Yadegarynia area, white spots in colposcopy – what is it?
Colposcopy ─ this study, in which a colposcope, which is a microscope, a detailed examination of the cervix and the surrounding parts of the vagina. It can help you to diagnose a number of both benign and malignant diseases. During the procedure, can be taken smear for Cytology or performed collection of material for biopsy.
In these cases, the doctor may decide on the appointment of colposcopy:
In the process of colposcopy, the doctor evaluates the condition of the squamous epithelium, are there signs of atrophy. Next, the doctor determines whether the vaginal portion of the cervix columnar epithelium. If such zones are present, evaluated their characteristics (for example, open glandular ducts).
If identified abnormal colposcopic pattern, it is necessary to clarify its location, the approximate size of the area affected in relation to the entire area of the cervix.
What tests are carried out and looks like a pathology?
In the vagina and on the cervix outside the norm is many layers of flat epithelium, unwilling to rogoveanu. It does not change its color when applied on it with 3-5% acetic acid or Lugol’s iodine.
In the uterine cavity is a single layer cylindricity epithelium actively secreting mucus. He is not beyond the boundary of the transition lines of the cervix. But sometimes cylindrical cells can be outside of the cervix and even the vagina, thereby increasing the risk of developing cervical cancer.
The study physician for diagnostic purposes causes some medications, and tissue reaction can judge the state of the mucosa.
The following tests can identify abnormalities and colposcopic picture:
- Definition of colposcopy in the presence of itneractive zone. This change of the cervical epithelium, which are visualized after application of Lugol’s iodine. The iodine contained in the solution in contact with normal cells change their color to dark brown. The epithelium changes (for example, metaplasia, erosions, chronic inflammation) lead to the appearance of bright, unpainted spots, which can even rise above the surrounding epithelium. Yadegarynia area can have various edges and contrast against surrounding tissues. If the zone mucosa, negative with respect to iodine, has no clear boundaries and color is slightly different, it speaks in favor of the purity of the process. If the border itneractive epithelium clear, color is significantly different, in this case, there is a probability of malignancy.
- Another test is carried out using acetic acid. If there are changes, there are white spots acetabular epithelium. Acutally epithelium is one of the important signs of cervical dysplasia. It can also be a manifestation of infection with human papillomavirus, inflammatory process or cancer of the cervix. What stands out brighter acutally epithelium, the harder the current process. As staining with acetic acid, and pay attention to the vessels. While unmodified blood vessels usually disappear from sight, and atypical vessels remain, attracting the attention of a doctor. Punctate is vascular pattern. Vascular loops reach the epithelium and become visible by colposcopy as red dots. Punctate can be gentle if the red dots are small and evenly spaced, or gross ─ in this form the blood vessels become relief and are unevenly distributed. Rough punctate represents the atypical, i.e. abnormal, and the vascular network. A mosaic of colposcopy are called growths with blood vessels inside. Mostly, these growths are formed by the diseased epithelium. Mosaic is also divided into delicate and rough.
Causes and treatment
The causes of cervical pathology include:
- Hormonal imbalance (excess estrogens).
- Early sexual life, reproductive tract infections (emphasizes the importance of infection with human papillomavirus).
- Injuries of the cervix (for example, it may rupture during childbirth).
- Violations of immune status.
For the prevention of cervical pathology is important:
- To prevent and treat all inflammatory processes, preventing their chronicity.
- Time to carry out correction of a hormonal background if necessary.
- To prevent abortion, to competently choose methods of contraception and planning a family.
- To prevent promiscuity.
The majority of detected abnormalities of the cervix are benign, but under certain conditions, many of them can cause cervical cancer. The decision on further tactics of conducting the patient with the identified anomaly in this area depends on the severity of the changes, the patient’s age, planning her offspring.
Cervical dysplasia mild often she is subjected to reverse development, it is necessary just an observation. In more severe cases may need surgical intervention, for example using a laser, with the aim to preserve the cervix. When cancer is detected, the preferred operation is removal of the uterus.