Absese, Bartholin

ʻO nā gland Bartholin (BAHR-toe-linz) kahi i loaʻa ma kēlā me kēia ʻaoʻao o ka puka o ka pepeiao wahine. Hoʻopuka kēia mau gland i ka wai e kōkua ai i ka hoʻoinu ʻana i ka pepeiao wahine.

I kekahi manawa, e pani ʻia nā puka o kēia mau gland, e hoʻokumu ai i ka wai e hoʻi i loko o ka gland. ʻO ka hopena, he pehu ʻole ka ʻeha i kapa ʻia ʻo ka cyst Bartholin. Inā loaʻa ka maʻi i loko o ka cyst, hiki iā ʻoe ke loaʻa i kahi hōʻiliʻili o ka pus i hoʻopuni ʻia e ka ʻiʻo inflamed (abscess).

He mea maʻamau ka cyst a i ʻole abscess Bartholin. ʻO ka mālama ʻana i ka cyst Bartholin e hilinaʻi ana i ka nui o ka cyst, pehea ka ʻeha o ka cyst a inā paha ua maʻi ka cyst.

I kekahi manawa, ʻo ka mālama home wale nō ka mea āu e pono ai. I nā hihia ʻē aʻe, pono ka hoʻokahe ʻana i ka cyst Bartholin. Inā loaʻa ka maʻi, hiki i nā antibiotics ke kōkua i ka mālama ʻana i ka cyst Bartholin i maʻi.

Inā he cyst Bartholin liʻiliʻi, ʻaʻohe maʻi, ʻaʻole paha ʻoe e ʻike. Inā ulu ka cyst, e ʻike paha ʻoe i kahi ʻāʻī a i ʻole kahi mea nui kokoke i kou puka o ka pepeiao. ʻOiai he mea ʻeha ʻole ka cyst, hiki ke palupalu.

Hiki ke loaʻa ka maʻi piha o kahi cyst Bartholin i loko o kekahi mau lā. Inā maʻi ka cyst, e ʻike paha ʻoe i kēia mau mea:

• Kahi ʻāʻī palupalu, ʻeha kokoke i ka puka o ka pepeiao
• ʻEha i ka wā e hele ai a i ʻole e noho ai
• ʻEha i ka wā e moe ai
• Ke kuni

Hoʻokahi wale nō ʻaoʻao o ka puka o ka pepeiao kahi e loaʻa ai ka cyst a i ʻole ka abscess Bartholin.

Kāhea i kāu kauka inā loaʻa iā ʻoe kahi ʻāʻī ʻeha kokoke i ka puka o kou ʻōpū wahine ʻaʻole i hoʻomaikaʻi ma hope o ʻelua a ʻekolu paha lā o ka mālama ponoʻī—e like me ka hoʻomoʻa ʻana i ka wahi i loko o ka wai mahana (ʻauʻau sitz). Inā nui ka ʻeha, e hana i kahi kūkā me kāu kauka koke.

Kāhea pū i kāu kauka koke inā ʻike ʻoe i kahi ʻāʻī hou kokoke i kou puka ʻōpū wahine a ua ʻoi aku ʻoe ma mua o 40 mau makahiki. ʻOiai he mea maʻamau ʻole, hiki i kēlā ʻāʻī ke hōʻailona o kahi pilikia koʻikoʻi aʻe, e like me ka maʻi kanesa.

Manaʻo nā loea he kumu o ka cyst o Bartholin ka hāpai ʻana o ka wai. Hiki ke hōʻiliʻili ka wai ke pani ʻia ka puka o ke gland (duct), malia paha ma muli o ka maʻi a i ʻole ka hōʻeha.

Hiki i ka cyst o Bartholin ke maʻi, a lilo i abscess. He nui nā bacteria e hiki ke hoʻoulu i ka maʻi, me ka Escherichia coli (E. coli) a me nā bacteria e hoʻoulu i nā maʻi i hoʻolaha ʻia ma ka moekolohe e like me ka gonorrhea a me ka chlamydia.

Hiki i ka cyst a i ʻole ka abscess o Bartholin ke hoʻi hou mai a pono hou i ka mālama.

ʻAʻohe ala e pale aku ai i ka cyst o Bartholin. Eia naʻe, ʻo nā hana moekolohe palekana — ma ke ʻano kūikawā, ka hoʻohana ʻana i nā condom — a me nā maʻamau hoʻomaʻemaʻe maikaʻi paha e kōkua i ka pale ʻana i ka maʻi o ka cyst a me ka hoʻokumu ʻana i ka abscess.

No ka hōʻoiaʻana i kahi cyst o Bartholin, hiki i kāu kauka ke:

Inā he manaʻo nui ka maʻi kanesa, hiki i kāu kauka ke hoʻouna aku iā ʻoe i kahi gynecologist e kūikawā ana i nā maʻi kanesa o ka ʻōnaehana hoʻohua wahine.

• Ninau e pili ana i kou mōʻaukala lapaʻau
• Hana i kahi hōʻoia pelvic
• Lawe i kahi laʻana o nā mea huna mai kou vagina a i ʻole cervix e hoʻokolohua ai no kahi maʻi maʻi i hoʻolaha ʻia ma ka moekolohe
• Manaʻo i kahi hoʻokolohua o ka nui (biopsy) e nānā ai i nā cell kanesa inā ʻoe ma hope o ka menopause a i ʻole ma luna o 40

Hoʻomaikaʻi pinepine ʻia ka cyst o Bartholin me ka ʻole o ka mālama ʻana - ʻoi aku hoʻi inā ʻaʻohe hōʻailona a i ʻole nā ​​hōʻailona o ka cyst. I ka wā e pono ai, hilinaʻi ka mālama ʻana i ka nui o ka cyst, kou pae ʻoluʻolu a inā paha ua maʻi ʻia, hiki ke hopena i kahi abscess.

Nā koho mālama e hāʻawi aku paha kāu kauka:

Hoʻokahe ʻana i ka ʻoki kino. Pono paha ʻoe i ka ʻoki kino e hoʻokahe i kahi cyst i maʻi a nui loa. Hiki ke hana ʻia ka hoʻokahe ʻana i kahi cyst me ka hoʻohana ʻana i ka anesthesia kūloko a i ʻole ka sedation.

No ke kaʻina hana, hana kāu kauka i kahi ʻoki liʻiliʻi i loko o ka cyst, ʻae iā ia e hoʻokahe, a laila kau i kahi tube ʻiliʻili (catheter) i loko o ka ʻoki. Noho ka catheter ma kahi no nā hebedoma ʻeono a hiki i ka mālama ʻana i ka ʻoki i wehe a ʻae i ka hoʻokahe piha.

ʻAʻole pinepine, no nā cysts mau loa i mālama ʻole ʻia e nā kaʻina hana ma luna nei, hiki i kāu kauka ke hāʻawi aku i ka ʻoki kino e wehe i ke gland Bartholin. Hana pinepine ʻia ka wehe ʻana i ka ʻoki kino ma ka haukapila ma lalo o ka anesthesia laulā. ʻOi aku ka nui o ka wehe ʻana i ka gland i ka pilikia o ke kahe koko a i ʻole nā ​​pilikia ma hope o ke kaʻina hana.

• Nā ʻauʻau Sitz. ʻO ka ʻauʻau ʻana i loko o ka wai ʻauʻau i piha i kekahi mau ʻīniha o ka wai mahana (ʻauʻau sitz) i nā manawa he nui i ka lā no ʻekolu a ʻehā paha mau lā e kōkua i kahi cyst liʻiliʻi, maʻi e haki a hoʻokahe iā ia iho.
• Hoʻokahe ʻana i ka ʻoki kino. Pono paha ʻoe i ka ʻoki kino e hoʻokahe i kahi cyst i maʻi a nui loa. Hiki ke hana ʻia ka hoʻokahe ʻana i kahi cyst me ka hoʻohana ʻana i ka anesthesia kūloko a i ʻole ka sedation.

No ke kaʻina hana, hana kāu kauka i kahi ʻoki liʻiliʻi i loko o ka cyst, ʻae iā ia e hoʻokahe, a laila kau i kahi tube ʻiliʻili (catheter) i loko o ka ʻoki. Noho ka catheter ma kahi no nā hebedoma ʻeono a hiki i ka mālama ʻana i ka ʻoki i wehe a ʻae i ka hoʻokahe piha.

• Nā lāʻau antibiotic. Hiki i kāu kauka ke kuhikuhi i kahi lāʻau antibiotic inā maʻi kāu cyst a i ʻole inā hōʻike ka hoʻokolohua ua loaʻa iā ʻoe kahi maʻi moekolohe i hoʻoili ʻia. Akā inā hoʻokahe pono ʻia ka abscess, ʻaʻole pono ʻoe i nā lāʻau antibiotic.
• Marsupialization. Inā hoʻi hou nā cysts a hoʻopilikia iā ʻoe, hiki i kahi kaʻina hana marsupialization (mahr-soo-pee-ul-ih-ZAY-shun) ke kōkua. Kau kāu kauka i nā ʻili ma kēlā me kēia ʻaoʻao o kahi ʻoki hoʻokahe e hana i kahi wehe mau loa ma lalo o 1/4-ʻīniha (ma kahi o 6-milimeter) ka lōʻihi. Hiki ke kau ʻia kahi catheter i hoʻokomo ʻia e hoʻolaha i ka hoʻokahe ʻana no kekahi mau lā ma hope o ke kaʻina hana a e kōkua i ka pale ʻana i ka hoʻi hou ʻana.

ʻO ka ʻauʻau mau i ka wai mahana, i nā manawa he nui i ka lā, he mea lawa paha ia e hoʻoponopono ai i kahi cyst a abscess paha o Bartholin i maʻi.

Ma hope o kahi hana ʻoki e mālama ai i kahi cyst a abscess paha i maʻi, he mea nui loa ka ʻauʻau ʻana i ka wai mahana. Kūleʻa nā ʻauʻau sitz e mālama i ka wahi i maʻemaʻe, e hoʻoluʻolu i ka ʻeha a me ka hoʻoikaika ʻana i ka hoʻokahe pono ʻana o ka cyst. Hiki nō hoʻi ke kōkua nā mea hoʻoemi ʻeha.