Kev tshem tawm ntawm Bartholin gland cyst: kws kho mob teem sijhawm, kev ua haujlwm algorithm thiab rov ua haujlwm

Cov txheej txheem:

Kev tshem tawm ntawm Bartholin gland cyst: kws kho mob teem sijhawm, kev ua haujlwm algorithm thiab rov ua haujlwm
Kev tshem tawm ntawm Bartholin gland cyst: kws kho mob teem sijhawm, kev ua haujlwm algorithm thiab rov ua haujlwm

Video: Kev tshem tawm ntawm Bartholin gland cyst: kws kho mob teem sijhawm, kev ua haujlwm algorithm thiab rov ua haujlwm

Video: Kev tshem tawm ntawm Bartholin gland cyst: kws kho mob teem sijhawm, kev ua haujlwm algorithm thiab rov ua haujlwm
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Anonim

Nyob rau hauv tsab xov xwm, peb yuav xav txog yuav ua li cas tshem tawm Bartholin gland cyst tshwm sim.

Qhov no yog ib qho tshwm sim ntawm pathological uas feem ntau pom nyob rau hauv gynecology thiab kuaj pom feem ntau hauv cov poj niam ntawm hnub nyoog me nyuam uas ua rau lub neej kev sib deev. Nrog rau txhua yam kab mob thiab cov txheej txheem inflammatory, ib qho thaiv ntawm cov kab mob ntawm cov qog no tshwm sim. Cov kua dej pib nkag mus rau hauv cov kab noj hniav, lub labia o, thiab me me puag ncig tsim nyob rau hauv lawv. Yog tias nws qhov loj me me, nws, raws li txoj cai, tsis ua rau tus neeg mob tsis xis nyob, txawm li cas los xij, yog tias cov qog loj tuaj thiab muaj kev cuam tshuam los ntawm suppuration, kev phais yog tsim nyog los tshem tawm Bartholin gland cyst. Tus poj niam tau muab marsupialization, extirpation, lossis excision ntawm neoplasm.

tshem tawm bartholin gland cyst
tshem tawm bartholin gland cyst

Thaum twg yuav tsum tau phais?

Yog cov qog me me (tsis pub tshaj 2.5 centimeters), ces tsis tas yuav muaj kev phais. Hauv qhov xwm txheej no, tus neeg mob yuav tsum tau saib xyuas tas li los ntawm gynecologist, uas, siv ultrasound, tswj kev txhim kho ntawm tus kab mob. Hauv qee qhov xwm txheej, lub cyst tuaj yeem yaj ntawm nws tus kheej yam tsis muaj teebmeem tshuaj. Txawm li cas los xij, cystic neoplasms uas tau mus txog qhov loj me yog ib txwm muab tshem tawm hauv txoj kev ua haujlwm. Nws yog ib qho tseem ceeb rau kev cia siab tias cov qog 7-10 cm yuav daws tau.

Kev kho tshuaj yog qhov yuav tsum tau ua yog tias tus neeg mob tau kuaj pom tias:

  • kab mob fungal thiab qhov chaw mos;
  • E. coli kab mob;
  • lwm yam mob thiab kis kab mob.

Tom qab txheeb xyuas tus kab mob ua rau tus kab mob, tus kws kho mob gynecologist yuav tsum tau sau cov tshuaj tsim nyog. Yeej, dav-spectrum tshuaj tua kab mob thiab tshuaj tua kab mob yog siv los tiv thaiv kev loj hlob ntawm purulent inflammatory txheej txheem. Kev kho mob hauv zos kuj tau ua nrog tshuaj tua kab mob thiab tshuaj tua kab mob.

cyst

Kev phais phais yog tsim nyog nyob rau hauv rooj plaub uas qhov loj ntawm lub cystic tsim tau nce ntau, txij li cov qog loj tiv thaiv tus neeg mob los ntawm kev ua lub neej ib txwm muaj. Nrog nquag exacerbations ntawm no pathology, kev tshem tawm ntawm lub cyst yog nqa tawm tsis hais qhov loj ntawm benign neoplasm. Kev kho mob phais yog nqa tawm nyob rau hauv ntau txoj kev, nyob rau hauvNyob ntawm qhov degree thiab daim ntawv ntawm cov txheej txheem pathological, muaj cov teeb meem thiab kev noj qab haus huv ntawm tus neeg mob.

Thaum twg Bartholin's cyst tshem tawm?

Indications rau kev phais

Cov lus qhia tseem ceeb rau kev phais:

  • mob lossis rov ua dua;
  • kev loj hlob sai ntawm qog nqaij hlav;
  • nrog cov txheej txheem purulent;
  • tsis kho fistulas tom qab nws tus kheej daws qhov abscess;
laser tshem tawm bartholin gland cyst
laser tshem tawm bartholin gland cyst

Thaum lub cyst tawg, cov txheej txheem pathological yog nrog los ntawm qhov mob tsis txaus ntseeg. Nrog rau cov tsos mob zoo li no, kev tshem tawm thaum muaj xwm txheej ceev ntawm cov qog Bartholin, tom qab ntawd tus neeg mob tau muab tshuaj tua kab mob. Xws li manipulations yog ua nyob rau hauv cov tshuaj loog. Nrog rau kev tshem tawm tag nrho ntawm lub cev, muaj ntau yam tshwm sim.

Bartholin's cyst tshem tawm li cas?

Ua ntej tshaj, kev phais yog qhia rau cov txheej txheem purulent inflammatory. Yav dhau los, tus kws kho mob tshwj xeeb yuav muab tshuaj tua kab mob. Qee qhov xwm txheej, xws li kev kho mob tso cai tsis yog phais tshem tawm ntawm qhov tshwm sim ntawm cov txheej txheem inflammatory ntawm cov kab mob excretory, nrog rau kev kho nws cov patency.

Qhov qhib ntawm cov qog nqaij hlav zoo nkauj thiab ntxuav nrog cov tshuaj tua kab mob yog deb ntawm ib txwm siv txoj hauv kev zoo, txij li ntau tus poj niam tau ntsibrov qab. Los ntawm qhov chaw mos, ntau yam kab mob nkag mus rau hauv lub cev ntawm tus poj niam. Yog hais tias lub excretory ducts ntawm lub caj pas tsis rov qab los, ces qhov tsis zoo yuav tshwm sim. Tom qab cov txheej txheem phais, physiotherapy thiab immunostimulating kho yuav tsum tau.

Txoj kev tshem tawm ntawm caj pas

Qee zaum, cov kws tshaj lij pom zoo kom siv cov kev ntsuas hnyav, uas muaj nyob rau hauv kev tshem tawm tag nrho, qhov no tso cai rau koj kom 100% zam kev exacerbations.

Kev tawm ntawm lub caj pas yog hom radical tshaj plaws ntawm kev kho mob phais.

Kev ua haujlwm kom tshem tawm cov qog qog nqaij hlav yog tias lwm hom kev kho mob tsis ua rau muaj qhov zoo. Nrog kev pab ntawm extirpation, koj muaj peev xwm ib zaug thiab rau tag nrho cov tsis nco qab txog xws li ib tug teeb meem. Txawm li cas los xij, tom qab ua haujlwm, qhov ua tau zoo ntawm kev sib deev muaj peev xwm ua tau: dryness ntawm qhov chaw mos mucosa vim tsis muaj zog ua hauj lwm ntawm ib lub caj pas, uas ua rau tsis xis nyob thiab tsis xis nyob thaum sib deev.

Tom qab kev phais kom tshem tawm Bartholin's cyst
Tom qab kev phais kom tshem tawm Bartholin's cyst

Ntxiv rau, cov suture tom qab tshem tawm ntawm Bartholin gland cyst tuaj yeem cuam tshuam.

Tom qab tshem tawm cov cyst, ib qho caws pliav loj tseem nyob hauv thaj chaw phais, yuav tshwm sim fistula lossis hematoma. Kev puas tsuaj rau cov phab ntsa venous thaum lub sijhawm ua haujlwm yog fraught nrog kev txhim kho los ntshav. Kev tshem tawm yog nqa tawm raws li kev siv tshuaj loog, yog li kev ua haujlwm tsuas yog ua rau cov poj niam uas nquag tso tshuaj loog. Kev kho mob hauv tsev kho mob yuav kav ntev li ib lub lis piam, yog tiasteeb meem postoperative lub sij hawm yuav kav mus txog rau ib lub hlis. Xav txog cov txiaj ntsig saum toj no, kev tshem tawm tag nrho ntawm Bartholin caj pas tsuas yog raug mob hnyav nrog kev rov ua haujlwm tsis tu ncua ntawm cov txheej txheem pathological.

In chronic form

Nyob rau hauv daim ntawv mob ntawm tus kab mob, relapses feem ntau tshwm sim, nws tus kheej-qhib abscesses thiab lwm yam kab mob tuaj yeem tshwm sim. Kev qhib kev tsim yuav tsum tau nqa tawm hauv tsev kho mob nkaus xwb, qhov chaw kho tshuaj tua kab mob kom zoo, cov kab noj hniav raug ntxuav ntawm cov ntsiab lus purulent, thiab kho qhov txhab kom raug.

Nws tsis tuaj yeem tso cov kab noj hniav kom tshem tawm cov kua paug hauv tsev. Thiab yog hais tias tus kab mob nkag mus rau hauv cov hlab ntsha, sepsis tuaj yeem txhim kho, uas, tsis muaj kev pab raws sijhawm los ntawm kws kho mob, tuaj yeem ua rau tus neeg mob tuag. Qhov nrov tshaj plaws laser tshem tawm ntawm Bartholin gland cyst.

tshem tawm bartholin gland cyst
tshem tawm bartholin gland cyst

Sparing surgical kho mob

Muaj ntau txoj hauv kev ntawm kev kho mob phais ntawm cov hlwv, uas yog tsom tsis tau tsuas yog qhib kev tsim thiab tshem tawm cov kab mob pathological, tab sis kuj tseem txhim kho cov kab mob excretory tshiab. Txoj hauv kev tseem ceeb los ua haujlwm kom tshem tawm Bartholin's cyst tuaj yeem ua raws li hauv qab no:

  1. Marsupialization ntawm lub cyst yog ib txoj hauv kev tsom rau kev tsim cov ducts tshiab. Qhov kev ua haujlwm no yuav siv sijhawm li 30 feeb. Txhua yam yog ua tiav ntawm tus neeg mob sab nraud nrog kev siv tshuaj loog. Tom qab tshuaj loog, tus kws kho mob ua ib tug dissection ntawm lub labia, tshem tawm cov pathologic altsim, ua ke nrog nws cov ntsiab lus, ntxuav cov kab noj hniav nrog cov tshuaj antiseptic. Ib tug catheter yog muab tso rau ntws cov kua. Yog tias thaj chaw ntawm kev phais mob hnyav heev, ces qhov kev phais yog ua ob qho tib si ntawm cov mucous membrane thiab ntawm lub cyst. Tom qab ntawd, lub cyst plhaub yog sutured, tsim ib tug tshiab excretory duct. Cov kev kho mob tom qab no tshwm sim yam tsis muaj tshuaj kho mob. Cov txheej txheem no tso cai rau koj kom normalize lub qog ua haujlwm, tshem tawm cov txheej txheem inflammatory, thiab tiv thaiv kev txhim kho ntawm abscess.
  2. Eluscation ntawm ib lub cyst yog ib tug manipulation nyob rau hauv uas ib tug qhib ntawm ib tug cystic tsim yog ua, ua raws li los ntawm lub caj pas. Lub cyst yog husked thiab kho nrog antiseptics. Tom qab kev kho mob phais, ib lub qhov dej yog tso los ntawm qhov uas cov kua dej ntws tawm ntawm cov kab noj hniav. Tom qab ua tiav kev kho mob, lub catheter raug tshem tawm, thiab ib qho excretory duct tshiab tsim nyob rau hauv nws qhov chaw. Qhov no yog ib txoj haujlwm nyuaj uas yuav tsum tau saib xyuas zoo. Thaum lub sijhawm txheej txheem, tus kws tshaj lij txiav cov ntaub so ntswg hauv thaj tsam ntawm labia minora, thaum sim tsis txhob kov lub cyst kom tsis txhob tawg, txwv tsis pub nws cov ntsiab lus tuaj yeem nkag mus rau hauv qhov txhab, ua rau muaj kev sib kis. Bartholin gland cyst phais yog ua los ntawm tus neeg mob sab nraud raws li tshuaj loog hauv zos. Tom qab nws ua tiav, tus neeg mob tau muab tshuaj tua kab mob, kho lub cev thiab tshuaj tiv thaiv kab mob.
  3. laser tshem tawm bartholin gland cysts
    laser tshem tawm bartholin gland cysts
  4. Tshem tawm ntawm Bartholin gland cyst nrog lub laser yog ib txoj hauv kev nrov thiab zoo heev nrog ntau qhov zoo. Lub siab precision ntawm laser beams ua rau nws muaj peev xwm tsis cuam tshuam rau cov ntaub so ntswg noj qab nyob zoo. Nyob rau hauv lub zog ntawm lub laser, lub neoplasm yog instantly evaporated, vim li ntawd, lub excretory duct yog cleared thiab resumes nws physiological functions. Kev tshem tawm ntawm Bartholin gland cysts nrog lub laser yog qhov mob thiab tsis muaj ntshav, lub sijhawm tsuas yog 10 feeb xwb, thiab tsis tas yuav tsum muaj tus neeg mob mus pw hauv tsev kho mob. Tom qab tshem tawm ntawm Bartholin gland cyst nrog lub laser, lub cev rov qab sai sai, muaj qhov tsawg kawg nkaus ntawm kev rov ua dua. Qhov tsuas yog qhov tsis zoo yog tus nqi siab ntawm kev ua haujlwm, txij li vaporization yog nqa tawm siv cov cuab yeej kim.
  5. Kev teeb tsa ntawm lo lus-catheter yog ib txoj hauv kev tshiab niaj hnub no ntawm kev tshem tawm Bartholin gland cysts, uas cuam tshuam rau kev qhib lub cyst thiab ua tiav nws cov kab noj hniav, tom qab ntawd lub silicone catheter nyob rau hauv daim ntawv ntawm lub raj nrog ib lub hnab muab tso rau. sab hauv. Xws li ib tug tsim yog tsis tso cai rau overgrow cov phab ntsa ntawm lub cystic kab noj hniav thiab lub duct tseem qhib. Tom qab ib lub hlis, lub catheter raug tshem tawm raws li cov kab noj hniav yog ntim nrog epithelial hlwb. Kev ua haujlwm yuav siv sijhawm li 10 feeb, thiab tom qab ntawd tsis ua rau muaj teeb meem. Tom qab cov txheej txheem, kom txog thaum lub catheter raug tshem tawm thiab qhov chaw ua haujlwm kho tau zoo, txwv tsis pub muaj kev sib deev. Qhov txiaj ntsig tseem ceeb ntawm cov txheej txheem no yog qhov tshwm sim tsawg heev ntawm kev rov tshwm sim.
  6. Aspiration ntawm lub cyst, uas yog ib tug yooj yim txoj kev uas yog ua thaum nws yog tsim nyog los khiav tawm cov ntsiab lus ntawm lub cystic tsim. Thaum lub sij hawm txoj kev no, nyob rau hauv nruab nrab ntawm lub cystib rab koob ntev yog muab tso rau, tom qab uas cov kab mob zais cia yog pumped tawm nrog ib tug syringe. Thaum lub sijhawm ua haujlwm, kev tshuaj xyuas ultrasound tau ua. Cov kua dej yog xa mus rau kev kuaj cytological los txiav txim qhov ua rau ntawm pathology. Yeej, txoj kev no yog siv thaum cev xeeb tub, thaum lwm txoj kev kho mob phais yog contraindicated. Lub ntsiab kom zoo dua yog tias tom qab tshem tawm ntawm Bartholin gland cysts, tsis muaj sutures. Txawm li cas los xij, tom qab aspiration, excretory duct ntawm lub caj pas tsis yog tag nrho rov qab los, thiab feem ntau, tom qab ib lub sij hawm, cov kab mob pathological tshwm sim dua.

Post-op thiab rov qab

Tom qab tshem tawm ntawm Bartholin gland cyst, lub sijhawm tom qab phais yog txawv rau txhua tus.

Txhawm rau txo qhov yuav tshwm sim tom qab phais mob, tus neeg mob tau muab tshuaj tiv thaiv kab mob, nrog rau kev kho lub cev. Txog thaum lub qhov txhab zoo lawm, koj yuav tsum tsis txhob sib deev.

Kev rov qab los tom qab tshem tawm Bartholin's cyst feem ntau yog nrawm.

Yog tias ua tiav kev tshem tawm ntawm lub caj pas, lub sijhawm tom qab phais yuav ncua ntev. Qhov nqaij tawv nqaij thiab o tshwm sim hauv qhov chaw ntawm qhov chaw mos, uas ploj mus qeeb heev.

suture tom qab tshem tawm ntawm Bartholin gland cyst
suture tom qab tshem tawm ntawm Bartholin gland cyst

Kev rov qab los tom qab tshem tawm ntawm Bartholin lub caj pas, xws li nyob rau hauv cov ntaub ntawv ntawm excision ntawm lub cyst, yog txuam nrog kev tshem tawm cov kab mob uas ua rau lub pathology. Cov tshuaj tua kab mob raug sau kom ua tiav cov hom phiaj hauv qab no:

  • tus nqi qiskev pheej hmoo kis tus kab mob thoob plaws lub cev (piv txwv li, cov poj niam uas muaj kev tiv thaiv kab mob los yog cev xeeb tub);
  • tshem tawm cov tsos mob ntawm tus kab mob hauv lub cev (ua npaws, ua npaws);
  • tawm tsam cov kab mob ua rau kab mob gonorrhea, chlamydia, methicillin-resistant Staphylococcus aureus, pom thaum kawm cov kua paug los ntawm lub cyst.

Txoj kev kho mob uas tsim nyog tshaj plaws yog xaiv los ntawm tus kws kho mob tshwj xeeb, tom qab ntawv pom zoo nrog tus neeg mob.

Kev Tiv Thaiv

Rau lub hom phiaj tiv thaiv, cov poj niam yuav tsum tau siv cov tshuaj tiv thaiv kab mob, ua raws li cov cai ntawm kev nyiam huv ntawm tus kheej, suav nrog thaum lub sijhawm thiab tom qab kev sib raug zoo, kho cov kab mob thiab kis mus rau qhov kawg, mus ntsib kws kho mob hauv tsev kho mob txhua rau lub hlis. Tsis tas li ntawd, cov ntxhais hluas thiab cov poj niam uas muaj hnub nyoog yug me nyuam yuav tsum tau xyuas kom meej tias lawv ob txhais taw sov so, kom tsis txhob muaj tus kab mob hypothermia, uas yog qhov tshwm sim ntawm tus kab mob no. Yuav ua li cas tom qab phais tshem tawm Bartholin's cyst? Hauv qab no yog cov lus pov thawj los ntawm cov poj niam uas tau phais.

Reviews

Bartholin's cyst niaj hnub no tshwm sim nyob rau hauv kwv yees li 9 tus poj niam ntawm 100, thiab cov no yog tus nqi siab heev. Dab tsi yog vim li cas rau qhov kev loj hlob ntawm cov kab mob no, cov kws kho mob tseem tsis tau paub meej, txawm li cas los xij, hauv cov chaw kho mob tam sim no, cov neeg mob tuaj yeem muab ntau txoj hauv kev los daws qhov teeb meem no sai sai.

Bartholin gland cyst tshem tawm xyuas
Bartholin gland cyst tshem tawm xyuas

Tshaj tawm ntawm kev tshem tawm cystmuaj ntau ntau ntawm Bartholin cov qog, thiab lawv muaj ntau haiv neeg. Judging los ntawm cov ntaub ntawv muaj nyob rau hauv lawv, extirpation ntawm lub caj pas yog feem ntau ua. Cov poj niam uas tau txais kev kho mob zoo li no hais tias qhov no yog txoj kev kho mob tshaj plaws, tshwj xeeb tshaj yog cov mob hnyav heev. Relapses tom qab nws tsis tshwm sim, tab sis muaj ntau lwm yam tsis zoo tshwm sim. Qhov teeb meem tseem ceeb yog nyob rau hauv cov neeg mob lub zais zis los ntawm lub caj pas cuam tshuam, uas yog vim li cas qhov chaw mos mucosa tas li dries tawm, uas ua rau inconvenience tsis tau tsuas yog thaum lub sij hawm kev sib deev, tab sis kuj nyob rau hauv lub neej.

Cov txheej txheem zoo tshaj plaws yog, raws li cov neeg mob, kev kho mob laser. Tom qab tshem tawm ntawm Bartholin gland cyst nyob rau hauv txoj kev no, raws li cov poj niam hais tias, lub xeev ntawm kev noj qab haus huv yog sai sai, relapses yog heev tsawg, thiab tsis muaj qhov tshwm sim tsis zoo. Raws li cov neeg mob, qhov no yog txoj kev kho mob ntau tshaj plaws thiab tsis mob tshaj plaws.

Pom zoo: