Bartholin cyst kana abscess

Bartholin abscess ndiko kuvaka kwepus iyo inogadzira bundu (kuzvimba) mune rimwe remabhuru eBartholin. Aya ma gland anowanikwa kune rumwe rutivi rwekuvhura kwechikadzi.

Bartholin abscess mafomu kana panovhurwa diki (duct) kubva kune gland yakavharwa. Fluid mugland inovaka uye inogona kutapukirwa. Fluid inogona kuvaka pamusoro pemakore mazhinji pasati pabuda bundu.

Kazhinji abscess inoonekwa nekukurumidza pamusoro pemazuva akati wandei. Nzvimbo yacho ichapisa zvikuru uye kuzvimba. Chiitiko chinoisa kumanikidza paguze, uye kufamba uye kugara, kunogona kukonzera kurwadziwa kwakanyanya.

Zviratidzo zvinogona kusanganisira:

• Bundu nyoro kune ese mativi ekuvhura kwemukadzi
• Kuzvimba uye kutsvuka
• Marwadzo nekugara kana kufamba
• Fivha, mune vanhu vane yakadzika immune
• Marwadzo nekusangana pabonde
• Kusangana nemukadzi
• Vaginal kumanikidza

Anopa hutano anoita bvunzo dzechiuno. Iyo Bartholin gland ichawedzerwa uye nyoro. Muzviitiko zvisingawanzoitika, bhiopsy inogona kutaurwa mumadzimai akura kutsvaga bundu.

Chero chipi zvacho chabuda panhengo yemukadzi kana inoyerera mvura inozotumirwa kurabhoritari kunoongororwa.

MAZANO OKUZVIWANDA

Kunyudza mumvura inodziya kanokwana kana pazuva kwemazuva akati wandei kunogona kurerutsa kusagadzikana. Inogona zvakare kubatsira iyo bundu kuvhurika uye kudhiraira pachayo. Nekudaro, iyo yekuvhura inowanzo kuve diki kwazvo uye inovhara nekukurumidza. Naizvozvo, bundu rinowanzodzoka.

KUSVIRA KWENYAYA

Kacheka kekuvhiya kanogona kubvisa zvachose bundu. Izvi zvinoderedza zviratidzo uye zvinopa kukurumidza kupora.

• Maitiro acho anogona kuitwa pasi peanesthesia yemuno muhofisi yemupi.
• A 1 kusvika 2 cm akachekwa inoitwa panzvimbo ye abscess. Iyo mhango inodiridzwa neyakajairwa munyu. Catheter (chubhu) inogona kuiswa uye kusiiwa munzvimbo kwevhiki ina kusvika matanhatu. Izvi zvinobvumira kuenderera kwemvura panguva iyo nzvimbo inopora. Sutures haidiwe.
• Iwe unofanirwa kutanga kupinda mumvura inodziya mazuva maviri kusvika maviri mushure. Iwe haugone kuita zvepabonde kusvikira iyo catheter yabviswa.

Iwe unogona kubvunzwa kuti uve nemishonga inorwisa mabhakitiriya kana paine pus kana zvimwe zviratidzo zvehutachiona.

MARSUPIALIZATION

Vakadzi vanogona zvakare kurapwa nekuvhiyiwa kudiki kunonzi marsupialization.

• Maitiro acho anosanganisira kugadzira yakavhurika yakavhurika pamwe necyst kubatsira gland kupera. Iyo pute inobviswa. Mupiki anoisa masitetete kumucheto kwecyst.
• Maitiro acho dzimwe nguva anogona kuitwa mukiriniki nemushonga kuti ubate nzvimbo. Mune zvimwe zviitiko, zvingangoda kuitirwa muchipatara neinowanzohesesa kuitira kuti iwe uvete uye usarwadziwa-pasina.
• Iwe unofanirwa kutanga kupinda mumvura inodziya mazuva maviri kusvika maviri mushure. Iwe haugone kuita zvepabonde kwemasvondo mana mushure mekuvhiyiwa.
• Iwe unogona kushandisa ekurwadziwa nemuromo mishonga mushure mekuita. Wako mupi anogona kupa mishonga yekurwadziwa narcotic kana uchiida.

KUFARA

Mupiki wako anogona kukurudzira kuti maronda abviswe zvachose kana mapundu achiramba achidzoka.

• Maitiro acho anosanganisira kubvisa kuvhiya kwese cyst madziro.
• Inowanzoitwa muchipatara pasi peanesthesia.
• Iwe haugone kuita zvepabonde kwemasvondo mana mushure mekuvhiyiwa.

Mukana wekuzorora zvakakwana wakanaka. Izvo zviputi zvinogona kudzoka muzviitiko zvishoma.

Izvo zvakakosha kurapa chero hutachiona hwechikadzi hunoonekwa panguva imwe chete sebundu.

Fonera mupiki wako kana:

• Unocherekedza bundu rinorwadza, rakazvimba pamarabi pedyo nekuvhurika kwemukadzi uye harivandudze nemazuva maviri kusvika matatu ekurapwa kumba.
• Marwadzo akaoma uye anovhiringidza zvako zvakajairika chiitiko.
• Iwe une imwe yema cysts uye unovandudza fever iri pamusoro pe 100.4 ° F (38 ° C).

Pute - Bartholin; Utachiona hweBartholin gland

• Mukadzi wekubereka anatomy
• Bartholin cyst kana abscess

Ambrose G, Berlin D. Incision uye drainage. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 37.

Dolan MS, Chikomo C, Valea FA. Zviratidzo zveBenign gynecologic: vulva, vagina, chibereko chechibereko, chibereko, oviduct, ovary, imaging ye ultrasound yezvivakwa zvepelvic. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 18.

Smith RP. Bartholin gland cyst / abscess drainage. Muna: Smith RP, rakanyorwa. Netter's Obstetrics uye Gynecology. 3rd ed. Philadelphia, PA: Elsevier; 2018: chitsiko 251.