Ukunikeza izikhalazo zezinkinga zezinkinga zokuthi izifo zamazinyo zihlala zigula, abesifazane besesimweni eziningi abazi izizathu zokuzwa okubuhlungu. Ukuze kutholakale ukuthi yini eyenza lesi simo, kuhlolwe ukuhlolwa okuphelele kwesistimu yokuzala. Cabanga ngale nkinga ngokuningiliziwe, ukugqamisa izimbangela zokubonakala kobuhlungu.
Ama-ovaries-izizathu
Iningi labazali bezinkinga zokubeletha bakuthola kunzima ngemva kokuhlola lo wesifazane ukucacisa imbangela bese uphendula umbuzo wesiguli: kungani ama-ovari alimaza nokuthi angakhipha kanjani ubuhlungu. Kumele kuthiwa ukuthi ukukhathazeka kwezigulane zobulili kubangelwa izifo zesimiso sokuzala. Phakathi kwezici ezicasulayo, odokotela baqaphela ukuphulwa okulandelayo:
- izinqubo zokuvuvukala;
- ukuphazamiseka kwe-hormonal ;
- izinqubo ezinjenge-tumor;
- ukwephulwa kwe-intrauterine ukuthuthukiswa kohlelo lokuzala (ukuhlukunyezwa kokuzalwa);
- ukwephulwa kwesimo sezitho zangaphakathi zangasese;
- ukuphazamiseka komjikelezo wokuya esikhathini .
I-ovary ibuhlungu ngaphambi kwenyanga
Ukudweba ubuhlungu emaqanda amavunguvungu kuvame ukubonakala ngesikhathi sokuhamba kwelanga. Le syndrome ivamile. Ihambisana nokuntuleka komzimba ophuzi. Ekupheleni komjikelezo, lokhu kwakha okwakhiwa, okwenza i-progesterone. Ukukhiqiza okwanele kungabangela ushintsho embranini yamangcwaba yesibeletho. Ngenxa yalokho, lo wesifazane ulungisa ubuhlungu emanzini. Izici ezilandelayo ziyisici salokhu:
- ukushintsha ukuzwa okubuhlungu kolunye uhlangothi (kuye ngokuthi yiyiphi i-ovary i-ovum ivela);
- kukhona i-neobylnye, i-mazhujushchie isabelo esivela emgodini wesifazane.
Ama-ovari ayagula ngesikhathi sokuya esikhathini
Njengoba izifundo odokotela zibonisa, izilonda zobulili azilimazi ngesikhathi sokuya esikhathini. Okubizwa okuthiwa "ubuhlungu obuhlungu emaqanda amaqanda", lapho abesifazane abakhononda khona, kutholakala ngqo ngaphakathi kwesibeletho. Ihlobene ngokuqondile nalawo shintsho okwenzeka engxenyeni yokuzala ngesikhathi sokuya esikhathini. I-membrane ekhanda yesisu ngokungabikho kokukhulelwa kuqala ukuqala kancane kancane. Le nqubo ibangela ubuhlungu obuhlungu.
Izinzwa ezibuhlungu ngesikhathi sokuya esikhathini zingase zikhule futhi ziqhekeke kakhulu ze-myometrium yezibeletho. Ngakho isitho sisiza ukususa emangqamuzaneni okugwedla ama-endometrium, izinsalela zeqanda, ezifa ezingenalutho. Ukusikeka okunamandla kuvuselela ubuhlungu. Zingabonakaliswa kakhulu kangangokuthi ziphule umkhuba wendabuko yosuku lwentombazane, zinciphise ukusebenza kwayo.
Ngokuqondene nobuhlungu ngqo kuma-ovari, kukhishwa:
- ukutholakala kwama-cysts;
- ukuphefumula;
- ukucindezeleka.
I-ovary ibuhlungu ngesikhathi sokuvuthwa
Amantombazane amaningi akhononda ukuthi agula kakhulu phakathi komjikelezo wama-ovari. Ukukhathazeka ngalesi sikhathi kuhlobene ngokuqondile nokuphulwa kobuqotho bezingxenyeni zangaphandle zobulili. Lapho u- ovulation , iqanda elivuthiwe lishiya i-follicle elise-ovary, emgodini wesisu. Ngesikhathi esifanayo, ukuhlukumezeka okuncane kakhulu kuhlala kusayithi lokuphumelela. Inani elincane legazi likhishwa kuwo.
Ngokuqondile lokhu ketshezi oluphilayo luya emgodleni we-peritoneum, okwenza kube nokucasula. Ngenxa yalokhu, i-ovary ibuhlungu uma u-ovulating. Izimpawu ezilandelayo zibonisa ukuthi ubuhlungu buhlobene ngqo nale nqubo:
- ubuhlungu bubonakala phakathi komjikelezo;
- mhlawumbe ukubonakala kwe-excretions e-smearing;
- ubude bezinhlungu zesifo - kusuka emaminithi ambalwa kuya emahoreni amaningana;
- ubuhlungu buhlale buhlangene.
I-ovary ibuhlungu ngemva kwe-ovulation
Ubuhlungu obukhulu emaqanda amaqanda engxenyeni yesibili yokujikeleza kokuya esikhathini kungase kuhlotshaniswe nezinguquko kwendlalelo ye-endometrium. Izinguquko ze-hormone kulesi sigaba zanda izinga lokukhula kwamaseli egobolondo langaphakathi lesibeletho. Ngakho lesi sibeletho silungele ukukhulelwa okusemandleni. Uma kungenzeki, izinqubo zokuthuthukiswa okuqhubekayo ziqala. Inguquko ye-hormonal ishintsha, i-myometrium iqinisa umsebenzi wayo. Ukunciphisa ngokuqondile lokhu kungqimba kungabangela ukukhathazeka. Ngesizathu esifanayo, ama-ovari abuhlungu ngemva kokuya esikhathini.
Ama-ovari ayagula ngesikhathi sokukhulelwa
Ngokuvamile, abesifazane abasesimweni batshela odokotela abaqondisayo ukuthi ama-ovari abo agule ngesikhathi sokukhulelwa, ngezigaba zokuqala. Ekuqaliseni izimbangela, kusobala ukuthi akukho ukuxhumana phakathi kwezinzwa ezibuhlungu kanye nezinguquko ezigciniwe zobulili. Phakathi kwezimbangela eziyinhloko zokucindezeleka, ukudonsa ubuhlungu ema-ovari ngesikhathi sokuthwala umntwana, izazi zezinkinga zegazi zihlukanisa:
- Ukwandiswa usayizi wesibeletho. Isitho sobulili nosuku ngalunye lokukhulelwa landa ngamandla. Ngenxa yezinguquko ezinjalo, kukhona ushintsho endaweni yokudweba kwama-ovari nama-tubes: aphakanyisiwe futhi atholakala ngaphezu kwendawo yabo evamile.
- Ukweqa kwezinto ezisetshenziswa yi-ligamentous ezisekela isibeletho kanye nezinsiza. Njengomphumela wokukhula kwe-fetus, imithwalo ihlangabezana nemithwalo enkulu, futhi ukungazwani kuvela kuzo.
Ukuze ubhekane nezinguquko ezinjalo zomzimba, futhi unciphise ukubonakaliswa kwabo kubesifazane abakhulelwe basize:
- ukudla okunengqondo;
- ukuhambisana nombuso;
- umzimba wokuzivocavoca.
Ubuhlungu ema-ovari ngesikhathi sokulala
Ubuhlungu obunzima ovary ngesikhathi sokulala ngokobulili ngokuvamile kuba imbangela yokuphazamiseka kwayo. Owesifazane ozwa kabi, ngezinye izikhathi imizwa ebuhlungu iboniswa kakhulu kangangokuba umlingani kufanele athathe imithi ebuhlungu. Izizathu ezichazayo ngenxa yalokho ama-ovari aphuza ngesikhathi sokulala, okuningi. Phakathi kokuyinhloko:
- ukutheleleka nezinqubo zokuvuvukala kwama-ovari - i-adnexitis;
- i-polycystic ovary ;
- i-cervicitis;
- ukoma kwesifazane;
- ukunamathela esikhwameni esincane.
Ama-ovari aphethwe emva kocansi
Ubuhlungu ema-ovari emva kocansi kungabangela ukugqama okunamandla kwemisipha yesifazane. Lesi simo sibizwa ngokuthi yi-gynecology "vaginismus". Ngaphezu kwalokho, ukukhathazeka ngakwesobunxele noma kwesokudla kungabangelwa ubulili obudlova, obunothando. Ukungena okujulile, ukukhetha okungalungile kokumiswa kuyabangela ubuhlungu esiswini esingaphansi. Ukuxazulula le nkinga, kufanelekile ukubonisana nodokotela wezocansi.
Ubuhlungu ku-cyst ye-ovari
Ubuhlungu bokuphulukisa e-ovary kungaba uphawu lokuthi kukhona ama-cysts. Lokhu kwakheka kuyigumbi eligcwele uketshezi. I-Cyst njengoba ikhula iyakhula ukwanda kocansi lobulili. Sekuyisikhathi eside ngobukhulu obuncane be-cysts akukho-symptomatology. I-syndrome yezinhlungu ijwayele ukwakheka okungamaphesenti angu-3. Ngesikhathi esifanayo, ihambisana nezimpawu ezilandelayo:
- ubuhlungu bunendawo ecacile - buvela ohlangothini olulodwa;
- ukuzwa okubuhlungu komlingiswa wokudonsa noma okhulayo;
- bavame ukucasulwa ubulili;
- ehambisana nokuphuma kwamagciwane okungasebenzi, okwandisa ukuphuma esikhathini.
Yiziphi ama-ovari akhathazekile?
Ubuhlungu ema-ovari bukwazi ukuzimela ngokuzimela kuphela nge-ovarian syndrome - uma ukukhathazeka kubangelwa izinqubo ze-ovulatory. Ezinye izimo zidinga ukulungiswa kwezokwelapha, ukwelashwa okukhethekile. Izincomo ezitholwa amantombazane odokotela kulokhu kwephulwa ziyisimo sokuncoma:
- ukuthula kokuthula;
- ukukhishwa kwemisebenzi yomzimba;
- ukugwema ukucindezeleka, izimpikiswano;
- ngobuhlungu obunzima, ungathatha ama-analgesics nama-antispasmodics.
I-Ovarian Diagnosis
Ukuze ukwazi ukubona kahle ukugula okubangela ubuhlungu kuma-ovari, izimbangela zalesi sibonakaliso, odokotela basebenzisa ukuhlolwa okuphelele kwesiguli. Ngesikhathi esifanayo, uhlu lwezinqubo zokuxilonga ngokuqondile luxhomeke kwisifo esilindelekile. Phakathi kokuhlolwa okuyisisekelo nokuhlaziya esimweni esinjalo, lapho ama-ovari ehla, singakwazi ukuhlukanisa:
- I-ultrasound ye-pelvis encane nesigxobo sesisu;
- ukuhlolwa kwegazi (jikelele kanye nesayensi yemvelo);
- ukuhlolwa kwegazi ngamahomoni;
- Ama-smears avela ku-urethra, ubulili nesisu somlomo wesibeletho;
- ukuhlaziywa komchamo.
Ukulungiselela ubuhlungu ema-ovari
Ukuqokwa kwemithi, lapho ama-ovari egula kakhulu, udokotela uhlanganyela kuphela. Kuphela emva kokuhlolwa okugcwele kwesiguli, ukusungula imbangela eqondile, kukhethwe inkambo yokwelashwa kwezidakamizwa. Ngokuvamile, ukukhathazeka kubangelwa izifo ohlelweni lokuzala. Kulokhu, isisekelo sokwelashwa sakhiwa ngama-antibiotics:
- i-tetracycline (doxacyclin) - inezindlela ezihlukahlukene zokwenza, iphumelela ekulwa namaprotozoa;
- i-penicillins (i-Oxacillin, i-Ampicillin) - ibe nomthelela ophikisiwe we-bactericidal;
- I-Lincosamides (i-Clindamycin) - igweme ukukhula nokukhiqizwa kwama-microorganisms we-pathogenic;
- ama-macrolide (i-Azithromycin) - abe nomthelela we-bactericidal, abe nomthelela omubi ngokumelene ne-streptococci, i-mycoplasmas, i-staphylococci, i-chlamydia;
- nitroimidazoles (Metronidazole) - esebenzayo ngokumelene nezincane ezincane ze-anaerobic.
Lezi zakhi zokwelapha nazo ziqukethe i-suppositories yobuhlungu bama-ovari, obunqunyelwe abesifazane. Ifomu le-dosage elinjalo likuvumela ukuba ususe ngokushesha izimpawu, ukhululeke kahle impilo yesiguli. Ukuhlinzeka ngesenzo sendawo, ama-suppositories anciphisa ukubonakaliswa kobuhlungu besifo, ukungakhululeki, ukunganaki kudlulele ngemuva kokusetshenziswa okuningi kwezidakamizwa.