Ngenkathi engavamile, izinkinga zingaba nzima
I-cyst yama-ovari i-sac egcwele amanzi efaka ngaphakathi noma ngaphezulu kwe-ovary. Ama-cysts e-Ovarian akuyona yonke into engavamile futhi ijwayele ukuhamba yedwa. Kodwa-ke, ngezinye izikhathi bangaphula futhi babangele ubuhlungu obukhulu.
Izimbangela Nezimpawu
Iningi lama-cysts ama-ovari angenabuhlungu futhi ngeke liholele ezinkingeni zanoma yiluphi uhlobo. Nokho, kunezikhathi, lapho indawo ye-cyst ingabangela ukucasuka noma ukungakhululeki ngesikhathi sokunyakaza kwamathumba noma uma ucansi.
Lokhu kuvame ukukwenzeka uma i-cyst ikhulile kakhulu kangangokuthi iqala ukucindezela izinzwa noma ezinye izitho.
Uma i-cyst iqhubeka ikhula nakakhulu, ingase isheshe iphuke, ibangele ubuhlungu nokuphuma. Ubuhlungu buyobe bubukhali futhi buze kungazelelwe futhi bube ngakwesinye uhlangothi lwesikhumba. Ukuphuka kuzovame ukuqhubeka ngesikhathi noma ngokulandela ukuzivocavoca okunzima noma ubulili.
Uma ukuphuma kwegazi kunzima, lo wesifazane angase abe nesimo sosizi, ikhanda eliphansi, ukuphefumula, nokushaya kwenhliziyo okusheshayo. Ama-tissue aphukile angandisa ingozi yokutheleleka uma engalashwa.
Ngisho noma i-cyst ingaphuli, ngezinye izikhathi kungabangela ukuthi i-ovary iguqule futhi ichithe igazi. Lesi yisimo esibi esibizwa ngokuthi i-ovarian torsion lapho ukuncipha kwegazi kungabangela izicubu ze-ovariya ukuba zife. Njengokuphuka, ubuhlungu buzoba nzima futhi bube ngakwesinye icala. Ukwelashwa okusheshayo okudingekayo kudingekile ukukhipha i-ovary nokuvimbela i-necrosis (ukufa kweseli).
Ukuxilongwa
Ukutholakala kwe-cyst ovarian ruptured ngokuvamile iqala nge ultrasound. Uma i-cyst ikhuphukile, i-ultrasound izobonisa uketshezi nxazonke ze-ovary futhi ingabonisa ngisho nesilonda esingenalutho, esinegazi. Inani eliphelele legazi (CBC) lingasetshenziswa ukuhlola izimpawu zokutheleleka noma ezinye izinto ezingavamile.
Nakuba i-ultrasound yindlela engcono kakhulu yokuhlola i-cyst ephukile, inezilinganiso zayo. Ukuqinisekisa ukuxilongwa, udokotela wakho kuzodingeka akhiphe noma iyiphi enye impawu enezimpawu ezifanayo kubandakanya ukukhulelwa kwe-ectopic, izifo zokuvuvukala ezithombeni (PID) , noma izimbangela ezingezona zomzimba ezifana ne-appendicitis noma itshe lezinso.
Kubalulekile ukuphawula ukuthi ukuvuthwa ngokwayo kungase kubangele ubuhlungu obukhulu uma iqanda likhishwa. Sibhekisela kulokhu njengobuhlungu be-mittelschmerz, uphawu olungajwayelekile ngendlela engavamile. Kodwa-ke, kwabanye besifazane, ubuhlungu bungase bube bukhulu futhi kufanele buhlole uphenyo ukuze kunqume ukuthi kukhona yini ezinye izimbangela ezifana ne- endometriosis (ukukhudlwana kwezicubu ze-uterine).
Ukwelapha
Uma i-cyst ye-ovari iphukile, ngokuvamile akudingeki ukwelashwa ucabange ukuthi i-CBC yowesifazane kanye nezimpawu ezibalulekile zizinzile. Imithi yokwelashwa ingahle ibekwe ukuze kusize ukuphatha ukungahambi kahle. Ukuphumula kunganconywa usuku noma amabili ukuvumela ukuthi izimpawu zixazulule ngokugcwele.
Kodwa-ke, kwezinye izimo, i-cyst ingase itholakale eduze nesitsha esikhulu segazi, futhi ukuphuka kwayo kungabangela ukuphuma okukhulu kwegazi. Ngezimo ezinjengezi, ukwelashwa kanye nokuhlinzeka kungadingeka ukuze umise ukubola kwesimiso futhi kuvimbele ukulahlekelwa kwegazi okungeziwe.
Uma kushiywe kungalashwa, ukuphuma kwegazi kungaholela esimweni esibi esibizwa ngokuthi i-hematoperitoneum lapho igazi lihlanganisa khona isikhala phakathi kwendonga yangaphakathi yesigodlo sesisu kanye nezitho zangaphakathi.
Ukuvimbela
Ayikho indlela yokuvimbela i-cyst ye-ovari ephuma ku-rupturing. Uma kuthiwa, uma udokotela wakho ethola eyodwa ngesikhathi sokuhlolwa okuvamile, angase ancoma indlela yokulinda nokulinda ukubona ukuthi i-cyst iyanda ngokwesayizi noma ihamba yedwa.
Uma i-cyst inkulu futhi ibangela ukungahambi kahle, udokotela angancoma ukuthi i- laparoscopic ("keyhole") ukuhlinzwa ukukhipha ukukhula. Kuyinkqubo engaphakathi-esibhedlela futhi okungafanele ididaniswe ne-cystectomy (ukususwa kwesibindi).
Izwi elivela
Uma uzwa ubuhlungu obukhulu noma obuqhubekayo besisu noma isisu, kufanele uhlolwe udokotela wakho ngokushesha noma ufune ukunakekelwa okuphuthumayo. Ayikho indlela yokuthola isimo ngesimo sobuhlungu noma uhlobo lobuhlungu olutholakalayo.
Nakuba ukuphuka kwe-cyst ye-ovari kungavamile ukusongela ukuphila, ukukhulelwa kwe-ectopic kungaba. Ukwelashwa okwesikhashana kungaholela ekulahlekelweni kwegazi okunzima, ukushaqeka, ngisho nokufa.
> Imithombo:
> I-American Congress yezidakamizwa namaGynecologists. "Ama-Cysts e-Ovarian." Washington, DC; ibuyekezwe ngo-Ephreli 2017.
> Kim, J .; Lee, S .; Lee, J. et al. "Ukuphathwa kwe-Conservative ephumelelayo ye-Ruptured Ovarian Cysts ne-Hemoperitoneum Ebesifazane Abanempilo." PLoS One. 2014; 9 (3): e91171. I-DOI: 10.1371 / iphephandaba.pone.0091171.