Mhlawumbi ugqirha wakho ukuxelele ukuba kufuneka ususwe ama-ovari akho. Okanye mhlawumbi umntu omaziyo uye wenza olu tyando. Kuqhelekile ukuba uzive usoyika kwaye unomdla xa usiva igama. Namhlanje, siza kuthetha ngokuba yintoni i-'oophorectomy', kutheni yenziwa, kunye nokuba kwenzeka ntoni emva koko ngendlela elula kakhulu neqondakalayo.
Ngamafutshane, yintoni i-oophorectomy?
Utyando lokususa i-oophorectomy lutyando lokususa i-ovaries enye okanye zombini. Ubusazi ukuba umfazi unama-ovaries amabini, akwicala ngalinye le-pelvis yakhe? La ngamadlala amabini abaluleke kakhulu kwinkqubo yethu yokuzala emzimbeni.
Ezi ovaries zivelisa iihomoni ezilawula umjikelo wakho wokuya exesheni . Ezi hormoni zikwanceda ekugcineni amathambo akho omelele kwaye intliziyo yakho isempilweni . Ukongeza, amaqanda (ii-ova) afunekayo ekukhulelweni agcinwa kwaye avuthwe kwezi ovaries.
Ngoko ke, oogqirha bacebisa olu tyando lokususa ama-ovari njengonyango lwesifo esithile okanye ukunciphisa umngcipheko wokufumana iintlobo ezithile zomhlaza.
Ngaba kukho iintlobo ezahlukeneyo zolu tyando?
Ewe, kukho iindlela ezahlukeneyo kunye neentlobo zolu tyando. Emva kokujonga imeko yakho kunye nembali yezonyango, ugqirha wakho uya kugqiba ukuba loluphi uhlobo olulungele wena. Masibone ukuba zeziphi.
| Uhlobo lotyando | Ngamafutshane, wenza ntoni? |
|---|---|
| Utyando lwe-oophorectomy olusecaleni elinye | Ukususa i-ovary enye kuphela (kwicala elinye). |
| Utyando lwe-oophorectomy olusecaleni elibini | Ukususwa kwama-ovari omabini (macala omabini). |
| Utyando lwe-Salpingo-oophorectomy | Ukususwa kwe-ovary enye kunye ne-fallopian tube ehambelana nayo (i-tube ethwala amaqanda ukuya kwisibeleko). |
| Utyando lwe-salpingo-oophorectomy olusecaleni elibini | Ukususwa kwama-ovari kunye nemibhobho ye-fallopian yomibini. |
| Ukususwa kwesisu nge-salpingo-oophorectomy | Ukususwa kwetyhubhu enye yesibeleko kunye netyhubhu ye-fallopian ngaxeshanye nokususwa kwesibeleko. |
| Ukususwa kwesibeleko ngokupheleleyo kunye nokususwa kwesibeleko ngababini | Ukususwa ngokupheleleyo kwesibeleko, umlomo wesibeleko, zombini ii-ovari, kunye nemibhobho ye-fallopian. |
Olu tyando ludla ngokwenziwa yi-Obstetrician-Gynecologist. Uninzi lwexesha, uphantsi kwe-anesthesia jikelele (ungazi nto konke konke) ngoko awuva nto.
Kutheni kufuneka senze olu tyando?
Kukho izizathu ezahlukeneyo zokuba ugqirha angacebisa olu tyando. Nazi ezinye zezizathu eziphambili:
- I-Endometriosis: Le yimeko apho iiseli ezifanele ukuba ngaphakathi kwesibeleko zikhula ngaphandle (ezifana namaqanda okanye iityhubhu ze-fallopian). Oku kunokubangela iintlungu eziqatha.
- Ii-Benign Cysts: Ezi zii -cysts ezikhula kwii-ovari, ezingenazo iiseli zomhlaza, kwaye zinokuzaliswa lulwelo. Ezi zinokufuna ukususwa ukuba ziba nkulu okanye zibe buhlungu.
- Ukunciphisa umngcipheko womhlaza: Ukuba kukho umntu kusapho okhe waba nomhlaza webele okanye wesibeleko, okanye ukuba kukho izinto ezinobungozi ezifana nokuguquka kwezakhi zofuzo ze-BRCA , olu tyando lwenziwa njengesilumkiso ngaphambi kokuba umhlaza uvele.
- Umhlaza we-Ovarian: Ukuba kukho umhlaza kwii-ovaries, ziyasuswa njengonyango.
- I-Ovarian Torsion: Yimeko ebuhlungu kakhulu eyenzeka xa i-ovary ijikeleza imithambo yegazi eyinika yona.
- Izifo: Izifo ezinzulu ze-ovari okanye indawo engqongileyo (Isifo sokudumba kwePelvic - PID).
Oku kubachaphazela njani abo bakhathalela abantwana?
Le yingxaki ebaluleke kakhulu neyinobuzaza. Ukuba zombini ii-ovari kunye neetyhubhu ze-fallopian zisusiwe, uya kulahlekelwa ngamandla okukhulelwa ngokwendalo.
Nangona kunjalo, ukuba isibeleko sakho asikasuswa, i-IVF (in vitro fertilization)Kunokwenzeka ukugcina ukukhulelwa (ukukhulelwa umntwana) ngeendlela ezifana ne-IVF. Ukuba usenethemba lokuba nabantwana, kubalulekile ukuthetha ngokukhululekileyo ngale nto nogqirha wakho ngaphambi kolu tyando. Usenokuchaza neendlela ezinje ngokususa nokuqandisa amaqanda akho.
Yintoni esifanele siyilungiselele ngaphambi kotyando?
Ugqirha wakho uza kukuchazela zonke iinkcukacha zotyando. Uza kunikwa imiyalelo yoko umele ukwenze ngaphambi nasemva kotyando. Uza kumamela nayiphi na imibuzo onokuba nayo malunga neengozi zotyando, ixesha lokuchacha, kunye nenkqubo. Ngaphambi kotyando, ugqirha wakho unokuyalela iimvavanyo ezithile, ezifana nezi:
- Uvavanyo lomzimba
- Uvavanyo lwegazi
- Uvavanyo lomchamo
- Iskeni ye-ultrasound
- Iskeni ye-MRI
Lwenziwa njani olu tyando?
Kukho iindlela ezintathu eziphambili zokususa ama-ovari. Indlela nganye ineengozi zayo kunye nexesha lokuchacha.
| Indlela | Inkcazo |
|---|---|
| Utyando lwe-Keyhole (indlela ye-Laparoscopic) | Oku kuquka ukwenza imingxunya embalwa kakhulu esiswini, ukufaka ikhamera kwenye yazo, nokufaka izixhobo kwezinye imingxunya ukuze kususwe isibeleko. Oku kunomngcipheko omncinci wokosuleleka kwaye kuphola ngokukhawuleza. |
| Ngesitho sangasese sowesifazane (indlela yokungena kwisitho sangasese sowesifazane) | Le ikwayindlela enobungozi obuphantsi, ephilisa ngokukhawuleza. Ngokwesiqhelo, ama-ovari asuswa ngexesha elinye njengoko isibeleko sikhutshwa ngelungu lobufazi. |
| I-Laparotomy (utyando oluvulekileyo) | Kwezinye iimeko, ugqirha unokugqiba kwelokuba kufuneka utyando olukhulu ukuze kugqitywe utyando. Oku kubizwa ngokuba yi-laparotomy. Le ndlela ithatha ixesha elide ukuphola, kwaye umngcipheko weengxaki uphezulu kancinci kunezinye iindlela. |
Ukuba wenze utyando lwe-keyhole okanye lwe-vaginal, unokukwazi ukuya ekhaya ngokuhlwa, okanye kusenokufuneka uhlale esibhedlele ubusuku bonke. Nangona kunjalo, ukuba wenze utyando lwe-laparoscopic, kusenokufuneka uhlale esibhedlele kangangeentsuku ezintathu.
Kwenzeka ntoni emzimbeni emva kotyando?
Umzimba wakho uza kutshintsha ngokuxhomekeke kuhlobo lotyando olwenzayo. Eyona nto ibalulekileyo kukuba ukuba awukafiki kwixesha lokuyeka ukuya exesheni kwaye zombini ii-ovari zakho zisusiwe, uza kungena kwixesha lokuyeka ukuya exesheni ngoko nangoko. Olu lutshintsho olukhulu. Ngoko ke kubaluleke kakhulu ukuthetha nogqirha wakho malunga nendlela oza kujongana ngayo nolu tshintsho lweehomoni ngaphambi kotyando.
Ngaba ukuya exesheni kuya kuqhubeka?
Kukwaxhomekeke kuhlobo lotyando olwenzileyo. Ukuba i-ovaries yakho isusiwe enye kuphela kwaye enye isebenza kakuhle, uya kuqhubeka nokuya exesheni.
Ngaba ama-ovari angaphinda akhule kwakhona?
Hayi. Amaqanda asuswe ngotyando awayi kuphinda akhule.
Zithini iingozi zotyando?
Njengalo naluphi na utyando, kukho iingozi ezithile ezibandakanyekileyo, kodwa amathuba okuba oku kwenzeke aphantsi.
- Usulelo.
- Ukonakala kwamalungu angqongileyo afana nesinyi okanye amathumbu ngexesha lotyando.
- Ukopha igazi ngaphezu kokuba bekulindelwe.
- Ukuba nempendulo engalunganga kwi-anesthesia.
- Uva iintlungu eziqatha nasemva kotyando.
- Amahlwili egazi.
- Xa ithumba elinomhlaza lisusiwe, kukho umngcipheko omncinci wokuba liza kuqhuma lize lisasaze iiseli zomhlaza.
- Ukulahlekelwa yikhono lokuba nabantwana.
Linjani ixesha lokuchacha? Yintoni esifanele siyilandele?
Ukuchacha kuyahluka kumntu nomntu. Ngokwesiqhelo kuya kufuneka uthathe ikhefu kwimisebenzi yakho yesiqhelo ubuncinane iiveki ezimbini. Ukuba unesisu esibuhlungu, kungathatha ukuya kuthi ga kwiiveki ezintandathu ukuze uphile ngokupheleleyo. Kubalulekile ukulandela la manyathelo ngeli xesha:
- Musa ukuzilolonga (ukuhamba kakuhle).
- Musa ukuphakamisa naziphi na izinto ezisindayo.
- Kuphephe ukulala nomntu.
- Sebenzisa ii-sanitary pads kuphela xa usexesheni (akukho tampon).
- Musa ukuhlamba ngamanzi (hlamba kuphela).
- Gcina inxeba lotyando licocekile kwaye lomile.
- Sela amayeza okudambisa iintlungu kunye namayeza okubulala iintsholongwane achazwe ngugqirha wakho kanye njengoko exelelwe.
- Cela uncedo kusapho nakubahlobo ngeli xesha.
- Ukuba usela amayeza okudambisa iintlungu, musa ukuqhuba imoto kuba anokubangela ukozela.
Ngaba utyando lubangela ukuba ukuyeka ukuya exesheni kwenzeke ngokukhawuleza?
Ewe. Amaqanda avelisa iihomoni i-estrogen kunye ne-progesterone, ezilawula umjikelo wokuya exesheni. Ukuba omabini la maqanda asusiwe, ukuveliswa kwala maqanda kuyayeka kwaye ngoko nangoko ungena kwixesha lokuya exesheni. Kubalulekile ukukwazi oku ngaphambi kotyando.
Iimpawu ezinjalo zinokwenzeka xa umntu eyeka ukuya exesheni:
- Ubushushu obugqithisileyo.
- Ukubila kakhulu ebusuku (ukubila ebusuku).
- Ukoma kwesisu.
- Ukuncitshiswa kwamathambo kunye nomngcipheko wokuqhekeka kwamathambo kwangethuba (i-Osteoporosis).
Ngokuxhomekeke kwisizathu sokususwa kwamaqanda akho, ugqirha wakho unokugqiba ekubeni akunike unyango lokutshintshwa kwamahomoni ukulawula ezi mpawu.
Ziziphi iimpawu ezifuna ukuba ubone ugqirha kwangoko emva kotyando?
Xa ufika ekhaya emva kotyando, lumka ezi mpawu. Ukuba unayo nayiphi na yazo, yazisa ugqirha wakho ngoko nangoko.
- Ukudumba okanye ukuba bomvu kwenxeba elisikiweyo ngotyando.
- Ulwelo olumanzi okanye ubomvu obuphuma kwinxeba.
- Intlungu kwindawo yesinqe.
- Ukudumba okanye intlungu emilenzeni (oku kungaba luphawu lokuqhekeka kwegazi).
- Isicaphucaphu kunye/okanye ukuhlanza.
- Umkhuhlane okanye ukubanda.
- Ukuziva intlungu xa uchama.
- Ukuphuma kwamanzi kwilungu lobufazi elinevumba elibi okanye elirhawuzelelayo.
Ukuba unayo nayiphi na kwezi mpawu, musa ukuzityeshela. Thetha nogqirha wakho ngokukhawuleza.
Ngaba i-Hysterectomy kunye ne-Oophorectomy zizinto ezimbini ezahlukeneyo?
Ewe, le yinto edida abantu abaninzi.
- I-Hysterectomy lutyando lokususa isibeleko.
- I-Oophorectomy lutyando lokususa i-ovaries enye okanye zombini.
Nangona kunjalo, ngamanye amaxesha zombini ezi ndlela zotyando zenziwa kunye.
Kuqhelekile ukuba uzive usoyika xa usiva ngokunqunyulwa kwesibeleko. Ingakumbi ukuba ucinga ngokuba nabantwana, okanye ukuba ukhathazekile malunga nokuya exesheni kwangethuba okanye umhlaza. Thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onazo. Banokukunceda ujongane noko ukulindeleyo emva kotyando.
Umyalezo Wokuya Ekhaya
- I-Oophorectomy kukususwa ngotyando kwe-ovari enye okanye zombini.
- Olu tyando lwenziwa ngezizathu ezithile zonyango ezifana ne-endometriosis, umhlaza, kunye neethumba ezinkulu.
- Ukuba zombini ii-ovari zisusiwe, amandla okufumana abantwana ngokwendalo ayaphela kwaye ukuyeka ukuya exesheni kwenzeka ngoko nangoko.
- Ixesha lokuchacha lixhomekeke kuhlobo lotyando olwenziweyo (utyando lwe-keyhole okanye i-laparotomy).
- Ukuba unemibuzo malunga nokuba nabantwana, ukuyeka ukuya exesheni, okanye nantoni na enye, ungoyiki ukubuza ugqirha wakho ngaphambi kotyando.
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