Ama-cysts ayinqwaba egcwele amanzi angaphakathi. Indawo yabo yangakini ingahluka. Ngokuvamile kuthinta uhlelo lokuzala lwabesifazane. Enye yezinhlobonhlobo i-cyst paraovarian eyenza i-ovary.
I-cyst parovarial ye-ovary - iyini?
I-cyst parovarial ye-ovary ikhiwa endaweni eboshwe yi-ligament yesibeletho, i-ovary kanye ne-fallopian tube. Akuthinteki kuphela igundane lobulili kuphela, kodwa futhi luthinta izibeletho zesisu. I-cyst ngokwayo isakhiwo esincane esinezimbambo ze-oval, esingaphansi, kanye nokungahambisani kahle. Itholakala ngqo ngaphezu kwesibeletho noma uhlangothi lwesitho sofuba. Ubukhulu bezindonga ze-cyst ezibonakalayo azidluli 1-2 mm.
Ngaphakathi kwe-cyst iyisakhiwo esinobucwebe obuhle obuhlelekile obugcwele amanzi anamanzi. Ekubunjweni kwayo kunamaprotheni amaningi kanye ne-mucin encane. Imfundo ibonakala ngokuhamba okuphansi, ukukhula kancane. Ukwandisa usayizi kwenzeka ngenxa yokuqoqwa kokuqukethwe kwe-cyst, ukwelula izindonga zayo. I-cyst ye-paraovarial ububanzi ingafinyelela ku-10-15 cm. Ama-formations anjalo awafakiwe ekubulaleni (ukuguqulwa komdlavuza).
I-Paraovarian i-Ovarian Cyst - Izimbangela
Isizathu esiyinhloko se-cyst parovarial, njengamanye amafomu afanayo, ukuhluleka kwe-hormonal emzimbeni. Kodwa-ke, ngokuzikhandla, uma uhlola futhi usungula imbangela, odokotela babhekene nesimo lapho i-cyst inemvelaphi eminingi (ithuthukiswe ngaphansi kwethonya ngezizathu eziningana). Ezinsini zokubeletha, kuvamile ukukhomba izici ezikhungayo ezilandelayo, ukuba khona okwenyusa ingozi yokubunjwa kwe-cyst:
- ukwephula inqubo yokuvuthwa kwama-follicle;
- ukuqala kokuthoma kokuqala;
- umjikelezo ongavamile wokuya esikhathini;
- ukuvela kwezisu ku-anamnesis;
- ukwelashwa ngezidakamizwa eziphikisanayo (Tamoxifen emdlalweni webele);
- ukutheleleka nokuvuvukala kwesistimu yokuzala ( endometritis , oophoritis , parametritis);
- izimo ezicindezelayo nokuhlangenwe nakho okuvamile.
I-cyst ye-paraovarian ye-ovary kwesokunxele
I-cyst parovarial ngakwesobunxele iqala ngezizathu ezifanayo ezibalwe ngenhla. Isici se-pathology yilapho kutholakala khona imfundo esifundeni se-ovary esingakwesobunxele, esikhaleni esiphakathi kwegland ne-tube fallopian. Kule ndaba, izinzwa ezizwakalayo ezibuhlungu kanye nezinye izimpawu ze-pathology zizogxila ikakhulukazi engxenyeni yesokunxele yomzimba.
I-cyst yokuphazamisa ye-ovary efanele
Kumele kuqashelwe ukuthi i-cyst efanele ye-parovarial, izimbangela zazo zifana nalabo ezichazwe ngenhla, zivame ukushiywa. Lokhu kuvamile kuhlobene ne-topology nezici zomzimba ze-ovary efanele. Uma lesi sifo sibuhlungu, sibonakala esiswini esingaphansi kwesokudla futhi singanikezwa esifundeni esiphezulu.
I-Paravirus cyst ezinhlangothini zombili
Loluhlobo lwe-pathology lubhalwe njalo. Ezimweni eziningi, i-cyst parovarial ye-ovary yangakwesokunxele noma ilungelo liqala kuqala, bese kuthi amangqamuzana amathumba adlulele emgodini wezocansi ophilile. Lokhu kubangelwa ukunikezwa kwegazi okuhle emgodleni we-pelvis encane, ohlelweni lokuzala njengoba luphelele. I-Symptomatic kule fomu ayiyona indawo: ubuhlungu bungaba khona ohlangothini olulodwa noma ngakolunye uhlangothi lwesisu. Ngesikhathi esifanayo, ubukhulu bezinhlobo ezinjalo ngokuvamile zihlukahluka. Ezingxenyeni zokugcina ze-pathology, i-asymmetry yesisu ingenzeka.
Yini i-cyst paraovarial eyingozi?
I-paraovariast cyst, ubukhulu bayo obufinyelela ku-15-25 cm ububanzi, azibonakali ngokwayo ezinyathelweni zokuqala, ngakho-ke lesi sifo sibhalwa esigabeni sokuvuvukala. Iziguli eziningi zifunda nge-cyst kuphela ngokuthuthukiswa kwezinkinga. Ukuvame njalo kunjalo ukuqhuma komlenze - i-strand ehlanganisa ukubunjwa nge-ovary noma ligament yesibeletho. Ngenxa yalokho, kukhona ukubetha kwe-ligament, izigqoko zezinzwa nezitsha. Ezimweni ezingavamile, kungase kube khona ukubetha kwe-tube uterine. Isimo esinjalo singaholela ku-necrosis ye-cyst ye-parovarial, ehambisana nalokhu:
- ukucindezela ukuzwa okubuhlungu kulo lonke isisu;
- isisindo somzimba esiswini;
- ukuncipha kwengcindezi yegazi;
- ukwanda kwenani lezinhliziyo;
- i-blanching yesikhumba;
- ukujula okubandayo.
Ngokungabikho kokwelapha isikhathi eside, ama-cysts angahamba. Kuvela njengomphumela wokutheleleka ngegazi noma i-lymph ezivela ezingeni elihlala njalo lokutheleleka emzimbeni. Isibonakaliso sokwehlukanisa ukukhubazeka ukukhula okusheshayo futhi okubukhali ekushiseni komzimba, okungafinyelela ezingeni ezingu-39. Abesifazane baqaphela ubuhlungu besisu esiswini, ukuhlanza, izibonakaliso zokudakwa (ubuthakathaka, ikhanda).
Ukuqhekeka kwe-cyst parovarial kwenzeka lapho kufika ububanzi obukhulu. Ngakho-ke kukhona izibonakaliso zesimo sokuphazamiseka: ubuhlungu obunzima bomlenze, ukuncipha kwengcindezi, ukuwohloka kokuqaphela, ikhanda. Zonke lezi zinkinga zidinga ukungenelela okuphuthumayo okuphuthumayo. Ububanzi bokusebenza buqanjwe isithombe somtholampilo (oophorectomy, andneksektomiya).
I-Paravirus cyst nokukhulelwa
Abesifazane abanalesi sifo bavame ukucabanga ukuthi i-cyst yeparavane iyathinta kanjani ukukhulelwa. Odokotela bathi le mfundo ayiyona isithiyo sokukhulelwa. Ukuqinisekiswa kwalokhu kuyindlela yokukhulelwa, lapho phakathi ne-ultrasound elandelayo yembula i-cyst ye-parovarial. Uma ububanzi besakhiwo singadluli u-5 cm, odokotela banamathele kumaqhinga okulindelekile: basungula ukulandelela owesifazane okhulelwe, beqhuba ukuskena kwe-ultrasound njalo emavikini amabili.
Uma i-cyst inesisindo esingaphezu kuka-5 cm futhi iqhubeka ikhula, kungenziwa isinqumo sokwenza ukuhlinzwa. Ngakho odokotela bazama ukuhlanganisa lesi senzo ngezinhlobo. Uma ukulethwa kusesekude nokulethwa, futhi i-cyst inkulu, ivimbela ukuthuthukiswa okuvamile kwe-fetus, i- laparoscopy yenziwa - ukusebenza okuphansi okubuhlungu, lapho ukufinyelela kufakwa khona ngamap puntures amathathu edongeni lomzimba.
Ama-cyst - ama-cyst - izimpawu ze-ovarian
Ukuhlelwa kwe-cystic encane akunikezi izimpawu. Owesifazane angakwazi ukuhamba nge-cyst isikhathi eside ngaphandle kokwazi ukuthi ukhona. I-pathology ingatholakala ngokuhlolwa komkhuba noma i-ultrasound ekuxilongweni kwesinye isifo. Izibonakaliso zokuqala kanye nokubonakaliswa kwemitholampilo ye-pathology kubonakala uma i-cyst ifinyelela ububanzi obuyi-5 cm. Ukukhula kwe-cyst kuhambisana nokubukeka kwesikhashana kokuhlunguphaza nokuhlunguphaza ubuhlungu ohlangothini lwe-lesion. Ngokuvamile, i-sacrum inikezwa imizwa ebuhlungu. Akukho ukuxhumana nokuya esikhathini nokuvota ngezinhlungu ezinjalo.
Ubuhlungu obandayo buyenzeka ngomsebenzi okwenyuka ngokomzimba, ukuzivocavoca. Isici sesici siwukuphela kokuyeka ubuhlungu obukhulu. Kunezinye izimpawu zomtholampilo zesifo. Uma i-cyst parovarial iqala, izimpawu zingaba kanje:
- ukucindezela kwesisu, amathumbu - abonakaliswa yisifo sokungcoliswa, ukuqotshwa noma isifiso esiningi sokuvuthwa;
- ukwanda emtwini wesisu - kwenzeka ngokukhula okusheshayo kwe-cyst;
- ukwephulwa komjikelezo wokuya esikhathini (akugcinwa njalo).
Ukwelashwa kwama-ovarian ovarian ovarian ngaphandle kokuhlinzwa
Ekuqaleni, odokotela baqhuba izivivinyo eziningi ukuthola ukuthi i-hydrosalpinx noma i-cyst paraovarial iyabonakala yini esimweni esithile. Njengoba i-hydrosalpinx, i-fluid iqoqa ngaphakathi kwe-tube lumen, eyabangela ushintsho ngokwanele. Odokotela bathi ukwelashwa kwama-cysts angama-parovarial ngaphandle kokuhlinzeka akunakwenzeka.
Uma imfundo inamanani amancane, amaqhinga okuphatha okulindelekile angathathwa: odokotela bazama ukwelashwa kwe-hormonal, ngosizo okungavamile ukufezekisa imiphumela emihle. Ngenxa yokuthi i-cyst paraovarian ivame kakhulu kwabesifazane abaneminyaka yobudala futhi ingaba nzima, odokotela bakhetha ukunamathela ekwelashweni okuhlinzayo. Ukususwa okuhleliwe kwe-cyst kunesidingo ekuhleleni kokukhulelwa yi-IVF.
Ukwelashwa kwama-cyaravarial nge-hormone
Lapho kutholakala i-cyst parovarial, ukwelashwa nama-hormone akuvamile ukwenza. Ngokwezifundo zemitholampilo, ukusebenzisa izidakamizwa ze-hormonal ngokumelene nale hlobo le-cyst akusebenzi. Kodwa-ke, njengengxenye yokwelashwa okunzima kwama-cyst, angasetshenziswa. Lezi zidakamizwa zinqunywe ukwelashwa okuyisimangaliso, ukujwayelekile komjikelezo wokuya esikhathini, ngezinye izikhathi eziphukile nge-cyst parovarial. Ezimweni ezinjalo, izidakamizwa ezisuselwa ku-estrogen ne-progesterone zisetshenziswa:
- Jarina,
- UJanine,
- Proginova,
- Qala kuqala.
Ukwelashwa kwama-cyaravarial ngezokwelapha zabantu
Ngesifo ezifana ne-parovarian ovarian cyst, ukwelashwa ngamakhambi abantu kungabhekwa njengendlela eyisizayo. Ngosizo lwabo unganciphisa ubuhlungu, ususe ezinye zezimpawu.
Ukumnika amakhambi
Izithako:
- i-aloe - 50 g;
- i-yarrow - 50 g;
- I-St John's Wort - 50 g;
- umhlonyane - 50 g;
- uju - 50 g;
- i-vodka - 500ml;
- amanzi - ilitha eli-1.
Ukulungiselela, uhlelo lokusebenza
- Amakhambi aphansi, athululelwe ngamanzi abilayo.
- Bambelela ku-thermos usuku olungu-1.
- Engeza uju ne-vodka, gxuma.
- Thatha i-tbsp engu-1. isipuni kathathu ngosuku.
Ukususwa kwe-cyst paraovarian
Uma kutholakala i-cyst parovarial, kuyadingeka ukususa ukwakheka - udokotela unquma. Isisu esingaphansi kuka-5 cm ububanzi asisusiwe. Ukusebenza ngokwawo kwenziwa nge-laparoscopy - ukungenelela kokuhlinzeka, lapho ukufinyelela imfundo kunikezwa khona nge-punctures ezincane edongeni lomzimba wangaphakathi. With diameter ezinkulu yokwakheka, ukuhlinzwa kungenziwa nge laparotomy.
I-cyst operation
I-cystaroscopy i-cyst paraovarial iyindlela ekhethiwe yokungenelela kokuhlinzwa. Uma kungabikho izinkinga ngesikhathi sokuhlinzwa, ishidi langaphambili legament elibanzi lesibeletho sisatshalaliswa futhi i-cyst ivuliwe. Kulesi simo, i-ovary ne-uterine tube igcinwa. Ngenxa yezindawo zokubuyiselwa kwe-tube ekhubazekile ye-fallopian ifushane futhi ithatha isimo esifanayo. Umsebenzi wokuzala awuphuli.