ʻO Marsupialization kahi ʻano ʻoki lāʻau i hoʻohana ʻia no ka hoʻokahe ʻana o kekahi mau cist a i ʻole nā ​​abscesses.

No ka mālama ʻana i kahi cyst a i ʻole kahi abscess, loaʻa i nā kauka he nui nā ʻenehana hana a lākou i koho ai e noi e like me nā ʻano like ʻole. ʻO Marsupialization kekahi o lākou. Aia i loko o ka ʻili ʻana i ka ʻili a laila piha ka ʻeke i ka wai, e waiho wale ana i kāna ʻike (lymph, pus, a pēlā aku) a e hāmama ana i waho. E hana ai i kēia, ma kahi o ka hoʻonohonoho hou ʻana i nā ʻūlū ʻelua o ka ʻeke, e hoʻopau ai, ua hoʻopaʻa ʻia nā kihi me nā ʻoki o ka ʻili. Piha e hoʻopiha a hoʻopōmaikaʻi ka lua i hana ʻia, me ka makaʻu ʻole ʻana i ka pūnana o kahi maʻi hou.

I kekahi manawa, ke kau ka cyst ma kahi lālā hohonu (hakuʻala, akepaʻa, a me nā mea ʻē aʻe), ʻaʻole maʻi ʻia akā hoʻopiha wale ʻia me kahi wai pōʻino (lymph, ʻo kahi laʻana), hiki ke marsupialization, ʻaʻole i waho, akā i ka peritoneal lua. Hoʻohui ʻia ka ʻeke me ka ʻeke peritoneal. Hiki ke hana i kahi hana i hiki ke hana ʻia ma lalo o ka laparoscopy, ʻo ia hoʻi me ka ʻole e wehe i ka ʻōpū.

Hoʻohana ʻia kēia hana i nā hanana like ʻole:

• ʻalalā kik (i ka iwi ā luna);
• pelvic lymphocele (hōʻiliʻili o ka lymph i loko o kahi cyst ma hope o ke kolo ʻana o nā puʻupaʻa);
• dilation neation o ka lacrimal sac (gland e hoʻopuka ai i nā waimaka);
• etc. 

ʻO kāna mau hōʻailona pinepine pinepine, akā, ka mālama ʻana i ka bartholinitis.

Hoʻomaʻo Bartholinitis

ʻO Bartholinitis kahi huhū maʻi o nā Bartholin glands, i kapa ʻia hoʻi nā gland vestibular nui. ʻO kēia mau momona i ʻelua ma ka helu. Aia lākou ma kēlā ʻaoʻao a me kēia ʻaoʻao o ka puka komo i ka lua, kahi e hāʻawi ai lākou i ka lubrication i ka wā o ka moekolohe. Ma muli o kahi maʻi i lawe ʻia i ka moekolohe (e like me gonorrhea a i ʻole chlamydia) a i ʻole kahi maʻi digestive (ʻo ia hoʻi ʻo Escherichia coli), hiki i kekahi a i ʻole ʻelua o kēia mau gland ke maʻi. ʻO kēia ka hopena i ka ʻeha a me ka ʻulaʻula koʻikoʻi. ʻIke ʻia kahi ʻōhū a i ʻole he puʻupuʻu ma ka ʻāpana o ka labia majora: he cyst paha a abscess paha ia.

I ka manaʻo mua, hoʻokumu ʻia ka mālama ʻana i kēia maʻi maʻi i nā lāʻau antibiotic a me nā anti-inflammatory. Inā hāʻawi wikiwiki ʻia, lawa paha kēia i mea e hakakā ai i ka maʻi.

Akā inā ʻoi loa ka maʻi, pono e noʻonoʻo i ke kahakaha. ʻO ka Excision, ʻo ia hoʻi ka hemo ʻana o ka cyst, ʻo ia ke koho invasive nui loa: ʻoi aku ka nui o ka maʻi o ka maʻi postoperative, a ʻo ka hopena o ka hopena o ka gland a i ʻole nā ​​ʻino e pili ana i nā hale (nā kīʻaha koko, a me nā mea ʻē aʻe). Hāʻawi ʻia ia ma ke ʻano he hopena hope loa, ke hiki ʻole i nā koho ʻē aʻe (e laʻa me ke alo o kahi maʻi sclero-atrophic, me nā mea mucous) a i ʻole ke kū hou ʻana o bartholinitis.

Mālama ʻo Marsupialization i ka conservative a maʻalahi hoʻi e hoʻokō. ʻAʻole ia he hemorrhagic a ʻoi aku ka ʻeha ma mua o ka excision.

Hoʻokomo ʻia ka mea maʻi ma kahi kūlana gynecological, me ka anesthesia ākea a i ʻole locoregional. Hoʻokomo ʻia kahi incision o kekahi mau kenimika ma ka meatus o ka aʻa excretion gland (aia ma ke kua o ka puka moe, ʻo ia ka puka o ka lua). Hoʻomaʻemaʻe ʻia nā ʻike o ka cyst a i ʻole abscess. A laila sutured nā kihi o ka orifice me nā mea o ka mucosa vestibular. 

Hāʻawi kēia hāmeʻa i kahi kahe nui o ka abscess. Mahalo i kahi hoʻōla kuhikuhi (ma lalo o ka mālama olakino, akā me ka ʻole o ka hoʻopili ʻana a i ʻole ka pale o ka ʻili), e hoʻomaʻamaʻa hou ka ʻeha hāmama iā ia iho a maʻa wale i loko o kekahi mau pule (ma kahi o hoʻokahi mahina). Hiki i ke kahawai ke hoʻopiha iā ia iho ma ke ʻano kūlohelohe.

ʻO ka pahuhopu mua o ka mālama ʻana i ka marsupialization e wehe i ka ʻeha a me ka mumū. ʻAe ia, i ka hiki ke hiki, e mālama i ke gland a me kāna hana, no laila e hōʻalo ai i ka sequelae hana. Hiki i ka hoʻohanohano no ka anatomy ke wehewehe i kekahi mau recurrences o bartholinitis i ʻike ʻia i nā mea maʻi i hana ʻia me kēia ʻano.

Eia kekahi, i ka hanana o ka maʻi cystic i loaʻa, hāʻawi ka marsupialization i nā hōʻoia maikaʻi loa e pili ana i nā pilikia koke: kakaʻikahi nā maʻi a me nā hemorrhages perioperative.

E waiho hāmama ʻia ka ʻeha i hana ʻino ʻia e ka mea ʻokiʻoki, aia kahi liʻiliʻi o ka hematoma postoperative e hana nei. Ua wehewehe ʻia kekahi mau hihia o nā maʻi kūloko. Akā ke kuhikuhi nei i nā lāʻau antibiotic ma mua o ke kaʻina hana hiki ke kaupalena i kēia pilikia. Ma ka ʻaoʻao ʻē aʻe, pinepine ka hoʻi hou ʻana.

E like ana i ka ʻO nā dispareunies, ʻo ia hoʻi ka ʻeha i ʻike ʻia i ka wā o ka moekolohe, pili i ka hoʻoliʻiliʻi o ka lubrication ʻele, he mea laha ʻole.