Nessler's cyst

Introduction

Introduction to Nash's cyst Cervical gland cysts are also called cervical N. cysts, gynecological sacs, and cervical sacs. Cervical Nasal cyst (can be called "nanocapsule"), like cervical erosion, cervical polyps, is a manifestation of chronic cervicitis. During the healing process of cervical erosion, the new squamous epithelium covers the cervix gland or extends into the gland tube, blocking the glandular orifice; the connective tissue around the gland tube is proliferated or the scar forms the gland, which narrows or even blocks the gland. The drainage of glandular secretions is blocked, and the cysts formed by retention are called cervical retention cysts. It contains mucus that is often clear and transparent, but may be cloudy and purulent due to co-infection. Cysts are generally small and scattered and can protrude from the surface of the cervix. Small only small millet grains, large to large corn kernels, blue-white, may be accompanied by erosion, but also common in the smooth surface of the cervix. Due to the long-term stimulation of chronic inflammation, cervical tissue recurrence of congestion, edema, inflammatory cell infiltration and connective tissue hyperplasia, resulting in hypertrophy of the cervix, severe cases can more than double the normal cervix. In severe cases of inflammation, it can lead to menstrual abnormalities (menstrual often abnormal and directly related to it) even infertility, cervical malignant lesions and so on. basic knowledge The proportion of illness: 0.02%-0.05% Susceptible population: more common in women Mode of infection: non-infectious Complications: attachment inflammation pelvic inflammatory disease urethritis vaginitis cervical cancer infertility

Cause

The cause of Nessler's cyst

The cause of Nasal cyst formation is similar to the "acne" on the face. During the healing process of cervical erosion, the new squamous epithelium covers the cervix gland or extends into the gland, blocking the glandular orifice; the connective around the gland Tissue hyperplasia or scar formation compresses the gland tube, narrowing or even blocking the gland tube, and the drainage of glandular secretions is blocked. The cyst formed by the retention is called the Neck sac.

Prevention

Nasal cyst prevention

1, should pay attention to health, usually use weak acid female care solution to clean the vulva to maintain the vaginal self-cleaning function to prevent the invasion of pathogens.

2, the usual sexual intercourse has a degree, to avoid overwork. Attentional hygiene, the spouse should pay attention to clear the smegma of the penis.

3, the implementation of family planning, the use of contraceptive measures, as far as possible to avoid mechanical damage to the cervix. At the same time, gynecological surgery should be strictly sterile to prevent iatrogenic infections and injuries.

4, to avoid damage to the cervix during childbirth, if found that cervical laceration should be sutured in time, and the use of antibiotics.

5, pay attention to menstruation, abortion period and puerperium hygiene, sexual intercourse, postpartum should be strictly prohibited sexual intercourse, bath, to avoid pathogenic bacteria take advantage of.

6. In the process of treating chronic cervicitis, sexual intercourse should be prohibited. Stop the topical medication during menstruation. Do not eat spicy, greasy products during treatment.

7, regular gynecological examination, found that cervical inflammation is actively treated.

8, pay attention to exercise, pay due attention to nutrition and health, to protect physical and mental health.

9, the acute phase of cervicitis should be controlled, thoroughly treated to prevent the conversion to chronic cervicitis.

Complication

Knott's cyst complications Complications Annex inflammation pelvic inflammatory disease urethritis vaginitis cervical cancer infertility

Dysmenorrhea:

The clinical features of endometriosis are progressive dysmenorrhea, which is a common and prominent feature, mostly secondary, that is, from the occurrence of endometriosis, the patient complained that there was no pain in the past menstrual cramps, but began to appear from a certain period. Dysmenorrhea can occur before menstruation, menstruation and after menstruation. Some dysmenorrhea is more difficult, need to rest in bed or medication to relieve pain, and even painful "rolling" or hit the head, the pain often aggravates with the menstrual cycle, and disappears after the end of menstruation, but China reported that 21% of the painless.

Periodic rectal irritation:

Progressive exacerbations of periodic rectal irritation are rare in other gynaecological diseases and are the most valuable symptom for the diagnosis of this disease. The rectum, anus, and genital area swell, fall pain, and feel heavy and frequent stools. As the lesions worsen, the symptoms become more pronounced and the symptoms disappear after the passage.

Lead to infertility:

About 50% of patients with endometriosis are associated with infertility, and about 30-40% of patients with unexplained infertility suffer from endometriosis. Endometriosis suffers from infertility, often caused by pelvic mass, adhesion, oviduct occlusion follicle development or ovulation disorders; and once ectopic, the ectopic endometrium is inhibited and atrophied, which is very important for endometriosis Good treatment, some of the habitual abortion cases are caused by endometriosis.

Irregular menstruation:

Patients with endometriosis often have shortened menstrual cycle, increased menstrual flow or prolonged menstruation, indicating that patients have ovarian dysfunction. Irregular menstruation can be used as a diagnostic reference, but it is of no value in differential diagnosis.

Sexual pain:

Sexual analgesia can occur when there is an ectopic endometrial nodule of the vagina, a rectal depression or adhesion, or an ovarian adhesion to the pelvic floor. When the fibrosis and contraction of the posterior lobe of the broad ligament is obvious, the ureter can be exogenously compressed, and the stenosis can be blocked, and urinary system symptoms may occur. Severe ureteral hydrops or hydronephrosis may occur.

Periodic bladder irritation:

When endometriosis affects the bladder peritoneal pleats or invades the bladder muscle layer, symptoms such as urinary urgency and frequent urination may occur at the same time. If the lesion invades the bladder mucosa (bladder endometriosis), there is periodic hematuria and pain.

Acute abdomen before or after menstruation:

Generally, the ovarian endometrial cyst is characterized by perforation. Most patients have emergency surgery due to ovarian cyst torsion or ectopic pregnancy. If you do not get better with surgery, the pelvic adhesions will increase, and there will be repeated ruptures in the future.

Periodic lower abdominal discomfort:

The incidence of this symptom is higher than dysmenorrhea, and patients with endometriosis without dysmenorrhea often present in this symptom. Appears in mild patients, or some lesions are heavier, but due to personality differences in pain threshold or other reasons, do not produce dysmenorrhea symptoms and only menstrual backache, lower abdomen bulge discomfort.

Chronic cervicitis should be performed by cervical smear to prevent malignant lesions, especially in women over 40 years of age. Stenosis should be performed regularly and cervical biopsy should be performed if necessary. The disease is a chronic disease, it is necessary to patiently adhere to the treatment, during the treatment period should be prohibited from sexual intercourse, pay attention to rest, avoid fatigue. Attention to hygiene, clean the genitals every day, wash the genitals first, then wash the yin, and use a special towel. Wash the genitals 1 time before and after sex life, empty the urine after sexual life 1 time, to flush the genitals, the same room is strictly prohibited during menstruation. Vaginal medication should start on the third day after menstruation is clean and will be discontinued during menstruation. Now with laser treatment of this disease has a good effect, too many leucorrhea should go to the hospital for treatment.

Chronic cervicitis is one of the most common diseases in women. Mostly converted from acute cervicitis, women are more common in married and physically weak. The cause is due to injury to the cervix during sexual life or childbirth, causing bacteria to invade and get sick. Increased vaginal discharge is the main symptom, usually viscous or purulent mucus, sometimes with blood or sexual intercourse bleeding, followed by genital itching, lower abdomen or lumbosacral pain, exacerbated during sexual intercourse, menstruation and defecation.

Chronic cervicitis is also a kind of cervical sac. More than the birth of the cervix after childbirth, abortion or surgery, the pathogen (mainly Staphylococcus, Streptococcus, Escherichia coli and anaerobic bacteria) invade and cause infection, mainly manifested by increased vaginal discharge. As the age increases, the cervix gradually shrinks, and some cervicitis tend to heal itself. If it spreads to the pelvic cavity along the humeral ligament of the uterus, there may be pain in the lumbosacral region and painful intercourse; if there is a cervical polyp, there may be sexual intercourse bleeding.

Symptom

Nasal cyst symptoms Common symptoms Urinary frequency itching vaginal discharge increased dysmenorrhea Cervical adhesions

1, the patient's uterus bottom or posterior wall bulging, and local vesicles sexy, can be divided into subserosal, intramuscular and submucosal three, if the submucosal cyst with pedicle can sometimes protrude beyond the cervix, through Pathological examination The wall of the capsule originating from the middle kidney tube is mostly composed of columnar or stratified squamous epithelium. The wall of the capsule derived from the accessory kidney tube is mostly formed by the ciliated columnar epithelium.

2, for the congenital cervical N. cystis symptoms are not obvious, sometimes you can touch the lower abdomen mass, and the cervical gland has a secretory function, can secrete mucus, can also be discharged through the glandular orifice, participate in the formation of a part of the "leucorrhea" Also, during the healing process of cervical erosion, if the new squamous epithelium covers the mouth of the cervical gland or extends into the glandular duct, it will cause obstruction of the glandular orifice.

Examine

Examination of Nessler's cyst

Mainly based on gynecological examination specialist examination, but also by means of colposcopy, routine cervical cancer prevention, and cervical biopsy if necessary.

Chronic cervicitis is closely related to cervical cancer. Under the stimulation of long-term inflammation, a small number of patients with chronic cervicitis have a tendency to become malignant, so it still needs high attention. The main reason is to do cervical smear every year, except for cervical cancer and precancerous conditions.

1, for the relatively small cervical gland cysts generally do not need treatment, as long as the annual inspection can be.

2, for dense small Nessler cysts or larger cysts, consider physical therapy such as phototherapy, laser, microwave, self-curing knife.

3. For larger protrusions on the surface of the cervix, electrosurgical resection can be considered.

Diagnosis

Diagnosis and identification of Nessler's cyst

Clinical uterine angiography and hysteroscopy can provide strong evidence for the diagnosis of cervical cysts, but these examinations are complex and traumatic, and patients are difficult to accept, while B-ultrasound is simple, intuitive, accurate, and painless and harmless to patients. So that patients are willing to accept. The patient has a cyst of the cervix, and the image is clear. It can also be detected for lesions as small as 3 to 4 mm in the cervical canal, and the sonogram is characterized and the diagnosis is clear. Easy to identify with other diseases. Therefore, early diagnosis and active treatment of this disease is of great significance for the prevention of cervical cancer.

Knott's cyst is a common disease in women of childbearing age, mostly due to cervix due to childbirth, abortion and surgical injury or local long-term stimulation of infected bacteria, can also be converted from acute cervicitis. Cervical retention cysts have a certain relationship with the onset of cervical cancer. Cervical gland cysts are chronic inflammation of the cervix, which causes the glandular duct and its surrounding tissues to proliferate and squeeze, block the glandular glands, and cause the glandular secretions to remain inside, leading to the expansion of the glandular cavity. Formed into cystic masses of varying sizes.

It is not difficult to treat cervical gland cysts. Generally, it is necessary to check which kind of pathogen infection causes cervicitis. After the examination, the corresponding treatment for the infected bacteria is carried out. For cysts that are not easy to retreat, they can be punctured first, then burned by laser, freezing, etc. "Nag" is called the Nabote cyst, which is a cyst of the cervix or a cyst of the cervix. The cyst of the cervix is one of the symptoms of chronic cervicitis, mainly because the glandular orifice of the cervix is blocked, so the gland The secretions of the body are not well discharged, but are retained in the glands to form cysts. Doctors can see prominent vesicles on the surface of the cervix.

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