Ama-cysts e-ovariya avame kakhulu eminyakeni yokubeletha.
I-cyst ye-ovari yesikhwama esigcwele amanzi okhulayo noma ngaphakathi kwe-ovary futhi angatholakala ngudokotela wakho ngesikhathi sokuhlolwa kwesimo senhliziyo. Ama-cysts e-ovariya avamile, ikakhulukazi kwabesifazane phakathi neminyaka yabo yokuzala, futhi ngokuvamile ayibangela ubuhlungu obukhulu, ngaphandle kokuba kube nokucindezeleka.
Ama-cysts asebenzayo yilona uhlobo oluvame kakhulu lwe-cyst ye-ovari futhi lihambisana nomjikelezo wesifazane wesifazane.
Kunezinhlobo ezimbili zama-cysts asebenzayo:
- I-Follicular Cyst
- Corpus Luteum Cyst
Ama-Cyst Follicular
Ama-cyst follicular yiyona ndlela evamile kakhulu yama-cyst kumama-premenopausal. Zitholakala kangcono nge-ultrasound futhi zibonakala zinezindonga ezincane futhi zigcwele amanzi. Ama-cysts e-follicular angakwazi ukuhluka ngobubanzi kodwa ngokuvamile amancane (angaphansi kuka-3cm ububanzi), nakuba angakhula abe mkhulu njengo-10cm ububanzi (ubukhulu be-grapefruit).
Ama-cysts e-follicular athuthuka kanjani? Ngokujwayelekile, i-follicle ihlukana futhi ikhulule iqanda ngesikhathi sokuvuthwa. Kodwa lapho ukuphuka kungenzeki, i-follicle ingaqhubeka ikhula futhi idale i-cyst egcwala uketshezi noma igazi.
Yiziphi izimpawu ezivame kakhulu zama-cysts follicular? Abanye besifazane bathola ukunganaki noma ukucindezeleka okubuhlungu noma okucindezelayo emathunjini abo aphansi nge-cysts follicular, ikakhulukazi ngesikhathi socansi noma lapho behamba ngokuhamba.
Lokhu kuthiwa, abesifazane abaningi ababona izimpawu nge-cysts ye-follicular, ngaphandle uma kuqhuma, kuphuma igazi noma isimo esibi esibizwa ngokuthi i-ovarian torsion iqala (ukuguquka kwe-ovary ngokwegazi).
Lezi zinkinga ngokuvamile zibangela ubuhlungu obukhulu obukhuni, obukhuni, futhi ngokuzumayo buhlungu besisu futhi zidinga ukwelashwa ngokushesha. Ukuvuthwa kwe-ovarian kungase kuhlotshaniswe nesicanucanu nokuhlanza.
Ama-cysts e-follicular aphathwa kanjani? Iqiniso liwukuthi uma ulinda, cishe wonke ama-cysts e-ovarian follicular azohamba kuphela, ngokuvamile phakathi kwamasonto amathathu kuya kwamane, kodwa ngezinye izikhathi kuthatha izinyanga.
Uma udokotela wakho ethola i-cyst, angase ancoma i-ultrasound ephindaphindiwe emavikini angaba ngu-6 ukuya kwangu-8 ukuqinisekisa ukuthi ayikwandisi.
Izindaba ezinhle ukuthi ukuhlinzeka akudingeki ukuba uphathe i-cyst follicular ikakhulukazi uma i-cyst follicular ikhulisa noma ibangela izimpawu ezifana nokungahambi kahle.
Ukuhlinzwa kanye nokuhlolwa kwegazi okuthiwa i-CA 125 kunganconywa uma unguma-postmenopausal futhi unesi-cyst, ngoba lokhu akuvamile. Amazinga aphezulu egazi we-CA 125 angabonisa umdlavuza we-ovarian kumfazi we-postmenopausal.
Ingabe amaphilisi okulawula ukubeletha asiza ukuphatha ama-cysts asebenzayo? Impendulo emfushane ayikho. Basiza kuphela ekuvimbeleni ama-cysts akwazi ukukwakhiwa. Ngeke enze ama-cysts akho wamanje ahambe.
Kwenzekani uma i-cyst ingahambi? Ngenkathi udokotela wakho engakwazi ukuthatha ukuqagela okuhle okufundela ochwepheshe, ayikho indlela yokwazi ngokuqinisekile ukuthi i-cyst ovarian ephikisanayo i-cyst physiologic noma i- tumor ovarian . Kunezinye izibonakaliso ezinhle kakhulu, noma kunjalo, ukuthi une-cyst esikhundleni se-tumor. Yiqiniso, awufuni ukulahlekelwa isikebhe futhi uphathe "isisu" ngezindlela zemvelo ezingeke zisebenze. Ungakwazi ngisho nokufaka engozini empilweni yakho noma okungenani kubangele ukuhlinzwa okukhudlwana uma ubambezeleka-ngakho kubaluleke kakhulu ukwazi ukuthi yini ekunakekelwa udokotela wakho.
Corpus Luteum Cyst
Olunye uhlobo lwe- cyst olusebenzayo lwaziwa ngokuthi i-corpus luteum cyst (CLC). Lezi zivame ukwedlula i-cyst follicular, kodwa njenge-cysts follicular ngokuvamile ayibangeli izimpawu ngaphandle kokuthi kuphuma ukuqhuma, ukuqhuma, noma i-ovarian torsion. Bavame ukuzixazulula ngokwabo ngaphakathi kwamasonto ambalwa (ngezinye izikhathi izinyanga).
I-corpus luteum cysts ikhula kanjani? Ngokuvamile, ngemva kokuba i-follicle ikhipha iqanda iqala ukukhiqiza i-progesterone futhi iba i-corpus luteum. Uma iqanda lingakhuliwa yi-sperm, i-corpus luteum izophela. Uma ukukhulelwa kungatholakali futhi i-corpus luteum ayinyamalale, ingagcwalisa nge-fluid kanye negazi bese yenza i-cyst.
Ngesikhathi sokukhulelwa kokuqala, i-corpus luteum cyst ihlala njalo. Ngokuvamile ihamba nge-trimester yesibili, noma kunjalo. Abanye abakwenzi, futhi uma bengabheki okusolisayo kwi-ultrasound, kuphephile ukuwashiya wedwa. Ezimweni eziningi, ekugcineni bahamba ngemuva kokukhulelwa.
Ziyini izimpawu ze-corpus luteum cyst? Isikhathi esingabanjwanga esilandela ukulandelwa kwezinhlangothi ezithile, ubuhlungu be-pelvic obulodwa, kanye nokuhlolwa kwe-pelvic, okuthola isisindo se-ovarian ithenda, kusikisela ukuthi i-CLC ephikisanayo iyingozi. Lokho okushiwo, njenge-cyst follicular, abanye besifazane abanakho izimpawu nhlobo.
Ngaphezu kwalokho, ngalezi zimpawu ezingenhla, kubalulekile ukuqinisekisa, ukuthi ukuhlolwa kokukhulelwa kuyalwe, njengoba lokhu okutholakele okufanayo kungase kube khona ukukhulelwa kwe-ectopic (ukukhulelwa kwe-tubal). I-ultrasound ingase ingakwazi ukutshela lezi ezimbili ngaphandle futhi ukwelashwa kuzobe kuhluke ngokuphelele.
Kukhona ne-cyst engasebenzi, engabangela izimpawu ezifanayo, ezibizwa nge-endometrioma. I-endometrioma ivela emathisini elinezibeletho futhi iphathwa ngenye indlela, ngokuvamile ihilela ukuhlinzwa.
I-corpus luteum cysts iphathwa kanjani? Njengama-cysts follicular, la ma-cysts ngokuvamile ahamba yedwa. Uma ukuhlinzeka kuyadingeka ngenxa yokuphuma kwegazi, ngokuvamile kuvame ukukwenza ngokusebenzisa i-laparoscope (ukuhlinzeka kwe-bandaid). Ngokujwayelekile, i-ovary akudingeki isuswe. I-cyst kuphela isusiwe futhi ukuphuma kwegazi kumile.
Uma i-cyst ingabhubhi, futhi akukho ukuphaphazeka noma ukuqhuma, kuwukugwema ukugwema ukuhlinzwa futhi "ulinde." Kungani ukuhlinzwa, kungakhathaliseki ukuthi kuncane kangakanani, kubangela izibazi noma ukunamathela. uma udokotela wakho ecabanga ukuthi uphephile ngokusekelwe kuzo zonke izinto ozifundile nje.
Ezinye izinhlobo ze-Ovarian Cysts
Ngaphandle kwama-cysts asebenzayo, kunezinye izinhlobo ze-cysts ezifana ne-theca lutein cysts, eyenzeka ngenxa yamazinga aphakeme kakhulu we-beta-hCG (i-hormone yokukhulelwa). I-Theca lutein cysts ivame ukubonwa ngamawele noma ukukhulelwa kwe-molar, lapho i-placenta iqala khona kodwa ingane ayikho.
I-Polycystic i-ovary syndrome (i-PCOS) yisimo sezokwelapha kwabesifazane abahlotshaniswa nokukhuluphala, i- hirsutism , i-acne, nemijikelezo engavamile yokuya esikhathini. Abanye besifazane abane-PCOS banamakhadi amancane (12 noma ngaphezulu) ama-cysts amancane ama-ovari, angabonwa nge-ultrasound. Lokhu kuthiwa, owesifazane akadingi ama-cysts emaqanda akhe ukuze atholakale ene-PCOS.
Izwi elivela
Okokugcina, kubalulekile ukukhumbula ukuthi ubuhlungu be-pelvic noma ngaphandle kwama-cysts e-ovarie obukhona akusho ukuthi ubuhlungu buvela encekwini yokugula. Ngamanye amazwi, kunezinye izinto ezansi lapho esikhwameni sakho. Ungaba ne-appendicitis noma ezinye izinkinga zamathumbu, ezingahlangene nezitho zakho zokubeletha.
Konke okushiwo, qiniseka ukubona udokotela wakho uma unesifo esibangela ukukhathazeka okuqala, ukugula komkhuhlane, noma inselele noma unemibuzo ephathelene ne-cyst ovarian ngaphambilini.
> Imithombo:
> I-American College ye-Obstetrics ne-Gynecologists. (Julayi 2015). Imibuzo evame ukubuzwa: Ama-cysts ama-ovari.
> Hochberg L, Hoffman MS. (Agasti 2016). Ukuxilongwa okungafani kwenqwaba ye-adnexal. Ku: UpToDate, Goff B, Garcia RL, Levine D (Ed), UpToDate, Waltham, MA.