Nabatova cysts of the cervix: what are the causes, treat correctly, the symptoms
Real (true) cyst is a formation that occurs when blockage of the ductless glands accumulated secret, foreign body or due to compression from outside by other pathologically changed tissues. Nabatova cysts of the cervix for the mechanism of formation belong to this group and meet every seventh women over the age of 25.
In the cervix the glands are located (they are named after their discoverer Nabat) which produce thick mucus with antibacterial properties. It protects the female’s genital tract from the penetration of pathogenic infections. The cervical canal is lined with a single layer of columnar epithelium that possesses these secretory functions.
As in the cervix there is a vaginal part, located at the boundary with the external environment and in direct contact with the vagina. Its mucosa consists of stratified squamous epithelium. Under certain circumstances cells can block out content from paracervical glands. In consequence, the cavity of the gland is stretched, and it turns into a thin-walled SAC filled with mucus — Nabatova cyst (ovuli nabothi).
Why are ovuli nabothi?
It is a multifactorial disease whose causes can be very diverse and often act on the body in the complex.
The most common cause of formation of cysts paracervical glands are chronic inflammatory processes located above the reproductive system. In this case, the cyst serves as a reservoir, where it is stored and constantly propagated the infection, periodically causing endometritis, adnexitis and ovor.
Another common cause of Narodowych cysts mechanical injury of the mucous membrane of the corresponding area when performing diagnostic and therapeutic procedures gynaecological (hysteroscopy, medical abortion, curettage, etc.), and when the wounds of the inguinal-genital region.
Is set to a hormonal imbalance in the female body, ovarian dysfunction, or any other glands of internal secretion, the following changes in menstrual cycle and pathological changes in the structure of the hormone-dependent tissues. Also play a role in the decrease in immunological defense mechanisms and dysplastic changes in the cells of the cervix.
It is known that Nabatova cysts are more common in women who have given birth at least one child.
Diagnosis cysts narodowych glands
Most often, this pathology becomes a random finding during a routine pelvic examination with mirrors or with colposcopy.
The technician visually determines or registers the image available on the screen, acting over the surface of the mucous membrane of the vaginal part of the cervix hemispherical education. Its size can be from 1-2 mm to 2 cm, and it has a yellowish-white or white-gray in color and clearly visible on a light pink background intact healthy tissues.
The doctor can see single or multiple cysts paracervical glands that the larger size will deform the cervical canal.
Symptoms Nabatova cysts
In most cases the disease is asymptomatic and the cyst until reaching a large size does not bother the patient. It does not affect the duration of the menstrual cycle, the amount of monthly bleeding and does not cause pain in the abdomen.
In the case that the process has been diagnosed at an advanced stage and the diameter of the education exceeded 1 cm, it may cause dyspareunia — pronounced pain in intimate contact. Moreover, due to the curvature of the cervical canal Nabatova cyst can prevent conception by creating a mechanical barrier to the penetration of sperm into the uterus.
Nabatova cysts: treatment
Treatment narodowych cysts is only possible if they have a tendency to rise or on the cervix there are several similar formations. In another case, the gynecologists recommend to observe the cyst and without the need to go into action.
It is imperative to remove Nabatova cysts patients who tend to frequently recurrent inflammatory diseases of the sexual sphere, these formations can serve as a reservoir of infection in the body. Moreover, bacteria can cause purulent inflammation of the pathological focus, then the treatment should be implemented as soon as possible.
The choice of treatment strategy remains for the doctor and depends on whether the patient has a mother or not. For women without children, choose malotravmaticheskaya methods of removing cysts that leave scars on the cervix.
Nabatova to remove the cyst is recommended in the first half of the menstrual cycle. It is strictly forbidden to do it during the monthly bleeding and for three days before or after menstruation.
If Nabatova cyst was diagnosed during pregnancy, therapeutic manipulation lay in the postnatal period (not less than 40 days from the day of birth with the disappearance of sukrovichnye discharge from the vaginal lochia), as it does not affect the process of fetal development.
Treatment is surgical and is performed on an outpatient basis. Before the patient will need to undergo a series of tests:
- bacterial sowing swab from the cervix;
- microscopy of tissue samples that are taken during gynecological examination, with their cytological characteristics (Cytology);
- a blood test for STDs;
- Ultrasound of the pelvic organs.
If in the process of examination will reveal any medical condition or inflammatory process, before removing Nabatova cysts should it necessarily be cured. This is done to prevent the development of infectious diseases in the upstream divisions of the reproductive system.
Treatment involves an operation that consists of two stages:
This procedure can be implemented as a classical surgical tools and other modern technologies.
If the destruction of the cyst applied electrical current, this treatment is called electrocautery.
If the cauterization of a pathologic focus is performed using a laser beam or liquid nitrogen, these methods of removal Nabatova cysts called laser destruction or cryodestruction.
Recently the wide circulation was received radiowave treatment of this disease using apparatus “Surgitron”, which is highly appreciated by specialists, because after its use no scarring on the cervix.
All invasive procedures are performed under local anesthesia and women bring minimum discomfort. After the intervention, patients do not need to stay in the hospital and the next day to return to normal life.
Within two to three days after surgery, the patient can not bother endovaginal intense pain, and a small amount of yellowish mucous discharge. To accelerate the regeneration in the field of removal of cyst as post-operative treatment gynecologists recommend that:
- physical therapy;
- vaginal suppositories (candles) with wound healing components;
- medicinal douching decoction of herbs.
Nabatova cyst is a gynecological pathology that can be easily corrected and do not pose a threat to a woman’s life. For their prevention it is important to regularly visit the gynecologist and to follow its recommendations.