Ukukhula Okungajwayelekile Kwezicubu Eduze Ama-Ovari
Ukukhula kwe-adnexal ukukhula okungavamile okwenzeka eduze kwesibeletho, ngokuvamile okuvela kuma-ovari, ama-tublopian tubes, noma izicubu ezihlangene. Ubuningi obufana nobunzima bungaba yi-cystic (egcwala amanzi) noma eqinile. Ngenkathi izixuku eziningi ze-adnexal zizoba yinhlonipho (engeyona umdlavuza), ngezinye izikhathi zingase zibe yingozi (umdlavuza).
Izixuku ze-Adnexal zingenzeka kunoma yikuphi ubudala, nakuba zivame ukubonakala kubesifazane beminyaka yobudala.
Izimbangela zeMisa ye-Adnexal
Kukhona izizathu eziningi ezithi kungani umthamo we-adnexal ungase uthuthuke. Emadodeni ase-premenopausal, ngokuvamile ahlotshaniswa ne- ovarian cysts , izicubu ze-benign ovarian, endometriosis , i- polycystic ovary syndrome (PCOS) , ukukhulelwa kwe-ectopic (tubal), nomdlavuza we-ovarian.
Njengoba izixuku ze-adnexal zivamile, odokotela kufanele bacabangele izici eziningana zokunquma imbangela nokuhlukaniswa kokukhula. Nakuba umdlavuza kungenye yezimbangela eziningi, amafulege abomvu avame ukuphakanyiswa uma:
- Ubuningi buqinile esikhundleni se-cystic.
- Ubuningi buyinto engavamile noma ubuningi.
- Ubuningi buqala ngaphambi kokuya esikhathini.
- Ubuningi buqala emva kokuya esikhathini sokuya esikhathini.
- Ubukhulu bubuhlungu.
- Uma i-cyst ikhulu kakhulu.
Ukuxilongwa
Uma ubukhulu be-adnexal buyatholakala ngesikhathi sokuhlolwa komzimba, kunezivivinyo eziningana zokuhlola izithombe ezingasiza ekuxilongweni, okufaka:
Ukuhlolwa kokukhulelwa kungenziwa futhi ukusiza ukuxilonga ukukhulelwa kwe-tubal. Uma umdlavuza we-ovarian usolwa, ukuhlolwa kwe- CA 125 (okulinganisa amaprotheni, okuthiwa i-antigen cancer umdlavuza, egazini) ingahle ilandelwe.
Uma ubukhulu buyi-cystic, udokotela angenza isifiso sokukhipha uketshezi ngenaliti nangesirinji.
Kodwa-ke, odokotela abaningi bayakugwema lokhu, ikakhulukazi uma umdlavuza ucatshangwa, ngoba uketshezi olukhishwe lungase libe namaseli amancane angahlwanyela ezinye izifo.
Ukuphathwa Nokuphathwa
Ngokusekelwe kokutholwa kokuqala, udokotela angase athathe indlela yokulinda nokulinda, ukuqapha njalo kunoma yiziphi izinguquko ebuningi, noma uqale ukungenelela okusheshayo. Lokhu kungafaka ukukhishwa kokuhlinzwa kwesisindo esilandelwe ukuhlolwa kwelebhu.
Uma kwenzeka ukukhulelwa kwe-tubal, kungadingeka ukwelashwa okuphuthumayo ukuvimbela ukuphuka okungasongela ukuphila, ikakhulukazi uma owesifazane ephawulekayo.
Ezimweni eziningi, inqwaba ye-adnexal ngeke ibe imbangela ye-alamu futhi ingase ingabonakali izinkinga zezempilo kowesifazane.
Njengoba sekushiwo lokho, odokotela bazoqaphela ikakhulukazi izixuku noma izilonda ezivela noma ezizungeze ama-ovari noma ngamatayipi e-fallopian. Ucwaningo luye lwabonisa ukuthi ukukhula kwezigubhu ze-fallopian ngokuvamile kusebenza njengababikezeli be-serous ovarian carcinomas (HGSOC) ephezulu. Ama-akhawunti we-HGSOC ngamaphesenti angama-75 azo zonke izinhlobo zomdlavuza we-ovarian
Izwi elivela
Uma umuthi we-adnexal utholakala futhi umdlavuza usolwa, kuyinto engcono kakhulu ukuthola ukhetho lwesibili kusuka ku-oncologist yezinkinga zokubeletha ezizokwazi ukuthola ukutholakala, ukuphazamiseka nokuphathwa kwegazi le-endometrial kanye ne-ovarian cancers.
Ngokuvamile, izikhathi zokusinda zabesifazane abangaphansi kwe-oncologist yezinkinga zokubeletha ziyoba ezinkulu kunalezo eziphathwa ngudokotela ohlinzayo jikelele.
Ngisho noma ubuningi be-adnexal bubonakala bunobungozi, i-oncologist yezinkinga zokubeletha izokwazi kangcono ukunquma uma izinguquko esivumelwaneni sokukhula zingenelela kakhulu.
> Imithombo:
> Chan, K; USherman, A .; Zapp, D. "Ithonya lamagciwane e-gynecologic oncologists ekusindeni kweziguli ezine-cancer ye-endometrial." J Clin Oncol. 2011; 29 (7): 832-8. I-DOI: 10.1200 / JCO.2010.31.2124.
> Dodge, J. "Ukuphathwa kwe-adnexal mass esolisayo: isiqondiso somtholampilo." I-Curr Oncology . 2012; 19 (4): e244-57. I-DOI: 10.3747 / co.19.980.
> Labidi-Galy, uS .; I-Papp, E .; Hallberg, D. et al. "I-grade high serous ovarian carcinomas ivela emgodini we-fallopian." Nat Commun. 2017; 8: 1093. INGABE: 10.1038 / s41467-017-00962-1.
> Suh-Burgmann, E. noKinney, W. "Izingozi ezingenzeka kakhulu kunezinzuzo zokuqapha okungapheli kwezixuku eziqinile ze-adnexal." Amer J Gstecol Obstetric . 2015; 213 (6): 816.e1-4. I-DOI: 10.1016 / j.ajog.2015.09.005.