Cervicitis

Cervicitis is an inflammation of the cervix. If the inflammatory process is limited to the mucosa of the cervical canal, it is customary to speak about the endocervicitis.
Causes of cervicitis: infection when abortion, childbirth, traumatic lesions of the cervix; gonorrhea; irrational use of contraceptives; very rarely observed in tuberculosis, especially primary, and syphilis.
The inflammatory process, beginning with the mucous membrane of the cervical canal, usually goes more deeply located tissues.
Gynecological examination in the acute period of the disease is visible swollen neck, mucous membrane bright red, from the canal drains Muco-purulent discharge. If you are involved in the inflammatory process ecologeenet fiber pain in the abdomen and sacral area. Body temperature may be low grade in a few days or remains normal.
If cervicitis in the acute period (in 2 weeks) has not to cure, the process can turn into a chronic form: the infection is kept in the deep layers of cervical tissue, mucous discharge from the channel decreases, the cervix becomes less swollen, disappears and bright red her mucosa. In chronic cervicitis apparent recovery may be accompanied by frequent exacerbation of the process, the coming, for example, after menstruation.
Treatment depends on the etiology of cervicitis. The injection of medicinal substances in the cervix produces only a doctor. The midwife, nurse perform the prescribed procedures: baths, tampons with antibiotics and other anti-inflammatory drugs. When the failure of conservative treatment (within 6-8 weeks), or with repeated relapses it is shown diathermocoagulation (see) or surgical treatment. Treatment of cervicitis gonorrheal, tuberculosis or syphilis of origin - specific.
Timely and correct treatment of inflammatory diseases of urinogenital bodies women and traumatic postpartum damage prevents the development of cervicitis.

Cervicitis (cervicitis; from lat. cervix, cervicis - neck) - inflammation of the cervix.
Cause cervicitis is often infection: gonorrhea, infection during and after childbirth, post-abortion; very rarely TB, especially primary and syphilitic lesions of the cervix. Anaphylaxis can occur as a result of damage to the cervix of the uterus during childbirth and abortion. Sometimes the cause cervicitis concentrated solutions of potassium, iodine and other substances introduced into the vagina and cervix for therapeutic purposes or for interruption of pregnancy.
When cervicitis marked mainly morphological changes of the mucous membrane of the cervix; gradually in the process involved and tissue stroma of the cervix. Morphological changes have quite a colorful character, depending on the phase of the inflammatory process. In the acute phase observed vasodilatation, education around them, as well as in circumference glands numerous clusters of white cells and other small cells. In some places these clusters acquire the character of perivascular and periglandular abscesses. In the chronic stage here you can find plasma cells. At this same stage undergoes significant changes of connective tissue stroma of the cervix; it hypertrophy and scarring lead to increase in size of uterine cervix, loss of elasticity, corresponding to normal cervix.
The inflammatory process begins, as a rule, by the mucous membrane of the cervical canal [endocervicitis (endocervicitis)] and usually goes on the more deeply located tissues.
In the acute form cervicitis there is a General swelling and enlargement of the cervix. The mucous membrane of vaginal part of cervix bright red color. Discharge from the cervix increase and acquire mucopurulent character. Acute symptoms of cervicitis is limited, as a rule, local changes, if the process has not involved the body of the uterus and other departments of the genitals. The temperature remains normal or low for a few days. Pain in the rump, lower abdomen, radiating to the hip and the anus, volatile and depend not so much on lesion of the tissues of the cervix, but on the involvement in the process ecologeenet fiber and the nearest area of the peritoneum. Acute effects in 1-2 weeks gradually disappear, and cervicitis becomes chronic phase. Discharge from cervical canal gradually decline, become less viscous and lighter.
The number of purulent elements decreases and highlight take slimy character.
Microbial flora, rich in the acute phase of the disease, gradually becomes scarce. However, a significant decrease and even complete temporary disappearance of secretions and scarcity microbial flora are a sign of the disappearance of infection. The latter can nest in the deep divisions cervical tissue and give the aggravation of the process at the next menstruation, after the study of vaginal and other manipulations of the vagina and the cervix.
Cervicitis is associated with cervical tears when abortion and childbirth, usually proceeds in subacute and chronic form. Mostly suffer circular fiber external OS of the cervix and the surrounding tissue. Eventually disrupted the round shape of the external OS: front and rear lip in the separation diverge, the mucous membrane of the cervical canal turned out and formed eversion (ectropion). Non-physiological condition of the tissues in the area of inversion leads to increased secretion of mucous membrane and chronic inflammatory process in all tissues of the cervix with the formation of dense scar tissue in the area of inversion. Often, education is gray-yellow, scattered on the outer surface of the throat, in small hills of the size of a pinhead and more. This advanced piece of iron with a closed outlet duct and accumulation detachable cancer (ovula Nabothi). In these Jelezko can't keep infection (virulent microflora).
Diagnosis of cervicitis is made on the basis of examination of the cervix with vagina mirrors, palpation her, microscopy discharge.
Treatment of cervicitis is inseparable from the treatment of the primary source of infection: the mucous membrane of the channel and its many glands and cervical erosion. Medicinal substances are injected with a metal probe playfire.
After cleansing the external OS from discharge in the canal of the cervix enter one probe with a wound on him hygroscopic cotton wool moistened with a solution of baking soda to remove the mucus plug and discharge). The second probe, soaked in hydrogen peroxide, as well treat cervical canal.
The third probe the mucous membrane of the channel is treated with 1% solution of brilliant green, 2-5 -10% solution of silver nitrate or 1-2% gentian violet solution. This procedure should not be applied more than 1 time in 5-7 days; the concentration used medicinal substances depends on the prescription process. The purpose of this procedure is to exacerbate the process and to provide sufficient time for the process of involution in the cervix. Frequent lubrication of the mucous membrane of the cervical canal leads her into a state of permanent pererazbiyeniya, hypersecretion and not only does not give medical effect, but, on the contrary, may even be harmful. Therefore, the number of procedures shall be no more than 6-8 for 5-7 weeks. Ovula Nabothi reveal the tip and handle iodine tincture or burns (electrocoagulation). The basic rule treatment of cervicitis: not to delay conservative treatment for many months and even years. When the failure of conservative treatment (6-8 weeks) or with repeated relapses it is shown diathermocoagulation, thermal or surgical conisania cervical or amputation of the cervix.
Treatment of lesions of cervical gonorrhea, tubercular or syphilitic specific origin.
Cm. also Erosion (cervix).