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 phosphated epithelium and glands.
What is the best treatment plan? I visited two hospitals, but their opinions differ. Some say to do a cone biopsy, while others say not to use electrocautery and can use microwave treatment. 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 lower back pain.
Previous diagnoses and treatment history:
Doctor's answer:
Hello, first isolate the sick sheep and do not let them be grouped with other sheep for feeding, and strengthen care.① Flush the uterus. You can use 0.1% potassium permanganate, or 1—2% baking soda solution, 0.1—0.2% Ringer's solution, or 1% saline for uterine flushing, once daily or every other day, for 3—4 times until the discharge becomes clear. When there is a lot of secretion in the uterus, you can use 3% concentrated saline 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, you can apply 2% iodine tincture to promote relaxation and dilation. After flushing, once the uterine fluid is expelled, you can inject 3—4 milliliters of iodine glycerin or 400,000 units of penicillin and 0.5—1 gram of streptomycin into the uterus, diluted with physiological saline. Other antimicrobial drugs can also be used.
② To alleviate autotoxicosis, you can intravenously administer 100 milliliters of 10% glucose, 30—50 milliliters of 5% sodium bicarbonate, and 100 milliliters of compound sodium chloride solution, once intravenously. Simultaneously, vitamin C 200 milligrams can be given intramuscularly. Traditional Chinese medicine treatment can also be used: For acute cases: honeysuckle 10 grams, Forsythia 10 grams, Scutellaria 5 grams, Radix Paeoniae Rubra 4 grams, Moutan 4 grams, Angelica Sinensis 5 grams, Persicae Semen 4 grams, Coix Seed 5 grams, Corydalis 5 grams, Dandelion 5 grams, decocted and warmed for oral administration. For chronic cases: Leonurus 5 grams, Angelica Sinensis 8 grams, Spica Prunellae 4 grams, Ligusticum 3 grams, Angelica Sinensis 4 grams, Persicae Semen 3 grams, Poria 5 grams, decocted and warmed, with 20 milliliters of yellow wine added for oral administration, once daily, for 3 days as a course.
Prevention mainly involves maintaining a clean and hygienic birthing area, and