cervical mucopurulent discharge
Introduction
Introduction Clinically common acute cervicitis is mucopurulent cervicitis (MPC), which is characterized by a purulent or mucopurulent discharge on the specimen of the cervical canal or cervical canal swab. Patients with cervicitis should also be regularly followed up for routine cervical smear cytology and found that cervical polyps should be removed as soon as possible. Moderate and severe cervical erosion should be treated early to prevent the development of cervical cancer. Once you find that bleeding after sexual intercourse, you should seek medical treatment as soon as possible, especially after menopause, women should not be bleeding after sexual intercourse, but be ashamed to open their teeth, delaying treatment and delaying the disease.
Cause
Cause
Acute cervicitis is mainly caused by the pathogens of sexually transmitted diseases, Neisseria gonorrhoeae and Chlamydia trachomatis. Acute cervicitis caused by staphylococcus aureus is less common.
1. When gauze, cotton ball or other foreign matter is placed in the vagina for a long time, it is easy to induce infection and cause acute cervicitis.
2, secondary infection of cervical laceration caused by childbirth or abortion is a common cause of acute cervicitis; sexual life too frequent can also increase the chance of cervical infection.
3, vaginal acute trichomonas vaginitis or fungal vaginitis, bacterial vaginitis can also cause acute cervical inflammation; gonorrhea infection also often occurs in acute gonococcal cervicitis.
4, the use of high concentrations of acidic or alkaline solution to wash the vagina, or vaginal placement of corrosive drugs, can destroy the vagina, cervical tissue, may cause cervicitis, vaginitis.
Examine
an examination
Related inspection
Identification of bacteria for bacteriological detection of gonorrhea
Some patients are asymptomatic, and those with symptoms are mainly characterized by increased vaginal discharge and mucopurulent genital itching and burning sensation caused by vaginal secretions. In addition, there may be backache and lower abdominal pain, as well as inter-menstrual bleeding, bleeding after sexual intercourse and other symptoms.
If combined with urinary tract infections, urinary urgency and dysuria may occur. Gynecological examination see cervical congestion, edema, mucosal valgus, purulent discharge from the cervical canal, cervical tenderness, easy to contact bleeding. If Neisseria gonorrhoeae infection is affected by paraurethral glands and vestibular glands, urethral orifice, vaginal mucosa congestion and edema and a large amount of purulent secretions can be seen. Complications: combined with urinary tract infections.
It is not difficult to diagnose according to the clinical history and symptoms. Wipe off the surface secretion of the cervix and insert it into the cervical canal with a small cotton swab. The white cotton swab has a yellow or yellow-green mucus purulent discharge on the white cotton swab. The smear of the secretion is stained with Gram. MPC can be diagnosed by having more than 10 fields per oil field view or more than 30 neutrophils per high power field. For MPC, it should be tested for Chlamydia and Neisseria gonorrhoeae.
Diagnosis
Differential diagnosis
Should be differentiated from cervical cancer.
Cervical cancer is one of the common malignant tumors in women. The cause of the disease is still unclear. Women with early marriage, early childbirth, prolificacy and sexual life have higher prevalence. There are no symptoms at the beginning, and abnormal vaginal bleeding can occur later. At present, the treatment plan is mainly surgery and radiation therapy, and comprehensive treatment of traditional Chinese and Western medicine can also be adopted, but the cure rate of middle and late patients is very low. As a woman to cleanse and self-love, strengthen health care, pay attention to the gynaecological census on time, find symptoms and seek medical treatment.
