- Bartolini - prevention of the disease
- Acute inflammation
On the mechanism of the development of pathological changes bartholinitis refers to inflammatory diseases with damage to Bartholin (or more) gland, located in the vestibule. The process can take place in the acute, chronic, or to form abscesses. In the acute phase may be complicated by the development bartholinitis true abscess, so it is important to contact your gynecologist when the first signs of discomfort in the genital area outside.
Ways of infection
The source of infection are the various types of microorganisms which lead to the development of inflammatory diseases. Pathogens can be divided on microorganisms specific and nonspecific nature. From opportunistic (or nonspecific) flora pathogenic significance are aerobic gram-positive and gram-negative microorganisms:
- staphylococci
- streptococci
- Escherichia coli
In the present conditions, the role of the bacteria that can be transmitted sexually. Specific pathogens are gonococcal infection, trichomoniasis
Trichomoniasis - why it is not worth it to treat yourself?
and other bacteria. It is necessary to take into account the specific nature of the disease, as this requires treatment of both partners.
Initially pathogens enter the excretory duct of Bartholin's gland, which develops an inflammatory reaction with the formation of mucopurulent secretions. As a result of inflammation of the outer opening of the duct swells, it is its obliteration (or occlusion). Glands secrete a secret delayed, developing retention cyst formation or cancer.
The difference between acute and chronic bartholinitis
The inflammatory process can take place in several clinical embodiments, various displays which assist in the diagnosis. Clinical symptoms of an acute inflammatory disease bartholinitis correspond. Woman marks the appearance of swelling and pain in the area of the labia majora. Sometimes the pain can be so intense that it is difficult to move, interfere with walking. In the acute phase there is an increase in body temperature, the patient feels unwell, general weakness, headache,
Headache
That is a manifestation of intoxication.
After a period of acute inflammation bartholinitis it becomes chronic. It can be characterized by the alternation of exacerbation of the disease in remission, when there is no clinical picture of inflammation. In such a "cold" period of a woman is not experiencing any discomfort, symptoms appear only under certain predisposing factors (hypothermia, sexual life, co-infection, and others).
Patients who bartholinitis occurs in chronic form, must comply with preventive measures to prevent the exacerbation of the pathological process. Great importance should be given timely treatment of inflammatory diseases of any localization, not only in the reproductive system. Foci of infection is a risk factor for the possible spread of pathogens, which can cause the development of acute bartholinitis.
What determines the choice of treatment tactics
Conservative therapy for Bartolini is assigned only in the initial stages of the disease, when the cancer is not abscess. The main goal of treatment is to eliminate the infectious agent, which is achieved by the use of antibiotics and antiseptics. The drugs of choice are antibacterial agents with broad spectrum antimicrobial activity. If there is confirmed evidence of a specific causative agent of the inflammation, the prescribers, which has a sensitivity.
Carry out local treatment antiseptic solution, which increases the effectiveness of the remedial measures. The procedures recommended several times a day, overnight left the bandage soaked drug. Antiseptics can be purchased in the finished form, it does not require special breeding, which is a very opportune moment from a practical point of view. In case of failure of the activities, the development of an abscess the patient should be admitted to hospital for surgery. Abscess Bartholin gland is subject to mandatory surgery:
- autopsy abscess
- Obligatory drainage cavity
An abscess should be opened as widely as possible, so as inadequate incision will contribute to long-term, protracted course of the disease and the development of complications. If you have drainage conditions for the normal outflow of pathological secretion of pus from the cavity, which promotes more rapid recovery of the patient. The range of interventions should include fortifying agents, and immunomodulators. It is necessary to strengthen the overall immune system, which will naturally improve the condition of local protection in the vagina. To prevent the development of acute illness in the period after surgery as a prophylactic removal of the technique of the Bartholin gland capsule. Such interference is allowed only in the "cold" period when there are no signs of inflammatory changes.
In the initial stages of the disease may be the use of physiotherapy. As a therapeutic factor using ultraviolet irradiation and UHF. Procedures are carried out daily, while the physician should evaluate the changes in the local symptoms. If the background of physiotherapy marked deterioration, there are signs of an abscess cancer, the treatment was stopped, and embarking on surgery with pre-treatment with antibiotics.
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Acute inflammation
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