Patient's question:
AgeDetailed medical condition and consultation purpose: Moderate cervical erosion
Biopsy performed, pathological diagnosis: (2, 11 o'clock) Cervical mucosal inflammation. (2) point with erosion, covered by squamous epithelium and glandular metaplasia.
What is the best treatment plan? I visited two hospitals, but their opinions varied. Some said to have a cone biopsy, while others said not to use electrocautery and could use microwave therapy instead. However, I had laser and microwave treatments a few years ago, but they were not effective.
Current general condition: Lower abdominal pain during menstruation. Also accompanied by back pain.
Previous diagnoses and treatment history:
Doctor's answer:
Hello, first isolate the sick sheep and do not allow them to be group-fed with other lambing sheep, and strengthen care.① Flush the uterus with 0.1% potassium permanganate, or 1–2% baking soda solution, 0.1–0.2% Ringer's solution, or 1% saline, etc. Do this once a day or every other day, for 3–4 times, until the discharge becomes clear. When there is a large amount of secretion in the uterus, 3% concentrated saline can be used to flush, promoting the discharge of inflammatory products and stimulating the production of prostaglandins, which is beneficial to the recovery of uterine function. If the cervix is tightly closed, 2% iodine tincture can be applied to the cervix to promote relaxation and dilation. After flushing and expelling the uterine fluid, 3–4 milliliters of iodine glycerin or 400,000 units of penicillin and 0.5–1 gram of streptomycin can be injected into the uterus, diluted with physiological saline. Other antimicrobial drugs can also be administered.
② To alleviate autotoxicosis, 100 milliliters of 10% glucose, 30–50 milliliters of 5% sodium bicarbonate solution, and 100 milliliters of compound sodium chloride solution can be administered intravenously once. Simultaneously, 200 milligrams of vitamin C can be given intramuscularly. Traditional Chinese medicine treatment can also be used:
- For acute cases: 10 grams of honeysuckle, 10 grams of Forsythia, 5 grams of Scutellaria, 4 grams of Radix Paeoniae Rubra, 4 grams of Radix Moutan, 5 grams of Angelica Sinensis, 4 grams of Persicae Semen, 5 grams of Coix Lacryma-Joungi, 5 grams of Corydalis, 5 grams of Dandelion—boil in water, cool to body temperature, and administer orally.
- For chronic cases: 5 grams of Leonurus, 8 grams of Angelica Sinensis, 4 grams of Fructus Sparganii, 3 grams of Ligusticum, 4 grams of Angelica Sinensis, 3 grams of Persicae Semen, 5 grams of Poria—boil in water, add 20 milliliters of yellow wine, cool to body temperature, and administer orally once a day, with 3 days as one course of treatment.
Prevention mainly involves maintaining the cleanliness and hygiene of the lambing area, and