We have to stop spreading the

We have to stop spreading the - inflammation of the large gland vestibule of the vagina (Bartolomeu). The agents we have to stop spreading: gonococci, Staphylococcus, Streptococcus, E. coli, Trichomonas. Starts we have to stop spreading with the infiltration of ductless glands usually on one side (gonococcal infections more often bilateral defeat). Cross it violated the secret accumulates in the thyroid, it increases, begins to stuff Hisself out above the surface of the genital lips, the skin is red, there is a sharp pain. Formed retention cyst of Bartolomeu gland, or false abscess. Less likely to develop true abscess with purulent fusion of glandular tissue and surrounding tissues. In such cases, the process is accompanied by fever. Because mechanical obstructions in the channel is usually not, and is only edema, false abscess can be opened independently, usually recurring after some time. Sometimes relapses occur often accompanied by acute events, the process becomes chronic we have to stop spreading.
We have to stop spreading the should be distinguished from congenital cysts Artnerova channel, which typically acute inflammation phenomena is not observed; anatomically it is located above Bartolomeu cancer.
The treatment we have to stop spreading: in the acute period of rest, ice, pain candles. With the deterioration of the patient should be referred to a doctorwho performs an autopsy gland (incizia) with further drainage of the abscess cavity or suction content with the introduction of the cavity 250,000 ED streptomycin and penicillin. With frequent exacerbations shows the removal of the gland. Due to the nature of the blood supply to the cancer for surgery should be appointed in case of the possible excessive bleeding (suture material, hemostatic clips).

we have to stop spreading the

We have to stop spreading the (bartholinitis) - inflammation of the large glands vestibule of the vagina (glandulae vestibulares majores, s. Bartholini)caused by gonococci, rarely Staphylococcus, Streptococcus, E. coli, Trichomonas vaginalis. Infection usually occurs secondary caused by flowing content from the cervix or urethra, and we have to stop spreading occurs less frequently than urethritis and cervicitis.
At the beginning of the disease often develops canalicular the we have to stop spreading and less - canaliculi and paracanonical. The mucous membrane ductless hyperammonemia, gland secretion may not stand out and formed retention cyst of Bartolomeu cancer. When embolism or compression of the ductless glands inflammatory infiltrate and infection it can produce false abscess (printing. table, Fig. 5). In this case, of iron is not destroyed, it is pushed aside and pressed the abscess is located in the stretched excretory duct. Sometimes due to hematogenous penetration different pyogenic bacteria develops true abscess that usually leads to purulent melt the entire gland and surrounding tissues.
When we have to stop spreading chronic wall ductless gland can be condensed and prosuvalisya in the form of small seals (canaliculitis nodosa).
The clinical picture we have to stop spreading depends on the location of the lesion. With the defeat of the channel glands in the mucosa of the vestibule of the vagina, around the mouth of the ductless glands occurs limited focus hyperemia in the form of bright red slightly rising spot. When canaliculatum we have to stop spreading the increased amount of discharge from the mouth of duct when pressed on the area of cancer. If canaliculata form we have to stop spreading becomes pseudobases, the body temperature can rise up to 38 degrees and above, there is a considerable swelling of labia. In such cases, inflammatory tumor is in the form of a circular elastic education that covers the entrance to the vagina and sometimes reaching the size of chicken eggs. Patients experiencing a sharp pain, especially while driving, the situation in bed compulsive - lying on his back with legs open. Often false abscess breaks up spontaneously, purulent contents poured out, the pain disappear, the temperature drops. Sometimes after a short period of time the disease recurs. When relapses occur often, but there phenomena sharp aggravation, talk about chronic recurring we have to stop spreading; in such cases palpation can be determined mobile, well ogranichivayutsya are little painful swelling.
Chronic we have to stop spreading painful symptoms is not followed; at the considerable size of the cyst may be uncomfortable in the movement, difficulty during intercourse. Only in rare cases suppurative process is distributed in the tissues surrounding the prostate, and formed the true abscess (printing. table, Fig. 6).
The clinical course of true abscess always sharp, accompanied by high fever (39 degrees and above) and a sharp violation of the General conditions. Palpation is defined tumor, stationary or slow moving, without clear boundaries, sharply painful.
Cyst Bartolomeu cancer is sometimes difficult to differentiate from cysts Artnerova channel (rudiment primary ureter, or volfova duct). The latter is palpated more often on average, the Department of small private parts of the lips, sometimes you can feel a heavy going upwards and inwards, parallel to the vagina; no redness and soreness. In case of formation of dense tumor in the area of Bartolomeu gland does not exclude the possibility of cancer.
Treatment. In the acute period, apply ice, candles with belladonna, antipyrine and injected. It is necessary to monitor the function of the intestines. Severe inflammation of the gland opened. Cut length 5-6 cm produce the largest fluctuations to the lower pole swelling to ensure that an outflow of pus; necessarily drainage of the abscess cavity gauze strip or rubber tube. Instead of incizii some authors recommend to do a puncture gland suction content and the subsequent filling spavaca cavity cancer solution of penicillin (200 000 IU) and streptomycin (250,000 U). If no effect and the recurrence, and the formation of retention cysts shown extirpation gland together with duct under local anesthesia. These operations may abundant bleeding; therefore, it is necessary to prepare appropriate surgical instruments, blood transfusion etc.,