Ama-ovarian cysts yi-misakazo egcwele ulwelo engase ibonakale phezu noma ngaphakathi kwama-ovari. Ngokuvamile awonakali futhi ngokuvamile awabangeli lutho. Noma kunjalo, anga-ba ngobuningi obuhlukene futhi angathinta impilo yokuzala yabesifazane. Abesifazane abaningi bazobhekana nama-ovarian cysts ngesinye isikhathi ekuphileni kwabo. Izifundo zibonisa ukuthi cishe i-8 kuya ku-18% yabesifazane bathinteka yi-cysts phakathi neminyaka yabo yokuzala.
Kunezinhlobo ezahlukene zama-ovarian cysts. Isibonelo, ama-functional cysts ahlotshaniswa nesikhathi somjikelezo wokuya esikhathini, kuyilapho ama-dermoid cysts eyi-ukukhula okuhle okuqukethe izicubu ezahlukene, kufaka phakathi izinwele, isikhumba, futhi ngezinye izikhathi amazinyo, atholakala phansi kwesikhumba. Ezinye izinhlobo zihlanganisa ama-cystadenomas, avela ku-amaseli aphezu komphetho we-ovari, kanye nama-endometriomas, angama-ahlotshaniswa ne-endometriosis. Ukubalula izinhlobo nobukhulu balezi cysts kubalulekile ekuphatheni impilo yokuzala.
Odokotela bavame ukusebenzisa i-ovarian cyst size chart ukuhlukanisa phakathi kwama-cysts amancane, aphakathi nendawo, namakhulu. Ubukhulu buqale buqale kubalwe nge-millimeters (mm). Leli khadi lobukhulu lisiza iziguli nabaphakeli bezempilo ukuqonda noma yimiphi imingcipheko nokuthi yiziphi izinyathelo ezingase zidingeke ngokususelwa ebukhulu be-cysts. Ngakho-ke, ukwaziswa ngalezi cysts kungasiza abesifazane ukuba babe nezingxoxo ezinhle ngempilo yabo.
Ama-ovarian cysts avela ngobukhulu obuhlukene, athinta izimpawu nezindlela zokwelapha.
Ama-cysts amancane (angaphansi kwama-30 mm): Ngokuvamile asebenza futhi angonakali, ngokuvamile azixazulula ngokwemvelo ngaphandle kokwelashwa.
Ama-cysts aphakathi (30–50 mm): angabangela izimpawu ezilula njengokukhuluphala futhi ngokuvamile alandelelwa eduze.
Ama-cysts amakhulu (50–100 mm): Lokhu kungabangela ukungakhululeki noma ukucindezela okuqaphelekayo futhi kungadingeka ukungenelela kwezokwelapha.
Ama-cysts amakhulu kakhulu (Angaphezu kwama-100 mm): Ingcipheko enkulu yezinkinga ezinjengokuqhekeka noma ukuqhuma; ukuhlinzwa kuvame ukudingeka.
Izici ezithile zingandisa amathuba okukhula kwama-ovarian cysts. Nanka okufanele ucabange ngakho ngaphambi kokuphetha ukuthi umuntu angaba nama-cysts:
Ubudala nezici ze-Hormonal
Iminyaka yokuzala: Abesifazane abaneminyaka yokuzala banesikhathi esiningi sokuhlukahluka kwe-hormonal phakathi nomjikelezo wokuya esikhathini.
Ngemva kwe-Menopause: Ama-cysts awavamile kodwa angadingeka ukuhlolwa ngokuphathelene nobuthi.
Umbhalo wezokwelapha
Ama-Ovarian Cysts adlule: Ukubuyela emuva kungenzeka uma umuntu eke waba nama-cysts ngaphambili.
Ukungahluzeki kwe-Hormonal: Isimo ezinjenge-Polycystic Ovary Syndrome (PCOS) zingandisa ingozi.
Izimpawu
Izimpawu ezilula: Ukukhuluphala, ubuhlungu be-pelvic, noma izikhathi ezingavamile kungabonisa i-cyst.
Izimpawu ezinzima: Ubuhlungu obukhulu, obukhulu noma ukuphuza igazi okukhulu kungabonisa izinkinga ezinjengokuqhekeka.
Isitayela sokuphila nezici ze-Genetic
I-Endometriosis: Ukukhula kwezicubu ngaphandle kwesisu kungabangela ama-ovarian cysts.
Umbhalo womndeni: Ukutheleleka kwe-genetic kungandisa ingozi.
Imithi
Imithi yokuzala: Ukwelashwa njenge-clomiphene kungabangela ukwakheka kwama-cysts.
Ubukhulu be-ovarian cysts udlala indima ebalulekile ekuqondeni izingozi zabo kanye nesidingo sokwelashwa. Ngenkathi ama-cysts amancane ngokuvamile angonakali futhi azixazulule ngokwemvelo, ama-cysts amakhulu angabangela izinkinga ezidinga ukulandelelwa eduze noma ukungenelela kwezokwelapha.
Isigaba sobukhulu |
Ubukhulu (cm) |
Ubukhulu (ama-intshi) |
Isenzo esivamile |
---|---|---|---|
Amancane kakhulu |
Kuze kube yi-1 cm |
Kuze kube yi-0.39 ama-intshi |
Qapha; ngokuvamile kuzixazulula ngaphandle kokwelashwa |
Amancane |
1–3 cm |
0.39–1.18 ama-intshi |
Ngokuvamile kulandelelwa; kungadingeka isenzo uma izimpawu zikhula |
Ephakathi |
3–5 cm |
1.18–1.97 ama-intshi |
Kungadingeka ukwelashwa ngokususelwa ezimpawu nesisindo sokukhula |
Amakhulu |
5–7 cm |
1.97–2.76 ama-intshi |
Ngokuvamile kudingeka ukungenelela kwezokwelapha ngenxa yezingozi |
Amakhulu kakhulu |
Angaphezu kwama-7 cm |
Angaphezu kwama-2.76 ama-intshi |
Ukuhlolwa okuhlinzwa kuvame ukunconywa ukuvimbela izinkinga |
Izimpawu ezinjengobhlungu be-pelvic, ukukhuluphala, noma ukungavamile kwezikhathi kudinga ukuhlolwa kwezokwelapha kungakhathaliseki ubukhulu be-cyst.
Ukuhlolwa okuvamile kwezokwelapha kubalulekile ekulandeleleni ubukhulu be-cyst kanye nesilinganiso sokukhula, kuqinisekisa ukungenelela ngesikhathi sokuvimbela izinkinga.
Ama-ovarian cysts ngokuvamile awabangeli zimpawu, kodwa izimpawu ezithile zidinga ukunakekelwa kwezokwelapha:
Ubuhlungu be-Pelvic: ubuhlungu obuhlala njalo noma obukhulu, ikakhulukazi ngakolunye uhlangothi.
Ukukhuluphala noma ukugcwaliswa: ukukhuluphala kwesisu noma ukungakhululeki okungachazeki.
Ukushintsha kwezikhathi: izikhathi ezingavamile, ukuphuza igazi okukhulu, noma ukukhishwa kwegazi.
Izinkinga zokwetshe noma zamathumbu: ubunzima bokuqeda isithombo noma amathumbu ngenxa yokucindezela yi-cyst.
Ubuhlungu obukhulu noma ukulamba: Lokhu kungabonisa ukuqhekeka noma ukuqhuma, okudinga ukunakekelwa okusheshayo.
Uma ubhekana nalezi zimpawu, xhumana nomhlinzeki wezempilo ukuze uhlolwe futhi uphathwe kahle.
Ama-Functional Cysts
Ama-follicular cysts: akha ngesikhathi sokuqhuma kweqanda futhi ngokuvamile azixazulula ngokwalo.
Ama-Corpus Luteum Cysts: Athuthukisa ngemva kokukhishwa kweqanda; angabangela ukungakhululeki okuncane kodwa ngokuvamile ayaphela ngokwemvelo.
Ama-Pathological Cysts
Ama-dermoid cysts: ahlanganisa izicubu ezinjengezinwele noma amafutha; angakhula futhi angadingeka ukususwa.
Ama-Endometriomas: Ahlotshaniswa ne-endometriosis; ngokuvamile abangela ubuhlungu be-pelvic kanye nezingozi zokungabi nambewu.
Ama-Polycystic Ovaries (PCOS)
Ama-cysts amancane amaningi ahlotshaniswa nokungahluzeki kwe-hormonal, izikhathi ezingavamile, kanye nezinselele zokuzala.
Ngenkathi ama-ovarian cysts engahlale avikelwa, izinyathelo ezithile zinganciphisa ukubonakala kwawo noma izinkinga:
Ukuhlolwa okuvamile kwezokwelapha: Ukuhlolwa okuvamile kwe-pelvic kungasiza ekutholeni ama-cysts ngokushesha nokulandelela ukukhula kwawo.
Ukuphatha kwe-Hormonal Birth Control: Ama-oral contraceptives anganciphisa amathuba okukhula kwama-functional cysts ngokulawula ukuqhuma kweqanda.
Isitayela sempilo esinempilo: Ukugcina ukudla okulinganisekile, ukuzivocavoca okuvamile, kanye nesisindo esinempilo kunganciphisa izingozi, ikakhulukazi ezimweni ezinjenge-PCOS.
Phatha izimo ezikhona: Ukwelapha ukungahluzeki kwe-hormonal noma i-endometriosis kunciphisa amathuba okwakheka kwe-cyst.
Qapha izimpawu: Bhekana nobuhlungu be-pelvic, ukukhuluphala, noma ukungavamile kwezikhathi ngokushesha ukuvimbela izinkinga ezinjengokuqhekeka noma ukuqhuma.
Ngenkathi lezi zinyathelo zingasiza, azisusi isidingo sokuhlolwa kwezokwelapha ochwepheshe, ikakhulukazi ngama-cysts aqhubekayo noma anezimpawu.
Ama-ovarian cysts ahluka ngobukhulu, amancane ngokuvamile azixazulula ngokwalo, kuyilapho ama-cysts amakhulu, ikakhulukazi alawo angaphezu kwama-7 cm, angadingeka ukungenelela okuhlinzwa ngenxa yezingozi ezinjengokuqhekeka noma ukuqhuma. Ukulandelela okuvamile kubalulekile ekutholeni noma yiziphi izinkinga ngokushesha.
Izici ezingozi ezinjengobudala, ukungahluzeki kwe-hormonal, kanye nezimo ezinjenge-PCOS noma i-endometriosis zingandisa amathuba okwakheka kwe-cyst. Izinyathelo zokuvikela ezinjengokuhlolwa okuvamile, ukuphatha kwe-hormonal birth control, nokugcina isitayela sempilo esinempilo kungasiza ekuqedeni ingozi, kodwa ukuhlolwa ochwepheshe kubalulekile, ikakhulukazi ngama-cysts aqhubekayo noma anezimpawu.
Ubukhulu obunjani be-ovarian cyst obuvamile?
I-ovarian cyst evamile ngokuvamile ingaphansi kwama-sentimitha angu-3 ubukhulu futhi ngokuvamile izixazulula ngokwalo ngaphandle kokwelashwa.
Ubukhulu obunjani be-cyst oludinga ukuhlinzwa?
Ama-cysts amakhulu kunama-sentimitha angu-7 (cishe ama-intshi angu-2.76) noma alawo abangela izinkinga ezinjengokuqhekeka noma ukuqhuma ngokuvamile adinga ukuhlolwa nokwelashwa okuhlinzwa.
Ingakhiwa yini ama-cysts ngaphandle kokuhlinzwa?
Ama-cysts ambalwa angakhiwa ngaphandle kokuhlinzwa.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.