送博主一杯咖啡

2012年3月18日 星期日

The optimal therapy for cervical erosion


Usually in the vagina, cervix visible a ranging from the size of the circle, or range of irregular red zone surface has a single layer of columnar epithelium covering, the capillary congestion and edema, glandular atresia, accumulation of viscous or purulent discharge, surface is usually red, uneven, it is called a cervical erosion. The cervical erosion occurs, often appeared leucorrhea increased, viscous, may occasionally appear purulent, bloody leukorrhea accompanied by abdominal pain, backache, and lower abdominal weight, may also be caused by sexual contact bleeding or peculiar smell.
The causes leading to a cervical erosion
1 times of artificial abortion
Repeated abortion can cause different degree of injury to the cervical disease, to an opportunity, cause cervicitis. Due to an inflammatory stimulus, local increased secretions, cervical long maceration in inflammatory exudates within will cause erosion. Therefore, women of childbearing age must make contraception work, avoid repeated abortion, reduce the occurrence of cervical erosion.
2no clean life
There is a life, vaginal relative in an" open" state. Sexual life is in direct contact with the penis and cervix, if men do not pay attention to sexual health, can be directly put bacteria into the vagina, infection of the cervix; cervical erosion -- men did so. Therefore, before sex must persuade men washing external genitals.
3excessive cleaning
Part of the female is about health, but lack the necessary knowledge, often with a greater concentration of disinfectant liquid to wash a vagina, the results run counter to one's desire. Because it will not only affect the normal vaginal flora growth, which inhibits the role of bacteria decreased, can also result in varying degrees of cervical epithelial damage, ultimate erosion. So wash pudenda proper method should be: proper cleansing of the vulva, such as not necessary not to wash a vagina, maintenance of the female reproductive tract natural defenses, so as not to cause the dysbacteriosis.
4sustained period is too long
Research shows that the cervical erosion and the menstrual cycle and the last days of the menstrual cycle is20 days: a prevalence rate of 81.80% for more than 20days, the prevalence is less than or equal to 43.81%; menstrual duration less than 2 days ' sick rate of 33.33%, more than8 days with a prevalence rate of 83.33%. Therefore, where the cycle is too short, too long duration of female cervical erosion will increase the likelihood of occurrence. By extending the cycle, shorten the period to reduce the erosion rate.
5sexual life prematurely, multiple sex partners
Multiple sex partners, sex life strength is too large ( more than 4 per week ), menstrual sex, also be the cervical erosion reasons can not be ignored.
The treatment of cervical erosion method a lot of, which is the optimal treatment method?
Currently a kind of widely used methods of treatment, a short course of treatment, good in treatment effect. A larger area for erosion and inflammation in patients with deeper invasion. Methods commonly used electrical iron, laser therapy, cryotherapy.
Treatment of cervical erosion by local treatment, and many methods, such as drug therapy, physical therapy, operation treatment. Before two kinds of conservative treatment is designed so that the cervical erosion surface columnar epithelial necrosis and exfoliation, new overlying squamous epithelium growth conditions.
1, drug therapy: application to erosive smaller and shallower in patients with inflammatory infiltration. Choice of antibiotic topical medicine, such as metronidazole furacilin, sulfa drugs, etc.. In traditional Chinese medicine in the treatment of cervical erosion in the clinical application of relatively wide, curative effect is good, selects some recipes, recipe, processed into powder or suppository, a tampon, sticking to the erosion surface. General medicine2 times per week, during treatment of yellow vaginal secretions and more, but should not have peculiar smell. Treatment of multiple clean from menstrual after the start, continuous on January, menstrual period deactivated.
2, physical therapy: is currently a kind of widely used methods of treatment, a short course of treatment, good in treatment effect. A larger area for erosion and inflammation in patients with deeper invasion. Methods commonly used electrical iron, laser therapy, cryotherapy. Electric iron in the menstrual clean after 3~ 7days. Treatment of the electric iron head contact erosion surface and slightly pressurized, from inside to outside left and right to move back and forth, until it is slightly more than the erosion surface. Postoperative wound Tu1% gentian, patients 2to 3 days of vaginal secretions and more,2 weeks inside the vagina may have a small amount of bleeding,2to 3 weeks after wound off the scab, squamous epithelium begins to repair. Laser treatment is the use of laser tissue charring crusted erosions, about 3 weeks postoperatively decrustation, grow a new squamous epithelial wound. Laser treatment of posterior vaginal also have large drainage. Cryotherapy with liquid nitrogen is used as cooling source, fast cooling device makes the erosive tissue freezing, necrosis, loss. Postoperative little bleeding, but vaginal discharge is more, usually lasts for 2to 3 weeks. In 6week8 weeks off the necrotic tissue, wound healing.
Physical therapy before operation and routine disinfection of vulvar, vaginal, cervical, postoperatively due to drainage amount is more, so pay attention to keeping the vulva clean and dry, prevent infection. In the wound has not healed completely before the prohibition of sexual life, bath and vaginal douche, which usually takes 4to 8 weeks. After treatment with monthly review1, examination of wound healing.
In 3, operation treatment: if the above treatment is ineffective, or cervical hypertrophy, or erosion surface is broad and deep, with involvement of the cervical canal, can be considered cervical conization or hysterectomy. But the operation treatment has been rarely used.
Editors:25to know the female physiological knowledge