Iyini I-Adnexal Tumors? Izimpawu, Izimbangela, & Ukwelashwa

I-adnexal tumors yizikhulu ezithuthukela ku-adnexa, okuyizakhiwo ezizungezile i-uterus yakho kufaka phakathi ama-ovari akho, ama-fallopian tubes, kanye nama-ligaments aseduze. Iningi lalezi zikhulu liyi-benign (ezingesi-cancerous), kodwa ezinye zingaba yi-malignant (i-cancerous) noma zibe nekhono lokuba yi-cancerous ngokuhamba kwesikhathi.

Lezi zikhulu zivame kakhulu, ikakhulukazi kwabesifazane abaseminyakeni yokuzala. Nakuba igama elithi "ikhulu" lingase lizwakale liyesabekayo, lisho nje ukukhula okungavamile kwezicubu. Abesifazane abaningi bahlala ne-adnexal tumors eyi-benign ngaphandle kokwazi ukuthi bayinazo, njengoba ngokuvamile zingabangeli zimpawu nhlobo.

Ziyini izimpawu ze-adnexal tumors?

I-adnexal tumors eminingi ayibangeli zimpawu ezibonakalayo, ikakhulukazi uma zincane noma ziyi-benign. Lokhu empeleni kuyinto evamile futhi akukho okufanele ukukhathazeke ngakho ekuqaleni. Noma kunjalo, njengoba izikhulu zikhula noma kuye ngendawo yazo, ungaqala ukuhlangabezana nezimpawu ezithile.

Uma izimpawu zivele, zingase zihluke kakhulu kuye ngobukhulu, uhlobo, nendawo yekhulu. Nazi izimpawu ongaziqaphela, uqale ngezivamile kakhulu:

• Ubuhlungu noma ukucindezela kwesisu esingase buze buye noma buqhubeke
• Ukukhuluphala noma ukuzizwa ugcwele esiswini sakho
• Ukushintsha kwesikhathi sakho sokuya esikhathini, kufaka phakathi izikhathi ezingavamile
• Ubuhlungu ngesikhathi socansi
• Ukuya njalo emathisini noma ubunzima bokuqeda isiphithiphithi ngokuphelele
• Ukuphefumula noma ukugabha, ikakhulukazi uma ikhulu liguquka
• I-Constipation noma ukushintsha kwezinyo

Kwezinye izimo ezingavamile, ungase uhlangabezane nezimpawu ezinzima ezingadinga ukunakekelwa okusheshayo. Lokhu kufaka phakathi ubuhlungu obukhulu besisu ngokuzumayo (okungase kubonise ikhulu eliguqukile), ukukhuluphala okusheshayo kwesisu, noma ukuphefumula nokuhlanza okuqhubekayo.

Khumbula, ukuba nalezi zimpawu akusho ukuthi ukhule i-adnexal tumor ngokuzenzakalelayo. Izimo eziningi ezahlukene zingabangela izimpawu ezifanayo, kungakho ukuhlolwa okufanele kwezokwelapha kubaluleke kakhulu.

Imiphi imikhakha ye-adnexal tumors?

I-adnexal tumors iza ngezinhlobo eziningi ezahlukene, ngayinye inezici zayo nokuziphatha. Ukuqonda lezi zinhlobo kungakusiza uqonde kangcono lokho udokotela wakho angase akuxoxe nakho.

Izinhlobo ezivame kakhulu yi-ovarian cysts, ezingama-sacs agcwele uketshezi athuthukela phezu noma ngaphakathi kwama-ovari akho. I-functional cysts yakhiwa njengengxenye yesikhathi sakho samanje sezinyanga futhi ngokuvamile iyaphela yodwa phakathi nezinyanga ezimbalwa.

Ezinye izinhlobo ezinhle zihlanganisa i-dermoid cysts (ezingaqukethe izicubu ezahlukene njengoboya noma amazinyo), i-cystadenomas (ukukhula okugcwele uketshezi), ne-endometriomas (i-cysts egcwele igazi lenyanga elivela kwi-endometriosis). Ama-fibromas ayizicubu eziqinile, ezinhle ezingathuthukela kuma-ovari.

I-Malignant adnexal tumors ihlanganisa izinhlobo ezahlukene ze-ovarian cancers, njenge-epithelial tumors (uhlobo oluvamile kakhulu), i-germ cell tumors (evame kakhulu kubesifazane abasebancane), ne-stromal tumors (ezingakhiqiza ama-hormones).

Kukhona ne-borderline tumors, eziwela phakathi kwezinhle neze-malignant. Lezi zinazo ezinye izici zomdlavuza kepha azisabali ngokukhawuleza njenge-malignant tumors yeqiniso.

Yini ebangela i-adnexal tumors?

Imbangela eqondile ye-adnexal tumors eningi ayiqondakali ngokuphelele, kepha abacwaningi baye baqaphela izici eziningana ezingase zinikezele ekukhuleni kwazo. Ukuqonda lezi zimbangela kungakusiza ukuthula ingqondo yakho, njengoba eziningi zihambelana nje nemisebenzi yemizimba evamile.

Ukuguquguquka kwama-hormones kudlala indima ebalulekile ezimweni eziningi. Isikhathi sakho samanje sezinyanga sihilela ukuguquguquka okuyinkimbinkimbi kwama-hormones okungase kube yimbangela yokwakheka kwe-cyst. Lokhu kuyinto evamile futhi kuchaza ukuthi kungani i-functional ovarian cysts ivame kakhulu kubesifazane abaseminyakeni yokuzala.

Kunezinto eziningi ezingase zibangele ukukhula komdlavuza:

• Ukushintsha kwe-genetic okuvela ngokwemvelo ngokuhamba kwesikhathi
• Umlando womndeni wokudlavuza kwebele noma wokudlavuza kwama-ovary
• I-Endometriosis, lapho ithusi lombeletho likhula ngaphandle kombeletho
• Ukutheleleka kwangaphambili kwesisu noma izimo zokuvuvukala
• Ubudala, njengoba ezinye izinhlobo ziyanda ngemuva kokuphela kwesikhathi sokuba nenyanga
• Ezinye izimo ze-genetic ezifana nokulimala kwe-BRCA1 noma i-BRCA2

Kwezinye izimo ezingavamile, ukubhekana nezinto ezingaphandle noma ukwelashwa kwangaphambili komdlavuza kungase kukhulise ingozi. Kodwa-ke, kubalulekile ukuqonda ukuthi ukuba nezinto ezingozi akusho ukuthi uzokhula ngokuqinisekile imidlavuza.

Kwabesifazane abaningi, imidlavuza ye-adnexal ikhula ngaphandle kwesizathu esicacile noma isici esingozini. Lokhu kungase kubonakale kuyadumaza, kodwa empeleni kuyinto evamile kwimithi futhi akubonisi lutho oluwenzile noma awenzanga.

Nini kufanele ubheke udokotela ngemidlavuza ye-adnexal?

Kufanele uxhumane nodokotela wakho uma uhlushwa ubuhlungu obuhlala isikhathi eside esiswini, ikakhulu uma buya bukhulu ngokuhamba kwesikhathi. Nakuba ubuhlungu obuncane besikhashana esiswini bungase bube yinto evamile, ubuhlungu obuqhubekayo obuphazamisa imisebenzi yakho yansuku zonke buyafuna ukunakekelwa kwezokwelapha.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uqaphela ukushintsha okukhulu kwesikhathi sakho senyanga, ukukhuluphala okuhlala isikhathi eside okungaphuli ngokushintsha ukudla, noma ubuhlungu ngesikhathi socansi. Lezi zimpawu, nakuba kungekhona njalo ezingathi sína, zidinga ukuhlolwa okuhle.

Udinga ukunakekelwa kwezokwelapha ngokushesha uma uhlushwa ubuhlungu obukhulu besikhathi esifushane esiswini, ikakhulu uma buhambisana nokuhlanza, ukugabha, noma ukufiphaza. Lokhu kungase kubonise i-ovarian cyst eguqukile (i-ovarian torsion), edinga ukwelashwa okusheshayo.

Ezinye izimpawu ezifanele ukunakekelwa ngokushesha zihlanganisa ukukhuluphala okusheshayo kwesisu, ubunzima bokuqeda umoya ngenxa yokucindezela kwesisu, noma ukugabha okuhlala isikhathi eside okwenza ungakwazi ukugcina ukudla noma amanzi. Lezi zimo, nakuba zingavamile, zidinga ukuhlolwa kwezokwelapha ngokushesha.

Ungangabazi ukuthintana nodokotela wakho ngisho noma izimpawu zakho zibonakala zingenazinkinga kodwa zikukhathaza. Ukutholakala kwangaphambi kwesikhathi nokuphathwa kwanoma yisiphi isimo se-gynecological kuvame ukubangela imiphumela emihle kakhulu nokuthula kwengqondo.

Iyini imithombo yezingozi zezinhlobo zezifo ze-adnexal?

Izinto eziningi zingandisa amathuba akho okukhula kwezinhlobo zezifo ze-adnexal, yize ukuba nalezi zinto ezingozi akusho ukuthi uzokhula. Ukuqonda lezi zinto ezingozi kungakusiza wena nodokotela wakho ukuba nizenze izinqumo ezinolwazi mayelana nokuhlola nokuvimbela.

Ubudala buwumsebenzi obalulekile ekuqondeni ingozi yakho. Ama-cyst e-ovarian asebenza kahle avame kakhulu phakathi neminyaka yakho yokuzala, kuyilapho ingozi yezinhlobo zezifo ezimbi ivame ukwanda ngemuva kwe-menopause, ikakhulukazi ngemuva kweminyaka engama-50.

Imithombo yezingozi evamile ihlanganisa:

• Umlando womndeni wansulelelo lomdlavuza we-ovarian, ubele, noma i-colorectal
• Umlando siqu womdlavuza webele noma i-endometrial
• Ukuba awukaze ukhule noma ukukhulela kwakho kokuqala kwaba ngemuva kweminyaka engama-35
• Ukuqala kwangaphambi kwesikhathi kwesikhathi somjikelezo noma i-menopause elide
• Ukusetshenziswa kokwelashwa kokuzala noma i-hormone replacement therapy
• I-Endometriosis noma i-polycystic ovary syndrome (PCOS)
• Ukuguqulwa kwe-genetic njenge-BRCA1, BRCA2, noma i-Lynch syndrome

Izinto ezithile zokuphila zingase futhi zithinte ingozi, yize ubufakazi buhlukahlukene. Lokhu kuhlanganisa ukukhuluphala, ukubhema, nezinto zokudla, yize indima yabo eqondile ekukhuleni kwezinhlobo zezifo ze-adnexal ingacaci ngokuphelele.

Kubalulekile ukuphawula ukuthi ezinye izinto ezazikholelwa ukuthi zikhuphula ingozi, njengokusetshenziswa kwe-talcum powder, ziye zahlolwa kabusha ngemiphumela ehlukahlukene. Ubuhlobo phakathi kwezinto ezahlukene zemvelo nokukhula kwezinhlobo zezifo kuqhubeka nokufundwa.

Ziyini izinhlanganisela ezingase zenzeke zezinhlobo zezifo ze-adnexal?

Ama-tumour amaningi e-adnexal, ikakhulukazi alawo angali mali, awabangeli izinhlungu ezinzima futhi angaphathwa kahle ngokunakekelwa komtholampilo okufanele. Noma kunjalo, ukuqonda izinkinga ezingase zenzeke kungakusiza ukuthi uqaphele ukuthi nini kufanele ufuna ukunakekelwa komtholampilo ngokushesha.

Inkinga evame kakhulu iwukuguquguquka kwe-ovary, lapho i-tumour ienza khona i-ovary iziqansa. Lokhu kuqeda ukunikezwa kwegazi kwi-ovary futhi kubangela ubuhlungu obukhulu, obukhulu obudinga ukuhlinzwa okusheshayo ukuvimbela ukulimala okungapheli kwe-ovary.

Ezinye izinkinga ezingase zenzeke zihlanganisa:

• Ukuqhekeka kwe-cyst, okungabangela ubuhlungu obukhulu nokuphuza igazi yangaphakathi
• Ukutheleleka, ikakhulukazi uma i-cyst ikhula noma iqhekeka
• Ukungcindezelwa kwamalungu aseduze, okubangela izinkinga zokwetshezi noma zamathumbu
• Izinkinga zokuzala uma ama-tumour amakhulu ethonya umsebenzi we-ovary
• Ukuguqulwa okuyingozi kwama-tumour athile angaphandle
• Ukungahlangani kahle kwamahomoni okuvela kuma-tumour akhiqiza amahomoni

Ezimweni ezingavamile, ama-tumour amakhulu angali mali angabangela ukukhula okukhulu kwesisu nobunzima bokuqeda umoya ngenxa yokucindezela kwi-diaphragm. Ama-tumour amakhulu kakhulu angase futhi abangele ama-blood clots ezinyaweni ngenxa yokucindezela emithanjeni yegazi.

Izindaba ezinhle ukuthi izinhlungu eziningi zingavikeleka ngokubeka iliso njalo nokuphathwa okufanele. Udokotela wakho uzosebenza nawe ukuze unqume indlela engcono kakhulu ngokususelwa esimweni sakho esithile nezimpawu ze-tumour yakho.

Kungenzeka kanjani ukuvimbela ama-tumour e-adnexal?

Nakuba ungakwazi ukuvimbela ngokuphelele zonke izinhlobo zama-tumour e-adnexal, izinqumo zokuphila nezindlela zokwelapha zingasiza ekuthuthukiseni ingozi yakho. Kubalulekile ukuqonda ukuthi ama-tumour amaningi athuthukiswa yizinto ongenakho ukulawula, ngakho ukuvimbela akuhlale kungenzeki.

Ukusebenzisa izithasiselo zomlomo iminyaka eminingi kunganciphisa ingozi yakho yokuthola umdlavuza we-ovari, nakuba le nzuzo kufanele iqhathaniswe nezingozi ezingaba khona ze-contraception ye-hormonal. Ukukhulelwa nokubhebhetheka kubonakala futhi kunomphumela wokukhuselwa ezinye izinhlobo ze-tumors ze-ovari.

Izindlela eziningi zingasiza ekuqedeni ingozi yakho:

• Ukugcina isisindo esinempilo ngokudla okulinganisekile nokuzivocavoca njalo
• Ukungabhemi noma ukuyeka uma ubhema njengamanje
• Ukulinganisela ukusetshenziswa kotshwala
• Ukuphatha ukucindezeleka ngezindlela zokubhekana nezimo ezinempilo
• Ukuthola ukuhlolwa okujwayelekile kwe-gynecological nokukhethwa
• Ukuxoxa ngomlando womndeni nodokotela wakho ukuze uthole ukulinganisa kwengozi oluqondene nomuntu siqu

Kubantu besifazane abanomlando womndeni onamandla womdlavuza we-ovari noma webele, ukwelulekwa kwe-genetic nokuhlolwa kungase kunconywe. Emacaleni ambalwa anezingozi eziphezulu kakhulu ze-genetic, ukuhlinzwa kokuvimbela ukuze kususwe ama-ovari nama-fallopian tubes kungase kuxoxwe.

Khumbula ukuthi lezi zindlela zokuvimbela zigxile ikakhulukazi ekuqedeni ingozi yomdlavuza. Izinhlobo eziningi ze-tumors ze-adnexal ezilungile, ikakhulukazi ama-cysts asebenza kahle, ingxenye yomsebenzi ojwayelekile we-ovari futhi azivimbeki ngempela.

I-adnexal tumors ihlonishwa kanjani?

Ukuxilongwa kwe-adnexal tumors kuvame ukuqala ngengxoxo ephelele mayelana nezimpawu zakho nomlando wakho wezokwelapha, okulandelelwa yi-physical examination. Udokotela wakho cishe uzoqhuba i-pelvic exam ukuze ahlole noma yimaphi ama-masses noma izindawo ezibuhlungu.

Ivivinyo eliqhelekile nelisebenzayo lokuqala yi-transvaginal ultrasound, enikeza izithombe eziningiliziwe zama-ovari akho nezindawo eziqondene nazo. Leli vivinyo alibuhlungu futhi lingasiza ekuqondeni usayizi, indawo, kanye nezici zanoma yiziphi i-tumors.

Izivivinyo ezengeziwe zokuxilonga zingafaka:

• Izivivinyo zegazi ukuhlola ama-tumor markers afana ne-CA-125, nakuba lokhu kungelona uvivinyo oluqinisekisayo ngokwalo
• I-CT noma i-MRI scans ukuthola izithombe ezinemininingwane uma kudingeka
• I-Doppler ultrasound ukuhlola ukugeleza kwegazi kuya e-tumor
• Uvivinyo lokukhulelwa ukuqeda ukukhulelwa okungaphandle kwesisu
• Ukubalwa okuphelele kwegazi ukuhlola izimpawu zokutheleleka noma i-anemia

Kwezinye izimo, udokotela wakho angakuncoma ukulandelela i-tumor nge-ultrasounds eziphindaphindwayo ngokuhamba kwesikhathi, ikakhulukazi uma ibonakala iyinhle futhi ayibangeli izimpawu. Le ndlela, ebizwa ngokuthi "ukulinda ngokuqapha," ivame ukufaneleka kuma-cysts amancane, alula.

Uma kukhona ukukhathazeka ngokuba yi-malignant, noma uma i-tumor inkulu noma ibangela izimpawu, udokotela wakho angakudlulisa kudokotela we-oncology we-gynecological ukuze enze ukuhlolwa okukhethekile kanye nokwenzeka kokuqoqa amasampula e-tissue ngokusebenza.

Iyini impilo ye-adnexal tumors?

Ukuphathwa kwe-adnexal tumors kuyahluka kakhulu kuye ngohlobo, usayizi, kanye nezici ze-tumor, kanye nobudala bakho, izimpawu, nesifiso sakho sokuzala kwesikhathi esizayo. Ama-tumors amaningi amancane, angalimi, awadingi ukwelashwa nhlobo, nje ukulandelela okuvamile.

Ngokuphathelene ne-functional ovarian cysts, udokotela wakho angakuncoma nje ukulinda ukubona uma ziyaphela zodwa, okuvamile okuyenzeka phakathi kwezinkathi ezimbalwa zokuba nesikhathi. Izithasiselo ze-hormonal zivame ukubhalwa ukuvimbela ama-cysts amasha ukuba angabunjwa.

Izinketho zokwelapha zingafaka:

• Ukulinda ngokuqapha ngokulandelela okuvamile kwe-ultrasound
• Ukwelashwa kwe-hormonal ukucima i-ovulation nokuvimbela ukwakheka kwama-cyst amasha
• Ukuhlinzwa okungenayo inkinga (laparoscopy) ukususa ama-cysts ngenkathi kulondolozwa i-ovary
• Ukuhlinzwa okuvulekile kwama-tumors amakhulu noma anzima kakhulu
• Ukususwa okuphelele kwe-ovary ethintekile uma kudingeka
• I-Chemotherapy yama-tumors amabi
• Ukwelashwa okuqondiswe ngqo ngezinhlobo ezithile zomdlavuza

Kubantu besifazane abangakafinyeleli ekuqedeni kwesikhathi sabo sokubeletha futhi bafuna ukulondoloza ikhono lokukhulelwa, ochwepheshe bezokwelapha bayozikhandla ukuze basuse kuphela isibopho, bashiye inyama yeqanda enempilo ingathintiwe. Le ndlela, ebizwa ngokuthi ukulondolozwa kweqanda, ivame ukwenzeka ezibophweni ezingabi yingozi.

Isinqumo mayelana nesikhathi sokwelashwa siyabaluleka. Ukuhlinzwa okuphaphandene kuyadingeka ezinkingeni ezinjengokuphefumula kweqanda, kanti ezinye izimo zivumela isikhathi sokulungiselela ngokucophelela nokufuna imibono yesibili.

Indlela yokuphatha izimpawu ekhaya ngesikhathi sezibopho ze-adnexal?

Nakuba ukwelashwa kwezokwelapha kuvame ukudingeka ezibophweni ze-adnexal, kunezinto eziningi ongenza ekhaya ukuze usize ukuphatha izimpawu nokuthuthukisa izinga lakho lokududuzeka. Lezi zindlela zisebenza kangcono njengezindlela ezihambisana nokuphathwa okuhle kwezokwelapha.

Ukuze ube nobuhlungu obukhulu besisu, imithi yokunciphisa ubuhlungu ongayithenga ngaphandle kokubonisana nodokotela njenge-ibuprofen noma i-acetaminophen ingakunika impumuzo. Ukufudumala, njengokugeza okufudumele noma i-heating pad esiswini sakho esisezansi, kungasiza futhi ukunciphisa ubuhlungu.

Nawa amasu awusizo wokuphatha ekhaya:

• Ukuzivocavoca okulula njengokuhamba noma i-yoga ukunciphisa ukukhuluphala nokuthuthukisa ukujikeleza kwegazi
• Ukudla ukudla okuncane, okuvamile ukunciphisa ukucindezela esiswini
• Ukuhlala unamanzi amaningi ukuze usekele impilo yakho yonke
• Ukugqoka izingubo eziqondile, ezihlala kahle ukuze ugweme ukucindezela okwengeziwe esiswini
• Ukuqeqesha amasu okuqeda ukucindezeleka njengokuphefumula okujulile noma ukucamngca
• Ukuthola ukulala okwanele ukuze usekele izinqubo zokwelapha zomzimba wakho
• Ukugwema ukuphakamisa izinto ezisindayo noma imisebenzi enzima engase ibe yimbangela yokuqina kobhlungu

Gcina idayari yezimpawu ukuze uqaphele ukuthi ubuhlungu noma ukungakhululeki kuvela nini, yini eyenza kube ngcono noma kubi, nokuthi kuthinta kanjani imisebenzi yakho yansuku zonke. Lolu lwazi lungaba usizo kakhulu kunikezi wezokwelapha.

Kodwa-ke, khumbula ukuthi izindlela zokwelapha zasekhaya akufanele zikaze zithathe indawo yokunakekelwa kwezokwelapha kwabasebenzi bezobuchwepheshe. Xhumana nodokotela wakho ngokushesha uma ubhekana nobuhlungu obukhulu, ubushushu bomzimba, ukugabha okuqhubekayo, noma yiziphi ezinye izimpawu ezikhathazayo.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela kahle i-aphoyintimenti yakho nodokotela kungakusiza uqinisekise ukuthi uthola ukuxilongwa okuchane kakhulu nelenani lokwelapha elifanele. Qala ngokubhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini eyenza zibe ngcono noma zimbi.

Letha uhlu oluphelele lazo zonke izidakamizwa ozithatha njengamanje, kufaka phakathi izidakamizwa ezingaphezu kokuthengiswa ngaphandle kwelayisensi, izongezelelo, nezindlela zokwelapha ngezitshalo. Phawula futhi noma yiziphi izifo zokuzalela noma izimpendulo ezimbi obuke waba nazo ezidakamizweni esikhathini esidlule.

Ulwazi olubalulekile oludingayo ukulungiselela luhlanganisa:

• Umbhalo wezinyanga, kufaka phakathi ubude besikhathi somjikelezo nanoma yiziphi izinguquko zakamuva
• Uhlu lokubeletha kwangaphambili, ukulahlekelwa izingane, noma ukwelashwa kokuzala
• Umbukiso womndeni we-ovarian, ukoma, noma eminye imikhuhlane
• Izindlela zokwelapha ze-gynecological noma ukuhlinzwa kwangaphambili
• Ukusetshenziswa kwamanje nakwangaphambili kwe-contraceptives ye-hormonal noma ukwelashwa kwe-hormone
• Noma yiziphi izivivinyo ze-Pap ezingajwayelekile noma izinkinga ze-gynecological ezidlule

Bhala imibuzo yakho kusengaphambili ukuze ungakhohlwa ukuyibuza ngesikhathi se-aphoyintimenti. Cabanga ukuthi ulethe umngane othembekile noma ilungu lomndeni ukuze likusekele, ikakhulukazi uma uzizwa ukhathazekile ngokuvakashela.

Ungajabuli ukuxoxa ngemininingwane eyimfihlo mayelana nezimpawu zakho noma ukukhathazeka kwakho. Udokotela wakho udinga ulwazi oluphelele neliqinisile ukuze anikeze ukunakekelwa okuhle kakhulu okungenzeka, futhi uqeqeshwe ukusingatha lezi zingxoxo ngokuchwephesha nangomusa.

Iyini into ebalulekile mayelana ne-tumors ze-adnexal?

Okubaluleke kakhulu ukuqonda ngezinhlungu ze-adnexal ukuthi iningi lazo liyimibhobho futhi liyaphiliswa kalula. Nakuba ukwamukela leli bika kungase kuzwakale kukhulu, abesifazane abaningi abanezinhlungu ze-adnexal bayaqhubeka bephila impilo evamile, enempilo.

Ukutholakala kwasekuqaleni nokukhathalelwa komtholampilo okuqondile kuyizimbangi zakho ezinhle kakhulu ekuqondeni noma iyiphi inhlobo ye-adnexal tumor. Ukuhlolwa okuvamile kwe-gynecological kungasiza ekutholeni izinhlamvu ngaphambi kokuba zibangele izimpawu noma izinkinga, okuholela ekwelapheni okulula kakhulu nemiphumela emihle.

Khumbula ukuthi ukuba ne-adnexal tumor akuchazi impilo yakho noma ikusasa lakho. Ngokunakekelwa komtholampilo okufanele, izinhlamvu eziningi zingaphathwa kahle noma ziqediwe ngokuphelele, zikuvumela ukuba ubuyele emisebenzini yakho evamile nemigomo yokuphila.

Themba iqembu lakho lokukhathalela impilo futhi ungangabazi ukubuza imibuzo noma ufune imibono yesibili uma kudingeka. Wena ungummeli wakho omkhulu kunabo bonke, futhi ukuhlala unolwazi futhi uhileleke ekunakekelweni kwakho kuzosiza ekuqinisekiseni umphumela omuhle kakhulu.

Imibuzo evamile ebuzwa ngezinhlungu ze-adnexal

Ingabe izinhlamvu ze-adnexal zingathinta ikhono lami lokuthola umbeletho?

Izinhlamvu eziningi ze-adnexal azithinti kakhulu ukukhulelwa, ikakhulu uma zincane futhi zilungile. Noma kunjalo, izinhlamvu ezinkulu noma lezo ezidinga ukususwa kwezicubu ze-ovarian zingathinta amandla akho okuthola umbeletho. Uma uhlela ukuthola umbeletho, xoxa ngale nkinga nodokotela wakho ekuqaleni kokuhlela kwakho ukwelashwa. Izindlela eziningi zokuthola umbeletho ezilondoloza ukukhulelwa ziyatholakala, futhi ngisho nabesifazane abalahlekelwe yi-ovary baningana bangakwazi ukuthola umbeletho ngokwemvelo nge-ovary esele.

Ingabe ngizodinga ukuhlinzwa uma ngine-adnexal tumor?

Akumele kube njalo. Izinhlungwane eziningi ezincane, ezingalimi, zingaphathwa ngokulandelela ngokucophelela nge-ultrasounds ejwayelekile. Ukuhlinzwa kuvame ukunconywa uma izinhlungwane zikhulu, zibangela izimpawu, zibonakala zilimele ikanseri, noma zibangela izinkinga ezinjengokugoqa kwe-ovarian. Udokotela wakho uzocubungula izinto ezinjengobudala bakho, izimpawu, kanye nezici zezinhlungwane uma enza izincomo zokwelashwa. Uma kukhona isidingo sokuhlinzwa, izindlela ezincane zokuhlinzwa zivame ukwenzeka.

Kufanele ngibe nemihlangano yokulandelela kangakanani ngemuva kokuxilongwa?

Ukuqina kokulandelela kuncike esimweni sakho esithile ncebeni yokwelapha. Ngoba izinhlungwane ezilandelelwa ngaphandle kokwelashwa, ungadinga i-ultrasounds njalo ngeminyaka embalwa ekuqaleni, bese kuba kancane uma ihlungwane lihlala lizinzile. Ngemuva kokususa ngokuhlinzwa, imihlangano yokulandelela ingahlelwa njalo ngeminyaka embalwa unyaka wokuqala, bese kuba minyaka yonke. Udokotela wakho uzokwakha uhlelo lokulandelela oluqondene nezidingo zakho zomuntu siqu nezici zengozi.

Ingabe izinhlungwane ze-adnexal ziyefa?

Nakuba izinhlungwane eziningi ze-adnexal zenzeka ngokungahleliwe, ezinye izinhlobo zinezinto zokufaka. Abafazi abane-mutations ye-gene ye-BRCA1 noma ye-BRCA2 banengozi enkulu yokuthuthukisa ikanseri ye-ovarian. I-Lynch syndrome iphinde yandisa ingozi yekanseri ye-ovarian. Noma kunjalo, iningi lwabafazi abanezinhlungwane ze-adnexal abanasikhathi somlando womndeni wezimo ezifanayo. Uma unomlando womndeni onamandla wekansa ye-ovarian noma yebhubu, ukwelulekwa kwe-genetic kungase kunconywe ukuhlola ingozi yakho.

Ingabe izinhlungwane ze-adnexal zingabuya ngemuva kokwelashwa?

Amathuba okuphinda kuvele kuxhomeke uhlobo lomdlavuza kanye nokwelashwa okwamukelekile. Ama-cyst asebenzayo avame ukuqeda ngokuphelele futhi angase angaphindi avele, nakuba amanye amasha angase aqale njengengxenye yemisebenzi evamile yama-ovari. Iziphumo ezinhle ezikhishwe ngokuphelele ngokuhlinzwa azivame ukuphinda zivela. Iziphumo ezimbi zinamazinga ahlukahlukene okubuyela, kuye ngohlobo oluthile nesigaba. Udokotela wakho uzoxoxa nawe ngengozi yakho yokuphinda kuvele kanye nokukhathalelwa okulandelayo okufanele, kuye ngokuxilongwa kwakho kanye nokwelashwa.