IiCyvarian Cysts
Yonke intokazi ephethe umjikelezo oqhelekileyo wokuya esikhathini, kanye ngenyanga, iphila kunye nokubunjwa kwama-cysts angenayo kwi-ovary - esi sikhwama esincinci esigcwele umbane, okanye i-ovarian follicle. Xa iqanda liqala ukuvuthwa, liphula kwaye lihlambulule iqanda, le nto iyenzeka ngexesha lokuvuthwa. Kodwa ke, xa i-ovulation ingenzeki, le ngxowa ikhula ngakumbi, yakha i-cyst ubuncinci. Ngenxa yokuba ivela kumathishini aqhelekileyo kunye nenyanga nganye iguquka, ibizwa ngokuba yi-cyst esebenzayo, njengomthetho, iyalala phambi kokuqala komjikelezo ozayo. Ngaphandle koko, kufuneka uphando.
Kukho uhlobo oluhlukileyo lwe-cyst ezifakwe kwi-ovary emva kokuba iqanda lifakwe. Umgudu ugcwele iiseli ezintsha kunye nemithambo yegazi ukuze wenze umzimba ophuzi, uvelise i-progesterone, ulungiselele umzimba wokukhulelwa. Ngokuqhelekileyo, loo mizimba ephuzi ikhona kwiiveki ezimbini, kwaye ke ukuba ngaba umfazi ekhulelwe, bakha i-skukozhivayutsya kwaye bakha inqabana encinane. Nangona kunjalo, ukuba i-ovary iphuma kunye negazi ingena kwindawo ephuzi, i-cyst inokwenza, eya kuzaliswa ngegazi. Kuphela nje i-cyst, kwakhona, idlula inyanga kamva.
Olunye uhlobo lwama-cyst ovarian amancinci amancinci azaliswe ngamanzi, kwaye azinokuba nezinwele kunye namafutha. Ezinye zazo zizaliswe nge-mucus kwaye zikhule zibe bukhulu beenyanga ezili-9 zokukhulelwa.
Kukho iintlobo ezilishumi ze-cysts, kwaye ziphela ezisixhenxe kuphela ezisebenzayo, ezidlulayo ngokwazo ngaphambi kokuba umjikelezo wimihla uqale. Ukuba i-cyst ihlala ixesha elide, ukuphuma kwegazi kunye nentlungu iya kwenzeka, okanye ukuba ifinyelele ubukhulu obukhulu, kufuneka uhambe ugqirha. Ukuba uhlola nge ultrasound, unokuchaza iqondo, ubukhulu kunye nohlobo lwe-cyst.
Uninzi kystynikak awubonakali, ngoko ungazi ukuba inesisu sakho kude ugqirha akuxelele ngawo ngexesha loviwo. Nangona kunjalo, ukuba izicubu ze-cystic zifikelela ngobukhulu obukhulu, zinokufakela kwi-bladder, udonga lwesisu okanye isisu. Nge-cyst enjalo, intlungu kunye neentlanzi ziyakwenzeka. Ngokuqhelekileyo oku kwenzeka ngokukhawuleza, kodwa ngamanye amaxesha kunokuhlala ixesha elide. Yiba njalo, kufuneka uhambe ugqirha ukuze akuhlolisise.
Ndingathini ngoku?
Ukuqala, cwangcisa uhambo oluya kwi-gynecologist. Ukuba lo nyaka awuwudlulanga uviwo, yenza oko ngoku. Nayiphi na ibhinqa kufuneka ihlolwe kwi-gynecologist nanini na. Ngaphandle kokuba uhlolwe, awufundi ukuba i-cyst yakho ikhula, de ibe ikhulu kakhulu.
Naliphi na i-cyst engazange yanyamalala ngenyanga kwaye ikhulile ngaphezu kwe-5 cm, kumfazi oye walondoloza umjikelezo wesini okanye 2 cm kumfazi oye wafikelela ekumeni, kufuneka ahlolwe kwaye nangayiphi na imeko ikhutshwe, nangona iphakamileyo. Oku kwenziwa ukwenzela ukuba angaphuli kwaye angaphambuki kwaye aqiniseke ukuba le ngxube ye-cystic engeyiyo embi. Ngo kunceda umbala we-ultrasound, unokwazi ukuchonga iintlobo zee-cyst.
Ukuvavanywa kwegazi, ngokukodwa kubasetyhini abanesiphelo sokuqeda, kungaba nolwazi oluxabisekileyo. Ukuba ngaba abafazi banemiphumo emihle yokuhlolwa kwe-ultrasound kunye nemiphumo emihle yokuhlalutya kwe-CA-125, ingozi yokuba i-cyst iya kuba yinto embi kakhulu.
I-Laparoscopy ingasusa i-cyst, kodwa kuphela xa ikhulu kakhulu. Kule meko, ukusebenza kunye necandelo lomdonga wesisu kuya kukhethwa ngokukhawuleza, ngoko ugqirha angakwazi ukuhlola kakuhle ii-ovari.
Ngaba ndinokukrazula i-cysts, kwaye ndingabasusi ukuba ngaba benobungozi?
Oku akunakwenziwa, kuba kuya kubuyiselwa emva kokuba yomiswe. Ngaphezu koko, xa ugqirha ewasusa ngokupheleleyo, unokuyihlola ngokupheleleyo phantsi kwe-microscope ukuqinisekisa ukuba ayilona kakubi.
Ngaba kuyimfuneko ukuqhuba i-hysterectomy xa ususa ama-cyst?
Ngoku akenzanga oku, kodwa kwakukho ixesha apho bekwenza khona. Naliphi na umfazi wexesha elidlulileyo kufuneka enze utyando olunzulu lwe-cavitary ukususa isibeleko, ukuze ngekamva kubekho iingxaki.
Ukuba ibhinqa igula nge-cyst ye-ovari, ingozi yokukhula komhlaza we-ovari iyanda?
Kulo lonke umnatha.Esli ibhinqa inesiphelo, asitsho ukuba ulungele umhlaza.
I-Ovarian Cancer
Phakathi kwezifo zomhlaza, njengobangela wokufa kwabasetyhini, umhlaza wesifo se-ovariyine wesine. KwiMelika minyaka yonke izigidi ezingama-22,000 ezinezifo ezinjalo zibhaliswe. Kubasetyhini abangaphantsi kwe-40, umdlavuza we-ovarian awunqabile, kodwa emva koko umngcipheko wesifo uya kwanda, nangona kungenjalo njengengxube, i-rectum okanye umdlavuza wamaphaphu. ukuba kunokwenzeka ukuyibeka kwisigaba sokuqala kaninzi, nangona kuphela omnye umfazi oneminyaka engamashumi asixhenxe egula ngale nto. Xa, ekugqibeleni, ixesha liza kwaye umdlavuza we-ovariya ufunyaniswa, sele sele ungenelele eminye imizimba, ngokungafani nomdlavuza we-endometrial nomhlaza womlomo wesibeleko, okhula ngokukhawuleza, unokuthi ufumaneke nakwizinga elinqabileyo.
Umhlaza we-Ovarian ngumhlaza ongcolileyo, kuba awunayo impawu kwinqanaba lokuqala: akukho buhlungu, akukho zibonakalo zokuxhalaba, akukho ukuphuma kwegazi, akukho zicubu ezibonakalayo. Ngaphezu koko, ngexesha lethu akukho iindlela ezintle ezinokuthi zikhanyele ukuphuhliswa kwayo ekuqaleni.
Ndingathini ngoku?
Unyaka wonke, ungakulibali ukutyelela i-gynecologist, oza kuhlola ii-ovari kwaye azive ubukhulu kunye nezitenxo.
Tshela ugqirha wakho ukuba usapho lwakho lunezikhumba ezimbi, ngokokuba ugqirha unokukujonga ngakumbi kunye nokuqhuba ukuhlola rhoqo.
Buza ugqirha ukuba udinga ukuthatha izithintelo zokukhulelwa komlomo. Kukho ulwazi olubonisa ukuba ukuba umfazi unenkampu yentsapho yesifo esibi kakhulu, ngoko ubeka izidakamizwa ezinciphisa umngcipheko womhlaza we-endometrial kunye nomhlaza we-ovarian malunga nama-50%. Ukongezelela, bayakhusela loo mfazi omnye iminyaka elishumi elinesihlanu emva kokuphela kokwamkela kwabo.
Xa wonke umntu unako ukufikelela kwiimvavanyo ezingakwazi ukubona i-gene defective eyenza ukuba abesifazane babekwe ngumhlaza wesi-ovari, vumela ugqirhazinzi kwaye unolu hlalutyo xa umntu ohlala kwintsapho yakho ehlaselwe ngumhlaza.
Kutheni singakwazi ukufumana umdlavuza we-ovarian ekuqaleni?
Iimvumba eziqhelekileyo eziphilileyo zibubanzi buyi-intshi ezimbini, zihlala zingqongqo kwisigxina esiswini kwaye zingakwazi ukufikelela kwizinga elide de lifumaneke ngexesha leemviwo. Nangona i-ultrasound ayisoloko ihlula umhlaza wesifo seesisu, kwaye ngoku akukho ziphumo ezintle ezinokuthi zibone iiseli zomhlaza.
Kutheni kubonakala umdlavuza we-ovari?
Oogqirha abanako ukuseka izizathu ezithile. Nangona kunjalo, kwaziwa ukuba abafazi abangakaze bakhulelwe, ingakumbi abo abangakhuselekanga kwizesondo iminyaka emininzi, banokungcipheka komngcipheko womhlaza we-ovari. Kukho iifundo ezithi ukutya ukutya okunomxholo ophezulu kunokwandisa le mngcipheko. Kodwa abasetyhini-izityalo zigula ngengomdla we-ovarian nge-40% ngaphantsi.
Ukulungelelaniswa kwintsholongwane kungabangela umdlavuza we-ovarian?
Ubunzima beli ncinane kakhulu, kodwa abafazi abangenabantwana abanomngcipheko ophezulu wokuba nomdlavuza we-ovari. Kukho uphando oluninzi kulokhu, kodwa abazange babonise ukwanda kwenani leempawu zengculaza kwizifundo ezithatha izidakamizwa kwaye zakhulelwa. Kukho amacala kuphela xa abesetyhini baphathwe ngenxa yokungabi nabantwana kwaye abazange bakhulelwe, kodwa bavelisa umdlavuza we-ovarian. Mhlawumbi akukho kwiziyobisi, kodwa phambi kobugqwetha besetyhini, ngenxa yokuba umfazi akakwazi ukukhulelwa, kwaye iiseli ze-tundra ziqala ukuba zisebenze.