I-Bartholinitis ukuvuvukala kwemvelaphi ethathelwanayo okwenzeka ezindlaleni ze-Bartholin, izindlala zesistimu yokuzala yabesifazane. Ibonakala njengobuhlungu obubukhali esithweni sangasese. Ukwelashwa okusheshayo nokufanelekile kusiza ukukhulula ubuhlungu.

Incazelo ye-bartholinite

I-Bartholinitis yigama lezokwelapha elisho ukuvuvukala okunamandla kwezindlala ze-Bartholin. Ezibizwa ngokuthi izindlala ezinkulu ze-vestibular ku-nomenclature entsha yezokwelapha, lezi zindlala ziyingxenye yesimiso sokuzala sowesifazane. Njengoba ijule nangemuva kwembobo yesitho sangasese sowesifazane, izindlala ze-Bartholin zinomsebenzi wokuphuma. Lezi yizindlala ezincike kumahomoni ezibamba iqhaza ekugcobiseni isitho sangasese sowesifazane ngesikhathi socansi.

Isimiso sokuzala sowesifazane sinezindlala ze-Bartholin ezimbili. I-Bartholinitis ingathinta indlala eyodwa noma zombili ngasikhathi sinye. 

Izinkinga ze-Bartholinitis

I-Bartholinitis ukuvuvukala kwemvelaphi ethathelwanayo. Kungaba ngenxa yokuthi:

• ukutheleleka kwesitho sangasese sowesifazane okuvame ukuba yizifo ezithathelwana ngocansi (STI) njenge-gonorrhea noma i-chlamydia;
• ukutheleleka kokugaya okungase kube ngenxa yamagciwane ahlukahlukene ahlanganisa i-Escherichia coli.

Ngokuthuthuka ekuvimbeleni izifo ezithathelwana ngocansi, izifo zokugaya ukudla manje ziyimbangela eyinhloko ye-bartholinitis.

Ukuxilongwa kwe-bartholinitis

Ukuxilongwa ngokuvamile kusekelwe kulokhu:

• ukuhlolwa komtholampilo okusekelwa ngemibuzo ukuhlola izimpawu kanye nokukhipha ezinye izimbangela ezingenzeka;
• ukuhlolwa kwe-bacteriological ukuqinisekisa ukutheleleka nokuhlonza igciwane le-pathogenic;
• ukuhlolwa kwe-magnetic resonance imaging (MRI) uma ungabaza.

Abantu abaphethwe yi-bartholinitis

I-Bartholinitis ukuvuvukala okuzibonakalisa esithweni sangasese sowesifazane. Ithinta kuphela abesifazane abaseminyakeni yokuzala, nakuba kukhona okuhlukile okungavamile okukhona.

I-Bartholinitis ivame ukutholakala kwabesifazane abaneminyaka ephakathi kuka-20 no-29, ikakhulukazi kulabo abangakaze babe nezingane kanye nalabo abanesifo sikashukela. 

Izici zobungozi ze-bartholinitis

Ukuthuthukiswa kwe-bartholinitis kungavunywa yilokhu:

• ucansi olungaphephile;
• ukungenwa amanzi noma ukudla okungafanelekile ukusetshenziswa.

Kungase futhi kubonakale sengathi i-episiotomy ingakhuthaza ukuthuthukiswa kwe-bartholinitis. Kuyisenzo sokuhlinzwa esingenziwa ngesikhathi sokubeletha. Nokho, lesi sici esiyingozi asikakaqinisekiswa.

• Ubuhlungu obukhulu nobusendaweni: I-Bartholinitis ibonakala ngokubonakala kobuhlungu obukhulu esithweni sangasese.
• Ububomvu: Ubuhlungu bungase buhambisane nokubonakala kobomvu nomuzwa wokushisa.
• I-cyst noma ithumba: Kungenzeka ukuthi uqaphele isigaxa esiqinile nesibuhlungu uma kwenzeka kuba ne-bartholinitis. Kungaba i-cyst noma ithumba (amaphakethe aqukethe uketshezi noma into eqinile).

Ngenhloso yokuqala, ukuphathwa kwe-bartholinitis kusekelwe ekwelashweni kwezidakamizwa okusekelwe kuma-antibiotics kanye nezidakamizwa ezilwa nokuvuvukala. Lokhu kwelashwa kungase kwanele uma ukutheleleka kungenamandla kakhulu.

Kwezinye izimo, ukuhlinzwa kungase kucatshangelwe. Ukuhlinzwa kungase kuhlanganise fistulization, marsupialization noma resection. Amasu amabili okuqala asekelwe ekusikeni bese kuphuma amanzi kwethumba noma i-cyst. Indlela yesithathu iwukukhipha ngokuphelele ithumba noma ithumba.

Ukuvimbela i-bartholinitis ikakhulukazi kuthinta izifo ezithathelwana ngocansi. Kuyanconywa:

• faka ikhondomu ngesikhathi socansi;
• hlolwa, futhi ukhuthaze umlingani wakho ukuba enze njalo;
• ukulandela ukwelashwa kwakhe uma ene-STI ukuze agweme ukukudlulisela kumlingani wakhe.