Miscellaneous

Bartholinitis: photo, symptoms and treatment at home

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Bartolini - is an inflammatory pathology, associated usually with reduced immune defense or sexually transmitted diseases. Bartholin glands become inflamed - pair formation, which lies deep in the woman's labia lips.

The name they received the names who described their anatomy - Kaspora Bartolini, who studied the female reproductive system in the 17th century. The function of the auxiliary: they emit a small amount of mucus in the vestibule, which acts as a natural lubricant during intercourse.

When inflammation of the Bartholin glands increase in size, become painful and cause a woman to significant discomfort.

What it is?

Bartolini - acute infectious inflammatory disease of large Bartholin gland followed involving surrounding tissue to form a capsule filled with pus. In most cases, the disease affects one of the glands, bilateral inflammation is rare.

Causes of

Development bartholinitis caused infectious causes, i.e. direct ingress of pathogens in Bartholin gland.

  1. Often the agents of the disease are the infections that are spread through sexual contact. Most often it is gonococci and Trichomonas, chlamydia rarely.
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  2. But often it causes nonspecific bartholinitis microorganisms from the discharge pyogenic flora (Streptococcus, Staphylococcus and E. coli).
  3. Not excluded and fungal nature of the inflammatory process (fungi Candida).

Precipitating factors:

  • menstruation or end of the second phase of the cycle;
  • presence of chronic foci of infection (chronic tonsillitis or cavities can serve as a starting point in the development of the disease - pathogenic microorganisms Bartholin gland achieve haematogenous by);
  • neglect of personal hygiene rules;
  • weakening the body's defenses (antibiotic therapy, hypothermia, chronic stress, vitamin deficiency);
  • microtraumas in the vestibule and / or labia (e.g., depilation);
  • gynecological intrauterine intervention or surgery on the urinary tract in violation of rules of asepsis;
  • wearing narrow and tight underwear (compresses the gland excretory duct, for which reason the secret focuses in the cavity and infected gland);
  • inflammation of the vagina or the urethra (urethritis, vaginitis), when the infection is easily penetrates the gland excretory duct;
  • promiscuous sex (increased risk of infection with sexually transmitted diseases);

Depending on how the disease occurs, divide acute and chronic Bartholinitis that often recurs, so it is called recurrent.

Bartholinitis: Symptoms and photos

The very first symptom Bartholinitis in most cases is an inflammation ductless gland located in the vestibule of the vagina (see. Photo). Symptom manifested through holes redness appearance of the duct and minor purulent mucus.

Thus labia minor skin near the opening duct somewhat softened and palpation detected increase Bartholin gland excretory duct. This step preceding bartholinitis, the disease occurs when duct blockage, thickening and accumulation of mucus, and, as a consequence, the transition of the inflammatory process has directly on iron.

Inflammatory secret, continuing to accumulate in the lobules of the breast due to blockage of the flow will soon give rise to a false abscess. This state is already apparent through the following symptoms:

  1. Acute onset of severe pain, localized at the site of the formation of an abscess. The intensity of pain increases when sitting, during the walk, sex, going to the toilet.
  2. Weakness.
  3. Significant discomfort.
  4. Chills.
  5. High temperatures - up to 39 degrees;
  6. Swelling of the affected labia majora. At its severity may complete the entrance floor of the vagina.
  7. Flushing of the skin with preserving mobility.
  8. Soreness when touched.

As the progression of pathology swelling softened (with pressure fluctuation occurs) means that the occurrence of purulent capsule inside gland development and true abscess Bartholin gland.

Basically, the common symptoms are as follows:

  1. Increased pain to a great sex lip, which was formed by the pathology: pain is pulsating and constant.
  2. Deterioration general condition of the patient, characterized by a rise in temperature to 40 degrees and the increase of intensity of intoxication symptoms (fatigue, headache, chills, dizziness).
  3. Increase of leukocytes and ESR, reveals the results of laboratory analysis of blood.

Local signs of the emergence of the true abscess are:

  • bright red color of the skin over the swelling - while it is stationary;
  • sharp pain during palpation of swelling;
  • pronounced swelling of the labia majora, the volume of which can be significant;
  • in some cases, an increase in the inguinal lymph nodes.

Perhaps an independent autopsy abscess, in which there is a marked improvement in the patient's condition:

  • normalization of body temperature;
  • swelling reduction;
  • easing pain.

However, a significant stabilization state is not recovered. The resulting capsule is not emptied. Remains inside the prostate infection can cause recurrent abscess. In no case can not attempt to squeeze the abscess, as this infection can get into the bloodstream, spread throughout the body and lead to sepsis.

Diagnostics

Bartholinitis diagnosis establishes a gynecologist after the consultation and examination of the patient. Diagnosis usually requires no additional methods of investigation, but is suspected to another, similar to the symptoms the pathology doctor appoints:

  1. Urinalysis - may be detected at Bartolini trace concentrations of protein;
  2. Complete blood analysis - acute inflammatory process evident increase in the number of leukocytes, leukocyte formula left shift, increased erythrocyte sedimentation rate;
  3. A blood test for antibodies to pathogens of STI - allows you to set a possible causative agent.

Bakposev swab from the vagina, discharge from the Bartholin's gland - the most accurate way to identify pathogens and their sensitivity to antibiotics.

How to treat Bartolini?

At the first sign of symptoms of acute Bartholinitis and abscess appoint the following conservative treatment:

  • . Antibiotic (amoxicillin, ciprofloxacin, cefazolin, Clarithromycin, Trichopolum) - reception 7-10 days, usually combined two drugs from different groups;
  • analgesics (Baralgin, Ibuprofen);
  • irrigation disinfectants (chlorhexidine, Miramistin) grassy broths (oak bark, calendula, chamomile, etc...);
  • lotion with 8-10% salt solution for 30-40 min. 3-6 times a day;
  • physiotherapy (magnetotherapy, UHF) - it is advisable to hold for 3-4 days;
  • ointment (Vishnevsky, Levomekol) - maximum therapeutic effect is achieved by a combination of (one in the morning and one in the evening).

During treatment, unacceptable sexual contact. Warming bath (warm water, the duration of 10-15 min.) Are shown only at kanalikulite begun, water treatment in abscess abscess fraught opening inwardly.

Home Treatment

Means of traditional medicine can also be used - they have an anti-inflammatory effect and for a time relieve distressing symptoms.

Bartholinitis home treatment should be carried out only after consulting a doctor in parallel with the main conservative therapy.

In the chronic form is bartholinitis exacerbation shown sitz baths with infusion of chamomile, marigold, eucalyptus for 15-20 minutes. During exacerbation of symptoms of the disease can be used in combination with the basic treatment (e.g., in conjunction with antibiotics) for rapid relief of symptoms. However, it should be remembered that all the folk remedies have only a temporary effect and does not heal Bartolini.

Surgery

In the presence of an abscess or cyst Bartholin gland strictly surgical treatment.

When asbtsessah purulent center opened, its contents are removed. The cavity is treated with disinfectant solutions (3% hydrogen peroxide). The drainage chamber is introduced the rubber tube to drain pus discharge, which was removed on day 5-6 after surgery. In parallel with surgical treatment is prescribed antibiotics, vitamins.

In the first days after surgery, the wound should be thoroughly treated with a solution of hydrogen peroxide or furatsilina. When pus ceases to be separated, the cavity must enter turunda with levomekol or ointment Vishnevsky. After 5 days after the surgery the patient may be discharged from the hospital and outpatient treatment translate.

Recommended antibiotics (taking into account the sensitivity to them) are shown physiotherapy, desensitization therapy. In addition, it is important to carefully observe good personal hygiene and not to wear oppressive underwear.

prevention

Preventive actions:

  1. Monogamous lifestyle, the use of condoms.
  2. Timely delivery of Vaginal against inflammation.
  3. Control of the normal vaginal microflora and its recovery.
  4. Good nutrition, moderate exercise, vitamins, tempering, smoking cessation and alcohol.

As a preventive measure we recommend an annual inspection at the gynecologist at least twice a year, regardless of health status. This will allow time to identify and cure the inflammation of Bartolini at an early stage.

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