Among the diseases of the gynecological sphere, it is worth noting a bartolynitis (inflammation of the bartholine gland), consider which manipulations should be carried out after opening the abscess of the bartholine gland, the treatment of which is carried out.

Based on the anatomical data of bartaline iron, it is localized in the lower third of the large sex lips, namely, in their thicker, iron reaches one centimeter in diameter, it is oval shape, steam room. From a physiological point of view, they are intended for the development of the secret, it is thick, driving, is displayed through the so-called total output duct directly in the imperative vaginal. Its function is constant moisturizing of the mucous membrane.

Of course, it is best to open the abscess surgical path, you should not wait for it when he independently starts at home, as it is fraught with the development of complications, for example, a fistula can occur, in addition, iron will not be completely emptied by the purulent content, which will require additional surgery.

The principles of treatment after opening the abscess of bartholine gland

If the abscess revealed independently, the patient needs to go to the surgeon as quickly as possible. At the same time, the doctor is obliged to carry out complete drainage of the gland, for this purpose the patient establishes special drainage tubes through which the outflow of the remaining purulent content is carried out.

In some situations, the doctor can carry out a mrsupilization, such a procedure involves the formation of a bartoline grade duct, while the surgeon establishes a special catheter for quite a long period. The purpose of such a manipulation to form a unlucky channel, through which the secret generated by iron, directly in the imperative vagina, will be freely displayed.

After opening the abscess woman, it is necessary to adhere to the so-called intimate hygiene, which will include the following activities:

It is important to arrange at least twice a day, while the heat transfer solution should be used sufficiently light shade, in addition, the chamomile decoction will be suitable, and other antibacterial agents intended for intimate hygiene can be used;

In the period after opening the abscess, the patient should wear free underwear, desirable, made of natural fabrics, without dyes, a woman needs to abandon the narrow items of clothing;

Hygienic measures will include the use of everyday thin pads, while it is important to change them every two hours, otherwise they will become a favorable medium for the reproduction of pathogenic bacteria, which will aggravate the patient's condition;

During the period of menstruation, a woman should change the gaskets too often, every two hours, in addition, the use of ordinary tampons is undesirable;

It is important during this period to abandon sexual life.

In the period after opening the abscess, it is important to use antiseptic pharmaceuticals that the doctor will recommend:

You can process the affected area with diamond greenery or use iodine solution;

A woman can use special tampons impregnated, to some extent, antiseptic preparations, for example, a solution of chlorhexidine or Mirismine;

It is necessary to rinse with a medicinal solution of betadine;

After it ceases to relete the purulent contents from the bartoline gland, the patient can use Levomecole or Vishnevsky ointment, similar medicines will help healing.

Treatment After opening an abscess with bartoline implies the mandatory purpose of antibiotics, such a group of medicines is necessary for the subsequent healing of the so-called postoperative wound. At the same time, it is important to correctly choose an antibiotic, according to a bacterial sowing, in this situation the risk of chronization of bartolynitis is minimal. In many situations, antibacterial treatment should also be conducted and a sexual partner if the infection provoking inflammation of the gland was venereal.

Treatment after opening an abscess of bartholine gland folk methods

For treatment, after opening an abscess, heralds can be applied from oak bark, chamomile, calendula, since listed plants have antimicrobial effects, and also have an anti-inflammatory effect. Use only the gifts of nature will be rampant, folk methods are effective together with medicinal pharmaceuticals. In addition, with any disease, you must first consult with a specialist.

As a lining agent for intake, you can apply the therapeutic mixture of the following components: 300 grams of purified walnuts, 100 grams of garlic need to be skipped through a meat grinder. Next to this mass add 50 grams of fennel and a whole kilogram of liquid honey. All components are thoroughly mixed. Use 1 tablespoon twice a day for a month.

Conclusion

It is important necessary to maintain the prevention of bartolinite, so as not to bring the disease to the development of abscess, while the most important thing is to comply with intimate hygiene, in addition, it is desirable not to get used to the constant wearing of close underwear, and also need to be in time to treat the infection.

A brief story about whether the abscess of bartoline glands arises, the causes of the advent of bartolinite, characteristic symptoms and most importantly are the consequences of the removal of abscess. Yes, and also, in the next note, I will tell you how the abscess should be treated so that there were no relapses.

For about two weeks, it was worried about periodically emerging allocations with a greenish tinge from the vagina. With questions about these discharge, I turned to the gynecologist who took the smear for analysis. The results of the analysis did not give any answers about the selection (or at all and did not have any results).

Was already the end of June, his health was no longer bothered by anything, so long for a long time I left for a couple of weeks to the Black Sea. Everything was great - rested, prescribed health mental and physical. But greenish-yellowish allocations periodically reminded themselves. The husband said that it could be colpit, and the gynecologist repeated again: "All right!". These were the reasons for the impending bartholinite - infection.

And here is the week after three days after the sea on Saturday morning, I have a little rising temperature of the body and I notice a small swelling of a large sexual lip, as well as a seal of about 7 mm in the left at the entrance to the vagina - these were characteristic symptoms of the bartholine abscess. I think: "We arrived ... Bartolinitis again. But where did he come to my head? " Nine years ago, I already had an acute abscess of bartoline glands on the left. The gynecologist also wanted to remove the bartholine gland as "unnecessary", but the other doctor insisted on conducting puncturing. In general, then it was cooled with an antibiotic and washing the abscess cavity with an antiseptic with a syringe (without autopsy), and here again ...

There was no one and a half days (during which I tried to suppress inflammation with uddicerine dressings - did not help), and the cyst with a diameter of 7 mm increased to 40 mm in length and 2 cm wide, soreness appeared, the temperature was raised to 37.5 o , Start shaking from fear and bad premonitions. All the simtomas indicated the abscess. So on Sunday evening, I gathered things and turned to the gynecological department of a stationary hospital, where I was opening the abscess of the bartholine gland. From there, the green liquid flowed down with a stench smell and immediately became easier. The contents of the abscess took the analysis, the results of which no one did not see. In the hospital, I was also banging that I didn't pull it away and immediately did not come, but when I said that it all happened during two days, they were very surprised (by the way, in epicrise they wrote that before the appeal I had an increased temperature for two weeks ). In the resulting remap, the hole as a drainage into the cavity of the abscess daily was administered gauze wick with a length of about 20 cm ioddicyrin. And so lasts days 7. As a treatment, an effective two-component antibiotic of the number of digital "digital art", washing chlorhexidine and dressing with iodicyrin was prescribed.

For more than ten days I had an elevated temperature. Nothing about the causative agent of the disease, greenish discharge, the results of the analysis of the contents of the abscess, as well as the smears, did not clarify. Only in two weeks, after the discharge, I recalled the discharge and I was told that I probably had a colpit and at random, Clotrimazole anti-haircut candles were prescribed. Five days - and the selection as it was not - guess!

The incision was delayed, but a feeling of swelling, spit, swelling ... The spouse said that I was all inventing, there was nothing terrible there. In general, I walked off, but not everything was so good ...

So, as always, and as everyone, after opening the abscess of the bartholine gland, there are launches in this place, the cavity of the abscess is most often turning into a soft, barely noticeable seal and as a result of an output duct can be transferred at any time - why it turns out a high probability of bartolynitis relapse ( First, just the cyst of the bartoline gland occurs if it is inflated - there will be abscess).

Video: "Bartoline and Bartolinite cyst"

Obstetrician gynecologist, Ph.D. Dmitry Lubninen talks about the methods of treating the cyst of the Bartolin gland, about the essence of the disease "Bartolinitis", about the causes of the occurrence, about various complications, as well as the new method of treatment of bartolinite using a Word catheter.

Bartolinite is a gynecological disease caused by sharp or chronic. This iron is located in the tissue of a large sexual lip. Its size - about 2 cm. Iron on the sexual lips is used to perform an important function - the production of lubricant, which is necessary for the comfortable flow of intimate contact and the natural wettability of external genital organs. The inflammation of the bartoline gland happens only in adult women, since before the start of puberty, children are underdeveloped.

The code of this disease according to the classification of the ICD 10 - No. 75.

If the woman had an iron in groin, this is most often a sign of infection in the body. It is most likely that the causative agents of the diseases spread through sexual contact. Very often doctors diagnose bartolinite caused by pathogenic microorganisms (, candida or).

A partner Bartolinite is transmitted not as a disease in its pure form, but in the form of an infection that provoked it. Therefore, it is impossible to delay the treatment of the disease.

The following situations can increase the risk of bartolinite several times:

  • Insufficient or irregular genital hygiene. It is very important to carry out hygiene by women during menstruation, when the gland ducts are particularly susceptible to infections.
  • Local microtrauma. If during intercourse the vagina is not sufficiently moistened, then the breaks and microen "will open" for all sorts of infections.
  • Wearing linen of inappropriate size. Close panties break the work of the gland, cause stagnation.
  • Infertility of intimate life in tens of times increases the risk of transmission of venereal infections. Jumps on the sexual lip can occur in the event that you ignore the use of barrier contraception.
  • The actions of operational characteristics in the organs of the urogenital system, which were carried out with a violation of sanitary and medical standards.
  • The presence in the body of local infections (the teeth affected by caries). In this case, pathogenic bacteria fall into the cavity of the gland through blood flow or lymphotok.
  • Avitaminosis, reducing the functioning of the immune system, hypothermia.
  • Psychosomatics. There are some psychological fears or complexes in which the gland women cease to function normally and becomes receptive to different kinds of infections.

Symptoms of Bartolinita

Signs of illness depend on the nature of the flow and localization of the inflammatory process.

  1. According to the nature of the flow, the acute bartholynitis, subacute, recurrent (or returnable) and chronic;
  2. In terms of localization - abscess (disappear), canaliculite (the inflammatory process goes in the output duct) and the cyst of the bartoline gland in women.

Acute form of illness

Most often, the disease has one-sided localization. In most cases, the initial stages of acute bartolinite is the canaliculitis of the bartholine gland. Symptoms are practically not expressed, the state of the woman does not change. Characteristic of the presence of the following symptoms:

  • a small redness of the entrance area in the vagina and the gland caused by a minor increase in the secrelectable secret;
  • you can personify the protruding area of \u200b\u200bthe gland, when squeezing out of it, the minimum amount of pus follows.

Then the edema increases, the duct partially cloculates, natural secretion is disturbed. In such a situation, the inflammatory process extends very quickly and the development of pathological education occurs. As soon as the secret acquires the nature of the purulent mass, the false abscess of the genital lips begins.

False abscess

Among the symptoms, the most pronounced are pain in the location of the gland, which are enhanced during sexual contact, movement and seats. The patient is striking chills, weakness in the whole body. Temperature may rise up to 39 ºС..

The visual inspection of external genitalia will make it possible to recognize the abscess of a small sexual lip. The appearance of swelling significantly increases, which partially turns around the passage into the vagina. The epidermis looks blushing and inflamed.

Abscess bartoline gland

This is a very serious and dangerous stage of the disease. The pain becomes strong, pulsating, the condition is characterized by weakness in the muscles, chills, an increase in body temperature to 40 ºС. At this time, the disease can be diagnosed by: the leukocyte level will increase and the SE indicator will increase.

If we talk about local changes, then the diameter of the abscess will be 5-7 cm. Skin color in the area of \u200b\u200bthe river - bright red. When touching the affected area, a woman is experiencing a sharp pain. At this stage, the opening of the bartolinite can occur spontaneously. As soon as iron is free from purulent masses, the body temperature will decrease sharply, and the general state will enhance.

Chronic form of the disease

Chronic bartolinity can occur for a long time. It is characterized by periods of complications or attenuation of symptoms. Consiss a surge of the disease can menstruation, long stay in cold air. During the "attenuation" of a chronic disease, a woman usually does not arise any serious complaints, except for insignificant discomfort during sexual contacts. When the exacerbation occurs, all the manifestations characteristic of the acute phase of bartolinite occur on the surface.

Cystic education

If a tininess of a cystic character has a small size, then a woman may not feel it for many years. Another thing, if the cyst quickly inflamed or reached large sizes. The swelling during the periods of growth of the neoplasm may increase and cause severe pain. This can be an important symptom for the need to remove cysts.

Treatment of Bartolinitis

Gynecology offers several ways to treat. If the disease proceeds in a light form, the doctor will recommend treatment at home with medical preparations (without surgery). The purpose of such therapy is the removal of swelling and pain syndrome, prevention of the appearance of seals, purulent abscesses and, actually, the treatment of bartolinite. For this, the manipulations of a local nature are used, antibiotics are prescribed, painkillers and antipyretic effects.

Local treatment

During local therapy, patients offer the use of special ointments and overlay hypertensive compress. Hypertensive solution for a row is a saline solution of 8-10% concentration. They wathetally waddled or gauze tampon and apply to the inflamed place for about 40 minutes. The procedure is allowed to repeat up to 6 times per day.

Healing ointments for mucosa of genitals helps to cure bartolynitis without surgery. Usually used Levomikol ointment or ointment Vishnevsky. It is better to impose them alternately (every other day). The ichthyol ointment is effective if you need to treat bartolinitis by the formation of purulent abscess. Aloe extract and some gynecological candles have excellent wound-healing properties.

Antibiotic therapy

To eliminate infection, treatment must include the reception of antibiotics. The ideal option will be preparations, sensitivity to which painful microorganisms of bartolinite have the sensitivity. But not in each case there is a time to perform bacteriological research. Therefore, gynecologists are prescribed tools for generality: ceftriaxone, agguntin, offloxacin, clarithromycin, amoxiclav, erythromycin. Only a doctor can choose a certain antibiotic. Self-treatment is prohibited, as it may aggravate the disease.

Operational treatment of Bartolinitis

Surgical intervention is often prescribed during the acute pathology of Bartolinite. In the process of manipulations, a purulent injection disseminate is carefully cleaned the resulting cavity and a special drainage probe is introduced into it. When the whole pussy will bring out through the tube, the drainage is removed. In the postoperative period, a woman must take antibiotics and make a bummer.

Marsupialization is a modern admixture of chronic form. Under it understand the creation of artificial duct of bartholine gland. The operation consists of several consecutive steps. Initially, the cyst or abscess is neatly opened and clean, then a special-shaped catheter is introduced into it, extended at the end. After a few days, the device is removed from the gland. During this time, there is a full-fledged new duct. If the operation was carried out correctly, no consequences of the patient's treatment are detected.

If the formation of artificial duct passed unsuccessfully, and recurrences of the disease occur with high frequency, then the patient will remove the bartholine gland. This is a pretty simple operation that is performed under anesthesia.

Seams After removing the bartholine gland, you need to regularly process. Replacement treatment will also be appointed during 7-10 days.

Prevention Bartolynita

The prevention of the described disease is reduced to the following actions:

  1. proper performance of daily hygienic procedures.
  2. the use of specialized means for hygiene of the genital organs.
  3. the elimination of sexual contacts with random partners, the use of barrier contraception (condom).
  4. refusal to synthetic or too close underwear.

Bartolinitis - Inflammation of the big (bartoline) gland the fighting of the vagina.

The disease may occur in women of any age, but most often it occurs in women from 20 to 35 years. His prevalence is large enough: it is 1 case for 50 women.

Anatomy of outdoor genital women

The outdoor genital bodies of women include pubes, large and small sex lips, clitoris, anticipation of the vagina and the virgin splas.
  • Loboy or Venus Budrock
    This is the lower section of the front abdominal wall, which, at the expense of well-developed subcutaneous fiber tissue, is slightly towers. In a half-gravel, the pubery is covered with hair cover, the appearance of which resembles a triangle facing the base upwards. Lobca hair color is somewhat darker than hair color on the head.
  • Small sex lips
    There are two longitudinal tender skin folds resembling a mucous membrane. They are located between large sex lips and are usually completely hidden.

    The small sexual lips are lacking hair and adipose tissue, and their foundations are separated from the large lips by furrows.

    Each fold of a small sexual lip is divided into two legs: outdoor and inner. Which are connected to each other, forming a bridle (internal legs) and extreme flesh (outer legs) of the clitoris. Rearly small sex lips are connected by a small transverse fold.

    Small Greek Function - Mechanical entry protection in the vagina.

  • Clitoris
    It is located at the upper ends of the small sexual lips and is an unpacking organ that consists of a head, a double cavernous body and legs.

    The clitoris is richly equipped with blood vessels and nerve endings, so it is very sensitive to touch, and when sex is filled with blood and increases in size (erection).

    The clitoris is the most erogenous zone for most women . Therefore, its main purpose is to accumulate sexual sensations and turn them into orgasm.

  • Wanted vagina
    This is a space that is located between small sexual lips. It opens out the withdrawal ducts of the bartholine glands, the hole of the urethra and the entrance to the vagina.
  • Hymen
    It is located at the entrance to the vagina and is a tissue fold from its mucous membrane, which is richly equipped with nerve endings and blood vessels.

    With the first sexual intercourse, as a rule, there is a gap of virgin splava (defloration), which is accompanied by painful sensations and small bleeding. However, sometimes the Pure does not burst due to the fact that it can have a different degree of extensibility, shape, thickness, elasticity and holes.

Causes of Bartolynita

Disease it occurs when causative agents of infections in bartoline gland occurs. Most often these are diseases indulging in sexual means: gonorrhea, trichomoniasis, chlamydia. Bartholinites are also found, whose pathogens are becoming other pathogens: staphylococci, streptococci, intestinal wand, candidate and others. However, the bartolinite is most often caused by the Association of two or three infections.

As a rule, pathogenic microorganisms fall into bontoline bond dumping from the urethra or vagina during urethritis and / or colpit. However, it is sometimes possible to enter infections directly into the gland itself with blood flow or lymph.

The risk of bartolinite development increases factor of With the following situations:

  • Non-compliance with personal hygiene rules(especially during menstruation), promotes infection directly in the duct.
  • Any local microtrauma (Combs, sexual intercourse with insufficient moisture) become an "entrance gate" for infection.
  • Wearing cramped linenit violates the normal outflow of the edge of the gland, so it is stored, creating ideal conditions for entering a pathogeful microorganism in the duct.
  • Indiscriminate sexa life factor of Increases the likelihood of infection with sexually transmitted diseases.
  • The presence of chronic infection in the body of chronic infections(Caries, pyelonephritis). In this case, pathogenic microorganisms fall into bartoline gland with blood flow or lymph.
  • Impairment of the immune system, general or local hypothermia, lack of vitamins leads to a decrease in protective factors in the body. This contributes to the falling pathogens of infections both directly in the gland itself and in its duct.
  • Operational interventions on the urinary sphere(for example, abortion) conducted with a violation of health norms during manipulation, as well as non-compliance with the postoperative period rules.

Symptoms of Bartolinita

All manifestations of the illness depend on the course of the disease and the place of inflammation:
  • By the course of the disease distinguishacute, chronic, subacute and recurrent (returnable) bartholinite.
  • At the place of defeat - Canaliculitis (inflammation of the inflamation of the tower of the gland), abscess (affectionate) or cyst (cavity with liquid inside) bartholine gland.

Acute bartolinite

The most often one-sided process (bilateral is characteristic of a gonorrheal infection).
And, as a rule, at the beginning of the disease develops canaliculitis, and then - the actual bartolinite.

Canalikulit

At the same time, the general state of the woman is practically not changed.

However, at first the disease is manifested by the following symptoms:

  • A small redness of the skin appears around the output of the output hole of the gravel of the gland caused by the separation of the secret from it.
  • It is told with an output base of the gland, with pressure on which a small droplet of pus is distinguished.

Soon, at the expense of an increasing edema, the duct closes and the outflow of the secret is disturbed. This leads to a rapid spread of the inflammatory process on the gland itself and the development of the Bartolinite itself.

False abscess bartoline gland

General symptoms

  • The disease begins sharply: there is a pronounced pain in the field of a large sexual lip in which abscess developed. The pain is enhanced when walking, the seat, during the sexual intercourse and the discharge of the chair.
  • The body temperature is increased to 38-39 ° C, a breakdown, weakness and chills appear.
Local changes
  • There is a swelling of a large sexual lip on the side of the defeat. And sometimes it is so pronounced that it closes the entrance to the vagina.
  • The skin over swelling redness, but its mobility is saved.
  • Turning a large sexual lip painful.
The appearance of fluctuations (softening of swelling) indicates that the true abscess of bartoline glands developed, and a purulent capsule was formed in its cavity.

True abscess bartoline gland

Manifested as common symptoms, so local changes.

General symptoms

  • The state of the woman worsens: the body temperature rises to 40 ° C, increasing the phenomena of intoxication (weakness, chills, headache).
  • The pain in the field of a large sexual lip in which a cyst was formed, enhanced, acquiring the character of constant pulsating.
  • Leukocytes and ESPs increase in blood (erythrocyte sedimentation rate).
Local changes
  • The pronounced swelling (swelling) of a large sexual lip on the side of the lesion, which sometimes reaches up to 5-7 cm in diameter.
  • The skin over the swelling is fixed, and its color is bright red.
  • Fasting swelling sharply painful.
  • Sometimes inguinal lymph nodes are increasing.
Abscess can open independently. In this case, the general condition of the woman is improving: the body temperature drops, swelling and pain decreases.

Sometimes acute bartholynitis proceeds with erased common and local signs: the pain is incomprehensible and, as a rule, do not increase the body temperature, as well as not to change the overall condition of the woman. Exactly then they say about the subacute Bartholine

The consequences of acute bartolinite

A sharp or subacute process may end in full recovery. However, the most frequent outcome is to transition to chronic bartolinite or the formation of a large gland cyst of the brand of the vagina.

Chronic bartolinite

The disease occurs for a long time with periods of subsidiaries and exacerbations (relapses) of the symptoms of the disease, which may be provoked by various reasons: supercooling, menstruation and others.

Out of exacerbation, the woman feels good, but can make complaints of small pain on the side of the defeat and painful sensations during sexual intercourse.

For the exacerbation period, all the symptoms of acute bartolinite are characteristic.

Unfortunately, the most frequent outcome of chronic bartolinite - the formation of a cyst of a large gland is the brand of vagina.

Bartoline cyst


If the cyst of small sizes, she not It gives any unpleasant sensations to a woman who, sometimes, not even suspecting his ailment, can live with her for many years.

Otherwise, things are when the cyst of large sizes or she inflamed. In this case, the signs of the atmosphere are as follows:

If the cyst is not inflamed, but its size is large

General symptoms
Local symptoms
  • woman complains about unpleasant feelings in the field of external genital organs while walking, seating and sexual intercourse

  • patients have pains that periodically appear in the area of \u200b\u200bthe big sex lip on the side of the defeat

  • general well-being women good
  • there is a small swelling of a large sexual lip in which the cyst was formed

  • skin color over swelling unchanged

  • little painless or low-escaped education in the thicker of a big sexual lip on the side of the lesion


If the cyst is inflamed

Bartolinitis during pregnancy

If Future mom got sick in the period starting from the moment conception and ending the twenty-second week of pregnancy, The fetus infection can lead to his death (miscarriage).

If a woman fell ill at the last weeks of pregnancy, The probability of fetal infection and premature genera is very high. In addition, in this case, sometimes the child's infection occurs already during childbirth, leading to the affix of the eyes, lungs and the umbilical ring.

Treatment of acute bartolinite

Perhaps, it should be started with the fact that the abscess is sometimes revealed independently, after which the patient's condition is much improved. However, this is not at all reason, so as not to contact the doctor, as the abscess can open out on the output flow, but inward and melted the tissue. Therefore, it is necessary to refer to the gynecologist as soon as possible for timely treatment.

The treatment of bartolinite, depending on the severity of the disease and its flow, can be conservative (without surgery) and surgical (with the operation).

Treatment of acute bartolinite without surgery

As a rule, it is carried out in the hospital. However, with a slight course of the disease, a bartrolinite can be treated at home. The main thing is to comply with all medical recommendations.

Treats of treatment- Reduction of pain and swelling, removal of symptoms of intoxication, as well as preventing the formation of true abscess and cysts of large glands. Final Vagina.

To do this, local treatment will be applied, painkillers, antipyretic and antibiotics are prescribed.

1. Local treatment

It starts with an ice bubble that needs to be wrapped into the fabric and attach to the place of inflammation for 40 minutes, then take a break for 15-20 minutes and apply again. And so for a few hours. In addition, ointments and hypertensive compresses are used.

Hypertensive saline with bartoline

8-10% salt solution is widely used for the treatment of bartholinite. The application is based on its ability to absorb liquid, without destroying red blood cells, leukocytes and tissues.

Cooking method: Take three tablespoons of salt without top and thoroughly mix in one liter of warm water.

Mode of application: Moisten the gauze tampon in the salt solution, then attach it to the patient site for 30-40 minutes. Repeat the procedure from three to six times a day.

Treatment of Bartolinitis Mazus Vishnevsky and Ointment Levomecole

Both ointments are also widely used.

Mode of application: Apply ointment on a gauze tampon, then attach it to an abscess and fix it. Appliques with ointments are better alternating. For example, the ointment of Vishnevsky - for the night, and Levomecol - during the day.

Use of disinfectant solutions

Mainly preferred solutions that do not cause burns: Miramistin, chlorophyllipte, chlorhexidine and others.

2. Physiotherapeutic treatment

It is assigned when the patient's condition is improving (usually on the third or fourth day from the beginning of the disease), and the signs of general intoxication (temperature, chills) decrease. UHF, magnetotherapy and others are applied.

General treatment

3. Treatment with antibiotics

To combat infection, the treatment of bartolinite antibiotics is prescribed. The course is about 7-10 days.

Ideally, antibiotics are used, which are sensitive to pathogenic microorganisms that caused the disease. However, it is not always possible to wait for bacteriological analysis results.

Therefore, the appointment of a wide range of a wide range of action is practiced: azithromycin, amoxiclav, cephalosporins (ceftriaxone, cefhazoline), fluoroquinolones (offloxacin, cyprofloxacin), macrolides (clarithromycin, ermitromycin) and others. Also used trichopol and tinidazole (preparations of group of imidazoles).

In addition, anesthetic (analgin, barallgyin) and anti-inflammatory (ibuprofen) are prescribed.

Operation in acute bartholy

Indications for its conduct - abscess bartoline gland.

During manipulation, the purulent focus is revealed and remove its contents. The resulting cavity is then treated with 3% hydrogen peroxide, and a drainage tube is introduced to the outflow in it, which is removed after 5-6 days.

In parallel, antibiotics, compresses with hypertensive and appliqués with ointments are prescribed.

On a note

Treatment of chronic bartolinite (with or without a silent)

This is a complex and long-term process, since a large gland has a very dense capsule, through which antibiotics and other drugs are badly penetrated.

therefore there are two ways in the treatment of chronic bartolinite: Conservative (without surgery) and surgical (with operation).

Treatment of chronic bartolinite without surgery

purpose - Achievement of remission (swelling of symptoms of acute inflammation) for further surgical intervention.

In the exacerbation period, conservative treatment is carried out, which is appropriate, to which it is used in acute bartholy.

After an element of acute symptoms of the disease, assigned:

  • locally physiotherapeutic treatment (ozocerite, infrared laser, magnetotherapy, UHF therapy)
  • sitting Baths with Herbrails (Chamomile, Calendula, Oak Bark, Sage)
  • stuffing funds (vitamins)
Upon reaching remission, surgical treatment is considered.

Operation in chronic bartholy

The main problem of surgical treatment of chronic bartolinite is that it is not enough to easily open the abscess or cyst. Since after the dissection of the tissues, there are rapid adhesion, which leads to the fact that revengecloses.

Therefore, the operation can be carried out in two versions: creating an artificial duct of the gland (Marsupialization) or the removal of bartholine gland (extirpation).

Marsupialization

The most preferred method of treatment.

Indications - Frequent exacerbations of the disease, improving the appearance of exterior genital organs, as well as large cysts, interfering with sexual and everyday active life.

purpose- The formation of an incomplete channel, through which the secret generated by the gland will be discarded on the eve of the vagina.

Stages of operation:

  • Under the anesthesia in the cyst or abscess there is a small incision (3-5 mm).
  • The cavity is washed, then the Word catheter is inserted into it at the end, which is bloated by a ball that prevents the fallout of the catheter.
  • After 4-5 weeks, the catheter is removed. This time is enough in order to formed a new output duct.
It is noteworthy that after installing the catheter in the rehabilitation period, no treatment is required.

Recurrences of the disease with this technique are rare (according to different data from 2 to 10%). As a rule, they are associated with repeated infection or loss of the catheter. However, it can always be installed again and that is where it is better, What is generally lost the big gland the legisters of the vagina.

After all, the removal of the bartholine gland is a rather complicated and bloody operation, since its upper pole is attached to large venous formation. Moreover, after removal of the gland, natural moisturizing the mucous membrane of the vagina is disturbed. However, there are situations under which such a radical measure is the only way out.

Removal of bartoline gland

Indications- Frequent relapses of the disease and a repeated unsuccessful formation of artificial duct of large glands Finalwhere vagina.

Stages of operation:

  • Under the anesthesia, the scalpel is made on the inside of a small sexual lip.
  • Then carefully remove and remove the gland itself.
  • The incision impose Ketgutovy seams.

  • After the operation, rehabilitation treatment is prescribed for 7-10 days: phonophoresis, UHF, magnetotherapy, appliques with ointments and others.

On a note
During the treatment of chronic bartolinite, in order to avoid infection of the sexual partner, as well as preventing the recurrence of the disease, it is recommended to refrain from sexual contacts.

Treatment with folk remedies

"Storeroom nature" in their bins has means to fight many illnesses. Bartholinite - not an exception.

For the treatment of this disease, you can use brawls from grain braves that have antimicrobial and anti-inflammatory effect (chamomile, calendula, oak bark and others).

Also good effect will give therapeutic mixture for receiving insideas a secreting agent.

The method of preparation and use of the healing mixture

Take 300 grams of walnut and 100 grams of garlic, skip them through the meat grinder. Add 50 grams of chopped fennel and 1 kg of liquid natural honey to the resulting mixture. Mix everything thoroughly. Take 1 tablespoon twice a day for one month.

Prevention Bartolynita

It is simple and does not introduce any inconvenience to the woman.

The most important thing - Compliance with the hygiene of the external genital organs.

For this, it is enough before the departure to sleep and after the defecation (chair disintegration) is washed with warm water vulva, crotch and rear pass. At the same time, the flow of water should be directed from the front back: from the exterior genital organs to the rear pass.

Two or three times a week is allowed to use special tools for arms (pH 7.0). And the use of antiseptics or herbal decoctions for the toilet exterior genital organs is possible onlyafter appointing a doctor.

It is very important to treat all the foci of chronic infection (caries, pyelonephritis, urethritis, colpit and others).

And, of course, it is necessary to visit the gynecologist with a prophylactic target once a year.

How to treat bartolinite during pregnancy?

If the process is acute, treatment is carried out as usual: baths, appliques with ointments, opening abscesses (if necessary) bartholine gland. With the only difference that antibiotics are used, depending on the period of pregnancy, which will not know the fetus. For example, amoxicill, cefazolin, erythromycin.

However, if the process is chronic, then surgery (the removal of the batch gland or the creation of artificial duct) is recommended to spend after delivery.

Is it possible to treat bartolinite with antibiotics?

Sure. After all, antibiotics underlie the non-operational treatment of acute bartolinite. It is advisable to apply them already taking into account the sensitivity of pathogenic microorganisms that caused the disease. However, it is not always possible to wait for the results of bacteriological research. Therefore, preference is given to antibiotics of a wide range of action from the group of cephalosporins, fluoroquinolones and others.

Is it possible to treat bartolinite by folk remedies?

Can. After all, the baths with brazers give a good result. In addition, with the help of stuffing funds from the "storeroom nature", recovery is accelerated.

However, only the funds of traditional medicine will not get rid of you from the ailment, so before you resort to them, be sure to consult your doctor.

And remember that folk treatment methods will lead to recovery at times faster in combination with drugs. Moreover, if you miss the precious time, giving preference to herbs, then the disease can proceed much harder. Therefore, do not get carried away exclusively by folk remedies, and better contact the gynecologist as early as possible.

Bartwin after surgery or autopsy abscess, what is needed to warn relapses?

Bartolinite often flows in the form of a chronic disease and can give frequent recurrences. Independent opening of the abscess increases the risk of developing speed recurrence, since the formed fistula* It can be additionally infected with bacteria that fall from the vagina or anal hole. These fistulas are very long sentenced. Especially in the field of sexual lips there is a good medium for reproduction of various pathogenic flora (urine, vaginal allocations).

*Fistula - This is a passage or tunnel that forms a pus for its exit from an abscess, represents a portion of the destroyed melted by pus tissue.

If, after surgical opening of the abscess, the doctor fully drains (frees) bartoline iron from the pus, correctly processes the operating field immediately after the operation and until complete healing, then, with independent opening, the patient usually do not appeal to the doctor and are trying to cope with inflammation and wound. This is a significant step leading to the development of chronic bartolinite, the formation of cysts with all the ensuing consequences.

What to do to prevent the development of recurrence of the bartholine gland abscess?

  • bartolinitis in the abscess phase is surgical pathology with which you need to run to the doctor, and the sooner, the better;
  • abscess is better to open surgically, but do not wait for his independent opening and the formation of fistula;
  • with spontaneous autopsy abscess iron is not completely freed from pus , therefore additional surgical intervention is required;
  • wrong wound care in the opening site of abscess threatens complications .
Places processing principles after spontaneous autopsy abscess when bartolynitis:

1. Appeal to the surgeon for the full drainage of the abscess of bartholine gland For this, drainage tubes are installed for the outflow of the resulting pus from the abscess. In some cases, the focus of the gland is the formation of the gland - the Word catheter for a long period is set for a long period.
2. Compliance with the rules of personal hygiene of an intimate area:

  • wake up For at least 2 times a day, it is possible to use a light solution of manganese (if available), chamomile decoction, a solution of the Citeleal antiseptic solution (especially in the laumium and sexually transmitted diseases), intimate hygiene products with antibacterial effect;
  • wearing free comfortable linen from natural fabrics, better than white, without dyes, also undesirable to use other narrow clothing items;
  • everyday subtle pads Not recommended, as they are a good environment for the development of bacteria, and if used, it is recommended a shift every few hours;
  • when menstruation needed gaskets every 2-4 hours;
  • refusal of sex and masturbation.
3. Application of antiseptic drugs:
  • processing of diamond greenery or iodine abscess cavity;
  • tampons in the vagina with a solution of chlorhexidine, Miramistin;
  • washing with a solution of betada;
  • Levomecole and liniment Balsamic (Vishnevsky ointment) are superimposed only after stopping the selection of pus from drainage or fistula, healing ointment contribute to the closure of the depth.
The use of antibiotics. Antibiotics after opening abscesses are necessarily necessary for healing postoperative wound. Moreover, if the antibiotic is selected correctly, according to bacterial sowing and drug sensitivity, the risk of chronic bartolynitis is significantly reduced. In many cases, antibacterial treatment is also needed by a sexual partner, especially if the infection that caused bartolinite is venereal.

What are the stages of bartolinite? What to do at the initial stage of bartolinite? How many days does Bartolinitis last?

Bartolinite passes several stages, for each of which is characterized by their clinical picture and the principles of treatment.

Stage Bartolinite:

Stage What is characterized? How does it manifest? Principles of treatment
initial stage At the beginning, the battlefield dump is affected, such a state is called canaliculitis or canalicular bartolinite.
  • Redness inside of large sexes;
  • painful sensations, increasing in the friction of this area, walking, urination;
  • the edema of bartholine gland ducts, they are good forgiven.
  • Warm baths, it is possible with a light heatman solution, with a chamomile decoction, with a salt solution **;
  • silver with hypertensive saline (9%);
  • processing or vaginal candles with antiseptics (chlorhexidine and others);
  • levomecol ointment;
  • in the presence of general symptoms (an increase in body temperature, weakness and other manifestations of intoxication) - the doctor is prescribed antibiotics of a wide range of action.
The stage of false abscess bartoline gland Or catarrhal bartolinite.
This stage is characterized by inflammation of the bartoline gland, but at the same time, the pus is not yet.
  • Intensive swelling of large sex lips in the field of entering the vagina, often swelling overlaps the entrance to the vagina;
  • pronounced pain in the field of large germ lips, increasing when exposed to any physical impact;
  • redness of the inflamed area;
  • symptoms of intoxication (increase in body temperature, headache, weakness).
  • Contact the gynecologist, it is necessary to observe;
  • cold in the field of inflammation;
  • antibacterial therapy is appointed by a doctor;
  • silver with a 9% salt solution;
  • anti-inflammatory drugs (ibuprofen, nimesulide, paracetamol, barallgyin and other);
  • processing of germ lips and candles with antiseptics;
  • the ointment of Vishnevsky in a combination with a levomecole - a change of ointments every 12 hours;
  • surgical treatment at this stage is not effective.
Stage of true abscess bartoline gland Or purulent bartolinite. The formation of an abscess is the complicated flow of bartolynitis, a pus is formed in the bartholine gland cavity.
With proper and timely treatment (antibiotics + surgery), the bartholynite ends at this stage.
  • Pronounced intoxication, an increase in body temperature above 39-40 0 s;
  • softening of increased bartholine gland;
  • skin Safety with an inflamed site;
  • abscess pain.
  • Appeal to the surgeon for operational treatment;
  • opening of the abscess, pus drainage, installation of the drainage tube;
  • care for postoperative wound;
  • antibacterial therapy is required.
The stage of chronic bartolinite and the formation of a cyst of the bartholine gland. With independent opening of the abscess, with incomplete drainage of the pus and the absence of adequate antibacterial therapy at the site of the abscess, a cyst is formed, which is periodically sharpened before the formation of a purulent inflammatory process in it. During the remission - a small seal in the bartholine gland area, which does not have signs of inflammation.
In the period of exacerbation - Clinic of false and true abscess, while the clinical picture can be erased, less expressed intoxication.
Removal of cyst during the remission period, while the surgeon can use the Marsupialization method (the reduction of the fiber of the gland) or the removal of bartoline glands.
With an abscess - autopsy abscess and antibacterial therapy.

**Caution! Warm baths are not used in the abscess bartoline gland.

Very often, Bartolinite ends at the initial stage, but provided that the treatment and observance of all rules of personal hygiene of the genital organs.

How many days does a woman sick bartolinite?

Duration of the disease Depends on the severity, the prevalence of the stage of inflammation and the presence of complications, timeliness and method of treatment, compliance with all the rights of intimate hygiene.

  • So, acute canaliculitis It lasts from 1 to 4 days, during this time a false abscess is formed or a recovery occurs during timely treatment.
  • Stage of false abscess - From 2 to 7 days.
  • Abscess bartoline gland Even with surgical treatment may require treatment from 7 days to 2 months. This is due to the fact that the operation on the abscess of the bartholine gland is quite complex, postoperative wounds are healing for a long time, a long recovery period is required. Drainage is installed until the purulent content is completely discontinued, in severe cases, it is necessary to install a ring-shaped drainage. The advantage of such a drainage is two outputs, which gives a more free pus outflow.
  • Chronic bartolinite It may occur for years and even dozens of years, reducing the quality of the woman's life, leading to constant painful sensations and discomfort in the crotch area, sometimes makes life unbearable. Such patients often suffer from psychosis, depressions, closed in themselves, exclude sex from their lives. The only way out is radical surgical treatment.
Summing up, it can be said that a woman in acute bartoline falls out of the usual full-fledged life mode, primarily intimate, at least 2 weeks. And with chronic bartholy, intimate life and the ability to give birth to a child can be lost at all. Therefore, timely appeal to the doctor and the treatment of this problem is so important for each woman.

Complications of bartolynitis, which indicates an increase in body temperature during bartholys?

Bartholine abscess formation - This is also a complication of bartolinite. It is purulent bartolinite that can lead to the development of various complications, some of which can threaten the life of a woman.

As with any purulent inflammation, doctors are always afraid of complications. After all, it is never known where the pus can go on. Such inflammation implies constant working pus ***.

***Pus - This is a liquid (exudate), which is allocated by the body as a result of the reaction to inflammation, contains a large number of immune cells and bacteria, the products of their livelihoods and the decay products of the inflamed organ.

And when a lot is a lot, it does not fit in the abscess capsule or cyst and begins to look for ways out of the focus of inflammation. Pump can melt (destroy) healthy fabrics and vessel walls . At best, there will be spontaneous opening of the abscess outside. But it is possible to exit pus and in the surrounding tissues, and even in the blood vessels, according to which the infection is distributed into the blood and throughout the body.


Schematic image of an ulcer and its spontaneous opening.

Complications of purulent bartolinite.

Complication Causes and mechanism of development How does it manifest?
Chronic flow and formation of cysts With long-term inflammation, the body is trying to extinguish the focus, forming a capsule from the connective tissue - cyst. In the walls of such a capsule - the focus of chronic inflammation, which, with predisposing factors, gives a picture of purulent inflammation - exacerbation. The cyst has a form of a small inflammation, during the remission does not have signs of inflammation. In exacerbation - a picture of purulent bartolinite.
Education fistula The fistula is a pathological channel that forms the pus, the output of this hole can be located on the skin or in neighboring organs: the vagina, the bladder. On the skin, the formation of a fistula is manifested by spontaneous opening of the abscess, it looks like a wound from which purulent content is distinguished. Other types of fistula are rarely diagnosed with contrasting research methods. Such fistulas are very long sentenced, they require surgical intervention.
Complications associated with inflammation of the organs of the urogenital system:
  • vulvit -inflammation of the germ lip, the clitoris, the lower part of the vagina.
It is formed when infection from inflamed bartoline gland in the vagina. The supply of infection is possible due to the anatomical intimacy of the glands with the entrance to the vagina or as a result of the formation of a fistula (an abnormal opening of an abscess into the lumen of the vagina).
In the same way, infection falls into urinary paths, and further in the bladder and kidneys, to meningitis
Most common complications purulent bartolinite - the transition to a chronic form with the development of cyst Bartolin cyst, infertility. Septis - although it is possible, but develops, fortunately, rarely.

In order to prevent complications it is necessary to seek qualified medical care in time. And adhere to the appointments of the doctor, and in the case of an abscess form - only surgical treatment will help cure the disease and prevent severe complications.

How to treat bartolinite at home?

Due to the high risk of developing a chronic form of bartolinite with the formation of cysts, self-examination at home is undesirable, and can lead to a loss of precious time for full cure of the bartholinite.

When can not be treated bartholinite at home?

  • Stage true abscess bartoline gland - treatment only surgical;
  • independent autopsy abscess (fistula formation) - Surgical intervention is necessary;
  • high body temperature and severe intoxication, a significant impairment of well-being;
  • the presence of symptoms indicating complications ;
  • in history unprotected disorderly sexual contacts, venereal diseases and the presence of symptoms indicating diseases transmitted by sexually, since none of the methods of self-treatment can heal these infections.
The principles of the treatment of bartolinite at home:

1. Desirable bed regime, abstaining from sex and masturbation.

2. Treatment must start immediately After the first symptoms appear, at the initial stage of the disease.

3. Coldin the region of inflammation with pronounced edema and soreness (with a false abscess of bartoline gland).

4. Gigien genital organs:

  • wake up at least 2 times a day;
  • wearing a convenient, not narrow linen made of natural fabric, its change is no less than twice a day;
  • refusal of daily gaskets, when menstruation - frequent change.
5. Processing area inflammation antiseptic drugs (Chlorhexidine, Betadine, Miramistin).

6. Antibacterial therapy: Start with penicillin (Augmentin), cephalosporins (cfodox, cefuroxime). Other groups of antibiotics appoint only a doctor.

7. Use of masses Levomecole and Vishnevsky.

8. Warm seats(It is impossible for abscess).

9. Funds of traditional medicinesuitable for treatment at the initial stages of bartolinite, before the formation of an abscess, as well as in chronic bartolynitis and a cyst for the prevention of exacerbations. In combination with traditional drugs, folk treatment increases the effectiveness of cure.

Recipes of traditional medicine for the treatment of bartolinite:

1. Baths with braverains of herbs:take on 1 tablespoon of daisy flowers, calendulas, oak bark poured a liter of boiling water and put on a water bath for 10-15 minutes. Strain, take seats for 15-20 minutes.
2. Grandfather with a decoction of the Hypericum:1 tablespoon of grass poured 200.0 ml of boiling water and boiled 15 minutes. Squeezes impose overnight.
3. Means for improving immunity:purified and crushed aloe leaves 200.0 g + 400.0 ml of honey + 400.0 ml of dry wine. Stir, and remove for 1 hour, strain and cool. Take 10 ml 30 minutes before meals.
4. Hypericum ointment:1 tablespoon of the grass of the Hypericum + 2 tablespoons of animal fat (barbells, badger, goose) + 1 teaspoon of bee wax. Stir, warm to complete dissolution in the water bath. Ointment impose on the focus of inflammation overnight.
5. Grandfather with decoction of herbs: nettle + blackberry foliage + bezin flowers + yarrow in equal proportions move, grind, take 40 g and pour 500.0 ml of boiling water, insist for 90 minutes. Strain and use in the form of lotions and irrigation.
6. Compresses with aloe and / or calangean juice: Take the leaves of these plants, purified, squeeze juice, wet the swab and apply to the inflamed area at night.
7. Compresses with cabbage leaves:take a thick sheet of white cabbage, it is well washed and hung with boiling water, then applied to the focus of inflammation overnight, such a compress can be combined with the ointment of Vishnevsky, get a good result.
8. Bulb compress: The onions in the husk are baked in the oven for 20 minutes, then kneading into the cleaner, wrapped into the bandage, forming a pad, applied into the entrance to the vagina at night.

In the absence of an effect on the treatment carried out within 4 days or deterioration of the state, it is necessary to stop self-media and consult a doctor.

Bartolinite in the stage of true abscess requires hospitalization to the hospital for surgery.

Photo of bartolinite in women, what are signs of inflammation of the sexual lips?


Photo: Operation on the opening of the hidden cyst of the bartholine gland.


This looks like chronic bartolinite with a formed cyan.


Photo: True abscess bartoline gland.


Photo: Chronic bartolinite in the aggravation phase.


Photo: Sochis looks like a spontaneous opening of an abscess.

Different types of inflammatory processes in bartoline gland are combined with a common term - bartolinite. There are false and true abscesses that are stages of the same process. The disease causes a lot of inconvenience and often goes into a chronic form.

What is a bartholine abscess

Exterior of Abscessa

Bartaline iron is located in the thick of the larger sex. The gland fabric consists of a variety of poles that produce a special secret. It is necessary for lubricating the mucous membrane of the entrance to the vagina. Due to the constant allocation of such lubrication, the anticipation of the vagina is maintained in a moistened form, it protects it from the formation of microtrams during friction and subsequent infection penetration.

Iron itself is located in the lower third of the fabric of the germ lip. The outer opening of the output duct opens on the eve of the vagina. If bacteria gets into the intake, the mucosa swells, and the lumen can overlap. In this case, the secret of the gland ceases to flow on the eve of the vagina, accumulates in the duct and stretches its walls. Thus develops a false abscess of bartoline gland or cancoulite (inflammation of the duct).

With a false abscess bartaline iron and the surrounding connective tissues remain without pathological changes.

If the inflammatory process spreads further, the true abscess develops. This is purulent melting of fabrics and violation of their function.

Inflammatory process in hardware and its treatment - video

Causes of the disease

Inflammation of the duct mucosa and the tissue of the gland causes bacteria and their products of their livelihoods.

The causative agents of the disease are:

  • conditional pathogenic bacteria (staphylococci, streptococci, intestinal wand);
  • specific infections (Gonococci, Trichomonas, Chlamydia).

With a gonorrheal, the bartaline gland is involved in the inflammatory process among each third patient.

Gonococci and Chlamydia are the most frequent "culprits" of an abscess of the gland. This is due to the special location for the cylindrical epithelium, which has been laid out of the gravel.

Microorganisms fall into the duct and further into the gland fabric directly through the outer opening of the channel during the urethritis or colpite. But it happens that infection gets into the gland and other way - lymphogenic or hematogenic (due to the development of caries, tonsillitis, pyelonephritis, etc.).

Factors that increase the risk of bartholine abscesses:

  • disregard for intimate hygiene;
  • injuries of mucous membranes, including combing with genitals itching;
  • inspection in sexual partners;
  • chronic infectious diseases of other organs;
  • reducing immunity against the background of stress and improper power.

Bacteria fall into the duct of the gland, causing an extinguishing of the mucous membrane and the blockage of the channel. Iron continues to develop a secret, but due to the disturbance of the outflow, it accumulates in the dolk and in the slices of the gland. Favorable conditions are created for the further development of inflammation.

Symptoms

As a rule, the process is one-sided. However, for the abscess caused by gonococci, characterized by symmetric lesions of yellowing on both sides.

When bacteria fall into the duct of the gland, the channel develops (inflammation of the duct). There is an edema, redness of the outer opening. The amount of separated from the channel increases. In the mucosa of the secret appear purulent inclusions. The channel itself is tested in the form of painful, dense heavy.

If a strong edema of the mucous canal leads to its blockage, then the end generated by the gland accumulates in its slices. It increases in the amount, becomes painful to the touch. A false abscess develops.

When the inflammatory process spreads to the gland fabric itself, its melts begins. The purulent melting is exposed not only to the slices of the gland, but also the surrounding connecting tissues.

Symptoms of different stages of bartoline inflammation are divided into:

  • local, local manifestations;
  • general associated with the reaction of the body into the inflammatory process.

Signs of different stages of the development of abscess - Table

Sign

Inflammation of docal

False abscess

True abscess

Appearance

Redness and outlet of the outlet. Abundant selection with admixture of pus. Sex lips are not changed.

Increased large sex lip on the lesion side. The mucous membrane is hyperemic (redden), there may be no isolated from the duct.

A pronounced edema of the sexual lip on the side of the lesion (up to the complete overlap of the entrance to the vagina). Strong skin hyperemia over education.

Palpation (feeling)

Determined soreness in the course of the duct. Under pressure, a droplet of pus is highlighted.

Determined dense, painful education. Skin mobility over education is preserved.

Sharply painful education with sections of softening. There is no skin mobility. Inguinal lymph nodes can be increased.

Pain symptom

Not expressed, it may be itching or discomfort in the field of the vagina.

The pain in the field of a large sex lip on the side of the lesion when walking, bowing, sitting on a chair.

A sharp pulsating pain even at rest.

General health

Do not suffer.

Weakness, headache, rise temperatures up to 37-38 degrees.

Pronounced intoxication: strong headaches, chills, rise temperatures up to 38-40 degrees.

Inflammatory blood changes

Not expressed.

Not expressed.

EDC increases (erythrocyte sedimentation rate), reeling leukocytes in the blood appear (sign of inflammation).

Diagnostics

The diagnosis is made on the basis of complaints, external inspection, as well as manual and rectal studies. As an additional method, blood test is taken. The abscess is characterized by inflammatory signs: an increase in ESP, an increase in the total number of leukocytes and the emergence of young (stickyuclear) - shift of the leukocyte formula "left".

In some cases, the disease has to differentiate with the following pathologies:

  • furunkul big sex lips. The furuncle is located more superficially, it does not cause deep inflammation of the tissues of large germ lips;
  • cyst gland. It is a dense, practically painless to the touch formation. May exist for a long time without signs of suppuration.

Treatment

The treatment of gland suppuration is carried out by a surgical method. There are two ways to which a specialist can resort:

  • extraitation (removal) of the gland;
  • opening of an affectionant with subsequent drainage.

The extirpation is a rather radical method, the iron is not preserved, and the lack of lubrication of the vagina negatively affects the quality of sexual life. In addition, the gland pole is adjacent to large venous vessels, and there is a risk of damage to their removal with subsequent strong bleeding.

Therefore, at present, from such a radical measure, the operation is refused in favor of the operation at which the penette is revealed with the subsequent formulation of the catheter:

  1. The skin cut is carried out, the removal of pus and washing the cavity by solutions of antiseptics and antibiotics.
  2. Then it is necessary to ensure the outflow of inflammatory exudate (secretions) during the healing process. The rate of gland is quite narrow, re-his blockage will again lead to the formation of a purulent cavity.
  3. Catheter is set. A special catheter is used with an extension at the end, which prevents the fallout of this tube.
  4. Such a catheter should be worn at least 50 days, during this time a new duct is formed, which significantly reduces the risk of re-development of abscess.

If the tissue of the gland is recycled, then the operation of martialization is produced.

Stages of operation:

  1. Local anesthesia is carried out.
  2. In the mystery of the sexual lip in the place of the greatest sputure of the abscess, the oval portion is cut in size from 1 to 1.5 cm.
  3. The same area is cut out of the next layer, that is, from the wall of education.
  4. The abscess empty empty and washed with antiseptic solution.
  5. The wall of formation is stitched to the mucous membrane of the sexual lip. Folded ducts, through which inflammatory exudate freely comes out.

After such a transaction, the patient is washed several times the cyst's cavity with solutions of antiseptics and antibiotics. Within a few days, the wound will fully heal with the formation of a new, quite wide flow.

After opening the abscess, anti-inflammatory treatment is carried out:

  1. Antibiotics taking into account sensitivity
  2. Antiseptics - washing in outpatient conditions for the appointment of a doctor. Use a solution of hydrogen peroxide and furacillin.
  3. Sitting baths with antiseptics, when the first postoperative day passed. This patient procedure is carried out at home.
  4. After purification of the wound from the purulent discharge, appliques with the ointment of Vishnevsky or levomecole.

In addition, immunostimulants, sedatives and vitamins are prescribed to accelerate the recovery of the patient.

After two or three days after the operation, ultraviolet wound irradiation is prescribed, then magnetic therapy.

Features of the disease during pregnancy

In the first trimester of pregnancy, the fetal bodies laying. Any inflammation can be negatively affected by this process. The abscess of bartoline glands in the first trimester can provoke the fetus death. In the second and third trimester bacteria that caused the abscess of the gland can cause intrauterine infection.

If the disease occurred during pregnancy, it is treated in the same way as out of the period of nuning a child. The exception is only a course of antibiotic therapy. Preparations are selected not only taking into account the sensitivity to them bacteria - the period of pregnancy and possible consequences for the child are taken into account.

The development of abscess shortly before childbirth may cause postpartum endometritis or sepsis, since immune protection in women during pregnancy is reduced. This is taken into account when conducting childbirth, a vaginal study is trying to replace the rectal, so as not to incur an infection above the uterus. Also, they are also very closely approached to the question of the cesarean section, using this method of the delivery of strict testimony.

Possible consequences and complications

The acute inflammatory process in the bartoline gland can occur with such complications as:

  1. Independent opening of an ulcer. At the same time, the complete purification of the cavity from inflamed tissues does not occur, and the process often takes a chronic form. An autopsy into the cavity of the vagina or the rectum can end in the formation of purulent fistulas or chronic abnormal moves, according to which inflammatory exudate (PM) is constantly coming out.
  2. Inflammation of lymphatic vessels and knots (lymphadenitis and lymphangit).
  3. Recurney or transition to chronic form.
  4. Breakthrough in the surrounding tissues with their subsequent melting.
  5. Septice or blood infection.

Given this diversity of negative consequences, with the slightest suspicions on the abscess of the bartholine gland, it is necessary to immediately seek qualified help. Attempts to self-medicate almost always have sad consequences.

Prevention measures

In most cases, the inflammatory process can be avoided if you comply with simple rules:

  1. Strictly observe the rules of intimate hygiene (to wash in the morning and in the evening, as well as after defecation).
  2. Do not wear close and synthetic linen, which causes skin irritation and creates a "greenhouse effect" - the best nutrient medium for bacteria.
  3. Avoid random sex connections.
  4. Timely treated inflammation of the vagina, cervix, as well as other foci of infection.

Bartolin glaze is a small pair of body, about the existence of which many women do not even suspect. It regularly performs the function of the "humidifier" input to the vagina. If an abscess happens, and the gland has to be removed - it causes a certain inconvenience that will remain for life. Therefore, it is extremely important to ensure that it is extremely important to prevent this circumstance.