cervical condyloma

Introduction

Introduction to cervical genital warts Cervical genital warts are sexually transmitted diseases caused by human papillomavirus (HPV). The early stage of cervical genital warts is large, miliary, soft, reddish-like papules, gradually increasing, and the surface is uneven, showing papillary, scorpion-like or cauliflower-like, and can be pedicled. Cervical HPV infection is mostly subclinical, the damage is generally small, often need to be coated with 5% acetic acid and can be found under colposcopy. It is a white or slightly shiny white lesion with irregular contour and jagged edges. Multi-faceted or feather-like, its satellite lesions can spread beyond the transition zone, and the capillary network is still visible. Histopathological examination usually shows papilloma-like hyperplasia of the epidermis, and hollow cells can be seen in the stratum corneum and spinous cell layer. For the treatment of cervical genital warts, local destructive treatment, such as laser, freezing, electrocoagulation, etc., should generally be used. Pregnancy with cervical genital warts should be treated locally before 34 weeks of gestation to avoid complications such as cervical laceration during childbirth. If the full-term pregnancy is complicated by cervical genital warts, cesarean section should be performed. basic knowledge The proportion of illness: the incidence rate in women is 0.03% Susceptible people: women Mode of transmission: sexual contact spread Complications: cervical cancer

Cause

Causes of cervical genital warts

The main cause of genital warts is direct sexual contact, accounting for 95% of the incidence. Indirect infections such as shared underwear, bedding and pedicure knives. Condyloma acuminata infected or virus carriers can easily spread the virus to sexual partners through sexual life, or infection due to contact with contaminated items such as bath towels, bathtubs, underwear, medical supplies. Wait. Also do not pay attention to the genital hygiene or do not pay attention to washing hands before the toilet.

Prevention

Cervical genital warfare prevention

In order to prevent the occurrence of this disease, we must eliminate all unclean sexual intercourse, do not share underwear, bath towels with her, do not take a bath in the public bath. When a husband suffers from genital warts, he or she must be treated in isolation. If the rash is completely eliminated and there is no recurrence, the husband should take the condom for half a year. If the person or her husband has other sexually transmitted diseases, they should also go to the hospital to check if they are infected with genital warts. Women with genital warts or cervical infections with genital warts should have cervical cytology at least once a year and early detection of cervical cancer.

1. Please remember to clean the toilet after going to the toilet. Because the anus may bring a lot of bacteria, please do not rub the anus to the genitals after going to the toilet to reduce the chance of infection. Do not rinse the vagina, because the vagina has a self-cleaning function, if it is intentionally flushed, it is not good.

2, the washing of the underwear is best to wash with a mild soap, do not use a powerful detergent or washing machine. Wear cotton underwear, try not to wear nylon, synthetic fiber materials, in order to maintain ventilation and ventilation.

3, resolutely put an end to sexual disorder: 60% of patients with genital warts are infected through sexual contact, which not only brings physical pain, but also causes family disharmony and burdens with mental stress. Therefore, improving sexual ethics and not taking extramarital sex are important aspects to prevent the occurrence of genital warts.

4, to prevent contact with infection: do not use other people's underwear, swimwear and bath tub; do not wash the pond in the public bath, promote shower, do not sit directly in the bath seat after bathing; use the toilet in public toilets as much as possible; go to the toilet Wash your hands with soap before; do not swim in a pool with high density and poor disinfection.

Complication

Cervical genital complications Complications Cervical cancer

Cervical condyloma acuminata is caused by human papillomavirus infection, which can cause the growth of different types of corpus callosum in women's labia, vaginal opening, urethra, vaginal wall and so on. At the same time, the virus can also infect the cervix and cause cervicitis. People do not pay enough attention to it. Many patients only pay attention to the treatment of obvious corpus callosum in the vulva, while ignoring the hidden danger of the virus invading the formation of the cervix.

Cervical HPV infection has the risk of developing cervical cancer. Early thorough treatment of condyloma acuminata can help reduce the incidence of cervical cancer. Early use of colposcopy can detect the epithelial, abnormal blood vessels and early cancerous changes of the cervix, and accurately select suspicious sites for biopsy. Cervical condyloma acuminata is very harmful to women, and if it is not treated in time, it may affect fertility.

Symptom

Cervical genital symptoms Common symptoms Wet vaginal discharge increased red or purple, slightly... Sexual intercourse pain urethra itching

Cervical genital warts occur mostly in the cervical transition zone, single or multiple, can be fused, somewhat similar to papillary epithelial hyperplasia, but can be seen under the translucent epithelium. Cervical genital warts are caused by human papillomavirus (HPV) infection and are transmitted through sexual contact, which occurs in young women. Symptoms of cervical genital warts often appear as a few pale red soft and small papules at the beginning, and gradually increase and increase, tend to merge or overlap each other, and the surface is uneven. Cervical genital symptoms can be itchy, burning or oppressive. Vagina, cervical condyloma acuminata may have sexual pain and increased vaginal discharge.

Examine

Cervical genital examination

Immunohistological examination

The peroxidase antiperoxidase method (PAP) is commonly used to display viral proteins in the sputum to prove that there is a viral antigen in the sputum lesion. When the HPV protein is positive, a pale red weak positive reaction may occur in superficial epithelial cells of condyloma acuminata.

Histochemical examination

A small amount of diseased tissue was taken to make a smear, and stained with an antibody specific for human papillomavirus. If there is a viral antigen in the lesion, the antigen and antibody bind. In the peroxidase antiperoxidase (PAP) method, the core can be stained red. This method is specific and rapid, and is helpful for diagnosis.

Pathological examination

Mainly for parakeratosis, high abdomen hypertrophy, papillary hyperplasia, epidermal thickening, prolongation, its degree of hyperplasia may be pseudo-epitheliomatosis.

Genetic diagnosis

To date, HPV has been difficult to detect using traditional viral culture and serological techniques. The main experimental diagnostic technique is nucleic acid hybridization. The PCR method developed in recent years has the advantages of being specific, sensitive, simple and rapid, and opens up a new way for HPV detection.

Diagnosis

Diagnosis and diagnosis of cervical genital warts

After infection of cervical genital warts, women often promote their rapid growth due to local damp heat and chronic irritation. They can form symptoms of different shapes such as papillary, cauliflower, cockscomb or scorpion-like lesions of different sizes, which are soft in nature and easy to bleed. Because the secretion infiltrates the surface is white, dirty or red, the root of the sputum is narrow and often pedicled, the surface is moist, often there is exudate, erosion, skin lesions and stagnation due to purulent secretions, easy secondary bacterial infection Smells stench.

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