Unayo i-cyst yesibeletho? Uyasaba ukuhlinzwa? Ake sixoxe (Ukususwa kwe-Ovarian Cystectomy)

Ingabe udokotela ukutshelile ukuthi une-cyst esibelethweni sakho nokuthi udinga ukuhlinzwa ukuze usisuse? Kuvamile ukuzizwa wesaba kancane futhi ukhathazekile uma uzwa lokho. "Kuyini lokhu kuhlinzwa?", "Ingabe kuzobuhlungu kakhulu?", "Kuzothatha isikhathi esingakanani ukuphulukiswa?", "Ngeke ngiphinde ngikwazi ukuba nabantwana?" Cishe kufika imibuzo eyisigidi engqondweni. Ungakhathazeki. Awuwedwa. Namuhla, sizoxoxa ngalokhu kuhlinzwa okubizwa ngokuthi i-'Ovarian Cystectomy', okuwukuhlinzwa kokususa ama-cyst esibelethweni, ngendlela elula kakhulu ongayiqonda.

Okokuqala, ake sibone, iyini i-cyst ye-ovarian?

Kalula nje, i-cyst yesibeletho iyisikhwama esincane, esigcwele uketshezi esakheka esibelethweni sakho. Cabanga ngaso njenge-blister esikhumbeni sakho. Lezi yizimo ezivamile abesifazane abaningi abazitholayo. Esikhathini esiningi, ziyaphela zodwa phakathi nezinyanga ezimbalwa, ngaphandle kwezinkinga noma imithi.

Kodwa ngezinye izikhathi la ma-cyst angaqhubeka, akhule abe makhulu, noma abangele ubuhlungu. Yilapho udokotela enquma ukususa i-cyst ngokuhlinzwa. Lokhu kuhlinzwa kubizwa ngokuthi i-'Ovarian Cystectomy'.

Yiziphi izindlela zokwenza lokhu kuhlinzwa?

Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa ukuze kususwe ama-cyst esibelethweni. Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe ngokusekelwe esimweni sakho.

1. I-Laparoscopic Ovarian Cystectomy: Lena inqubo evame kakhulu namuhla. Abanye abantu bayibiza nangokuthi "ukuhlinzwa kwe-key-hole." Okwenzekayo lapha ukuthi kwenziwa i-incision encane kakhulu esiswini sakho, bese kudluliselwa ipayipi elincane elinekhamera kulo (i-'laparoscope') esiswini sakho. Ngaleyo khamera, udokotela angabona konke okungaphakathi esiswini sakho, okuhlanganisa ama-ovari akho kanye nesibeletho, njengokungathi kusesikrinini esikhulu se-TV. Ngemuva kwalokho, kwenziwa ezinye i-incision ezimbili ezincane esiswini sakho, bese kufakwa izinto ezincane ezidingekayo ekuhlinzeni ngaphakathi , bese i-cyst isikwa ngokucophelela futhi isuswe.

2. Ukuhlinzwa kwe-Open Cystectomy / Laparotomy: Lena yindlela yendabuko. Lapha, kwenziwa ukusika okukhulu kancane esiswini esingezansi, isisu siyavulwa, bese kususwa i-cyst. Udokotela ukhetha le ndlela ezimweni ezimbalwa ezikhethekile. Isibonelo:

• Uma isimila sikhulu kakhulu.
• Uma kukhona ngisho nokusola okuncane ukuthi lesi simila singase sibe nomdlavuza.

Lapha umehluko phakathi kwalezi zindlela ezimbili ucacile nakakhulu.

Kungani la ma-cyst e-ovarian akheka?

Kunzima ukukhomba isizathu esisodwa salokhu. Kunezici eziningana ezingaba nomthelela.

• Izinguquko ekusebenzeni kwama-hormone: Ikakhulukazi ngenxa yezimo ezihlobene nama-hormone njenge-PCOS (i-Polycystic Ovary Syndrome).
• Ukuvuthwa:Ngezinye izikhathi, lezi zinhlobo zama-cyst zingakhula ngesikhathi senqubo yokuvuthwa kwamaqanda. Kungabangelwa futhi eminye imithi yama-hormone esetshenziswa ukukusiza ukukhulelwa.
• I-Endometriosis: Lokhu kwenzeka lapho izicubu ezingaphakathi kwesibeletho zikhula ngaphandle kwesibeletho, njengakuma-ovari. Lokhu kungabangela nokwakheka kwama-cyst.
• Isifo Sokuvuvukala Kwesitho Sangasese Sowesifazane: Ukutheleleka okukhulu kwesistimu yokuzala.
• Izimo zomdlavuza: Kodwa-ke, lokhu akuvamile kakhulu. Cishe ama-cyst angama-95 kwangu-100 e-ovarian awawona umdlavuza.

Kukuziphi izimo lapho kudingeka khona ukuhlinzwa?

Njengoba kushiwo ngaphambili, akuzona zonke izimila ezidinga ukususwa. Kodwa-ke, udokotela wakho anganquma ukuthi ukuhlinzwa kuwumqondo omuhle ngezizathu ezilandelayo:

• Uma isimila sikhulu ngobukhulu: Ngokuvamile kunconywa ukususa izimila ezinkulu kuno-2.5 ​​- 3 inches (6-7 cm).
• Uma uzwa ubuhlungu: Ubuhlungu obuvamile, obukhulu esiswini esingezansi noma emhlane bungase bubangelwe yilesi simila.
• Uma kukhona ukusola ukuthi isimila singase sibe nomdlavuza: Uma ukusola okunjalo kuvela ekuhlolweni kwegazi nasekuhlolweni kwegazi, isimila sizosuswa ukuze kuqinisekiswe futhi kwelashwe.

Uzilungiselela kanjani ngaphambi kokuhlinzwa?

Udokotela wakho uzokunikeza yonke imiyalelo oyidingayo ngaphambi kosuku lokuhlinzwa. Kubaluleke kakhulu ukuyilandela kahle.

• Ukudla Nokuphuza: Thola ukuthi kufanele uyeke ukudla nokuphuza amahora amangaki ngaphambi kokuhlinzwa.
• Imithi: Uma uphuza imithi yesinye isimo (isib. isifo sikashukela, umfutho wegazi), buza udokotela wakho ukuthi kufanele yini uphuze noma uyeke ukuthatha leyo mithi ngosuku lokuhlinzwa.
• Buza imibuzo: Buza udokotela wakho noma yimiphi imibuzo onayo, kungakhathaliseki ukuthi mincane kangakanani. Ungesabi ukubuza.
• Umuntu ozokusiza: Kulula kakhulu ukuba nomuntu ozokusiza ngemisebenzi yasekhaya futhi akunakekele izinsuku ezimbalwa ngemva kokuhlinzwa.

Kwenzekani ngesikhathi sokuhlinzwa?

Akudingeki ukhathazeke kakhulu ngalokhu. Ngoba uzoba ngaphansi kwe-anesthesia ejwayelekile futhi ulale kahle phakathi nokuhlinzwa konke. Ngeke uzizwe lutho.

Udokotela uzoqala ukuhlinzwa ngemva kokuba ulele.

• Ekuhlinzeni kwe-laparoscopic: Ikhamera ifakwa ngokusika okuncane, bese isisu sigcwala umoya ngegesi encane yekhabhoni dioksijini. Lokhu kuvumela udokotela ukuthi abone ngaphakathi esiswini ngokucacile futhi enze ukuhlinzwa. Ngemuva kwalokho, kufakwa amathuluzi ngezinye izimbobo ukuze kususwe isimila. Ngezinye izikhathi, ingxenye encane yesimila ithunyelwa ukuze kwenziwe i-biopsy ukuze kuhlolwe umdlavuza. Lapho inqubo isiqediwe, igesi iyasuswa, bese izimbobo ezincane zivalwa ngohlobo lwe-suture encibilikayo.
• Ekuhlinzeni okuvulekile: Kwenziwa ukusika okukhulu, isimila esisesibelethweni sisuswa ngokucophelela, bese isikhumba sithungwa ndawonye sibe yizingqimba eziningana.

Kuzokwenzekani ngemva kokuhlinzwa?

Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama. Ungase uzizwe ubuhlungu noma ukungakhululeki lapho uvuka. Abahlengikazi bazokunikeza amaphilisi obuhlungu. Ukushaya kwenhliziyo yakho kanye nomfutho wegazi kuzoqashwa.

• Uma uhlinzwe nge-laparoscopic, uzokwazi ukuya ekhaya emahoreni ambalwa, kungaba kusihlwa esifanayo noma ngakusasa ekuseni.
• Uma uhlinzwe ngokuvuleka, kuzodingeka uhlale esibhedlela izinsuku ezimbili kuya kwezintathu noma ngaphezulu.

Udokotela uzokunikeza isethi yemiyalelo okufanele uyilandele ngemva kokubuyela ekhaya.

• Kusukela nini usukwazi ukugeza?
• Amanxeba kufanele agcinwe kanjani ehlanzekile?
• Kufanele ngiyeke isikhathi esingakanani ukuphakamisa izinsimbi nokwenza umsebenzi onzima?
• Kufanele ngize nini kudokotela futhi?
• Yimuphi umuthi okufanele ngiwuthathe ngenxa yobuhlungu?
• Kufanele uzithibe isikhathi esingakanani ocansini?

Ukulandela konke lokhu kubaluleke kakhulu ukuze ululame ngokushesha.

Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?

Izinzuzo:

Inzuzo eyinhloko ukususwa kwesimila esasibangela ubuhlungu, ukungakhululeki, futhi mhlawumbe sibe yingozi esikhathini esizayo. Kunezinkinga ezimbili ezinkulu ezingase zenzeke ngenxa yama-cyst esibelethweni:

• I-Ovarian Cyst Ephukile: Uma i-cyst iqhuma ngokuzumayo, ingabangela ubuhlungu obukhulu, obungabekezeleleki.
• Ukugoba Kwesibeletho: Isisindo sesimila singabangela ukuthi isibeletho sisonteke njengentambo. Uma lokhu kwenzeka, ukuphakelwa kwegazi esibelethweni kungase kunqamuke, okubangela ukuba singasebenzi nhlobo. Lokhu futhi kuyisimo esiphuthumayo.

Ukuhlinzwa kusiza ekuvikeleni ezintweni ezinjengalezi.

Izingozi:

Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane, kodwa lezi azivamile.

• Ukutheleleka kwenxeba.
• Ukopha ngesikhathi sokuhlinzwa.
• Ukungezwani komzimba ne-anesthesia.
• Amahlule egazi emilenzeni.
• Ukukhula kabusha ngemva kokususwa kwesimila.
• Akuvamile kakhulu, ukulimala kwe-ovary noma i-fallopian tube.
• Ngezinye izikhathi, uma kuphela isimila singenakukwazi ukususwa, lonke iqanda kungadingeka lisuswe (`Oophorectomy`).

Udokotela wakho uzokuchazela konke lokhu. Uma unezimo ezifana nokubhema, isifo sikashukela, noma ukukhuluphala ngokweqile, ingozi yezinkinga iphakeme kancane.

Umbuzo obaluleke kakhulu wonke umuntu anawo: Ngingaba nomntwana ngemva kokuhlinzwa?

Kodwa kubalulekile ukukhumbula ukuthi isimo esibangele i-ovarian cyst yakho (njenge-endometriosis noma i-PCOS) singathinta ikhono lakho lokuba nabantwana ngezinga elithile. Ngakho-ke, uma unethemba lokuba nabantwana esikhathini esizayo, kubaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho ngakho ngaphambi kokuhlinzwa. Uzokunikeza iseluleko esingcono kakhulu.

Uma unezinye zalezi zimpawu ngemva kokuhlinzwa, tshela udokotela wakho ngokushesha.

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa kwakho, ungesabi futhi ushayele udokotela wakho ucingo ngokushesha. Noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU).

• Uma inxeba libomvu, livuvukile, futhi ubomvu buphuma.
• Uma unomkhuhlane omkhulu futhi uzizwa ubuthakathaka.
• Uma unezinhlungu ezingabekezeleleki esiswini esingezansi.
• Uma kukhona ukusha noma ubuhlungu lapho uchama.
• Uma kukhona ukopha okukhulu kwesitho sangasese sowesifazane.
• Uma imilenze yakho ivuvukile futhi ibuhlungu.