Why appears erosion of the cervix after childbirth and how it is treated? Read in this article.
Content
Cervical erosion
Under erosion, in a broad sense, the normal cylindrical epithelium, moving the duck from the cervical cervix, which in the perfect version should not have to move somewhere and should not be visualized. But we have already decided that there is nothing perfect in this world, and all the processes are somewhere around this golden middle.
But one thing when these processes are near the Golden Mid under the action of physiologically disposable factors and is quite another thing when it is caused by a factor acting once, but already forever.
Such a factor – these are the cervical cervix in childbirth.
Cervical breaks
The cervical breaks during childbirth occur quite often, and from the primordin, they are observed more often than re-related. This is due to the different cerial disclosure mechanism at the first and second birth.
Reasons of breaks
Causes of cervical breaks are
- Inflammatory cervical changes
- cervical cervical changes
- The cervical rigidity in the elderoral
- Excessive stretching of the cervix in large fruit
- Fast and rapid labor
- Operational delivery
- Fruit operations and much more
We will not consider all rupture mechanisms, consider only those that justify us the need to apply certain operational treatment methods «erosion» cervix in the life of a woman.
In the first period of birth - the disclosure period (and there are three of them: the period of disclosure, the period of expulsion and the leader) at the original Women, the outer Zev (the one that we see when inspection in the mirrors) reveals at the very end of the period when the inner zev is almost completely Open. And if a woman has scar changes on the cervix in the region of the outer sevo, for example, after cavity «erosion» Electric current (diathermocoagulation) – After this procedure, scarmers always remain, the disclosure of the outer mouth will be difficult by these scars, which will cause a break. The process of childbirth began, the fruit is moving along the generic paths and small rutters on the neck of him not a hindrance, and therefore the breaks cannot be avoided.
After graduating from all periods of birth, t.E. After the birth of the post, the obstetricer produces the inspection of the genital ways of a woman for the depth of the neck of the cervix, the vagina and the crotch. Such a detailed inspection of the body channel tissues, including the neck of the uterus, is usually produced only at primordin. In repeated women, the inspection of the perineum is limited, and control over the state of the cervix and the walls of the vagina are carried out according to the testimony (bleeding).
Why?
Because in a repeated woman, the crotch breaks are more possible due to the presence of scar changes in the crotch tissues as a consequence of breaks for former childbirth, and the disclosure of the outer mouth occurs simultaneously with the inner, unlike the original.
But the cervical breaks are more often found at primordin women. And if significant cervical breaks to leave failure, then spontaneous wound healing can go slowly, the wound will be easily infected, which can lead to complications in the postpartum period.
In addition, which is particularly important, spontaneous healing of the tears of the cervix always leads to the deformation of the neck, turning the mucous membrane of the cervical canal and to formation… «erosion», T.E. We, after healing, we will see a normal cylindrical epithelium as if turned out the duck. And this is not even close to the golden middle, it is so far that it requires urgent medical intervention. You remember that cylindrical epithelium – An ideal place for the growth and reproduction of all microbes. And when this epithelium is located in the vagina, and even such a large area that occurs after breaks (this is not a small movement of the cylindrical epithelium, it is a gaping outer zev and almost completely opened cervical canal), then for microbes here (both pathogenic and non-pathogenic flora ) Huge Razdan.
Therefore, when the cervix bursts in childbirth, they require a mandatory embossing immediately after graduating, which is prevention of the prejudice of the cervix.
Sewing of the cervical breaks is usually producing a doctor, but it can do experienced midwives. And after the embedding, no postpartum erosion will not be observed.
If the embedding of the cervical breaks is not produced, they will all be lit, but the neck will be deformed. In this case, gynecologists will talk about postpartum «erosion», Although in fact such a state of the cervix in the language of the colposcopist is called Etropion.
