Abscess, Bartholin'S

Makonzo eBartholin (BAHR-toe-linz) ari kumativi ese ari maviri ekuzaruka kwevhunjinyo. Makonzo aya anoburitsa mvura inobatsira pakunyorova vhunjinyo.

Dzimwe nguva kuzaruka kwemakonzo aya kunovharwa, zvichiita kuti mvura idzokerere kumusoro mugonzo. Mhedzisiro yacho kuzvimba kusina kurwadza kwazvo kunonzi cyst yeBartholin. Kana mvura iri mukati mecyst ikasangana nehutachiona, unogona kuwana kuunganidzwa kwemapundu akapoteredzwa nenyama yakatsvuka (abscess).

Cyst kana abscess yeBartholin inowanzowanikwa. Kurapwa kwe cyst yeBartholin kunoenderana nehukuru hwe cyst, kuti cyst inorwadza sei uye kana cyst yakasangana nehutachiona here.

Dzimwe nguva kurapwa kwekumba ndiko kwose kwaunoda. Muzvimwe zviitiko, kubudisa mvura kubva mu cyst yeBartholin nekuvhiya kunodiwa. Kana paine hutachiona, mishonga inorwisa mabhakitiriya inogona kubatsira pakurapa cyst yeBartholin yakasangana nehutachiona.

Kana uine cyst yeBartholin's cyst diki, isina kuzara, unogona kusaziva. Kana cyst ikakura, unogona kunzwa bofu kana chidimbu pedyo nemuromo wemukadzi. Kunyange zvazvo cyst kazhinji haina kurwadza, inogona kunge iri nyoro.

Kuzara kwakazara kweBartholin's cyst kunogona kuitika mumazuva mashoma. Kana cyst ikakuvara, unogona kuwana:

• Bofu rinorwadza, rinonyoro pedyo nemuromo wemukadzi
• Kusagadzikana pakuenda kana kugara
• Kurwadziwa panguva yekubata
• Fivha

Bartholin's cyst kana abscess kazhinji inoitika kune rumwe rutivi rwemukadzi chete.

'Danawo chiremba wako kana uine chidumbu chinorwadza pedyo nepakavhurika panguva yako risina kuvandudza mushure memazuva maviri kana matatu ekutarisira wega — semuenzaniso, kunyorova nzvimbo nemvura inodziya (sitz bath). Kana kurwadziwa kwacho kuri kukomba, gara uchitaura nachiremba wako nekukurumidza. \n\nDanawo chiremba wako nekukurumidza kana iwe ukawana chidumbu chitsva pedyo nepakavhurika panguva yako uye une makore anopfuura makumi mana. Kunyange zvazvo zvisingawanzoitika, chidumbu chakadai chinogona kuva chiratidzo chedambudziko rakakura, sekanser.'

Nyanzvi dzinotenda kuti chirwere cheBartholin's cyst chinokonzerwa nekuvhara kwemvura. Mvura inogona kuunganidzwa kana kuvhurwa kwechiganda (duct) kuchivharwa, zvichida zvichikonzerwa nehutachiona kana kukuvara.

Bartholin's cyst inogona kuzara utachiona, ichigadzira abscess. Mabhakitiriya akawanda anogona kukonzera utachiona, kusanganisira Escherichia coli (E. coli) uye mabhakitiriya anokonzera zvirwere zvinotapuriranwa pabonde zvakadai se gonorrhea ne chlamydia.

Cyst kana furu yeBartholin inogona kudzokazve uye zvakare ichida kurapwa.

Hapana nzira yekudzivirira chirwere cheBartholin's cyst. Zvisinei, zvepabonde zvakachengeteka — kunyanya kushandisa kondomu — uye tsika dzakanaka dzekuchenesa zvinogona kubatsira kudzivirira hutachiona hwechirwere ichi uye kuumbwa kwemaabsesi.

Kuongorora chirwere cheBartholin's cyst, chiremba wenyu angaita zvinotevera:

Kana paine hanya yekenza, chiremba wenyu angakutumira kune gynecologist anoziva nezvekenza dzemagaro emukadzi.

• Kubvunza mibvunzo nezve nhoroondo yako yehutano
• Kuita bvunzo yepelvic
• Kutora sampuli yemvere kubva mumukadzi wako kana cervix kuti uongorore chirwere chinopfuudzwa nepabonde
• Kurumbidza bvunzo yemass (biopsy) kuongorora kana paine masero ekenza kana uri postmenopausal kana une makore anopfuura makumi mana

Kazhinji, cyst yeBartholin haidi kurapwa—kunyanya kana cyst iyi isina zviratidzo kana zvimwe zvinetso. Kana zvichidiwa, kurapwa kunotsamira pakukura kwe cyst, kuoma kwauri kunzwa uye kana yakabatwa nehutachiona, izvo zvinogona kuita kuti pave neabscess.

Sarudzo dzekurapa chiremba wenyu angakurudzira dzinosanganisira:

Kubudisa mvura kuburikidza nekuvhiya. Ungada kuvhiya kuti ubvise mvura iri mucyst yakabatwa nehutachiona kana yakakura kwazvo. Kubvisa mvura iri mucyst kunogona kuitwa uchishandisa anesthesia yemunharaunda kana sedation.

Pamuitiro wacho, chiremba wenyu anoita kucheka duku mucyst, anobvumira kuti ibvise mvura, wobva aisa chubhu duku yerabha (catheter) mukucheka. Catheter inoramba iripo kwemavhiki kusvika matanhatu kuchengetedza kucheka kwakavhurika uye kubvumira kubviswa kwakakwana kwemvura.

Zvisingawanzoitika, kune cysts dzinoenderera mberi dzisingarapwi zvakanaka nemazano ari pamusoro, chiremba wenyu angakurudzira kuvhiya kubvisa gland yeBartholin. Kubviswa kuburikidza nekuvhiya kunowanzoitwa muchipatara uchishandisa anesthesia yakazara. Kubviswa kwe gland kuburikidza nekuvhiya kune njodzi yakakura yekubuda ropa kana zvimwe zvinetso mushure mekuvhiya.

• Sitz baths. Kuinyika mudziva rakazadzwa nemamita mashoma emvura inodziya (sitz bath) kanopfuura kamwe pazuva kwemazuva matatu kana mana kunogona kubatsira cyst duku yakabatwa nehutachiona kuti iputike uye ibvise mvura pachayo.

• Kubudisa mvura kuburikidza nekuvhiya. Ungada kuvhiya kuti ubvise mvura iri mucyst yakabatwa nehutachiona kana yakakura kwazvo. Kubvisa mvura iri mucyst kunogona kuitwa uchishandisa anesthesia yemunharaunda kana sedation.

  Pamuitiro wacho, chiremba wenyu anoita kucheka duku mucyst, anobvumira kuti ibvise mvura, wobva aisa chubhu duku yerabha (catheter) mukucheka. Catheter inoramba iripo kwemavhiki kusvika matanhatu kuchengetedza kucheka kwakavhurika uye kubvumira kubviswa kwakakwana kwemvura.

• Antibiotics. Chiremba wenyu angakupa mushonga weantibiotic kana cyst yako yakabatwa nehutachiona kana bvunzo ikaratidza kuti une hutachiona hunotapuriranwa pabonde. Asi kana abscess ikabviswa mvura zvakanaka, ungasada antibiotics.

• Marsupialization. Kana cysts dzikadzoka kana dzikukunetsa, nzira ye marsupialization (mahr-soo-pee-ul-ih-ZAY-shun) inogona kubatsira. Chiremba wenyu anoisa stitches kune rumwe rutivi rwekucheka kwakabviswa mvura kuita kuvhurika kwenguva refu kushoma pane 1/4-inch (anenge 6-millimeter) kureba. Catheter inoiswa inogona kuiswa kusimudzira kubviswa kwemvura kwemazuva mashoma mushure mekuvhiya uye kubatsira kudzivirira kudzokazve.

"Kuchenura zuva nezuva mumvura inodziya, kanopfuura kamwe pazuva, kunogona kukwana kubvisa chirwere cheBartholin's cyst kana abscess. Mushure mekuvhiyiwa kwakaitwa kurapa chirwere checyst kana abscess, kuchenura mumvura inodziya kunokosha zvikuru. Kuchenura kwakadai (Sitz baths) kunobatsira kuchenesa nzvimbo yacho, kuderedza marwadzo uye kukurudzira kubuda kwemvura kubva pachirwere. Zvinodzima marwadzo zvinogona kubatsirawo."