What Is the Connection Between Mucositis and Chemotherapy?

Cervical mucositis (endocervicitis) or cervical inflammation. Lesions are limited to the cervical canal mucosa and submucosal tissues. The appearance of the cervical vagina is very smooth, and only purulent secretions from the outer mouth of the cervix can be seen. Sometimes the hyperplasia of the mucosa of the cervical canal protrudes to the outer mouth. Due to hyperemia, edema, inflammatory cell infiltration and connective tissue hyperplasia of the cervical mucosa and submucosal tissue, the cervical hypertrophy can be caused.

Cervical mucositis

Cervical mucositis (endocervicitis) or cervical inflammation. Lesions are limited to the cervical canal mucosa and submucosal tissues. The appearance of the cervical vagina is very smooth, and only purulent secretions from the outer mouth of the cervix can be seen. Sometimes the hyperplasia of the mucosa of the cervical canal protrudes to the outer mouth. Due to hyperemia, edema, inflammatory cell infiltration and connective tissue hyperplasia of the cervical mucosa and submucosal tissue, the cervical hypertrophy can be caused.

Introduction to Cervical Mucositis

Endometritis

Lesion

[Clinical manifestations]

1. Increased leucorrhea: Due to the different scope and degree of pathogens and inflammation, the amount, nature, color and odor of leucorrhea are also different. They can be milky white mucus, sometimes pale yellow purulent, and are prone to have bloody leucorrhea or polyps when they form. Bleeding after intercourse.

2. Inflammation: When the inflammation spreads to the pelvic cavity along the ligament of the uterus, there may be pain in the lumbosacral region and pain in the pelvic region. Sticky purulent leucorrhea is not conducive to sperm penetration and can cause infertility. Examination showed different degrees of erosion of the cervix. Hypertrophy, sometimes stiff, sometimes polyps, lacerations, valgus and cervical gland cysts.

Causes of cervical mucositis

Cervical mucositis mechanical irritation or injury

The occurrence of cervicitis is related to sexual life. Natural or induced abortion, diagnostic curettage and childbirth can cause cervical damage and inflammation. Adult women should pay attention to contraception, avoid or reduce abortion surgery, pay attention to postpartum hygiene, and avoid postpartum infection .

Cervical mucositis pathogen infection

The pathogens are mainly:

1) Pathogens of sexually transmitted diseases: Neisseria gonorrhoeae and Mycoplasma chlamydia.

2) Endogenous pathogens: Staphylococcus, Streptococcus, E. coli and anaerobic bacteria.

3) Others: Trichomonas and amoeba among the protozoa. Special cases are caused by chemicals and radiation.

Cervical mucositis chemical stimulation

Cervicitis can be caused by irrigating the vagina with potassium permanganate solution or putting a suppository into the vagina.

Cervical mucositis vaginal foreign body and infection

Vaginal foreign body infection causes cervicitis

Cervical mucositis types

Types of cervical mucositis:

(1) Cervical erosion: There is a clear demarcation between the red area surrounding the cervix and the normal mucosa, and the surface is smooth or granular. The iodine solution is not colored. 1. Mild erosion (I degree): The erosion face is less than 1/3 of the cervix. 2. Moderate erosion (II degree): The erosion face accounts for 1/3 to 1/2 of the cervix. 3. Severe erosion (III degree) : The erosion surface is larger than 1/2 of the cervix.

(2) Cervical polyps: There are single or multiple pedicled bright red polyps in the outer mouth of the cervix. Titus is connected to the cervical canal, with a smooth surface and easy bleeding.

(C) Cervical gland follicles (Nessler cysts): There are small cysts scattered on the surface of the cervix, mostly white, often accompanied by cervical erosion.

Cervical Mucositis Treatment Types

Cervical mucositis physical therapy

principle

Various physical methods are used to destroy the erosive surface of the cervix and make it necrotic and fall off, and then cover the new squamous epithelium for about 3 to 4 weeks. For deeper lesions, it takes about 6 to 8 weeks.

method

In the past, the electric iron method was commonly used. In recent years, the types of instruments used for clinical treatment include: laser treatment, cryotherapy; infrared coagulation therapy, and microwave therapy. Vaginal secretions increased after various physical therapies, and even a large amount of watery fluid was discharged. It is normal that there is a little bleeding when getting rid of stupidity 1 to 2 weeks after surgery.

Healing period

Should choose to carry out within 3 to 7 days after menstruation is clean.

[Treatment Contraindications]

Patients with acute genital inflammation are contraindicated.

Cervical mucositis medication

There are two types of treatments, local treatment and systemic treatment. Cervical secretions are taken for culture and drug sensitivity tests. At the same time, gonorrhoeae and chlamydia are found, and corresponding treatment methods are adopted according to the test results.

[Topical drug treatment]

It is suitable for cases with small erosion area and shallow inflammation and infiltration. In the past, local application of silver nitrate or chromic acid corrosion has been used less. Local medication is ineffective and requires systemic treatment.

[Systemic Drug Therapy]

Applicable to cervicitis, whose cervix has a smooth appearance and purulent drainage in the cervix. There are many prescriptions and formulas of traditional Chinese medicine, which have certain effects in clinical application.

Cervical mucositis surgery

[ Radiofrequency ablation ]:

For the extensive erosion surface, the inflammation has not been cured for a long time, you can choose this method, one-time cure, small trauma during surgery, no scar after surgery, is the most advanced method.

Cervical mucositis precautions

No bath, sexual intercourse, or vaginal irrigation was allowed during the wound healing period. After treatment, regular review is needed to observe the wound healing until it heals. Check for neck stenosis during the review.

Correct recognition of cervical mucositis

Understanding of cervicite One person believes that married women will have it, it will not affect work and life, it is not important, treatment is the same as no treatment. Another person thinks that cervicitis is a precancerous lesion. It is incorrect to talk about cancer discoloration and produce "cancer cancer" that affects personal emotions and even daily life. Chronic cervicitis and cervical cancer have some common symptoms, such as vaginal drip bleeding or leucorrhea after sexual intercourse. If this happens, you must make a cervical smear, colposcopy, cervical biopsy, etc. to rule out cancer before treating cervicitis. Many harmful bacteria invade the vagina at the mucous membranes and wrinkles on the side of the vagina. This is a slight infection. Generally, the female vagina is washed with a female care solution to maintain the vaginal self-cleaning function, but the harmful bacteria continue to enter the vaginal fornix and cervix. Causes cervicitis. At this time, the problem cannot be solved by the self-cleaning function of the vagina. To use lotion, it is best to penetrate the vaginal fornix and the cervix. The length of the catheter is based on the physiological characteristics of the female, which can significantly improve the inflammation of the fornix.

Cervical Mucositis Cervical Defense System

Squamous epithelium of cervical and vaginal area

inner cervix is closed tightly

cervical mucus plug

Cervical mucositis pathogen

staphylococcus

Streptococcus

Enterococcus

Gonorrhea

Chlamydia trachomatis (most common now)

Clinical manifestations of cervical mucositis

Cervical mucositis increased leucorrhea

Due to the different scope and degree of pathogens and inflammation, the amount, nature, color and smell of leucorrhea are also different. It can be milky white mucus, sometimes pale yellow purulent, and is prone to bloody leucorrhea or bleeding after intercourse when polyps are formed.

Cervical mucositis inflammation spread

When inflammation spreads to the pelvic cavity along the ligament of the uterus, there may be pain in the lumbosacral region and pain in the pelvic region. Sticky purulent leucorrhea is not conducive to sperm penetration and can cause infertility. Cervical erosion was observed to varying degrees. Hypertrophy, sometimes stiff, sometimes polyps, lacerations, valgus and cervical gland cysts.

Cervical mucositis treatment

Local treatment is mainly used, and physical therapy, drug treatment and surgical treatment can be used, and physical therapy is most used.

Cervical mucositis physical therapy

The principle of physical therapy is to destroy the erosive surface of the cervix by various physical methods, after necrosis and shedding, it covers the new squamous epithelium, which lasts about 3 to 4 weeks, and the deeper lesions take about 6 to 8 weeks. Turns smooth. The commonly used method in the past is the electric ironing method. In recent years, new therapeutic instruments have been continuously used in the world. Laser treatments, cryotherapy, infrared coagulation therapy, and microwave therapy have been used in clinical practice. Various treatments are similar. The treatment time is selected within 3 to 7 days after menstruation is clean. Those with acute genital inflammation are listed as contraindications. Vaginal secretions increased after various physical therapies, and even a large amount of watery fluid was discharged. There may be a little bleeding when getting rid of stupidity 1 to 2 weeks after surgery. During the period when the wound is not fully healed (4-8 weeks), bathing, intercourse and vaginal irrigation are prohibited. After treatment, regular review is needed to observe the wound healing until it heals. When reviewing, pay attention to whether the neck canal is narrow.

Cervical mucositis medication

Local drug treatment is suitable for cases with small erosion areas and shallow inflammation. In the past, local application of silver nitrate or chromic acid corrosion has been used less. There are many prescriptions and formulas of traditional Chinese medicine, which have certain effects in clinical application. Systemic drug therapy is suitable for cervical canalitis, and the appearance of the cervix is smooth, and there is purulent drainage in the cervical canal. Local inflammation here has poor curative effect and systemic treatment is required. Cervical secretions were taken for culture and drug susceptibility tests, and gonorrhoeae and chlamydia were found at the same time, and corresponding anti-infective drugs were used according to the test results.

Radiofrequency ablation of cervical mucositis

For the extensive erosion surface, the inflammation has not been cured for a long time, you can choose this method, one-time cure, small trauma during surgery, no scar after surgery, is the most advanced method.

Cervical mucositis prevention care and prognosis

1. Do a good job in family planning, avoid unplanned pregnancy, and do less or no abortion. 2. Pay attention to hygiene after abortion and puerperium to prevent infection. 3 Chronic cervicitis has a certain relationship with cervical cancer, so it should be actively treated. 4 Keeping the vulva dry, the vulva cleansing pH 4 weak acid formula is more suitable for women. 5. Minimize damage to the cervix by induced abortion and other gynecological procedures. 6. Suspension of cervical medication during menstrual period and intercourse during treatment are forbidden. 7. Proper use of antibiotics.

Cervical mucositis dangers

Cervical mucositis is a disease that is easily overlooked by women, because its strong concealment is not easy to find. In fact, cervical mucositis is generally not a threat to health. But often due to cervical mucositis caused by increased vaginal discharge, low back pain, lower abdomen and other symptoms will affect people's emotions.

And more important from a cancer prevention perspective, cervical mucositis is closely related to cervical cancer. According to the general information on cancer prevention, 0.39% of those without cervical erosion have cervical cancer, while 2.05% of those with cervical erosion have cervical cancer. It shows that actively treating chronic cervical mucositis and taking active preventive measures are of great significance for protecting women's health and preventing and treating cervical cancer.