Ukwakhiwa kwama-cystic ohlelweni lokuzala kuyisifo esiningi sabesifazane besiminyaka yokuzala. Ezigaba zokuqala lesi sifo asizibonakali nganoma iyiphi indlela. Ukwazi ukuthi yi-cyst ye-ovari, izimpawu nokwelashwa, abesifazane bangasolwa ngokugula kwabo futhi bafune usizo lwezokwelapha.
I-ovarian cysts - izinhlobo
I-cyst iyinhlangano enesifo esibi esinegumbi eligcwele uketshezi ngaphakathi. Ayikho uxhumano ne-tumor, kodwa ingozi yokuguqulwa kwayo ibe ngumdlavuza ikhona. Kulokhu, i-cyst ye-ovari iyabonakala, izimpawu kanye nokwelashwa kowesifazane kuzocatshangelwa kulesi sihloko, kungenzeka ukuthi kusemndenini, esikhathini sokuzala ngisho nasemantombazaneni. Kuye ngesakhiwo, okuqukethwe kanye nezici zomsuka, i-cyst kwi-ovary ingaba nezinhlobo eziningana. Ezinsini zokubeletha bahlukanisa:
- i-cyst follicular;
- umzimba ophuzi;
- i-endometrioid;
- i-dermoid;
- i-paraovarian;
- mucinous.
I-cyst ye-ovarian ye-follicular
Le-cyst ye-ovarian esebenzayo isakhiwe esakhiweni se-follicle evuthiwe. Ukwakhiwa kwalo kwenzeka lapho ngesinye isizathu inqubo yokuvuthwa kunzima. Iqanda elivuthiwe aliphuli i-follicle futhi aliveli kulo. Ngenxa yalokho, iqala ukukhula futhi igcwele uketshezi. Ngesikhathi esifanayo, izindonga zalo ziba mncane, futhi ubukhulu bukhula kancane kancane. Ezigaba zokuqala lesi sifo asizibonakali nganoma iyiphi indlela. Ngokuvamile, ama-cysts asebenzayo atholakala ngesikhathi sokuhlolwa kowesifazane:
- ukuphazamiseka komjikelezo wesisindo ;
- ukungabi khona isikhathi eside kokukhulelwe;
- ukubonakala kokuphuma komzimba kwesisu sangaphakathi.
I-endometrioid cyst ovarian
Uma lolu hlobo lwe-cyst lwakhiwa, ukutholakala kwamangqamuzana omzimba we-endometrial kufakwe kuma-ovari kumabhinqa. Ngokuvamile ziqukethe kuphela emgodini wesibindi. I-endometrium inqatshelwe nyangazonke, futhi izakhi zayo zingase zibe kwezinye izimo ezingenazinhlayiya zobulili. Ngenxa yezinguquko ezinjalo, i-capsule enezicubu ze-endometrial yenziwa, etholakala ngaphakathi kwe-ovary. Ngomjikelezo omusha ngamunye wokuya esikhathini, kukhona ukwanda kwevolumu yemfundo.
I-cyst ye-endometrioid ingacatshangwa odokotela njengesiphumo:
- ukungenelela okuhlinzekwa ezithombeni zomzimba (ukudluliselwa kwamangqamuzana avela ku-mucosa kuya kuma-ovari);
- ukufakwa kwamangqamuzana emgodini ngegazi;
- ukuphazamiseka kwe-hormonal, izinguquko emsebenzini we-ovaries, i-pituitary gland;
- izifo zokuzivikela emzimbeni.
I-cyst e-Dermoid yama-ovari
Le cyst e-ovary yabesifazane ingakhiwa ngisho nasesikhungweni se-intrauterine sokuthuthukiswa kohlelo lokuzala. Ngokuvamile iqukethe izicubu ze-adnexal emgodleni wayo. Ngokuhlola ngokucophelela imfundo edele, odokotela abahlinzayo bavame ukurekhoda ukuba khona kweziqephu zethambo lamathambo, ama-muscle fibers, izicubu ezinamafutha. I-cyst ihaqwe i-capsule enesisindo, ukukhula kwayo kuhamba kancane, kodwa njalo. Ngaphandle lesi sifo asibonakali ngokwalo, ngakho-ke kutholakala ukuthi lapho ukubunjwa kufinyelela usayizi omkhulu: izitho namathishu akhona asondelene, umsebenzi wabo uphazamisekile.
I-Paraovarian i-Ovarian Cyst
I-paraovarian i-cyst ovarian isakhiwo se-cavitary esakhiwa endaweni ehlanganisiwe: ama-tubespian tubes nama-ovaries. Ngokuvamile i-cyst yenziwa emantombazaneni asencane ngesikhathi sokukhulelwa. Ukugqugquzelwa kwentuthuko ukukhula okwenyuka kwezitho zohlelo lokuzala, okuqala ukusebenza ngalesi sikhathi. Mayelana nokutholakala kwesifo, amantombazane amancane afunda lapho ehlola ucwaningo olunzulu oluhlose ukukhomba imbangela yokuphulwa komjikelezo wesimiso. Ngalolu hlobo lwe-cyst, kunengozi enkulu yokunamathela, ngakho odokotela bayeluleka ukuba basuswe.
I-cyst yama-ovarian emnandi
Imfundo iyinhlonipho futhi ivame ukubunjwa kwabesifazane abangaphezu kweminyaka engu-50 ubudala. I-cyst emnandi ye-ovary esifanele (okuvame ukuphazamiseka) ibonakala ngokuba khona kwamaseli esakhiweni esifana nesakhiwo ekwakhekeni kwesifazane. Ngokuvamile i-cyst inamakhemikhali amaningi, inombhalo ojikelezayo noma oval, isifo se-tuberous. Ukusuka kwezinye izimboni kubonakala ukukhula okusheshayo nokunyuka kwamathambo (ama-3-5% azo zonke izifo zesifo).
I-Yellow Ovarian Cyst
Le cyst emaqanda ama-ovari akhalela ngokuqondile emgodleni we-cortic. Isizathu salo ngumzimba ophuzi - ukwakheka okwesikhashana, okuhlanganisa iqoqo lama cell endocrine. Yakhiwa endaweni lapho i-follicle yayingakafiki ngaphambi kwe-ovulation. Umzimba ophuzi ukhuthaza ukuqala kokukhulelwa nokufaka umquba ophumelelayo, ukwenziwa kwe-progesterone. Uma ukukhulelwa kungenzeki, ukuguqula ukuthuthukiswa kwenzeka. Ngalesi sikhathi, amanye amangqamuzana angabandakanyeka enkundleni yezinkinga, ngenxa yalokho okwakhiwa khona i-cyst.
Imfundo inesimo esiyindilinga kanye nesibhakabhaka. Ngaphakathi kuqukethe umbala obala ophuzi. I-yellow body cyst ibhekisela ekufomeni okusebenzayo - iyakwazi ukuzixazulula phakathi nemijikelezo yokuhamba esikhathini 1-3. I-cyst ye-ovarian ngesikhathi sokukhulelwa nayo ayiyona into evamile. Odokotela basebenzisa amaqhinga okulindela. Ukwelashwa kwenziwa kuphela ngezinqwaba zokwakheka noma okunamathiselwe kokutheleleka noma ukuvuvukala.
Ama-cysts e-Ovarian - abangela
Ukukhuluma ngezimbangela zalesi sifo, odokotela bavame ukusebenzisa i-multifactority yegama eliphelele - izinqubo eziningana zokwelapha ezivusa i-cyst. Kunzima ukusungula ngokuqondile ukuthi yini eyabangela lesi sifo futhi yabangela inqubo yokwelapha. Kwezinye izimo, lesi sifo singaba umphumela wesinye ukwephula ohlelweni lokuzala. Uma ucabangela ukukhubazeka okunjalo njenge-cyst ye-ovari, izizathu zokuthuthukiswa kwazo zilandelayo:
- Ukuba khona kokungenelela kokuhlinzwa okuvamile ku-anamnesis. Ukusebenza ohlelweni lokuzala, ukukhipha isisu kuholela ekuphazanyeni kwesakhiwo sezinhlayiya zobulili.
- Ukuhluleka kwe-Hormonal. Ukuphulwa kwesimiso se-hormonal kuholela ekwakhiweni kwe-cysts esebenzayo.
- Izinqubo zokuvuvukala ohlelweni lokuzala. I-adnexitis , i-salpingoophoritis, i- endometriosis , kanye nokutheleleka ngokocansi yizimbangela ezivamile zokusungulwa kwe-cyst ezinkingeni zobulili.
- Izifo ze-gland yegciwane. Ukukhiqiza okwanele kwama-hormone nge-gland ( hypothyroidism ) kuthinta kabi umsebenzi wesimiso sokuzala sowesifazane.
- Izinkinga ze-endocrine. Isifo sikashukela, ukukhuluphala kunomsundu wesimiso se-hormonal, futhi ngenxa yalokho - kwandisa ingozi ye-ovarian cysts.
Ama-cyst - izimpawu ze-ovari
Lapho kutholakala i-cyst ovarian, izimpawu nokuphathwa kowesifazane kuncike ngokuphelele esigabeni sesifo. I-pathology ayinayo izimpawu ezithile, ngakho-ke ingasetshenziswa ezinye izifo zesimiso sokuzala. Lokhu kuyinkimbinkimbi kakhulu inqubo yokuxilongwa - ama-cysts amaningi atholakala ngengozi noma uma ecatshangwa ezinye izifo. Izimpawu zokuqala ze-cyst ye-ovarian ye-patient zingenziwa ngokuzimela kuphela ngokunyuka okukhulu kwemfundo ngesayizi. Ngokuvamile, uma i-cyst ye-ovari yenziwa, izimpawu zabesifazane zilandelayo:
- Ukukhathazeka emathunjini aphansi. Uphawu lubonakala lapho i-cyst ububanzi bufinyelela ku-4 cm noma ngaphezulu. Ngesikhathi esifanayo, abesifazane bakhononda ngobuhlungu obunzima, obubuhlungu engxenyeni engezansi yesisu, okungakhula ngokuzikhandla ngokomzimba nokuxhumana kocansi. Ngokuvamile ubuhlungu bukhona ngakwesinye isandla. Ngokuvamile imizwa engafanele yesiguli ichaza njengokubonakala komzwelo wokucindezeleka nokucindezela ohlangothini.
- Ubuhlungu lapho uchama, ukuphulwa kwe-defecation. Imizwa engathandeki isiguli siqala ukuzwa njalo lapho uvakashela indlu yangasese. Kulesi simo, inani lokuvuthwa ngosuku liyakhula. Ubuhlungu bubangelwa ukukhula okusheshayo kwezemfundo, okucindezela izitho ezingomakhelwane.
- Ukuphulwa komjikelezo wokuya esikhathini. Ngokuthuthukiswa kwama-cysts angaveza ama-hormone, ngokuvamile i-amenorrhea ivela. Kwezinye izimo, lesi sifo singahambisana nezikhathi ezibuhlungu, ukwanda kwezinga lokukhipha, nokulibazisa esikhathini.
- Ukwanda kwesisu. Lesi sibonakaliso senziwa lapho ukubunjwa kufinyelela usayizi omkhulu noma kuphakama ama-ascites (ukuqoqa oketshezi emgodini wesisu).
Ukuphela kwe-cyst ovarian
Ukuhlukumeza ubuqotho be-cyst kuyinkinga ejwayelekile yenqubo yokugulisa umzimba. Ukuvusa kungaba:
- umsebenzi owenziwe ngokomzimba ngokweqile;
- ubulili obusebenzayo.
Uma owesifazane ngokuzumayo eqhuma nge-cyst ye-ovari, kuyadingeka ukuba uthintane nodokotela ngokushesha. Ukuba khona kwezinkinga kungabonakala ngezibonakaliso ezithile:
- ubuhlungu obunzima esiswini, ukuyeka emlenzeni, endaweni yangasese;
- ukunciphisa ukucindezelwa kwegazi;
- isiyezi;
- ukujula okubandayo;
- i-syncope - ukwanda kwe-pulse, i-blanching yesikhumba, ukulahlekelwa kokuqonda.
Ama-cysts e-Ovarian - imiphumela
Ekhuluma nesiguli mayelana ne-cyst eyingozi esibelethweni, odokotela baveza ukuthi kungenzeka ukuthi abe ngumdlavuza kuqala. Kodwa-ke, kaningi emisebenzini yezokwelapha, kunezinkinga ezihlobene nokukhula kwe-cyst - torsion nokuphuka (okukhulunywe ngenhla). Okokuqala kungenzeka, uma i-cyst inomlenze - ukuphuma okuncane, lapho i-capsule ngokwayo ifakwe khona. Ngenxa yalokho, kukhona ukwephulwa kwenqubo yokujikeleza emzimbeni ngokwawo, ukuphuma kwamanzi okudinga ukunakekelwa okuphuthumayo kwezokwelapha.
I-cyst enkulu yama-ovari (izimpawu nokuphathwa kowesifazane ohlolwe ngenhla) kungacindezela izitho eziseduze. Lokhu kuholela ekuphazamiseni ukusebenza kwabo okujwayelekile. Isibilini namathumbu kuvame ukucindezelwa yi-cyst egcwele. Kodwa-ke, uma kungekho ukwelashwa okudingekayo, kungenzeka ukuthuthukisa izifo zegazi. Ngokuvamile zibangelwa lezo zinqubo ezilahlayo ezitholakala kulesi sikhumba sobulili ngokwayo.
Cyst on the ovary - ukwelashwa noma ukusebenza
Uma i-cyst ye-ovari iyatholakala, ukwelashwa kunqunywe kucatshangelwa:
- uhlobo lwemfundo yokwelapha;
- izigaba zokuthuthukiswa;
- ukutholakala kwezifo ezithintekayo zesistimu yokuzala.
Ama-cysts asebenzayo (umzimba ophuzi kanye no-follicular) afaneleka kahle ekwelapheni okulondolozayo. Isisekelo se-hormone yakhe kanye nezidakamizwa eziphikisayo. Nokho, akunakwenzeka njalo ukuphulukisa i-cyst ngaphandle kokuhlinzwa . Ukungenelela kokuhlinzwa kusetshenziswe ku:
- Ukuba khona kwe-cyst ezinyangeni ezingaphezu kwezingu-3;
- akukho mphumela wokwelashwa;
- ukubonakala kwe-cyst ngesikhathi sokuya esikhathini;
- ukulimala okusolakala;
- ukuthuthukiswa kwezinkinga (ukuxhaswa, ukuhlushwa, ukuphuka).
I-cyst - ukwelashwa kwe-Ovarian ngaphandle kokuhlinzwa
Ngaphambi kokwelapha i-cyst ye-ovari, udokotela unquma uhlobo lwalo kanye nesibangela sokwakheka. Inqubo yokwelapha isekelwe ekwelapheni kwe-hormone. Ukuze ukwelashwa kwe-ovarian cysts ukusetshenziswa kuhlanganiswe ukuvimbela izisu zomlomo. Babuyisela umsebenzi wezinhlayiya zobulili, kuvimbela ukwakheka kwamasha. Phakathi kwemithi esetshenzisiwe:
- Lindineth;
- Marvelon;
- Regulon;
- Rigevidone;
- U-Silestus;
- UDiane-35.
Njengoba isifo esinjalo njenge-cyst ye-ovari, ukwelashwa ngamakhambi abantu kungabhekwa njengokungeziwe. Phakathi kwamakhemikhali nezitshalo ezisetshenziswayo:
- isisu sesifuba;
- ibhulashi elibomvu ;
- i-yarrow;
- i-immortelle;
- i-chamomile;
- umhlonyane;
- i-elecampane.
Ukususwa kwe-cyst ye-ovari
I-cyst yama-ovari (izimpawu ezisemqoka nokwelashwa kowesifazane akuzona zonke izinto ezivamile) zivame ukwelashwa ngokweqile. Ukungenelela kokusebenza lapho kukhona khona ama-ovari kungenziwa ngezindlela ezimbili:
- I-laparoscopy ye-cyst ye-ovari iyindlela ejwayelekile yokwelapha lesi sifo, lapho ukufinyeleleka emfundweni ye-pathological nge-punctures encane. Ukusebenza kwenziwa ngaphansi kokulawulwa kwemishini yevidiyo, okwenza kube nengozi encane yokuhlukunyezwa kwezicubu eziseduze.
- I-laparotomy - yenziwa ngokusika ngaphakathi kwodonga lwangaphakathi lomzimba ngosayizi omkhulu kanye nokulimala kwe-cyst. Phakathi nokuhlinzwa, udokotela ohlinzayo uhlola ngokuphelele isigxobo sesifuba esincane, akubandakanyi ukuba khona kwe-foci entsha.