Ukugobhoza Kwesibeletho: Ingabe Lokhu Kungenzeka Kuwe? Ake Sixoxe!

Wake waba nobuhlungu besisu obungazelelwe, obukhulu? Ikakhulukazi esiswini esingezansi? Ngezinye izikhathi sicabanga ukuthi lolu hlobo lobuhlungu luvamile. Kodwa-ke, ngezinye izikhathi kungaba yisimo esiphuthumayo sezokwelapha. Esinye sezimo eziphuthumayo ezinjalo yi-ovarian torsion, noma i-"Ovarian Torsion". Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, ngoba lokhu kuyinto wena, njengowesifazane, okudingeka uyazi.

Kuyini ukugoba kwesibeletho?

Kalula nje, i-Ovarian Torsion yilapho elinye lama-ovari akho liphenduka futhi liphendule izicubu ezilibamba endaweni yalo. Njengoba wazi, ama-ovari ayizitho ezimbili ezibaluleke kakhulu ohlelweni lokuzala lowesifazane. Ziyizindlala ezimbili ezimise okweqanda ezitholakala kuzo zombili izinhlangothi zesibeletho. Ngesikhathi sakho sokuzala, la ma-ovari akhipha amaqanda futhi akhiqize ama-hormone alawula umjikelezo wakho wokuya esikhathini nokukhulelwa. La ma-ovari alengiswe emgodini we-pelvic ngamabhande ezicubu ezibizwa ngokuthi ama-ligaments.

Cabanga ukuthi kwenzekani lapho lesi sibeletho sisonteka kanje. Ukunikezwa kwegazi esibelethweni esisontekile kunqanyulwa, okungasilimaza. Yilokhu okubangela ubuhlungu obungazelelwe, obungenakubekezeleleka esiswini esingezansi. Uma kungafunwa ukwelashwa okuphuthumayo ngesikhathi esinjengalesi, izicubu zesibeletho zingafa futhi isibeletho singalahleka ngokuphelele. Yingakho lesi kuyisimo esibi kakhulu.

Ngezinye izikhathi, akuzona nje kuphela izitho zokuzala ezingasonteka, kodwa futhi nepayipi le-fallopian eliseduze. Kulesi simo, lesi simo sibizwa ngokuthi i-adnexal torsion.

Sivame kangakanani lesi simo?

Abacwaningi abaqiniseki ukuthi ukugobhoza kwesibeletho kuvame kangakanani kubantu abaningi. Kodwa-ke, izifundo zikhombisile ukuthi kuyisizathu sesihlanu esivame kakhulu sokuhlinzwa okuphuthumayo kwabesifazane. Kulinganiselwa ukuthi u-3% kuphela wokuvakasha komnyango ophuthumayo wezinqubo zokuhlinzwa ezihlobene nohlelo lokuzala lwabesifazane okubangelwa ukugobhoza kwesibeletho.

Ziyini izimpawu? Ungazibona kanjani?

Uphawu oluyinhloko lwalesi simo ubuhlungu obungazelelwe, obukhulu besisu esingezansi. Kodwa, ubuhlungu besisu buwuphawu lwezinye izifo eziningi, akunjalo? Asisheshi ukuya ekamelweni eliphuthumayo lazo zonke. Kodwa-ke, kulesi simo `(i-Ovarian Torsion)`, ukuya esibhedlela ngokushesha kukunika ithuba elihle lokusindisa i-ovary yakho.

Ezinye izimpawu ezingabonakala yilezi:

• Ubuhlungu obuphakathi kuya kobunzima esiswini esingezansi.
• Isicanucanu nokuhlanza.

Manje, kunezimpawu ezithile ezibonisa ukuthi izicubu zesibeletho seziqala ukufa. Lezi yizi:

• Ukuba nomkhuhlane.
• Ukopha okungajwayelekile kwesitho sangasese sowesifazane noma okunye ukuphuma koketshezi.

Buzwakala kanjani lobu buhlungu?

Ubuhlungu buzwiwa yiwo wonke umuntu ngendlela ehlukile. Ngakho kungaba nzima ukwazi kahle ukuthi ubuhlungu obuzwayo buyisimo esiphuthumayo njengokuthi `(Ovarian Torsion)` noma okunye. Kodwa-ke, abantu abaningi bavame ukuchaza ubuhlungu be-`(Ovarian Torsion)` njengobuphakathi kuya kobukhulu. Okusho ukuthi, ubuhlungu obubonakalayo okunzima ukungabunaki.

Lobuhlungu bungabonakala kanje:

• Ubuhlungu obuhlabayo, obuhlabayo (lokhu kuvamile kakhulu) noma ubuhlungu obungaqinile, obucindezelayo esiswini.
• Ubuhlungu esiswini esingezansi (lokhu kuvamile) noma ubuhlungu ohlangothini lapho kukhona khona i-ovary esontekile (ngokuvamile ohlangothini lwesokudla).
• Ubuhlungu bungase buphelele esiswini esingezansi, noma bungase budlulele emathangeni, emaceleni, nasemhlane ongezansi.
• Ubuhlungu bungaba njalo (lokhu kuvamile), noma bungase bufike budlule ngezikhathi ezithile (lokhu akuvamile).

Nakuba ngokuvamile kungavamile, ngezinye izikhathi lezi zimpawu ze-`(Ovarian Torsion)` zingaba ngezikhathi ezithile. Okusho ukuthi, ubuhlungu buyafika, buphele isikhashana, bese bubuya. Ngezinye izikhathi i-ovary ingasonta bese imane yelula futhi. Uma isonta, ukuphuma kwegazi kuyayeka futhi ubuhlungu buyafika. Uma yelula futhi, ukuphuma kwegazi kuyaqala futhi ubuhlungu buyaphela. Ngenxa yalolu hlobo oluqhubekayo, ungase ungakwazi ukucabanga ukuthi kwenzekani. Kodwa-ke, noma ngabe ubuhlungu buvela ngezikhathi ezithile, uma une-`(Ovarian Torsion)`, kufanele nakanjani ubone udokotela futhi uthole ukwelashwa.

Kungani la ma-ovari ephenduka? Yiziphi izizathu?

Kalula nje, i-Ovarian Torsion yenzeka lapho ibhalansi egcina i-ovary isendaweni yayo iphazamiseka ngesizathu esithile. Isibonelo, uma kukhona isimila esibelethweni, njenge-ovarian cyst (ikakhulukazi enkulu), yengeza isisindo esengeziwe esibelethweni. Ngemuva kwalokho kungenzeka kakhulu ukuthi ijikeleze futhi iphendukele eduze kwe-ligament enamathele kuyo. Nakuba lokhu kungavamile, izimila ezinomdlavuza noma ezinye izigaxa eziqinile esibelethweni nazo zingabangela lokhu kushintsha kwesisindo nokusonteka.

Ubani osengozini enkulu yalokhu?

Kunezici ezithile ezingabangela ingozi ekukhuleni kwalesi simo, i-Ovarian Torsion. Ake sibone ukuthi ziyini:

• Ubudala: Cishe izingxenye ezintathu kwezine zabantu abatholakale benalesi simo baseneminyaka yabo yokuzala. Lokhu kusho ukuthi sivame kakhulu kubantu abaneminyaka ephakathi kuka-29 no-34. Kodwa-ke, noma ubani onama-ovari (ngisho nombungu osesiswini) angahlakulela lesi simo.
• Ama-cyst e-ovary: Cishe abantu abangu-85% abatholakale benesifo sokugoba kwama-ovari bane-cyst ye-ovarian noma ezinye izimila ezingengozini. Ingozi iphakeme uma isimila singamasentimitha angu-5 (cishe amasentimitha amabili) noma ngaphezulu.
• Ama-ligaments amade kune-ovarian ligaments evamile: Abanye abantu bazalwa bene-ligaments ende kancane. Laba bantu nabo basengozini enkulu.
• Ukukhulelwa:Cishe ingxenye yesine yalabo abatholakale benesifo i-Ovarian Torsion bakhulelwe. Le ngozi inganda ngenxa yezinguquko emzimbeni ngesikhathi sokukhulelwa. Isibonelo, ama-cysts e-corpus luteum avame kakhulu ngesikhathi sokukhulelwa. Futhi, izinguquko zamahomoni zingabangela ukuba imisipha ikhululeke, okwenza kube lula ukuthi iphenduke.
• Ukwelashwa kokuzala: Ukwelashwa okukhuthaza ama-ovari ukuthi akhiphe amaqanda amaningi (ukuvuthwa) kwandisa ingozi yokuthola ama-cyst e-follicular. I-follicle iyisikhwama esingaphakathi kwe-ovary esikhipha iqanda. Kujwayelekile ukuthi ama-cyst akheke kule follicle ngesikhathi sokuvuthwa. Ngakho-ke, uma ama-follicle esebenza kakhulu, kulapho ingozi yokuba nama-cyst iphakama khona.

Ingabe kukhona okubangela lokhu ukuthi kwenzeke ngokuzumayo?

Ngezinye izikhathi, ukunyakaza okuthile emzimbeni wakho kungabangela izimpawu ze-Ovarian Torsion. Kwabanye abantu, lezi zimpawu zingase zivele ngemva kocansi noma ngemva kokusebenza kanzima ngokomzimba.

Kodwa khumbula, akudingeki kube umcimbi okhethekile ukuze kwenzeke i-Ovarian Torsion.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Esikhathini esiningi, ukugoba kwe-ovarian kuyaphela ngaphandle kwezinkinga uma kwelashwa. Kodwa-ke, uma kungelashwa ngokushesha, ukuhlinzekwa kwegazi esibelethweni kunganqanyulwa futhi izicubu zingafa. Nakuba kungenzeka ukukhulelwa nge-ovary eyodwa kuphela, izifundo zikhombisile ukuthi ukususa i-ovary ngenxa yokugoba kwe-ovarian kunganciphisa amathuba okukhulelwa.

Nakuba lokhu kungavamile kakhulu, izicubu ezifile zingabangela ukutheleleka esiswini (i-peritonitis). Uma kungelashwa ngokushesha, lokhu kutheleleka kungasakazekela kwezinye izitho ngisho nasegazini. Yingakho ukwelashwa okusheshayo kubaluleke kangaka.

Kwenziwa kanjani ukuxilongwa?

I-ovarian torsion ngokuvamile ingatholakala nge-transvaginal ultrasound, okubonisa ukuthi i-ovary ayitholi ukugeleza kwegazi okwanele. Kodwa-ke, okuwukuphela kwendlela yokwazi ngokuqinisekile ukuthi udokotela ohlinzayo angayibona yini i-ovary esontekile emzimbeni wakho. Ngokuvamile, bazobheka ngqo ama-ovari akho besebenzisa inqubo ebizwa ngokuthi i-laparoscopy. Uma bebona ukuthi une-ovarian torsion ngesikhathi se-laparoscopy, bangayilapha ngokushesha.

Yiziphi izindlela zokwelapha?

Odokotela abahlinzayo belapha ukugoba kwesibeletho ngokuqondisa isibeletho esisontekile. Bangasusa nanoma yimaphi ama-cyst angase abe yimbangela yaso (i-ovarian cystectomy). Isibeletho sakho ngokuvamile singasindiswa.

Ngokuvamile, odokotela abahlinzayo basebenzisa inqubo ebizwa ngokuthi i-laparoscopy ukwelapha i-ovarian torsion. Kule nqubo, benza izimbobo eziningana ezincane esiswini sakho. Bafaka idivayisi ebizwa ngokuthi i-laparoscope ngenye yezimbobo ukuze babone ukuthi i-ovary yakho ijikile yini. Uma i-ovarian torsion iqinisekisiwe, ukuhlinzwa kwenziwa ngalezo zimbobo ezifanayo ukuze kulungiswe inkinga.

Ngezinye izikhathi ukuhlinzwa okuvulekile (i-laparotomy) kungadingeka. Ngemva kwe-laparoscopy, ungase ukwazi ukuya ekhaya ngalolo suku. Kodwa-ke, i-laparotomy iwukuhlinzwa okukhulu, ngakho-ke kungase kudingeke uhlale esibhedlela ubusuku bonke futhi ululame isikhathi eside.

Kwenzekani uma ubhekene nalesi simo?

Abantu abaningi abane-Ovarian Torsion bayalashwa futhi babuyele ekuphileni kwabo okuvamile ngama-ovari amabili aphilile, asebenzayo. Ukuhlinzwa kokwandisa i-ovary kuphumelele ngo-90%.

Kodwa-ke, uma udokotela ohlinzayo esola ukuthi izicubu zonakele noma ukuthi i-cyst ibangelwa yi-tumor enomdlavuza, angase ancome ukuthi kususwe i-ovary. Kodwa-ke, lokhu akuvamile.

Ingabe zikhona izindlela zokuvimbela lokhu?

Empeleni ayikho indlela ethile yokuvimbela i-Ovarian Torsion.

Kodwa uma uqhubeka nokuba ne-ovarian torsion (okuyinto engavamile kakhulu), udokotela wakho angase akuncomele ukuhlinzwa okubizwa ngokuthi i-oophoropexy. Lokhu kwenzelwa ukuzinzisa i-ovary ukuze ingaphenduki.

Abanye ochwepheshe bezokwelapha batusa lokhu kuhlinzwa kwe-"oophoropexy" kubantwana abalahlekelwe yi-ovary eyodwa ngenxa ye-"Ovarian Torsion" ngesikhathi besebancane. Kugcina i-ovary esele futhi kubavumele ukuthi babe nezingane esikhathini esizayo uma befuna. Ochwepheshe basafunda ngezinzuzo ze-"oophoropexy" ezimweni ezinjalo.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma unezinhlungu zesisu ezingachazeki, ikakhulukazi uma usuvele wazi ukuthi une-cyst ye-ovarian, ekhulisa ingozi yakho yokugoba kwe-ovarian, iya ekamelweni eliphuthumayo (ETU) ngokushesha.

Ochwepheshe abakwazi ukusho ukuthi kuthatha isikhathi esingakanani ukuthi izicubu zife ngemva kokuba i-cyst yesibeletho iqhumile futhi izimpawu ziqala. Yingakho kubalulekile ukuba sohlangothini oluphephile. Uma usheshe ubonane nodokotela futhi uthola ukuxilongwa, amathuba okuphumelela ayanda.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubhekene nalesi simo, kuwumqondo omuhle ukubuza udokotela le mibuzo:

• Yimiphi imisebenzi okufanele ngiyigweme lapho ngilulama ngemva kokuhlinzwa?
• Kufanele ngibuye nini ukuzohlola ukuthi ngilulame?
• Angakanani amathuba okuba ngiphinde ngibe ne-Ovarian Torsion?
• Ingabe lokhu kuhlinzwa kuzothinta ukuzala kwami?
• Yiziphi izimpawu zenkinga okufanele ngiziqaphele?

Ingabe lokhu kungaba yingozi empilweni?

Ukugobhoza kwesibeletho ngokuvamile akusona ingozi empilweni, kodwa kungenzeka. Akuvamile kakhulu, isibeletho esifile singaholela ekuthelelekeni okukhulu uma singelashwa. Kodwa-ke, okubi kakhulu okungenzeka kubantu abaningi ukulahlekelwa isibeletho.

Ukwelashwa okusheshayo kungavimbela izinto ezimbi kakhulu kulezi, njengokulahlekelwa yilungu noma ukutheleleka okusongela ukuphila.

Kuze kube nini ungazi ukuthi lokhu sekukhona?

Iningi labantu abane-ovarian torsion babonana nodokotela zingakapheli izinsuku ezintathu kusukela izimpawu ziqale. Kodwa-ke, kube nemibiko yabantu abane-torsion ngezikhathi ezithile abangatholakali izinyanga eziningi. Yilapho i-ovary iphenduka futhi yelula, okubangela ubuhlungu obuvela buhambe.

Kodwa, ngaphandle kokuxilongwa okusemthethweni, ayikho indlela yokwazi ukuthi lokhu kuyimbangela yobuhlungu bakho. Isikhathi sibaluleke kakhulu lapha. Uma unezimpawu, ungalindi. Yiya ekamelweni eliphuthumayo ngokushesha okukhulu.

Ingabe lokhu kuzolunga ngokwakho?

Kungenzeka, kodwa akuvamile kakhulu.

Uma i-ovarian torsion ishintshashintsha ngezikhathi ezithile, i-ovary iyajikajika futhi ivuleke ngendlela egcina ibuyele esimweni sayo esijwayelekile (esingajiki).

Kodwa, ungalokothi ucabange ukuthi `(Ovarian Torsion)` izoba ngcono ngokwayo. Lokhu akuyona into engashiywa ngengozi. Uma unezimpawu, iya ekamelweni eliphuthumayo ngokushesha.

Uma unezimpawu ezifana nobuhlungu besisu esingezansi, kungaba yinto ecasulayo futhi eyesabekayo ukungazi ukuthi kuyinto encane noma into edinga ukunakekelwa kwezokwelapha ngokushesha. Endabeni yokugoba kwe-ovarian, ayikho indlela yokwazi ukuthi ubuhlungu bubangelwa yi-ovary egobile kuze kube yilapho udokotela wakho eyixilonga. Ngeshwa, abantu abaningi abazi nokuthi banesifo (ngokuvamile esingenangozi) esibizwa ngokuthi i-ovarian cyst, okuyisici esiyingozi sokugoba kwe-ovarian.

Ungathathi amathuba. Uma unezinhlungu ezinkulu zesisu esingezansi, thola usizo lwezokwelapha ngokushesha. Ukuthatha isinyathelo ngokushesha kungasindisa ama-ovari akho. Kungasindisa nokuphila kwakho.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule kulokhu?

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho namuhla mayelana ne-Ovarian Torsion, nansi izinto ezibaluleke kakhulu okufanele uzikhumbule:

• Uma uzwa ubuhlungu obungazelelwe, obukhulu besisu esingezansi, isicanucanu, nokuhlanza, ungakuthathi kalula. Lokhu kungaba yi-Ovarian Torsion.
• Lesi yisimo esiphuthumayo sezokwelapha. Kunethuba elihle lokuthi ungasindisa isibeletho sakho ngokuya esibhedlela ngaphandle kokuchitha isikhathi.
• Le ngozi iphakeme kancane kubantu abanezimila ze-ovarian, abesifazane abakhulelwe, kanye nalabo abathola ukwelashwa kokuzala. Kodwa-ke, ingenzeka kunoma ubani.
• Ukwelashwa okuvamile ukuvula i-ovary ejiyile kusetshenziswa i-laparoscopy. Ezimweni eziningi, i-ovary ingasindiswa.
• Ungalokothi ulinde ukuthi "lokhu kuzolunga ngokwakho." Funa iseluleko sezokwelapha ngokushesha nje lapho ubuhlungu buqala.

Khumbula, indlela engcono kakhulu yokuhlala uphilile ukunaka umzimba wakho futhi uthathe isinyathelo uma ubona noma yini engavamile. Uma uneminye imibuzo mayelana nalokhu, ungesabi ukukhuluma nodokotela wakho.

Ukugoba Kwesibeletho , Ubuhlungu Besisu, Izimo Eziphuthumayo Zezifo Zabesifazane, Ama-Ovarian Cysts, I-Laparoscopy, Impilo Yabesifazane