Bartholinitis

March 15, 2012

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Bartholinitis   - Inflammatory disease Bartholin gland   vestibule. Characterized as the defeat of ductless glands, and its tissues to form abscess .

Bartholin gland is a large steam gland located at the base of the labia. On the surface of the labia minora is opened from the inside duct cancer, which is released through elaborated gland protein liquid . It helps maintain normal moisture of the penis during intercourse.

Penetration into the excretory duct cancer virus infection leads to blockage of its lumen. The secret, generated gland builds up and forms Bartholin gland cyst . This provoked an inflammation of the pathogen is actively developing in the duct cancer, thus causing an abscess.

Pathogens are most often bartholinitis staphylococci . gonokokki In some cases the agents may be Escherichia coli . streptococci . Trichomonas . Infection occurs through infected secretions of the vagina or urethra.

There are three forms bartholinitis: kanalikulit   ( false bartholinitis ) true   and Chronic bartholinitis . When kanalikulite affects only the excretory duct cancer, iron itself is not affected. Penetration of infection into the prostate, the parenchyma and its surrounding tissue results in the appearance of a true bartholinitis. Unlike the false true bartholinitis sharply painful, characterized by extensive abscess. Chronic bartholinitis Just noticeable is the clinical picture. Characterized by frequent relapses which lead to accumulation of secretions in the oral cancer, leading to cyst Bartholin gland.

Symptoms bartholinitis

The symptoms depend on the location of the lesion. Kanalikulit can occur in asymptomatic latent form . Its symptoms are most often the formation of inflammatory roller or redness at the exit duct cancer on the surface of the labia. The absence of unpleasant sensations in the early stages of the disease associated with the pathogen most often gonokokkom .

Bartholinitis diagnosis often occurs late and disease results in an abscess. On palpation reveals seal duct in the area, and when pressed it emits a drop of pus. Gradually, plugged duct cancer purulent contents and particles of the epithelium, which leads to the accumulation in the cavity of glands secrete substances and pus. There psevdoabstsess Bartholin gland .

Symptoms bartholinitis at this stage of the disease dramatically exacerbated. Violate the general condition of the patient, there is a weakness, fatigue, fever, appetite and sleep disturbances. There are pain in the lesion, there is swelling. When clogged duct Bartholin gland increases, sometimes reaching the size of a hen's egg, there is a false abscess.

In some cases covers the lesion and cancer tissue that results in a true gland abscess. When this condition occurs purulent fusion gland and surrounding tissue. Abscess provoke pyogenic bacteria Thereby causing a serious condition of the patient. There has been an increase in the inguinal lymph nodes, fever, sharp pain when moving.

Purulent content of iron and can be opened independently, but the complete emptying of the abscess occurs. In most cases, this leads to a recurrence of the disease and tend to chronic bartholinitis .

Bartolini In chronic inflammatory process can occur without suppuration and decay. The symptoms of the chronic form bartholinitis in remission almost absent, palpation reveals seal duct cancer, slightly painful. In the acute stage of the general condition of the patient deteriorates, there is fever, swelling, burning sensation. During this period, possible complications bartholinitis.

Bartolini during pregnancy is harmful to the child's health. Perhaps the penetration of infection through the placenta and umbilical cord. If the disease is caused by the gonococcus and trichomonas this leads to pathologies in the formation of the fetus. Up to the 13th week of pregnancy can provoke miscarriage bartholinitis.

Diagnosis bartholinitis

Diagnosis is based on the complaints of the patient and the overall clinical picture. Chronic bartholinitis often found by reference to the gynecologist in the presence of other diseases such as bacterial vaginosis   or pelvic inflammatory disease . To diagnose the disease is sufficient to palpation.

Just appointed bacteriological examination gland secretion. Depending on the pathogen causing inflammation treatment is prescribed bartholinitis.

Required appointed vaginal swabs for bacteria Trichomonas   and gonnokokka .

Treatment bartholinitis

Pending the results of bacteriological tests bartholinitis treated in the normal way. Appointed doxycycline . ofloxacin   and metronidazole . Later medication is adjusted depending on the type of bacteria detected individually selected antibacterials   or combinations thereof.

In addition to medical treatment prescribed physiotherapy: magnetotherapy . infrared laser . Suitable topical treatment bartholinitis a sedentary baths with antiseptic solutions and applications with balsamic linimentom Vishnevsky .

Bartholin gland abscess requires surgery. Held marsupializatsiya   or cut to create an artificial opening. In severe cases, the entire gland is surgically removed.