Uterus neck hypertrophy
Uterus neck hypertrophy – the increase in volume of a vaginal part of a neck of a uterus connected with the excess development of a soyedinitelnotkanny stroma which is not followed by quantitative and structural changes of cages. The hypertrophy of a neck of a uterus can be followed by periodic pains in the bottom of a stomach, morbidity at sexual intercourse, polimenorey, belyam, feeling of loss of genitals, infertility. The diagnosis of a hypertrophy of a neck of a uterus is based on data of a kolposkopiya, a hormonal research, ultrasonography of bodies of a small pelvis with a tservikometriya. In treatment of a hypertrophy of a neck of a uterus apply a diatermokoagulyation, an elektroekstsiziya, cryodestruction, amputation of a neck of a uterus, reconstructive plasticity.
Uterus neck hypertrophy
Uterus neck hypertrophy – change of the sizes of a neck of a uterus at the expense of a thickening of walls and its elongation (lengthening). The hypertrophy can affect one or both lips of a vaginal part of a neck of a uterus. At small degree of a hypertrophy lengthening only of a forward part of a neck of a uterus which acting forward is possible, covers a back lip. At the considerable sizes of a hypertrophy the external pharynx of a neck of a uterus moves forward from a sexual crack. The hypertrophy of a neck of a uterus can be observed both at normal position of a uterus, and at omission of its bottom. This state does not exert direct impact on speed of approach of pregnancy, but indirectly as display of other gynecologic pathology, can reduce fertility and raise a possibility of complications in the period of a gestation.
Uterus neck hypertrophy reasons
The hypertrophy of a neck of a uterus can be a consequence of various pathological processes, however can be sometimes caused by genetic predisposition and anatomic features of a structure of internal genitals of the woman.
More often the hypertrophy of a neck of a uterus is formed against the background of permanent inflammatory process mucous the tservikalny channel (endotservitsit), transition of an inflammation to deeper to Strom with development of a chronic tservitsit. The proceeding inflammation is long causes consolidation and a thickening of a neck of a uterus. Because of hypostasis and swelling of tissues of neck of a uterus there is an obliteration of output channels of glands to violation of outflow of a secret and education small, to 6 mm in the diameter, thin-walled retentsionny bubbles - nabotovy cysts. The bubbles filled with a transparent secret can plunge completely in inflated to Strom, forming a follicular form of a hypertrophy.
Except an inflammation, the hypertrophy can be provoked by numerous injury of a neck of a uterus in the course of childbirth or at abortions (in lack of full treatment of microcracks and gaps). At the same time there is an eversion of a mucous membrane of the tservikalny channel in a vagina cavity. Influence of adverse acidic environment of a vagina on leads to emergence of hypostasis, increase and consolidation mucous and the subject fabrics, to growth of an epithelium, emergence of pathological allocations with possible impurity of pus or blood.
Regeneration of fabrics of the tservikalny channel and stroma on the place of damages proceeds with formation of the hems leading to increase in the sizes of a neck of a uterus, loss of elasticity peculiar to it. Post-traumatic violation traffic, microcirculation and exchange processes of a hypertrophied neck of a uterus create favorable conditions for development of an infection, promoting an inflammation retsidivirovaniye, development of background precancer diseases. Changes of a hormonal background, and also the miomatozny knots located close or with capture of a neck of a uterus (prisheechny and cervical) can also become the reason of its hypertrophy.
Uterus neck hypertrophy symptoms
Formation of a hypertrophy of a neck of a uterus takes place several stages:
The I stage - the external pharynx of a neck of a uterus is located above a sexual crack;
The II stage - an external pharynx falls by the level of a sexual crack, but does not support its limits;
The III stage - a hypertrophied neck of a uterus oversteps the bounds of vulvar lips.
At an initial stage of development the uterus neck hypertrophy clinically is shown by nothing and in the subsequent has no specifically expressed symptoms. In case of a long hypertrophy of a neck of a uterus the changeable, periodically arising unpleasant feelings or nagging pains in the lower part of a stomach, area of a groin and a sacrum, morbidity can disturb the patient at sexual intercourse, , bleach. Infertility without the obvious reasons can take place. The feeling of sagging or loss of internal genitals acts as the main symptom of the II-III stage of a hypertrophy of a neck of a uterus.
Diagnostics of a hypertrophy of a neck of a uterus
At a hypertrophy of a neck of a uterus the comprehensive gynecologic examination including survey by means of mirrors, a simple and expanded kolposkopiya, assessment of the hormonal status, ultrasonography of bodies of a small pelvis with a tservikometriya, a cytologic research of dabs from a uterus neck is carried out.
In addition the tservikoskopiya, a diagnostic scraping of the tservikalny channel, an aim biopsy of a neck of a uterus, PTsR - diagnostics can be used. Visualization allows to carry out assessment of a condition of internal genitals, to determine the sizes and structure of a neck of a uterus, its arrangement concerning other bodies of a small pelvis, feature of a blood-groove, change of an endotserviks. Differentiate a uterus neck hypertrophy from cancer of a neck of a uterus, extra-uterine cervical pregnancy.
Treatment of a hypertrophy of a neck of a uterus
Methods of treatment of a hypertrophy of a neck of a uterus are selected the gynecologist individually, taking into account the nature of the background pathology provoking a disease. At easy degree of a hypertrophy of a neck of a uterus for lack of risk factors are shown observation with an annual kolposkopiya, the ban on a raising of weights (more than 5 kg). At a uterus neck hypertrophy in combination with inflammatory process of the tservikalny channel or cervical myoma in gynecology conservative tactics - antibiotic treatment, intensive immunostimulation or hormonal therapy is used. At a hypertrophy of a neck of a uterus application low-invasive the technician – diatermokoagulyation, elektroekstsiziya and cryodestructions of excess fabric is effective. Opening of nabotovy cysts is not always productive and contraindicated at an acute and subacute inflammation. Carry a radio wave konization to perspective ways of treatment of a hypertrophy of a neck of a uterus.
At a considerable hypertrophy surgical intervention - a partial resection, amputation (wedge-shaped, cone-shaped, high) or full removal of a neck of a uterus, and also reconstructive and plastic correction with obligatory kolpoperineolevatoroplastiky is shown. It is important to define optimum amount of the fabric which is subject to excision. Operation allows to reduce length and volume of a neck of a uterus, to increase reproductive potential and to restore sexual activity. At a sharp hypertrophy of the neck which is combined with loss of a uterus at the patients who are not planning a child-bearing the hysterectomy (removal of a uterus) together with removal of a neck is carried out.
Forecast and prevention of a hypertrophy of a neck of a uterus
For lack of treatment of a hypertrophy of a neck of a uterus can have negative consequences. The started cases can lead to mechanical or hormonal infertility, bleeding (at myoma of a neck of a uterus or spontaneous break of nabotovy cysts), to dystrophic transformation, development of a leukoplakia of a neck of a uterus and precancer states.
Prevention is based on the prevention of diseases of a neck of a uterus, a balanced diet, sports activities, (including Kegel's exercises for strengthening of muscles of a pelvic bottom during pregnancy and after the delivery), careful conducting childbirth in order to avoid patrimonial injuries, timely treatment of inflammatory processes of a tserviks.