"Doctor, I've been menopausal for 8 years, why are I menstruating again?" Early this morning, an aunt walked into the doctor's office worriedly.
It is understood that Aunt Wang is a local, 64 years old this year, has been menopausal for 8 years, three months ago found that menstruation has been repeatedly, the amount is relatively small, there is no regularity. Aunt Wang thought that she was so old and was not embarrassed to tell her children about this kind of thing, so she didn't take it seriously.
It was not until three months later, Aunt Wang gradually appeared the phenomenon of low back pain, the daughter noticed that she was not right, a question to know that the menopausal mother "rejuvenated", she felt that it must not be so simple, so she urged Aunt Wang to come to the hospital for examination.
The doctor gave Aunt Wang a colposcope and found that there was a cauliflower-like mass in the cervix, and the diagnosis was confirmed as cervical cancer after taking a pathological biopsy. At the same time, HPV infection was also detected. Because the discovery was not timely, it was delayed to the advanced stage, and it was impossible to carry out surgical treatment.
First, the cervical cancer that is dragged out
Liu Dongge, chief physician of the Pathology Department of the National Geriatric Center of Beijing Hospital, said that the occurrence of cervical cancer will go through 5 steps: HPV infection, hyperplasia, atypical hyperplasia, carcinoma in situ, invasive carcinoma, of which invasive cancer is actually cervical cancer, this process takes about 10 years.
In the process of cervical cancer, atypical hyperplasia and carcinoma in situ belong to precancerous lesions, and precancerous lesions can be divided into low and high degrees, of which low-grade evolution into cancer takes 6 to 12 months, and high-grade cancer will develop into cervical cancer within 6 months.
From HPV infection to the development of cervical cancer, it takes a long time in between. During this time, interventions can be achieved through medication, immunity enhancement, and enhanced cervical screening, which prevent 90% of cervical cancers.
In China, 70%-80% of women will be infected with HPV, and this infection is mostly short-term infection, which will automatically subside after 6 to 8 months. And some women who can't automatically clear the virus, if they continue to be infected and do not intervene, will lead to cervical cancer.
Women have cervical cancer, many times in fact, they "do" it themselves, and if they do not pay attention to some matters in life, they will gradually push themselves into the "embrace" of cervical cancer.
Second, 6 acts "do" out of cervical cancer
1, too early to have sex
Women are in
2. Too many sexual partners
The more sexual partners there are, the higher the risk of HPV infection, and the risk of infection is 10 times higher than that of people who change sexual partners every month.
3, sexual partners do not pay attention to hygiene
Abnormal conditions such as excessive foreskin length, phimosis, or chaotic sexual life in sexual partners can also lead to an increased risk of cervical cancer in women. Because germs from the male genitals can enter the female body during intercourse, causing infection of the female genital tract, in this case, the risk of cancer will naturally increase.
4. Do not pay attention to personal hygiene
In fact, HPV is not only transmitted through sexual life, but also indirectly, through close contact with unclean hygiene products, such as the use of towels in public bathhouses.
5. Smoke and drink
There seems to be no "half-cent relationship" between smoking and drinking and cervical cancer, but in fact, the relationship between the two is very close. Smoking and drinking alcohol can lead to changes in the female vaginal microenvironment, which will accelerate vaginal lesions and increase the effectiveness of the HPV virus. In other words, women who smoke and drink alcohol, after being infected with the HPV virus, will have a much higher risk of developing cancer than women who do not smoke and drink, which is caused by the synergy between some harmful substances in tobacco and alcohol and the HPV virus.
6. Staying up late and eating irregularly
Staying up late for a long time, an irregular diet leads to a decline in its own immunity, which will reduce the body's ability to clear HPV, resulting in persistent infection.
The above 6 behaviors are important factors that induce cervical cancer in women, and establishing a good sense of hygiene and adhering to a healthy lifestyle can avoid cervical cancer to a large extent.
In addition, in life, when you find that there are some abnormal manifestations in the body, you must not delay! Timely medical treatment is the key, follow Xiao Ai to look down.
Third, there are 5 symptoms, don't delay any longer
1. Contact bleeding
After intercourse, after constipation, abnormal bleeding of vaginal discharge was found, and the form was dark red and filamentous. Especially women over the age of 30 who have already had sex need to be highly vigilant against cervical cancer.
2. Irregular vaginal bleeding, menopause and then menstruation
Outside the menstrual period, if you find abnormal bleeding in the vagina or like Aunt Wang above, menstruation after menopause again, you need to be vigilant, and it is recommended to seek medical examination in time.
3. Abnormal vaginal discharge
Unexplained increases in vaginal discharge and changes in color and odor also require vigilance. This symptom is more common after contact bleeding, and the vaginal discharge changes become more and more severe over time.
4. Low back pain, sciatica
Pain is a typical symptom of advanced cervical cancer, where it occurs around the lesion and, when the lesion invades the pelvis, it causes compression of peripheral nerves. It causes sciatica, lumbosacral pain, and as the disease progresses, the pain becomes more and more intense.
So, when it is found that the body has abnormal performance, what tests should be done to confirm the condition? These four checks are what you need.
4. What tests can confirm the diagnosis of cervical cancer?
Director Liu Dongge reminded that when women find abnormal physical manifestations, they can be screened through these screening methods:
1、TCT
This test mainly serves as a preliminary screening and can determine whether there is a lesion in the cervix. The doctor will first expand the vagina through a vaginal dilator, then scrape the cervical secretions through a brush, and finally perform a pathological examination to determine whether there is a lesion.
2. HPV check
Some of the secretions taken by the TCT are removed for HPV testing to determine whether the patient has an infection and the type of infection.
3. Colposcopy
Through colposcopy, it can penetrate deep into the female cervix and accurately determine whether there is a suspicious area. When a suspicious lesion is found, a biopsy of part of the tissue can be taken by colposcopy to determine whether the patient has cervical cancer.
4. Shoot films, B ultrasound
After the diagnosis of cervical cancer, further imaging tests such as CT and ultrasound can be performed to help determine whether cervical cancer affects surrounding tissues and whether there is metastasis of lymph nodes or other organs.
Cervical cancer is a major "killer" that threatens the health of modern women, but it is not unpreparable. Women must pay attention to the body in life, and seek medical examination in time when abnormalities occur. For women with sex, regular cervical screening is recommended, even if there are no abnormal symptoms.
Resources:
[1] "An article to understand the 10 results of cervical cancer TCT examination!" 》. Medical Microvision.2021.8.11
[2] "The discomfort of the lower abdomen is actually advanced cervical cancer that has dragged on for 10 years". Southern Metropolis Daily.2019.10.8
[3] Is it true that cervical cancer is transmitted online? Expert: Tumors are not contagious". China.com.2015.1.22
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