Azimayi ambiri nthawi zina amakhala ndi chotupa chaching'ono m'maliseche mwawo. Izi zimatha kupweteka pang'ono, ndipo zimakhala zosasangalatsa akakhala pansi kapena akuyenda. M'mawu azachipatala, timatcha izi kuti Bartholin cysts. Nthawi zina ma cysts awa amabwerera pambuyo pa chithandizo. Chifukwa chake, lero tikambirana za chithandizo chapadera komanso chothandiza kwambiri cha ma cysts amenewa omwe amapitilira. Amatchedwa `(Marsupialization)`.
Mwachidule, kodi Marsupialization ndi chiyani?
Chabwino, choyamba tiyeni tiwone momwe ma Bartholin cysts awa amapangikira. Kumbali zonse ziwiri za chiberekero chanu, pali ma glands awiri ang'onoang'ono otchedwa Bartholin glands. Ntchito yawo yayikulu ndikutulutsa madzi odzola omwe amasunga chiberekero chanu kukhala chonyowa. Ngati pazifukwa zina madzi ochokera ku ma glands awa atsekeka, madziwo amasonkhana mkati ndi kutupa ngati cyst. Ndicho chomwe timachitcha Bartholin cyst.
Tsopano, izi ndi zomwe zimachitika pa opaleshoni yotchedwa ``Marsupialization''.
Dokotala wanu adzadula pang'ono pa chotupacho ndikutulutsa madzi onse mkati. Kenako, chinthu chofunikira kwambiri chimachitika. Kuti chotupacho chitseke ndikuletsa chotupa china kuti chisapangidwe, m'mbali ziwiri zodulidwa za chotupacho zimapindidwanso pakhungu lozungulira ndikusokedwa ngati thumba laling'ono.
Kunena zoona, thumba laling'ono limapangidwa komwe kunali chotupa, ndi mpata wokhazikika, kuti madzi ochokera ku gland ya Bartholin apitirize kutuluka popanda chopinga chilichonse.
Kuchita izi kumachepetsa kwambiri chiopsezo cha madzi kusonkhananso m'dera limenelo ndikupanga chotupa.
Ndi nthawi ziti pamene opaleshoni iyi imalimbikitsidwa?
Si aliyense amene ali ndi Bartholin's cyst amene angapatsidwe opaleshoni imeneyi. Ndipotu, nthawi zambiri si mankhwala oyamba omwe madokotala amalangiza. Pali mankhwala osavuta. Mwachitsanzo, kukhala m'madzi otentha kwa masiku angapo (kusamba ndi sitz) kapena kudula cyst ndikutulutsa madzi ndi zina mwa zinthu zoyamba zomwe mungayesere.
Komabe, pali nthawi zina pamene opaleshoni ya Marsupialization ingaganizidwe.
| Mwayi | Kufotokozera |
|---|---|
| Ngati chotupacho chikupweteka kwambiri | Ngati chotupacho chikukupwetekani kwambiri kapena kukupangitsani kusasangalala kwambiri moti simungathe kuchita zinthu za tsiku ndi tsiku. |
| Ngati ma cysts abwereranso | Ngati, ngakhale atalandira chithandizo, chotupacho chikabwereranso pamalo omwewo pakapita kanthawi, iyi ingakhale njira yabwino kwambiri yothetsera vutoli. |
| Ngati mankhwala ena alephera | Ngati chotupacho sichichira kwathunthu ndi mankhwala ena osavuta, monga Word catheter. |
Chithandizo china ndi Word catheter. Izi zimaphatikizapo kulowetsa chubu chaching'ono mu cyst kwa masiku angapo kuti mutulutse madzi. Ndikosavuta pang'ono kuposa opaleshoni iyi, kotero dokotala wanu angayese kaye zimenezo. Koma ngati sizigwira ntchito, Marsupialization ingaganizidwe.
Kodi chimachitika ndi chiyani opaleshoni isanachitike?
Ngati dokotala wanu asankha kuchita opaleshoniyi, adzakufotokozerani zonse momveka bwino ndipo adzakupatsani chilolezo.
- Mbiri yanu ya thanzi idzawunikidwanso: Adzakufunsani za matenda ena aliwonse omwe muli nawo komanso mankhwala aliwonse omwe mumamwa kuti atsimikizire kuti opaleshoniyi ikuyenererani.
- Amakamba za zoopsa: Monga momwe zimakhalira ndi opaleshoni iliyonse, mudzadziwitsidwa za zoopsa zazing'ono zomwe zingachitike.
- Malangizo Okonzekera: Malangizo a zomwe mungachite musanachite opaleshoni ndi zomwe muyenera kusamalira panthawi yochira mukatha opaleshoni. Mwachitsanzo, ngati mukuchitidwa opaleshoni pansi pa mankhwala oletsa ululu, mudzapemphedwa kuti mubweretse munthu woti akuyendetseni kunyumba mukatha opaleshoni chifukwa simudzatha kuyendetsa galimoto. Mudzauzidwanso kuti muyenera kutenga masiku angapo opuma kuntchito .
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Iyi ndi njira yosavuta komanso yaying'ono kuposa momwe mungaganizire. Nthawi zambiri imatenga mphindi 10 mpaka 15. Imachitika m'chipinda chochitira opaleshoni, koma mudzatha kupita kunyumba tsiku lomwelo.
Tiyeni tiwone zomwe zimachitika panthawi ya opaleshoni motsatira dongosolo:
1. Malo: Mudzaikidwa pabedi lapadera ndi miyendo yanu yopindika ndi yothandizidwa (malo ochitira opaleshoni ya dorsal lithotomy).
2. Mankhwala oletsa ululu:Mankhwala oletsa ululu amaperekedwa kuti athetse ululu m'derali. Akhoza kukhala mankhwala oletsa ululu am'deralo, kapena angakugonetseni tulo tofa nato (mankhwala oletsa ululu). Dokotala wanu ndiye adzasankha.
3. Kuyeretsa: Pofuna kupewa matenda, malo ochitira opaleshoni (kuphatikizapo pakati pa nyini ndi buluzi) amatsukidwa bwino.
4. Kutsegula chotupa: Dokotala amadula chotupacho, kuchotsa madzi onse mkati, ndikutsuka mkati mwake bwino ndi madzi amchere.
5. Kusoka 'thumba': Kenako, m'mbali ziwiri za khoma lodulidwa zimapindidwa kunja, kuziyika pakhungu lozungulira, ndikusokedwa pamodzi ndi ma stitches osungunuka. Izi zimapanga thumba laling'ono, lotseguka lomwe tidakambirana kale.
Pambuyo potsegula chotupacho, dokotala adzayang'ana makoma a mkati mwa chotupacho kuti aone ngati pali minofu yolakwika. Ngati pali kukayikira kulikonse, chidutswa chaching'ono chingatengedwe ndikutumizidwa ku `biopsy`. Koma musadandaule, chotupa cha Bartholin sichimakhala khansa nthawi zambiri .
Kodi nthawi yochira imakhala bwanji pambuyo pa opaleshoni?
Zingatenge milungu iwiri kapena inayi kuti bala lichiritse bwino mutachita opaleshoni. Panthawiyi, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola.
Zoyenera kuyembekezera mukachira
- Masiku awiri oyamba: Mungamve kupweteka ndi kusasangalala pamalo omwe bala lavulala, koma izi zidzachepa pang'onopang'ono.
- Masiku 3-5 otsatira: Dokotala wanu angakulangizeni kuti musambe ndi sitz kamodzi kapena kawiri patsiku. Izi zithandiza kuchepetsa ululu ndikuthandizira chilonda kuchira mwachangu.
- Masabata awiri otsatira: Mutha kuona madontho pang'ono kapena kutuluka magazi m'mimba. Izi zitha kuphimbidwa ndi chovala chamkati cha panty. Muthanso kumva kutopa pang'ono.
| Zinthu zoti muchite kuti muchire mwachangu | Zinthu zoti mupewe kwa milungu pafupifupi 4 |
|---|---|
| - Imwani mankhwala ochepetsa ululu ndi mankhwala ena monga momwe dokotala wanenera. | - Mwa kugonana. |
| - Valani zovala zamkati zomasuka, za thonje komanso zovala zoyera. | - Kugwiritsa ntchito ma tampons. |
| - Imwani madzi ambiri ndipo idyani zakudya zopatsa thanzi. | - Kupaka sopo wonunkhira ndi mafuta odzola pabala. |
| - Pumulani mokwanira ndipo pewani kugwira ntchito yotopetsa. | - Kuchita masewera olimbitsa thupi otopetsa monga kukwera njinga ndi kunyamula zolemera. |
Kodi ubwino ndi zovuta zomwe zingachitike chifukwa cha opaleshoniyi ndi ziti?
Ubwino waukulu wa opaleshoniyi ndi wakuti ili ndi chiwopsezo chachikulu kwambiri poletsa kubwereranso kwa ma cysts a Bartholin. Anthu ochepa kwambiri, pakati pa 2 ndi 13 mwa 100, ndi omwe amachiranso cyst pambuyo pa opaleshoniyi.
Monga opaleshoni iliyonse, pali zoopsa zina, koma mavuto ndi osowa kwambiri.
- Ululu
- Matenda
- Zilonda
- Hematoma (kuchulukana kwa magazi kuzungulira bala)
- Ululu panthawi yogonana (Dyspareunia)
Ngati mukuda nkhawa ndi chilichonse mwa izi, musazengereze kulankhula ndi dokotala wanu za izi.
Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo.
Musaphonye masiku otsatirawa a "kutsata" pambuyo pa opaleshoni. Komanso, ngati mukukumana ndi zizindikiro zotsatirazi, pitani kwa dokotala nthawi yomweyo.
- Ngati mukumva malungo.
- Ngati mukutuluka magazi ambiri kudzera mu kabudula ka panty komwe mukugwiritsa ntchito.
- Ngati ululu wochokera ku bala ukuwonjezeka tsiku ndi tsiku m'malo mochepa.
- Ngati muli ndi matuza ochokera kumaliseche omwe ndi achilendo mu mtundu, makulidwe, kapena fungo loipa.
Opaleshoni iyi ikuthandizani kuchotsa Bartholin's cyst yomwe imayambitsa kupweteka kosalekeza komanso kosatha. Ndipo popeza siichotsa gland yanu ya Bartholin, sizingasokoneze ntchito yake yachilengedwe.
Uthenga Wopita Nawo Kunyumba
- Kutsegula mabala ndi opaleshoni yopambana kwambiri ya ma cysts a Bartholin omwe amabwerezabwereza kapena opweteka kwambiri.
- Uwu ndi opaleshoni yaying'ono yomwe imatha kuchitika mu mphindi 10-15 zokha.
- Cholinga chachikulu cha opaleshoniyi ndikupanga njira yokhazikika kuti madzi otulutsidwa ndi gland azitha kuyenda bwino.
- Zimatenga pafupifupi milungu iwiri kapena inayi kuti munthu achire bwino, ndipo ndikofunikira kwambiri kutsatira malangizo a dokotala panthawiyo.
- Ngati muli ndi nkhawa kapena mantha okhudza izi, kambiranani momasuka ndi dokotala wanu.
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