В большинстве случаев шишка во влагалище или в области наружных половых органов не представляет опасности для жизни и здоровья женщины. Лечение зависит от причин патологии, общей клинической картины и размеров новообразования.
Шишка во влагалище
Появление объемных уплотнений в интимной области у женщин является распространенной гинекологической проблемой.
Рассмотрим, признаком каких заболеваний может являться шишка во влагалище или на наружных половых органах.
Причины появления новообразований
Понятие «шишка во влагалище» включает в себя любое опухолевидное образование, располагающееся на внутренней поверхности влагалища, половых губах, промежности. Выделяют две группы причин, приводящих к развитию нарушения.
Физиологические причины
Почти в 70% случаях появление любых неоднородностей в области половых органов связано с естественными процессами в организме и не требует обязательного медикаментозного и оперативного лечения. Чаще всего за опухоль принимают шейку матки при опущении стенок влагалища у молодых матерей. Вероятность развития нарушения повышается при многоплодной беременности, повторных и травматичных родах, появлении на свет крупного младенца.
Для профилактики и устранения последствий опущения влагалищных стенок применяют гимнастику Кегеля, включающую в себя упражнения на сжатие и расслабление интимных мышц с разной скоростью и интенсивностью.
К другим факторам, приводящим к смещению шейки матки, относятся:
- Заболевания соединительной ткани;
- Ожирение;
- Эндокринные нарушения;
- Хронический сильный кашель;
- Чрезмерные или недостаточные физические нагрузки.
Примерно в 5-7% случаев стойкая слабость мышц тазового дна может приводить к регулярному выпадению и травмированию переднего или заднего сводов влагалища, патологиям мочевыводящей системы, частичному некрозу тканей вследствие нарушения кровообращения. Таким пациенткам показано проведение хирургической операции по восстановлению формы и положения внутренних половых органов.
Патологические причины
К основным причинам патологического характера, приводящим к формированию шишек в интимной области, относят следующее:
- Нарушение правил гигиены;
- Беспорядочные половые связи;
- Ношение тесного или синтетического нижнего белья;
- Микротравмы, приводящие к нарушению целостности кожи и слизистых с последующим инфицированием и воспалением;
- Наличие очагов хронической инфекции в организме;
- Регулярное переохлаждение;
- Авитаминоз;
- Хронический стресс;
- Некоторые системные заболевания.
Симптомы и лечение патологий
Рассмотрим проявления основных заболеваний, сопровождающихся формированием уплотнений и опухолей во влагалище. При подозрении на любое нарушение необходимо немедленно обратиться к гинекологу.
Бартолинит
Распространенная гинекологическая патология представляет собой воспаление большой (бартолиновой) железы, расположенной около входа во влагалище. Бартолинит вызывается патогенными микроорганизмами (стафилококками, гонококками, трихомонадами, кишечной палочкой), проникающими в железу через ее выводную протоку с инфицированными выделениями из влагалища или уретры.
Комплексное лечение заключается в проведении следующих мероприятий:
- Устранение основной причины инфекции (чаще всего требуется антибиотикотерапия по назначению врача);
- Холодовые компрессы на пораженную область (несколько раз в день по 35-40 минут);
- Наложение тампонов, смоченных местными противовоспалительными препаратами («Левомеколь», ихтиоловая мазь);
- Физиопроцедуры на 3-4 день с момента начала болезни (магнитотерапия, УВЧ).
При формировании абсцесса требуется немедленное хирургическое лечение, заключающееся в его вскрытии и удалении гноя. При частых рецидивах бартолиновую железу рекомендуется полностью удалить.
Парауретрит (скинеит)
Воспаление парауретральных желез и ходов вызывается теми же патогенными микроорганизмами, что и бартолинит. Общая клиническая картина часто соответствует циститу или уретриту. Основными симптомами являются неприятные ощущения во время мочеиспускания и полового акта, боль в области промежности, образование уплотнений и абсцессов возле уретры или входа во влагалище.
Киста влагалища
Безболезненное округлое уплотнение располагается чаще всего слева или справа на стенке влагалища. Киста представляет собой мешочек из соединительной или мышечной ткани, заполненный вязким серозным или слизистым содержимым. Патология бывает врожденной или приобретенной в результате травмирования внутренних поверхностей органа.
Многих пациенток интересует вопрос, нужно ли удалять кисту во влагалище. Основным показанием к хирургическому вмешательству являются большие размеры образования, причиняющие женщине дискомфорт или препятствующие естественному родоразрешению.
Фурункулы и абсцессы
Образования гнойного характера появляются в результате микротравм при половом акте или ношении неудобного нижнего белья. При этом часто возникает твердая болезненная шишка в промежности между анальным отверстием и влагалищем.
При незначительном воспалении пациенткам назначают ранозаживляющие кремы или мази для местного применения. Если абсцесс болит и продолжает расти, требуется проведение его вскрытия хирургическим путем.
Доброкачественные опухоли
К истинным доброкачественным новообразованиям относятся фибромы, миомы, фибромиомы и липомы, формирующиеся в разных слоях влагалища. Опухоли чаще всего локализуются по передней стенке влагалища и не причиняют никакого дискомфорта. Иногда отмечаются периодические боли, умеренный дискомфорт и ощущение инородного тела в половых путях.
Онкологические патологии
Карцинома представляет наибольшую опасность для жизни и здоровья пациентки. В большинстве случаев онкология протекает бессимптомно, но некоторых женщин могут беспокоить следующие симптомы:
- Скудные межменструальные кровотечения;
- Выделения патологического характера (густые, пенистые, с неприятным запахом, включениями слизи и гноя);
- Болевой синдром разного характера.
При появлении любых тревожных признаков следует обратиться к специалисту. Диагностика включает в себя осмотр в гинекологическом кресле и УЗИ, позволяющее обнаруживать опасные патологии на ранней стадии. При необходимости проводится биопсия и другие клинические анализы.
Здравствуйте. Помогите пожалуйста! Появилось уплотнение между анальным отверстием и влагалищем, боли нет. Чувствуется иногда напряженность, неужели это симптомы геморроя? Не рожала, причин для развития не вижу, особо долго не сижу. Уплотнение все же ближе к анальному отверстию и уходит как бы в него. Что это может быть?
Здравствуйте, Вера. Наличие определенного образования на анальном отверстии чаще всего свидетельствует о наличии внешнего геморроя. Хотя нельзя забывать о других проктологических заболеваниях с похожими симптомами (полипы, доброкачественные образования прямой кишки, выпадение внутренних геморроидальных узлов и т.д.). Время гинекологические проблемы могут маскироваться под видом геморроя (бартолинит). Обзор и качественная консультация специалиста обязательно должны предшествовать любому лечению и помогут уточнить диагноз и выбрать оптимальную тактику лечения. Касательно консервативного лечения наружного геморроя — мази, свечи и другие препараты позволяют уменьшить симптомы заболевания, уменьшить размеры узлов, но проблемы не решают и после прекращения приема этих препаратов геморрой «возвращается». Решить проблему может только удаление геморроидальных узлов (внешних и внутренних) с помощью операционного вмешательства или малоинвазивных методик (инфракрасная коагуляция, лигирование латексными кольцами, геморроидальное дезартериализация, радиочастотный скальпель). Малоинвазивные методики позволят избавиться проблемы геморроя с той же эффективностью, что и при операционном лечении, но без нахождения в стационаре, без боли и отрыва от привычного распорядка дня.
На данный момент для уменьшения размера внешнего узла могу рекомендовать следующее : соблюдение правил личной гигиены (отказ от использования туалетной бумаги, вместо того — подмывания теплой водой 30-35 ⁰ С с туалетным мылом), теплые 25-35 ⁰ С успокаивающие сидячие ванночки для анального отверстия (ромашка, кора дуба, «Деласкин»), после ванночек — тромболитических мази («Гепатромбин — Г», «Лиотон», «Гепариновая», «Траумель С»). Параллельно прием венотоников («Детралекс», «Веносмил», «Нормовен», «Цикло -3- форт») по схеме согласно инструкции, курсами по 1 — 2 месяца 2 — 3 раза в год.
Консультация
Доброе утро 2 дня назад вылезла припухлость между анусом и влагалищем но она явно растет сначала припузлость была только слева теперь и справа и увеличилась, ближе к анусу идет какая то белая ножка при пальпации ощущается болезненые ощущения сначала думала геморой начала мазать гепариновой мазьюа теперь вижу что не помагает надо идти к гинекологу и видимо срочно при дефекции и мочеиспускании болезненых ощущений нет но просто ходить трудно да и спать не могу самая хорошая поза сидя некаких ощущений болевых пока не начинаеш двигатся есть ли вероятность что я простыла? в холодные дни бегала в осенних сапожках замерзла заранее спасибо за ответ
Ответы врачей
Это может быть как фурункул, так и свищ. Чтобы точно установить диагноз, Вам надо сходить к проктологу на осмотр, но также нужно и исключать другую патологию кишечника. Обследование должно включать: пальцевой осмотр проктологом, если врач посчитает нужным дообследоваться — ректороманоскопия, колоноскопия и т. д.
Лечение полностью зависит от диагноза и стадии запущенности заболевания. Если же медикаментозное лечение вам не поможет, тогда врачи могут предложить оперативное лечение.
Самолечением не занимайтесь. Если убирать только симптомы, а не лечить комплексно, то заболевание может осложнятся ущемлением, присоединением вторичной инфекции, а это уже может закончится оперативным вмешательством.
Спасибо большое вчера была у гинеколога она посмотрела сказала надо к хирургу и прописала вишневского и антибиотики начала прикладывать вишневского в течении дня3 раза меняла повязку вечером гнойник вскрылся так как стало легче боль практически ушла в понедельник пойду к хирургу скажите а после прорыва гнойника можно ли дальше использовать мазь вишневского? я когда подмываюсь только теплой водичкой боюсь мылом мало ли вдруг хуже сделаю.. просто мазь даже после обмывания все равно немного остается то есть полностью водой не смывается можно ли мылом мытся или оставить как есть просто водой? заранее спасибо)
Лучше всего , обрабатывать рану не мазью, а антисептиками в виде растворов — перекись водорода, Хлоргексидин, октенисепт в разведении 1: 6 и так далее.
Перед обработкой раны — гигиена водой, но можно мылом, но обязательно смывать мыльную пену.
После того как рана просушиться немного, вы можете использовать мазь с антибиотиком (тетрациклиновые , гентамициновая и так далее).
Далее тактика лечения будет полностью зависеть от установленного диагноза хирургом.
Консультация оказывается круглосуточно
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