I-Bartholin cyst noma ithumba

Ithumba leBartholin ukwakheka kobomvu okwakha isigaxa (ukuvuvukala) kwesinye sezindlala zeBartholin. Lezi zindlala zitholakala ohlangothini ngalunye lokuvuleka kwesitho sangasese sowesifazane.

Amafomu ethumba iBartholin lapho kuvuleka imbobo encane (imbobo) evela endleni. Uketshezi endlaleni luyakheka futhi lungase lutheleleke. Uketshezi lungakhula ngaphezu kweminyaka eminingi ngaphambi kokuba kuvele ithumba.

Imvamisa ithumba livela ngokushesha ezinsukwini ezimbalwa. Indawo izoshisa kakhulu ivuvuke. Umsebenzi obeka ingcindezi esithweni sangasese, nokuhamba nokuhlala, kungadala ubuhlungu obukhulu.

Izimpawu zingafaka:

• Isigaxa sethenda nhlangothi zombili zokuvula kwesitho sangasese sowesifazane
• Ukuvuvukala nokubomvu
• Ubuhlungu ngokuhlala noma ukuhamba
• Umkhuhlane, kubantu abanamasosha omzimba aphansi
• Ubuhlungu ngokuya ocansini
• Ukukhishwa kwesitho sangasese sowesifazane
• Ingcindezi yesitho sangasese sowesifazane

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa kwe-pelvic. Indlala yeBartholin izokhuliswa futhi ithenda. Ezimweni ezingavamile, i-biopsy ingaphakanyiswa kwabesifazane asebekhulile ukuthi bafune isimila.

Noma ikuphi ukukhishwa kwesitho sangasese sowesifazane noma amanzi oketshezi azothunyelwa elebhu ukuyohlolwa.

IZINYATHELO ZOKUZINAKEKELA

Ukungena emanzini afudumele izikhathi ezine ngosuku izinsuku eziningana kunganciphisa ukungakhululeki. Kungasiza futhi ithumba ukuthi livuleke futhi liqhume lodwa. Noma kunjalo, ukuvulwa kuvame ukuba kuncane kakhulu futhi kuvalwe ngokushesha. Ngakho-ke, ithumba livame ukubuya.

UMDLALO WESITHUNZI

Ukusikwa okuncane kungaliqeda ngokuphelele ithumba. Lokhu kudambisa izimpawu futhi kunikeze ukululama okusheshayo.

• Inqubo ingenziwa ngaphansi kwe-anesthesia yendawo ehhovisi lomhlinzeki.
• Ukusikwa okungu-1 kuya ku-2 cm kwenziwa endaweni yethumba. Umgodi uniselwa ngosawoti ojwayelekile. Ipayipi (ithubhu) lingafakwa bese lishiywa endaweni yalo amasonto amane kuya kwayisithupha. Lokhu kuvumela ukudonsa okuqhubekayo ngenkathi indawo iphola. Ukuthunga akudingeki.
• Kufanele uqale ukungena emanzini afudumele izinsuku ezi-1 ukuya kwezi-2 ngemuva kwalokho. Awukwazi ukuya ocansini kuze kukhishwe ipayipi.

Ungacelwa ukuthi ube nama-antibiotic uma kukhona ubomvu noma ezinye izimpawu zokutheleleka.

MARSUPIALIZATION

Abesifazane bangalashwa ngokuhlinzwa okuncane okubizwa nge-marsupialization.

• Le nqubo ifaka ukudala ukuvulwa okuyindilinga eceleni kwe-cyst ukusiza ukukhipha indlala. Ithumba liyasuswa. Umhlinzeki ubeka iziqu emaphethelweni e-cyst.
• Inqubo kwesinye isikhathi ingenziwa emtholampilo ngemithi yokundikaza indawo. Kwezinye izimo, kungadinga ukwenziwa esibhedlela nge-anesthesia ejwayelekile ukuze ulale futhi ungabi nezinhlungu.
• Kufanele uqale ukungena emanzini afudumele izinsuku ezi-1 ukuya kwezi-2 ngemuva kwalokho. Awukwazi ukuya ocansini amasonto ama-4 ngemuva kokuhlinzwa.
• Ungasebenzisa imithi yezinhlungu zomlomo ngemuva kwenqubo. Umhlinzeki wakho angakunikeza imithi yezinhlungu uma ufuna.

UKUJABULA

Umhlinzeki wakho angancoma ukuthi izindlala zisuswe ngokuphelele uma amathumba elokhu ebuya.

• Le nqubo ifaka phakathi ukususwa kokuhlinzwa kwalo lonke udonga lwe-cyst.
• Ngokuvamile kwenziwa esibhedlela ngaphansi kwe-anesthesia ejwayelekile.
• Awukwazi ukuya ocansini amasonto ama-4 ngemuva kokuhlinzwa.

Ithuba lokululama ngokugcwele lihle kakhulu. Amathumba angabuya ezimweni ezimbalwa.

Kubalulekile ukwelapha noma yikuphi ukutheleleka kwesitho sangasese sowesifazane okutholakala ngasikhathi sinye njengethumba.

Shayela umhlinzeki wakho uma:

• Uqaphela isigaxa esibuhlungu, esivuvukile kuma-labia eduze kwesikhala sangasese futhi asithuthuki ngezinsuku ezimbili kuya kwezingu-3 zokwelashwa kwasekhaya.
• Ubuhlungu bukhulu futhi buphazamisa umsebenzi wakho ojwayelekile.
• Unenye yalawa ma-cysts futhi uthuthukisa umkhuhlane ongaphezu kuka-100.4 ° F (38 ° C).

Ithumba - Bartholin; Indlala ye-Bartholin enegciwane

• I-anatomy yokuzala yabesifazane
• I-Bartholin cyst noma ithumba

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I-Dolan MS, i-Hill C, i-Valea FA. Izilonda ze-Benign gynecologic: isisu, isitho sangasese sowesifazane, umlomo wesibeletho, isibeletho, i-oviduct, i-ovary, i-ultrasound imaging yezakhiwo ze-pelvic. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 18.

USmith RP. I-Bartholin gland cyst / ithumba lamanzi. Ku: Smith RP, ed. Netter’s Obstetrics and Gynaecology. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 251.