Vaginal entrance mucosa tear
Introduction
Introduction The vaginal entrance mucosa is torn and bleeding due to external force. It means that the soft tissue between the anus and the external genitalia is severely wounded, causing a visible crack in the local swelling of the perineum, which may even tear to the anus. The main reasons are: 1. During childbirth, if you do not pay attention to protect the perineum, not only the perineum may tear, but even tear to the anus. 2, dry stool: due to the fire or hot weather, the stool is easy to dry, it will also cause perineal tear. 3, sex life: because of inflammation, the vagina is easy to dry, lose flexibility, the same room is easy to perineum will be injured or even torn.
Cause
Cause
The cause of mucosal tearing of the vaginal entrance:
1. Childbirth: The delivery of the fetal head is the most important step in the delivery process. When the fetal head is to be delivered through the vagina, the vaginal opening and surrounding tissue are oppressed due to the continuous decline of the fetal head. It can be seen that the local swelling is thinner or even brighter. At this time, if you do not pay attention to protect the perineum, not only the perineum may tear, even Will also tear to the anus.
2, dry stool: due to the fire or hot weather, the stool is easy to dry, it will also cause perineal tear.
3, sex life: because of inflammation, the vagina is easy to dry, lose flexibility, the same room is easy to perineum will be injured or even torn.
Examine
an examination
Related inspection
Electronic colposcopy transvaginal ultrasound
Examination of the vaginal entrance mucosal tear:
It can be diagnosed by clinical symptoms and colposcopy.
Diagnosis
Differential diagnosis
Identification of symptoms of vaginal entrance mucosal tears that are confusing:
Perineal tearing: perineal III degree laceration or complete perineal laceration, including vaginal laceration, perineal laceration and anal sphincter laceration, severe rupture can extend to the rectal wall, causing stool and gas incontinence. The cause of the accident is due to improper handling during the delivery process, and occasional trauma. Due to the vigorous implementation of the new method, the birth attendant properly protects the perineum and greatly reduces the incidence of perineal III degree laceration. Occasionally occurred in large hospitals in the city.
Catheter laceration: During pregnancy, the soft birth canal undergoes a series of changes in response to childbirth, such as tissue becoming soft, increased elasticity and a degree of extensibility. Despite these changes, the degree of expansion required for the fetus to be delivered through the birth canal is greater. Most women, especially primiparas, may experience varying degrees of damage to the cervix, vagina, and perineum during childbirth. The so-called birth canal laceration here refers to the laceration of the soft birth canal during childbirth.
Soft birth canal laceration: uterine contractility is too strong, the labor progress is too fast, the fetus is too large to receive a good perineum or vaginal surgery, miscarriage, etc., causing perineal, vaginal, cervical laceration, severe laceration Vaginal fistula, lower uterus.
It can be diagnosed by clinical symptoms and colposcopy.
