What is chronic cervicitis? Chronic cervicitis is mostly a result of acute cervicitis, which occurs after childbirth, miscarriage or surgical injury to the cervix, and the pathogens (mainly staphylococci, streptococci, E. coli and anaerobic bacteria) invade and cause infection. The clinical manifestations of the acute process are mostly absent. The endocervical lining has many folds where the pathogens are hidden and the infection is not easily cleared, so chronic cervicitis often develops. Clinical manifestations are mostly increased vaginal discharge, bloody leucorrhea or contact bleeding. There is a specific treatment for this disease, namely local treatment, which is highly effective. In 2008, cervical columnar epithelial ectoplasia replaced the name cervical erosion, which is simple erosion when the mucosal columnar epithelium at the cervix grows slowly and the epithelium is flat and smooth in appearance due to different degrees of inflammatory stimulation; adenoid erosion when the columnar epithelium grows rapidly and forms glandular hyperplasia. If the glands expand, it can be follicular erosion with interstitial hyperplasia, forming small protrusions and unevenly covered columnar epithelium, then it forms papillary erosion. What are the considerations for celiac disease? To talk about celiac disease, it may still be necessary to start with the education of doctors. In the unified textbook for Chinese medical students, Obstetrics and Gynecology until 2008, celiac disease was always present as a standard disease, and even talked about its clinical presentation, diagnosis and treatment. But in reality, that was a misconception. Obstetrics and gynecology in China has been out of step with international practice for many years. In the past, obstetricians and gynecologists treated the cervical epithelial ectropion during the physiological phase of the cervix as a pathological phenomenon and diagnosed it. In 2008, the 7th edition of the textbook of obstetrics and gynecology for undergraduates clearly stated in its preface that it should be in line with the international standard and pay attention to the updating of knowledge …… to constantly update the clinical diagnostic and treatment standards. For example, the name of “cervical erosion” was abolished and replaced by the physiological phenomenon of “cervical columnar epithelial ectasia”. So from that time on, the diagnosis of “cervical erosion” should be abolished in China, but due to the slow updating of knowledge of many physicians, even 5 years after the revision of this diagnosis in undergraduate textbooks, there are still many physicians who are diagnosing “cervical erosion”. Celiac disease, in the end, is actually a misconception of a normal manifestation of the cervix in the past. What are the clinical manifestations of chronic cervicitis? 1. Increased vaginal secretions, usually thick mucus or purulent mucus. 2. A few secretions may have blood or a small amount of vaginal bleeding, and there may also be contact bleeding. 3.It may be accompanied by lower abdominal cramps and back pain. It is aggravated during menstruation, defecation or sexual intercourse. 4. There may be secondary urinary tract infection, which may cause irregular menstruation or infertility in severe cases. What are the diagnostic bases of chronic cervicitis? 1, cervical hypertrophy: increased leucorrhea, sticky or purulent, sometimes with blood. 2, cervical erosion: there are clear boundaries between the red area around the external cervical opening and the normal mucosa, with smooth surface or granular and papillary. The company’s main business is to provide a wide range of products and services to its customers. 3, cervical polyp: single or multiple bright red polyps with tips at the ectocervix, the tips are mostly attached to the cervical canal, the surface is smooth and bleeds easily. 4.Cervical nuchal cyst: there are scattered small cysts on the surface of the cervix, mostly white, often accompanied by cervical erosion. 5. Smear or biopsy to exclude malignant changes. What are the principles of treatment for chronic cervicitis? 1.Cervical scraping should be done before treatment to exclude early cervical cancer, so as not to mistake early cancer for inflammation and delay treatment. 2.Local physical therapy is the main treatment, so that the erosion surface columnar epithelium necrosis, after shedding, for the new squamous epithelium cover. The following methods can be used: electric ironing, freezing, laser, phototherapy treatment, etc. 3.Surgical treatment: for cervical erosion that cannot be cured for a long time or cervical scraping suspected of cancer, cervical conization can be performed. 4.Cervical polyp treatment: remove the polyp and send it to pathological examination, and froth the trauma with 10% silver nitrate solution. Electrocautery or freezing to stop bleeding. 5, cervical nuchal cyst: after local disinfection, puncture the cyst with a needle, squeeze out the contents, and later treat the trauma with electro-ironing, freezing, laser and photothermal treatment. What are the principles of medication for cervical erosion? There are three general conditions of cervical erosion, with mild, moderate and severe erosion. In case of women of childbearing age, mild cervical erosion and the absence of any symptoms can be left untreated. If you are a woman of childbearing age and have mild cervical lesions without any symptoms, you can go without treatment. Usually, one treatment may be good, but more often two. Drug treatment is suitable for patients with small erosion surface, shallow inflammatory infiltration or limited by conditions, local erosion with 25% silver nitrate, chromic acid, etc. It is advisable to irrigate the vagina before using drugs, then dry it with dry cotton balls and protect the normal vaginal mucosa with cotton balls. The medication can also be applied topically with Ebenezer (preferably by a doctor) or vaginal suppositories on its own. Many herbal powders are also effective, but their use is prohibited during menstruation and pregnancy. It is forbidden to have sexual intercourse and take a bath after medication Any medication should not be used for a long time: especially the environment of the vagina, long-term medication can easily lead to mycotic vaginitis, which is a dysbiosis of the flora. So there is severe cervical erosion should not be long-term medication, and to severe cervical erosion, long-term medication will not be good, so the immediate inflammation is eliminated after doing physical therapy will be better. What are the dietary considerations for celiac disease patients? The cervical erosion patients are very careful in choosing food, diet should be light and tasty, eat more vegetables and fruits, eat less sweets, stimulating food, spicy food, etc. 1, the diet should be light, do not eat mutton, shrimp, crab, eel, salted fish, black fish and other hairy things. 2, eat more lean meat, chicken, eggs, quail eggs, carp, snapper, white fish, cabbage, asparagus, celery, spinach, cucumber, winter melon, mushrooms, tofu, seaweed, nori, fruit, etc. 3, you can properly eat some nourishing food, blood medicine to nourish the qi. 4, protein is an important component of antibodies, such as insufficient intake, the body’s resistance to reduce. Within half a month after surgery, protein should be given 1.5 grams to 2 grams per kilogram of body weight, and the daily amount is about 100 grams to 150 grams. Therefore, you can eat more chicken, pork lean meat, eggs, milk and beans, legume products, etc. 5. On the basis of normal diet, limit fat appropriately. Control the fat to about 80 grams per day within one week after the operation. For menstrual disorders, avoid stimulating foods such as chili, wine, vinegar, pepper, ginger, etc. These foods can stimulate sexual organ congestion and increase menstrual flow, as well as cold foods such as crabs, snails and mussels. 6, after cervical erosion, because the body is weaker, often easy to sweat. Therefore, supplemental water should be a small number of times, to reduce the amount of water evaporation; sweat excretion of water-soluble vitamins, especially vitamin C, vitamin B1, vitamin B2, therefore, should eat more fresh vegetables, fruits. In this way, it is also conducive to preventing constipation. 7, do not eat spicy or irritating food, because it will aggravate the pelvic congestion, inflammation, or cause excessive contraction of the uterine muscles, and worsen the symptoms, such as chili, pepper, garlic, onion, ginger, leek, chicken soup, durian, cinnamon, red dates, Agaricus, royal jelly and other hot, clotting and hormone-containing food should also be eaten sparingly.