Iyini i-cyst ye-ovari?
Okokuqala, ake sibheke umsebenzi wama-ovari. Ama-ovary yi-organ ehlangene yama-hormone engamamentimitha angu-3 ngobukhulu abeseduze kwesibeletho futhi aqukethe amaqanda amaningi. Inyanga ngayinye, i-ovary "iyilungisa futhi ikhishwe" ngokuvamile iqanda elilodwa (mhlawumbe alikho, mhlawumbe ababili). Leli qanda, elise-capsule elincane futhi elizungezwe yi-liquid, libizwa ngokuthi i-follicle. Kusukela ezingalindelekile ngezizathu ezihlukahlukene, i-follicle okufanele ivele iqanda, ngokwesibonelo, ngenxa yezifo ze-hormonal noma izinqubo zokuvuvukala, i-cyst follicular isakhiwe. Kuyinto yokwakheka okunamandla okugcwala okugcwele okuqukethwe oketshezi noma okune-viscous, ubukhulu obungaphezu kuka-3 cm ububanzi. Ngokwesilinganiso, ama-cysts e-follicular angafinyelela usayizi we-5-6 cm, futhi ngezinye izikhathi okuningi okuningi. Ama-cysts anjalo ahlale enekamelo elilodwa. Nakuba kwezinye izimo ama-cysts eziningana ezinjalo ze-follicular angakhiwa ngesikhathi esisodwa e-ovary, ehambisana kahle, futhi anikeze umbono wesakhiwo samakamelo amaningi. Kwabesifazane abaneminyaka yobudala yokubeletha, kaningi kakhulu kunezinhlelo zokusebenza ezinjalo zokusebenza (ezomzimba), okuyinto ezimweni eziningi eziqhakazile ngokwazo.
Ngokwezigaba zomhlaba wonke zezicubu ze-ovari, akuzona zonke lezi zindlela zokusungulwa kwe-cystic, ngokwemvelo yazo yempilo, kuyi-cysts yangempela. Ukwandiswa kwe-cyst yangempela ngenxa yokwanda kokuqukethwe kwayo nokukhuliswa kwamagundane, hhayi ngenxa yokwahlukana kwamaseli okuvela kuyo igobolondo le-cyst, njengoba kunjalo nangezinqubo zesisu. Ngakho-ke, ama-cysts wesibeletho yi-cysts yangempela yomzimba ophuzi, ama-cysts follicular nama-paraovarian cysts, lezi zinhlobo ze-cysts azikho ngaphansi kokulimala okubi kakhulu. Kodwa ama-cysts e-mucinous ne-dermoid ayizinhlayiya ezinobungozi bama-ovari. I-endometrioid ("i-chocolate") i-cyst ingenye yezibonakaliso ze-endometriosis yama-ovari, futhi ibuye ibe isigaba esihluke ngokuphelele sezifo zamasosha.
Izimpawu ze-cyst ye-ovari.
Ama-cysts amaningi ama-ovarian amancane futhi awabangeli izimpawu. Kodwa-ke, ezinye zingase zihambisane nobuhlungu obuhlungu obuhlungu, umuzwa wokucindezeleka nokucindezelwa esiswini esingaphansi nasendaweni ye-sacrum, ubuhlungu ngesikhathi sokulala ngokocansi. Ngesinye isikhathi i-cyst ingaholela ekusebenziseni izinkinga zokungena esikhathini, okwenza kube mfushane noma ngaphezulu. Ezimweni ezingavamile kakhulu, i-cysts ingabangela ubuhlungu obukhulu, ukuphuma kwegazi kanye ne-peritonitis. Ngezinye izikhathi kunesifiso esiningi sokuvuthwa (uma ucindezela isisindo sosayizi enkulu yesisindo). Izinkinga ezivamile ze-cysts yama-ovari kanye nama-cysts e-parovarial yi-torsion yemilenze ye-cyst, nokuxhaswa kwe-cyst, kanye nokuqhekeka kwe-capsule yayo. Lapho imilenze iphihliwe, imithwalo yegazi iyabonakala, ukuhlinzeka ngegazi ku-cyst kuphukile, futhi ukuphendula okuvuvukala kwenzeka, kuhambisane nezimpawu "zesisu somzimba": ubuhlungu obukhulu ezindaweni eziphansi zomzimba, izidakamizwa (ukukhulelwa, ukuhlanza, ukuhlanza) nokucasula i-peritoneum. Inqubo yokuxhaswa kwe-cyst iphinde ihambisane nomkhuhlane kanye nobuhlungu obukhulu esiswini. Uma kwenzeka noma yikuphi ukucindezeleka owesifazane udinga usizo olukhethekile oluphuthumayo.
Ukuxilongwa.
Ukuxilongwa kwe-cyst ye-ovari kuncike kwizikhalazo zesiguli, kodwa kusukela ezimweni eziningi lesi sifo senzekile ngaphandle kwemiboniso yemitholampilo, ngokuvamile ama-cysts atholakala ngengozi ngudokotela ngenkathi ehlolwa ngodokotela wesifazane noma ngesikhathi sokuhlolwa kwe-ultrasound yamalungu esisu esiswini. Ngosizo lwe-ultrasound bangakwazi ukuqinisekisa futhi bafake ukuxilongwa okunembile kakhulu. Ngezinye izikhathi udokotela udinga ukubhekana nokuhlolwa kwe-MRI nokuhlolwa kwegazi.
Ukuqaphela nokwelashwa kwama-cysts.
Uma i-cyst encane futhi ingabangeli izibonakaliso, ungakwazi ukuyiqaphela izinyanga ezimbalwa ngosizo lwe-ultrasound, iningi lama-cysts asebenzayo ngokwawo ngemva komjikelezo owodwa noma emibili yokuya esikhathini. Uma imbangela yokubunjwa kwe-cyst kuyindlela yokuvuvukala kwama-ovari, ngaphambi kokulwa ne-cyst, qala kuqala ukususa ukuvuvukala.
Isinqumo sikadokotela mayelana nokugcina noma ukususa i-cyst sithonywe yizinto eziningi: yobudala, ubukhulu be-cyst, izici zayo ze-ultrasound, kanye nezimpawu. Isibonelo, i-dermoid cysts ne-endometriomas azidluli ngokwabo, ngakho zisuswa kuphela ngokuhlinzwa.
Kungakhathaliseki ukuthi i-cyst ibangela noma yiziphi izimpawu noma akukhathazeki nakancane, kudingeka uyibuke: kubalulekile ukuthi izixazululo ze-cyst (ngiyakhumbula ukuthi ama-cysts amaningi asebenzayo ngemva kokuhamba kwemijikelezo engu-1-2). Noma, okungenani, ungangeli usayizi. Ezingxenyeni eziningi ze-cysts ziyingozi, nakuba kwezinye izimo ezingavamile ziyingozi.
Uma kwenzeka udinga ukususa i-cyst ngokuhlinzwa, kufanele wazi ukuthi kunezindlela eziningana: i-laparoscopy (lo msebenzi uwenziwa ngokuchofoza okuncane ngekhamera yevidiyo ekhethekile) noma ukusebenza kwe-cavitary. Udokotela wakho uzokhetha indlela efanele kakhulu kuwe kuye ngokuthi uneminyaka yakho, ubukhulu be-cystic ukwakheka, izici zalo nezinye izici eziningi.
Ukuvimbela.
Kungenzeka yini ukuvimbela ukwakheka kwe-cyst ovarian? Ama-contraceptive agents anganciphisa ithuba lokudala i-cyst ovarian esebenzayo ne-endometrioma. Ithonya ekubunjweni nasekukhuleni kwamanye ama-cysts akakaze kwenzeke.
Kodwa ukuhlola okujwayelekile kumgogeni wezinzwa kuzokusiza ukubona ukuvuvukala ngesikhathi esifanele, ukubeka ukuhlolwa okulungile futhi ufunde ukwelashwa, noma, uma kunesidingo, ukuhlinzwa.