The term “bartholinitis” rare and unfamiliar to women who are not faced with this problem. Nevertheless, bartholinitis very nasty disease that needs urgent treatment, otherwise the transition to the chronic stage with all its consequences. The prevalence of the disease is low (5 to 10%), but this does not diminish its importance.
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Bartholinitis Bartholin glands are a paired organ and are located in the thickness of the subcutaneous fat layer of the labia majora. Bartolini the excretory ducts of the glands open on the inner surface of the labia minora, that is, on the eve of the vagina. The main objective bartolino glands is to produce a secretion (lubrication) during intercourse, and during childbirth.
Bartholinitis is a purulent-inflammatory disease of Bartholin’s gland. As a rule, the tumor affects only one gland (unilateral). There are acute and chronic bartholinitis. In turn, acute bartholinitis is divided into canicula, about abscess and an abscess of the gland.
Causes of bartholinitis
The cause of the disease are the various pathogenic microorganisms. Most often bartholinitis cause gonorrhea, Trichomonas and chlamydia. Inflammation of Bartholin’s gland develops as a result of her infection with staphylococci, streptococci, E. coli and others. Infection in bartolino gland gets from the vagina or urethra, but perhaps hematogenous dissemination from other organs. By the predisposing factors of the disease include:
- a weakened immune system;
- stress, lack of vitamins;
- sexual intercourse during menstruation;
- failure to observe the rules of personal hygiene;
- wearing tight underwear;
- intrauterine interventions (abortion, diagnostic curettage of the uterus).
Symptoms of bartholinitis. The clinical picture of the disease
The disease begins with caniculata (inflammation of the excretory duct of Bartholin’s gland). The skin over the opening of the duct becomes inflamed, red and compacted. When pressing on the duct appears purulent discharge. In this phase of bartholinitis General condition of the patient varies slightly. When blockage of the duct of Bartholin’s gland abscess formed about. There are signs of intoxication (increased body temperature to 37.5 degrees, weakness). Due to the closure of the ductless glands it accumulates pus, the gland increases in size, becomes painful. Pain during sexual intercourse, while walking and running, the patient complains of a burning sensation in the vestibule of the vagina. Without treatment may be either independent fading process and its transition into the chronic stage, or the formation of a true abscess Bartholin’s gland.
An abscess in the bartholinitis
An abscess is a purulent fusion of tissues Bartholin’s gland. Rapidly deteriorating General condition of the patient, the temperature rises to 38,5 – 40,0 degrees, there is a pronounced weakness, malaise, loss of appetite. Iron greatly increased in size and can reach the eggs. The skin over it hyperemic, sealed, determined a sharp pain and fluctuation. Walking in true abscess Bartholin’s much more difficult and almost impossible. The patient appears peculiar gait of “duck”, spaced in the direction of the feet. Large and swollen labia. In the untimely appeal to the doctor is an abscess opens spontaneously, there comes a temporary improvement.
The symptoms of chronic bartholinitis less marked and alternate with periods of exacerbation and improvement. Bartolina iron slightly increased in size, the possible discomfort during sexual intercourse. The General condition practically does not suffer. In the long-term current chronic bartholinitis cyst formed Bartholin’s gland.
The disease diagnosis is not difficult. The characteristic clinical picture allows to make a diagnosis immediately during an inspection. In addition, swabs taken from the urethra and vagina to determine the microflora studied the microflora content of Bartholin’s gland (tank. the sowing), but also revealed the sensitivity of microorganisms to antibiotics. Shown is the PCR-diagnostics of sexually transmitted infections.
Treatment of caniculata conservative. The patient is assigned cold (ice) on the area of inflammation, bed rest. Recommend abstaining from sexual activity. Shown locally baths with antiseptic solutions (potassium permanganate, chlorhexidine), as well as dressings with Vishnevsky ointment, or Ichthyol (they are “pulled” on the pus). In addition, the need for antibiotic therapy (fluoroquinolones, cephalosporins) in combination with metronidazole. While calming the inflammation be appointed physiotherapy (UHF, ultraviolet irradiation, magnetotherapy). Appointed painkillers and multivitamins.
With the development of an abscess, true or false, necessary surgery. The abscess is opened, the wound is washed with 3% hydrogen peroxide solution and drained. Daily dressings with levomecol and change of drainage with hypertonic solution followed by the 5 – 7 days. Simultaneously prescribed antibiotics, analgesics, vitamins, and Immunostimulants. In the healing stage is carried out physiotherapy.
Treatment of Bartholin’s cyst surgical and is carried out without exacerbation. Possible operation of marsupialization, in which produce a linear incision over the cyst, and the outer wound edges are hemmed to the skin. Thus formed about duct cancer. It is also possible extirpation (complete removal) of the gland along with the cyst.
To prevent the development of disease is necessary to observe the following measures:
- regular visits to the gynecologist;
- observance of rules of personal hygiene;
- protection from sexually transmitted infections, accidental sex to use a condom;
- strengthening the immune system.