Yintoni iOvarian Torsion?

Umxholo

• Ziintoni iimpawu?
• Yintoni ebangela le meko, kwaye ngubani osemngciphekweni?
• Kufunyaniswa njani?
• Zeziphi iindlela zonyango ezikhoyo onokukhetha kuzo?
• Iinkqubo zotyando
• Amayeza
• Ngaba iingxaki zinokwenzeka?
• Yintoni imbonakalo?

Ngaba iqhelekile?

I-Ovarian torsion (adnexal torsion) yenzeka xa i-ovary ijijekile ijikeleze izicubu eziyixhasayo. Ngamanye amaxesha, ityhubhu ye-fallopian inokuthi nayo ijijeke. Le meko ibuhlungu inciphisa ukunikezelwa kwegazi kula malungu.

I-Ovarian torsion ingxamisekileyo kwezonyango. Ukuba ayinyangwa ngokukhawuleza, inokubangela ilahleko ye-ovary.

Akucaci ukuba kwenzeka kaninzi kangakanani i-ovarian torsion, kodwa oogqirha bayavuma ukuba sisifo esingaqhelekanga. Unokuba nakho ukufumana amava e-ovari ukuba une-ovarian cysts, enokubangela ukuba i-ovary idumbe. Unokwazi ukunciphisa umngcipheko ngokusebenzisa ulawulo lokuzalwa kwehomoni okanye amanye amayeza ukunceda ukunciphisa ubungakanani bee-cysts.

Qhubeka ufunda ukuze ufunde ukuba zeziphi iimpawu ekufuneka uzijongile, indlela yokujonga umngcipheko wakho xa uza kubona ugqirha wakho, kunye nokunye.

Ziintoni iimpawu?

I-Ovarian torsion inokubangela:

• ezinzima, iintlungu ngequbuliso emazantsi esisu
• ukuxinana
• isicaphucaphu
• ukugabha

Ezi mpawu zihlala zikhona ngesiquphe nangaphandle kwesilumkiso.

Ngamanye amaxesha, iintlungu, ukubamba, kunye nokuthantamisa kwisisu esisezantsi kunokuza kuhamba iiveki ezininzi. Oku kunokwenzeka ukuba i-ovary izama ukubuyela umva kwindawo efanelekileyo.

Le meko ayizange yenzeke ngaphandle kwentlungu.

Ukuba ufumana isicaphucaphu okanye ukugabha ngaphandle kwentlungu, unesimo esahlukileyo esahlukileyo. Nokuba yeyiphi na indlela, kuya kufuneka ubone ugqirha wakho ukuze afumane isifo.

Yintoni ebangela le meko, kwaye ngubani osemngciphekweni?

Uxinzelelo lunokwenzeka ukuba i-ovary ayizinzanga. Umzekelo, i-cyst okanye i-ovarian mass inokubangela ukuba i-ovary iye kwi-lopsided, iyenze ingazinzi.

Unokuba nakho ukubanakho ukukhula kwe-ovari torsion ukuba:

• une-polycystic ovarian syndrome
• une-ovarian ligament ende, esisisiqwenga esinemicu edibanisa i-ovary nesibeleko
• Ndikhe ndafumana i-tubal ligation
• are
• bafumana unyango lwehomoni, ngesiqhelo ukungachumi, okunokukhuthaza i-ovary

Nangona oku kunokwenzeka kubantu basetyhini kunye namantombazana nakweyiphi na iminyaka, kunokwenzeka kakhulu ukuba yenzeke ngexesha lokuzala.

Kufunyaniswa njani?

Ukuba ufumana iimpawu zokuvuthwa kwe-ovari, funa unyango kwangoko. Ixesha elide imeko inganyangwa, kunokwenzeka ukuba ube neengxaki.

Emva kokuvavanya iimpawu zakho kunye nokuphonononga imbali yakho yonyango, ugqirha wakho uya kwenza uvavanyo lwe-pelvic ukufumana nayiphi na indawo yentlungu kunye nokuthantamisa. Baza kuphinda benze i-ultrasound engaphandle ukuze bajonge i-ovary, ityopian tube, kunye nokuhamba kwegazi.

Ugqirha wakho uya kusebenzisa uvavanyo lwegazi kunye nomchamo ukulawula ezinye izifo ezinokubakho, ezinje:

• usulelo lomchamo
• ithumba le-ovari
• ukukhulelwa kwe-ectopic
• isihlomelo

Nangona ugqirha wakho enokwenza uxilongo lokuqala lwe-ovarian torsion esekwe kwezi zinto zifunyanisiweyo, isifo esichanekileyo senziwa ngexesha lotyando lokulungisa.

Zeziphi iindlela zonyango ezikhoyo onokukhetha kuzo?

Ugqirha luya kwenziwa ukuze ungavumeli i-ovary yakho, kwaye, ukuba kukho imfuneko, ityhubhu yakho ye-fallopian. Emva kotyando, ugqirha wakho unokukunika amayeza ukunciphisa umngcipheko wokuphindaphinda. Ngamaxesha athile kunokuba yimfuneko ukususa i-ovary echaphazelekayo.

Iinkqubo zotyando

Ugqirha wakho uya kusebenzisa enye yeenkqubo ezimbini zokukhupha i-ovary yakho

• Ilaparoscopy: Ugqirha wakho uya kufaka isixhobo esincinci, esikhanyisiweyo kwisiqwengana esincinci esiswini sakho esisezantsi. Oku kuyakuvumela ugqirha wakho ukuba ajonge amalungu akho angaphakathi. Baza kwenza enye incision ukuvumela ukufikelela kwi-ovary. Nje ukuba i-ovary ifikeleleke, ugqirha wakho uya kusebenzisa iprobe blunt okanye esinye isixhobo sokungaqiniseki. Le nkqubo ifuna i-anesthesia ngokubanzi kwaye ihlala yenziwe kwizigulana ezingalaliswayo. Ugqirha wakho unokulucebisa olu tyando ukuba ukhulelwe.
• Laparotomy: Ngale nkqubo, ugqirha wakho uza kwenza isisu esikhulu kwisisu sakho esisezantsi ukubavumela ukuba bafikelele ngaphakathi kwaye bangayeki i-ovary ngesandla. Oku kwenziwa ngelixa uphantsi kweanesthesia ngokubanzi, kwaye kuya kufuneka ukuba uhlale esibhedlele ubusuku bonke.

Ukuba ixesha elininzi lidlulile- kunye nelahleko yokuhamba kwegazi ixesha elide kubangele ukuba kufe izicwili ezingqongileyo-ugqirha wakho uyakususa:

• Oophorectomy: Ukuba izicwili zakho ze-ovari azisasebenzi, ugqirha wakho uya kusebenzisa le nkqubo ye-laparoscopic ukususa i-ovary.
• ISalpingo-Oophorectomy: Ukuba zombini izicubu ze-ovari kunye ne-fallopian azisekho, ugqirha wakho uya kusebenzisa le nkqubo ye-laparoscopic ukuzisusa zombini. Banokucebisa ngale nkqubo ukuthintela ukuphinda-phinda kwabasetyhini abasele beyekile ukuya exesheni.

Njengalo naluphi na utyando, umngcipheko wale nkqubo unokubandakanya ukujija kwegazi, usulelo kunye neengxaki ezivela kwi-anesthesia.

Amayeza

Ugqirha wakho unokucebisa ukunciphisa iintlungu kwi-counter-counter ukuze uncede ukunciphisa iimpawu zakho ngexesha lokubuyisela:

• i-acetaminophen (iTylenol)
• ibuprofen (Advil)
• I-naproxen (iAleve)

Ukuba iintlungu zakho zinzima kakhulu, ugqirha wakho unokumisela i-opioids enje:

• Oxycodone (OxyContin)
• i-oxycodone ene-acetaminophen (iPercocet)

Ugqirha wakho unokumisela iipilisi zedosi ephezulu yolawulo lokuzalwa okanye ezinye iindlela zolawulo lokuzalwa kwehomoni ukunciphisa umngcipheko wokuphindeka.

Ngaba iingxaki zinokwenzeka?

Okuthatha ixesha elide ukufumana isifo kunye nonyango, kokukhona izicwili zakho ze-ovari zisengozini.

Xa utyando lwenzeka, ukuhamba kwegazi kwi-ovary yakho-kwaye mhlawumbi nakwityhubhu yakho ye-fallopian-kunciphile. Ukuncitshiswa kwexesha elide kokuhamba kwegazi kunokukhokelela kwi-necrosis (ukufa kwethishu). Ukuba oku kuyenzeka, ugqirha wakho uyakususa i-ovary kunye naziphi na ezinye izicubu ezichaphazelekayo.

Ekuphela kwendlela yokuphepha le ngxaki kukufuna unyango kwangoko kwiimpawu zakho.

Ukuba i-ovary ilahlekile kwi-necrosis, ukukhulelwa kunye nokukhulelwa kusenokwenzeka. I-Ovarian torsion ayichaphazeli ukuchuma nangayiphi na indlela.

Yintoni imbonakalo?

I-Ovarian torsion ithathwa njengonyango olungxamisekileyo, kwaye kufuneka kwenziwe utyando ukulungisa oko. Ukuxilongwa okulindelweyo kunye nonyango kunokunyusa umngcipheko weengxaki kwaye kunokubangela utyando olongezelelekileyo.

Nje ukuba i-ovary ingafakwanga okanye isuswe, unokucetyiswa ukuba uthathe ulawulo lokuzalwa kwehomoni ukunciphisa umngcipheko wokuphindeka. Torsion ayinampembelelo kumandla akho okukhulelwa okanye ukuthwala ukukhulelwa ukuya kwixesha.