acute cervicitis
Introduction
Introduction Acute cervicitis is an acute inflammation caused by the infection of the cervix by pathogens. Acute cervicitis (acutecervieitis) is mainly found in infections caused by infectious abortion puerperal infection, unclean sexual activity, cervical injury or vaginal foreign body pathogen entry. Epidemiology: Acute cervicitis is the most common in women in the reproductive period, accounting for 40% to 50% of the total number of gynecological clinics. We must do a good job in publicity and education, pay attention to hygiene during the puerperium period, and avoid iatrogenic infections. Enhance physical fitness and improve your ability to fight disease.
Cause
Cause
The most common cause of acute cervicitis is caused by gonococcus, the pathogen affects the cervical mucosa gland, and the shallow layer of infection spread along the mucosal surface; other pathogens such as streptococci, staphylococcus, enterococci can directly cause acute cervicitis or secondary Endometrial infection. Streptococcus and staphylococcus are different from gonococcus, and the invasion into the cervix is deep. The lymphatic channel of streptococcus invading the cervix can cause pelvic cellulitis, which is more common in infectious abortion or puerperal infection.
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
Cervical gynecological routine examination of cervical secretion culture gynecological routine examination
Increased vaginal discharge is the most common and sometimes the only symptom of acute cervicitis, often purulent. Because cervicitis often coexists with urethritis, cystitis or acute vaginitis, acute endometritis, etc., other symptoms of cervicitis are often concealed, such as varying degrees of lower abdomen, lumbosacral pain and bladder irritation. . In acute gonococcal cervicitis, there may be varying degrees of fever and leukocytosis.
Infections caused by various pathogens can express secretions of different traits, sometimes can be identified by visual inspection. Details of vulvar inflammation and vaginal inflammation can be found, but accurate diagnosis should still be taken for smear or culture of cervical secretions for treatment.
Diagnosis
Differential diagnosis
Acute cervicitis caused by trichomoniasis has scattered bleeding points under the mucosa, like rose petals scattered in the mold, acute cervicitis caused by mold, the surface of the cervical mucosa is tightly covered with a white membrane, forcibly tearing off the white membrane Causes bleeding. Increased vaginal discharge is the most common and sometimes the only symptom of acute cervicitis, often purulent. Because cervicitis often coexists with urethritis, cystitis or acute vaginitis, acute endometritis, etc., other symptoms of cervicitis are often concealed, such as varying degrees of lower abdomen, lumbosacral pain and bladder irritation. . In acute gonococcal cervicitis, there may be varying degrees of fever and leukocytosis.
