ʻO Bartholin cyst a i ʻole abscess

ʻO Bartholin abscess ke kūkulu ʻia o ka pā e hana i kahi puʻupuʻu (pehu) i kekahi o nā gland Bartholin. Loaʻa kēia mau glands ma kēlā me kēia ʻaoʻao o ka wehe ʻana o ka ʻōpū.

Hana ʻia kahi abscess Bartholin ke ālai ʻia kahi puka liʻiliʻi (duct) mai ke gland. Kūkulu ka wai i ke gland a lilo i maʻi. Kūkulu paha ka wai i nā makahiki he nui ma mua o ka holo ʻana o kahi abscess.

ʻIke pinepine ka abscess i nā lā he nui. E wela a wela ka ʻāina. ʻO ka hana e hoʻokau i ka vulva, a me ka hele wāwae a me ka noho ʻana, he mea ʻeha loa ia.

Pākuʻi ʻia paha nā ʻōuli:

• ʻO kahi puʻupuʻu palupalu ma nā ʻaoʻao ʻelua o ka wehe ʻana o ka ʻōpū
• ʻO ka pehu a me ka ʻulaʻula
• ʻEha me ka noho ʻana a i ʻole ka hele wāwae ʻana
• Fever, i ka poʻe me ka pale haʻahaʻa
• ʻEha me ka moekolohe
• Hoʻokuʻu hoʻokuʻu
• Kaomi puʻupuʻu

E hana ka mea mālama ola i kahi hōʻike pelvic. E hoʻonui a palupalu ke gland Bartholin. I nā hihia maʻamau, manaʻo ʻia kahi biopsy i nā wahine makua e nānā i kahi tumo.

E hoʻouna ʻia i kekahi ʻōpala a i ʻole ka hoʻokahe wai i kahi lab no ka hoʻāʻo ʻana.

MAU HAKU MALAMA OLE

ʻO ka pulu ʻana i ka wai mehana i 4 mau manawa i ka lā no kekahi mau lā hiki ke hōʻoluʻolu i ka pilikia. Hiki iā ia ke kōkua i ka abscess wehe a hoʻokahe iā ia iho. Eia naʻe, heʻuʻuku ka wehe ʻana a pani koke. No laila, hoʻi pinepine ka abscess.

KUHIKUHI O KA HIKI

Hiki i kahi ʻokiʻoki liʻiliʻi ke hoʻopau loa i ka abscess. Hoʻomaha kēia i nā ʻōuli a hāʻawi i ka hoʻōla wikiwiki loa.

• Hiki ke hana i ke kaʻina hana ma lalo o ka anesthesia kūloko i ke keʻena o kahi mea hoʻolako.
• Hana ʻia kahi ʻoki 1 a 2 cm ma ka pūnaewele o abscess. Hoʻopulu ʻia ka lua me ka saline maʻamau. Hoʻokomo ʻia paha kahi catheter (Tube) a waiho ma kahi no 4 a 6 mau pule. ʻAe kēia i ka hoʻokahe mau ʻana i ka wā e hoʻōla ai ka wahi. ʻAʻole koi ʻia nā Suture.
• E hoʻomaka ʻoe e pulu i ka wai mehana 1 a 2 mau lā ma hope. ʻAʻole hiki iā ʻoe ke moekolohe a hiki i ka lawe ʻia ʻana o ka catheter.

Nonoi ʻia ʻoe e loaʻa nā lāʻau ʻalopika inā loaʻa ka pā a me nā ʻōuli ʻē aʻe o ka maʻi.

MARSUPIALIZATION

Hiki ke mālama ʻia nā wahine me kahi ʻoki liʻiliʻi i kapa ʻia ʻo marsupialization.

• Hoʻopili ke kaʻina hana i ka wehe ʻana i kahi elliptical ma ke kaʻe e kōkua ai i ke kahena gland. Wehe ʻia ka abscess. Hoʻokomo ka mea hāʻawi i nā humuhumu ma nā kihi o ka cyst.
• Hiki ke hana i ke kaʻina hana i kekahi manawa i ka haukapila me ka lāʻau e hoʻopau i ka wahi. I nā hihia ʻē aʻe, pono paha e hana i ka haukapila me ka anesthesia āpau i hiamoe ʻoe a ʻaʻohe ʻeha.
• E hoʻomaka ʻoe e pulu i ka wai mehana 1 a 2 mau lā ma hope. ʻAʻole hiki iā ʻoe ke moe kolohe no 4 mau pule ma hope o ke kahakaha ʻana.
• Hiki iā ʻoe ke hoʻohana i nā lāʻau ʻeha o ka waha ma hope o ke kaʻina hana. Kauoha paha kāu mea hāʻawi i nā lāʻau ʻeha narcotic inā pono ʻoe iā lākou.

OLELO HOOLAHA

Kuhi paha kāu mea hāʻawi e kāpae loa i nā glands inā hoʻi mau nā abscesses.

• Hoʻopili ke kaʻina hana i ka wehe ʻana o ka paia cyst.
• Hana maʻamau i ka haukapila ma lalo o ka anesthesia ākea.
• ʻAʻole hiki iā ʻoe ke moe kolohe no 4 mau pule ma hope o ke kahakaha ʻana.

ʻO ka manawa kūpono o ka hoʻihoʻi piha ʻana he maikaʻi loa. Hiki i nā abscesses ke hoʻi i kekahi mau manawa.

He mea nui e mālama i nā maʻi āpau āpau e ʻike ʻia i ka manawa like e like me ka abscess.

Kāhea i kāu mea hāʻawi inā:

• ʻIke ʻoe i kahi puʻupuʻu ʻeha, pehu ma ka labia kokoke i ka wehe ʻana o ka ʻōpū a ʻaʻole maikaʻi ia me 2 a 3 mau lā o ka mālama ʻana i ka home.
• Kūpilikiʻi ka ʻeha a hoʻopilikia i kāu hana maʻamau.
• Loaʻa iā ʻoe kekahi o kēia mau cista a hoʻomohala i kahi kuni i ʻoi aku ma mua o 100.4 ° F (38 ° C).

Loaʻa ʻole - Bartholin; Hoʻopili ʻia ʻo Bartholin gland

• Anatomia hānau wahine
• ʻO Bartholin cyst a i ʻole abscess

ʻO Ambrose G, Berlin D. Incision a me ke kahawai. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 37.

ʻO Dolan MS, Hill C, Valea FA. Nā lehele wahine gynecologic Benign: ʻāpau, ʻōpua, ʻehaʻeha, uterus, oviduct, ovary, kiʻi ultrasound o nā pelvic. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 18.

ʻO Smith RP. ʻO Bartholin gland cyst / abscess drainage. I: Smith RP, hoʻoponopono. ʻO Netter's Obstetrics a me Gynecology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap 251.