Bartholinitis - mankhwala ndi maantibayotiki

Kuchokera ku mafuta ochepa omwe ali m'mimba mwa vaginali pamalire pakati pa pakati ndi kumapeto kwachitatu amatsegula njira yamtundu wa Bartholin, yomwe imapanga chinsinsi chomwe chimapangitsa kuti chinyontho chikhale chinyezi komanso chimakhala ndi mitsempha yochuluka. Njira yamakono imatha kudutsa mabakiteriya, mavairasi kapena bowa, zomwe zimapangitsa kuti thupi likhale lopweteka kwambiri kapena lachilendo. Nthawi zambiri kutupa kumayambitsa chlamydia, gonococci, trichomonads, kawirikawiri - staphylococci, streptococci, E. coli, mavairasi kapena microflora.

Kodi mungatani kuti mukhale ndi matenda otchedwa bartholinitis?

Mu tizilombo toyambitsa matenda, makamaka ndi chitukuko cha feteleza ya Bartholin, chithandizo cha opaleshoni (kutsegula ndi kuchotsa abscess) chimagwiritsidwa ntchito, chotsatira ndi kukhazikitsidwa kwa antibacterial, anti-inflammatory, retorative treatment.

Thandizo la antibiotic la bartholinitis lopweteka limaphatikizapo ma antibayotiki, omwe nthawi zambiri amaperekedwa parenterally. Mwa mankhwala omwe amagwiritsidwa ntchito kwambiri, tingatchule gulu la cephalosporins 2-4 (Ceftriaxone, Cefuroxime, Cefotaxime, Ceftazidime, Cefoperazone, Cefepime). Pamaso pa zotsutsana, kusokonezeka, kapena ngati kuli kotheka, kukhazikitsidwa kwa mankhwala achiwiri, maantibayotiki a gulu la fluoroquinolones (Ofloxacin, Levofloxacin, Ciprofloxacin kapena Gatifloxacin) nthawi zambiri amagwiritsidwa ntchito mu bartholinitis. Kodi antibayotiki amamwa chiyani pa bartolinite, dokotala amalingalira, koma asanayambe kulongosola chithandizo, pamene wodwala ali ndi matenda aakulu a bartholinitis, akhoza kupereka chikhalidwe cha microflora ndi kumvetsetsa kwa ma antibayotiki.

Mu zomera zosakaniza, si mankhwala okhawo omwe amalembedwa kuti akhale ndi bartholinitis, koma maimidazole omwe akukonzekera ( Trichopolum , Metronidazole, Ornidazole kapena Metragyl kwa marenteral administration).

Pa mankhwala ovuta a bartholinitis, mankhwala osokoneza bongo amalembedwa pamodzi ndi maantibayotiki (Fluconazole, Ketoconazole). Zilibe kanthu kuti ma antibayotiki amachiritsidwa ndi bartolinite - pafupifupi onse amachititsa chisokonezo m'mimba yachibadwa ya abambo ndipo amatha kuyambitsa thrush, chifukwa ma antitifungal amagwiritsidwa ntchito masiku asanu ndi atatu a mankhwala a antibiotic pofuna kupewa candidiasis.

Kuchokera kuchipatala cha anti-inflammatory ndi bartolinite, njira yothetsera antiseptic (Chlorhexidine, Dekasan, Miramistin) imayikidwa mu timamponi yothira mu njira.

Popeza kuti microflora, yomwe imayambitsa kutupa, ndi yofanana kwa onse ogonana nawo, zovuta zothandizira ogwira ntchitoyo zimaperekedwa kwa mwamuna.