Kodi zifukwa zikuluzikulu za chitukuko cha bartholinitis ndi chiyani?
Matendawa amayamba pamene tizilombo toyambitsa matenda timalowa mkati mwachindunji. Pa nthawi yomweyi, nthawi zambiri matendawa amakhala limodzi ndi matendawa monga gonorrhea, chlamydia, trichomoniasis. Komabe, kawirikawiri bartolinite mwa amayi imakwiyitsidwa ndi matenda a tizilombo toyambitsa matenda monga streptococcus, staphylococcus, E. coli, ndi zina zotero.
Zokhudza njira zolowera tizilombo toyambitsa matenda, zimalowa mumatope a chiberekero kuchokera ku urethra kapena kumaliseche kwa matenda monga urethritis, colpitis. Koma musalole kuti mutha kutenga kachilombo koyambitsa matenda m'magazi ndi magazi kapena mitsempha yothamanga pamaso pa matenda akuluakulu a thupi.
Kuwonjezera apo, zifukwa zotsatirazi zimathandiza kuti chitukuko chikule:
- kusasunga malamulo a ukhondo wochuluka;
- Kukhalapo kwa microtraumas (kumenyana kumalo odyera, kumang'amba kugonana ndi chinyezi chokwanira);
- kuvala zovala zamkati;
- kuchita chiwerewere;
- kuphwanya chitetezo cha mthupi;
- Njira zothandizira opaleshoni.
Kodi zizindikiro za bartholinitis zimawoneka bwanji kwa akazi?
Matendawa ali ndi mitundu yosiyanasiyana: imakhala yovuta komanso yambiri. Makamaka, choyamba chimadziwika ndi kupezeka kwa zizindikiro ndi zodandaula mwa amayi. Matenda a bartholinitis amatha nthawi zambiri ndipo nthawi zina msungwana sangadziwe konse za kukhalako kwake.
Kaŵirikaŵiri, chifuwa cha gland chimawonedwa mbali imodzi. Choyamba, mmalo mwa osowa pang'ono, mkazi amatha kuona tinthu tating'onoting'onoting'ono kofiira. Ili pafupi mozungulira kutsekula kwa ngalande ya Bartholin. Zimatchulidwanso kupezeka kwachinsinsi kuchokera pamenepo. Pakati pa palpation, ngakhale mkaziyo nayenso akhoza kuyang'anitsitsa kayendedwe kameneka, kamene kakuwonekera pamwamba pa khungu. Pogwiritsira ntchito, pang'onopang'ono pamakhala kusungulumwa, komwe nthawi zina kumakhala ndi khalidwe loyera.
Patapita kanthawi, pakuwona edema ikukula, pali kutsekedwa kwa makonzedwe omwe, omwe amatsutsana ndi kutuluka kwachinsinsi. Izi zimabweretsa chitukuko cha bartholinitis, chomwe kwenikweni chimadziwika ndi kuwonjezeka kwa tizilombo tochepa, kufiira kwake, kupweteka ndi kutupa. Chifukwa chosowa chithandizo chamankhwala kwa nthawi yayitali komanso palibe mankhwala, chitsimikizo chabodza chikhoza kukula.
Kodi mungatani kuti mukhale ndi matenda otchedwa bartholinitis?
Ndikoyenera kudziwa kuti zenizeni za mankhwala pa matendawa zikudalira mwachindunji, kuuma ndi mtundu wa matendawa. Chifukwa chokhala ndi zizindikirozi, chithandizo chodziletsa komanso chithandizo chachikulu (chithandizo chochita opaleshoni) chikhoza kuchitidwa.
Maziko a njirayi ndi opangidwa ndi antibacterial mankhwala, analgesics ndi anti-inflammatory drugs.
Kuchiza kwa bartholinitis ndi mankhwala opha tizilombo kumachitika kwa masiku 7-10. Zambiri zomwe zimaperekedwa ndi mankhwala osokoneza bongo monga Azithromycin, Ceftriaxone, Ofloxacin, Ciprofloxacin, Clarithromycin, Ermithromycin.
Pamaso pa ululu, mankhwala opweteka amaperekedwa - Baralgin, Analgin.
Chitani matenda ngati bartholinitis, mungathe komanso kunyumba, makamaka panthawi yoyamba. Mankhwalawa amagwiritsidwa ntchito: kuphulika ndi madzi oundana pa tsamba la kutupa kwa mphindi makumi atatu, tamponi za gauze ndi mankhwala a hypertonic a 8-10% 3-6 pa tsiku (supuni 3 za mchere pa madzi okwanira 1 litre), pitirizani kuchizira ndi njira zowononga mankhwala ophera tizilombo toyambitsa matenda Miramistin, Chlorhexidine). Mankhwalawa amafunikanso mgwirizano ndi dokotala.