Yini Ebangela I-Paratubal Cyst futhi Iphathwa Kanjani?
-Delile
- Yini i-cyst paratubal futhi ijwayelekile?
- Ziyini izimpawu?
- Yini ebangela ama-paratubal cysts futhi ngubani osengozini?
- Ngabe i-paratubal cysts itholakala kanjani?
- Yiziphi izindlela zokwelashwa ezitholakalayo?
- Ingabe kungenzeka izinkinga?
- Ingabe ama-paratubal cysts azokuthinta ukuzala?
- Uyini umbono?
Yini i-cyst paratubal futhi ijwayelekile?
I-cyst paratubal yisikhwama esigcwalisiwe, esigcwele uketshezi. Ngezinye izikhathi kubizwa ngokuthi ama-cyst paravarian.
Lolu hlobo lwamafomu we-cyst eduze kweshubhu le-ovary noma i-fallopian, futhi ngeke linamathele kunoma yisiphi isitho sangaphakathi. Lawa ma-cysts avame ukuncibilika eyedwa, noma angatholakali, ngakho awaziwa.
Ama-cysts amancane, ama-paratubal aphakathi kwabesifazane abaphakathi kweminyaka engama-30 nengama-40. Ama-cysts akhulisiwe maningi emantombazaneni nakwabesifazane abasebasha.
Qhubeka ufunde ukuze ufunde kabanzi mayelana nokuthi ziveza kanjani, zibangelwa yini, nokuthi ziphathwa kanjani.
Ziyini izimpawu?
Ama-cysts ama-Paratubal ngokuvamile amancane ngosayizi, kusuka kumamilimitha amabili kuya kwangu-20 ububanzi. Lapho zihlala zilingana nosayizi, zivamise ukungabi nalutho. Udokotela wakho angakuthola ngesikhathi sokuhlolwa kwabesifazane noma inqubo yokuhlinza engahlobene.
Ama-cysts amakhulu, aqhekekile noma asontekile angadala ubuhlungu be-pelvic noma besisu.
Yini ebangela ama-paratubal cysts futhi ngubani osengozini?
Lapho imibungu yakhiwa, konke kuqukethe isakhiwo sombungu esibizwa ngokuthi i-wolffian duct. Le ndawo yombungu yilapho kwakhiwa khona izitho zobulili zesilisa.
Uma umbungu uqala ukwakha izitho zocansi zesifazane, umgudu uyancipha. Kwesinye isikhathi, kusala izinsalela zomsele. Ama-cysts e-paratubal angakhula aphume kulezi zinsalela.
Ama-cysts nawo angakheka kusuka emithanjeni yomgwaqo we-paramesonephrontic (Müllerian). Lesi yisakhiwo se-embryonic lapho izitho zobulili zesifazane zikhula khona.
Azikho izinto eziyingozi ezaziwayo zama-paratubal cysts.
Ngabe i-paratubal cysts itholakala kanjani?
Uma uhlangabezana nobuhlungu be-pelvic noma besisu, bheka udokotela wakho. Bazobuyekeza izimpawu zakho nomlando wezokwelapha, bese benza ukuhlolwa komzimba ukuze bahlole izindawo zesisa.
Bangasebenzisa futhi eyodwa noma eziningi zalezi zivivinyo zokuxilonga:
- I-pelvic ultrasound noma i-ultrasound yesisu. Lezi zivivinyo ze-imaging yezokwelapha zisebenzisa ukudlidliza kwemvamisa ye-ultrasonic ukudlulisa izithombe ezibukwayo zesifunda se-pelvic esikrinini sekhompyutha.
- I-MRI. Lokhu kuhlolwa kusiza udokotela wakho ukuthi anqume ukuthi ngabe i-cyst ayilungile yini. Ingasetshenziswa futhi ukulandela ukukhula kwe-cyst.
- Ukuhlolwa kwegazi. Uma kusolwa ukuthi kubi, udokotela wakho angalawula ukuhlolwa kwegazi, okufana nokubalwa kwegazi okuphelele (CBC) kanye nokuhlolwa kwesimila.
- I-Laparoscopy. Ama-cysts e-Paratubal angabukeka afana nama-cysts ama-ovari ku-ultrasound, ngakho-ke udokotela wakho angase futhi asikisele lokhu kuhlolwa kokuhlinzwa. I-laparoscopy yokuxilonga idinga ukusikwa okuncane esiswini. Udokotela wakho uzofaka ishubhu, enekhamera encane yevidiyo enamathiselwe kuchopho wayo. Lokhu kuvumela udokotela wakho ukuthi abone sonke isifunda sakho se-pelvic.
Yiziphi izindlela zokwelashwa ezitholakalayo?
Uma i-cyst incane futhi ingenazimpawu, udokotela wakho angancoma indlela "yokulinda ubone". Bazokwazisa ukuthi uzobahlola ngezikhathi ezithile ukuze uhlole noma iziphi izinguquko.
Uma i-cyst inkulu kunamasentimitha ayi-10, udokotela wakho angancoma ukususwa noma ngabe ubhekene nezimpawu. Le nqubo ibizwa ngokuthi i-cystectomy.Udokotela wakho uzosebenzisa enye yalezi zindlela:
- I-Laparoscopy. Le nqubo idinga ukusikwa okuncane esiswini. Kungenziwa ngaphansi kwe-anesthetic yendawo noma i-anesthesia ejwayelekile. Ngokuvamile kudinga isikhathi esincane sokululama kune-laparotomy.
- I-Laparotomy. Le nqubo ihlasela kakhulu, idinga ukusikwa okukhulu kwesisu. Kwenziwa njalo ngaphansi kwe-anesthesia ejwayelekile
Udokotela wakho uzothatha isimo, ubukhulu, kanye nendawo ye-cyst ngaphambi kokuncoma inqubo eyodwa phezu kwenye.
Uma ungakafiki esikhathini sokuya esikhathini, udokotela wakho angabeka kuqala indlela yokususa ezogcina ishubhu lakho le-ovary noma le-fallopian.
Ingabe kungenzeka izinkinga?
Kwezinye izimo, ama-paratubal cysts angaholela ezinkingeni ezinjenge:
- Ukopha. Uma i-cyst iqhuma, ingadala ukopha ngaphakathi.
- Ukuhlushwa. Lokhu kubhekisela ekusonteni kwe-cyst ku-pedicle yayo, okuyisakhiwo esifana nesiqu esisibambayo. Lokhu kungadala ubuhlungu obedlulele, obuthakathaka, kanye nesicanucanu nokuhlanza. izimo zokuhlukunyezwa kwe-ovari zibikiwe emantombazaneni amancane.
- Ukuqhekeka kwe-fallopian tube. Uma itholakala eduze kweshubhu, i-cyst enkulu kakhulu noma esontekile ingadala ukuthi ithubhu liqhume.
Yize ama-cysts amakhulu enzeka, kungenzeka. Lawa ma-cysts angabeka ingcindezi ezithweni zakho zangaphakathi, kufaka phakathi:
- isibeletho
- izinso
- isinye
- amathumbu
Le ngcindezi ingaholela ku-hydronephrosis. Lokhu kusho ukuvuvukala kwezinso okubangelwa ukwakheka komchamo okweqile.
Ama-cysts amakhulu nawo angadala ukopha kwesibeletho nokuya ocansini okubuhlungu.
Ingabe ama-paratubal cysts azokuthinta ukuzala?
Ama-cyst amancane ama-paratubal akufanele abe nomthelela ekuzaleni kwakho. Kodwa ama-cysts amakhulu, aqhekekile noma asontekile angaholela ezinkingeni uma engashiywanga ungelashwa.
Ukususwa ngokushesha kokuhlinzwa kusiza ekuqinisekiseni ukulondolozwa kweshubhu le-ovary nelama-fallopian. Uma i-cyst ingasuswa ngokushesha, ingahle iholele ekususweni kwe-ovary (oophorectomy), i-fallopian tube (salpingectomy), noma kokubili.
Ama-cysts e-paratubal imvamisa angahlangani, okusho ukuthi atholakala ohlangothini olulodwa lomzimba. Ukuvuthwa nokukhulelwa kusengenzeka noma ngabe i-ovary noma ithubhu ohlangothini oluthintekile isusiwe.
Uyini umbono?
Ama-cysts e-paratubal ngokuvamile awahambisani nezimpawu, ngakho-ke zivame ukungatholakali. Zingahlakazeka zodwa ngokuhamba kwesikhathi.
Noma kunjalo, ama-cysts amakhulu angadala ubuhlungu noma ezinye izinkinga. Lawa ma-cysts kumele asuswe ngokuhlinzwa, kepha lokhu ngokuvamile ngeke kube nomthelela ohlala njalo ekuzaleni kwakho.