Simila wesibeletho: usayizi imisebenzi eziyingozi evamile

Esinye sezifo ezivamile ezithinta abesifazane kuyinto simila wesibeletho. Ubukhulu for ukusebenza lolu kwetinhlavu kanye nezinhlobo zayo nezindlela zokwelashwa okuxoxwe ngazo kulesi sihloko.

Kuyini nginesimila

Namuhla, ezikhathini eziningi, nokuningi reception kuze udokotela wezifo zabesifazane aphatha ngazo abesifazane zikhala izinhlumba wesibeletho. Lapho ufunda ekuxilonga, abaningi bethukile. Nokho, lokhu akufanele. Simila - lena into enjalo imfundo enhle-izinga, esemgwaqweni emzimbeni nezicubu wesibeletho. It ngokuvamile kwenzeka lapho owesifazane uhlangabezana ukwehluleka hormone. Kuyini lokhu mkhuba? Eqinisweni, akusiwona isimila, kodwa nje ibhamuza egcwele uketshezi. Anakho izindonga ngempela nomzimba omncane, esekelwe umlenze yasekuqaleni. Ubukhulu we umgodi kungenziwa ahluka a kwangu ambalwa ngamasentimitha amabili. I emikhulu ibhamuza, kulapho cishe ukuthi kuyodingeka ukuba kususwe. Udokotela ukuba khona bazokutshela nesineke, ngasiphi ngesilinganiso izinhlumba wesibeletho ukwenza ukuhlinzwa, futhi libeke ukwelashwa kudingekile.

Njengomthetho, awusebenzi singamelela noma imuphi ingozi, uma isikhathi ukuxilonga ke. Nokho, ezimweni zaziwa ezinguquko yayo ibe isimila esibulalayo.

Thola simila may udokotela kuphela. Ukuhlolwa lokuqala luthatha esitulweni izifo zabesifazane, lapho udokotela ubona ukuthi amaqanda (noma eyodwa kuphela wabo) aye anda ubukhulu. Ngemva kwalokho lizokwabelwa ultrasound, udokotela uqinisekise nokucabanga.

Ngaphezu kwalokho, kubalulekile ukuba nginikeze ihlaziya ku hormone FSH futhi i-estrogen, ukuqonda imbangela simila kumiswa. Futhi kumelwe nakanjani ukwenza ucwaningo ku-CA-125 umaka. Umbhalo wakhe ogciniwe kuzoveza uma kungekho ingozi yomdlavuza.

Lapho zonke izivivinyo ziphelele, kudingeka uqinisekise ukuthi ngempela kuyinto simila wesibeletho. Izimpawu nendlela aphatha ngayo abesifazane uzoqhubeka esabonwa udokotela.

Simila noma cha?

Labo kulo kuqala enenkolelo yokuthi lo mkhuba kungenzeka njalo bazi ngokwabo kule isifo.

Ngokuvamile izimpawu zokuqala zalowo uphawu at abesifazane yilezi:

• Ubuhlungu esiswini. Bangakwazi isebenze omunye ingxenye yayo.
• iziyaluyalu kokuya esikhathini. Ibambezelekile ngeviki noma ngaphezulu, noma, kunalokho, ukufika ekuseni zokwehlukaniswa kufanele wazise owesifazane. Ikakhulukazi uma bekungenjongo yokunikela kwenzeke njalo.
• Soreness ngesikhathi kocansi. I emikhulu ubukhulu simila, kulapho-ke ngazo izitho zomzimba eseduze, okubangela ukungakhululeki.
• Ukwenyuka kwezinga lokushisa. Ngokuvamile, lena sibalo ongaphakeme, side kunaleso 37 degrees.
• Insomnia. Ngenxa ukushintsha kwama-hormone owesifazane engazimbozi ukulala kahle ebusuku. Ikakhulukazi uma kukhona ubuhlungu esiswini.
• Isicanucanu. Omunye izimpawu ezivamile ezihlobene.

Kaningi nginesimila we esibelethweni kwesokudla kudidaniswe appendicitis oyingozi. Uma kwakukhona ezimazombe imilenze ke ngaphandle ultrasound, lezi zifo cishe izakhamuzi zaseBosnia zifana.

izimbangela

Kuye ukuthi kukhona nginesimila, kukhona izinhlobo eziningana ke ngenxa yanoma yisiphi isizathu. Nokho, zikhona izimo jikelele for okwenziwe ngaleli isifo:

• ukuqala Irregular futhi ekuqaleni zokwehlukaniswa (iminyaka 10-11).
• Endocrine iziyaluyalu.
• izidakamizwa kwama-hormone ezithinta ukubukeka izinhlumba.
• Okungavundile.
• Ukuhlukumeza eziluthayo.
• Ukukhuluphala.

Functional (follicular)

Ngokwezibalo, owande kakhulu simila kungumzimba ukusebenza, noma ophuzi. Yena vonikaet ngokuvamile kubantu besifazane eminyakeni wabo wokubeletha. Inyanga ngayinye, owesifazane onempilo kwelinye wesibeletho follicle ukuvuthwa. Kuyinto iqanda. Uma kokukhulelwa ingekho, i-follicle uya ampofu Iqanda unfertilized, futhi lona wesifazane uqala ukuya esikhathini. Kodwa ngaso sonke isikhathi, le nqubo uya zonakala. I yenkinga kancane emzimbeni kungasiza ukuqinisekisa ukuthi follicle akusho ukudabuka. Kulokhu, ligcwele ketshezi. Izindonga esinyeni mncane. Yini-ke, ngakho they are ohlabayo. Kodwa ukukhathazeka hhayi: ngokuvamile ngenyanga ezayo Ukuza it is egxile ngokuphelele. Esimweni lapho kungaqali, iqala ukuba sigcwale liquid ukwandisa. Uma kutholakala ukuthi "simila follicular we esibelethweni", usayizi ukusebenza ngokujwayelekile 8 amasentimitha. Kuphela ezimweni ezingavamile, butholakala kunangendlela lomkhawulo.

Nokho, ngaphambi kokuba uhlinzwe, kuziwa hhayi kaningi. Lapho olwakhiwe kahle uhlelo ukwelashwa ngoludala wayezoba ushiye yena. Into ebaluleke kakhulu ukuthi liyadingeka yowesifazane - ukusebenzisa lapho kuqubuka kudokotela. Cishe njalo lokhu simila wesibeletho (bheka isithombe. Esihlokweni) kuhambisana izinhlungu umdwebo esiswini, ngokuvamile esebenzisa isihluku ngemuva nge-ovulation.

A inkinga engase ivele ngenkathi uziba lokhu kumiswa, - torsion izinhlumba imilenze futhi ukudabuka yayo.

Nakuba ngokuvamile enjalo Bubbles ezincane obujwayelekile odokotela ngephutha sitholakale ultrasound, futhi ningathwali iyiphi ingozi

dermoid

Lolu hlobo simila kuhlukile follikuryarnoy. Nakuba isithombe emtholampilo kuyafana: owesifazane eseqala ukuzwa ubuhlungu kwesinye ezikhiqiza amaqanda, Uyakhononda ka ubuhlungu besisu. simila Dermoid ngokuvamile akukho osayizi enkulu. Njengomthetho, ke useqala ukukhombisa, ukufinyelela 3-5 amasentimitha. On udokotela uyozizwa uphawu kwenye amaqanda. Izindonga le bubble ngempela obukhulu, kodwa uvumelane nezimo. Ultrasound, kudokotela, bakwazi ukuthi lokhu nginesimila dermoid we esibelethweni. Izimpawu nendlela aphatha ngayo abesifazane nge ukwakheka ezinjalo ezahlukene kusukela sokusebenza. Khona-ke aluphumeleli bebodwa, ngokuvamile kudingeka uhlinzwe.

kwakhiwa Ngenxa i-hormone yokwanda bubble is emzimbeni we ezicutshini. Ngokuvamile it is ebonwe amantombazane phakathi nenkathi yokuqhuma kobusha, abesifazane ababhekene menopause kanye nabesifazane abakhulelwe. I ukwanda okukhulu kwezincwadi Gomonov kuphakamisa ukuthuthukiswa nginesimila. Ezimweni ezingavamile, lapho imishanguzo eyenziwa ngesikhathi, okuthiwa teratoma angase akhule amasentimitha nambili ngobukhulu, ngisho zibe isimila esibulalayo.

Isici nobuntu lolu hlobo simila is gelled elikuqukethe. Lapho kukhishwa izimila enjalo abangodokotela esinyeni ingaphakathi iziqalo amazinyo, izinwele follicle, uqwanga. Kuyini ephawulekayo: nezindlala sebaceous achazwayo ku ingaphakathi yesimila. Futhi ngoba iqukethe izicubu fat.

I ephansi ezingeni lemfundo, kuba lula ukususa. Uma-ultrasound utshelwe ukuthi une teratoma, kufanele ungesabi. Ezimweni eziningi kuba nginesimila ingozi wesibeletho. Ubukhulu for ukusebenza akuzona ebalulekile sitholakele izinhlumba dermoid ukuthatha ukuhlolwa ezidingekayo, siqambe zomdlavuza, bese ukulungiselela isiguli ukuhlinzwa. Ngemva okuqukethwe isimila esithathwayo isifundo.

Ubukhulu ngoba endometrioid wesibeletho ukuhlinzwa simila

Kulezi zinsuku, abesifazane kaningi ebhekana nabantu kwathiwa unesifo "i-endometriosis." Ngaphansi leli gama sithola ukugula kunalokho sina. It kuhambisana ukuvuvukala ulwelwesi kwesibeletho. inkinga ezifana endometriodnyh simila ingaqala ku ngemuva kwalesi sifo.

Ngeshwa, odokotela namanje angeke eze umbono ezivamile, isizathu kwakhiwa kungani. Ngokusho kwenye inguqulo, yingoba esesikhathini, igazi ezingadingekile esibelethweni iwela esibelethweni nge amaseli endometrial. Kube zikhula, ukwakha lesi simila ofanayo. Enye okufana yomsuka: nganoma yisiphi kwesibeletho ukuhlinzwa futhi ezikhiqiza amaqanda abesifazane balimala, aba nesandla ekuthuthukeni kwalo ekuthuthukiseni nginesimila.

Lokhu kumiswa livezwa zimpawu ezilandelayo:

• Ubuhlungu esiswini ephansi.
• Ubunzima lokukhulelwa.
• nezikhathi Too eside (izinsuku ezingaphezu kwezingu-10).
• izinkinga wamathumbu, ukuqunjelwa njalo.
• Ukwandiswa nezinga lokushisa komzimba.

Ngokuvamile, uphawu esabeka kunazo kwabesifazane ukuthi uzama ukuba akhulelwe isikhathi eside ngeke baphumelele. ukuxilongwa "simila endometriodnyh" kungenziwa efakwa uphethwe ultrasonic.

Ngenhlanhla, kukhona ithuba lokuthi ungenza ngaphandle ukuhlinzwa. Udokotela wokuqala uzame ukwelashwa olandelanayo. Owesifazane eyayenziwe ukudala menopause ukuthi zonke izitho zangasese kuthiwa, ngomqondo ongokomfanekiso, wenkonzo. Nakuba ukuphuza imithi enamandla hormone izimila enjalo wehlise ngosayizi noma ukudlula nhlobo.

Nokho, esimweni lapho nginesimila kangaka wesibeletho, ukuhlinzwa is ngenakugwemeka. Ezemfundo ubukhulu kunangendlela 5 amasentimitha kuyingozi empilweni yabesifazane. Uma yokwelapha hormone akamsizanga, akukho ukuhlinzwa ngeke akwazi ukwenza.

Emitholampilo ezinhle zenziwa ephephile kuzo zonke ukuhlinzwa - laparoscopic simila wesibeletho. Nge nje izimbobo ambalwa esiswini udokotela kususwe isimila. Ngemva le nqubo, owesifazane walulama ngokushesha okuningi kunalokho emva kokuhlinzwa evulekile.

Paraovarialnaya

Kukholakala ukuthi iningi odokotela kutholakala ukuthi uphethwe yini nginesimila we esibelethweni ngakwesokunxele. Ubukhulu for ukusebenza izinhlangano ezifana incike uhlobo oluthile ngamunye. Ngokwesibonelo, isimila paraovarialnaya ungachazwa esakha ngokuvamile ibizwa ohlangothini lwesobunxele.

simila okunjalo tho esibelethweni kanye neseleko yayo. Itholakala emisipheni lesizalo. Izizathu lasungulwa kubhekwa endocrine neziyaluyalu, ukuthomba imisiwe, kanye isisu njalo kuhlinzwa.

Ukwandisa ngobukhulu, ngakho simila iqala ingcindezi isinye namathumbu. Ngenxa yalokhu, abesifazane ukuzwa ukuchama kaningi kanye ukuqunjelwa. Ngaphezu kwalokho, kwaphazamisa umjikelezo wokuya esikhathini futhi aphila ngayo ngokobulili, kusuka kube nzima ngenxa uhlale unezinhlungu ngokucindezela.

Lolu hlobo simila iyona enkulu kunazo zonke. Uma iyekwa ingelashwa, le ukugcwala ongafinyelela amasentimitha angaphezu kuka eziyishumi ububanzi. Kukhona amacala lapho paraovarialnoe imfundo kukhuphuke kuze kufinyelele khilogremu eziningana. Lokhu kwenzeka kakhulu kuyaqabukela, ngokuvamile butholakala, njengoba umfana omncane.

Ngokungangabazeki, uma udokotela ethi une simila parovarian kwesokunxele esibelethweni ezinkulu, ukusebenza oyokwenziwa ngokushesha ngangokunokwenzeka. Ngokuvamile, wayengeke ukunikeza sikhule ezingaphezu kuka 7-8 amasentimitha. Kunezikhathi lapho Ukwakha-up bese uthole ilungelo. Ayikho umehluko yokuphatha kulo noma uyisuse ngokuphelele asipheli.

Izindonga simila obukhulu kakhulu, bephethe imithambo yegazi.

It uyojabula nabobulili fair ukuthi lokhu imfundo akusho egeleza ebulalayo. Kodwa akukuniki abesifazane ilungelo ukukhohlwa ngakho! ukuphathwa ngesikhathi esifanele kuphela kungasiza ukuqeda nginesimila. Njengomthetho, uma incane ngobukhulu futhi ayisekho ezikhulayo ke yilutho engalethi elibi nenqwaba ezinjalo. Kulokhu, idinga ukuqapha njalo nge-ultrasound futhi uthintane udokotela wezifo zabesifazane.

Ngeshwa, ozibuse simila parovarian ayixazululi. Izobanjelwa Ezimweni ezingavamile, ukuxakeka udokotela ukusula ukuhlinzwa kwamathumbu. Wesibeletho simila ubukhulu encane isuswe nge laparoscopy.

cystadenoma

Lena enye isimila hlobo kistoobraznoy. It has imiphetho kanzima futhi ugcwale uketshezi serous. Lingase libe eyodwa noma ngaphezulu amakhamera.

Uma une nginesimila serous wesibeletho, ubukhulu for ukusebenza izimila ezifana akhawunti angaphezu kuka-5 amasentimitha ububanzi. Kwakukhona izimo lapho lakhula cm ezingaphezu kwezingu-30. Lesi sifo ngokucacile eziphambili, okunikeza wesifazane ubuhlungu babulawa. Nokho, ngasizathu simbe, iziguli enjalo ungayibuyiseli ngesikhathi usizo kodokotela. Nale inkinga kukhona yanda kwenye ingxenye esiswini, omunye nje lapho isimila itholakala.

Ezimweni ezingavamile, kungagcina kube ebulalayo.

Lapho kuvela izimpawu zokuqala of izinhlumba enjalo udokotela ekunika imithi antiinflammatory futhi anticancer, ukwelashwa kwama-hormone namavithamini eqinisa. Ngokuvamile ukwelashwa ngoludala linikeza imiphumela emihle.

yezinkinga

Kwezinye izimo, izinhlumba wesibeletho kungaholela abanye izinkinga. ngokuvamile lokhu okulandelayo:

• simila ukudabuka. Kulokhu, okuqukethwe yonke we bubble ingena ngaphakathi komgodi ongaphakathi kwamathumbu. Kulokhu, kukhona inqubo efanayo kuze ukudabuka we isithasiselo - peritonitis. Owesifazane ezwe ubuhlungu obuhlabayo, izinga lokushisa komzimba wakhe liphume, kungase kubangele nokulahlekelwa ukwazi. Konke lokhu igcwele ukopha zangaphakathi. Isiguli kumele basiwe esibhedlela.
• simila ukusonta. Kulokhu, esibelethweni kuyinto "kalowo." Igazi akusho ageleze kuso, ngakho ngokushesha ukuthuthukisa ubuhlungu ukuthi akukwazi ukuyeka iyiphi imithi. Endabeni torsion uzobe ngokushesha asuswe simila wesibeletho. Ngeshwa, ngezinye izikhathi ehambisana nesiphithiphithi. + Uma esibelethweni is hhayi enikeziwe ngegazi isikhathi eside, kukhona ke lilokhu libuna kwezicubu yayo, okuyinto ayikwazi ukutholwa.
• Kuntjintjela umdlavuza. Ngokuvamile lokhu kwenzeka endabeni lapho simila eside indiva. Akukakaqali isikhathi sokwelashwa kungaba nomthelela kule ukonakala kwezicubu, futhi lokhu kuyinto kakhulu, esiyingozi kakhulu. Yingakho kufanele ngokushesha uxhumane nodokotela wakho uma usola ukuthi une izinhlumba wesibeletho. Ubukhulu for ukusebenza izimila enjalo inquma udokotela. Kwenzeka ukuthi nginesimila follicular safinyelela angaphezulu kwangu-8 cm ububanzi, kodwa labetibambile bebodwa, ngaphandle kokusebenzisa nodokotela ohlinzayo. Konke umuntu kakhulu.
• Ukuvuvukala. ukuthuthukiswa eside we izinhlumba kungabangela esibelethweni ukuba kukhule. Kulokhu, ngokushesha ukwelashwa ngemithi elwa namagciwane kufanele wamisa.

Ukusebenza ukususa nginesimila ku esibelethweni

ezokwelapha zesimanje kulula ukubhekana nalesi sifo. Lapho ehluleka ukwelashwa ngoludala, odokotela ukuhlinza. Esikhathini buka abesifazane abaningi ngesikhathi esisodwa isithombe udokotela ohlinzayo ne buso ebusweni ukusikeka esiswini sakhe phansi. Vele ambalwa eminyaka adlule, kwaba njalo. Kodwa manje zikhona izindlela uyazonga ngaphezulu. Ngokwesibonelo, laparoscopy. udokotela Special ithuluzi ukwenza izimbobo ezincane esiswini. Khona-ke, i-ukuhlinzwa ukhishwe izinhlumba. Okokuqala, ngobumnene nilimaza elikuqukethe, esagcina wathumela i Histology. Uma ukugeza esinyeni udonga. Indlela elula kubhekwa kokususwa izinhlumba sokusebenza. Ziyakwazi cishe baphephile futsi izindonga mncane.

simila Dermoid edinga ngokucophelela, njengoba iqukethe izinto ezihlukahlukene temlomo okuqinile.

Esimweni lapho kukhona okungazelelwe ikhefu izinhlumba noma torsion, ukusebenza Kwenziwa ngokushesha. Kulesi simo, kungenzeka kube ingaphakathi. Ukuvuselelwa ngemva kokuba imayelana kwezinsuku eziyishumi. Ngezinye laparoscopy, le nkathi kuyehla kathathu.

wesibeletho ukuhlinzwa simila kungenzeka ivele. Nokho, abesifazane abaningi, ukwazi imbangela lasungulwa, bezama ukuba baxwayise lokhu esikhathini esizayo.

Okokuqala, kubalulekile ukuqapha ngokucophelela esimisweni reception kwemithi. Uma loku kungentiwa, umuntu abuyele kulo mkhuba. ngeke bathathe isikhathi eside. Kuphela uma kuwufanele ukuhlushwa ukuthi kwadingeka ukuba zidlule ngesikhathi ukusebenza? Okwesibili, uma simila wesibeletho isuswe, awusebenzi ukusongela umsebenzi zakho zokuzala. Njengoba walulama, owesifazane angeke abe umama futhi.

Ngokuvamile ukuhlinzwa uphela ngempumelelo, kufanele ungesabi ngaye futhi donsa yena. Kungenjalo kunobungozi ukuze uthole inkinga.

Ngemva kokuhlinzwa, uzoqhubeka ubuhlungu, okuyinto izobanjelwa ezinsukwini ezimbalwa. nemithi Ukuthatha ziyodamba isimo sakho. Futhi ungakhohlwa ngocansi kuphela, ngubani uzoqoka udokotela ngawe. Ngokulandela lokhu elula izincomo inqubo kuyoba lula kakhulu.

isiphetho

Kulesi sihloko uzothola ngasiphi ngesilinganiso wesibeletho ukuhlinzwa simila. Nokho, akusiyo obalulekile njalo. Okokuqala sidinga ukuthola isizathu labunjwa okuyiwona. Khona-ke udokotela wakho izocacisa uhlobo ukuqoka owesifazane uvivinyo ezidingekayo kanye ultrasound. Njengomthetho, kuba nesidingo ukunquma izinga lama-hormone ekhethekile, amhlophe egazi ukubala, ekutholweni isimila iziphambano.

Phela lezi izinqubo inqunywa ngayiphi indlela ekwelapheni kuyokwenzeka. izinhlumba omkhulu (8 amasentimitha) Cishe njalo zisuswe ngokushesha. Ngokuvamile lokhu kwenziwa laparoscopy.

izinhlumba Follicular nesici zinyamalale bebodwa. Nokho, lapho ukubukeka kwabo njalo kufanele zabelwe yokwelapha hormone ukugwema esikhathini esizayo. Nokho, njengoba ochwepheshe uqaphele, lezi izinhlumba izovela futhi zinyamalale bebodwa ngoba cishe sonke isikhathi evundile ekuphileni sowesifazane.

simila Endometriodnyh zidinga ukwelashwa okwengeziwe eziyinkimbinkimbi. Ngisho nangemva kokuba kususwe kufanele kube kahle aphathe endometrium, ozokusiza ukuqeda ngangibuye ngihluleke.

Ezinye izinhlobo izinhlumba ingavela kanye kuphela, futhi ngemva nokususwa angisophinde ngilubhade.