Marsupialization inzira yekuvhiya inoshandiswa pakuburitsa kwemamwe ma cysts kana mamota.

Kurapa cyst kana bundu, vanovhiya vane hunyanzvi hwekushandisa hwavanosarudza kushandisa zvinoenderana nematanho akasiyana (epamusoro kana akadzika lesion, ane hutachiona kana kwete). Marsupialization ndeimwe yacho. Inosanganisira kupinza ganda uye homwe izere nemvura, ichidurura zvirimo (lymph, pus, nezvimwewo) nekuichengeta yakavhurika yekunze. Kuti uite izvi, pachinzvimbo chekumiririra mativi maviri akavezwa muhomwe, kuti uvhare iyo micheto yakasunganidzwa neiyo yeganda incision. Iyo mhango yakaumbwa saizvozvo inozadza zvishoma nezvishoma uye kupora, pasina njodzi yekuva dendere rehutachiona hutsva.

Dzimwe nguva, kana cyst iri pane yakadzika nhengo (itsvo, chiropa, nezvimwewo), kuti haina hutachiona asi inongozadzwa nemvura isingakuvadzi (lymph, semuenzaniso), marsupialization inogoneka, kwete yekunze, asi kune iyo peritoneal mhango. Homwe yacho inosonwa pamwe ne peritoneal sac. Kupindira kunogona kutoitwa pasi pe laparoscopy, ndiko kuti pasina kuvhura dumbu.

Iyi nzira inoshandiswa mune akasiyana mamiriro:

• shaya cyst (mushaya yepamusoro);
• pelvic lymphocele (kuunganidzwa kweLymph mu cyst mushure mekuisirwa kweitsvo);
• neonatal dilation ye lacrimal sac (gland inoburitsa misodzi);
• etc. 

Kuratidzwa kwaro kunowanzo sara, zvisinei, kurapwa kwe bartholinitis.

Bartholinitis kurapwa

Bartholinitis kuzvimba kunotapukira kwezvirwere zveBartholin, zvinodaidzwa zvakare kuti zvipfeko zvikuru zvevstibular. Aya magezi ari maviri muhuwandu. Iwo ari kune ese mativi ekupinda kumukadzi, kwaanobatsira mukuzora panguva yepabonde. Nekuda kwehutachiona hunoparadzirwa pabonde (hwakaita gonorrhea kana chlamydia) kana chirwere chekugaya (kunyanya Escherichia coli), imwe kana zvese izvi zvipembenene zvinogona kutapukirwa. Izvi zvinoguma nekurwadziwa kwakapinza uye kwakatsvuka kwakakosha. Iko kuzvimba kana kunyangwe bundu rinowoneka pachikamu chemukati chema labia majora: inogona kunge iri cyst kana abscess.

Mukutanga chinangwa, kurapwa kweiyi pathology kunoenderana nemishonga inorwisa mabhakitiriya uye inorwisa-kupisa mishonga. Kana ikapihwa nekukurumidza, izvi zvinogona kukwana kurwisa hutachiona.

Asi kana hutachiona hwakanyanya, kuvhiyiwa kunofanirwa kutariswa. Kushamisika, kureva kubviswa kwecyst, ndiyo sarudzo inokonzeresa: njodzi yekutapukirwa mushure mekuvhiya yakakwira, sezvo iri njodzi yekukanganisa mashandiro echirwere kana kukuvadza zvivakwa zvakakomberedza (tsinga dzeropa, nezvimwewo). Naizvozvo zvinopihwa senzira yekupedzisira, apo dzimwe sarudzo dzisingakwanisike (semuenzaniso pamberi pechironda che sclero-atrophic, chine mucous zvirimo) kana painodzokororwa bartholinitis.

Marsupialization inonyanya kuchengetedza uye nyore kuita. Izvo zvakare haina kunyanyisa kubuda ropa uye isinganyanye kurwadza pane kucheka.

Murwere akaiswa munzvimbo yevakadzi, aine general kana locoregional anesthesia. Kuchekwa kwemasentimita mashoma kunoitwa panhengo yegland's excretion duct (iri kuseri kuseri kwechidziro chevakadzi, kureva mukova wemukadzi). Zviri mukati me cyst kana abscess zvinonatswa. Ipapo iwo mativi eiyo orifice saka akagadzirwa akarukwa pamwe neavo vestibular mucosa. 

Ichi chishandiso chinobvumira kukweva kukuru kwejipu. Kutenda kurapa kwakanangwa (pasi pekutarisirwa kwechiremba, asi pasina kubatanidzwa kana ganda rinorovera), ronda rakavhurika rinozozvidzora pacharo zvishoma nezvishoma uye pakarepo muvhiki shoma (unenge mwedzi mumwe). Iyo canal inogona kana kuzvizadza pachayo zvakasununguka.

Chinangwa chekutanga chemarsupialization kurapwa kubvisa marwadzo uye kuzvimba. Iyo inobvumira, sekukwanisika, kuchengetedza gland nebasa rayo, nekudaro kudzivirira kunoshanda sequelae. Kuremekedza anatomy kunogona zvakare kutsanangura mashoma mashoma ekudzokazve kwe bartholinitis akaonekwa mune varwere vakavhiyiwa neiyi nzira.

Kunyanya, mune chiitiko chehutachiona hwecystic lesion, marsupialization inopa yakanyanya kuvimbiswa maererano nezvinetso zvinokurumidza: hutachiona uye perioperative hemorrhages hazviwanzo.

Sezvo ronda rakagadzirwa nachiremba anovhiya rakashama, pane njodzi shoma yekuita postoperative hematoma inogadzira. Zviitiko zvishoma zvehutachiona hwemuno zvakatsanangurwa. Asi kumisikidza maantibayotiki nzira isati yadzikamisa njodzi iyi. Kune rimwe divi, kudzokororwa kunowanzoitika.

Zvinoita sekuti dyspareuniesndiko kuti, kurwadziwa kwakanzwikwa panguva yekusangana pabonde, kwakabatana nekudzikiswa kwemadzimai kunyorova, hakuwanzoitika.