Bartholin chotupa kapena abscess

Kuphulika kwa Bartholin ndikumanga kwa mafinya omwe amapanga chotupa (chotupa) m'modzi mwa ma gland a Bartholin. Matendawa amapezeka mbali iliyonse yamitsempha ya amayi.

Thumba la Bartholin limatuluka pakatseguka pang'ono (ngalande) yaying'ono kuchokera kumtundayo. Chamadzimadzi m'thupi chimakula ndipo chitha kutenga kachilomboka. Madzi amatha zaka zambiri asanatuluke.

Nthawi zambiri abscess amapezeka mofulumira pa masiku angapo. Dera lidzatentha kwambiri ndikutupa. Zochita zomwe zimakakamiza kumaliseche, ndikuyenda ndikukhala, zimatha kupweteka kwambiri.

Zizindikiro zimaphatikizapo:

• Bulu lofewa mbali zonse za kutsegula kwa nyini
• Kutupa ndi kufiira
• Ululu wokhala kapena kuyenda
• Malungo, mwa anthu omwe ali ndi chitetezo chochepa
• Zowawa zogonana
• Kutulutsa kumaliseche
• Vuto la nyini

Wothandizira zaumoyo adzayesa m'chiuno. Matenda a Bartholin adzakulitsa komanso ofewa. Nthawi zambiri, azimayi achikulire akhoza kufunsa kuti apeze chotupa.

Kutulutsa kulikonse kumaliseche kapena ngalande yamadzimadzi kumatumizidwa ku labu kukayezetsa.

NJIRA Zodzisamalira

Kulowetsa m'madzi ofunda kanayi pa tsiku kwa masiku angapo kumachepetsa mavuto. Itha kuthandizanso kuti abscess izitseguka ndikudzimitsa yokha. Komabe, kutsegulira nthawi zambiri kumakhala kochepa kwambiri ndipo kumatseka mwachangu. Choncho, abscess nthawi zambiri amabwerera.

KUKONZEKA KWA ABCESS

Kudula kocheperako kumatha kukhetsa abscess. Izi zimachepetsa zizindikilo ndipo zimachiritsa mwachangu.

• Ndondomekoyi ikhoza kuchitika pansi pa anesthesia yakomweko muofesi ya omwe amapereka.
• Kudula 1 mpaka 2 cm kumapangidwa pamalo a abscess. Mimbayo imathiriridwa ndi mchere wabwinobwino. Catheter (chubu) imatha kulowetsedwa ndikusiyidwa m'malo mwa milungu 4 mpaka 6. Izi zimalola kupitilira ngalande kwinaku malowo akuchira. Suture safunika.
• Muyenera kuyamba kulowa m'madzi ofunda pakatha masiku 1 mpaka 2. Simungachite zogonana kufikira atachotsa catheter.

Mutha kufunsidwa kuti mukhale ndi maantibayotiki ngati pali mafinya kapena zizindikilo zina za matenda.

MARSUPIALIZATION

Amayi amathanso kuchiritsidwa ndi opaleshoni yaying'ono yotchedwa marsupialization.

• Njirayi imaphatikizapo kupanga kutsegula kwa elliptical pambali pa chotupacho kuti chithandizire kukhetsa gland. Thumba limachotsedwa. Wothandizira amapereka zokopa m'mphepete mwa chotupa.
• Njirayi nthawi zina imatha kuchitika kuchipatala ndi mankhwala kuti dzanzi likhala. Nthawi zina, zimafunika kuchitika kuchipatala ndi mankhwala oletsa ululu kuti mugone komanso musamve kupweteka.
• Muyenera kuyamba kulowa m'madzi ofunda pakatha masiku 1 mpaka 2. Simungachite zogonana kwamasabata anayi mutachitidwa opaleshoni.
• Mutha kugwiritsa ntchito mankhwala opweteka am'kamwa mutatha. Wothandizira anu akhoza kukupatsani mankhwala opweteka ngati mukufunikira.

KUSANGALALA

Woperekayo angakulimbikitseni kuti glands achotsedwe kwathunthu ngati zithupsa zikubwerera.

• Njirayi imaphatikizapo kuchotsa opaleshoni ya khoma lonse la chotupa.
• Amachitidwa mchipatala pansi pa anesthesia wamba.
• Simungachite zogonana kwamasabata anayi mutachitidwa opaleshoni.

Mpata wochira kwathunthu ndiwabwino. Zotupazo zimatha kubwerera kangapo.

Ndikofunika kuchiza matenda aliwonse a ukazi omwe amapezeka nthawi yomweyo ndi abscess.

Itanani omwe akukuthandizani ngati:

• Mukuwona chotupa chowawa, chotupa pa labia pafupi ndi kutsegula kwa nyini ndipo sichikula ndi masiku awiri kapena atatu akuchiritsira kunyumba.
• Ululu ndiwowopsa ndipo umasokoneza zochitika zanu zanthawi zonse.
• Muli ndi imodzi mwazotupazi ndipo mumakhala ndi malungo opitilira 100.4 ° F (38 ° C).

Chotupa - Bartholin; Matenda a Bartholin

• Matupi achikazi oberekera
• Bartholin chotupa kapena abscess

Ambrose G, Berlin D. Kuchepetsa ndi ngalande. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 37.

Dolan MS, Hill C, Valea FA. Zotupa za Benign gynecologic: maliseche, nyini, khomo pachibelekeropo, chiberekero, oviduct, ovary, imaging ya ultrasound yamapangidwe amchiuno. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 18.

Smith RP. Bartholin England chotupa / abscess ngalande. Mu: Smith RP, Mkonzi. Netter's Obstetrics and Gynecology. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: chap 251.