Ama-Ovarian Cysts

-Delile

• Izinhlobo zama-cyst ovarian
• I-cyst follicle
• Ama-cysts we-Corpus luteum
• Izimpawu ze-cyst ovarian
• Izinkinga ze-ovary cyst
• Ukuhlonza i-cyst ovarian
• Ukwelashwa kwe-cyst ovarian
• Amaphilisi okuvimbela inzalo
• I-Laparoscopy
• I-Laparotomy
• Ukuvimbela i-cyst ovarian
• Uyini umbono wesikhathi eside?
• Q:
• A:

Yini ama-ovarian cysts?

Ama-ovari ayingxenye yohlelo lokuzala lwabesifazane. Zitholakala esiswini esingezansi ezinhlangothini zombili zesibeletho. Abesifazane banamaqanda amabili akhiqiza amaqanda kanye namahomoni i-estrogen ne-progesterone.

Kwesinye isikhathi, isikhwama esigcwele uketshezi esibizwa nge-cyst sizokhula kwesinye samaqanda. Abesifazane abaningi bazokhula okungenani i-cyst eyodwa ngesikhathi sabo sokuphila. Ezimweni eziningi, ama-cysts awanabuhlungu futhi awabangeli zimpawu.

Izinhlobo zama-cyst ovarian

Kunezinhlobo ezahlukahlukene zama-cysts ama-ovari, njengama-dermoid cysts nama-endometrioma cysts. Noma kunjalo, ama-cysts asebenzayo awuhlobo oluvame kakhulu. Izinhlobo ezimbili zama-cysts asebenzayo zifaka ama-follicle nama-corpus luteum cysts.

I-cyst follicle

Ngesikhathi sokuya esikhathini kowesifazane, iqanda likhula esikhwameni esibizwa ngokuthi i-follicle. Lesi sikhwama sitholakala ngaphakathi kwamaqanda. Ezimweni eziningi, le follicle noma isaka livuleka livule iqanda. Kepha uma i-follicle ingavuleki, uketshezi olungaphakathi kwe-follicle lungakha i-cyst esibelethweni.

Ama-cysts we-Corpus luteum

Ama-sacoll follicle ayancibilika ngemuva kokukhipha iqanda. Kodwa uma isaka lingancibiliki nokuvulwa kwezimpawu zezintambo, uketshezi olungeziwe lungakhula ngaphakathi kwesikhwama, futhi lokhu kunqwabelana koketshezi kubanga i-corpus luteum cyst.

Ezinye izinhlobo zama-cysts ama-ovari zifaka:

• ama-dermoid cysts: ukukhula okufana nesaka kuma-ovari okungaqukatha izinwele, amafutha nezinye izicubu
• ama-cystadenomas: ukukhula okungenayo umdlavuza okungakhula engxenyeni engaphandle yama-ovari
• ama-endometriomas: izicubu ezivame ukukhula ngaphakathi kwesibeletho zingakhula ngaphandle kwesibeletho futhi zinamathisele kuma-ovari, okuholela ku-cyst

Abanye besifazane baba nesimo esibizwa nge-polycystic ovary syndrome. Lesi simo sisho ukuthi ama-ovari aqukethe inani elikhulu lama-cysts amancane.Kungadala ukuthi ama-ovari akhulise. Uma ishiywe ingalashwa, ama-polycystic ovaries angadala ukungabi nenzalo.

Izimpawu ze-cyst ovarian

Izikhathi eziningi, ama-cysts ama-ovarian awabangeli zimpawu. Noma kunjalo, izimpawu zingavela njengoba i-cyst ikhula. Izimpawu zingafaka:

• ukuqumba kwesisu noma ukuvuvukala
• ukunyakaza kwamathumbu okubuhlungu
• ubuhlungu be-pelvic ngaphambi noma ngesikhathi sokuya esikhathini
• ucansi olubuhlungu
• ubuhlungu emhlane ongezansi noma emathangeni
• isisa sebele
• isicanucanu nokuhlanza

Izimpawu ezinzima ze-ovary cyst ezidinga ukunakekelwa ngokushesha zihlanganisa:

• ubuhlungu obukhulu noma obukhali be-pelvic
• imfiva
• ukuquleka noma isiyezi
• ukuphefumula okusheshayo

Lezi zimpawu zingakhombisa ukuthi i-cyst eqhekekile noma i-ovarian torsion. Zombili lezi zinkinga zingaba nemiphumela emibi uma zingelashwa kusenesikhathi.

Izinkinga ze-ovary cyst

Ama-cysts amaningi ama-ovarian anobungozi futhi ngokwemvelo ayahamba ngokwawo ngaphandle kokwelashwa. Lawa ma-cysts abangela izimpawu ezincane, uma zikhona. Kodwa esimweni esingavamile, udokotela wakho angathola isisindo se-cystic ovarian mass ngesikhathi sokuhlolwa okuvamile.

I-ovarian torsion kungenye inkinga engavamile yama-cysts ama-ovari. Yilapho i-cyst enkulu ibangela ukuthi i-ovary isonteke noma isuke endaweni yayo yasekuqaleni. Ukunikezwa kwegazi esibelethweni kuyanqunywa, futhi uma kungalashwa, kungadala ukulimala noma ukufa kwezicubu ze-ovari. Yize kungavamile, ukuhlukunyezwa kwe-ovarian kubanga cishe amaphesenti ama-3 wokuhlinzwa okuphuthumayo kwe-gynecologic.

Ama-cysts aqhekekile, nawo angavamile, angadala ubuhlungu obukhulu nokopha kwangaphakathi. Le nkinga inyusa ubungozi bokutheleleka futhi ingasongela impilo uma ishiywe ingalashwa.

Ukuhlonza i-cyst ovarian

Udokotela wakho angathola i-cyst ovarian ngesikhathi sokuhlolwa kwe-pelvic ejwayelekile. Bangabona ukuvuvukala kwesinye samaqanda akho bese be-oda ukuhlolwa kwe-ultrasound ukuqinisekisa ubukhona be-cyst. Ukuhlolwa kwe-ultrasound (i-ultrasonography) ukuhlolwa kwe-imaging okusebenzisa amaza omsindo wemvamisa ephezulu ukukhiqiza isithombe sezitho zakho zangaphakathi. Ukuhlolwa kwe-Ultrasound kusiza ukunquma usayizi, indawo, ukwakheka, nokwakheka (okuqinile noma okugcwele uketshezi) kwe-cyst.

Amathuluzi wokucabanga asetshenziselwa ukuxilonga ama-cysts ama-ovari afaka:

• I-CT scan: ithuluzi lokucabanga lomzimba elisetshenziselwa ukudala izithombe ezihlukanayo zezitho zangaphakathi
• I-MRI: isivivinyo esisebenzisa amandla kazibuthe ukukhiqiza izithombe ezijulile zezitho zangaphakathi
• idivayisi ye-ultrasound: ithuluzi lokucabanga elisetshenziselwa ukubona ngeso lengqondo i-ovary

Ngoba iningi lama-cysts liyanyamalala ngemuva kwamasonto noma izinyanga ezimbalwa, udokotela wakho kungenzeka angancomi ngokushesha uhlelo lokwelashwa. Esikhundleni salokho, bangaphinda ukuhlolwa kwe-ultrasound emasontweni noma ezinyangeni ezimbalwa ukuhlola isimo sakho.

Uma kungekho zinguquko esimweni sakho noma uma i-cyst inyuka ngosayizi, udokotela wakho uzocela ukuhlolwa okwengeziwe ukuthola ezinye izimbangela zezimpawu zakho.

Lokhu kufaka phakathi:

• ukuhlolwa kokukhulelwa ukuze uqiniseke ukuthi awukhulelwe
• Ukuhlolwa kwezinga le-hormone ukuhlola izinkinga ezihlobene ne-hormone, njenge-estrogen eningi kakhulu noma i-progesterone
• Ukuhlolwa kwegazi kwe-CA-125 ukuhlola umdlavuza we-ovari

Ukwelashwa kwe-cyst ovarian

Udokotela wakho angancoma ukwelashwa ukunciphisa noma ukususa i-cyst uma ingahambi yodwa noma ikhula iba nkulu.

Amaphilisi okuvimbela inzalo

Uma unama-cysts ama-ovarian aphindaphindiwe, udokotela wakho angakunikeza izindlela zokuvimbela inzalo zomlomo ukumisa i-ovulation futhi uvimbele ukuthuthukiswa kwama-cysts amasha. Izindlela zokuvimbela inzalo ngomlomo nazo zinganciphisa ingozi yokuba nomdlavuza we-ovari. Ingozi yomdlavuza we-ovari iphezulu kwabesifazane be-postmenopausal.

I-Laparoscopy

Uma i-cyst yakho incane futhi ivela ekuhlolweni kwe-imaging ukukhipha umdlavuza, udokotela wakho angenza i-laparoscopy ukukhipha i-cyst ngokuhlinzwa. Le nqubo ifaka phakathi udokotela wakho ukwenza imbobo encane eduze kwenkaba yakho bese ufaka ithuluzi elincane esiswini sakho ukususa i-cyst.

I-Laparotomy

Uma une-cyst enkulu, udokotela wakho angasusa ngokuhlinzwa i-cyst ngokusebenzisa imbobo enkulu esiswini sakho. Bazoqhuba i-biopsy ngokushesha, futhi uma bethola ukuthi i-cyst inomdlavuza, bangenza i-hysterectomy ukususa ama-ovari nesibeletho sakho.

Ukuvimbela i-cyst ovarian

Ama-cysts ama-ovarian awakwazi ukuvinjelwa. Kodwa-ke, ukuhlolwa okujwayelekile kwe-gynecologic kungathola ama-cyst ovarian kusenesikhathi. Ama-cyst ama-ovarian cysts awabi nomdlavuza. Kodwa-ke, izimpawu zomdlavuza we-ovari zingalingisa izimpawu ze-cyst ovarian. Ngakho-ke, kubalulekile ukuvakashela udokotela wakho bese uthola ukuxilongwa okulungile. Yazisa udokotela wakho ezimpawu ezingakhombisa inkinga, njenge:

• izinguquko kumjikelezo wakho wokuya esikhathini
• ubuhlungu obuqhubekayo be-pelvic
• ukulahlekelwa isifiso sokudla
• ukuncipha kwesisindo okungaqondakali
• ukugcwala kwesisu

Uyini umbono wesikhathi eside?

Umbono wabesifazane be-premenopausal abanama-cysts ama-ovarian muhle. Ama-cysts amaningi ayanyamalala ezinyangeni ezimbalwa. Kodwa-ke, ama-cysts ama-ovarian aphindaphindiwe angenzeka kwabesifazane nakwabesifazane be-premenopausal abanokungalingani kwama-hormone.

Uma ishiywe ingalashwa, amanye ama-cysts anganciphisa ukuzala. Lokhu kuvamile ngama-endometriomas kanye ne-polycystic ovary syndrome. Ukuze uthuthukise ukuzala, udokotela wakho angasusa noma anciphise i-cyst. Ama-cysts asebenzayo, ama-cystadenomas, nama-dermoid cysts akuthinti ukuzala.

Yize abanye odokotela bethatha indlela "yokulinda ubone" ngama-cysts ama-ovari, udokotela wakho angancoma ukuhlinzwa ukuze kususwe futhi kuhlolwe noma iyiphi i-cyst noma ukukhula okuvela kuma-ovari ngemuva kokuya esikhathini. Lokhu kungenxa yokuthi ingozi yokuthola i-cyst yomdlavuza noma umdlavuza we-ovari inyuka ngemuva kokuya esikhathini. Kodwa-ke, ama-ovarian cysts awakhuphuli ubungozi bomdlavuza we-ovari. Abanye odokotela bazosusa i-cyst uma inkulu kunamasentimitha ama-5 ububanzi.

Q:

Iyini imiphumela yama-cysts ama-ovari ekukhulelweni? Zimthinta kanjani umuntu okhulelwe nomuntu ozama ukukhulelwa?

Isiguli esingaziwa

A:

Amanye ama-cysts ama-ovari ahlotshaniswa nokwehla kokuzala ngenkathi amanye engekho. Ama-Endometriomas nama-cysts avela ku-polycystic ovarian syndrome anganciphisa amandla wowesifazane wokukhulelwa. Kodwa-ke, ama-cysts asebenzayo, ama-dermoid cysts, nama-cystadenomas awahlotshaniswa nobunzima bokukhulelwa ngaphandle kokuthi makhulu. Uma udokotela wakho ethola i-ovary cyst ngenkathi ukhulelwe, ukwelashwa kungaxhomeka kuhlobo noma usayizi we-cyst. Ama-cysts amaningi anobungozi futhi awadingi ukungenelela kokuhlinzwa. Kodwa-ke, ungadinga ukuhlinzwa uma i-cyst isolisa umdlavuza noma uma i-cyst iqhuma noma isonta (eyaziwa ngokuthi i-torsion), noma inkulu kakhulu.

Izimpendulo ze-Alana Biggers, MD, MPH zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.

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