Marsupialization ndi njira yochitira opaleshoni yopangira ma cysts kapena abscesses.

Pofuna kuchiritsa chotupa kapena chotupa, madokotala ochita opaleshoni ali ndi njira zingapo zogwiritsira ntchito zomwe amasankha kutsatira malinga ndi njira zosiyanasiyana (zotupa kapena zakuya, zotenga kapena ayi). Marsupialization ndi imodzi mwazo. Zimakhala zopukutira khungu kenako mthumba mumadzazidwa ndi madzi, kutaya zonse zomwe zili m'mimba (mafinya, mafinya, ndi zina zambiri) ndikuzitsegula panja. Kuti muchite izi, m'malo mongolinganiza mbali zonse ziwiri za thumba, kuti mutseke, m'mbali mwake mumalumikizidwa ndi khungu. Mimbayo yomwe imapangidwayo imadzaza pang'onopang'ono, osakhala pachiwopsezo chokhala ndi matenda atsopano.

Nthawi zina, chotupacho chikakhala pa chiwalo chakuya (impso, chiwindi, ndi zina zambiri), kuti sichikhala ndi kachilombo koma chimangodzazidwa ndi madzi osavulaza (ma lymph, mwachitsanzo), marsupialization imatheka, osati kunja, koma mu peritoneal zibowo. Chikwamachi chimasokedwa ndi thumba la peritoneal. Kulowererapo komwe kumatha kuchitidwa pansi pa laparoscopy, ndiko kunena popanda kutsegula m'mimba.

Njira imeneyi imagwiritsidwa ntchito m'malo osiyanasiyana:

• nsagwada (nsagwada chapamwamba);
• m'chiuno lymphocele (kudzikundikira zamitsempha mu chotupa pambuyo kumuika impso);
• khanda limatulutsa thumba lacrimal (gland lomwe limatulutsa misozi);
• etc. 

Chizindikiro chake chofala kwambiri chimatsalira, komabe, chithandizo cha bartholinitis.

Chithandizo cha bartholinitis

Bartholinitis ndimatenda opatsirana am'magazi a Bartholin, omwe amatchedwanso ma gland akulu. Zotupitsa izi zili ziwiriziwiri. Amapezeka mbali zonse ziwiri zakulowera kumaliseche, komwe amathandizira pakuthira mafuta panthawi yogonana. Chifukwa cha matenda opatsirana pogonana (monga gonorrhea kapena chlamydia) kapena matenda opatsirana (makamaka Escherichia coli), gland imodzi kapena zonsezi zimatha kutenga kachilomboka. Izi zimabweretsa kupweteka kwakuthwa komanso kufiira kwakukulu. Kutupa kapena kotupa kumawoneka pakatikati pa labia majora: mwina ndi chotupa kapena chotupa.

Pachifukwa choyamba, chithandizo cha matendawa chimachokera ku maantibayotiki ndi mankhwala odana ndi kutupa. Ngati aperekedwa mwachangu, awa akhoza kukhala okwanira kulimbana ndi matendawa.

Koma ngati matendawa ndi oopsa kwambiri, ayenera kuganizira za opaleshoni. Chisamaliro, mwachitsanzo kuchotsa chotupa, ndiye njira yovuta kwambiri: chiopsezo cha matenda opatsirana pambuyo pake chimakhala chachikulu, monganso chiopsezo chokhudzidwa ndi gland kapena kuwononga ziwalo zozungulira (mitsempha yamagazi, ndi zina zambiri). Chifukwa chake amaperekedwa ngati njira yomaliza, pomwe zosankha zina sizingatheke (mwachitsanzo pamaso pa sclero-atrophic lesion, yokhala ndi zotupa) kapena ikatha bartholinitis.

Marsupialization ndiyosamala kwambiri komanso yosavuta kukwaniritsa. Komanso siwopweteka kwambiri komanso wopweteka kwambiri kuposa kutsekeka.

Wodwalayo amaikidwa m'malo azachipatala, ndi oesthesia wamba kapena yapakatikati. Chong'amba cha masentimita angapo chimapangidwa pamalo otsekemera a gland (omwe amakhala kumbuyo kwa khonde la nyini, ndiye khomo lolowera kumaliseche). Zomwe zili mu cyst kapena abscess zimatsukidwa. Kenako m'mphepete mwa orifice yopangidwa motere amalumikizidwa ndi ya vestibular mucosa. 

Chida ichi chimalola ngalande yayikulu ya abscess. Tithokoze chifukwa chakuchiritsidwa (moyang'aniridwa ndi azachipatala, koma osalumikizidwa kapena khungu), chilonda chotsegulacho chimadzilimbitsa pang'onopang'ono pang'onopang'ono mumilungu ingapo (pafupifupi mwezi umodzi). Ngalande imatha kudzaza yokha mwachilengedwe.

Cholinga chachikulu cha chithandizo cha marsupialization ndikuchotsa ululu ndi kutupa. Amalola, momwe angathere, kuteteza gland ndi ntchito yake, chifukwa chake kuti mupewe sequelae yogwira ntchito. Kulemekeza anatomy kumatha kufotokozeranso zochulukirapo za bartholinitis zomwe zimawonedwa mwa odwala omwe agwiritsidwa ntchito ndi njirayi.

Makamaka, pakakhala vuto la cystic lesion, marsupialization imapereka zitsimikiziro zabwino kwambiri pokhudzana ndi zovuta zomwe zingachitike posachedwa: matenda ndikutaya magazi nthawi yayitali sikupezeka kawirikawiri.

Monga chilonda chopangidwa ndi dokotalacho chatseguka, pamakhala chiopsezo chochepa cha hematoma yopanga ntchito. Matenda angapo am'deralo amafotokozedwa. Koma kupereka maantibayotiki ndondomekoyi isanathetse vutoli. Kumbali ina, zochitika mobwerezabwereza zimachitika pafupipafupi.

Zikuwoneka kuti ziphuphuIzi zikutanthauza kuti ululu womwe umamvekana mukamagonana, womwe umalumikizidwa ndi kuchepa kwamadzimadzi kumaliseche, ndi wosowa.