Cervicitis And Other Issues Of Concern To Women

1. Summary of anatomy
The cervix (CTC) is the lowest part of the uterus. It is attached to the vagina around the middle. Divide the CTC into two parts, the vagina and the upper vagina. The inside of the vagina is called the outer neck, surrounded by a stratified squamous epithelium

. The upper part of the vagina, called the inner neck, is covered with glandular epithelium that secretes mucus. The transition between the outer and the outer neck is the CTC channel.
It contains cells that store these cells, which can turn into stratified squamous or glandular epithelial cells to help repair and repair the damage of the cervix Cervical wrap around the CTC hole.



During labor, an enlarged CTC opening is your baby's gateway to birth. You can easily observe the neck and cervix holes when examining the vagina with a speculum. Normally CTC size is about 2-3cm (length) and 2-2.5cm (width), light pink, glossy and smooth.
2. What is cervical inflammation? Pathogens
Inflammation of the cervix is an inflammatory and erosive process at the cervix caused by many different agents such as Chlamydia, Trichomonas, Gonorrhea, hespes virus or by contact (rough, deep intercourse, placing tampons in the vagina, rinse chemicals . .



) etc ..-inflammatory process, erosion will damage the outer layer of glossy cells to expose the bottom layer of cells. If the outer neck is inflamed, the epithelial lining of the inner neck will crawl out to compensate, creating a cervical gland phenomenon.
If the inner neck is damaged, the stratified squamous epithelium in the outer neck will crawl in to compensate and accidentally cover the remaining gland epithelium, causing clogging and stagnation of mucus to form follicles containing mucus and pus. called the Naboth capsule. When infected, erosion of the basal cell layer is very prone to dysplastic irritation, which is a precondition for cervical cancer later. The fluid of the cervix is secreted by the glandular epithelium in the neck.



The pH varies from 7-7.5cm. The change of vaginal PH under the impact of Estrogen and external factors such as trauma, foreign objects ... is also the cause of the physiological and pathological changes of the CTC.
3. Symptoms of CTC infection
- Firstly, a woman feels uncomfortable by pus and excess of vaginal discharge.



The fluid may be liquid, or thick, milky, yellow, brown, etc. with a fishy or foul odor, depending on the degree and pathogen.
- May be painful, itchy or no sensation.
- When seeing a doctor, he will see the damage with the naked eye or with the help of a CTC camera. Here the physician can zoom in on the screen to observe the injury clearly and accurately. When inflamed, the cervix is usually red or deep-ulcerated when eroded, can be characterized by rugged gland epithelium, can be observed both Naboth follicles stretching mucus and pus ...




4. Harm of CTC
- Impedes conception by the change of secretions.
- Causes inflammation of the uterus, fallopian tubes, ovaries by the movement of bacteria, parasites, fungi through the CTC hole. This is also one of the causes of infertility and infertility.
- Causes diseases for babies such as pneumonia, meningitis, keratitis, conjunctiva, even blind later.
- Some authors also suggest that it may cause birth defects in pregnancy.
- Finally, an adjacent cervical cancer, which threatens the woman's life.
Dr.



TRAN ANH TAN
(Obstetrics & Gynecology - Van Phuc Net Medical Center).

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