子宮頚炎、子宮頸炎
- 関
- cervicitis
WordNet
- of or involving the uterus; "uterine cancer"
- inflammation of the uterine cervix
PrepTutorEJDIC
- 子宮の / 同母異父の
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2018/05/18 09:38:10」(JST)
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Cervicitis |
Classification and external resources |
Specialty |
urology |
ICD-10 |
N72 |
ICD-9-CM |
098.15, 099.53, 616.0 |
DiseasesDB |
30734 |
MedlinePlus |
001495 |
eMedicine |
med/323 |
MeSH |
D002575 |
[edit on Wikidata]
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Cervices is inflammation of the uterine cervix. Cervicitis in women has many features in common with urethritis in men and many cases are caused by sexually transmitted infections. Death may occur.[1][2] Non-infectious causes of cervicitis can include intrauterine devices, contraceptive diaphragms, and allergic reactions to spermicides or latex condoms.[3] The condition is often confused with vaginismus which is a much simpler condition and easily rectified with simple exercises. [1]
Contents
- 1 Causes
- 2 Mucopurulent cervicitis
- 3 References
- 4 External links
Causes
Cervicitis can be caused by any of a number of infections, of which the most common are chlamydia and gonorrhea, with chlamydia accounting for approximately 40% of cases.[4] As many half of pregnant women are asymptomatic with a gonorrhea infection of the cervix.[5] Trichomonas vaginalis and herpes simplex are less common causes of cervicitis. There is a consistent association of M. genitalium infection and female reproductive tract syndromes. M. genitalium infection is significantly associated with increased risk of cervicitis.[6][7]
Mucopurulent cervicitis
Mucopurulent cervicitis (MPC) is characterized by a purulent or mucopurulent endocervical exudate visible in the endocervical canal or in an endocervical swab specimen. Some specialists also diagnose MPC on the basis of easily induced cervical bleeding. Although some specialists consider an increased number of polymorphonuclear white blood cells on endocervical Gram stain as being useful in the diagnosis of MPC, this criterion has not been standardized, has a low positive-predictive value (PPV), and is not available in some settings. MPC often is without symptoms, but some women have an abnormal vaginal discharge and vaginal bleeding (e.g., after sexual intercourse). MPC can be caused by Chlamydia trachomatis or Neisseria gonorrhoeae; however, in most cases neither organism can be isolated.[2] MPC can persist despite repeated courses of antimicrobial therapy. Because relapse or reinfection with C. trachomatis or N. gonorrhoeae usually does not occur in persons with persistent cases of MPC, other non-microbiologic determinants (e.g., inflammation in the zone of ectopy) might be involved.
Patients who have MPC should be tested for C. trachomatis and for N. gonorrhoeae with the most sensitive and specific test available. However, MPC is not a sensitive predictor of infection with these organisms; most women who have C. trachomatis or N. gonorrhoeae do not have MPC.
References
- ^ Workowski KA, Berman SM (August 2006). "Sexually transmitted diseases treatment guidelines, 2006". MMWR Recomm Rep. 55 (RR–11): 1–94. PMID 16888612.
- ^ a b Hynes NA (2008-10-30). "hopkins-abxguide.org". Point-of-care Information Technology. Johns Hopkins University. Retrieved 2010-02-03. [permanent dead link]
- ^ MedlinePlus Encyclopedia Cervicitis
- ^ Mitchell, Richard Sheppard; Kumar, Vinay; Robbins, Stanley L.; Abbas, Abul K.; Fausto, Nelson (2007). Robbins basic pathology (8th ed.). Saunders/Elsevier. pp. 716–8. ISBN 1-4160-2973-7.
- ^ Kenner, Carole (2014). Comprehensive neonatal nursing care (5th ed.). New York, NY: Springer Publishing Company, LLC. ISBN 9780826109750. Access provided by the University of Pittsburgh.
- ^ Lis, R.; Rowhani-Rahbar, A.; Manhart, L. E. (2015). "Mycoplasma genitalium Infection and Female Reproductive Tract Disease: A Meta-Analysis". Clinical Infectious Diseases. 61: 418–26. doi:10.1093/cid/civ312. ISSN 1058-4838. PMID 25900174.
- ^ "Diseases Characterized by Urethritis and Cervicitis - 2015 STD Treatment Guidelines". www.cdc.gov. Retrieved 2017-12-08.
External links
- Cervicitis images from the U. of Washington.
Inflammation
|
Acute |
Plasma-derived mediators |
- Bradykinin
- complement
- coagulation
- Factor XII
- Plasmin
- Thrombin
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Cell-derived mediators |
preformed: |
- Lysosome granules
- biogenic amines
|
synthesized on demand: |
- cytokines
- eicosanoids
- Leukotriene B4
- Prostaglandins
- Nitric oxide
- Kinins
|
|
|
Chronic |
- Macrophage
- Epithelioid cell
- Giant cell
- Granuloma
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Processes |
Traditional |
- Rubor
- Calor
- Tumor
- Dolor
- Functio laesa
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Modern |
- Acute-phase reaction/Fever
- Vasodilation
- Increased vascular permeability
- Exudate
- Leukocyte extravasation
- Chemotaxis
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Specific
locations |
|
Sexually transmitted infection (STI) (primarily A50–A64, 090–099)
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Bacterial |
- Chancroid (Haemophilus ducreyi)
- Chlamydia/Lymphogranuloma venereum (Chlamydia trachomatis)
- Donovanosis or Granuloma Inguinale (Klebsiella granulomatis)
- Gonorrhea (Neisseria gonorrhoeae)
- Mycoplasma hominis infection (Mycoplasma hominis)
- Syphilis (Treponema pallidum)
- Ureaplasma infection (Ureaplasma urealyticum)
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Protozoal |
- Trichomoniasis (Trichomonas vaginalis)
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Parasitic |
|
Viral |
- AIDS (HIV-1/HIV-2)
- Cervical cancer, vulvar cancer & Genital warts (condyloma), Penile cancer, Anal cancer (Human papillomavirus (HPV))
- Hepatitis B (Hepatitis B virus)
- Herpes simplex (HSV1/HSV2)
- Molluscum contagiosum (MCV)
|
General
inflammation |
- female
- Cervicitis
- Pelvic inflammatory disease (PID)
- male
- Epididymitis
- Prostatitis
- either
- Proctitis
- Urethritis/Non-gonococcal urethritis (NGU)
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Female diseases of the pelvis and genitals (N70–N99, 614–629)
|
Internal |
Adnexa |
Ovary |
- Endometriosis of ovary
- Female infertility
- Anovulation
- Poor ovarian reserve
- Mittelschmerz
- Oophoritis
- Ovarian apoplexy
- Ovarian cyst
- Corpus luteum cyst
- Follicular cyst of ovary
- Theca lutein cyst
- Ovarian hyperstimulation syndrome
- Ovarian torsion
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Fallopian tube |
- Female infertility
- Fallopian tube obstruction
- Hematosalpinx
- Hydrosalpinx
- Salpingitis
|
|
Uterus |
Endometrium |
- Asherman's syndrome
- Dysfunctional uterine bleeding
- Endometrial hyperplasia
- Endometrial polyp
- Endometriosis
- Endometritis
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menstruation |
- flow
- Amenorrhoea
- Hypomenorrhea
- Oligomenorrhea
- pain
- timing
- Menometrorrhagia
- Menorrhagia
- Metrorrhagia
|
|
|
Myometrium |
|
Parametrium |
|
Cervix |
- Cervical dysplasia
- Cervical incompetence
- Cervical polyp
- Cervicitis
- Female infertility
- Nabothian cyst
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General |
- Hematometra / Pyometra
- Retroverted uterus
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Vagina |
- Hematocolpos / Hydrocolpos
- Leukorrhea / Vaginal discharge
- Vaginitis
- Atrophic vaginitis
- Bacterial vaginosis
- Candidal vulvovaginitis
- Hydrocolpos
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Sexual dysfunction |
- Dyspareunia
- Hypoactive sexual desire disorder
- Sexual arousal disorder
- Vaginismus
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- Urogenital fistulas
- Ureterovaginal
- Vesicovaginal
- Obstetric fistula
- Rectovaginal fistula
- Prolapse
- Cystocele
- Enterocele
- Rectocele
- Sigmoidocele
- Urethrocele
|
|
|
Other / general |
- Pelvic congestion syndrome
- Pelvic inflammatory disease
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External |
Vulva |
- Bartholin's cyst
- Kraurosis vulvae
- Vestibular papillomatosis
- Vulvitis
- Vulvodynia
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Clitoral hood or clitoris |
|
|
UpToDate Contents
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English Journal
- Assessing adequacy of cervical core specimens from extirpated uteri: implications for laparoscopic supracervical hysterectomy with transcervical coring.
- Adelowo A1, Kamat B2, Disciullo A3, Rosenblatt P3.
- Journal of minimally invasive gynecology.J Minim Invasive Gynecol.2015 Jan;22(1):122-6. doi: 10.1016/j.jmig.2014.08.012. Epub 2014 Aug 19.
- STUDY OBJECTIVE: To describe the histopathologic adequacy of cervical specimens after ex vivo excision of the cervical canal with cervical coring.DESIGN: Descriptive study (Canadian Task Force classification III).SETTING: Community medical center with university affiliation.INTERVENTION: Endocervic
- PMID 25149122
- Expression of P16 in high-risk human papillomavirus related lesions of the uterine cervix in a government hospital, Malaysia.
- Krishnappa P, Mohamad I, Lin Y, Barua A.
- Diagnostic pathology.Diagn Pathol.2014 Nov 1;9(1):202. [Epub ahead of print]
- BackgroundCervical cancer is one of the most common cancers affecting women worldwide. It is well established that human papilloma virus (HPV) infection is the prime risk factor in the development of cervical cancer. The current screening and diagnostic tests have limitations in identifying the rang
- PMID 25361681
- Lipoxin A4 Suppresses Lipopolysaccharide-Induced Hela Cell Proliferation and Migration via NF-κB Pathway.
- Hao H1, Xu F, Hao J, He YQ, Zhou XY, Dai H, Wu LQ, Liu FR.
- Inflammation.Inflammation.2014 Oct 28. [Epub ahead of print]
- Uterine cervical carcinoma (UCC) is one of the most common malignant tumors in females, and UCC has a close relationship with chronic cervicitis. As the endogenous "braking signal," lipoxins can regulate anti-inflammation and the resolution of inflammation. We investigated the effect of lipoxin A4 (
- PMID 25348861
Japanese Journal
- Antimicrobial efficacies of several antibiotics against uterine cervicitis caused by Mycoplasma genitalium
- Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy 18(3), 313-317, 2012-06-01
- NAID 10030787134
- HPV 感染状況と子宮頸癌検診における細胞診とHPV 検査併用の意義
- Epidemiology of Chlamydophila caviae-like Chlamydia Isolated from Urethra and Uterine Cervix
★リンクテーブル★
[★]
- 英
- cervicitis
- ラ
- cervicitis uteri
- 同
- 子宮頚管炎 uterine cervicitis、子宮頸管炎、子宮頸炎、子宮頸部炎、子宮頚炎、子宮頚部炎、頸管炎
- 関
- 淋疾
[show details]
定義
病原体
症状
診断
- 子宮頚管分泌物の培養検査、免疫学的検査(蛍光抗体法)、核酸増幅法(クラミジア)
治療
[★]
- 関
- uteri、uterus、womb
[★]
- 関
- uterine、uterus、womb