Псевдоэрозия шейки матки

Псевдоэрозия - это дефект плоского многослойного эпителия влагалищной части шейки матки.

Псевдоэрозия является фоновым заболеваниям шейки матки. Причинами заболевания могут служить: воспалительные заболевания такие как цервицит, эндоцервицит, полипы, послеродовые травмы.

Различаются папиллярные, фолликулярные, железистые и смешанные псевдоэрозии. 

Псевдоэрозии размещаются вокруг наружного зева шейки матки или на задней губе. Размер псевдоэрозии может достигать трех сантиметров, иметь неправильную форму, иногда округлую, бархатистую поверхность красного цвета. Часто воспаляются и легко кровоточат. 

эрозия шейки матки

Диагностика псевдоэрозии

Диагностируется псевдоэрозия в условиях медицинского учреждения основываясь на данных осмотра шейки матки при помощи гинекологических зеркал,  а также кольпоскопии и биопсии. При нанесении 5% спиртового раствора на пораженную поверхность, она окрашивается в нежно-розовый цвет.

Причины псевдоэрозии шейки матки

Из-за гормональных нарушений возникает врожденная эктопия. Та псевдоэрозия, которая вызвана перенесенными воспалительными заболеваниями половых органов, гормональным дисбалансом, хирургическими вмешательствами, включая аборты, травматическими повреждениями эпителия, является приобретенной.

Осложнения псевдоэрозии шейки матки

В начале половой жизни женщина с псевдоэрозией шейки маткииз-за того, что защитные особенности слизистой цервикального канала не могут быть задействованы, подвергается риску заражения заболеваниями передающимися половым путем. 
 
Во время беременности эктопия бывает более выражена вследствие лучшего кровоснабжения зоны цилиндрического эпителия и шейки матки. Область эктопии особенно уязвима в период беременности и может кровоточить. В результате снижения иммунитета после родов повышается вероятность воспаления цервикального канала, так как послеродовые травмы легко подвержены инфицированию. 

Основным осложнением является перерождение врожденной эрозии в приобретенную. В таком случае псевдоэрозия становится заболеванием.

Лечение псевдоэрозии

Врожденная псевдоэрозия, как правило, не лечится а проходит сама собой. Более внимательного отношения к себе требует приобретенная псевдоэрозия, и опираясь на результаты проведенных исследований, назначается соответствующее лечение, в том числе противовоспалительное, электрокоагуляция или лазерная терапия. 


Лечение псевдоэрози заключается в том, чтобы учитывая результаты данных бакрерологических исследований выделений, вылечить очаг заболевания, вызвавшего появление псевдоэрозии. При наличии признаков перерождения в раковое образование применяется оперативное лечение — ампутация шейки матки. 


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