IiCyst Ovarian

Umxholo

• Iindidi zee-ovarian cysts
• Icystoll yentsimbi
• ICorpus luteum cysts
• Iimpawu ze-ovarian cyst
• Iingxaki ze-ovary cyst
• Ukuchonga i-ovarian cyst
• Unyango lwe-ovarian cyst
• Iipilisi zokulawula inzala
• Ilaparoscopy
• Laparotomy
• Uthintelo lwe-ovary cyst
• Ithini imbonakalo yexesha elide?
• Q:
• A:

Yintoni ii-ovari cysts?

Ii-ovari ziyinxalenye yenkqubo yokuzala kwabasetyhini. Zibekwe emazantsi esisu kumacala omabini esibeleko. Abasetyhini banee-ovari ezimbini ezivelisa amaqanda kunye neehomoni ze-estrogen kunye neprogesterone.

Ngamanye amaxesha, ingxowa egcwele ulwelo ebizwa ngokuba yi-cyst iya kuphuhla kwelinye lamaqanda. Abasetyhini abaninzi baya kuphuhlisa ubuncinci i-cyst ngexesha lokuphila kwabo. Kwiimeko ezininzi, ii-cysts azibuhlungu kwaye azibangeli zimpawu.

Iindidi zee-ovarian cysts

Kukho iindidi ngeendidi zee-ovarian cysts, ezinje nge-dermoid cysts kunye ne-endometrioma cysts. Nangona kunjalo, ii-cysts ezisebenzayo lolona hlobo luqhelekileyo. Ezi ndidi zimbini zee-cysts ezisebenzayo zibandakanya i-follicle kunye ne-corpus luteum cysts.

Icystoll yentsimbi

Ngexesha lokuya exesheni komfazi, iqanda likhula kwingxowa ebizwa ngokuba yifollicle. Le ngxowa ibekwe ngaphakathi kumaqanda. Kwiimeko ezininzi, le follicle okanye ingxowa ivuleka kwaye ikhuphe iqanda. Kodwa ukuba ifollicle ayivuleki, ulwelo ngaphakathi kwifollicle lunokwenza i-cyst kwi-ovary.

ICorpus luteum cysts

Iingxowa zeefollicle zihlala zinyibilika emva kokukhupha iqanda. Kodwa ukuba ingxowa ayinyibiliki kunye nokuvulwa kwamatywina eefollicle, ulwelo olongezelelekileyo lunokuphuhla ngaphakathi kwesingxobo, kwaye oku kuqokelelana kolwelo kubangela i-corpus luteum cyst.

Ezinye iintlobo zee-ovarian cysts zibandakanya:

• idymoid cysts: ukukhula okufana nengxowa kwii-ovari ezinokuqulatha iinwele, amanqatha, kunye nezinye izicwili
• I-cystadenomas: ukukhula okungathathi ntweni okunokukhula kumphezulu ongaphandle wee-ovari
• i-endometriomas: izicwili ezihlala zikhula ngaphakathi kwesibeleko zinokukhula ngaphandle kwesibeleko kwaye zinamathele kuma-ovari, zikhokelela kwi-cyst

Abanye abantu basetyhini bakhula imeko ebizwa ngokuba yi-polycystic ovary syndrome. Le meko ithetha ukuba ii-ovari zinenani elikhulu lee-cysts ezincinci. Inokubangela ukuba ii-ovari zikhulise. Ukuba ishiywe inganyangwa, ii-ovari ze-polycystic zinokubangela ukungachumi.

Iimpawu ze-ovarian cyst

Rhoqo amaxesha, ii-cysts ze-ovari azibangeli zimpawu. Nangona kunjalo, iimpawu zinokubonakala njengoko i-cyst ikhula. Iimpawu zingabandakanya:

• ukudumba kwesisu okanye ukudumba
• intshukumo ebuhlungu
• iintlungu zangasese ngaphambi okanye ngexesha lokuya esikhathini
• iintlobano zesini ezibuhlungu
• iintlungu kumqolo ongezantsi okanye emathangeni
• ukuthamba kwebele
• isicaphucaphu nokugabha

Iimpawu ezinzima ze-ovarian cyst ezifuna unyango kwangoko zibandakanya:

• ubuhlungu obukhulu okanye obukhali be-pelvic
• ifiva
• ukudinwa okanye ukuba nesiyezi
• ukuphefumla ngokukhawuleza

Ezi zimpawu zingabonisa ukuba i-cyst eqhekekileyo okanye i-ovarian torsion. Zombini ezi ngxaki zinokuba neziphumo ezibi ukuba azinyangwa kwangethuba.

Iingxaki ze-ovary cyst

Uninzi lwee-cysts ze-ovarian zilungile kwaye ngokwendalo ziyahamba zodwa ngaphandle konyango. Ezi cysts zibangela zincinci, ukuba zikhona, iimpawu. Kodwa kwimeko enqabileyo, ugqirha wakho unokubona ubunzima be-cystic ovarian mass ngexesha loviwo oluqhelekileyo.

I-Ovarian torsion yenye into enqabileyo ye-ovarian cysts. Yilapho i-cyst enkulu ibangela ukuba i-ovary ijike okanye ihambe kwindawo yayo yoqobo. Ukunikezelwa kwegazi kwi-ovary kuyanqunyulwa, kwaye ukuba ayinyangwa, inokubangela ukonakala okanye ukufa kwizicwili ze-ovari. Nangona ingaqhelekanga, ii-akhawunti ze-ovarian torsion phantse iipesenti ezi-3 zotyando lwe-gynecologic olungxamisekileyo.

Ii-cysts ezihlaziyiweyo, ezinqabileyo, zinokubangela iintlungu kunye nokopha ngaphakathi. Le ngxaki inyusa umngcipheko wosulelo kwaye inokusongela ubomi ukuba ishiywe inganyangwa.

Ukuchonga i-ovarian cyst

Ugqirha wakho unokubona i-ovarian cyst ngexesha lovavanyo oluqhelekileyo lwe-pelvic. Banokubona ukudumba kwenye ye-ovari kunye noku-odola uvavanyo lwe-ultrasound ukuqinisekisa ubukho be-cyst. Uvavanyo lwe-ultrasound (i-ultrasonography) luvavanyo lokucinga olusebenzisa amaza esandi aphindaphindwayo ukuvelisa umfanekiso wezitho zakho zangaphakathi. Uvavanyo lwe-Ultrasound luyanceda ukumisela ubungakanani, indawo, ubume, kunye nokwakheka (okuqinileyo okanye okugcweleyo kolwelo) kwecyst.

Izixhobo zokulinganisa ezisetyenziselwa ukufumanisa ii-cysts ze-ovari zibandakanya:

• Iskena se-CT: isixhobo sokucinga somzimba esisetyenziselwa ukwenza imifanekiso enamacandelo angaphakathi
• I-MRI: uvavanyo olusebenzisa imihlaba yamagnetic ukuvelisa imifanekiso enzulu yezitho zangaphakathi
• Isixhobo se-ultrasound: sisixhobo sokucinga esetyenziselwa ukubona nge-ovary

Ngenxa yokuba uninzi lwama-cysts luye lwanyamalala emva kweeveki okanye iinyanga ezimbalwa, ugqirha wakho usenokungacebisi kwangoko isicwangciso sonyango. Endaweni yoko, banokuphinda uvavanyo lwe-ultrasound kwiiveki ezimbalwa okanye kwiinyanga ezimbalwa ukujonga imeko yakho.

Ukuba akukho lutshintsho kwimeko yakho okanye ukuba i-cyst inyuka ngokobukhulu, ugqirha wakho uya kucela iimvavanyo ezongezelelweyo ukumisela ezinye izizathu zeempawu zakho.

Oku kubandakanya:

• uvavanyo lokukhulelwa ukuqinisekisa ukuba awukhulelwe
• Uvavanyo lwenqanaba lehomoni ukujonga imiba enxulumene nehomoni, enje nge-estrogen kakhulu okanye iprogesterone
• Uvavanyo lwegazi le-CA-125 kwiscreen somhlaza we-ovari

Unyango lwe-ovarian cyst

Ugqirha wakho unokucebisa unyango ukuba lunciphise okanye lususe i-cyst ukuba ayizukuhamba yodwa okanye ukuba ikhula inkulu.

Iipilisi zokulawula inzala

Ukuba unee-cyst eziphindaphindiweyo ze-ovarian, ugqirha wakho unokumisela izinto zokucwangcisa ngomlomo ukuba ziyeke ukukhupha i-ovulation kunye nokuthintela ukukhula kwee-cysts ezintsha. Izinto zokucwangcisa ngomlomo zinokunciphisa umngcipheko womhlaza we-ovari. Umngcipheko womhlaza we-ovari uphezulu kubafazi abasemva kokubeleka.

Ilaparoscopy

Ukuba i-cyst yakho incinci kwaye iziphumo zovavanyo lokucinga ukuba uza kuwukhupha umhlaza, ugqirha wakho unokwenza i-laparoscopy ukuze asuse i-cyst. Inkqubo ibandakanya ugqirha wakho esenza incision encinci kufutshane nenkaba yakho emva koko ufake isixhobo esincinci esiswini sakho ukususa i-cyst.

Laparotomy

Ukuba unayo i-cyst enkulu, ugqirha wakho unokukhupha i-cyst ngokusetyenziswa kwesisu sakho. Baza kuqhuba i-biopsy ngokukhawuleza, kwaye ukuba bafumanisa ukuba i-cyst inomhlaza, banokwenza i-hysterectomy ukususa ii-ovari kunye nesibeleko.

Uthintelo lwe-ovary cyst

I-Ovarian cysts ayinakuthintelwa. Nangona kunjalo, iimviwo zesiqhelo se-gynecologic zinokubona i-ovarian cysts kwangoko. I-Benign ovarian cysts ayibi ngumhlaza. Nangona kunjalo, iimpawu zomhlaza we-ovari zinokulinganisa iimpawu ze-ovarian cyst. Ke, kubalulekile ukuba utyelele ugqirha wakho kwaye ufumane isifo esichanekileyo. Yazisa ugqirha wakho kwiimpawu ezinokubonisa ingxaki, ezinje:

• utshintsho kumjikelezo wakho wokuya esikhathini
• iintlungu zangasese eziqhubekayo
• Ukuphelelwa ngumdla wokutya
• ukwehla kobunzima obungachazwanga
• isisu sokugcwala

Ithini imbonakalo yexesha elide?

Imbonakalo yabasetyhini be-premenopausal abane-cyst ovarian ilungile. Uninzi lwama-cysts luyanyamalala kwiinyanga nje ezimbalwa. Nangona kunjalo, ii-cysts eziphindaphindayo ze-ovari zinokwenzeka kubantu basetyhini kunye nabasetyhini abanokungalingani kwehomoni.

Ukuba ishiywe inganyangwa, ezinye ii-cysts zinokunciphisa ukuzala. Oku kuqhelekile nge-endometriomas kunye ne-polycystic ovary syndrome. Ukuphucula ukuzala, ugqirha wakho angasusa okanye anciphise i-cyst. Ii-cysts ezisebenzayo, ii-cystadenomas, kunye ne-dermoid cysts azichaphazeli ukuchuma.

Nangona abanye oogqirha bethatha indlela "yokulinda uze ubone" ngee-ovarian cysts, ugqirha wakho unokucebisa ukuba utyando lususwe kwaye luhlolisise nayiphi na i-cyst okanye ukukhula okuqhubeka kwii-ovari emva kokuyeka ukuya exesheni. Kungenxa yokuba umngcipheko wokuba nomhlaza okanye umhlaza we-ovari uyanda emva kokuyeka ukuya exesheni. Nangona kunjalo, ii-cysts ze-ovari azinyusi umngcipheko womhlaza we-ovari. Abanye oogqirha bayayisusa i-cyst ukuba inkulu kuneesentimitha ezi-5 ububanzi.

Q:

Zithini iimpembelelo ze-ovarian cysts ekukhulelweni? Bachaphazela njani umntu okhulelweyo kunye nomntu ozama ukukhulelwa?

Isigulana esingaziwayo

A:

Ezinye ii-cysts ze-ovari zinxulunyaniswa nokwehla kokuchuma ngelixa ezinye kungenjalo. I-Endometriomas kunye ne-cysts ezivela kwi-polycystic ovarian syndrome kunokunciphisa amandla omfazi wokukhulelwa. Nangona kunjalo, ii-cysts ezisebenzayo, i-dermoid cysts, kunye ne-cystadenomas azihambelani nobunzima bokukhulelwa ngaphandle kokuba zinkulu. Ukuba ugqirha wakho ufumanisa i-ovarian cyst ngelixa ukhulelwe, unyango lunokuxhomekeka kuhlobo okanye ubungakanani becyst. Uninzi lwee-cysts zilungile kwaye azidingi ungenelelo lotyando. Nangona kunjalo, unokufuna ukuhlinzwa ukuba i-cyst iyayikrokrela umhlaza okanye ukuba i-cyst iphuka okanye ijijeke (eyaziwa ngokuba yi-torsion), okanye inkulu kakhulu.

U-Alana Biggers, MD, MPH Iimpendulo zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.

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