I-apoplexy ye-ovary yimeko engxamisekileyo ye-gynecological, ehambelana nokuphulwa kobugqwetha bezisini zesini. Makhe sicinge ngentsholongwane ngokubanzi, qaphela izizathu, iintlobo kunye nemiqondiso ye-ovarian apoplexy, iindlela kunye neendlela zokonyango.
I-ovarian apoplexy - ibangela
Ukuphuka kwe-ovary, izizathu ezahlukileyo, zenzeka malunga nama-1-3% wabasetyhini abanezilwanyana zokugula. Uninzi lwaphulo luchaphazela intombazana engama-20-35 iminyaka. Oku kubangelwa kukuba i-optary i-ovary ivame ukukhungulwa ngumzimba, utshintsho lwe-cyclic, oluhambelana nokunyuka kwegazi kwiinkalo zesini somzimba we-pelvis encinci. I-apoplexy ye-ovary ekhohlo ayiqhelekanga, ngenxa yokunikezelwa kwegazi ngaphantsi.
Ngoko ke, kwi-90% yabasetyhini abane-pathology, i-disorder iphakathi komjikelezo okanye isiqingatha sesibini. Ngokukhawuleza ngeli xesha kukho ukwanda kwimiba yegazi, ukuzalisa ngegazi ngexabiso elikhulu. Ngenxa yoko, uxinzelelo kwiisishu ze-ovarian zanda, ezingenakukwazi ukumelana nomthwalo, zitshabalaliswa. Ukongezelela, kukho izinto eziphambili:
- iingxaki ze-neuroendocrine;
- izifo ezivuthayo zenkqubo yokuzala, ezihamba kunye nezinguqu zengqungquthela kwii-ovari;
- Ukunyuka kweepilisi;
- imilenze ye-varicose ;
- umsebenzi ongaphezu komzimba phakathi komjikelo;
- izikhalazo zendawo yezitho zangasese;
- iimvumba kwi-pelvis encinci;
- ukuphazanyiswa kwenkqubo yokuguqula igazi;
- iimviwo zesini;
- sisifo somzimba;
- ubudlobano ngokwesondo.
Ii-ovarian apoplexy - ifomu
Emva kokuqwalasela iimbangela zokugqithwa kwe-ovari kwintombi, siyaqaphela ukuba lesi sifo sinemihlobo emininzi. Ngoko, kuxhomekeke kwimbonakaliso yekliniki, ezi zilandelayo ziifom ze-pathology ezifana nokugqithwa kwe-ovary ziyaziwa:
- ezibuhlungu - ezihamba neentlungu zesifo, isisongela kunye nokuhlanza, umkhuhlane;
- i-anemil - ikhumbule ukubonakaliswa kwepayipi ye-tube eyenzeka ngokukhulelwa kwe-ectopic, uphawu oluphambili luphuma egazini.
Ukongezelela, kukho uluhlu lwe-ovarian apoplexy ngokulahleka kwegazi. Kusetyenziswa ngokuthe ngqo ekuqulunqweni kwe-algorithm yokunonyango. Oogqirha bathi:
- Iqondo elincinci - umthamo wegazi okhutshwe kwizitho zobuncwane awugqithisi i-100-150 ml;
- umyinge - ukulahleka kwegazi ngaphakathi kwemida ye-150-500 ml;
- bunzima - umthamo wegazi olahlekileyo ude ngaphezu kweelitha ezingama-0.5.
I-apoplexy yefom ye-ovary-painful form
I-apoplexy ye-ovary efanelekileyo, ifomu elibuhlungu, ibonakaliswe yintlungu eqinile, yokubhoboza, ehambelana neentlanzi. Umfanekiso wesisu esisisigxina - ukuxhatshazwa kweemisipha zesicindezelo esiswini, ukunciphisa uxinzelelo lwe-arterial, i-pallor yesikhumba, ubuhlungu bentlungu, kubangela iphutha lokuxilonga. Ngokuqhelekileyo, oogqirha baphoswa nge-appendicitis. Ukungabikho kwamanzi okuphuma ngaphandle akuvumeli ukuba umfazi azibonele ngokuzimela ngxaki kwaye afune unyango.
Ifom ye-olaman apoplexy
Ngenxa yezinto ezikhethileyo zokunikezelwa kwegazi, inethiwekhi yegazi eninzi, i-optary right of ovary iyaxhaphaka. Ifom ye-Hemorrhagic (i-anemic) ihambelana nokuphuma kwegazi ngokubanzi. Ngokuqhelekileyo kungaphakathi - igazi lithululwa kwisigxina esiswini. Isibonakaliso sesimo sikhula:
- buthathaka;
- ukugqithisa kwesikhumba;
- ukungcola;
- imeko yokuphazamiseka;
- ukuphosa okuphambili kwixinzelelo legazi;
- ukwanda kwenani lentliziyo;
- Umlomo owomileyo weembrane ezinobumba;
- ukuhlanza;
- ukwandiswa kwamaxesha omatshini;
- isifiso soloko sichasa.
I-apoplexy ye-ovary - iimpawu
Xa kuphuka i-ovariya, iimpawu zicaciswa kangangokuthi kunzima ukuphosakela ukuqala kwenkqubo ye-pathological. Abasetyhini baqaphela intlungu ngokukhawuleza, ebukhali kwisisu esezantsi. Yisiphumo sokucaphukisa iifom ze-ovarian tissue, umphumo wegazi kwi-peritoneum. Oku kukukhokelela kwisithuba se-muscular izakhiwo zesisu esezantsi. Intlungu inendawo ecacileyo, ivela kwinqanaba le-gland eyonakalisiweyo. Inqaku labesetyhini:
- ubuthathaka obukhulu;
- ukungcola;
- ukuhlanza;
- isicefe
- ukulahleka kwengqondo.
Ngendlela ebuhlungu yokukhubazeka, isisu esisisigxina esiswini asikho. Igazi lidityaniswe kwiisculi ze-follicle, umzimba ophuzi. Kule meko, ifoto yeklinikhi yeefom ezinqabileyo kunye nezibuhlungu zifana. Xa uhlolisisa ibhinqa kwisihlalo somzimba, isisu sisineemeko eziqhelekileyo, i-ovary ayikhulanga kakhulu kwaye ibuhlungu. Izigulane zeVagina zijonge, zikhululeke.
I-ovarian apoplexy - ukuxilongwa
Ngoncedo lwe-ultrasound yeenxalenye ze-pelvic, akunakwenzeka ukucinga ngolo hlobo utshintsho. Ugqirha ufumana kuphela igalelo legazi kwindawo yangaphakathi. Ngokuthe ngqo kwaye ngu-apoplexy we-ovary kwi-ultrasound. Ukuxilongwa ngokungafaniyo, uviwo lowesifazane esihlalweni luyadingeka. Ukongeza, ukuchonga ukusetyenziswa kwephulo:
- ukusekwa kwe-hemoglobin;
- ukugqitywa kwesigxina esingasemva;
- laparoscopy.
Iimpawu eziqhelekileyo zokuphulwa ziintlungu ezinzima, ezingenakuxoxwa phakathi okanye kwisiqingatha sesibini somjikelezo wesini. Inyanga nganye emva kokuba abantu abasebenzisa i-ovary banokufuduswa okanye bangabikho. Ngokukhawuleza iintlungu ziba zibonakaliso zoviwo olubanzi lwenkqubo yokuzala. Ukuxilongwa kwangaphambili kwaye kunikwe uncedo ngokukhawuleza kungabandakanyi umngcipheko weengxaki, ukunciphisa ixesha lokubuyisela.
I-ovarian apoplexy - unyango
Ngenxa yokukhubazeka okunjalo njenge-ovarian break, unyango lubandakanya ukubonelelwa ngononophelo lwengonyango. Ukuqhwaba okukhulu kunokubangela ukufa. Ulwaphulo olulondolozo lwentsebenzo lwenziwa kuphela kwiimeko ezincinci, xa iimpawu zokungena kwegazi zingekho. Ngokunyuka kweempawu, ukwanda kwimiqulu yegazi elilahlekileyo, ukungenelela okucwangcisiweyo kuyadingeka. I-algorithm yezenzo zonyango ihambelana ngqo nembonakaliso, ubunzima beempawu, ubuninzi bokunqotshwa kwezicubu ze-uterine.
Ukuphuka kwe-Ovarian - unyango ngaphandle kokuhlinzwa
Unyango olulondolozo lwe-ovarian apoplexy luyenzeka ngeqondo elingabalulekanga lentsholongwane. Le ndlela yonyango isetyenziswe ukuba umthamo wegazi elilahlekileyo legazi aligqithisi i-150 ml. Ngokwenza njalo, basebenzisa:
- iqhwa phantsi kwesisu;
- amalungiselelo e-hemostatic (i-Etamsilate);
- i-antispasmodics - i-Papaverina i-hydrochloride, kodwa-i-Shpa;
- iivithamini - thiamine, pyridoxia, cyanocobalamin.
Kwinqanaba lokubuyisela, emva kokupheliswa kwexesha elimangalisayo, i-physiotherapy imiselwe ukubuyiswa ngokukhawuleza:
- electrophoresis nge calcium chloride;
- Unyango lwe-microwave;
- mizila kaBernard ;
- diathermy.
Unyango lwengqondo olugcinwayo luqhutyelwa kuphela esibhedlele, phantsi kolawulo oluqhubekayo lwamagqirha. Ngentuthuko yokuhlaselwa ngokuphindaphindiweyo kwentlungu, ukungonakaliswa kwemeko, ukungazinzi kwemimiselo ye-hemodynamic, ukwanda kwimiqulu yegazi eqokelelwe kwisigxina se-peritoneum, i-opian apoplexy idinga ukungenelela ngonyango. Yenziwa yi-laparoscopy, eyakhawuleza ixesha lokubuyisela.
I-apoplexy ye-ovary - operation
Le ndlela yokwelapha yindlela eyona nto yokwenza i-apoplexy. Ngethuba lokusebenza, oogqirha bahlola indawo yesilonda, bakhupha igazi kwisisu esiswini, kwaye bavale i-ovary. Ngelilonda elibanzi le-gland, umbuzo uvela ngendlela yokususa ngayo. Xa ukuphuka kwe-ovary kukhula, ukusebenza kuyimfuneko phantsi kwezi meko zilandelayo:
- Kwisisu esiswini ngaphezu kwe-150 ml yegazi elongeziweyo, eliphantsi kwe-ultrasound;
- olwenziwe unyango olulondolozayo aluzange lube nesiphumo esilindelekileyo kwisithuba seentsuku ezingama-2-3;
- Kukho imfuno yokuxilongwa ngokuhlukileyo kwe-gynecological and pathology.
Ukuphulukana kwe-Ovarian - imiphumela
Emva kokuxhamla kwi-ovary, ngokunyamekelwa ngononophelo olungalindelekanga, ezi zilandelayo zinzima:
- tshutshiswa ;
- Inkqubo yokubambelela kwi-pelvis encinci;
- ukugqithwa ngokuphindaphindiweyo kwengqungquthela;
- ukungabikho komntwana;
- iziphumo ezibulalayo.
Ngaba ndiyakhulelwa emva kokuba ndibe ngumntu ovotayo?
Ukukhulelwa emva kokuba umntu ovary ovary unokwenzeka. Ukuba isinyithi asizange isuswe ngexesha lonyango, lo mfazi unethuba lokuba ngumama. Nangona kunjalo, ukukhulelwa kunokwenzeka nge-1 gland esebenzayo. Ukuxhalabisa kakhulu oogqirha xa ukucwangcisa ukukhulelwa kubangelwa iipikisi kwi-pelvis encinci. Ezi zifundo zithintela iinkqubo eziqhelekileyo zeevulatory. Ukuziqhelanisa, izigulane ezininzi zinyanzeliswa ukuba zisebenzise iziyobisi ze-hormone, iziyobisi ezichasayo. Ukukhulelwa kubonakala kungenakwenzeka xa zombini izilonda zisuswa ngexesha lotyando.