Ukudumba Kwesibeleko: Ngaba Oku Kunokwenzeka Nakuwe? Masithethe!

Ngaba wakha waneentlungu zesisu eziqatha ngequbuliso? Ingakumbi kwisisu esisezantsi? Ngamanye amaxesha sicinga ukuba olu hlobo lwentlungu luqhelekile. Nangona kunjalo, ngamanye amaxesha lunokuba yingxamiseko yezonyango. Enye yezi ngxaki yi-ovarian torsion, okanye i-"Ovarian Torsion". Makhe sithethe ngale nto ngokweenkcukacha namhlanje, kuba le yinto ekufuneka uyazi, njengomfazi.

Yintoni i-ovarian torsion?

Ngamafutshane, i-Ovarian Torsion kuxa elinye lama-ovari akho lijika kwaye lijika izicubu eziligcina endaweni yalo. Njengoko usazi, ama-ovari zizitho ezimbini ezibalulekileyo kwinkqubo yokuzala yomfazi. Zizitho ezimbini ezimile okweqanda ezikwicala ngalinye lesibeleko. Ngexesha lokuchuma kwakho, la ma-ovari akhupha amaqanda kwaye avelise iihomoni ezilawula umjikelo wakho wokuya esikhathini kunye nokukhulelwa. La ma-ovari axhonywa kwi-pelvic cavity ngama-bands ezicubu ezibizwa ngokuba yi-ligaments.

Khawucinge ngento eyenzekayo xa esi sibeleko sijika ngolu hlobo. Ukuhanjiswa kwegazi kwi-ovary ejijekileyo kunqanyulwa, nto leyo enokuyonakalisa. Yiyo le nto ibangela intlungu ekhawulezileyo, enganyamezelekiyo esiswini esisezantsi. Ukuba unyango olungxamisekileyo alufuneki ngexesha elinje, izicubu ze-ovari zinokufa kwaye i-ovary inokulahleka ngokupheleleyo. Yiyo loo nto le yimeko embi kakhulu.

Ngamanye amaxesha, kungekuphela nje isibeleko, kodwa nombhobho we-fallopian okufutshane unokujika. Kule meko, le meko ibizwa ngokuba yi-adnexal torsion.

Ixhaphake kangakanani le meko?

Abaphandi abaqinisekanga ukuba i-ovarian torsion ixhaphake kangakanani kuluntu ngokubanzi. Nangona kunjalo, izifundo zibonise ukuba sesona sizathu sesihlanu esixhaphakileyo sotyando olungxamisekileyo lwabasetyhini. Kuqikelelwa ukuba yi-3% kuphela yotyelelo olungxamisekileyo kwicandelo leenkqubo zotyando ezinxulumene nenkqubo yokuzala yabasetyhini olujoliswe ekuguquleni i-ovarian torsion.

Zithini iimpawu? Ungazibona njani?

Uphawu oluphambili lwale meko ziintlungu ezikhawulezileyo neziqatha zesisu esisezantsi. Kodwa, iintlungu zesisu luphawu lwezinye izifo ezininzi, akunjalo? Asikhawulezi siye kwigumbi likaxakeka kuzo zonke. Nangona kunjalo, kule meko `(Ovarian Torsion)`, ukuya esibhedlele ngokukhawuleza kukunika ithuba elihle lokusindisa isibeleko sakho.

Ezinye iimpawu ezinokuchongwa zezi:

• Intlungu ephakathi ukuya kweqatha esiswini esisezantsi.
• Isicaphucaphu nokuhlanza.

Ngoku, kukho iimpawu ezibonisa ukuba izicubu zesibeleko ziyaqala ukufa. Nazi:

• Ifiva.
• Ukopha okungaqhelekanga kwilungu lobufazi okanye olunye ulwelo oluphumayo.

Ivakala njani le ntlungu?

Intlungu ifunyanwa ngabantu bonke ngokwahlukileyo. Ngoko ke kunokuba nzima ukwazi ukuba intlungu oyifumanayo yingxamiseko efana ne-`(Ovarian Torsion)` okanye enye into. Nangona kunjalo, uninzi lwabantu ludla ngokuchaza intlungu ye-`(Ovarian Torsion)` njengephakathi ukuya kweyona inzima. Oko kukuthi, yintlungu ephawulekayo kakhulu ekunzima ukuyityeshela.

Le ntlungu ingabonakala ngolu hlobo:

• Intlungu ebukhali, ehlabayo (le yeyona ixhaphakileyo) okanye intlungu ebuhlungu, ebuhlungu esiswini.
• Intlungu kwisisu esisezantsi (oku kuqhelekile) okanye intlungu kuphela kwicala apho kukho khona i-ovary ejijekileyo (ngokuqhelekileyo kwicala lasekunene).
• Intlungu inokuthi ifikelele kwisisu esisezantsi kuphela, okanye ifikelele emathangeni, emacaleni, nasezantsi komqolo.
• Intlungu isenokuba yinto engapheliyo (oku kuqhelekile), okanye isenokufika ize idlule ngamanye amaxesha (oku akuvamile kakhulu).

Nangona zihlala zingaqhelekanga, ngamanye amaxesha ezi mpawu ze-`(Ovarian Torsion)` zinokuvela ngamaxesha athile. Oko kukuthi, intlungu iyafika, iphele okwethutyana, ize ibuye. Ngamanye amaxesha i-ovary inokujika ize ivele yoluke kwakhona. Xa ijika, ukopha kuyayeka kwaye intlungu iyavela. Xa ijika kwakhona, ukopha kuyaqala kwaye intlungu iyaphela. Ngenxa yolu hlobo lwexesha elifutshane, usenokungakwazi ukucinga ukuba kwenzeka ntoni. Nangona kunjalo, nokuba intlungu ivela ngamanye amaxesha, ukuba une-`(Ovarian Torsion)`, ngokuqinisekileyo kufuneka ubone ugqirha kwaye ufumane unyango.

Kutheni la maqanda ejijeka? Zithini izizathu?

Ngamafutshane, i-Ovarian Torsion yenzeka xa ibhalansi egcina i-ovary ikwindawo yayo iphazamiseka ngesizathu esithile. Umzekelo, ukuba kukho ithumba kwi-ovary, njenge-ovarian cyst (ingakumbi enkulu), yongeza ubunzima obongezelelekileyo kwi-ovary. Emva koko kunokwenzeka ukuba ijikeleze kwaye ijijeke kwi-ligament enamathele kuyo. Nangona oku kungaqhelekanga, ii-tumor ezinomhlaza okanye ezinye iziqwenga eziqinileyo kwi-ovary nazo zinokubangela olu tshintsho lobunzima kunye nokujijeka.

Ngubani osengozini enkulu yoku?

Kukho izinto ezinokubangela umngcipheko ekuphuhlisweni kwesi sifo, i-Ovarian Torsion. Makhe sibone ukuba zithini:

• Ubudala: Malunga nekota ezintathu zabantu abafunyaniswe benesi sifo bakwiminyaka yabo yokuzala. Oku kuthetha ukuba sixhaphake kakhulu kubantu abaphakathi kweminyaka engama-29 ukuya kwengama-34 ubudala. Nangona kunjalo, nabani na onama-ovari (nokuba ngumntwana ongekazalwa esibelekweni) unokuba nale meko.
• Ii-cysts ze-ovarian: Malunga ne-85% yabantu abafunyaniswe bene-ovarian torsion bane-ovarian cysts okanye ezinye ii-tumor ezingengozini. Umngcipheko uphezulu ukuba i-tumor ingama-5 centimeters (malunga ne-2 intshi) okanye ngaphezulu.
• Zinde kunee-ovarian ligaments eziqhelekileyo: Abanye abantu bazalwa benee-ovaries ezinde kancinci. Aba bantu nabo basengozini enkulu.
• Ukukhulelwa:Malunga nekota yabo bafunyaniswe bene-Ovarian Torsion bakhulelwe. Le ngozi inokwanda ngenxa yotshintsho emzimbeni ngexesha lokukhulelwa. Umzekelo, ii-corpus luteum cysts zixhaphake kakhulu ngexesha lokukhulelwa. Kwakhona, utshintsho lweehomoni lubangela ukuba ii-ligaments zikhululeke, nto leyo ebangela ukuba zijijeke lula.
• Unyango lokuchuma: Unyango olukhuthaza ama-ovari ukuba akhuphe amaqanda amaninzi (ukuvuthwa) lunyusa umngcipheko wokufumana ama-cysts e-follicular. I-follicle sisingxobo esingaphakathi kwi-ovary esikhupha iqanda. Kuqhelekile ukuba ama-cysts akheke kule follicle ngexesha lokuvuthwa. Ngoko ke, okukhona ama-follicle esebenza ngakumbi, kokukhona umngcipheko wokufumana ama-cysts uphezulu.

Ngaba kukho into ebangela ukuba oku kwenzeke ngequbuliso?

Ngamanye amaxesha, iintshukumo ezithile emzimbeni wakho zinokubangela iimpawu ze-Ovarian Torsion. Kwabanye abantu, ezi mpawu zinokuvela emva kwesondo okanye emva kokusebenza nzima komzimba.

Kodwa khumbula, akufuneki ukuba kube sisiganeko esikhethekileyo ukuze i-Ovarian Torsion yenzeke.

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

Uninzi lwexesha, ukugoba kwe-ovarian kuyaphela ngaphandle kweengxaki xa kunyangwa. Nangona kunjalo, ukuba akunyangelwanga ngokukhawuleza, ukuhanjiswa kwegazi kwi-ovary kunokunqanyulwa kwaye izicubu zinokufa. Nangona kunokwenzeka ukuba ukhulelwe nge-ovary enye kuphela, izifundo zibonise ukuba ukususa i-ovary ngenxa yokugoba kwe-ovarian kunokunciphisa amathuba okukhulelwa.

Nangona oku kungaqhelekanga, izicwili ezifileyo zinokubangela usulelo esiswini (i-peritonitis). Ukuba azinyangwa ngokukhawuleza, olu sulelo lunokusasazeka kwamanye amalungu omzimba kwanasegazini. Yiyo loo nto unyango olukhawulezileyo lubaluleke kangaka.

Yenziwa njani le nto yokuxilonga?

I-ovarian torsion idla ngokuchongwa nge-transvaginal ultrasound, ebonisa ukuba i-ovary ayifumani gazi laneleyo. Nangona kunjalo, indlela ekuphela kwayo yokwazi ngokuqinisekileyo kukuba ugqirha angayibona na i-ovary ejijekileyo emzimbeni wakho. Rhoqo, baya kujonga ngqo kwii-ovari zakho besebenzisa inkqubo ebizwa ngokuba yi-laparoscopy. Ukuba babona ukuba une-ovarian torsion ngexesha le-laparoscopy, banokunyanga ngoko nangoko.

Zithini iindlela zonyango?

Oogqirha botyando banyanga ukugoba kwe-ovarian ngokulungisa i-ovary ejijekileyo. Banokususa naziphi na ii-cysts ezinokuba ziyibangela (i-ovarian cystectomy). I-ovary yakho idla ngokusindiswa.

Amaxesha amaninzi, oogqirha basebenzisa inkqubo ebizwa ngokuba yi-laparoscopy ukunyanga i-ovarian torsion. Kule nkqubo, benza imingxunya emininzi emincinci esiswini sakho. Bafaka isixhobo esibizwa ngokuba yi-laparoscope ngenye yemingxunya ukuze babone ukuba i-ovary yakho ijijekile na. Ukuba i-ovarian torsion iqinisekisiwe, utyando lwenziwa ngaloo mingxunya ifanayo ukulungisa ingxaki.

Ngamanye amaxesha utyando oluvulekileyo (i-laparotomy) lunokufuneka. Emva kwe-laparoscopy, unokukwazi ukuya ekhaya ngaloo mini inye. Nangona kunjalo, i-laparotomy lutyando olukhulu, ngoko ke kusenokufuneka uhlale esibhedlele ubusuku bonke uze uphile ixesha elide.

Kuza kwenzeka ntoni xa ujongene nale meko?

Abantu abaninzi abane-Ovarian Torsion bayanyangwa baze babuyele kubomi babo besiqhelo ngee-ovaries ezimbini eziphilileyo nezisebenzayo. Utyando lokwandisa i-ovarian luphumelele ngama-90%.

Nangona kunjalo, ukuba ugqirha ukrokrela ukuba izicubu zonakele okanye ukuba i-cyst ibangelwe sisimila somhlaza, unokucebisa ukuba kususwe i-ovary. Nangona kunjalo, oku akuvamile.

Ngaba zikho iindlela zokuthintela oku?

Akukho ndlela ithile yokuthintela ukuKhuhlana kwe-Ovarian.

Kodwa ukuba uqhubeka nokuba ne-ovarian torsion (nto leyo engaqhelekanga), ugqirha wakho unokucebisa utyando olubizwa ngokuba yi-oophoropexy. Oku kwenzelwa ukuzinzisa i-ovary ukuze ingajiki.

Ezinye iingcali zonyango zicebisa olu tyando lwe-"oophoropexy" kubantwana abalahlekelwe yi-ovary enye ngenxa ye-"Ovarian Torsion" ngexesha lobuntwana. Lugcina i-ovary eseleyo kwaye lubavumela ukuba babe nabantwana kwixesha elizayo ukuba bafuna. Iingcali zisafunda ngezibonelelo ze-"oophoropexy" kwiimeko ezinjalo.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba unentlungu engaphantsi kwesisu engachazekiyo, ingakumbi ukuba sele uyazi ukuba une-ovarian cyst, eyonyusa umngcipheko wakho wokugoba kwe-ovarian, yiya kwigumbi longxamiseko (ETU) ngokukhawuleza.

Iingcali azinakutsho ukuba kuthatha ixesha elingakanani ukuba izicubu zife emva kokuba isibeleko siqhumile kwaye iimpawu ziqala. Yiyo loo nto kubalulekile ukuba ube kwicala elikhuselekileyo. Okukhona ubona ugqirha ngokukhawuleza kwaye ufumana ukuxilongwa, kokukhona amathuba okuba nesiphumo esiphumelelayo esanda.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba uhlangabezana nale meko, kungcono ukubuza ugqirha le mibuzo:

• Zeziphi izinto ekufuneka ndiziphephe xa ndiphola emva kotyando?
• Ndifanele ndibuye nini ukuze ndijonge ukuba ndiphilile na?
• Zithini amathuba okuba ndiphinde ndibe ne-Ovarian Torsion?
• Ngaba olu tyando luza kuyichaphazela inzala yam?
• Ziziphi iimpawu zengxaki ekufuneka ndiziqaphele?

Ngaba oku kungasongela ubomi?

Ukudumba kwesibeleko akusoloko kusongelwa ubomi, kodwa kunokwenzeka. Kunqabile kakhulu, isibeleko esifileyo sinokukhokelela kusulelo olukhulu ukuba asinyangwa. Nangona kunjalo, okubi kakhulu okunokwenzeka kubantu abaninzi kukulahlekelwa sisibeleko.

Unyango olukhawulezileyo lunokuthintela izinto ezimbi kakhulu, ezinjengokulahlekelwa lilungu okanye ukuphuhliswa kosulelo olusongela ubomi.

Kude kube nini ungayazi ukuba oku sele kukho?

Uninzi lwabantu abane-ovarian torsion babona ugqirha kwiintsuku nje ezintathu emva kokuba iimpawu ziqalile. Nangona kunjalo, kukho iingxelo zabantu abane-ovarian torsion abangakhange baxilongwe kangangeenyanga. Kulapho i-ovary ijika khona ize yoluleke kwakhona, nto leyo ebangela iintlungu ezifikayo ziphele.

Kodwa, ngaphandle kokuxilongwa ngokusemthethweni, akukho ndlela yokwazi ukuba le yimbangela yentlungu yakho. Ixesha libaluleke kakhulu apha. Ukuba uneempawu, ungalindi. Yiya kwigumbi likaxakeka ngokukhawuleza.

Ngaba oku kuya kuba ngcono ngokwakho?

Kunokwenzeka, kodwa kunqabile kakhulu.

Kwi-ovarian torsion eqhubekayo, i-ovary iyajikajika ize ivuleke ngendlela ethi ekugqibeleni ibuyele kwimeko yayo eqhelekileyo (engajikwanga).

Kodwa, ungaze ucinge ukuba `(Ovarian Torsion)` iza kulunga yodwa. Le ayisiyonto inokushiywa izenzekele. Ukuba uneempawu, yiya kwigumbi likaxakeka ngokukhawuleza.

Xa unempawu ezifana neentlungu ezisezantsi kwesisu, kunokuba yinto ecaphukisayo neyoyikisayo ukungazi ukuba yinto encinci okanye into efuna unyango olukhawulezileyo. Kwimeko yokugoba kwe-ovarian, akukho ndlela yokwazi ukuba intlungu ibangelwa yi-ovary ejijekileyo de ugqirha wakho ayifumanise. Ngelishwa, abantu abaninzi abazi nokuba banesifo (esidla ngokuba singenabungozi) esibizwa ngokuba yi-ovarian cyst, esiyingozi kwi-ovarian torsion.

Musa ukuthatha amathuba. Ukuba unentlungu enzulu esiswini esisezantsi, fumana uncedo lwezonyango ngokukhawuleza. Ukwenza izinto ngokukhawuleza kunokusindisa ama-ovari akho. Kunokusindisa nobomi bakho.

Ngoko ke, zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule koku?

Kulungile, ngoko ke, ngokwezinto esithethe ngazo namhlanje malunga ne-Ovarian Torsion, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• Ukuba ufumana iintlungu eziqatha nezingalindelekanga zesisu esisezantsi, isicaphucaphu, kunye nokuhlanza, musa ukukuthatha lula. Oku kusenokuba yi-Ovarian Torsion.
• Le yingxamiseko yezonyango. Kukho ithuba elihle lokuba ungasindisa isibeleko sakho ngokuya esibhedlele ngaphandle kokuchitha ixesha.
• Lo mngcipheko uphezulu kancinci kubantu abane-ovarian cysts, abafazi abakhulelweyo, kunye nabo bafumana unyango lokuzala. Nangona kunjalo, unokwenzeka nakubani na.
• Unyango oluqhelekileyo kukuvula i-ovary ejijekileyo kusetyenziswa i-laparoscopy. Kwiimeko ezininzi, i-ovary inokusindiswa.
• Ungaze ulinde ukuba "oku kuza kuba ngcono ngokwakho." Funa ingcebiso kagqirha kwangoko nje ukuba uzive iintlungu.

Khumbula, eyona ndlela ilungileyo yokuhlala usempilweni kukunika ingqalelo emzimbeni wakho kwaye uthathe inyathelo xa ubona nantoni na engaqhelekanga. Ukuba unemibuzo engaphezulu malunga noku, ungoyiki ukuthetha nogqirha wakho.

Ukugoba kwe- Ovarian, Intlungu yesisu, Iingxaki zeSini, Ii-Ovarian Cysts, i-Laparoscopy, Impilo yabasetyhini