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 said to do a cone biopsy, while others said not to use electrocautery, just microwave treatment. However, I had laser and microwave treatments in the past, but they were all ineffective.
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 graze with other sheep giving birth. Also, 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 to flush the uterus. Do this once a day 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 and expelling the uterine fluid, 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. You can also use other antimicrobial drugs.
② To relieve autotoxicosis, you can intravenously administer 100 milliliters of 10% glucose, 30—50 milliliters of 5% sodium bicarbonate solution, and 100 milliliters of compound sodium chloride solution, once intravenously. At the same time, give 200 milligrams of vitamin C intramuscularly. You can also use traditional Chinese medicine treatment:
- For acute cases:
- Silver flower 10 grams, Forsythia 10 grams, Scutellaria 5 grams, Red peony 4 grams, Moutan 4 grams, Angelica 5 grams, Peach kernel 4 grams, Coix seed 5 grams, Corydalis 5 grams, Dandelion 5 grams. Decoct and warm, then administer orally.
- For chronic cases:
- Motherwort 5 grams, Angelica sinensis 8 grams, Drynaria 4 grams, Ligusticum 3 grams, Angelica 4 grams, Peach kernel 3 grams, Poria 5 grams. Decoct and warm, add 20 milliliters of yellow wine, then administer orally once a day, for 3 days as a course.
Prevention mainly involves maintaining a clean and hygienic birthing area, and