Ngaba une-cyst yesibeleko? Ngaba uyoyika utyando? Masithethe (i-Ovarian Cystectomy)

Ngaba ugqirha ukuxelele ukuba une-cyst kwi-ovary yakho kwaye udinga utyando ukuze uyisuse? Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva loo nto. "Luyintoni olu tyando?", "Ngaba luza kuba buhlungu kakhulu?", "Kuza kuthatha ixesha elingakanani ukuphola?", "Andisayi kuze ndikwazi ukuba nabantwana kwakhona?" Kusenokufika imibuzo emininzi engqondweni. Ungakhathazeki. Awuwedwa. Namhlanje, siza kuthetha ngolu tyando lubizwa ngokuba yi-'Ovarian Cystectomy', olu lutyando lokususa ii-cyst kwi-ovary, ngendlela elula kakhulu onokuyiqonda.

Okokuqala, makhe sibone, yintoni i-cyst ye-ovarian?

Ngamafutshane, i-ovarian cyst sisingxobo esincinci, esizele lulwelo esiphuma kwi-ovary yakho. Cinga ngaso njenge-blister eluswini lwakho. Ezi ziimeko eziqhelekileyo ezibangelwa ngabasetyhini abaninzi. Uninzi lwexesha, ziyaphela zodwa kwiinyanga ezimbalwa, ngaphandle kweengxaki okanye amayeza.

Kodwa ngamanye amaxesha ezi cysts zinokuhlala ixesha elide, zikhule zibe nkulu, okanye zibangele iintlungu. Kulapho ugqirha agqiba khona ukususa i-cyst ngotyando. Olu tyando lubizwa ngokuba yi-'Ovarian Cystectomy'.

Ziziphi iindlela zokwenza olu tyando?

Kukho iintlobo ezimbini eziphambili zotyando lokususa ii-cysts ze-ovarian. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe ngokwemeko yakho.

1. I-Laparoscopic Ovarian Cystectomy: Le yindlela eqhelekileyo namhlanje. Abanye abantu bayibiza ngokuba "lutyando lwe-key-hole." Okwenzekayo apha kukuba kwenziwe umngxuma omncinci kakhulu esiswini sakho, kwaye ityhubhu encinci enekhamera eqhotyoshelwe kuyo (i-'laparoscope') idluliselwa esiswini sakho. Ngaloo khamera, ugqirha unokubona yonke into engaphakathi esiswini sakho, kuquka ama-ovari akho kunye nesibeleko, ngokungathi ukwisikrini esikhulu seTV. Emva koko, kwenziwa ezinye izigcawu ezimbini ezincinci esiswini sakho, kwaye izixhobo ezincinci ezifunekayo kolu tyando zifakwa ngaphakathi , kwaye i-cyst iyasikwa ngononophelo kwaye isuswe.

2. I-Open Cystectomy / i-Laparotomy: Le yindlela yendabuko. Apha, kwenziwa umsikelo omkhulu kancinci kwisisu esisezantsi, isisu siyavulwa, kwaye i-cyst iyasuswa. Ugqirha ukhetha le ndlela kwiimeko ezimbalwa ezikhethekileyo. Umzekelo:

• Ukuba ithumba likhulu kakhulu.
• Ukuba kukho norhano oluncinci lokuba ithumba lisenokuba ngumhlaza.

Apha umahluko phakathi kwezi ndlela zimbini ucacile nangakumbi.

Kutheni le nto ezi cysts ze-ovarian zenzeka?

Kunzima ukukhomba isizathu esinye soku. Zininzi izinto ezinokubangela oku.

• Utshintsho ekusebenzeni kwamahomoni: Ingakumbi ngenxa yeemeko ezinxulumene namahomoni ezifana ne-PCOS (i-Polycystic Ovary Syndrome).
• Ukuvuthwa:Ngamanye amaxesha, olu hlobo lwe-cysts lunokukhula ngexesha lenkqubo yokuvuthwa kweqanda. Lunokubangelwa nangamayeza athile eehomoni asetyenziselwa ukukunceda ukhulelwe.
• I-Endometriosis: Oku kuxa izicubu ezingaphakathi kwesibeleko zikhula ngaphandle kwesibeleko, njengakwii-ovari. Oku kunokubangela ukuba kubekho ii-cysts.
• Isifo Sokudumba Kwesinqe: Usulelo olubi kakhulu kwinkqubo yokuzala.
• Iimeko zomhlaza: Nangona kunjalo, oku kunqabile kakhulu. Malunga nama-95 kwi-100 ii-cysts ze-ovarian azinawo umhlaza.

Kukweziphi iimeko apho kufuneka utyando?

Njengoko bekutshiwo ngaphambili, ayizizo zonke iithumba ekufuneka zisuswe. Nangona kunjalo, ugqirha wakho unokugqiba kwelokuba utyando luyinto elungileyo ngenxa yezi zizathu zilandelayo:

• Ukuba ithumba likhulu ngobukhulu: Kucetyiswa ukuba kususwe iithumba ezinkulu kune-2.5 - 3 intshi (6-7 cm).
• Ukuba unentlungu: Iintlungu ezihlala zisenzeka, eziqatha esiswini okanye emqolo zinokubangelwa yile thumba.
• Ukuba kukho ukurhanelwa kokuba ithumba lisenokuba ngumhlaza: Ukuba ukurhanelwa okunjalo kuvela kwiiskeni kunye novavanyo lwegazi, ithumba liya kususwa ukuze kuqinisekiswe kwaye kunyangwe.

Uzilungiselela njani ngaphambi kotyando?

Ugqirha wakho uza kukunika yonke imiyalelo oyifunayo ngaphambi kosuku lotyando. Kubaluleke kakhulu ukuyilandela ngokuchanekileyo.

• Ukutya nokusela: Fumanisa ukuba zingaphi iiyure ngaphambi kotyando ekufuneka uyeke ukutya nokusela.
• Amayeza: Ukuba usela amayeza esifo esithile (umz. isifo seswekile, uxinzelelo lwegazi), buza ugqirha wakho ukuba kufuneka uwasele okanye uyeke ukuwasela loo mayeza ngomhla wotyando.
• Buza imibuzo: Buza ugqirha wakho nayiphi na imibuzo onayo, nokuba mincinci kangakanani na. Musa ukoyika ukubuza.
• Umntu onokunceda: Kulula kakhulu ukuba nomntu onokukunceda ngemisebenzi yasekhaya aze akunyamekele iintsuku ezimbalwa emva kotyando.

Kwenzeka ntoni ngexesha lotyando?

Akunyanzelekanga ukuba ukhathazeke kakhulu ngale nto. Kuba uza kuba phantsi kwe-anesthesia kwaye ulale ubuthongo kuyo yonke i-operation. Awuyi kuva nto.

Ugqirha uza kuqalisa utyando emva kokuba ulele.

• Kwi-laparoscopic surgery: Ikhamera ifakwa nge-incision encinci, kwaye isisu siyafuthwa ngegesi encinci yekhabhoni diokside. Oku kuvumela ugqirha ukuba abone ngaphakathi esiswini ngokucacileyo aze enze utyando. Emva koko, kufakwa izixhobo ngezinye izigcawu ukususa i-tumor. Ngamanye amaxesha, iqhekeza elincinci le-tumor lithunyelwa kwi-biopsy ukuze kuhlolwe umhlaza. Xa inkqubo igqityiwe, i-gas iyasuswa, kwaye izigcawu ezincinci zivalwe ngohlobo lwe-suture enyibilikayo.
• Kwityando elivulekileyo: Kwenziwa umngxuma omkhulu, ithumba elikwisibeleko lisuswa ngononophelo, kwaye ulusu luthungwa ndawonye lube ziingqimba ezahlukeneyo.

Kuza kwenzeka ntoni emva kotyando?

Emva kotyando, uza kusiwa kwigumbi lokuchacha. Usenokuziva iintlungu okanye ukungakhululeki xa uvuka. Abahlengikazi baza kukunika iintlungu. Isantya sentliziyo yakho kunye noxinzelelo lwegazi ziya kuhlolwa.

• Ukuba wenze utyando lwe-laparoscopic, uya kukwazi ukuya ekhaya kwiiyure ezimbalwa, nokuba ngolo suku okanye ngentsasa elandelayo.
• Ukuba wenze utyando oluvulekileyo, kuya kufuneka uhlale esibhedlele iintsuku ezimbini ukuya kwezintathu nangaphezulu.

Ugqirha uza kukunika imiyalelo omawuyilandele emva kokuba ubuyele ekhaya.

• Uyakwazi ukuhlamba ukususela nini?
• Amanxeba afanele agcinwe njani ecocekile?
• Ndingayeka ixesha elingakanani ukuphakamisa iintsimbi nokwenza umsebenzi onzima?
• Ndingabuya nini kwakhona kugqirha?
• Ngawaphi amayeza endifanele ndiwasebenzise xa ndisiva iintlungu?
• Ufanele uzigcine ixesha elingakanani ungabelani ngesondo?

Ukulandela konke oku kubaluleke kakhulu ukuze uphile ngokukhawuleza.

Ziziphi iingenelo kunye neengozi zalo tyando?

Iingenelo:

Eyona nzuzo iphambili kukususwa kwethumba elalibangela iintlungu, ukungonwabi, kwaye mhlawumbi libe yingozi kwixesha elizayo. Kukho iingxaki ezimbini ezinkulu ezinokubakho ngenxa ye-ovarian cysts:

• I-Ovarian Cyst Eqhekekileyo: Ukuba i-cyst iqhuma ngequbuliso, inokubangela iintlungu ezinzima nezingenakunyamezeleka.
• Ukudumba kwe-Ovarian: Ubunzima be-tumor bunokubangela ukuba i-ovary ijijeke njengentambo. Ukuba oku kuyenzeka, ukuhanjiswa kwegazi kwi-ovary kunokuvalwa, nto leyo ebangela ukuba ingasebenzi ngokupheleleyo. Oku kukwangungxamiseko.

Utyando lunceda ekukhuseleni kwizinto ezinje.

Iingozi:

Njengakwezinye iindlela zotyando, kukho iingozi ezincinci, kodwa ezi azixhaphakanga kakhulu.

• Usulelo lwenxeba.
• Ukopha ngexesha lotyando.
• Ukunganyamezelani ne-anesthesia.
• Amahlwili egazi emilenzeni.
• Ukukhula kwakhona emva kokususwa kwesimila.
• Kunqabile kakhulu, umonakalo kwi-ovary okanye kwi-fallopian tube.
• Ngamanye amaxesha, ukuba ithumba kuphela alinakukwazi ukususwa, i-ovary yonke inokufuneka isuswe (`Oophorectomy`).

Ugqirha wakho uza kukuchazela konke oku. Ukuba uneengxaki ezifana nokutshaya, isifo seswekile, okanye ukutyeba kakhulu, umngcipheko weengxaki uphezulu kancinci.

Umbuzo obaluleke kakhulu wonke umntu anawo: Ngaba ndingafumana umntwana emva kotyando?

Kodwa kubalulekile ukukhumbula ukuba imeko ebangele i-ovarian cyst yakho (efana ne-endometriosis okanye i-PCOS) inokuchaphazela amandla akho okuba nabantwana ukuya kwinqanaba elithile. Ke ngoko, ukuba unethemba lokuba nabantwana kwixesha elizayo, kubaluleke kakhulu ukuthetha ngokukhululekileyo nogqirha wakho ngayo ngaphambi kotyando. Uza kukunika icebiso elihle.

Ukuba unayo nayiphi na kwezi mpawu emva kotyando, xelela ugqirha wakho ngoko nangoko.

Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kotyando lwakho, ungoyiki kwaye utsalele umnxeba ugqirha wakho ngoko nangoko. Okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.

• Ukuba inxeba libomvu, lidumbile, kwaye ubomvu buphuma.
• Ukuba unomkhuhlane ophezulu kwaye uzive ubuthathaka.
• Ukuba unentlungu enganyamezelekiyo esiswini esisezantsi.
• Ukuba kukho ukutsha okanye intlungu xa uchama.
• Ukuba kukho ukopha okugqithisileyo kwilungu lobufazi.
• Ukuba imilenze yakho idumbile kwaye ibuhlungu.