Bartolini - an inflammation of the large vestibule glands (Bartholin's glands).
Causes
Bartolini is called staphylococci, streptococci, Escherichia coli, gonococcus, Trichomonas, chlamydia, Viruses.
The most common is caused by Bartolini associations of various microorganisms. The disease develops when the penetration of microbes in the tissue of the gland through its excretory duct, which It opens into the vestibule at the inner surface of labia small at the boundary between the rear and middle third. Therefore, most infectious agents enter the Bartholin's glands of the vagina or urethra during coleitis and urethritis. Very rarely, the disease is associated with the penetration of infection through the bloodstream.
symptoms bartholinitis
Symptom Bartholinitis - redness of the small labia skin in the Bartholin gland openings. It is sometimes palpable thickened and painful excretory duct of the gland. Soon excretory duct of the gland is closed due to its swelling and thickening of secretions, which contributes to the rapid spread of inflammation in the breast tissue and the development of proper Bartholinitis.
Accumulates in the ducts of the prostate secret quickly becomes purulent - a so-called false abscess gland. Appear deterioration, weakness, fatigue, fever up to 38 ° above, severe pain in the vulva on the side of inflammation, worse when sitting and walking. Skin labia over the affected gland is red, edematous. When self opening abscess occurs immediately relieved pain reduced, the body temperature decreases.
Chronic bartholinitis is prolonged and accompanied by frequent exacerbations influenced cooling, an illness, menses, and other factors. Non-acute disease may not manifest itself, sometimes patients concerned about a small pain in the affected glands, pain during sexual intercourse.
The state of health remains a common, normal body temperature. A frequent outcome of chronic Bartholinitis is the formation of cysts large gland vestibule. Thus, patients complain of discomfort in walking, pain appearing periodically in the pudendal region on the affected side, discomfort during intercourse. On examination reveals swelling of the labia majora.
Diagnosis is based on a characteristic picture of the disease, pelvic exam data bacteriological examination precipitates.
Treatment
In acute Bartolini recommended gynecologic hospitalization in the hospital. Applied anesthetics, antibiotics or sulfa drugs (antibiotics intolerance) for 7-10 days. In the formation of an abscess produces its opening. After hospital discharge, patients are encouraged to observe good personal hygiene, avoid hypothermia. Requires treatment of vaginitis and urethritis as sources of possible re-infection.
In chronic Bartolini exacerbations is shown sitting bath t ° 38-39 ° with slightly pink solution Potassium permanganate (1 tablespoon 2% solution of potassium permanganate in 1 liter of water) or with chamomile infusion for 20 minutes. Of physical therapy is most often used UHF-therapy or inductothermy. In the formation of cysts of the affected gland is removed.
prevention
Forecast Bartholinitis with timely diagnosis and adequate treatment favorable.
Prevention Bartholinitis is in compliance with the rules of personal hygiene, sexual health, timely and effective treatment vaginitis and urethritis.
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