Mhlawumbe udokotela wakho ukutshelile ukuthi udinga ukususwa kwama-ovari akho. Noma mhlawumbe othile omaziyo uke wahlinzwa ngale ndlela. Kuvamile ukuzizwa wesaba futhi unelukuluku uma uzwa igama. Namuhla, sizoxoxa ngokuthi kuyini 'i-oophorectomy', ukuthi kwenziwani, nokuthi kwenzekani ngemva kwalokho ngendlela elula kakhulu neqondakalayo.
Kalula nje, kuyini ukuhlinzwa kwe-oophorectomy?
Ukususwa kwe-oophorectomy inqubo yokuhlinzwa yokususa i-ovary eyodwa noma zombili. Ubuwazi ukuthi owesifazane unama-ovaries amabili, atholakala kuzo zombili izinhlangothi ze-pelvis yakhe? Lezi yizindlala ezimbili ezibaluleke kakhulu ohlelweni lokuzala lomzimba wethu.
La ma-ovari akhiqiza ama-hormone alawula umjikelezo wakho wokuya esikhathini . La ma-hormone asiza futhi ekugcineni amathambo akho eqinile nenhliziyo yakho iphilile . Ngaphezu kwalokho, amaqanda (ama-ovari) adingekayo ekukhulelweni agcinwa futhi avuthwe kula ma-ovari.
Ngakho-ke, odokotela batusa lokhu kuhlinzwa ukuze kususwe ama-ovari njengendlela yokwelapha isimo esithile sezokwelapha noma ukunciphisa ingozi yokuthola izinhlobo ezithile zomdlavuza.
Ingabe kunezinhlobo ezahlukene zalolu hlinzeko?
Yebo, kunezindlela nezinhlobo ezahlukene zalokhu kuhlinzwa. Ngemva kokubheka isimo sakho kanye nomlando wezokwelapha, udokotela wakho uzonquma ukuthi yiluphi uhlobo olukulungele. Ake sibone ukuthi luyini.
| Uhlobo Lokuhlinzwa | Kalula nje, wenzani? |
|---|---|
| Ukususwa kwe-oophorectomy ohlangothini olulodwa | Ukususa iqanda elilodwa kuphela (ohlangothini olulodwa). |
| Ukususwa kwe-oophorectomy emaceleni amabili | Ukususwa kwama-ovari womabili (izinhlangothi zombili). |
| Ukususwa kwe-salpingo-oophorectomy | Ukususwa kwesibeletho esisodwa kanye nepayipi elihambisana naso (ipayipi elithwala amaqanda liye esibelethweni). |
| Ukususwa kwe-salpingo-oophorectomy emaceleni amabili | Ukususwa kwama-ovari kanye namapayipi womabili e-fallopian. |
| Ukususwa kwesisu nge-salpingo-oophorectomy | Ukususwa kwepayipi elilodwa lesibeletho kanye nele-fallopian ngesikhathi esifanayo nokususwa kwesibeletho. |
| Ukususwa okuphelele kwesisu nge-salpingo-oophorectomy yamacala amabili | Ukususwa okuphelele kwesibeletho, umlomo wesibeletho, ama-ovari womabili, kanye namapayipi womabili e-fallopian. |
Lokhu kuhlinzwa kuvame ukwenziwa yi-Obstetrician-Gynecologist. Isikhathi esiningi, ungaphansi kwe-anesthesia ejwayelekile (ungazi lutho nhlobo) ngakho awuzwa lutho.
Kungani kufanele senze lokhu kuhlinzwa?
Kunezizathu eziningana zokuthi kungani udokotela angase ancome lokhu kuhlinzwa. Nazi ezinye zezizathu eziyinhloko:
- I-Endometriosis: Lesi yisimo lapho amangqamuzana okufanele abe ngaphakathi kwesibeletho ekhula khona ngaphandle (njengama-ovari noma amashubhu e-fallopian). Lokhu kungabangela ubuhlungu obukhulu.
- Ama-Benign Cysts: Lawa ama-cysts akha ema-ovari, angenawo amangqamuzana omdlavuza, futhi angagcwala uketshezi. Lawa kungadingeka asuswe uma eba makhulu noma eba buhlungu.
- Ukunciphisa ingozi yomdlavuza: Uma othile emndenini eke waba nomdlavuza webele noma wesibeletho, noma uma kunezici eziyingozi ezifana nokuguqulwa kwezakhi zofuzo ze-BRCA , lokhu kuhlinzwa kwenziwa njengesinyathelo sokuqapha ngaphambi kokuba umdlavuza ukhule.
- Umdlavuza Wesibeletho: Uma kukhona umdlavuza emaqanda, uyasuswa njengokwelashwa.
- Ukugoba Kwesibeletho: Isimo esibuhlungu kakhulu esenzeka lapho isibeletho sijikeleza imithambo yegazi esihlinzeka ngaso.
- Ukutheleleka: Ukutheleleka okukhulu (Isifo Sokuvuvukala Kwama-Pelvic - PID) ngaphakathi noma eduze kwama-ovari.
Lokhu kubathinta kanjani labo abakhathalela izingane?
Lena inkinga ebaluleke kakhulu futhi ebucayi. Uma kokubili ama-ovari nama-fallopian tubes kususwa, uzolahlekelwa ikhono lokukhulelwa ngokwemvelo.
Kodwa-ke, uma isibeletho sakho singakasuswa, i-IVF (ukukhulelwa kwe-in vitro)Kungenzeka ukuqhubeka nokukhulelwa (ukukhulelwa umntwana) ngokusebenzisa amasu anjenge-IVF. Uma usenethemba lokuba nabantwana, kubalulekile ukukhuluma ngokukhululekile ngalokhu nodokotela wakho ngaphambi kwalokhu kuhlinzwa. Angase futhi achaze izinketho ezifana nokususa nokuqandisa amaqanda akho.
Yini okufanele siyilungiselele ngaphambi kokuhlinzwa?
Udokotela wakho uzokuchazela yonke imininingwane yokuhlinzwa. Uzonikezwa imiyalelo yokuthi yini okufanele uyenze ngaphambi nangemva kokuhlinzwa. Uzolalela noma yimiphi imibuzo ongase ube nayo mayelana nezingozi zokuhlinzwa, isikhathi sokululama, kanye nenqubo. Ngaphambi kokuhlinzwa, udokotela wakho angase akucele ukuthi uhlolwe, njengokuthi:
- Ukuhlolwa ngokomzimba
- Ukuhlolwa kwegazi
- Ukuhlolwa komchamo
- Ukuskena nge-ultrasound
- Ukuskena kwe-MRI
Ukuhlinzwa kwenziwa kanjani?
Kunezindlela ezintathu eziyinhloko zokususa ama-ovari. Indlela ngayinye inezingozi zayo kanye nesikhathi sokululama.
| Indlela | Incazelo |
|---|---|
| Ukuhlinzwa kwe-Keyhole (indlela ye-Laparoscopic) | Lokhu kuhilela ukwenza izimbobo eziningana ezincane kakhulu esiswini, ukufaka ikhamera ngesinye sazo, nokufaka amathuluzi ngezinye izimbobo ukuze kususwe isibeletho. Lokhu kunengozi encane yokutheleleka futhi kuphola ngokushesha. |
| Indlela yesitho sangasese sowesifazane | Lena futhi inqubo enobungozi obuphansi, ephulukisa ngokushesha. Ngokuvamile, ama-ovari asuswa ngesikhathi esifanayo nesibeletho sikhishwa ngesitho sangasese sowesifazane. |
| I-Laparotomy (ukuhlinzwa okuvulekile) | Kwezinye izimo, udokotela angase anqume ukuthi kudingeka ukusikwa okukhulu ukuze kuqedwe ukuhlinzwa. Lokhu kubizwa ngokuthi i-laparotomy. Le ndlela ithatha isikhathi eside ukuphola, futhi ingozi yezinkinga iphakeme kancane kunezinye izindlela. |
Uma uhlinzwa ngembobo yokhiye noma ngesitho sangasese sowesifazane, ungase ukwazi ukuya ekhaya kusihlwa esifanayo, noma kungase kudingeke uhlale esibhedlela ubusuku bonke. Kodwa-ke, uma uhlinzwa nge-laparoscopic, kungase kudingeke uhlale esibhedlela cishe izinsuku ezintathu.
Kwenzekani emzimbeni ngemva kokuhlinzwa?
Umzimba wakho uzoshintsha kuye ngohlobo lokuhlinzwa olwenzayo. Into ebaluleke kakhulu ukuthi uma ungakayi ukuya esikhathini futhi womabili ama-ovari akho esusiwe, uzoya esikhathini sokuya esikhathini ngokushesha. Lolu ushintsho olukhulu. Ngakho-ke kubaluleke kakhulu ukukhuluma nodokotela wakho ngokuthi uzobhekana kanjani nalezi zinguquko zama-hormone ngaphambi kokuhlinzwa.
Ingabe ukuya esikhathini kuyaqhubeka?
Kuye nangokuthi uhlobo lokuhlinzwa olwenzile. Uma kususwa elilodwa kuphela lama-ovary akho futhi elinye lisebenza kahle, uzoqhubeka nokuya esikhathini.
Ingabe ama-ovari angaphinde akhule?
Cha. Amaqanda asuswe ngokuhlinzwa ngeke aphinde akhule.
Ziyini izingozi zokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile, kodwa amathuba okuba lokhu kwenzeke mancane.
- Ukutheleleka.
- Ukulimala kwezitho ezizungezile njengesinye noma amathumbu ngesikhathi sokuhlinzwa.
- Ukopha kakhulu kunalokho obekulindelwe.
- Ukuba nokusabela okungekuhle ekubulaweni yizinzwa.
- Ukuzwa ubuhlungu obukhulu ngisho nangemva kokuhlinzwa.
- Amahlule egazi.
- Uma isimila somdlavuza sisusiwe, kunobungozi obuncane kakhulu bokuthi sizoqhuma futhi sisakaze amangqamuzana omdlavuza.
- Ukulahlekelwa yikhono lokuba nezingane.
Sinjani isikhathi sokululama? Yini okufanele siyilandele?
Ukululama kuyahlukahluka kuye ngomuntu nomuntu. Ngokuvamile kuzodingeka uthathe ikhefu emisebenzini yakho evamile okungenani amasonto amabili. Uma unesisu esibuhlungu, kungathatha amasonto ayisithupha ukululama ngokuphelele. Kubalulekile ukulandela lezi zinyathelo phakathi nalesi sikhathi:
- Ungazivivinyi (ukuhamba kahle).
- Ungaphakamisi noma yiziphi izinsimbi.
- Gwema ukuya ocansini.
- Sebenzisa ama-sanitary pad kuphela uma usesikhathini (awekho ama-tampon).
- Ungagezi ngamanzi (geza ngamanzi kuphela).
- Gcina indawo yokuhlinzwa ihlanzekile futhi yomile.
- Phuza imithi yokubulala izinhlungu kanye nama-antibiotic anikezwe udokotela wakho njengoba nje eyalelwe.
- Cela usizo emndenini nakubangani phakathi nalesi sikhathi.
- Uma uphuza imithi yokubulala izinhlungu, ungashayeli ngoba ingabangela ukozela.
Ingabe ukuhlinzwa kubangela ukuthi ukunqamuka kokuya esikhathini kwenzeke ngokushesha?
Yebo. Ama-ovari akhiqiza ama-hormone i-estrogen ne-progesterone, alawula umjikelezo wokuya esikhathini. Uma womabili ama-ovari esusiwe, ukukhiqizwa kwala ma-hormone kuyayeka bese ungena ngokushesha esikhathini sokuya esikhathini. Kubalulekile ukuqaphela lokhu ngaphambi kokuhlinzwa.
Izimpawu ezinjengalezi zingase zivele ngesikhathi sokunqamuka kokuya esikhathini:
- Ukushisa okukhulu.
- Ukujuluka ngokweqile ebusuku (ukujuluka ebusuku).
- Ukoma kwesitho sangasese sowesifazane.
- Ukuncipha kwamathambo kanye nengozi yokuphuka kwamathambo kusenesikhathi (i-Osteoporosis).
Kuye ngokuthi kungani ama-ovari akho esusiwe, udokotela wakho angase anqume ukukunikeza ukwelashwa kokushintsha ama-hormone ukulawula lezi zimpawu.
Yiziphi izimpawu ezidinga ukuthi ubonane nodokotela ngokushesha ngemva kokuhlinzwa?
Uma ufika ekhaya ngemva kokuhlinzwa, qaphela lezi zimpawu. Uma unazo, yazisa udokotela wakho ngokushesha.
- Ukuvuvukala noma ukubomvu kwesilonda sokuhlinzwa.
- Uketshezi olunamanzi noma ubomvu obuphuma esigaxeni.
- Ubuhlungu endaweni yesinqe.
- Ukuvuvukala noma ubuhlungu emilenzeni (lokhu kungaba uphawu lokuqhekeka kwegazi).
- Ukucanuzela kwenhliziyo kanye/noma ukuhlanza.
- Umkhuhlane noma ukubanda.
- Ukuzwa ubuhlungu lapho uchama.
- Uketshezi oluphuma esithweni sangasese sowesifazane olunephunga elibi noma olulumayo.
Uma unezinye zalezi zimpawu, ungazinaki. Khuluma nodokotela wakho ngokushesha okukhulu.
Ingabe i-Hysterectomy ne-Oophorectomy zizinto ezimbili ezihlukene?
Yebo, lokhu kuyinto edida abantu abaningi.
- Ukususwa kwesibeletho yinqubo yokuhlinzwa kokukhipha isibeletho.
- I-Oophorectomy ukuhlinzwa kokususa i-ovary eyodwa noma zombili.
Nokho, ngezinye izikhathi kokubili lokhu kuhlinzwa kwenziwa ndawonye.
Kuvamile ukuzizwa wesaba uma uzwa ngokuhlinzwa kokukhipha isisu. Ikakhulukazi uma ucabanga ngokuba nezingane, noma uma ukhathazekile ngokunqamuka kokuya esikhathini noma umdlavuza kusenesikhathi. Khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho. Bangakusiza ukuthi ubhekane nalokho ongakulindela ngemva kokuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Oophorectomy ukususwa ngokuhlinzwa kwe-ovaries eyodwa noma zombili.
- Lokhu kuhlinzwa kwenziwa ngezizathu ezithile zezokwelapha njenge-endometriosis, umdlavuza, kanye nezimila ezinkulu.
- Uma ama-ovari womabili esusiwe, ikhono lokuthola abantwana ngokwemvelo liyalahleka futhi ukuya esikhathini kwenzeka ngokushesha.
- Isikhathi sokululama sincike ohlotsheni lokuhlinzwa okwenziwe (ukuhlinzwa kwe-keyhole noma i-laparotomy).
- Uma unemibuzo mayelana nokuba nezingane, ukunqamuka kokuya esikhathini, noma yini enye, ungesabi ukubuza udokotela wakho ngaphambi kokuhlinzwa.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment