Under erosion broadly understand normalcolumnar epithelium, move outwards from the cervical os, which ideally should not have women of childbearing age to move somewhere and not have to be visualized. But we have decided that in this world nothing is perfect there, and all processes are somewhere around this golden mean.
It is one thing when these processes are aboutmiddle ground under the influence of physiologically avoidable factors and quite another thing when it is caused by factor affecting only once, but forever.
This factor - the cervix ruptures during childbirth.
cervical tears during childbirth occur fairlyoften, with nulliparous they are observed more often than re Rodia. This is due to different mechanisms of neck opening when the first and second delivery.
The reasons for breaks
The causes of cervical fractures are
- cervical inflammatory changes
- changes in cervical rumen nature
- cervical stiffness in older nulliparous
- excessive cervical tensile large fruit
- rapid and swift childbirth
- surgical delivery
- plodorazrushayuschie operation and more
We will not consider all the mechanisms breaks, consider only those that we will justify the need for the use of those or other operational methods of treatment of "erosion" of the cervix in a woman's life.
In the first stage of labor - the disclosure period (andall three of them: the disclosure period, the period of exile and the successive period) in nulliparous women outer mouth (the one that we see when viewed in the mirror) is disclosed at the end of the period when the internal os is almost completely uncovered. And if a woman has scar changes on the cervix in the external os, for example, after cauterization "erosion" of electric shock (diathermocoagulation) - after this procedure are always scarring, the disclosure of the external os is difficult these scars, that cause the rupture. The process of childbirth began, the fetus moves through the birth canal and small scars on the neck it is not a hindrance, and therefore, breaks can not be avoided.
After all sorts of periods, ie, placenta after birth, the obstetrician performs inspection of the genital tract of women for the depth of cervical tears, vagina and perineum. Such a detailed inspection of the birth canal tissues, including the cervix, usually only in nulliparous. In multiparous women are limited to inspection of the perineum, and the control of the cervix and vaginal walls condition carried on the testimony (bleeding).
Because multiparous woman breaksperineum are more affordable because of scarring in the tissues of the perineum as a consequence of gaps at the former labor, and the disclosure of the external os they occur simultaneously with the internal, as opposed to the nulliparous.
But cervical fractures are more common innulliparous women. And if significant gaps cervical leave unsutured, the spontaneous wound healing may be slow, the wound will become infected easily, which can lead to complications in the postpartum period.
Furthermore, it is particularly importantSpontaneous healing cervix ruptures always results in deformation of the cervix, cervical mucous inversion of the formation and ... "erosion", ie we, after healing, will see the normal columnar epithelium, as it were turned inside outwards. And it's not even close to the golden mean, it's so far away, that requires immediate medical intervention. You remember that the columnar epithelium - an ideal place for the growth and multiplication of all microbes. And when the epithelium is located in the vagina, so even such a large area that occurs after breaks (this is not a small movement of the columnar epithelium, this gaping outer mouth and almost completely open cervical canal), then the germs here (as pathogenic and non-pathogenic flora ) vast expanse.
Therefore, cervical rupture during labor, they require that the immediate postpartum suturing the end, that is the prevention of cervical precancer.
Suturing the cervix ruptures usually produces a doctor, but it can do and experienced midwives. After suturing no postpartum erosion will not occur.
If suturing cervical fractures are notproduced, they still heal, but the neck is deformed. In this case, gynecologists will talk about postpartum "erosion", when in fact such a cervical condition is called ectropion kolposkopista language.