The early symptoms of chronic cervicitis
Submitted by tcmwell.com, 01/13/10 12:06:55 , Click:
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The symptoms of chronic cervicitis often masked by other gynecological diseases, it is more in a routine gynecological check only found. Visual examination through the speculum the cervix can be seen with bright red fine-grained control erosion area and neck purulent mucus secretion samples leucorrhea, you can arrive at the diagnosis, while others are cervical local congestion, hypertrophy.
The exclusion of malignant lesions and control of specificity or particularity of infection, in order to local treatment-based, so that erosion of surface columnar epithelial necrosis and shedding, in order to cover the new squamous epithelium.
1) Drug Treatment - Chronic cervicitis variety of drug treatment, often are the following:
1. Partial vaginal lavage and local on the drug: the most commonly used method of treatment. Potassium permanganate can be used 1:5000 lavage solution, 1:1000 benzalkonium bromide solution, 1% acetic acid solution or 0.5 - 1% lactic acid solution. Cotton swab dipped in mild superficial are available 5 - 10% iodine or 5 - 10% silver nitrate solution, localized corrosion erosion surface, 1 week 1 times, can promote the erosion of surface cure. But the application to be taken to avoid liquid leakage into the lesions outside the region of normal mucous membrane. Tu silver nitrate followed by a dip rub gently with normal saline cotton is now less. Topical application of chlorine test tablets (250 mg of chloramphenicol and prednisone 5 mg tablets are made), every night or every other night put in the vagina deep, used in conjunction 10 times for a course of treatment, its effect is comparable to the general chemical treatments lavage can be selected according to the situation.
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2. Vaginal fornix side closed: see chapter closed treatment of other therapies. Chronic cervicitis can be used to merge adjacent connective tissue of cervical spondylitis, lumbosacral pain and cervical pain, give clear that those who seriously affecting sex life.
3. Jieeryin traditional Chinese medicine lotion: apply a variety of acute and chronic cervicitis. Its main component is Osthol, Phellodendron, Sophora, Atractylodes. Usually with 10% of the liquid line of vaginal washing, or hip bath, daily one time, two weeks of a course of treatment.
2) physical therapy - is currently the treatment of cervical erosion effect is better, the shortest course of treatment approach. Applicable to a wider erosion and inflammatory infiltration deep cases. Just a general treatment of a meeting can be cured.
1. Electrocoagulation - in the past the radiation linear electrocautery method, a longer healing time (6 - 8 weeks) and now switched to electric coagulation, the whole rotten ironing, it is also called electric iron. First Affiliated Hospital of Shandong Medical University, according to a summary of 2095 cases, electric iron therapy for cervical erosion there is a sub-100% efficiency. Specific operations, first good electric iron device placement, routine disinfection of the vulva, vagina and cervix. A good exposure to the cervix with the vaginal speculum will be the first contact with electric ironing surface erosion, uniform electric iron, the scope of slightly more than erosion surface. Electric iron depth of about 0.2 cm too deep can cause bleeding, slow healing; too shallow affect treatment. Electric iron wound spray powder or painted with Furacillin aureomycin glycerol.
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2. Cryotherapy - a kind of ultra-low temperature treatment, the source for the liquid nitrogen cooling temperature of -196 ℃. Treatment to choose the appropriate probe according to erosion. Can be used to enhance the effect of freezing - melting - freezing method, namely, frozen 1 minute rewarming 3 minutes, then frozen 1 minute. The advantage is simple and rarely occurs after hemorrhage and carotid stenosis. The disadvantage is that after more than vaginal discharge.
3. Laser treatment - is a high-temperature treatment, the temperature can reach above 700 ℃. Mainly to make charcoal crusted erosion organization until the scab comes off, the wound is covered by new squamous epithelium. Treatment of cervical erosion generally use the carbon dioxide laser, the wavelength of 10.6 micron infrared light. Preparation of pre-treatment with the electric iron technique. In addition to thermal effects of its advantages, there are pressures, photochemical and electromagnetic effects, and therefore have anti-inflammatory treatment (stimulus body to produce a strong defensive immune function), pain (to tissue edema subsided, reducing the nerve endings of the chemical and mechanical stimulation), and the promotion of tissue repair (enhanced epithelial cell anabolic role in promoting epithelial hyperplasia, accelerated wound healing), so the treatment time is short, high cure rate.
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Physical therapy treatment time should be clean after menstruation 3 - 7 days to conduct, there are acute genital inflammation is disabled. Physical therapy after an increase in vaginal discharge, vulva should be kept clean, the wound has not healed before (after 4 - 8 weeks) should be avoided bath, sexual intercourse and vaginal douching. Such as the freezing line treatment, patients should be asked whether preoperative history of heart disease, if necessary, to do EKG. Disabled persons with heart problems.
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