Kuyini i-Ovarian Torsion?

-Delile

• Ziyini izimpawu?
• Yini ebangela lesi simo, futhi ubani osengozini?
• Kutholakala kanjani?
• Yiziphi izindlela zokwelashwa ezitholakalayo?
• Izinqubo zokuhlinza
• Imithi
• Ingabe kungenzeka izinkinga?
• Uyini umbono?

Ingabe kuvamile?

I-ovarian torsion (adnexal torsion) yenzeka lapho i-ovary isonteka izungeze izicubu eziyisekelayo. Kwesinye isikhathi, ishubhu le-fallopian nalo lingasonteka. Lesi simo esibuhlungu sinqamula ukunikezwa kwegazi kulezi zitho.

I-ovarian torsion yisimo esiphuthumayo sezokwelapha. Uma ungelashwa ngokushesha, kungaholela ekulahlekelweni kwe-ovary.

Akucaci ukuthi i-ovarian torsion yenzeka kangaki, kepha odokotela bayavuma ukuthi ukuxilongwa okungavamile. Ungahle ube sethubeni lokuzwa ukuhlukunyezwa kwe-ovari uma unama-cysts ama-ovari, angadala ukuthi i-ovary ivuvukale. Ungahle ukwazi ukunciphisa ubungozi bakho ngokusebenzisa ukulawulwa kokuzalwa kwe-hormonal noma eminye imithi ukusiza ukunciphisa usayizi wama-cysts.

Qhubeka ufunda ukuze ufunde ukuthi yiziphi izimpawu okufanele uzibuke, ukuthi unganquma kanjani ingozi yakho yonke, ukuthi uzobona nini udokotela wakho, nokuningi.

Ziyini izimpawu?

I-ovarian torsion ingadala:

• ubuhlungu obukhulu, obungazelelwe esiswini esingezansi
• ukunyanyiswa
• isicanucanu
• ukuhlanza

Lezi zimpawu zivame ukuvela kungazelelwe futhi ngaphandle kwesixwayiso.

Kwezinye izimo, ubuhlungu, ukuqunjelwa, nobumnene esiswini esingezansi kungafika kudlule amasonto ambalwa. Lokhu kungenzeka uma i-ovary izama ukubuyela emuva endaweni efanele.

Lesi simo asikaze sivele ngaphandle kobuhlungu.

Uma uhlangabezana nesicanucanu noma ukuhlanza ngaphandle kobuhlungu, unesimo esihlukile esingaphansi. Kunoma yikuphi, kufanele ubone udokotela wakho ukuze ahlolwe.

Yini ebangela lesi simo, futhi ubani osengozini?

I-Torsion ingenzeka uma i-ovary ingazinzi. Isibonelo, i-cyst noma i-ovarian mass ingadala ukuthi i-ovary iphenduke ingaphandle, isenze singazinzi.

Kungenzeka futhi ukuthi ube namathuba okuthuthukisa i-ovarian torsion uma:

• une-polycystic ovarian syndrome
• Unomugqa omude wesibeletho, okuyisiqu esinemicu esixhuma i-ovary esibelethweni
• ngibe ne-tubal ligation
• kukhona
• bathola ukwelashwa ngamahomoni, imvamisa ukungabi nenzalo, okungashukumisa i-ovary

Yize lokhu kungenzeka kwabesifazane namantombazane kunoma yimuphi unyaka, kungenzeka kakhulu ukuthi kwenzeke phakathi neminyaka yokuzala.

Kutholakala kanjani?

Uma uhlangabezana nezimpawu ze-ovarian torsion, funa usizo lwezokwelapha ngokushesha. Uma isimo singalashwa isikhathi eside, maningi amathuba okuthi ube nezinkinga.

Ngemuva kokuhlola izimpawu zakho nokubukeza umlando wakho wezokwelapha, udokotela wakho uzokwenza ukuhlolwa kwe-pelvic ukuthola noma yiziphi izindawo zobuhlungu nobumnene. Bazophinda futhi benze i-transvaginal ultrasound ukuze babuke i-ovary, fallopian tube yakho, nokuhamba kwegazi lakho.

Udokotela wakho uzosebenzisa nokuhlolwa kwegazi nomchamo ukukhipha okunye ukuxilongwa okungahle kwenzeke, njenge:

• ukutheleleka komgudu womchamo
• ithumba le-ovari
• ukukhulelwa kwe-ectopic
• i-appendicitis

Yize udokotela wakho engenza ukuxilongwa kokuqala kwe-ovarian torsion ngokusekelwe kulokhu okutholakele, ukuxilongwa okucacile kwenziwa ngokuvamile ngesikhathi sokuhlinzwa okulungisayo.

Yiziphi izindlela zokwelashwa ezitholakalayo?

Kuzohlinzwa ukuze kuvulwe i-ovary yakho, futhi, uma kunesidingo, ithubhu lakho le-fallopian. Ngemuva kokuhlinzwa, udokotela wakho angakunikeza imithi yokwehlisa ingozi yokuphindeka. Ngezikhathi ezithile kungadingeka ukususa i-ovary ethintekile.

Izinqubo zokuhlinza

Udokotela wakho uzosebenzisa eyodwa yezinqubo ezimbili zokuhlinza ukuvula i-ovary yakho:

• I-Laparoscopy: Udokotela wakho uzofaka ithuluzi elincane, elikhanyisiwe emgodini omncane esiswini sakho esingezansi. Lokhu kuzovumela udokotela wakho ukuthi abuke izitho zakho zangaphakathi. Bazokwenza okunye ukusikwa ukuze kuvunyelwe ukufinyelela esibelethweni. Lapho nje i-ovary isifinyeleleka, udokotela wakho uzosebenzisa iphenyi ebuthuntu noma elinye ithuluzi ukuze ayivule. Le nqubo idinga i-anesthesia ejwayelekile futhi ivame ukwenziwa ngokugula kwabangalalisiwe. Udokotela wakho angancoma lokhu kuhlinzwa uma ukhulelwe.
• I-Laparotomy: Ngale nqubo, udokotela wakho uzokwenza ukusikeka okukhulu esiswini sakho esezansi ukuvumela ukuba bangene futhi bavule i-ovary ngesandla. Lokhu kwenziwa ngenkathi ungaphansi kwe-anesthesia ejwayelekile, futhi kuzodingeka uhlale esibhedlela ubusuku bonke.

Uma isikhathi esiningi sesidlulile - futhi ukulahleka isikhathi eside kokugeleza kwegazi kubangele ukuthi izicubu eziseduze zife - udokotela wakho uzokususa:

• I-Oophorectomy: Uma izicubu zakho ze-ovari zingasasebenzi, udokotela wakho uzosebenzisa le nqubo ye-laparoscopic ukususa i-ovary.
• ISalpingo-Oophorectomy: Uma zombili izicubu ze-ovari ne-fallopian zingasasebenzi, udokotela wakho uzosebenzisa le nqubo ye-laparoscopic ukuzikhipha zombili. Bangaphinde bancome le nqubo ukuvimbela ukuphindeka kwabesifazane abangemuva kokuya esikhathini.

Njenganoma yikuphi ukuhlinzwa, izingozi zalezi zinqubo zingabandakanya ukuvalwa kwegazi, ukutheleleka, kanye nezinkinga ezivela ku-anesthesia.

Imithi

Udokotela wakho angancoma ukudambisa izinhlungu ngaphezulu kwamathenda ukusiza ukunciphisa izimpawu zakho ngesikhathi sokululama:

• i-acetaminophen (iTylenol)
• ibuprofen (Advil)
• i-naproxen (Aleve)

Uma ubuhlungu bakho bukhulu kakhulu, udokotela wakho angakunikeza ama-opioid anjenge:

• i-oxycodone (OxyContin)
• i-oxycodone ene-acetaminophen (Percocet)

Udokotela wakho angakunikeza amaphilisi okulawula ukubeletha aphezulu noma ezinye izinhlobo zokulawulwa kokuzalwa kwamahomoni ukunciphisa ingozi yokuphindeka.

Ingabe kungenzeka izinkinga?

Uma kuthatha isikhathi eside ukuthola ukuxilongwa nokwelashwa, isikhathi eside izicubu zakho ze-ovarian zisengozini.

Lapho kwenzeka ukuhlukunyezwa, ukugeleza kwegazi kuye esibelethweni sakho - futhi mhlawumbe nakwithubhu lakho le-fallopian - kuncishisiwe. Ukwehliswa isikhathi eside kokugeleza kwegazi kungaholela ku-necrosis (ukufa kwezicubu). Uma lokhu kwenzeka, udokotela wakho uzosusa i-ovary kanye nezinye izicubu ezithintekile.

Ukuphela kwendlela yokugwema le nkinga ukufuna usizo lwezokwelapha ngokushesha lwezimpawu zakho.

Uma i-ovary ilahlekile kwi-necrosis, ukukhulelwa nokukhulelwa kusenokwenzeka. I-ovarian torsion ayithinti ukuzala nganoma iyiphi indlela.

Uyini umbono?

I-ovarian torsion ithathwa njengesimo esiphuthumayo sezokwelapha, futhi kudingeka ukuhlinzwa ukuyilungisa. Ukuxilongwa okulindelekile nokwelashwa kungakhuphula ubungozi bezinkinga futhi kungaholela ekuhlinzweni okwengeziwe.

Lapho i-ovary ingakavulwa noma isusiwe, ungelulekwa ukuthi uthathe ukulawulwa kokuzalwa kwamahomoni ukunciphisa ubungozi bokuphindeka. I-Torsion ayinayo impembelelo emandleni akho okukhulelwa noma ukuthwala ukukhulelwa isikhathi.