Uma udokotela wakho ekuxilonga bese ethi, "Une-mass esiswini sakho esingezansi," kuvamile ukuzizwa wesaba kakhulu futhi ukhathazekile. Uma sizwa igama elithi "mass," izingqondo zethu zicabanga ngokushesha ngento eyesabekayo. Kodwa ungakhathazeki. Iningi le-mass elitholakala ngale ndlela, elibizwa ngokuthi "adnexal mass," alinawo umdlavuza. Ngakho-ke ake sixoxe ngalokhu ngendlela elula neqondile.
Iyini ngempela le-Adnexal Mass?
Kalula nje, "i-adnexal mass" iwukukhula noma isimila esikhula eduze kwesibeletho sakho, okungukuthi, ezithweni ezinamathele kuso. Odokotela basebenzisa leli gama ukuchaza izinhlobo ezahlukene zezimila ezikhula esifundeni sakho se-pelvic.
Igama elithi "adnexa" lisho "izingxenye ezinamathele." Kulokhu, libhekisela kuma -ovari, amashubhu e-fallopian, kanye nezicubu ezixhumanisayo ezisekela lezi zitho . Ngakho-ke, noma yisiphi isimila esikhula kulezi zingxenye sibizwa ngokuthi "i-adnexal mass."
Khumbula, ezinye zalezi zigaxa zingagcwaliswa ngoketshezi (sibiza lezi zigaxa), kanti ezinye zingaba ziqinile. Into ebalulekile ukuthi iningi lalezi "Adnexal Masses" azinawo umdlavuza (azinabungozi). Futhi ezinye zazo ziyahamba zodwa zingakapheli izinyanga ezimbalwa ngaphandle kokwelashwa.
Ziyini izimpawu zalesi simo?
Akuwona wonke umuntu othola izimpawu. Ngezinye izikhathi zitholakala ngengozi ngesikhathi sokuhlolwa ngesinye isizathu. Kodwa uma kuvela izimpawu, izimpawu zingahluka kuye ngokuthi isimila sikuphi kanye nembangela yaso.
Bheka ithebula elingezansi ukuze ubone ukuthi yiziphi izimpawu ezivame ukubonakala.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu be-pelvic | Kungaba ubuhlungu obungapheli obungapheli noma ubuhlungu obungazelelwe, obukhulu. |
| Ubunzima bokuchama | Ungase uzizwe kunzima ukuchama noma udinga ukuchama njalo. |
| Ukuya esikhathini okungajwayelekile | Umjikelezo wokuya esikhathini wanyanga zonke ungase ungajwayelekile futhi ungabi njengokuvamile. |
| Ukuqunjelwa | Ukuzizwa uvuvukele, sengathi isisu sigcwele igesi. |
| Ukuqunjelwa | Ubunzima bokukhipha indle njengokujwayelekile. |
| Ubuhlungu ngesikhathi socansi | Ukuzwa ubuhlungu ngesikhathi socansi nomyeni wakho. |
Yiziphi izimbangela zokwakheka kwe-adnexal mass?
Lezi zimila zingavela ngenxa yezimbangela zabesifazane kanye nezingezona ezabesifazane. Kodwa-ke, ngokuvamile zivela ngenxa yezimbangela ezihlobene nohlelo lokuzala .
Izimbangela Zezifo Zabesifazane
Lezi yizizathu ezivame kakhulu.
- Ama-Ovarian Cysts: Ama-cysts agcwele uketshezi akheka phezu kwama-ovari. Lawa avame kakhulu. Esikhathini esiningi, awabuhlungu futhi awabangeli zimpawu.
- Izimila zesibeletho ezingezona umdlavuza: Amaseli ezibelethweni akhula ngendlela engajwayelekile, akha izimila eziqinile. Lezi azinabungozi futhi azivamisile ukusabalala kwezinye izindawo.
- Ukukhulelwa Kwesibeletho: Iqanda elivundisiwe lizitshala kwenye indawo, njengepayipi le-fallopian, esikhundleni salo esibelethweni. Lesi yisimo esiyingozi kakhulu. Singabangela ukopha kwangaphakathi kanye nobuhlungu obukhulu. Uma singelashwa, singaba yingozi ngisho nakumama.
- I-Corpus Luteum Cyst: I-cyst engenangozi, engenabuhlungu eyakheka ngesikhathi sokuvuthwa kweqanda. Lezi ziyanyamalala zodwa ngemva kokuvuthwa kweqanda.
- I-PCOS (i-Polycystic Ovary Syndrome): Lesi yisimo samahomoni esingabangela ukwakheka kwama-cyst amaningi amancane kuma-ovari.
- Ama-Endometrioma: Lawa ahlobene nesimo esibizwa ngokuthi i-endometriosis. Yilapho ama-cyst agcwele uketshezi agcwele igazi lokuya esikhathini akhiwa khona ema-ovari.
- I-Hydrosalpinx: Isimo lapho ipayipi le-fallopian ligcwala khona uketshezi bese lakha isakhiwo esifana nesikhwama. Nakuba ngokuvamile singenazimpawu, ngezinye izikhathi singabangela ubuhlungu besisu esingezansi noma ubunzima bokukhulelwa.
- Umdlavuza Wesibeletho: Uma isimila esakheka esibelethweni siba yingozi, singakhula futhi sisakazekele kwezinye izingxenye zomzimba. Kodwa khumbula, iphesenti elincane kakhulu lama-adnexal masses aba umdlavuza.
Izimbangela Ezingezona Ezabesifazane
Lokhu kuvame ukuvela ezingxenyeni zesistimu yokugaya ukudla noma yomchamo. Azinawo uxhumano nesibeletho, ama-ovari, noma amashubhu e-fallopian.
- Izimila emathunjini amakhulu, esinyeni kanye ne-appendix.
- Ezimweni ezingavamile, lezi zinhlobo zamathumba zingavela nalapho eminye imidlavuza, njengomdlavuza webele noma umdlavuza wamathumbu amakhulu, isakazeka (i-metastasize) endaweni yesinqe.
Ingabe i-adnexal mass ingaba yingozi?
Iningi lama-adnexal masses aliyona ingozi. Kodwa-ke, amanye ama-mass angabangela izinkinga ezinkulu. Ukukhulelwa kwe-ectopic, ama-mass anomdlavuza, ama-adnexal masses aqhekekile, kanye nokusonteka kwe-ovary noma i-fallopian tube (i-adnexal torsion) yizimo ezidinga ukunakekelwa kwezokwelapha okuphuthumayo.
Uma une-"Adnexal Mass" futhi ubhekene nezimpawu ezifana nobuhlungu obukhulu besisu esingezansi, isicanucanu noma ukuhlanza, kanye nomkhuhlane, kungaba uphawu lwesimo esiphuthumayo. Ezimweni ezinjalo, bona udokotela ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU).
Ukuthi nje uneqhubu akusho ukuthi umdlavuza. Amaqhubu amaningi awawona umdlavuza (angabi yingozi). Kodwa-ke, i-adnexal mass ekhula kwabesifazane ngemva kokunqamuka kokuya esikhathini isengozini enkulu yokuba nomdlavuza (eyingozi).
Udokotela uhlonza futhi aphathe kanjani lokhu?
Ngokuvamile, udokotela usola ukuthi uneqhubu ngesikhathi sokuhlolwa kwe-pelvic. Bazobe sebeyalela ukuthi kwenziwe i-ultrasound scan ukuze balibheke eduze. Ngezinye izikhathi, kungadingeka i-biopsy noma ukuhlinzwa ukuze kuhlolwe amangqamuzana omdlavuza eqhubu.
Ngaphezu kwalokho, ukuhlolwa okufana nokuhlolwa kokukhulelwa, ukuhlolwa kwegazi, kanye, uma kudingeka, ukuhlolwa kwe-CT noma i-MRI kungenziwa ukuze kunqunywe ukukhulelwa kwe-ectopic.
Ukwelashwa kuncike ezintweni eziningi, okuhlanganisa imbangela yesimila, ubukhulu baso, kanye nezimpawu zakho. Kunezindlela ezintathu zokwelapha eziyinhloko.
| Indlela yokwelapha | Kuyokwenziwa nini lokhu? |
|---|---|
| Ngaphandle kokwelashwa | Uma isimila sisincane, singebuhlungu, futhi udokotela eqiniseka ukuthi asisona umdlavuza, angase angancomi ukwelashwa. |
| Ukuqapha okuseduze | Uma imbangela eqondile yesimila ingacacile, noma uma kukhona ukukhathazeka ngobukhulu besimila noma izimpawu, udokotela uzokwenza ukuhlolwa njalo ukuze aqaphe izinguquko zaso. |
| Ukuhlinzwa | Uma kusolwa ukuthi isimila sinomdlavuza, sikhulu ngobukhulu (ngokuvamile singaphezu kwamasentimitha angu-6-10), sikubangela ubuhlungu obukhulu, noma ukukhulelwa okubangelwa yi-ectopic, sizosuswa ngokuhlinzwa. |
Izinto okufanele uzibuze udokotela wakho
Uma usuthole ukuthi une-``(Adnexal Mass)``, buza udokotela wakho noma yimiphi imibuzo onayo. Isibonelo:
- Ingabe ngizodinga ukuhlinzwa?
- Uhlola kangaki lesi simila?
- Ingabe kukhona ithuba elincane lokuthi lokhu kungaba umdlavuza?
- Yiziphi izimpawu okufanele ngizibike ngokushesha uma zivela?
Nakuba kujwayelekile ukuzizwa wesaba uma uzwa igama elithi "isimila," zama ukungesabi uze ukhulume nodokotela wakho futhi uthole ulwazi olufanele. Khumbula, eziningi zalezi zinto aziyingozi, kanti ezinye ziyalulama zodwa.
Umlayezo Wokuya Nawe Ekhaya
- I-"Adnexal Mass" iyisimila esikhula ezithweni ezizungeze isibeletho. Iningi lazo alinawo umdlavuza.
- Ungesabi ngoba nje uzwa igama elithi "isimila." Hlala uzolile uze uthole ukuxilongwa okufanele.
- Abanye abantu bangase bangabi nazo izimpawu. Uma kuvela izimpawu, bangase babe nobuhlungu besisu esingezansi kanye nobunzima bokuchama.
- Ukwelashwa kuncike embangela yesimila, ubukhulu baso, kanye nezimpawu zakho. Ngokuvamile, ukuqaphela kwanele.
- Landela imiyalelo kadokotela wakho bese uya kohlolwa ngezinsuku ezihleliwe.
- Uma uzwa izimpawu ezifana nobuhlungu obukhulu besisu, umkhuhlane, isicanucanu, noma ukuhlanza, funa iseluleko sezokwelapha ngokushesha ngoba kungaba yisimo esiphuthumayo.
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