IBartholin cyst okanye ithumba

Ithumba leBartholin kukwakheka kobofu obumba isigaxa (ukudumba) kolunye lwamadlala eBartholin. La madlala afunyanwa kwicala ngalinye kuvulo lobufazi.

Iifom ze-abscess zeBartholin xa kuvulwa encinci (i-duct) evela kwindlala iyavalwa. Ulwelo kwindlala luyanda kwaye lunokosulelwa. Ulwelo lunokwakha ngaphezulu kweminyaka emininzi ngaphambi kokuba kwenzeke ithumba.

Rhoqo ithumba livela ngokukhawuleza kwiintsuku ezininzi. Indawo iya kushushu kwaye idumbe. Umsebenzi obeka uxinzelelo kwilungu lobufazi, kunye nokuhamba nokuhlala, kunokubangela iintlungu.

Iimpawu zingabandakanya:

• Isigaxa sethenda kuwo omabini amacala ovulo lobufazi
• Ukudumba nobomvu
• Intlungu ngokuhlala okanye ukuhamba
• Umkhuhlane, kubantu abanomkhuhlane omncinci
• Intlungu ngokulalana
• Ukukhutshwa kwilungu lobufazi
• Uxinzelelo lobufazi

Umboneleli wezempilo uya kwenza uvavanyo lwe-pelvic. I-Bartholin gland iya kwandiswa kwaye ithenda. Kwiimeko ezinqabileyo, i-biopsy inokucetyiswa kwabasetyhini abadala ukuba bajonge ithumba.

Nakuphi na ukukhutshwa kwilungu lobufazi okanye ukuhambisa amanzi kuya kuthunyelwa elebhu ukuvavanywa.

AMANYATHELO OKUZITHANDA

Ukuntywila emanzini ashushu amaxesha amane ngemini kangangeentsuku ezininzi kunokunciphisa ukungonwabi. Inokukunceda ukuba ithumba livuleke kwaye lizikhuphe lodwa. Nangona kunjalo, ukuvulwa kuhlala kuncinci kakhulu kwaye kuvalwa ngokukhawuleza. Ke ngoko, ithumba libuye libuye.

UMDLALO WESITHUBA

Ukusikwa okuncinci kunokulikhupha ngokupheleleyo ithumba. Oku kunciphisa iimpawu kwaye kunikezela ngokukhawuleza okukhawulezayo.

• Inkqubo inokwenziwa phantsi kwe-anesthesia yendawo kwiofisi yomboneleli.
• Ukusikwa kwe-1 ukuya kwi-2 cm kwenziwa kwindawo yethumba. Umqala unkcenkceshelwa ngetyuwa eqhelekileyo. I-catheter (ityhubhu) inokufakwa kwaye ishiye indawo iiveki ezi-4 ukuya kwezi-6. Oku kuvumela ukuqhuba okuqhubekayo ngelixa indawo iphilisa. Ukulungiswa akufuneki.
• Kuya kufuneka uqale ukuntywila emanzini ashushu kwiintsuku ezi-1 ukuya kwezi-2 emva koko. Awunakuba neentlobano zesini kude kube kususwe i-catheter.

Unokucelwa ukuba ube ne-antibiotics ukuba kukho ubofu okanye ezinye iimpawu zosulelo.

UMTSHATO

Abasetyhini banokunyangwa ngoqhaqho oluncinci olubizwa ngokuba yi-marsupialization.

• Inkqubo ibandakanya ukudala ukuvulwa kwe-elliptical ecaleni kwe-cyst ukunceda ukukhupha i-gland. Ithumba liyasuswa. Umboneleli ubeka imithungo kwimiphetho yecyst.
• Inkqubo ngamanye amaxesha inokwenziwa eklinikhi ngamayeza okuphelisa le ndawo. Ngamanye amaxesha, kunokufuna ukwenziwa esibhedlele nge-anesthesia ngokubanzi ukuze ulale kwaye ungabi nazintlungu.
• Kuya kufuneka uqale ukuntywila emanzini ashushu kwiintsuku ezi-1 ukuya kwezi-2 emva koko. Awunokwabelana ngesondo kwiiveki ezi-4 emva kotyando.
• Unokusebenzisa amayeza eentlungu zomlomo emva kwenkqubo. Umboneleli wakho unokumisela amayeza entlungu xa uwafuna.

UKONWABISA

Umboneleli wakho unokucebisa ukuba amadlala asuswe ngokupheleleyo ukuba amathumba aqhubeka ebuya.

• Inkqubo ibandakanya ukususwa kotyando kulo lonke udonga lwecyst.
• Ngokubanzi kwenziwa esibhedlele phantsi kweanesthesia ngokubanzi.
• Awunokwabelana ngesondo kwiiveki ezi-4 emva kotyando.

Ithuba lokuchacha ngokupheleleyo lihle kakhulu. Amathumba anokubuya kwimeko ezimbalwa.

Kubalulekile ukunyanga naluphi na usulelo lobufazi olufunyanwa ngaxeshanye nethumba.

Fowunela umnikezeli wakho ukuba:

• Uyaqaphela ukuba kukho iqhuma elibuhlungu, nelidumbileyo kwi-labia kufutshane nokuvula kwelungu lobufazi kwaye aliphucukanga ngeentsuku ezi-2 ukuya kwezi-3 zonyango lwasekhaya.
• Ubuhlungu bunzima kwaye buphazamisa umsebenzi wakho oqhelekileyo.
• Unenye yezi cysts kwaye ukhulisa umkhuhlane ongaphezulu kwe-100.4 ° F (38 ° C).

Ithumba - iBartholin; I-Bartholin gland echaphazelekayo

• I-anatomy yokuzala yabasetyhini
• IBartholin cyst okanye ithumba

I-Ambrose G, iBerlin D. Ukucanda kunye nokuhambisa amanzi. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 37.

I-Dolan MS, iNduli C, iValea FA. Izilonda zeBenign gynecologic: ubufazi, ubufazi, umlomo wesibeleko, isibeleko, i-oviduct, i-ovary, imaging ye-ultrasound yezakhiwo ze-pelvic. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 18.

USmith RP. IBartholin gland cyst / ithumba lokuhambisa amanzi. Ku: Smith RP, ed. I-Netter's Obstetrics kunye neGynecology. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2018: isahluko 251.