Acute Bartholinitis first invades the gland duct, presenting with acute suppurative inflammation, with local redness, swelling, heat, and pain. Sometimes there are systemic symptoms such as a feeling of heaviness and difficulty in urination and defecation, fever, and increased white blood cell count. The gland duct opening is often blocked due to swelling or agglutination of exudate, and pus cannot flow out to form an abscess, which is called Bartholin's gland abscess. There may be a sense of fluctuation locally, and the inguinal lymph nodes are swollen. Therefore, acute Bartholinitis should be treated promptly. When treating acute Bartholinitis, the medication for Bartholinitis can reduce inflammation. In the acute stage, antibiotics (penicillin, Pioneer IV, Pioneer VI) can be injected intramuscularly or orally, bed rest, local hot compress, sitz bath or heat therapy can be used. After the abscess is formed, an arc-shaped incision can be made on the inner side of the labia majora where the fluctuation is obvious to drain the pus. Antibiotics and local treatment with Chinese herbal medicine can also be used. Patients with acute vestibular glanditis are in great pain and their daily activities will be restricted. At this time, they should rest in bed and keep the vulva clean. While using broad-spectrum antibiotics for anti-inflammatory treatment, you can choose to use Chinese herbal medicine decoctions that clear away heat, detoxify, reduce swelling and disperse knots, such as forsythia, honeysuckle, wild chrysanthemum, Viola yedoensis, Phellodendron, Scrophularia, Isatis root, etc., and take a sitz bath for 20 minutes each time when the liquid is cool, 1 to 2 times a day. After the abscess is formed, incision and drainage and ostomy should be performed in time. Simple drainage can only temporarily relieve symptoms. After the incision is closed, Bartholin gland abscesses or cysts may still form. If there is a small break and the pus is not discharged smoothly, the incision should be expanded for drainage. Experts say that drug therapy is a treatment method that causes less harm to patients, but it is only suitable for patients with milder conditions. For patients with more serious conditions, the following two treatment methods should be used. |
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