Ingabe ukuya kwakho esikhathini kuyabuhlungu kakhulu? Ingabe ngezinye izikhathi uzwa ubuhlungu obukhulu esiswini sakho esingezansi ngisho nangezinsuku lapho ungenayo khona isikhathi sakho sokuya esikhathini? Uma kunjalo, imbangela yalobu buhlungu ingaba isimila esakheke esibelethweni sakho, "i-chocolate cyst" njengoba abantu abaningi beyibiza kanjalo. Ungesabi uma uzwa leli gama. Namuhla, sizoxoxa ngakho konke ngendlela elula ongayiqonda.
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Kalula nje, iyini i-Endometrioma?
Ukuze siqonde lokhu, sidinga ukwazi okuncane ngesimo esibizwa ngokuthi i-endometriosis . Kalula nje, i-endometriosis yisimo lapho izicubu ezifana kakhulu nolwelwesi lwesibeletho sakho (i-endometrium) zikhula ngaphandle kwesibeletho, kwezinye izingxenye zomzimba. Ngokuvamile zikhula ezindaweni ezifana nama-ovari nama-fallopian tubes.
Ngakho-ke, uma lesi sikhumba se-endometriosis sikhula kwelinye lama-ovary akho, sakha iqhubu ngenxa yegazi elidala elilokhu liqongelela ngaphakathi kwalo isikhathi eside. Lelo qhubu yilokho esikubiza ngokuthi i-endometrioma . Nakuba empeleni kuyiqhubu, empeleni kuyisikhwama esigcwele uketshezi (i-cyst).
Kungani lokhu kubizwa ngokuthi 'i-Chocolate Cyst'?
Inegama elingavamile ngesizathu esilula kakhulu. Ngaphakathi kwalesi simila kukhona igazi elidala eliqongeleleke futhi laqina izinyanga eziningi. Umbala waleli gazi umbala onsundu omnyama, njengesiraphu kashokoledi encibilikisiwe. Yingakho yaziwa ngokuthi 'i-chocolate cyst' phakathi kodokotela nomphakathi jikelele.
Into ebalulekile ukuthi uma une-endometrioma, kungasho ukuthi une-endometriosis embi kakhulu. Ngakho-ke kubaluleke kakhulu ukuqaphela lokhu.
Usola ukuthi unalesi simo? Hlola lezi zimpawu
Uphawu oluyinhloko noluvame kakhulu lwe-endometrioma ubuhlungu be-pelvic . Lobuhlungu bungenzeka nganoma yisiphi isikhathi, hhayi nje ngesikhathi sokuya esikhathini. Kodwa-ke, kungase kube nezinye izimpawu eziningana.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obukhulu bokuya esikhathini | Kungaphezu nje kobuhlungu obuvamile. Kungaba nzima kangangokuthi awukwazi ngisho nokwenza imisebenzi yakho yansuku zonke. |
| Ubuhlungu ngesikhathi socansi | Ngokwezokwelapha, lokhu kubizwa ngokuthi i-dyspareunia . Lokhu futhi kuyimpawu evamile. |
| Ubuhlungu ngesikhathi sokuchama kanye nokuphuma kwendle | Lobuhlungu bungakhula, ikakhulukazi ngesikhathi sokuya esikhathini. |
| Ezinye izici | Ukuchama njalo, ubuhlungu emhlane, isicanucanu nokuhlanza, kanye nokuqunjelwa nakho kungase kwenzeke. |
Ubukhulu balezi zinhlayiya buhluka futhi. Ezinye zincane kakhulu, kanti ezinye zingakhula zibe nkulu kakhulu. Zingakhula futhi kwelinye noma kuzo zombili izitho zokuzala.
Iyini imbangela yangempela yalokhu?
Odokotela abakaqiniseki ngokuphelele ukuthi yini ngempela ebangela i-endometrioma. Kodwa-ke, kunenkolelo eyodwa eyinhloko okucatshangwa ukuthi idlala indima. Ibizwa ngokuthi ukuya esikhathini emuva .
Kalula nje, kunje. Uma usesikhathini, ulwelwesi lwesibeletho luyaphuma luphume ngesitho sangasese sowesifazane kanye negazi. Kodwa ngezinye izikhathi, esikhundleni sokuphuma ngesitho sangasese sowesifazane, inani elincane laleli gazi kanye nolwelwesi lubuyela emuva emapayipini e-fallopian luye ema-ovari. Ulwelwesi luhlala lapho, futhi njalo ngenyanga, ngaphansi kwethonya lama-hormone akho, luyaqina bese luqala ukopha, njengolwelwesi lwesibeletho. Lokhu kwakheka kwegazi yilokho okubangela isimila esibizwa ngokuthi i-endometrioma.
Ubani osengozini enkulu yokuthola lesi simo?
- Uma othile emndenini wakho ene-endometriosis: Uma umama noma udadewenu enalesi simo, nawe usengozini yokuba naso.
- Uma uqale ukuya esikhathini kusenesikhathi: Ngokuvamile, labo abaqale ukuya esikhathini ngaphambi kweminyaka eyi-11 basengozini enkulu kancane.
- Uma umjikelezo wokuya esikhathini umfushane: Uma umjikelezo wokuya esikhathini uhlala ngaphansi kwezinsuku ezingu-27.
- Uma isikhathi sokuya esikhathini sithatha izinsuku eziningana: Uma ukuphuma kwegazi kuqhubeka izinsuku ezingaphezu kweziyi-7.
- Uma kukhona ukuphazamiseka kwesibeletho noma amapayipi e-fallopian.
Yiziphi izinkinga ezingabangelwa yilokhu?
Ngaphezu kobuhlungu obukhulu esiswini esingezansi, i-endometrioma ingabangela ezinye izinkinga eziningana. Kubaluleke kakhulu ukuqaphela lokhu.
- Ukungazali: Lokhu ukwesaba okukhulu kwabantu abaningi. Ama-cysts angabangela ukuvuvukala kanye nezicubu ezibomvu ezizungeze ama-ovari nama-tube e-fallopian. Lokhu kungavimbela ukukhishwa kwamaqanda kanye nokudlula kwawo ema-tube e-fallopian. Kodwa-ke, ngokwelashwa okuhle, lesi simo singagwenywa futhi amathuba okuba nezingane anganda.
- Izinkinga zamathumbu kanye nesinye: I-cyst ingakhula futhi inamathele ezithweni ezizungezile njengamathumbu kanye nesinye, okubangela ukuqunjelwa kanye nobunzima bokuchama.
- Ukuqhekeka kwe-endometrioma: Lesi yisimo esingavamile. Kodwa-ke, uma kwenzeka, uketshezi olungaphakathi kwe-cyst lungavuza lungene emgodini wesisu, okubangela ubuhlungu besisu obungazelelwe, obukhulu, umkhuhlane kanye nokuhlanza. Lesi yisimo esiphuthumayo sezokwelapha.
- Ingozi yomdlavuza wesibeletho: Ungakhathazeki ngalokhu. Amathuba okuthi i-endometrioma ibe umdlavuza mancane kakhulu . Kodwa ngenxa yokuthi kunengozi encane kakhulu, udokotela wakho uzoqapha i-cyst.
Ukuthola kanjani lokhu, Dokotela?
Uma unezimpawu ezishiwo ngenhla, kufanele nakanjani ubonane nodokotela. Cishe uzokwenza lezi zivivinyo.
1. Ukuhlolwa Kwesinqe: Uma isinqe sikhulu, singazwakala ngokuhlolwa kwesinqe.
2. Ukuskena: Ukuskena kwe-ultrasound okudlulile esithweni sangasese sowesifazane yikona okuvame kakhulu. Lokhu kunganikeza umbono omuhle ngobukhulu kanye nohlobo lwe-cyst. Ngezinye izikhathi ukuskena kwe-MRI nakho kungenziwa.
3. I-Laparoscopy: Lena yindlela engcono kakhulu yokuqinisekisa lesi simo isikhathi esingu-100%. Lokhu kuhilela ukwenza izimbobo ezimbalwa ezincane kakhulu esiswini bese kufakwa ipayipi elincane elinekhamera ngaphakathi ukuze libheke ngqo ama-ovari. Ngaleso sikhathi, ingxenye encane ye-cyst ingathathwa ukuze ihlolwe (i-biopsy) noma i-cyst ingasuswa ngokuphelele.
Ingabe kukhona okunye okuhlolayo?
Yebo. Udokotela wakho angase acele ukuhlolwa okwengeziwe ukuze abone ukuthi kukhona yini esinye isizathu sezimpawu zakho.
- Inani eliphelele legazi (i-CBC): Hlola i-anemia noma ukutheleleka. I-Endometriosis ingabangela i-anemia ngenxa yokopha kakhulu.
- Ukuhlolwa komchamo: Ukuqinisekisa ukuthi ubuhlungu bubangelwa yini ukutheleleka komgudu womchamo (UTI).
- Ukuhlolwa kwezifo ezithathelwana ngocansi (ama-STI): Lokhu kuhlolwa kwenziwa ukuze kunqunywe ukuthi azikho ezinye izifo ezithathelwana ngocansi, njengoba izimpawu zazo zingafana nalezi.
Wenzani njengokwelashwa?
Ukwelashwa kwe-endometrioma kuncike eminyakeni yakho, ubukhulu bezimpawu zakho, nokuthi uyafuna yini ukuba nezingane. Kunezindlela ezintathu zokwelapha eziyinhloko.
| Indlela yokwelapha | Ifanelekela bani? |
|---|---|
| 1. Ukuqapha | Uma i-cyst incane ngobukhulu (ngaphansi kuka-4 cm) futhi ungenazo izimpawu ezibucayi, udokotela wakho angase anqume ukuqapha ukukhula kwe-cyst ngama-scan ngaphandle kokwelashwa. |
| 2. Ukususwa ngokuhlinzwa (Ukuhlinzwa) | Uma i-cyst ibangela ubuhlungu obukhulu, inkulu (ngaphezu kuka-4 cm) noma ikhula ngokushesha, noma ibangela ubunzima ekutholeni abantwana, kunconywa ukuhlinzwa kwe-laparoscopic. |
| 3. Imithi | I-Endometriosis ibangelwa ama-hormone. Ngakho-ke, imithi elawula ukusebenza kwama-hormone (njengemithi yokuvimbela inzalo kanye nemijovo yama-hormone) ingasiza ekulawuleni izimpawu. Lokhu ngeke kuqede i-cyst, kodwa kunganciphisa ubuhlungu futhi kuvimbele ukwakheka okusha. |
Kungcono ukuxoxa ngokukhululekile nodokotela wakho ukuthi iyiphi indlela yokwelapha engcono kakhulu kuwe.
Kunini lapho udinga ukubonana nodokotela ngokushesha?
Uma unezimpawu ezivamile, kwanele ukuthi uye emtholampilo uyobona udokotela. Kodwa-ke, uma i-cyst iqhuma, kuyisimo esiphuthumayo. Esimweni esinjalo, kufanele uye ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela.
Qaphela lezi zimpawu:
- Ubuhlungu besisu obungazelelwe, obungabekezeleleki, obunzima.
- Imfiva.
- Ukuhlanza.
- Uma uzizwa ungaphili noma ubuthakathaka.
I-Endometrioma yisimo esibuhlungu esingaba nomthelela omkhulu empilweni yakho. Kodwa into engcono kakhulu ukuthi, kunezindlela zokwelapha ezinhle zaso. Ungazinaki izimpawu zakho, khuluma nodokotela wakho, bese uqala uhlelo lokwelashwa olukufanele. Lungakusiza uphile impilo engenabuhlungu nekhwalithi.
Umlayezo Wokuya Nawe Ekhaya
- I-Endometrioma, noma 'i-chocolate cyst', uhlobo lwe-cyst endala, egcwele igazi eyakheka kuma-ovari ngenxa ye-endometriosis.
- Izimpawu eziyinhloko ubuhlungu obungabekezeleleki bokuya esikhathini kanye nobuhlungu besisu esingezansi.
- Lesi simo singabangela ubunzima ekutholeni abantwana, kodwa ngokwelashwa okufanele, izixazululo zingatholakala kuleyo nkinga.
- Izinketho zokwelapha ziyahlukahluka kuye ngezimpawu zakho, ubudala, kanye nokulindela kwakho ukuzala, ngakho-ke vula futhi uthembeke kudokotela wakho.
- Uma uzwa izimpawu ezifana nobuhlungu obukhulu besisu obungazelelwe, umkhuhlane, nokuhlanza, iya emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha, ngoba kungaba uphawu lokuqhuma kwe-cyst.
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