Abesifazane abaningi ngezinye izikhathi baba neqhubu elincane esithweni sabo sangasese sowesifazane. Lokhu kungaba buhlungu kancane, futhi kungaba yinto engakhululekile lapho behleli noma behamba. Ngokwezokwelapha, sibiza lawa ma-cyst e-Bartholin. Ngezinye izikhathi lawa ma-cyst abuya ngemva kokwelashwa. Ngakho-ke, namuhla sizokhuluma ngokwelashwa okukhethekile nokuphumelela kakhulu kwala ma-cyst aqhubekayo. Kubizwa ngokuthi `(Marsupialization)`.
Kalula nje, kuyini i-Marsupialization?
Kulungile, ake siqale sibheke ukuthi la ma-cyst e-Bartholin akheka kanjani. Kuzo zombili izinhlangothi zomnyango wesitho sakho sangasese sowesifazane, kunezindlala ezimbili ezincane kakhulu ezibizwa ngokuthi ama-Bartholin glands. Umsebenzi wazo oyinhloko ukukhipha uketshezi olugcobayo olugcina isitho sangasese sowesifazane simanzi. Uma ngesizathu esithile uketshezi oluvela kulezi zindlala luvaleka, uketshezi luyaqoqana ngaphakathi bese luvuvukala njenge-cyst. Yilokho esikubiza ngokuthi i-cyst ye-Bartholin.
Manje, yilokhu okwenzekayo ngesikhathi sokuhlinzwa okubizwa ngokuthi "i-Marsupialization".
Udokotela wakho uzokwenza ukusika okuncane phezu kwe-cyst bese ekhipha lonke uketshezi olungaphakathi. Ngemuva kwalokho, into ebaluleke kakhulu yenziwa. Ukuze kuvalwe ukusika futhi kuvinjelwe ukwakheka kwe-cyst, imiphetho emibili esikiwe ye-cyst igoqwa ibuyele esikhumbeni esizungezile bese ithungwa ivuleke njengesikhwama esincane.
Ukuze kube sobala, kwakheka isikhwama esincane lapho i-cyst yayikhona, esinomgodi ohlala njalo, ukuze uketshezi oluvela ku-Bartholin gland luqhubeke nokuphuma ngaphandle kokuvinjelwa.
Ukwenza lokhu kunciphisa kakhulu ingozi yokuthi uketshezi luphinde luqongelelane kuleyo ndawo bese kwakheka isimila.
Kukuziphi izimo lapho lokhu kuhlinzwa kunconywa khona?
Akuwona wonke umuntu one-cyst kaBartholin ozohlinzwa. Eqinisweni, ngokuvamile akuyona indlela yokuqala yokwelapha enconywa odokotela. Kunezindlela zokwelapha ezilula. Isibonelo, ukuhlala emanzini ashisayo izinsuku ezimbalwa (ukugeza nge-sitz) noma ukusika i-cyst bese ukhipha uketshezi kungenye yezinto zokuqala ongase uzame.
Kodwa-ke, kunezinye izimo lapho ukuhlinzwa kwe-Marsupialization kungacatshangelwa khona.
| Ithuba | Incazelo |
|---|---|
| Uma isimila sibuhlungu kakhulu | Uma isimila sikubangela ubuhlungu obukhulu noma ukungakhululeki kangangokuthi awukwazi ukwenza imisebenzi yansuku zonke. |
| Uma ama-cyst ephinda ebuya | Uma, naphezu kokwelashwa, isimila siphinde sivele endaweni efanayo ngemva kwesikhashana, lokhu kungaba yisisombululo esingcono kakhulu. |
| Uma ezinye izindlela zokwelapha zingaphumeleli | Uma isimila singapholi ngokuphelele ngezinye izindlela zokwelapha ezilula, njenge-catheter ye-Word . |
Okunye ukwelashwa yi-Word catheter. Lokhu kuhilela ukufaka ithubhu elincane ku-cyst izinsuku ezimbalwa ukuze kukhishwe uketshezi. Kulula kancane kunalokhu kuhlinzwa, ngakho udokotela wakho angase azame lokho kuqala. Kodwa uma lokho kungasebenzi, i-Marsupialization ingacatshangelwa.
Kwenzekani ngaphambi kokuhlinzwa?
Uma udokotela wakho enquma ukwenza lokhu kuhlinzwa, uzokuchazela konke ngokucacile futhi athole imvume yakho.
- Umlando wakho wezempilo uzobuyekezwa: Bazokubuza nganoma yiziphi ezinye izifo onazo kanye nemithi oyiphuzayo ukuqinisekisa ukuthi lokhu kuhlinzwa kukufanele.
- Ikhuluma ngezingozi: Njenganoma yikuphi ukuhlinzwa, uzokwaziswa ngezingozi ezincane ezingase zivele.
- Imiyalelo yokulungiselela: Imiyalelo yokuthi yini okufanele uyenze ngaphambi kokuhlinzwa nokuthi yini okufanele uyinakekele ngesikhathi sokululama ngemva kokuhlinzwa. Isibonelo, uma uhlinzwa ngaphansi kwe-anesthesia ejwayelekile, uzocelwa ukuthi ulethe othile ozokushayela ekhaya ngemuva kokuhlinzwa ngoba ngeke ukwazi ukushayela. Uzotshelwa nokuthi kuzodingeka uthathe izinsuku ezimbalwa uphumule emsebenzini .
Kwenzekani ngesikhathi sokuhlinzwa?
Empeleni lokhu kuyindlela elula kakhulu futhi encane kunalokho ongakucabanga. Ngokuvamile kuthatha imizuzu eyi-10 kuya kweyi-15 . Kwenziwa egumbini lokuhlinza, kodwa uzokwazi ukuya ekhaya ngalolo suku.
Ake sibheke ukuthi kwenzekani ngesikhathi sokuhlinzwa ngokulandelana:
1. Indawo: Uzobekwa embhedeni okhethekile imilenze yakho igobile futhi isekelwe (indawo yokuhlinzwa kwe-dorsal lithotomy).
2. Ukubulala izinzwa:I-anesthesia inikezwa ukuze kuncishiswe indawo. Kungaba i-anesthesia yendawo, noma ingakwenza ulale ngokuphelele (i-anesthesia ejwayelekile). Udokotela wakho uzonquma.
3. Ukuhlanza: Ukuze kuvinjelwe ukutheleleka, indawo yokuhlinzwa (kufaka phakathi indawo ephakathi kwesitho sangasese sowesifazane kanye ne-anus) ihlanzwa kahle.
4. Ukuvula i-cyst: Udokotela wenza i-incision phezu kwe-cyst, asuse lonke uketshezi olungaphakathi, bese ehlanza ingaphakathi kahle ngamanzi anosawoti.
5. Ukuthunga 'isikhwama': Okulandelayo, imiphetho emibili yodonga olusikiwe iyagoqwa ngaphandle, ibekwe esikhumbeni esizungezile, bese ithungwa ndawonye ngezithungo ezincibilikayo. Lokhu kudala isikhwama esincane, esivulekile esikhulume ngaso ngaphambili.
Ngemva kokuvula i-cyst, udokotela uzohlola izindonga zangaphakathi ze-cyst ukuze abone ukuthi kukhona yini izicubu ezingavamile. Uma kukhona ukungabaza, ingxenye encane yayo ingathathwa bese ithunyelwa 'kuyohlolwa'. Kodwa ungakhathazeki, ama-cyst kaBartholin awavamile ukuba nomdlavuza.
Isikhathi sokululama sinjani ngemva kokuhlinzwa?
Kungathatha amasonto amabili kuya kwamane ukuthi inxeba liphole ngokuphelele ngemva kokuhlinzwa. Phakathi nalesi sikhathi, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
Okufanele ukulindele ngesikhathi sokululama
- Izinsuku ezimbili zokuqala: Ungase uzizwe ubuhlungu nokungakhululeki endaweni yenxeba, kodwa lokhu kuzophela kancane kancane.
- Izinsuku ezi-3-5 ezilandelayo: Udokotela wakho angase akuncome ukuthi ugeze umzimba wakho kanye noma kabili ngosuku. Lokhu kuzosiza ekunciphiseni ubuhlungu futhi kusize inxeba ukuthi liphilise ngokushesha.
- Emasontweni amabili alandelayo: Ungase uqaphele amabala amancane noma uketshezi oluphuma esithweni sangasese sowesifazane. Lokhu kungambozwa nge-panty liner evamile. Ungase uzizwe ukhathele kancane.
| Izinto okufanele uzenze ukuze ululame ngokushesha | Izinto okufanele uzigweme cishe amasonto amane |
|---|---|
| - Phuza imithi yokubulala izinhlungu neminye imithi njengoba nje udokotela emyalile. | - Ngokwenza ucansi. |
| - Gqoka izingubo zangaphansi ezikhululekile, ezigqokwe ngokotini kanye nezingubo. | - Ukusebenzisa ama-tampons. |
| - Phuza amanzi amaningi futhi udle ukudla okunomsoco. | - Ukufaka insipho enephunga elimnandi kanye nama-lotion esilondeni. |
| - Phumula ngokwanele futhi ugweme umsebenzi onzima. | - Ukuzivocavoca okunzima njengokugibela ibhayisikili nokuphakamisa izinsimbi. |
Yiziphi izinzuzo kanye nezinkinga ezingaba khona zalokhu kuhlinzwa?
Inzuzo enkulu yalokhu kuhlinzwa ukuthi kunezinga eliphezulu kakhulu lempumelelo ekuvimbeleni ukuphinda kuvele ama-cyst e-Bartholin. Inani elincane kakhulu labantu, phakathi kuka-2 no-13 kwabayi-100, abaphinde babe ne-cyst ngemva kwalokhu kuhlinzwa.
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile, kodwa izinkinga azivamile.
- Ubuhlungu
- Ukutheleleka
- Izibazi
- I-Hematoma (ukuqongelela kwegazi eduze kwesilonda)
- Ubuhlungu ngesikhathi socansi (i-Dyspareunia)
Uma ukhathazekile nganoma yikuphi kwalokhu, zizwe ukhululekile ukukhuluma nodokotela wakho ngakho.
Uma unalezi zimpawu, bona udokotela ngokushesha.
Ungaphuthelwa izinsuku "zokulandelela" ngemuva kokuhlinzwa. Futhi, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, bona udokotela wakho ngokushesha.
- Uma uthola umkhuhlane.
- Uma uphuma igazi kakhulu nge-panty liner oyisebenzisayo.
- Uma ubuhlungu obuvela esilondeni bukhula usuku nosuku esikhundleni sokuncipha.
- Uma unoketshezi oluphuma esithweni sangasese sowesifazane olungavamile ngombala, olujiyile, noma olunephunga elibi.
Lokhu kuhlinzwa kuzokusiza ukuqeda ngokuphelele i-Bartholin's cyst engapheli nebuhlungu. Futhi njengoba ingasusi i-Bartholin's gland yakho, ngeke ithinte ukusebenza kwayo kwemvelo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Marsupialization kuyindlela ephumelela kakhulu yokwelapha ama-cyst e-Bartholin aphindaphindayo noma abuhlungu kakhulu.
- Lokhu ukuhlinzwa okuncane kakhulu okungaqedwa ngemizuzu eyi-10-15 nje kuphela.
- Umgomo oyinhloko wokuhlinzwa ukudala indlela ehlala njalo yokuthi uketshezi olukhishwa yindlala lugeleze ngokukhululeka.
- Kuthatha cishe amasonto amabili kuya kwamane ukuphulukiswa ngokuphelele, futhi kubaluleke kakhulu ukulandela iseluleko sezokwelapha phakathi naleso sikhathi.
- Uma unenkinga noma ukwesaba ngalokhu, xoxa ngakho ngokukhululekile nodokotela wakho.
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