Chithandizo cha Bartholin's Cyst

Chithandizo cha chotupa cha Bartholin chimaphatikizapo kuchitapo kanthu pofuna kuchepetsa zizindikiro, kuthetsa chotupa, ndi kupewa matenda. Kusankha mankhwala kumatengera kuopsa kwa zizindikiro, kukula kwa chotupa, komanso kupezeka kwa matenda. Nthawi zina, njira zosavuta zothandizira kunyumba ndi njira zodzisamalira zingakhale zokwanira, pamene zovuta zowonjezereka zingafunikire chithandizo chamankhwala, kuphatikizapo opaleshoni.

Zizindikiro za Bartholin's Cyst

1. Chopanda Ululu: Chizindikiro chodziwika bwino ndi kachiphuphu kakang'ono, kosapweteka pafupi ndi khomo la nyini. Chotupa ichi chikhoza kukhala chosazindikirika ndipo chimatha kukula mosiyanasiyana.

2. Kusapeza bwino kapena Ululu: Ngati chotupacho chatenga kachilomboka, chingayambitse kusapeza bwino kapena kupweteka. Ululu umatha kumveka mukuyenda, kukhala, kapena panthawi yogonana.

3. kutupa: Malo ozungulira chotupa amatha kutupa, zomwe zimapangitsa kuti zikhale zovuta kuyenda bwino.

4. Kufiira ndi Kutentha: Pakachitika matenda, khungu lozungulira chotupa limatha kukhala lofiira komanso lofunda pokhudza, zomwe zikuwonetsa kutupa.

5. Kupanga Thumba: Chotupa cha Bartholin chomwe chili ndi kachilomboka chimatha kukhala chiphuphu, chomwe ndi malo odzaza mafinya omwe angayambitse kupweteka kwambiri komanso kusapeza bwino.

6. malungo: Ngati chiphuphu chatuluka, chikhoza kutsagana ndi kutentha thupi pang’ono pamene thupi likuyesera kulimbana ndi matendawa.

7. ngalande: Nthawi zina, chotupacho chimatha kukhetsa chokha, zomwe zimatsogolera kutulutsa mafinya kapena madzi ena.

8. Kuvuta Kuyenda Kapena Kukhala: Chifukwa cha kusapeza bwino komanso kupweteka, amayi ena amavutika kuyenda kapena kukhala nthawi yayitali.

Zifukwa za Bartholin's Cyst

Chotupa cha Bartholin chimapangika pamene zotupa za Bartholin, zomwe zili pafupi ndi khomo la nyini, zimatsekeka. Nazi zifukwa zazikulu:

1. Kutsekeka kwa Duct: Choyambitsa chofala kwambiri ndi kutsekeka kwa ngalande yomwe imanyamula madzi kuchokera ku tiziwalo ta Bartholin. Kutsekeka kumeneku kumapangitsa kuti madzi asatuluke bwino, zomwe zimapangitsa kupanga cysts.

2. Kutenga: Nthawi zina, matenda a gland kapena njira yake amatha kutupa ndi kutsekeka, zomwe zimapangitsa chotupa. Matenda opatsirana pogonana (STIs) monga chinzonono kapena chlamydia amathanso kuyambitsa matenda omwe amayambitsa cysts.

3. Kusintha kwa Hormonal: Kusintha kwa mahomoni, monga komwe kumachitika pa nthawi ya mimba kapena kusintha kwa thupi, kungakhudze tiziwalo timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi tambirimbiri.

4. Kuvulala kapena Kuvulala: Kuvulala kumaliseche kapena kuvulala pa nthawi yobereka kungayambitse kutupa ndi kutsekereza njira zomwe zimapangitsa kuti pakhale chotupa.

5. Zotupa Zotupa: Zinthu zomwe zimayambitsa kutupa, monga matenda otupa m'chiuno (PID), zimatha kukhudza tiziwalo timene timatulutsa Bartholin ndikuthandizira kupanga chotupa.

6. Genetic Factors: Amayi ena amatha kukhala ndi zotupa za Bartholin chifukwa cha chibadwa chawo.

Bartholin's Cyst Risk Factors

Pali zinthu zingapo zomwe zingapangitse chiwopsezo chokhala ndi chotupa cha Bartholin:

1. Matenda opatsirana pogonana (STIs): Matenda monga gonorrhea kapena chlamydia amatha kuyambitsa kutupa ndi kutsekereza tiziwalo timene timatulutsa Bartholin, zomwe zimayambitsa ziphuphu.

2. Kusintha kwa Hormonal: Kusintha kwa mlingo wa mahomoni pa nthawi ya mimba, kusintha kwa thupi, kapena mankhwala opangira mahomoni amatha kusokoneza tiziwalo timene timatulutsa timadzi timene timapanga timadzi tambirimbiri komanso kuonjezera chiopsezo chopanga chotupa.

3. Previous Zowopsa: Kuvulala kapena kuvulala kumaliseche, monga kubadwa kwa mwana kapena ngozi, kumatha kutsekereza njira ya gland ndikuyambitsa ziphuphu.

4. Matenda Otupa m'chiuno (PID): Matendawa amayambitsa kutupa kwa ziwalo za m'chiuno ndipo zimatha kukhudza tiziwalo timene timatulutsa Bartholin, kuonjezera chiopsezo cha cysts.

5. Kutupa Kwambiri: Mikhalidwe yomwe imayambitsa kutupa kosatha m'dera lakumaliseche lingathandizenso kuti Bartholin's cysts apangidwe.

6. Age: Azimayi a msinkhu wobereka amatha kukhala ndi Bartholin's cysts poyerekeza ndi omwe ali ndi postmenopausal.

Bartholin's Cyst Prevention

Kupewa Bartholin's cysts kumaphatikizapo njira zingapo zosavuta:

1. Yesetsani Kugonana Motetezedwa: Gwiritsani ntchito makondomu ndi kuyezetsa matenda opatsirana pogonana pafupipafupi kuti muchepetse chiopsezo cha matenda omwe angatseke tiziwalo ta Bartholin.

2. Khalani Waukhondo Wabwino: Sungani kumaliseche kwaukhondo ndi kouma kuti mupewe matenda ndi kutsekeka.

3. Kuyezetsa Thanzi Nthawi Zonse: Pitani ku chipatala kuti mukayezetse chiuno kuti muzindikire zovuta zilizonse msanga.

4. Sinthani Kusintha kwa Ma Hormonal: Kambiranani chithandizo cha mahomoni kapena kusintha ndi dokotala wanu kuti muchepetse zotsatira zake pa thanzi la gland.

5. Pewani Zowopsa: Samalani kuti musavulale kapena kuvulala kumaliseche.

Bartholin's Cyst Diagnosis

Vulva nthawi zambiri imawunikiridwa kuti ipeze chotupa cha Bartholin kapena chiphuphu. Asanamupime, dokotala wachikazi angafunse za zizindikiro zake ndi mbiri yake. Mayesero omwe ali pansipa akuperekedwa kuti adziwe matenda a Bartholin's cysts kapena abscesses:

1. Mayeso a Chiuno: Pakuwunikaku, gland ya Bartholin imawonedwa ndikumveka ngati pali vuto lililonse, monga chotupa chosapweteka kapena chiphuphu chowawa chomwe chili pafupi ndi khomo la nyini.
2. Matenda opatsirana pogonana kapena mabakiteriya: Ngati akukayikira kuti matenda opatsirana pogonana akuganiziridwa, akatswiri azachikazi angatenge chitsanzo cha kumaliseche kwa namwali kuti ayese matenda opatsirana pogonana kapena mabakiteriya ena.
3. Chisokonezo: Kuthandizira kwachipatala kungaphatikizepo kutenga chikhalidwe kapena biopsy ya chotupa kuti muwone ngati muli ndi matenda kapena khansa; biopsy imalangizidwa kwa amayi opitilira zaka 40 kapena amayi omwe ali ndi postmenopausal kuti aletse khansa.
   
   

Kuchiza Bartholine cryst, pali mitundu yambiri yamankhwala yomwe munthu angatsatire kuti achire ku ululu ndi matenda.

1. Ma compresses Ofunda: Kugwiritsa ntchito compresses otentha kumalo okhudzidwa kumathandiza kulimbikitsa ngalande ndi kuchepetsa ululu. Njira yosavuta komanso yosasokoneza iyi ikhoza kukhala yothandiza kwa ma cysts ang'onoang'ono, osavuta.

2. Masamba a Sitz: Kusambira kwa Sitz kumaphatikizapo kuviika malo omwe akhudzidwawo m'madzi ofunda kuti alimbikitse ngalande za cyst ndikuchepetsa kutupa. Njirayi ingathe kupereka chithandizo cha zizindikiro ndikuthandizira kuchira.

3. Kudula ndi Kutulutsa: Ngati chotupacho chikhala ndi kachilombo kapena chimayambitsa kusapeza bwino, katswiri wazachipatala atha kupanga opaleshoni yaying'ono yotchedwa incision and drainage. Pansi pa opaleshoni ya m'deralo, kachidutswa kakang'ono kamapangidwa mu chotupa kukhetsa madzi ochuluka. Njirayi imapereka mpumulo mwamsanga ndipo ikhoza kutsatiridwa ndi kuika katheta kakang'ono kuti madzi aziyenda.

4. Marsupialization: Ngati cysts imabwereranso kapena kukhala yaikulu, marsupialization ikhoza kulimbikitsidwa. Opaleshoniyi imaphatikizapo kupanga kutsegula kosatha mu chotupa, kulola kukhetsa mosalekeza ndikuletsa mapangidwe amtsogolo a chotupa. Nthawi zambiri amachitidwa pansi pa anesthesia wamba kapena wamba.

5. Chisangalalo: Nthawi zambiri pamene njira zodzitetezera zikalephera kapena ngati pali nkhawa zokhudzana ndi matenda, kudulidwa kwa gland ya Bartholin kungakhale kofunikira. Njirayi imachotsa chithokomiro chonse ndi chotupa choyandikana nacho, kuchepetsa chiopsezo choyambiranso. Excision ikuchitika pansi pa anesthesia.

6. mankhwala: Ngati pali umboni wa matenda, monga kutentha thupi, kupweteka kwambiri, kapena kupanga abscess, njira ya maantibayotiki ikhoza kuperekedwa. Maantibayotiki amathandiza kuchotsa matenda komanso kupewa kufalikira.

Njira Zina Zochiritsira za Bartholin's Cyst

Pali njira zina zochizira matenda a Bartholin's Cyst, koma sizodziwika komanso sizigwiritsidwa ntchito kawirikawiri m'malo ena chifukwa sizipezeka kawirikawiri.

1. Carbon dioxide laser: Mumankhwala awa, mpweya woipa wa laser umapanga kutsegula pakhungu la vulvar kuti kukhetse chotupacho. Chotupacho chikhoza kuchotsedwa, kuwonongedwa ndi laser, kapena kusiyidwa ndi dzenje la madzimadzi.
2. Kusintha kwa Silver nitrate gland: Silver nitrate imagwiritsidwa ntchito poyambitsa mitsempha yamagazi komanso njira zochotsera gland. Amapanga chotupa m'chibowo cha chotupa, chomwe chimatuluka ndodo isanalowedwe. Chotupacho chimachotsedwa pakatha masiku 2-3, koma kuyaka kwa khungu kumatha kuchitika mwa odwala 1 mwa 5.
3. Sclerotherapy: Amagwiritsa ntchito mowa kapena silver nitrate pochiza ma cysts a Bartholin. Mankhwalawa amadzaza patsekeke ndi 70% mowa pambuyo pa ngalande. Mowa amasiyidwa kwa mphindi 5 mu chotupa kenako amachotsedwa.
4. Kufuna kwa singano: Pakulakalaka uku, chotupa chimakhetsedwa pogwiritsa ntchito singano ndi syringe.