Ese wigeze ubona cyangwa wumva akantu gato hafi y'umwobo w'igitsina cyawe, cyane cyane hafi y'inkari zawe? Nubwo kubona ikintu kidasanzwe muri aka gace bishobora gutera ubwoba, akenshi ni Bartholin cyst. Muri Nirogi Lanka, turashaka kugufasha gusobanukirwa icyo ari cyo. Reka tubiganireho mu magambo yoroshye kandi asobanutse neza kugira ngo umenye neza icyaba kirimo kuba.
Bartholin Cyst ni iki?
Reka dutangire dusobanukirwa icyo Bartholin cyst ari cyo. Mu magambo make, ni agafuka kuzuyemo amazi gakura muri kamwe mu tunyangingo tubiri duto twa Bartholin turi ku mpande zombi z'umwobo w'igitsina cyawe. Utu tunyangingo dufite inshingano zo gusohora amazi atuma agace k'igitsina cyawe gahora gafite amavuta kandi gatuma kimererwa neza.
Iyo umwobo (umuyoboro) w'izi gland ufunze kubera impamvu iyo ari yo yose, amazi ntaho ajya maze agatangira kwishyira imbere, bigatuma gland ibyimba ikaba cyst. Iyi niyo twita cyst ya Bartholin. Kenshi na kenshi, ifata uruhande rumwe gusa. Inyinshi muri izi cyst ni nto cyane kandi ntizibabaza. Ariko, iyo cyst yanduye, ishobora guhinduka ikibyimba . Ibi bibaye, bishobora kubabaza cyane kandi bigasaba ubuvuzi bw'inzobere buturutse ku muganga wawe wa Nirogi Lanka.
Bisa bite?
Ubusanzwe ikibyimba cya Bartholin kigaragara nk'ikibyimba gikomeye kandi cyuzuye munsi y'uruhu rw'igitsina cyawe. Ubusanzwe, ntabwo kiba kibabaza. Ariko, iyo habayeho ubwandu, agace gashobora gutukura, kubyimba, no koroha ugakoraho . Hari ubwo ushobora kubona amazi cyangwa amashyira yakusanyije imbere.
Izi cysts zishobora kuba ingano zitandukanye kuva ku ngano nto kugeza ku ngano y'umupira wa golf. Kubera cyst, ushobora kubona ko uruhande rumwe rw'igitsina cyawe rusa n'aho runini cyangwa rubyimbye kurusha urundi.
Ibi ni ibisanzwe gute?
Ibi mu by’ukuri ni ibisanzwe cyane. Abagore bagera kuri 2% bazarwara Bartholin cyst mu gihe runaka mu buzima bwabo. Ikunze kugaragara cyane ku bagore bari hagati y’imyaka 20 na 40. Ingaruka zo kurwara muri rusange zigabanuka nyuma yo gucura.
Ibimenyetso ni ibihe?
Ibisebe byinshi bya Bartholin ni bito kandi ntibigaragaza ibimenyetso, usibye kubabara gake. Ariko, iyo ikibyimba cyanduye kigahinduka ikibyimba, ushobora guhura n'ibi bikurikira:
- Kubabara cyangwa kutamererwa neza mu gihe cy'imibonano mpuzabitsina, kugenda, kwicara, gukoresha tampon, cyangwa mu gihe cyo gusukura aho hantu.
- Kubyimba no kubabara mu gice cy'igitsina.
- Umuriro cyangwa ubukonje .
- Ubushyuhe bukabije aho hantu.
- Gusohora amazi cyangwa amashyira ava mu kibuno.
- Ubunini bwa cyst bukomeza kwiyongera .
Ese ikibyimba cy'uruhu gisa n'aho gikomeye cyangwa cyoroshye?
Muri rusange, Bartholin cyst iba ikomeye kandi ikomeye iyo uyikozeho. Ariko, bitewe n'ingano y'amazi ayifungiyemo, rimwe na rimwe ishobora kumva yoroshye cyangwa ihindagurika.
Kuki izi cysts zikura?
Nubwo impamvu nyayo idasobanutse neza, hari ibintu byinshi bikekwa ko bigira uruhare mu iterambere ryabyo:
- Gukomereka, gukomereka, kurakara, cyangwa gukura kudasanzwe k'uruhu mu gice cy'igitsina.
- Indwara zandurira mu mibonano mpuzabitsina (STIs) , nka Chlamydia cyangwa Gonorrhea.
- Indwara za bagiteri, nka E. coli (ubwoko bwa bagiteri bukunze kuboneka mu mara yo hasi).
Ese birandura?
Kenshi na kenshi, Bartholin cyst ubwayo si ubwandu kandi ntabwo yandurira mu gukoranaho n'uruhu. Ariko, iyo cyst yanduye, bagiteri runaka zishobora kwandurira izindi.
Ese izi cysts ziterwa n'ubwandu buri gihe?
Oya, si buri cyst ya Bartholin iterwa n'ubwandu bwa bagiteri. Ariko, ishobora kwandura. Ibintu nka E. coli, izindi bagiteri, cyangwa indwara zandurira mu mibonano mpuzabitsina nka gonorrhea na chlamydia bishobora gutuma gland ya Bartholin iziba, bigatuma cyst ivuka.
Ni nde uri mu kaga gakomeye?
Impuguke mu by'ubuvuzi ntizi neza impamvu abagore bamwe barwara izi cysts mu gihe abandi batazigira. Ariko, niba warigeze kurwara mbere, uba uri mu kaga ko kongera kurwara.
Izindi mpamvu zishobora gutera ibyago zirimo:
- Kuba afite imyaka iri hagati ya 20 na 30 .
- Kugira imibonano mpuzabitsina .
- Gukomereka cyangwa gukomereka vuba aha mu gace k'igitsina.
- Kugira indwara zandurira mu mibonano mpuzabitsina (STIs) .
Niba urwaye Bartholin cyst, kugumisha ahantu hasukuye kandi humutse ni uburyo bwiza bwo kugabanya ibyago byo kwandura.
Ese ingorane zishobora kuvuka?
Akenshi, Bartholin cysts ntabwo ari mbi kandi ntizitera ibibazo bikomeye. Ariko, iyo habayeho ubwandu, cyst ishobora kubabaza cyane . Ni gake cyane ko Bartholin gland cysts iba kanseri. Ariko, mu bihe bimwe na bimwe—cyane cyane niba ufite imyaka irenga 40—umuganga wawe ashobora gushaka gukuraho cyst kugira ngo apime niba hari uturemangingo twa kanseri.
Ni gute umuganga asuzuma ibi?
Kugira ngo umuganga wawe amenye neza indwara ya Bartholin cyst, azagusuzuma. Azasuzuma ingano y'iyi ndwara arebe ibimenyetso by'ubwandu (nk'umutuku cyangwa kubyimba). Niba hari amaraso ava muri iyi ndwara, ashobora gufata icyitegererezo kugira ngo arebe niba nta ndwara zandurira mu mibonano mpuzabitsina (STIs) cyangwa izindi bagiteri zihari.
Niba ufite imyaka irenga 40 , muganga wawe ashobora kukugira inama yo gukora biopsy . Ibi bikubiyemo gufata icyitegererezo cy'uturemangingo duto twavuye kuri cyst no kugisuzuma hifashishijwe mikorosikopi kugira ngo wemeze ko nta kanseri y'igitsina ihari. Ibi bikorwa mu rwego rwo kwirinda indwara zidasanzwe.
Ni izihe ndwara zindi zishobora kwitiranywa na Bartholin cyst?
Hari ubwo ubundi bwoko bwa cysts bushobora kwitiranywa na Bartholin cyst. Urugero, harimo Skene's gland cysts cyangwa sebaceous cysts . Byongeye kandi, hari ubwo kanseri cyangwa ibibyimba bishobora kwitiranywa nabyo. Muganga wawe muri Nirogi Lanka azasuzuma imyaka yawe, ubwandu bwawe, n'amateka y'ubuzima bwawe kugira ngo agere ku gusuzuma neza no kuvura.
Ni ubuhe buryo bwo kuvura?
Uburyo bwo kuvura cyst ya Bartholin buterwa n'ibimenyetso ufite. Niba cyst ari nto, nta bubabare, kandi nta bimenyetso by'ubwandu igaragaza, ushobora kudakenera ubuvuzi na buke.
Ariko, niba ibimenyetso bikomeje cyangwa ikibyimba kigakomeza kwiyongera, bishobora kugaragaza ko hari ikibyimba kirimo kuvuka. Muri ibyo bihe, muganga wawe ashobora gukenera gusohora amazi cyangwa gukuraho ikibyimba cyose, cyane cyane niba cyanduye cyangwa niba hari ukekwaho kanseri (nubwo ibi bidakunze kubaho).
Uburyo busanzwe bwo kuvura burimo:
- Kwiyuhagira muri Sitz: Ubu buryo bworoshye kandi bufite akamaro. Shyira mu bwogero bwuzuyemo santimetero 1.5 z'amazi ashyushye inshuro nyinshi ku munsi mu gihe cy'iminsi mike. Ibi bifasha kugabanya ububabare, bigatera gukira, kandi bishobora gutuma cyst yanduye icika kandi igasohoka mu buryo busanzwe.
- Kugabanya ububabare hakoreshejwe imiti ivura ububabare (OTC): Imiti nka parasetamol cyangwa ibuprofen ishobora gufatwa hakurikijwe amabwiriza ari ku kirango cy'umuti.
- Antibiyotike: Niba ikibyimba cyawe cyanduye cyangwa ibipimo byerekana ko ufite indwara zandurira mu mibonano mpuzabitsina, muganga wawe azakwandikira antibiyotike.
- Gukoresha amazi yo mu gifu: Niba ikibyimba cyanduye kandi kigatera ububabare bukomeye cyangwa kubabara, muganga wawe ashobora gukora igikorwa gito cyo gukuramo amazi yo mu gifu.
- Marsupialization: Muri iki gikorwa cyo kubaga, muganga afungura cyst, agasohora amazi, hanyuma agashyira impande ku ruhu rukikije kugira ngo habeho umwanya uhoraho. Ibi bituma amazi akomeza kumanuka kandi bigira akamaro cyane ku bantu barwaye cyst ya Bartholin isubiramo.
- Gukuraho ingirabuzimafatizo ya Bartholin: Mu bihe bike cyane, iyo ubundi buryo bwo kuvura budakora neza, muganga ashobora gufata icyemezo cyo kubaga ingirabuzimafatizo ya Bartholin.
Icyibutso cy'ingenzi: Buri gihe vura indwara ya Bartholin cyst uyobowe na muganga . Nubwo waba ugerageza imiti yo mu rugo, ni byiza kubanza kugisha inama muganga. Ntukigere ugerageza gukanda, gukanda, cyangwa gucikamo udukoko n'intoki. Kubikora bishobora kongera ubwandu no kongera ibimenyetso by'indwara.
Bigenda bite iyo utavuwe?
Niba nta bimenyetso ufite kandi ikibyimba kitagutera ububabare, kwivuza bishobora kuba bidakenewe. Ibibyimba byinshi bya Bartholin byikiza ubwabyo binyuze mu kwitabwaho mu rugo, nko kwiyuhagira mu mazi ashyushye. Ariko, iyo habayeho ubwandu, bigatuma ikibyimba kirushaho kwaguka cyangwa kikababara, ushobora gukenera ubufasha bw'inzobere mu buvuzi, nko gukoresha imiti yica udukoko cyangwa kubagwa.
Ese ikibyimba kizacika ubwacyo?
Yego, ni ibisanzwe ko Bartholin cysts zikura amazi kandi zigakira ubwazo. Abaganga benshi basaba ko wiyuhagira mu buryo bushyushye kugira ngo umenye ibimenyetso. Niba cysts zacitse, komeza ahantu hasukuye kandi humye kugira ngo wirinde ko indwara zikwirakwira. Ntukagerageze kuhakanda cyangwa ngo uhashyire mu mwanya wabyo. Niba cysts zikomeje kubabara, zigaragaza ibimenyetso by'ubwandu, cyangwa ntizigire icyo zigeraho nyuma y'ibyumweru bike, nyamuneka sura muganga.
Ikibyimba kizamara igihe kingana iki?
Igihe cy’ikibyimba cya Bartholin giterwa n’ingano yacyo n’uko cyanduye. Ubusanzwe, kirashira burundu mu byumweru bike .
Ni iki gisohoka mu kibyimba cyacitse?
Cyst ya Bartholin ishobora kuba irimo amabyi, amatembabuzi, bagiteri, amaraso, cyangwa ibindi bintu bivamo amazi . Amaso ashobora kuba menshi kandi ashobora kuba afite ibara ry’umuhondo werurutse kugeza ku mukara cyangwa umutuku. Iyo cyst yanduye ivunitse, ishobora gutanga impumuro mbi . Ni ngombwa kubungabunga ahantu hasukuye no kugira isuku nziza muri iki gihe.
Ese nkwiye kugerageza gukuramo cyangwa gukuramo amazi muri cyst ubwanjye?
Oya rwose! Ntukagerageze gukanda, gukanda, gupfumura, cyangwa gutobora cyst ukoresheje inshinge cyangwa ibikoresho bityaye. Kubikora bishobora gutera imvune no gukwirakwiza ubwandu. Ni ibisanzwe ko cyst ya Bartholin icika ubwayo nyuma y'iminsi mike yo kwitabwaho mu rugo, nko kwiyuhagira mu buryo bushyushye cyangwa imiti yica udukoko.
Ese nshobora kubibuza kwirema?
Kubera ko impamvu nyayo itera indwara nyinshi za Bartholin cysts itazwi, muri rusange biragoye kuzirinda. Ariko, kubera ko indwara zandurira mu mibonano mpuzabitsina (STIs) zishobora kuba impamvu y’ibyago, gukoresha agakingirizo mu gihe cy’imibonano mpuzabitsina bishobora kugabanya ibyago byo kurwara.
Ese izi cysts zishobora kugaruka?
Yego, hari abantu bashobora kurwara Bartholin cysts zisubira . Abaganga ntibazi neza impamvu ibi bibaho. Nubwo akenshi byoroshye kubyifatamo, niba ubibona kenshi, muganga wawe ashobora kukugira inama y'ubundi buryo bwo kuvura cyangwa uburyo bworoheje bwo kuvura.
Ni ryari ukwiye kujya kwa muganga?
Nyamuneka gisha inama umuganga niba ubonye ikibyimba kibabaza ku mpande zombi z'intanga zawe, cyane cyane niba kidakira nyuma y'iminsi mike witabwaho mu rugo, nko kwiyuhagira mu mazi ashyushye. Niba ukeka ko hari ubwandu cyangwa niba ububabare burushijeho gukomera, shaka ubufasha bwa muganga vuba.
Niba ufite imyaka irenga 40 , ni ngombwa cyane ko muganga asuzuma ikibyimba gishya mu gitsina, kuko rimwe na rimwe gishobora kuba ikimenyetso cy'indwara ikomeye kurushaho. Muri ibyo bihe, jya kwa muganga ako kanya .
Ibyingenzi byingenzi biva muri Nirogi Lanka
Ubusanzwe ikibyimba cya Bartholin ntabwo ari kibi, ariko gishobora kubabaza no gutera ikibazo iyo cyanduye. Niba wumva ikibyimba hafi y'umwenge w'igitsina kandi ukaba utazi neza imiterere yacyo, inzira nziza ni ukujya kwa muganga. Bashobora kwemeza niba ari ikibyimba no gusuzuma ibimenyetso by'ubwandu. Abenshi bakira neza bakita ku rugo, kandi nibiba ngombwa, imiti yica udukoko. Ntugatinye, ariko ntukirengagize. Gushaka inama z'abaganga b'inzobere hakiri kare ni yo ntambwe nziza ku buzima bwawe.
👩🏽⚕️ Ibibazo Bikunze Kubazwa (Ibibazo Bikunze Kubazwa)
💬 Ese ikibyimba cya Bartholin ni ubwoko bwa kanseri yo mu gitsina?
Oya rwose! Ikibyimba cya Bartholin si kanseri. Ufite imiyoboro ibiri ya Bartholin iri ku mpande zombi z'umwobo w'igitsina cyawe, itanga amavuta karemano. Iyo umuyoboro w'imwe muri iyi miyoboro ufunze, amazi arundanya agatanga agapfukamunwa gato kuzuyemo amazi—ibi nibyo twita ikibyimba cya Bartholin.
💬 Ese ikibyimba cya Bartholin gitera ububabare bukomeye?
Muri rusange, ikibyimba cyoroshye kandi cyuzuyemo amazi akenshi ntikibabaza kandi gishobora kumera nk'ikibyimba gito cyoroshye. Ariko, iyo bagiteri (nka E. coli) zinjiye muri iki kibyimba kikandura, gishobora guhinduka ikibyimba. Ibi bibaye, ushobora kugira ububabare bukomeye, butera kugenda cyangwa kwicara kugorana cyane.
💬 Ese nkwiye kugerageza gukuramo cyangwa gukuramo amazi mu kibuno mu rugo?
Nyamuneka, ntugerageze kwikuramo, gukanda, cyangwa gusohora amazi mu kibuno, kuko ibi bishobora kwinjiza bagiteri zangiza bigatuma habaho ubwandu bukomeye. Uburyo bwizewe kandi bwiza ni ukubona umuhanga mu by'ubuzima, ushobora kukugira inama yo gukoresha uburyo bworoshye nko gushyiramo catheter ya Word cyangwa marsupialization kugira ngo uyikuremo amazi neza. Ku kibuno gito kitanduye, ubwogero bushyushye bwa Sitz rimwe na rimwe bushobora gufasha ikibuno kwikuramo ubwacyo. Niba ufite ububabare bukabije, nyamuneka shaka ubuvuzi bw'inzobere mu ivuriro ryo hafi yawe cyangwa mu ishami ryihutirwa.
Nirogi Lanka Bartholin cyst, ubuzima bw'igitsina gore, ubuzima bw'imyororokere bw'abagore, ubuzima bw'ikibuno, indwara zisanzwe zo mu gitsina
