Abesifazane abaningi bangase babe ne-cyst yama-ovari ngesikhathi esithile empilweni yabo. Ngezinye izikhathi la ma-cyst akhula ngaphandle kwezinkinga futhi aphele ngokwawo . Kodwa ngezinye izikhathi, uma la ma-cyst ekhula, ebangela ubuhlungu, noma ebangela ezinye izinkinga, udokotela wakho angase ancome ukuhlinzwa ukuze asuswe. Lokhu yilokho esikubiza ngokuthi i-ovarian cystectomy. Ngakho-ke, namuhla sizokhuluma ngalokhu ngendlela elula ezophendula yonke imibuzo yakho.
Kalula nje, kuyini i-Ovarian Cystectomy?
Kalula nje, i-ovarian cystectomy ukususwa ngokuhlinzwa kwe-cyst noma ama-cyst akheke esibelethweni sakho. I-ovarian cyst iyisikhwama esigcwele uketshezi esakheka ebusweni be-ovary. Empeleni lokhu kuvame kakhulu. Kodwa-ke, udokotela wakho uzoncoma ukuthi usisuse kuphela uma i-cyst ingahambi yodwa , ikhula, noma ikubangela ubuhlungu.
Yiziphi izindlela eziyinhloko zokwenza lokhu kuhlinzwa?
Odokotela basebenzisa izindlela ezimbili eziyinhloko zokususa ama-cyst esibelethweni: ukuhlinzwa kwe-keyhole kanye nokuhlinzwa okuvulekile. Udokotela wakho uzonquma ukuthi yikuphi ukuhlinzwa okudingayo ngokusekelwe ezintweni eziningana, okuhlanganisa ubukhulu kanye nohlobo lwe-cyst yakho, kanye nempilo yakho iyonke.
| Indlela yokuhlinzwa | Indlela kanye nohlobo lokwenza izinto |
|---|---|
| Ukususwa Kwesibeletho Nge-Laparoscopic | Lokhu kuhilela ukwenza izimbobo eziningana ezincane kakhulu (njengezimbobo zokhiye) esiswini, ukufaka ikhamera (i-laparoscope) ngesinye sazo, nokususa isimila ngezinye izimbobo kusetshenziswa amathuluzi okuhlinza. Lokhu akushiyi isilonda esikhulu, akubuhlungu kakhulu, futhi kungaphola ngokushesha. |
| Ukuhlinzwa Okuvulekile (Ukuhlinzwa Okuvulekile Kwe-Cystectomy / I-Laparotomy) | Uma isimila sikhulu kakhulu, noma uma kukhona ukusola ukuthi singaba nomdlavuza, udokotela uzokhetha le ndlela. Lapha, isimila sisuswa ngokusikwa okukhulu kancane esiswini esingezansi. Lokhu kudinga ukuhlala esibhedlela isikhathi eside futhi kuthatha isikhathi eside ukuphulukiswa. |
Esikhathini esiningi, odokotela bazama ukwenza ukuhlinzwa kwe-keyhole ngoba kulula kuwe. Kodwa-ke, ngezinye izikhathi, ukuya ekuhlinzweni okuvulekile kuyindlela ephephile.
Yini ebangela ama-cysts esibelethweni?
Akukho sizathu esisodwa salokhu. Kungase kube nezici eziningana ezihilelekile.
- Ukungalingani kwama-hormone: Ikakhulukazi izimo ezifana ne-polycystic ovary syndrome (PCOS).
- Ukuvuthwa: Amanye ama-cyst angakhula ngesikhathi senqubo evamile yokuvuthwa. Eminye imithi yokuzala nayo ingabangela lokho.
- I-Endometriosis: Lokhu ukukhula kwezicubu zesibeletho ngaphandle kwesibeletho, ikakhulukazi emaqanda.
- Isifo Sokuvuvukala Kwezitho Zangasese.
- Umdlavuza: Nokho, lokhu akuvamile. Ama-cyst amaningi esibelethweni awawona umdlavuza.
Kwenzekani ngesikhathi sokuhlinzwa?
Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile , okusho ukuthi ulele ngokuphelele. Udokotela wezinzwa uzofaka i-cannula (IV) emthanjeni wakho bese ekunikeza imithi edingekayo kanye noketshezi ngayo.
Ngemva kokuba ulele, udokotela ohlinzayo uzoqala ukuhlinzwa. Ekuhlinzeni ngembobo yokhiye, kwenziwa ukusika okuncane esiswini bese kufakwa ikhamera. Isisu sibe sesivuvukele ngegesi encane ye-carbon dioxide ukuze sibone kangcono. Ngemuva kwalokho, kufakwa izinto zokuhlinza ngokusebenzisa eminye imicu emibili noma emithathu emincane bese isimila sisuswa ngokucophelela. Ngezinye izikhathi isimila sithunyelwa ukuze kuhlolwe i-biopsy ukuze kubonakale ukuthi sinomdlavuza yini.
Ekugcineni, isisu siyaphuma, izimbobo zivalwa ngohlobo lwentambo encibilikayo, bese kufakwa iplasta. Lokhu kufana nokuhlinzwa okuvulekile, kodwa ngokusikwa okukodwa okukhulu.
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama. Ungase uzwe ubuhlungu nokungakhululeki lapho uvuka. Ikakhulukazi uma uhlinzwe imbobo yokhiye, ungase uzwe ubuhlungu emahlombe akho ngenxa yegesi esiswini sakho. Kodwa udokotela uzokunikeza imithi yokudambisa ubuhlungu edingekayo ngalokho.
- Uma uhlinzwe imbobo yokhiye (i-Laparoscopy) , ungabuya ekhaya ngalolo suku zingakapheli amahora ambalwa.
- Uma uhlinzwe ngokuhlinzwa okuvulekile (i-laparotomy) , kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili.
Kubaluleke kakhulu ukuze ululame ngokushesha ukulandela imiyalelo enikezwa udokotela uma usuya ekhaya.
Udokotela wakho uzokuchazela izinto ezinjengalezi:
- Indlela yokunakekela ukusika.
- Ngingageza nini?
- Ngingaqala nini ukwenza imisebenzi evamile, njengokuphakamisa izinsimbi?
- Usuku okufanele ngibuye ngalo emtholampilo.
- Ngingaqala nini ucansi futhi?
- Ngingabuyela nini emsebenzini?
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Izinzuzo
Inzuzo eyinhloko ukususwa kwesimila esibangela ubuhlungu noma esingaba yinkinga esikhathini esizayo. Uma lezi zimila zisekhona, ngezinye izikhathi zingadala izinkinga. Isibonelo:
- I-ovarian cyst ephukile: Lokhu kungabangela ubuhlungu obungazelelwe nobubukhali besisu.
- Ukugoba kwe-ovary: Isisindo sesimila singasonta i-ovary, sinqande ukugeleza kwegazi. Lokhu futhi kuyisimo esiphuthumayo esibuhlungu.
Ukuhlinzwa kusiza ukuvimbela izinto ezinjengalezi.
Izingozi
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile, kodwa lezi azivamile.
- Ukutheleleka kwenxeba lokusikwa.
- Ukopha ngokweqile ngesikhathi sokuhlinzwa noma ngemva kokuhlinzwa.
- Ukungezwani komzimba ne-anesthesia.
- Amahlule egazi emilenzeni.
- Ukulimala kwezitho ezizungezile (njengamathumbu, esinyeni).
- Ukuphinda kwesisu.
- Akuvamile kakhulu, uma i-ovary yonakele ngesikhathi sokususwa kwesimila, kungadingeka futhi isuswe (oophorectomy).
Ingozi yakho ingaba phezulu kancane uma unezinye izimo zezokwelapha (njengesifo sikashukela noma ukukhuluphala ngokweqile) noma uma ubhema. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho umlando wakho wezempilo ophelele ngaphambi kokuhlinzwa .
Kuthatha isikhathi esingakanani ukululama? Ingabe kukhona umthelela ekutholeni abantwana?
Isikhathi sokululama sincike ekutheni uhlinzwe kanjani.
- Ngemva kokuhlinzwa kwe-keyhole (i-Laparoscopy) , ngokuvamile ungalulama ngokuphelele phakathi nesonto elilodwa kuya kwamathathu .
- Ngemva kokuhlinzwa okuvulekile (i-laparotomy) , kungathatha amasonto ayisithupha kuya kwayisishiyagalombili , ngezinye izikhathi isikhathi eside nakakhulu.
Manje, umbuzo abantu abaningi abanawo ukuthi lokhu kuzothinta yini ikhono lakho lokuba nabantwana. Ngokuvamile, lokhu kuhlinzwa ngokwako ngeke kuthinte ukuzala kwakho. Kodwa-ke, isizathu sokuthi kungani une-ovarian cysts (isb., i-Endometriosis, i-PCOS) singathinta ikhono lakho lokuba nabantwana. Futhi, akuvamile kakhulu, uma i-ovary noma i-fallopian tube yonakele ngesikhathi sokuhlinzwa, ingase ilithinte. Uma unokungabaza ngalokhu, khuluma nodokotela wakho ngokukhululekile.
Yiziphi izimo eziphuthumayo ezidinga ukubona udokotela?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa kwakho, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Uma inxeba libomvu, livuvukile, likhipha ubomvu, noma libuhlungu kakhulu.
- Ukushisa noma ubuhlungu lapho uchama, noma ukungakwazi ukuchama.
- Ubuhlungu besisu obungabekezeleleki, obukhulu.
- Ukuvuvukala, ubuhlungu, noma ukuqina kwemilenze.
- Umkhuhlane noma ukuzizwa ungaphilile.
- Ukopha kakhulu kwesitho sangasese sowesifazane.
Umlayezo Wokuya Nawe Ekhaya
- Ama-cyst esibelethweni ayisifo esivamile kwabesifazane. Akuwona wonke ama-cyst adinga ukuhlinzwa.
- I-Laparoscopy inqubo engabangeli ubuhlungu obukhulu futhi engangenisi kakhulu engelapheka ngokushesha. Ukuhlinzwa okuvulekile kuyadingeka kuphela ezimweni eziyinkimbinkimbi.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngaphambi nangemva kokuhlinzwa.
- Lokhu kuhlinzwa akuvamile ukuthinta ukuzala, kodwa isimo sezokwelapha esiyisisekelo esibangele ukwakheka kwama-cyst singase sibe khona.
- Uma uba nezimpawu zokutheleleka (umkhuhlane, ubuhlungu lapho kunqunywa, ukuvuvukala), ukopha ngokweqile, noma ubuhlungu obukhulu ngemva kokuhlinzwa, funa iseluleko sezokwelapha ngokushesha.
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