I-Marsupialization iyindlela yokuhlinza esetshenziselwa ukukhipha ama-cysts noma amathumba athile.

Ukwelapha i-cyst noma ithumba, odokotela abahlinzayo banamasu okuhlinza amaningi abakhetha ukuwasebenzisa ngokuya ngemibandela ehlukene (isilonda esikha phezulu noma esijulile, esithelelekile noma cha). I-Marsupialization ingenye yazo. Siqukethe isikhumba esikhazimulayo bese iphakethe ligcwele uketshezi, silikhiphe kokuqukethwe (i-lymph, ubomvu, njll.) Nokusigcina sivulekile ngaphandle. Ukuze wenze lokhu, esikhundleni sokuhlela kabusha imiphetho emibili efakwe ephaketheni, ukuyivala, imiphetho ihlanganiswe naleyo yokusikwa kwesikhumba. Umgodi owakhiwe ngaleyo ndlela uzogcwalisa kancane kancane uphulukise, ngaphandle kokubeka engcupheni yokuba isidleke sesifo esisha.

Kwesinye isikhathi, lapho i-cyst itholakala esithweni esijulile (izinso, isibindi, njll.), Ukuthi ayitheleleki kepha igcwele kuphela uketshezi olungenabungozi (i-lymph, ngokwesibonelo), i-marsupialization kungenzeka, hhayi ngaphandle, kodwa kwi-peritoneal umgodi. Isikhwama siyathungwa nge-peritoneal sac. Ukungenelela okungenziwa ngisho nangaphansi kwe-laparoscopy, okungukuthi ngaphandle kokuvula isisu.

Le ndlela isetshenziswa ezimweni ezahlukahlukene:

• umhlathi womhlathi (emhlathini ongenhla);
• i-pelvic lymphocele (ukuqoqwa kwe-lymph ku-cyst ngemuva kokufakelwa kwezinso);
• ukunwetshwa kwe-neonatal kwesaka le-lacrimal (indlala eveza izinyembezi);
• njll 

Isibonakaliso sayo esivame kakhulu sihlala, kepha, ukwelashwa kwe-bartholinitis.

Ukwelashwa kwe-Bartholinitis

I-Bartholinitis ukuvuvukala okuthelelanayo kwezindlala zeBartholin, ezibizwa nangokuthi izindlala ezinkulu ze-vestibular. Lezi zindlala zimbili ngesibalo. Zitholakala nhlangothi zombili zokungena kwesitho sangasese sowesifazane, lapho zifaka isandla khona ekuthambiseni ngesikhathi sokuya ocansini. Ngenxa yesifo esithathelwana ngocansi (njenge-gonorrhea noma i-chlamydia) noma isifo sokugaya (ikakhulukazi i-Escherichia coli), eyodwa noma zombili lezi zindlala zingatheleleka. Lokhu kubangela ubuhlungu obukhali nokubomvu okuphawulekayo. Ukuvuvukala noma isigaxa sivela engxenyeni ye-dorsal ye-labia majora: kungaba i-cyst noma ithumba.

Ngenhloso yokuqala, ukwelashwa kwalesi sifo kusekelwe emithini elwa namagciwane kanye nemithi yokulwa nokuvuvukala. Uma unikezwa ngokushesha, lokhu kunganela ukulwa nokutheleleka.

Kepha uma ukutheleleka kunzima kakhulu, kufanele kubhekwe ukuhlinzwa. Ukuziqhenya, okungukuthi ukususwa kwe-cyst, kuyindlela ehlasela kakhulu: ingozi yokutheleleka ngemuva kokuhlinzwa iphakeme, njengoba kunengozi yokuthinta ukusebenza kwendlala noma ukulimaza izakhiwo ezizungezile (imithambo yegazi, njll.). Ngakho-ke kunikelwa njengesixazululo sokugcina, lapho ezinye izindlela zingenzeki (ngokwesibonelo lapho ubhekene nesilonda se-sclero-atrophic, nokuqukethwe yifinyila) noma lapho kuphindeka khona i-bartholinitis.

I-Marsupialization igcinwa ngokweqile futhi kulula ukuyifinyelela. Akubuhlungu kakhulu futhi akubuhlungu kangako kunokuqothulwa.

Isiguli sifakwe endaweni yabesifazane, nge-anesthesia ejwayelekile noma yendawo. Kusikeka ngamasentimitha ambalwa esakhiweni somgudu wokukhipha indlala (osendaweni engemuva kwe-vestibule yesitho sangasese sowesifazane, okusho ukungena kwesitho sangasese sowesifazane). Okuqukethwe kwe-cyst noma ithumba kuyahlanzwa. Ngemuva kwalokho imiphetho ye-orifice edalwe ngaleyo ndlela ihlanganiswe naleyo ye-vestibular mucosa. 

Le divayisi ivumela ukuphuma okukhulu kwethumba. Ngenxa yokuphulukiswa okuqondisiwe (ngaphansi kokuqondiswa kwezokwelapha, kepha ngaphandle kokuxhunyelelwa noma isikhumba), isilonda esivulekile sizophinda sizithuthukise kancane kancane nangokuzenzekelayo emasontweni ambalwa (cishe inyanga eyodwa). Umsele ungazigcwalisa ngokwawo ngokwemvelo.

Inhloso eyinhloko yokwelashwa kwe-marsupialization ukususa ubuhlungu nokuvuvukala. Ivumela, ngangokunokwenzeka, ukugcina indlala nokusebenza kwayo, ngakho-ke ukugwema ukulandelana okusebenzayo. Ukuhlonipha i-anatomy kungachaza nokuphindeka okumbalwa kwe-bartholinitis ebonwe ezigulini eziqhutshwa ngale ndlela.

Ngokuyinhloko, uma kwenzeka i-cystic lesion enegciwane, i-marsupialization inikeza iziqinisekiso ezinhle kakhulu ngokuya ngezinkinga ezenzeka ngokushesha: ukutheleleka kanye nokopha okwenzeka ngezikhathi ezithile akuvamile.

Njengoba inxeba elenziwe ngudokotela ohlinzayo lishiywa livulekile, mancane amathuba okuthi kwakheke i-hematoma yangemva kokuhlinzwa. Izimo ezimbalwa zokutheleleka kwasendaweni zichaziwe. Kepha ukunquma ama-antibiotic ngaphambi kwenqubo kunganciphisa le ngozi. Ngakolunye uhlangothi, ukuphindaphinda kuvamile.

Kubonakala sengathi I-dyspareuniesokungukuthi, ubuhlungu obuzwakala ngesikhathi sokuya ocansini, okuxhunyaniswe nokwehliswa kokuthambisa kwesitho sangasese sowesifazane, akuvamile.