secretions.
- PCR research.
- blood test for hormones.
ectopic
Therapy Treatment can be carried out both medication and non-drug method.Typically prescribed antibiotics and antimicrobials, as well as restoring and hormonal treatments to eliminate the cause of such diseases as pseudo cervix.Treatment of drug-free methods include:
- Electrocoagulation (cauterization of the affected areas of electric shock).On the surface of the cervix forms a white crust, beneath which is beginning to recover after the procedure epithelium.After 10 days the scab is torn away, exposing thereby healing the mucosal site.Full recovery takes about two months.The main disadvantage of this method of treatment is considered to scarring, which for nulliparous women are highly undesirable.In the case of the first birth, they can provoke rupture of cervical tissue.
- Cryodestruction ("freezing" problem areas by means of liquid nitrogen oxide).
- laser destruction (costly method of therapy based on the ability of the laser beam to vaporize and simultaneously coagulate abnormal cells).
- Radio wave therapy.
choice of a particular method of treatment carried out by doctors.Properly chosen therapy allows you to quickly restore the epithelium.It is recommended to take additional measures to prevent possible recurrence.Even the acidic environment of the vagina has a traumatic impact directly on himself columnar epithelium.For pregnant women or for women with a diagnosis of "pseudo epidermiziruyuschaya cervix" chemical effect on the uterus is not desirable, so cryotherapy is better to do after birth.The main side effect of this procedure is the occurrence of burns and scar tissue that prevents the elastic dilatation during immediate delivery.
Currently, preference is given to doctors increasingly radiowave treatment.This method is suitable for women of all ages.Radiowave treatment administered on the fifth day of onset of menses.After a vaginal delivery or caesarean section - the disappearance of bleeding (usually after 40 days).
Radio wave therapy: contraindications
- menstruation.
- inflammatory diseases in the acute stage (colpitis, vulvovaginitis).
- Oncology.
- Pregnancy.
- mental illness.
- Diabetes in dekompensatsionnoy stage.
Advantages of radiofrequency treatment
- absence of burns.
- It takes only one procedure.
- allowed breastfeeding.
After treatment may cause pain pulling character in the lower area of the abdomen, which often disappear on their own without the use of drugs.
Cystic pseudo cervix also be treated by radio wave.Within 10 days after the procedure allowed dark brown vaginal discharge without odor.
Life after therapy
Regardless of the method of treatment, patients are advised to radically revise their way of life after a course of therapy.Within 10 days of undesirable swim in the pools or reservoirs.It is necessary to limit visits to the bath, gym.Should abstain from major physical exertion and sexual activity.However, short walks to all, without exception, will only benefit.
Pregnancy can be planned after the final healing of injuries.This usually takes one to three months.
Prevention
At frequent change of sexual partners, and in the case of neglect contraceptive vaginal flora may change, the internal sex organs are more vulnerable to infections.To prevent the development of cervical pseudo recommended twice a year undergo preventive checkups at the gynecologist to observe basic rules of personal hygiene.Equally important is timely sanitize existing infectious foci, regulate immunological and hormonal disorders.
Practice shows that treatment of many inflammatory diseases (colpitis, vulvovaginitis) with untreated erosion does not achieve a stable effect.As a result of the pathology becomes sluggish and long-term nature.
Conclusion In this article, we made the most detailed account that is a pseudo cervix.Photos of this disease can be found in the specialized literature.
Do not be afraid of the diagnosis and put off a visit to a specialist.Remember that timely detection and adequate treatment of ectopic allow to eliminate the problem, to minimize the risk of dangerous complications is enough.
Every woman of childbearing age should take care of their health, have regular checkups at the gynecologist.This article also gives information on preventive measures that prevent the occurrence of pseudo.We hope that the information contained herein would be for you to actually be useful.Be healthy!
