- Endocervicitis - when to resort to antibiotics?
The cervix has a very important role: it does not allow penetration of infection into the uterus, fallopian tubes and ovaries. Therefore, all diseases of the cervix should be thoroughly being treated, or the infection can spread to the internal genital organs of women. And since many inflammatory diseases of female genital asymptomatic, every woman needs twice a year to visit a gynecologist's office.
Structure and function of the cervix
Cervix - it narrows its lower part, the walls of which are composed mainly of dense connective (collagen) tissue, a small amount of smooth muscles and mucosa that covers the inside and outside of the neck. Inside the cervix pass the cervical canal that connects the uterus with the vagina.
The neck has an upper portion and a lower supravaginal - vaginal (it juts out into the vaginal cavity and an opening of the cervical canal). From inside the cervical canal is lined with mucous membrane with a cylindrical epithelium, it also has many branching tubular glands that produce mucus that fills the channel. On the outer side of the cervix is covered with a mucous membrane with stratified squamous epithelium. The boundary between these two types of epithelium is called the transformation zone. The bottom opening of the cervical canal in nulliparous women has a round shape, and have given birth - the cross. Cervical edge bounding the outer opening, called the front and rear lips.
The cervix is a barrier to the penetration of pathogenic bacteria into the uterus as the cervix contains a thick, viscous mucus, which consists of immunoglobulins and lysozyme (they have an antibacterial effect). Mucus condition varies depending on the phase of the menstrual cycle: it becomes more permeable during menstruation.
Endocervicitis and its causes
Endocervicitis - an inflammation of the lining of the cervical canal mucosa covered with columnar epithelium. The reason for this inflammation - infection (bacteria, protozoa, fungi, viruses). Normally, the mucous membrane of the cervix no microorganisms, it is sufficiently protected from penetrating. But with lowered immunity (for example, after hypothermia), after mechanical (tears during childbirth, abortion) and chemical (injection into the vagina of various irritating substances, including drugs) effects of increased permeability of the cervical canal, pathogens get inside and cause inflammation.
Infectious agents can be different microorganisms. Most often it streptococci, staphylococci, E. coli, Trichomonas
Trichomonas - leads to infertility
, At least - gonorrhea, chlamydia
Chlamydia: insidious and widespread disease
, Mycoplasmas, fungi, and viruses (e.g. herpesvirus).
Symptoms and course of the disease
In this disease, the woman concerned muco - purulent discharge and itching. Sometimes join voiding (if in the process involves the urethra), pain in the lower abdomen and pain during intercourse. Often the disease is asymptomatic. However, during the examination of the gynecologist revealed redness and swelling of the mucous membrane in the external opening of the cervix
Cervical canal - the path traversed by every person
Upper and lower lips.
Endocervicitis can occur acutely and chronically, but more often it is prone to long-term recurrent (with repeated exacerbations) downstream from the fact that infectious agents enter the convoluted gland mucosa cervical canal, where they are not available for the operation of local treatments.
Endocervicitis often complicated by the spread of infection in the uterus and its appendages (the fallopian tubes, ovaries), as well as the peritoneum - the shell covering the inside of the pelvic cavity. Usually, the appearance of complications coincides with menstruation, when the mucous membrane of the cervix produces a less viscous mucus.
Diagnostics develops endocervicitis:
- of the characteristic signs of the disease - they are identified during the inspection gynecologist;
- detection of inflammation - the presence of a smear taken from the cervix, a large number of white blood cells;
- identification and pathogen identification by growth on nutrient media, or to determine levels of the pathogen DNA by polymerase chain reaction;
- the results of colposcopy - examination of the mucous membrane of the cervical canal using a special optical device - a colposcope.
Treatment endocervicitis Policy Pay only after the identification of the causative agent and its sensitivity to antibiotics. In acute exacerbation of chronic and endocervicitis of prescribed antibiotics, antifungal or antiviral drugs (depending on which microorganism to cause disease). After a course of antibiotic therapy is required to restore the natural microflora of the vagina
The microflora of the vagina: purity
using candles with lactobacterin. Local treatments for acute process contraindicated because of the risk of infection.
In chronic endocervicitis prescribe physical therapy and local treatment (baths and irrigation with different solutions and anti-inflammatory solutions, acting on the pathogens).
If any form of the disease is required to be appointed treatment, enhances the body's defenses (immune system): vitamins and minerals, natural immune stimulants (eg, Immunal) and so on. Long flowing resistant to treatment process requires consultation immunologist, immunological studies of blood and restore damaged components of immunity.