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Cyst of a neck of uterus
September 13, 2012
The cyst of a neck of uterus (other names — retentsionny cysts of a neck of uterus, also nabotova of a cyst of a neck of uterus) is an education which is the expanded and closed glands in a neck of uterus in which the secret accumulates. Initially inflammatory process which progresses in vulval part or in the channel of a neck of uterus develops. The inflammation of output channels of glands located in a neck of uterus becomes its effect. These channels which in a normality produce slime are gradually corked. Gland is filled with slime, its volume increases. Such pathology can be found in the course of inspection: sometimes it can be revealed also at visual survey, in other cases ultrasonography of a small pelvis and a kolkoskopiya is appointed. Statistically, the cyst of a neck of uterus is diagnosed for 10-20% of women.
Features of a cyst of a neck of uterus
The neck of uterus at the woman has the cylinder form. In its center the entrance to the cervical channel of a neck of uterus is located. The internal covering of the channel consists of a cylindrical single-layer epithelium with a large amount of glands. They produce a special secret. The outside covering of a neck of uterus creates a multilayer flat epithelium without glands. Near an entrance to the cervical channel the so-called zone of transformation between two different types of an epithelium is located. In this zone mainly precancerous and cancer diseases also form.
Basic reason on which the woman has a cyst on a neck of uterus, this manifestation of inflammatory process. The inflammation in the cervical channel and on a neck of uterus is shown as an effect of the injuries and infections arising at introduction of intrauterine means, childbirth, abortions, when carrying out tool inspections.
Nabotova cysts of a neck of uterus do not constitute danger from the point of view of an ozlokachestvleniye. Existence of a cyst of a neck of uterus also does not provoke a hormonal imbalance and does not influence emergence of cysts in ovaries. The woman for whom the cyst of a neck of uterus is diagnosed, does not note a negative impact of such education on pregnancy incubation, a menstrual cycle.
However in certain cases in such cyst there is an accumulation and reproduction of bacteria, viruses. As a result, the woman notes continuous recurrence of inflammatory processes, both a neck of uterus, and other bodies — uterine tubes, ovaries, a mucous membrane of a cavity of the uterus, a vagina. Constantly recurrent inflammatory processes often become the reason of development of an extrauterine pregnancy, and also female infertility.
Types of a cyst of a neck of uterus
Physicians subdivide cysts in a neck of uterus on single and multiple. Using the term of "a cyst nabotova", doctors mean multiple cysts. Such educations are result of any treatment of an ectopia of a neck of uterus. Therefore, emergence of multiple cysts – an effect of an ectopia in the course of which obstruction of output channels of glands in a neck of uterus takes place. In a thin capsule the dense mucous secret gathers inside.
The endometrioid form of a cyst of a uterus has characteristic bluish color, on it there are zones which bleed. The size of such sites increases just before periods. Such form of a cyst develops after fabrics of an endometria move to earlier injured surface. At such cyst there are hemorrhagic contents inside.
Cyst of a neck of uterus and pregnancy
If at the woman large cysts which diameter makes from 1 cm and more developed, then such educations can serve as the reason of squeezing of the cervical channel. Such pathology sometimes becomes a mechanical factor of infertility. But it should be noted that the cyst of a neck of uterus nevertheless is not the main factor of display of infertility.
In the presence in a neck of uterus of a single cyst or multiple educations of this kind pregnancy incubation in most cases proceeds without complications. Such pathology does not influence also the course of childbirth. If during pregnancy at the woman the cyst was revealed, then its treatment is carried out only when at young mother lochias completely stop. Complete cessation of lokhiya happens, as a rule, by fortieth day after the delivery.
Women who wish to enter intrauterine means for protection against undesirable conception have to know that the cyst in a neck of uterus contraindication to this method of contraception is not.
Symptoms of a cyst of a neck of uterus
The expressed symptoms of a cyst of a neck of uterus at women are not shown: existence of such education does not provoke allocations of bloody character or disturbances of a monthly cycle.
Diagnosis of a cyst of a neck of uterus
The doctor finds a cyst of a neck of uterus at gynecologic survey, additional carrying out ultrasonography or a kolposkopiya sometimes is required. If nabotova of a cyst of a neck of uterus were found in the patient, then examination for detection of existence of an infection in a neck of uterus, the channel of a neck of uterus, in a vagina is conducted further. At detection of any infection it is necessary to conduct bakterioskopichesky research of the smear taken from a vagina.
Treatment of a cyst of a neck of uterus
Popular belief that the cyst of a neck of uterus is not especially dangerous to the general condition of the woman. Part of specialists define a cyst as a normality of health which does not provoke complications. Respectively, treatment of a cyst of a neck of uterus can not practice.
However most of doctors nevertheless express opinion that the cyst is not harmless as there is a probability of development in formation of purulent infiltrate. Therefore, it is reasonable to perform a surgery on removal of a cyst. However, in most cases an operative measure is carried out only when operation can be performed most malotravmatichno. If the cyst is located deeply in a neck of uterus, then operation is not performed, but two times a year it is necessary to visit the gynecologist for supervision over dynamics of development of an illness.
Initially in the course of treatment of a cyst with a purulent inflammation of the patient puncturation in the course of which pyoinflammatory contents completely clean up is carried out. After that by means of tests antibiotics to which the activator is sensitive are defined. Their course is surely appointed to the patient. Process of opening and drainage of a cyst of a neck of uterus can be carried out throughout all menstrual cycle except for three days before periods and directly days of periods. Such restrictions practice for the purpose of reduction of risk of development further of endometriosis of a neck of uterus. It is preferable to make procedure in the first two weeks of a menstrual cycle.
The radiovolnovy method is also applied to treatment of a cyst of a neck of uterus.
However most often in the course of treatment of a cyst of a neck of uterus laser therapy is applied, and also cauterization with use of liquid nitrogen (a cryotherapy method) is carried out. Use of cryotherapy allows to avoid emergence of hems on a neck of uterus therefore such procedure is considered most sparing.
Carrying out treatment by the laser can be somewhat unpleasant for the woman as process of her carrying out a little painful. But at the same time occurs not only removal of fabrics, but also cauterization of vessels that effectively stops bleeding. Cauterization by the laser of a cyst of a neck of uterus is recommended to women who did not give birth yet to children as it allows to avoid complications as much as possible.
For treatment of a cyst of a neck of uterus the patient does not need hospitalization: it will be out on an outpatient basis. After procedure the woman can feel several days pain of the cutting character in the bottom of a stomach. After ten days since carrying out procedure candles which activate healing process are applied. Candles of de pan-tolite are often applied to this purpose. Control visit to the doctor needs to be carried out in a month after an operative measure.
Before an initiation of treatment to the woman carry surely out the analysis of a smear from a vagina on flora and the masked infections. Except this analysis no preliminary procedures before treatment are required. If the infection was found, then preliminary treatment practices.
For the purpose of therapy of recurrent cysts of a neck of uterus also homeopathic remedies, physiotherapeutic procedures are applied.
At a cyst in a neck of uterus the woman does not need to observe special restrictions in food, exercise stresses, sexual contacts. Also bathing in open reservoirs, visit of a sauna and the pool is allowed.
Prevention of a cyst of a neck of uterus
To prevent developing of this pathology, the woman has to pass surely regular surveys at the gynecologist and periodically conduct ultrasonic research. For more careful survey the doctor can sometimes appoint preventive endoscopic research of a neck of uterus (its vulval part). Timely treatment of inflammatory diseases of generative organs at the woman allows to reduce risk of development of a cyst of a neck of uterus considerably.