Ukusuka kwamagciwane angaphansi komzimba emgodini emngceleni phakathi kwesigaba esiphakathi nesingaphansi kwesithathu kuvula umzila we-gland Bartholin, okhiqiza imfihlo ehlinzeka ngomswakama njalo emzimbeni futhi utholakala emathangeni angaphansi kwesigcawu esikhulu. I-duct excretory ingangena amabhaktheriya, amagciwane noma isikhunta, okuholela ekuvukeni okunamandla noma okungapheli kwe-gland - bartholinitis . Ngokuvamile, ukuvuvukala kubangelwa i-chlamydia, i-gonococci, i-trichomonads, kaningi kakhulu-staphylococci, streptococci, E. coli, amagciwane noma i-microflora ehlanganisiwe.
Indlela yokuphatha i-bartholinitis?
Ku-bartholinitis ephawulekayo, ikakhulukazi ekuthuthukiseni i-abscess ye-gland Bartholin, ukwelashwa okuhlinzekwa (ukuvulwa nokugcoba i-abscess) kusetshenziswa kuqala, kulandelwa ukuqokwa kwe-antibacterial, yokwelapha okulwa nokuvuvukala, okuvuselela ukuvuselela.
Ukwelashwa kwama-antibiotic we-bartholinitis equkethe ama-antibiotic ajwayelekile, ngokuvamile avunyelwe ngezibeletho. Ema-antibiotics asetshenziswe kakhulu, singabiza iqembu lama-cephalosporins 2-4 isizukulwane (Ceftriaxone, Cefuroxime, Cefotaxime, Ceftazidime, Cefoperazone, Cefepime). Ngaphambi kokuphikisana, ukubhekana nokugula, noma uma kunesidingo, ukuqokwa kwe-antibiotic yesibili, ama-antibiotic eqenjini le-fluoroquinolones (i-Ofloxacin, Levofloxacin, Ciprofloxacin noma i-Gatifloxacin) ngokuvamile lisetshenziswa ku-bartholinitis. Yikuphi ama-antibiotics okuphuza i-bartolinite, udokotela unquma, kodwa ngaphambi kokumisela ukwelashwa, lapho isiguli sinomdlavuza ongapheli, singachaza isiko kwi-microflora nokuzwela kwayo kuma-antibiotics.
E-flora exubekile, akuyona nje imithi elwa namagciwane ebizwa ngokuthi i-bartholinitis, kodwa amalungiselelo eqembu le-imidazole ( Trichopolum , Metronidazole, Ornidazole noma i-Metragyl yokuphathwa kweziguli).
Lapho ukwelashwa okuyinkimbinkimbi kwe-bartholinitis, izidakamizwa ze-antifungal zinqunywe kanye nama-antibiotics (i-Fluconazole, i-Ketoconazole).
Kusukela ekwelashweni okulwa nokuvuvukala kwendawo nge-bartolinite, isisombululo se-antiseptic (i-Chlorhexidine, i-Dekasan, i-Miramistin) sinqunywe kuma-tampons aswakanyiswe ngesisombululo.
Njengoba i-microflora, eyabangela ukuvuvukala, ifana nabo bobabili abalingani bezocansi, ukwelashwa okuyinkimbinkimbi yenkampani yokuthutha inqunywe kumuntu.