Unayo i-ovarian dermoid cyst? Ungakhathazeki, ake sixoxe!

Wake wezwa ngamaqhubu angajwayelekile akhula ngezinye izikhathi ngaphakathi kwama-ovari, aqukethe izinto ezifana nezinwele, amazinyo, nesikhumba? Kuzwakala kungavamile kancane, akunjalo? Kodwa lokhu kuyinto yangempela. Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi 'i-Ovarian Dermoid Cyst' noma 'i-Mature Cystic Teratoma'. Nakuba igama lingase lizwakale liyesabeka, lokhu ngokuvamile akuyona umdlavuza. Ngakho-ke, ingabe kufanele sixoxe ngalokhu ngokuningiliziwe futhi nje namuhla?

Iyini ngempela i-ovarian dermoid cyst?

Kalula nje, yisikhwama esigcwele uketshezi esakheka emaqanda akho. Kodwa ngaphakathi kwalesi sikhwama akukhona uketshezi kuphela. Yizicubu ezivela kwezinye izingxenye zomzimba wakho, njengezinwele zakho, amangqamuzana esikhumba, amazinyo, futhi ngezinye izikhathi izicubu zemizwa. Cabanga ngakho, kuyamangaza kancane, akunjalo?

Ngokungafani nezinye izimila ezivame ukwakheka kuma-ovari, lezi zimila ezibizwa ngokuthi ama-dermoid cyst azihlotshaniswa nomjikelezo wakho wokuya esikhathini. Empeleni zakheka lapho izicubu ezikhule ngokugcwele ziqoqana endaweni engajwayelekile, njenge-ovary yakho.

Into ebaluleke kakhulu ukuthi la ma-cyst e-dermoid ovarian ngokuvamile ayizifo ezingezona ezomdlavuza . Lokho kusho ukuthi akukho okufanele ukhathazeke ngakho. Kodwa-ke, uma la ma-cyst ekhula ngaphezu kobukhulu bawo, kungase kube nezinkinga ezithile. Ngakho-ke, kungcono ukuthi udokotela akuhlole lokhu bese uthola iseluleko sokuthi uwasuse noma cha, uma kudingeka.

Ubani othola ama-dermoid cyst? Avame kangakanani?

Noma ubani onama-ovari angaba ne-ovarian dermoid cyst. Kuvame ukukholelwa ukuthi lokhu kuba khona lapho ezalwa . Kodwa-ke, abantu abaningi bathola ukuthi banayo ngesikhathi senqubo yokuthwebula izithombe ngesinye isizathu. Isibonelo, kuvamile ukuthi i-cyst itholakale ngengozi ngesikhathi sokuhlolwa kwe-ultrasound ngesikhathi sokukhulelwa.

Ama-Ovarian Dermoid Cysts uhlobo oluvame kakhulu lwesimila se-ovarian germ cell esikhula ema-ovari. Futhi uhlobo oluvame kakhulu lwe-ovarian cyst olutholakala ngesikhathi sokukhulelwa. Cishe ingxenye eyodwa kwezintathu zama-cyst angewona umdlavuza atholakala ngesikhathi sokukhulelwa ama-ovarian dermoid cysts. Ngezinye izikhathi, ku-10% kuya ku-15% wamacala, atholakala kuzo zombili izimila.

Yimiphi imiphumela engaba nayo la mathumba emzimbeni? Ingabe zikhona izinkinga?

Ngokuvamile, inkinga enkulu ngala ma-cyst e-dermoid ovarian iwukuthi uma ebangela noma yiziphi izinkinga. Uma i-cyst inkulu, kulapho amathuba okuba ibangele izinkinga khona.

Kunezinkinga ezimbili eziyinhloko ezingaba khona:

1.Ukugoba Kwesibeletho: Lawa ma-cyst e-dermoid ngezinye izikhathi angakhula abe makhulu impela. Uma lokhu kwenzeka, isibeletho esiqukethe isibeletho singasonta sizungeze i-axis yaso. Cabanga ngaso njengento esindayo elenga entanjeni ejikelezayo. Uma lokhu kugoba kwenzeka, ukuphakelwa kwegazi esibelethweni kuyancipha noma kulahleke ngokuphelele. Uma kungelashwa ngokushesha, isibeletho singalimala futhi mhlawumbe sife. Lokhu kuyisimo esiphuthumayo.

2. Ukuqhekeka: Lokhu kungabangela ukuthi i-cyst iqhume futhi ichitheke okuqukethwe yiyo emgodini wesisu. Isikhathi esiningi, umzimba uzomunca okuqukethwe futhi ngeke kube yinkinga enkulu. Kodwa-ke, ngezinye izikhathi lokhu kuqhekeka kungaholela ekuthelelekeni. Uma lokhu kwenzeka, kudingeka ukwelashwa okuphuthumayo.

Okubalulekile: Amathuba okuba la ma-ovarian dermoid cyst abe nomdlavuza aphansi kakhulu, angaphansi kuka-2%.

Kodwa-ke, ingozi yokuba nomdlavuza inganda kancane ezimweni ezilandelayo:

• Uma uneminyaka engaphezu kwengu-45 ubudala .
• Uma isimila sikhula ngokushesha okukhulu .
• Uma ububanzi besimila bungaphezu kwamasentimitha ayi-10 .

Uma udokotela wakho esola ukuthi isimila sizoqhuma, siqhume, noma sibe umdlavuza, angase akuncome ukuthi sisuswe.

Ziyini izimpawu ze-Dermoid Cysts?

Esikhathini esiningi, lawa ma-cyst e-dermoid ovarian awabangeli zimpawu , ikakhulukazi uma i-cyst incane. Uma uba nezimpawu, ngokuvamile kuba yilapho i-cyst inkulu kakhulu. Izinto eziyinhloko ongase uziqaphele yilezi:

• Ubuhlungu esiswini esingezansi
• Umuzwa wokucindezeleka esiswini
• Umuzwa wokugcwala

Ngaphezu kwalokhu, ungase ubhekane nezimpawu ezilandelayo, nakuba zingabi njalo:

• Isicanucanu
• Ukuhlanza
• Ukuqunjelwa
• Izinguquko ekufiseni ukudla
• Ubuhlungu ngesikhathi socansi (i-Dyspareunia)

Cabanga nje, uNimali ubelokhu enobuhlungu obufanayo esiswini sakhe esingezansi isikhashana. Wayecabanga ukuthi kuyinto evamile. Kamuva, wabona udokotela futhi wahlolwa, kwatholakala ukuthi une-dermoid cyst esibelethweni sakhe. Ngakho-ke, uma nawe ubhekene nalezi zimpawu, kuwumqondo omuhle ukubona udokotela.

Kungani la ma-ovarian dermoid cyst akheka? Kungani enezinwele namazinyo?

Lena indaba eyinkimbinkimbi kancane. Lawa ma-cyst e-dermoid ovarian akheka ngaphambi kokuba uzalwe, esigabeni sombungu . Kunezinhlobo zamaseli emzimbeni wethu okufanele akhe izinto ezifana nesikhumba, izinwele, kanye nesimiso sezinzwa, futhi amanye alawo maseli akhula ngendlela engavamile kula ma-cyst e-dermoid.Ososayensi abakakwazi ukuthola imbangela eqondile yalokhu kukhula okungavamile.

Lawa maseli akhula abe izicubu ezikhule ngokugcwele. Lokhu kusho ukuthi lesi simila singaqukatha isikhumba, izinwele, amazinyo, izicubu zemizwa ezikhule ngokugcwele, futhi ngezinye izikhathi ngisho nezicubu zobuchopho! Zonke lezi zinhlobo zezicubu ziyahlangana ukuze zakhe inqwaba engenabungozi ngaphakathi kwesibeletho sakho.

Futhi, izicubu ezivela kuma-sweat glands zingakhula ngaphakathi kwalesi simila. La ma-glands akhipha uketshezi olunamafutha olubizwa ngokuthi 'i-sebum'. Kungenxa yaleyo sebum ukuthi lesi simila sikhula kancane kancane. Ama-dermoid cyst akhula kancane . Ubona ukukhula okukhulu ngesikhathi sakho sokuzala, okungukuthi, lapho ungaba nezingane.

Kungani kukhona izinto ezifana nezinwele namazinyo ngaphakathi kwala ma-nuts?

Lokhu kungenxa yokuthi ama-Dermoid Cysts akhiwa ngohlobo olukhethekile lweseli olubizwa ngokuthi 'amaseli egciwane'. Lawa maseli egciwane angamaseli kamuva aba amaseli amaqanda noma amaseli esidoda. Lapho umbungu ukhula, kuba nezingqimba ezintathu zala maseli egciwane. Lezi zingqimba ezintathu yizo ezidala izicubu ezahlukene, izitho zomzimba, kanye nezinhlelo zomzimba:

• I-Ectoderm: Yilapho izinto ezifana nesikhumba, izinwele, izindlala zokujuluka, namazinyo kwakheka khona.
• I-Mesoderm: Yilapho kwakheka khona imisipha kanye nezicubu ezixhumeneyo.
• I-Endoderm: Yilapho umgudu wokugaya ukudla (amathumbu) kanye nezitho zangaphakathi ezahlukahlukene kwakheka khona.

Ngakho-ke, ngezinye izikhathi lezi zingqimba zikhula ngendlela engavamile , futhi izicubu ezikhule ngokugcwele ziyahlangana ukuze zakhe i-dermoid cyst. Yingakho la ma-cyst engaqukatha izinto ezifana nezinwele namazinyo. Kodwa hhayi izinwele namazinyo kuphela, la ma-cyst angaqukatha izicubu ezivela kunoma yiziphi izingqimba ezintathu zeseli legciwane.

Wazi kanjani ukuthi unalokhu, dokotela?

Njengoba ngishilo ngaphambili, esikhathini esiningi, lawa ma-cyst e-dermoid ovarian awabangeli izimpawu, ngakho-ke ungathola ukuthi unezimpawu ngesikhathi senqubo evamile yokuthwebula izithombe ngesinye isizathu.

Udokotela wakho angakuthola lokhu nge-ultrasound yesisu noma i-ultrasound ye-transvaginal . Ama-cyst e-dermoid anokubukeka okuhlukile, okwenza kube lula ukuwabona ngokuskena. Uchwepheshe we-sonographer onolwazi ohlaziya izithombe ze-ultrasound cishe angawabona ngokuphelele ama-cyst e-dermoid.

Akuvamile kakhulu, ukuhlolwa kwe-MRI (Magnetic Resonance Imaging)Lokhu kusetshenziselwa ukuxilonga ama-cyst e-dermoid ovarian. Uma ulwazi olunikezwa yi-ultrasound scan lunganele, i-MRI (Magnetic Resonance Imaging) scan ingasiza ekutholeni ulwazi oluningiliziwe mayelana nokuqukethwe yi-cyst.

Ingabe la ma-cyst e-dermoid ovarian adinga ukususwa?

Cha, akuwona wonke ama-ovarian dermoid cyst adinga ukususwa. Udokotela wakho angase akuncome ukususa i-cyst ezimweni ezilandelayo:

• Uma isimila sikhulu impela (ngokuvamile singaphezu kwamasentimitha angu-5 ububanzi).
• Uma ubhekene nezimpawu ezibangelwa yi-tumor.
• Uma kukhona ukusola ukuthi isimila singase sibe nomdlavuza (siyingozi).

Ezinye izinhlobo zama-cyst ezibelethayo ziyaphela zodwa ngokuhamba kwesikhathi. Kodwa-ke, ama-cyst ezibelethayo awapheli ngokwawo . Aphela kuphela uma esusiwe.

Iphathwa kanjani?

Ukwelashwa kwama-cyst e-dermoid ovarian kuhilela ukususa i-cyst ngokuhlinzwa . Ezimweni ezingavamile, lonke i-ovary eliqukethe i-cyst kungadingeka lisuswe. Ukwelashwa okukhethayo kuzoncika ekutheni i-cyst inzima kangakanani nokuthi uhlela ukuba nezingane yini esikhathini esizayo.

Kunezinketho ezimbili eziyinhloko zokuhlinzwa:

1. Ukususwa kwe-Ovarian Cystectomy: Lokhu kuhilela ukususa ingxenye ye-ovary equkethe i-cyst kuphela. Le nqubo igcina ama-ovary akho, ukuze ukuzala kwakho kungathinteki.

2. Ukususwa kwe-Oophorectomy: Kulokhu, lonke i-ovary lisuswa kanye nesimila.

Odokotela abaningi basusa ama-ovarian dermoid cysts besebenzisa inqubo ebizwa ngokuthi i-laparoscopy . Lokhu kubizwa nangokuthi 'ukuhlinzwa kwe-keyhole.' Lokhu kuhilela ukwenza izimbobo ezimbalwa ezincane kakhulu esiswini sakho, ukufaka ikhamera namathuluzi amancane kuzo, nokususa i-cyst. Lokhu kungakusiza futhi ukuthi ululame ngokushesha.

Kodwa-ke, uma i-cyst yakho inkulu kakhulu, uma une-cyst kuzo zombili izibeletho, noma uma kukhona ukusola ukuthi i-cyst ingaba nomdlavuza, udokotela wakho angase ancome olunye ukuhlinzwa okubizwa ngokuthi i-laparotomy . Lokhu kuhilela ukwenza ukusika okukhulu kancane esiswini sakho.

Udokotela wakho uzochaza ukuthi iyiphi indlela yokuhlinzwa efaneleka kakhulu esimweni sakho.

Ingabe ikhona indlela yokuvimbela ukwakheka kwalezi zimila?

Cha. Akukho ongakwenza ukuvimbela lokhu. Njengoba ngishilo ngaphambili, ama-cyst e-dermoid ovarian akheka ngaphambi kokuba uzalwe, ngesikhathi sokukhulelwa. Ngakho-ke lokhu kuyinto ongenakuyilawula.

Yini okufanele uyenze uma une-dermoid cyst? Yini ongayilindela?

Uma udokotela wakho esola ukuthi isimila sizoqhuma noma siqhume isibeletho, angase ancome ukuthi kususwe ukuhlinzwa. Uma ingozi ingenkulu kakhulu, angaqhubeka nokuqapha isimila. Lokhu kusho ukuthi kufanele ahlolwe njalo ukuze abone ukuthi isimila siyashintsha yini ngobukhulu noma ngesimo.

Izindaba ezinhle ukuthi uma lezi zimila sezisusiwe ngokuhlinzwa, amathuba okuthi zibuye aphansi kakhulu. Lokho kusho ukuthi kunethuba elincane lokuthi zibuye, cishe phakathi kuka-3% no-4%.

Yiziphi izikhathi ezikhethekile lapho kufanele ubonane nodokotela?

Ngaphezu kokwenza ukuhlolwa kwe-ultrasound njalo ukuze kuqashwe i-cyst yakho, kufanele futhi uqaphele izimpawu ze-cyst ephukile noma i-ovarian torsion. Uma ubona noma yiziphi zalezi zimpawu , bheka udokotela ngokushesha:

• Ubuhlungu obungabekezeleleki esiswini (ngokuvamile ohlangothini olungezansi kwesokudla lwesisu, kodwa hhayi njalo).
• Ukucanuzela kwenhliziyo kanye/noma ukuhlanza.
• Ukuzizwa unesizungu.
• Ukopha okungavamile.
• Imfiva.

Njengoba lokhu kungaba yizimo eziphuthumayo, uma kwenzeka into efana nale, kungcono ukungalibali, akunjalo?

Ingabe lesi simila se-dermoid cyst singumntwana?

Cha, akunjalo nhlobo. I-ovarian dermoid cyst ayiyona ingane. Imane nje iyiqoqo lezicubu ezikhule ngokugcwele kanye noketshezi olunamathelayo, okubangelwa ukukhula okungavamile kwamangqamuzana.

Uma uthola ukuthi unesimila emzimbeni wakho esiqukethe izinto ezifana nesikhumba nezinwele, ungase uzizwe wesaba kancane, ungavamile, futhi mhlawumbe uze uzizwe unengekile. Lokho kuvamile.

Kodwa izindaba ezinhle ukuthi lezi zimila azinawo umdlavuza (azinabungozi). Ukutholwa unesinye salezi zimila kusho ukuthi udokotela wakho uyazi ngaso futhi angasiqapha. Uma kunengozi yezinkinga ezingakulimaza, singasuswa. Ngakho-ke vuleleka kudokotela wakho nganoma yikuphi ukukhathazeka noma ukwesaba ongase ube nakho.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, sesikhulume kakhulu ngama-Ovarian Dermoid Cysts. Nazi izinto ezimbalwa okufanele uzikhumbule:

• Lezi uhlobo lwesimila esakheka emaqanda futhi singaqukatha izicubu ezifana nezinwele, amazinyo, nesikhumba, futhi ngokuvamile azinawo umdlavuza .
• Lokhu kungaba khona kusukela ekuzalweni futhi ngokuvamile akubonisi zimpawu.
• Uma iba nkulu, kungase kube nezinkinga ezifana nokugoba kwe-ovarian noma ukuqhekeka .
• Kungatholakala kalula ngokuskena kwe-ultrasound.
• Akudingeki ukuthi ususe yonke ithumba.Isuswa ngokuhlinzwa kuphela uma kudingeka.
• Lokhu akukwazi ukuvinjelwa ukuthi kwenzeke.
• Lezi akuzona izingane.
• Uma uthola ukuthi unesimila esinjengalesi, ungesabi futhi ulandele iseluleko sikadokotela wakho. Uma uzwa izimpawu ezifana nobuhlungu obukhulu, isicanucanu, noma ukuhlanza, bona udokotela ngokushesha.

Ngithemba ukuthi lolu lwazi luwusizo. Hlala uphilile!

I- Ovarian Dermoid Cyst, I-Ovarian Dermoid Cyst, I-Ovarian Cyst, I-Teratoma, Impilo Yabesifazane, I-Gynecology, Ukuhlinzwa Kwe-Ovarian