Bartolini women. The symptoms and treatment stage image, as a treat pregnancy, antibiotics, ointments, operation

A number of diseases associated with damage to the genitals, only occurs in women because of the special structure of the urogenital system. One of the most common pathologies is the Bartolini. This disease often requires an urgent visit to the gynecologist, who will examine the symptoms of disease and prescribe effective treatment.

What are Bartolini

At the bottom of the external genitalia is a small two-way body - Bartholin's glands. It is a particular soft tissue from which the ducts extend to the withdrawal secretion. The length of each of them can reach 5-6 cm. gland channels are very narrow and have an outlet in the area of ​​the labia minora and the vestibule.

Bartholin body is needed to protect the walls of the vagina by microtrauma and dryness. Iron is normally not detected by palpation.

After contact of various microorganisms or organ injury, it inflamed tissue, and the ducts are sealed. This provokes the formation inside the prostate capsule with liquid contents. In the absence of proper treatment begins to accumulate within the pus. This process is Bartholinitis.

The causes of disease development

One of the causes of inflammation of the Bartholin's gland - pathogens.

They can get into the body:

• mechanical way: from the vagina or rectum;
• with blood from other inflammatory foci within the body.

Bartholinitis may develop due to:

• uncomfortable underwear made of synthetic materials;
  
• entry of microorganisms into body ducts: Chlamydia; Trichomonas; streptococci; Neisseria gonorrhoeae; Escherichia coli; Candida; Klebsiella; enterococci;
• the lack of basic hygiene hands and genitals;
• microtrauma of the vaginal mucosa or the external genitalia;
• frequent change of sexual partners;
• chronic pathologies;
• violations of regulations and gynecologist surgeon after surgical manipulation;
• immunity failures;
• hypothermia;
• diabetes;
• hormonal changes.

classification bartholinitis

Pathology intimate organs has 2 classification: localization and course of disease.

Classification	View	Features
by localization	Unilateral	It develops only on one big lip. Bartholinitis is the classic view.
Bilateral	This type is rare. It appears on both labia. The cause of development can serve as the effect of a number of negative factors.
Adrift pathology	Acute	Symptoms develop rapidly, have a pronounced character.
subacute	The disease develops slowly, has mild symptoms. This type of pathologies related to the velocity of the immune response to the irritant.
Chronic, recurrent	Occurs when the constant exposure of negative factors. It has a low degree of severity of symptoms.

Stages and symptoms

Bartolini in women has several stages that have different symptoms and require specific treatment regimens:

Stage	Common symptoms	external displays
Kanalikulit - initial stage	no symptoms	No obvious changes were observed
acute Bartolini	Sharp pain on pressure; A small amount of pus.	The appearance of redness around the entrance channel; flow detectable as a small seal; enhanced tissue edema.
Abscess	false	Pain localized in the bottom of the labia; Strengthening of pain during: seating; sexual contact; walk; defecation; raising the temperature to 38 ° C; chills; drowsiness.	Increasing the size of the labia majora; changing the shape of the vagina; the skin becomes red to the site of inflammation education; the mobility of the skin at the site of edema remains unchanged.
true	Temperature reaches 39 ° C; increased sweating; migraine; prostration; throbbing pain in the lower part of the labia; nausea; leukocytosis.	Neoplasm becomes soft; increase in edema; the skin becomes bright red color; during palpation there is a sharp pain; inflammation of the lymph nodes; the skin at the site of inflammation becomes fixed.
chronic Bartholinitis	The quiet period symptoms may be periodic in nature or be mild. During exacerbation of all the symptoms clearly, from pain to skin redness.
cystic formation	without inflammation	Discomfort when walking or sexual intercourse; A sharp pain in the area of ​​the labia majora.	A small degree under the skin; skin color does not change over the swelling.
inflammation	Severe pain in the genitals; raising the temperature to 38 ° C; drowsiness; increased sweating; migraine; chills.	Severe swelling in the area intimal area; the skin becomes red hue; if left untreated, the cyst ruptures independently, with the possible discharge of pus.

Special features of the disease during pregnancy

Bartolini in women, symptoms and treatment during pregnancy, which may differ from those generally accepted, threatens fetal death when the infection. When the term of gestation to 20 weeks of an acute form of the disease causes the death of a child in utero or before delivery is critical.

In 3 trimester pathology provokes as premature birth, during which at their natural passage of pathogenic microorganisms enter the body through mucosal child's mouth or eye.

fetus infection causes conjunctivitis and purulent inflammation of the lungs.

In the formation of Bartholin's cysts in the gestation period of any surgical manipulation is prohibited, so Treatment is limited to the reception of light of antibiotics and finding the woman under clock surveillance gynecologist.

possible complications

Without proper treatment Bartolini becomes chronic, with acute symptoms that disappear. But the disease progresses and leads to the formation of cysts in the Bartholin gland. Spontaneous breakthrough pustular education provokes the appearance of a fistula. The only effective treatment for this complication is a surgical operation.

Also among the complications Bartholinitis was diagnosed:

• cystitis;
• candidiasis;
• vaginitis;
• vulvitis;
• coleitis;
• adnexitis;
• extensive sepsis;
• necrosis genitalia tissues.

Diagnostics

Bartolini has similar symptoms to other diseases:

• cyst of the vagina;
• malignancy in large labia;
• tuberculosis of the pelvis.

For accurate diagnosis must visit gynecologist who after inspection may designate additional tests:

• general and biochemical blood tests;
• histological analysis of tissues of the vagina;
• PCR assays;
• a blood test for syphilis;
• smear to study the material under a microscope and using bacterial seeding.

After careful examination of the results gynecologist can prescribe the effective treatment.

Treatment with antibiotics Bartholinitis

Bartolini in women symptoms and treatment is described as an infectious disease, so the treatment of the acute phase requires antibiotics.

They help:

• prevent migration of microorganisms in other tissues and organs;
• reduce pain;
• reduce the risk of an abscess, or cystic formation.

After taking the material to study prescribed medications broad steps:

• erythromycin;
• amoxiclav;
• Ofloxacin.

After determining the type of infectious agents bartholinitis and install their sensitivity to medicines, change the treatment regimen, and other medicaments are selected.

Type infectious agent	antibiotics
chlamydia	erythromycin; azithromycin; midecamycin; spiramycin; roxithromycin; josamycin; clarithromycin; Tetracycline.
Trichomonas	metronidazole; nimorazole; Ornidozol; tinidazole; Doxycycline.
streptococci	imipenem; tienam; clindamycin; Soljutab; augmentin; Merobotsid; Doripeks; cefpirome; Vankotsin; Vankorus.
gonokokki	cefixime; azithromycin; Tsefriakson; Tsfuroksim; Spectinomycin.
colon bacillus	levofloxacin; imipenem; cefotaxime; Amikacin.
candida	trihopol; nystatin; Levorinum; Medoflyukon; Terbizil.
Klebsiella	Tsefriakson; cefuroxime; tobramycin; Gentamicin.
enterococci	Tsefriakson; gentamicin; ampicillin; doxycycline; nifuratel; Rifaximin.

Effective treatment is assigned to the reception of several antibiotics. The course of treatment usually does not exceed 10 days. Together with these drugs also needs taking pain and restoring intestinal microflora means.

It is worth noting that treatment with Bartholinitis was conducted in both sexual partners. Antibiotics are not used to the chronic form of the disease therapy as well as in case of cystic formation.

Traditional recipes

The use of traditional medicine is justified only in the absence of acute course bartholinitis and requires consulting a gynecologist and fitoterapevta.

Broth against inflammation

Cook means possible from:

• chamomile;
• oak bark;
• St. John's wort;
• yarrow.

You must take 2 tbsp dry bark and grass or sugar and 1 cup of hot water. Boil the mixture on low heat for 15 minutes and allowed to cool. Decoction of herbs treated outer part of the vagina and labia 1 per day.

infusions

This type fitosredstv has antiseptic properties. They can be taken orally or to handle them inflamed skin.

Recipe 1:

1. Mix valerian root, flowers Helichrysum and pine shoots, taking 2 tablespoons of each ingredient.
2. Pour 2 cups of cold pure water.
3. Let stand for a day and filter the solution.

Take necessary means half a cup 3 times a day.

Recipe 2:

1. 3 tablespoons immortelle pour half glass of cold water.
   
2. Infuse for 10 h and filter the solution.
3. Means to process the received inflamed skin.

Recipe 3:

1. Mix 50 g and 50 g stinging nettle knotweed, add 50 g horsetail and 20 g galeopsis.
2. Pour the mixture of herbs 500 ml of cold water and allow the mixture to infuse for 12 hours.
3. Strain solution.

During the week ingest tools 100 ml daily.

Means for healing

Grass triturated to slurry-like state and as a lotion applied to the affected areas. Time of exposure means - 2 hours.

To do this, take any of the following plants:

• Kalanchoe;
• plantain;
• aloe;
• St. John's wort;
• sweet clover.
• Restorative infusions for ingestion.

For the preparation of drugs should take 2 tablespoons herbs and pour 250 ml hot water. Allow to cool the solution and filter it. Infusions of red ash or red clover contain vitamins A, E and C, which regulate and strengthen the immune system.

bath

For bathing is necessary to prepare a decoction of prescription or buy ready-alcoholic solution of the above.

To do this, you can use:

• calendula;
• eucalyptus;
• oak bark;
• chamomile.
• Compresses to eliminate gnoynikovogo content.

For applying a compress it is necessary to take advantage of any of ointments:

• levomekol;
• Vishnevsky ointment;
• Ichthyol.

blending rules: the affected area is applied a thick layer means and covered with gauze and polyethylene. The compress must be kept on the skin for at least 2 hours, and then rinse thoroughly with water genitals.

Lotions from swelling and inflammation

Apply active form only after cleaning means purulent cavity.

Lotions for use:

• Miramistin;
• chlorhexidine;
• hypertonic solution: 3 tablespoons Stir salt in 1 liter of warm pure water.

Bandage or a piece of gauze soaked in a solution for half an hour and is applied to the inflamed area. Repeat the procedure recommended up to 4 times a day.

Alcohol tinctures to strengthen the body

Such tools can be purchased at the pharmacy:

• Echinacea extract;
  
• Rosehips and ginseng.

Accept means must 0.5 tsp before each meal for a month.

When the operation is necessary

Bartolini in women, symptoms and treatment by conservative methods which are described above, can be hazardous to health. In this case, you need to consult a surgeon.

Surgical treatment bartholinitis necessary when a cystic formation or tissue abscess. It is also an occasion for the intervention of the surgeon is a fistula, abscess formed after a false and not amenable to medical treatment.

If the disease is in the chronic form, the operation is carried out in the period to improve the patient's condition.

Treatment is performed by opening or removal of Bartholin's gland. Surgical intervention is vital in diagnosing false or true abscess during pregnancy, but in the formation of her cyst removal is carried out only after delivery, as surgery can lead to a spontaneous abortion or infection fetus.

Types of operations at Bartolini

Surgical treatment of disease by several methods:

• opening and drainage;
• organ removal;
• Installation Ward catheter.

The decision and the use of one of the methods adopted by the surgeon and gynecologist on the basis of surveys and condition of the patient.

autopsy festering

This type of operations is the most common. One disadvantage of the method - the occurrence of clogging of channels gland after some time.

In preparation for the operation is necessary to:

• pass analysis common blood and urine tests;
• undergo ECG procedure.

The operation is performed as follows:

1. With the help of a scalpel or laser in the area of ​​inflammation is a small incision.
2. Pus is cleaned with a cotton swab treated with a solution of sodium chloride.
3. The cavity is treated with antiseptics.
4. The drainage tube section are set to output the content.

All surgical procedures were performed under local anesthesia. When the deterioration of the patient before the operation, it is administered intravenous anesthesia. The operation lasts not more than 30 minutes. rehabilitation period lasts 35 days. During the first 2 weeks is necessary several times a day to do bandaging and treating the operated site.

surgical excision

Removal of Bartholin gland is held in remission of the disease or acute symptoms after removal of the disease. The organ is not completely excised, but only on the side where there was inflammation or abscess. An important advantage of this method is the absence of relapses Bartholinitis.

But this method has a number of negative factors:

disadvantages	Cause
The complexity of the operation	Body surrounded by a plexus of veins and small blood vessels, which increases the risk of severe bleeding. Also, in the postoperative period in case of bruising the need for additional drainage system for them.
stitches	Incisions are made on the external and internal tissues when applied to these joints, they can coalesce smoothly.
Defective work the rest of the body	When deleting audio gland may cause dryness in the intimate area.
soreness	Within a few months after surgery may cause pain in the suture area.

Indications for removal of Bartholin's glands are frequent exacerbations of chronic forms of the disease or malformation drainage channel.

The operation is performed under general or spinal anesthesia follows:

1. On the inside of labia small incision with a scalpel.
2. Iron is rotated and separated from the fabrics.
3. Superimposed absorbable sutures.

Rehabilitation period lasts about a month. The first days of inpatient surgery necessary monitoring and gynecologist.

The restoration procedure is carried out within the next 10 days:

• magnetic therapy;
  
• UHF;
• Current therapy;
• phonophoresis.

During the recovery period is necessary to exclude the admission of alcohol and sex.

catheter Ward

Bartolini in women whose symptoms and treatment are a nuisance preferably treated using a special catheter. This method is also called marsupializatsii and is the most effective. After installation Ward catheter reduces the likelihood of recurrence of disease, since it generates a new duct cancer.

Indications for the installation of this device is the occurrence of large cysts and frequent festering in the body area. Operation requires no special training, except for putting the general analysis of blood and urine.

Methods of the catheter Ward:

1. After the introduction of drugs into the cyst obezvolivayuschih area made a small incision.
2. The pus is removed, and the cavity is washed with antiseptic.
3. It introduces a special tube, the end of which inflates and fills the space. This tool does not allow the drainage pipe to move and fall.
4. A month later, the catheter is removed.

The rehabilitation period after such manipulation is not more than 2 days and did not require treatment. It is worth noting that during the formation of an artificial channel catheter is necessary to strictly observe the rules of personal hygiene and to abstain from sexual intercourse.

Forecast

Bartolini has a positive prognosis for the timely visit to a gynecologist. Acute symptoms are eliminated within a few days, after which the doctor selects an effective treatment. It must be remembered that the non-observance of rules of personal hygiene and advice gynecologist could lead to a resumption of the disease and have a more dangerous complications.

If you experience periodic relapses Bartholinitis further advice immunology and infectious diseases.

Pathology of the female reproductive organs is difficult to be diagnosed because of the similarity of symptoms. Upon confirmation Bartholinitis should not engage in self-treatment, since the formation of an abscess or cysts and their subsequent rupture can lead to serious consequences and pose a threat to life.

Registration of the article: Lozinski Oleg

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