Bartholinitis ndi kutupa komwe kumayambitsidwa ndi matenda omwe amapezeka mu glands za Bartholin, glands zaubereki wa amayi. Imaonekera ngati ululu wakuthwa mu nyini. Chithandizo chamankhwala chofulumira komanso choyenera chimathandiza kuthetsa ululu.

Tanthauzo la bartholinite

Bartholinitis ndi mawu azachipatala otanthauza kutupa koopsa kwa glands za Bartholin. Otchedwa akuluakulu vestibular zopangitsa mu nomenclature latsopano zachipatala, zopangitsa awa ndi gawo cha ziwalo zoberekera wamkazi. Zokhala zakuya komanso kuseri kwa khomo la nyini, tiziwalo timene timatulutsa timadzi ta Bartholin timagwira ntchito yotulutsa ukazi. Awa ndi tiziwalo timene timadalira timadzi tambiri timene timagwira nawo ntchito yodzola nyini pa nthawi yogonana.

Dongosolo la ubereki la akazi lili ndi tiziwalo ta Bartholin awiri. Bartholinitis imatha kukhudza gland imodzi kapena zonse ziwiri nthawi imodzi. 

Zifukwa za Bartholinitis

Bartholinitis ndi kutupa kwa chiyambi cha matenda. Zitha kukhala chifukwa:

• matenda opatsirana pogonana omwe nthawi zambiri amakhala matenda opatsirana pogonana (STI) monga gonorrhea kapena chlamydia;
• Matenda a m'mimba omwe angakhale chifukwa cha tizilombo toyambitsa matenda kuphatikizapo Escherichia coli.

Ndi chitukuko cha kupewa matenda opatsirana pogonana, matenda am'mimba ndi omwe amayambitsa bartholinitis.

Kuzindikira kwa bartholinitis

Matendawa nthawi zambiri amatengera izi:

• kuwunika kwachipatala komwe kumathandizidwa ndi mafunso kuti awone zizindikiro ndikuchotsa zifukwa zina zomwe zingatheke;
• kuyesa kwa bacteriological kutsimikizira kachilomboka ndikuzindikira tizilombo toyambitsa matenda;
• mayeso a magnetic resonance imaging (MRI) ngati mukukayikira.

Anthu omwe amakhudzidwa ndi bartholinitis

Bartholinitis ndi kutupa komwe kumawonekera mu maliseche a akazi. Zimangokhudza amayi a msinkhu wobereka, ngakhale kuti pali zosiyana zina zomwe zilipo.

Bartholinitis nthawi zambiri amapezeka mwa amayi azaka zapakati pa 20 ndi 29, makamaka kwa omwe sanaberekepo ana komanso omwe ali ndi matenda a shuga. 

Zowopsa za bartholinitis

Kukula kwa bartholinitis kungayanjidwe ndi:

• kugonana kosatetezeka;
• kumwa madzi kapena chakudya chosayenera kumwa.

Zitha kuwonekanso kuti episiotomy imatha kulimbikitsa kukula kwa bartholinitis. Ndi opaleshoni yomwe ingakhoze kuchitidwa panthawi yobereka. Komabe, chiopsezo ichi sichinatsimikizidwebe.

• Kupweteka koopsa komanso komwe kumapezeka: Bartholinitis imadziwika ndi kuoneka kwa ululu waukulu m'nyini.
• Kufiira: Ululuwu ukhozanso kutsagana ndi maonekedwe a redness ndi kumverera kwa kutentha.
• Cyst kapena abscess: Ndizotheka kuwona chotupa cholimba komanso chowawa ngati muli ndi bartholinitis. Itha kukhala chotupa kapena abscess (matumba okhala ndi madzi kapena theka-olimba).

Cholinga choyamba, kasamalidwe ka bartholinitis kumachokera ku mankhwala opangidwa ndi maantibayotiki ndi mankhwala oletsa kutupa. Chithandizochi chingakhale chokwanira pamene matendawa sali ovuta kwambiri.

Nthawi zina, opaleshoni ingaganizidwe. Opaleshoniyo imatha kukhala ndi fistulization, marsupialization kapena resection. Njira ziwiri zoyamba zimatengera kudulidwa ndikutulutsa abscess kapena chotupa. Njira yachitatu ndikuchotsa kwathunthu abscess kapena chotupa.

Kupewa kwa bartholinitis kumakhudza makamaka matenda opatsirana pogonana. Ndikofunikira:

• valani kondomu pogonana;
• kayezetseni, ndipo limbikitsani okondedwa anu kutero;
• kutsatira chithandizo chamankhwala ngati ali ndi matenda opatsirana pogonana kuti asapatsire wokondedwa wake.