This cervix under a microscope. A special microscope that allows to study the external appearance of the cervix, called a colposcope, a procedure - colposcopy. In principle, any gynecologist is obliged to own the technique, so you can see the colposcope in the office of an ordinary gynecologist. As a rule, the gynecologist uses a colposcope to say, there is erosion or not; and in order not to miss a picture suggestive of a malignant tumor. Specialist in cervical pathology produces extended colposcopy -.. Ie, examination of the cervix under a microscope after treatment with special staining solution (containing acetic acid and iodine).
You're lying on the gynecological chair, mirrorintroduced, the doctor pulls the chair a great device with eyepieces, includes light bulb and looks. This is a colposcope. He remains outside, it allows you to see an increase in the cervix from a distance.
colposcopy procedure is quite long (about20 min), the doctor makes her sitting in silence. So get ready for a long lying and do not ask the doctor what's there. Just answer it you can only hold when fully extended colposcopy.
The first staining solution, which is treated withcervix - 3% acetic acid solution. It has a peculiar smell and can cause a tingling sensation, quite tolerable. Acetic acid leads to vascular spasm that allows the doctor to examine the cervix itself, and not its vasculature. Before painting the cervix with acetic acid it looks like a big pink spot, after - all available pathology stands out clearly. Acetic acid doctor pours a glass of the jar, and then get wet cotton swab the cervix and looks at a colposcope.
Next the solution - the so-called.. Lugol solution. It consists of iodine, but not alcohol solution, and water, so Lugol not sting at all. Normal, healthy cells of the cervix are stained with a solution of Lugol and pathologically altered - no. Therefore, this procedure is necessary to clearly see the boundaries of pathology.
If the treatment solution causes a strong burning sensation- A sign of inflammation. The concentrations of the solutions are designed not to sense, but only on color. Only the inflamed tissue has a higher sensitivity.
Only the extended colposcopy can helpaccurate diagnosis of cervical disease and determine its malignity; if it has not been made, the diagnosis is unknown. Erosion - is unexplored red spot under which may be hiding anything. Kolposkopist does not use these words, he makes a diagnosis, using generally accepted in world terms.
What is often called erosion. The presence of columnar epithelium, normally located within the channel, on the surface of the cervix. A very common pattern in young girls, often have a virgin, with the onset of sexual activity is complicated by inflammation.
The most common cause - congenital. In girls the columnar epithelium normally beyond the boundary of the channel. Then he gradually goes inside. This process is somewhere 23-25 years. While the rest of the columnar epithelium not gone inside, its remnants are visible on the surface - ectopia. If it is not complicated by inflammation, a physiological norm, which does not require treatment. Most often the beginning of sexual activity in ectopic microbes settle and she can no longer disappear on their own and maintains inflammation, then it should be treated regardless of age.
There are other reasons ectopia - a violation of hormonal status (ovarian dysfunction), chlamydia, herpes and other infections.
Condition that develops after birth - eversioncervical canal to the outside. It looks exactly as erosion, but there postpartum cervical rupture, so visible scars on the sides of the cervix. Unlike ectopia never runs independently. It is treated surgically.
White plaque, towering above the surfacecervical - portion of increased keratinization. Most often a sign of chronic infection, most likely - a virus. Necessarily require a biopsy and surgical treatment.
Pointed outgrowths. There are both the vulva and cervix, and vagina. Symptom HPV infection, a major cause of cervical cancer. When the location of the cervix require mandatory biopsy and surgical removal.
Cysts cervical glands
The columnar epithelium of the cervix canalare glands that produce mucus. When healing ectopia they are under increasing normal epithelium and continue to produce mucus, and the duct is closed. Because of this, they stretch and form cysts. Sometimes, their contents can become infected and fester. Require disclosure and delete the contents.
Polyp of cervix
Growth of columnar epithelium within the channel. The reason may be infectious or tumor. It requires a biopsy and removal.