Ama-cysts ama-ovari

I-ovarian cyst yisikhwama esigcwele uketshezi olwakha ngaphakathi noma ngaphakathi kwe-ovary.

Le ndatshana imayelana nama-cysts akha phakathi nomjikelezo wakho wokuya esikhathini, obizwa ngama-cysts asebenzayo. Ama-cysts asebenzayo awafani nama-cysts abangelwa umdlavuza noma ezinye izifo. Ukwakheka kwala ma-cysts umcimbi ojwayelekile ngokuphelele futhi kuwuphawu lokuthi ama-ovari asebenza kahle.

Inyanga ngayinye phakathi nomjikelezo wakho wokuya esikhathini, i-follicle (cyst) iyakhula esibelethweni sakho. I-follicle yilapho iqanda likhula khona.

• I-follicle yenza i-hormone ye-estrogen. Le hormone ibangela ushintsho olujwayelekile kulwelwesi lwesibeletho njengoba isibeletho silungiselela ukukhulelwa.
• Lapho iqanda livuthwa, liyakhishwa ku-follicle. Lokhu kubizwa nge-ovulation.
• Uma i-follicle ihluleka ukuvula ivuleke futhi ikhiphe iqanda, uketshezi luhlala ku-follicle bese lwakha i-cyst. Lokhu kubizwa ngokuthi i-follicular cyst.

Olunye uhlobo lwe-cyst lwenzeka ngemuva kokuthi iqanda selikhishwe ku-follicle. Lokhu kubizwa ngokuthi yi-corpus luteum cyst. Lolu hlobo lwe-cyst lungaqukatha inani elincane legazi. Le cyst ikhipha ama-progesterone nama-hormone e-estrogen.

Ama-cysts ama-ovari avame kakhulu eminyakeni yokubeletha phakathi kokuthomba nokuya esikhathini. Isimo asivamile kakhulu ngemva kokunqamuka kokuya esikhathini.

Ukuthatha izidakamizwa zokuzala kuvame ukudala ukukhula kwama-follicles amaningi (ama-cysts) kuma-ovari. Lawa ma-cysts avame ukuhamba ngemuva kwesikhathi sowesifazane, noma ngemuva kokukhulelwa.

Ama-cysts asebenzayo e-ovarian awafani nezicubu ze-ovarian noma ama-cysts ngenxa yezimo ezihlobene ne-hormone ezifana ne-polycystic ovary syndrome.

Ama-cysts ama-ovari avame ukudala izimpawu.

I-cyst ovarian kungenzeka ukuthi ibangele ubuhlungu uma:

• Iba nkulu
• Ukopha
• Kuvuleka ikhefu
• Ukuphazamisa ukunikezwa kwegazi esibelethweni
• Isontekile noma ibangela ukusonteka kwe-ovary

Izimpawu zama-ovarian cysts zingafaka futhi:

• Ukuqumba noma ukuvuvukala esiswini
• Ubuhlungu ngesikhathi sokuhamba kwamathumbu
• Ubuhlungu ku-pelvis kungekudala ngaphambi noma ngemuva kokuqala ukuya esikhathini
• Ubuhlungu ngokuya ocansini noma ubuhlungu be-pelvic ngesikhathi sokuhamba
• Ubuhlungu bomzimba - buyaqaqamba njalo, buthuntu
• Ubuhlungu be-pelvic obungazelelwe futhi obunzima, imvamisa enesicanucanu nokuhlanza (kungaba uphawu lokuxhuzula noma ukusonteka kwesibeletho egazini laso, noma ukuqhekeka komqubuko opha ngaphakathi)

Izinguquko ezikhathini zokuya esikhathini azivamile ngama-follicular cysts. Lokhu kuvame kakhulu ngama-corpus luteum cysts. Ukubala noma ukuphuma kwegazi kungenzeka ngama-cysts athile.

Umhlinzeki wakho wokunakekelwa kwezempilo angathola i-cyst ngesikhathi sokuhlolwa kwe-pelvic, noma uma une-ultrasound test ngesinye isizathu.

I-Ultrasound ingenziwa ukuthola i-cyst. Umhlinzeki wakho angafuna ukukuhlola futhi emavikini ayisithupha kuya kwayisi-8 ukuqinisekisa ukuthi kuhambile.

Okunye ukuhlolwa kwe-imaging okungenziwa lapho kunesidingo kufaka:

• Iskena se-CT
• Izifundo zokugeleza kwe-Doppler
• I-MRI

Ukuhlolwa kwegazi okulandelayo kungenziwa:

• Ukuhlolwa kwe-CA-125, ukubheka umdlavuza onokwenzeka uma une-ultrasound engavamile noma usesikhathini sokuya esikhathini
• Amazinga weHormone (njenge-LH, FSH, estradiol, ne-testosterone)
• Ukuhlolwa kokukhulelwa (i-Serum hCG)

Ama-cysts asebenza ngama-ovarian asebenzayo kaningi awadingi ukwelashwa. Imvamisa ziyazihambela zodwa kungakapheli amasonto ayisishiyagalombili kuya kwayi-12.

Uma unama-cysts ama-ovarian avamile, umhlinzeki wakho angakunikeza amaphilisi wokulawula ukubeletha (izivimbelinzalo zomlomo). La maphilisi anganciphisa ubungozi bokusungula ama-cysts amasha. Amaphilisi okulawula ukubeletha awanciphisi usayizi wama-cysts amanje.

Ungadinga ukuhlinzwa ukuze ususe i-cyst noma i-ovary ukuze uqiniseke ukuthi akuwona umdlavuza we-ovari. Ukuhlinzwa cishe kungadingeka ku:

• Ama-cysts ama-ovarian ayinkimbinkimbi angapheli
• Ama-cysts abangela izimpawu futhi angahambi
• Ama-cysts akhula ngosayizi
• Ama-cysts alula ama-ovari amakhulu kunamasentimitha ayi-10
• Abesifazane abasondele esikhathini noma esikhathini esidlule sokunqamuka kokuya esikhathini

Izinhlobo zokuhlinzwa zama-cysts ama-ovari zifaka:

• I-laparotomy yokuhlola
• I-laparoscopy yomzimba

Ungadinga ezinye izindlela zokwelashwa uma une-polycystic ovary syndrome noma esinye isifo esingadala ama-cysts.

Ama-cysts kwabesifazane abasenezikhathi kungenzeka ukuthi ahambe. I-cyst eyinkimbinkimbi kowesifazane osedlulile esikhathini sokuya esikhathini unengozi enkulu yokuba nomdlavuza. Umdlavuza akunakwenzeka nge-cyst elula.

Izinkinga zihlobene nesimo esibangela ama-cysts. Izinkinga zingenzeka ngama-cysts athi:

• Ukopha.
• Vuleka.
• Khombisa izimpawu zezinguquko ezingaba umdlavuza.
• Ukusonta, kuye ngosayizi we-cyst. Ama-cysts amakhulu anengozi enkulu.

Shayela umhlinzeki wakho uma:

• Unezimpawu ze-cyst ovarian
• Unobuhlungu obukhulu
• Unegazi elingajwayelekile kuwe

Fonela futhi umhlinzeki wakho uma ngabe ulandela ezinsukwini eziningi okungenani amasonto ama-2:

• Ukusutha ngokushesha lapho udla
• Ukuphelelwa isifiso sokudla
• Ukwehlisa isisindo ngaphandle kokuzama

Lezi zimpawu zingakhombisa umdlavuza we-ovari. Izifundo ezikhuthaza abesifazane ukuthi bafune ukunakekelwa okungenzeka kube nezimpawu zomdlavuza we-ovari azibonisanga nzuzo. Ngeshwa, asinazo izindlela ezifakazelwe zokuhlolwa umdlavuza we-ovari.

Uma ungazami ukukhulelwa futhi uvame ukuthola ama-cysts asebenzayo, ungabavimbela ngokuphuza amaphilisi okulawula ukubeletha. Lawa maphilisi avimbela ama-follicles ekukhuleni.

Ama-cysts we-Physiologic ovarian; Ama-cysts asebenzayo e-ovarian; Ama-Corpus luteum cysts; Ama-cysts alandelanayo

• I-anatomy yokuzala yabesifazane
• Ama-cysts ama-ovari
• Isibeletho
• Ukwakheka kwesibeletho

UBrown DL, uDJ DJ. Ukuhlolwa kwe-Ultrasound kwama-ovari. Ku: Norton ME, Scoutt LM, Feldstein VA, ama-eds. Callen’s Ultrasonography in Obstetrics and Gynecology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2017: isahluko 30.

I-Bulun SE. I-Physiology kanye ne-pathology ye-eksisi yokuzala yabesifazane. KuMelmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 17.

I-Dolan MS, i-Hill C, i-Valea FA. Izilonda ze-Benign gynecologic: isisu, isitho sangasese sowesifazane, umlomo wesibeletho, isibeletho, i-oviduct, i-ovary, i-ultrasound imaging yezakhiwo ze-pelvic. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 18.