Ukunikezela kwezikhalazo zamagqirhazinzi ezihlala zigula, amaxesha amaninzi abafazi abazi izizathu zentlungu. Ukuze kuqinisekiswe into ebangela ukuba le nto ibone, kufuneka kuhlolwe uvavanyo olubanzi lweenkqubo zokuzala. Cinga ngongxaki ngokubanzi, ukugqamisa izizathu zokubonakala kwentlungu.
Izizathu ze-Ovari
Uninzi lwabazali bezintlu zifumana ubunzima emva kokuvavanya le ntokazi ukuba zifumanise isizathu kwaye uphendule umbuzo wesigulane: kutheni i-ovari ibuhlungu kunye nendlela yokulahla intlungu. Kufuneka kuthethwe ukuba ukutshatyalaliswa kwezigulane zesondo kubangelwa zizifo zenkqubo yokuzala. Phakathi kwezinto ezinomngcipheko, oogqirha bachaza ukuphulwa okulandelayo:
- iinkqubo ezivuthayo;
- izifo zehomoni ;
- iinkqubo ezinjenge-tumor;
- ukuphulwa kokuphuhliswa kwemvelo kwenkqubo yokuzala (ukungabikho komntwana);
- ukuphulwa kobugcisa bezitho zangasese zangaphakathi;
- izibandezelo zomjikelezo wesini .
I-ovary ibuhlungu ngaphambi kwenyanga
Ukubangela intlungu kwii-ovari kudla ngokubonakala ngokuhamba kwexesha lokuhamba. Esi sifo siqhelekile. Inxulumene nokungapheli komzimba ophuzi. Ekupheleni komjikelo, lo mhlaba uphila, ovelisa i-progesterone. Imveliso enganeleyo ingabangela utshintsho kwi-membrane ye-mucous ye-uterus. Ngenxa yoko, lo mfazi ulungisa ubuhlungu kwiiyunithi. Ezi zinto zilandelayo zibonakaliswe ngolu hlobo:
- ukujonga okunye okubuhlungu kwinqanaba elinye (kuxhomekeke kwiphi ovary i-ovum ivela);
- kukho i-neobylnye, i-mazhujushchie eyabelwe kwisigxina sesini.
Ama-ovari agule ngexesha lokuya esikhathini
Njengoko uphando lwabagqirha lubonisa, izilwanyana zesondo azilimazi ngexesha lokuya esikhathini. Okubizwa ngokuba "intlungu evelayo kwii-ovaries", apho abafake isikhalazo kubasetyhini, bahlala ngqo kwi-uterus. Ihambelana ngqo nezo zinguqu ezenzeka kwinxalenye yokuzala ngexesha lokuya esikhathini. Umlenze wombeleko wesibeleko ekungabikho komzimba uqala ukuhamba kancane. Le nkqubo ibangela intlungu ebuhlungu.
Iimvakalelo ezibuhlungu ngexesha lokuya esikhathini kunokunyanzeliswa kunye nokunyanga okukhulu kwe-uterine myometrium. Ngoko ilungu liyakususa ukususa kwimizimba yefomometrium, intsalela yeqanda, engafihliyo. Ukusila okunamandla kwenza ukuba buhlungu. Ziyakwazi ukubonakalisa kakhulu kangangokuthi ziqhekeza isenzo somsebenzi wentombazana yomhla, ukunciphisa ukusebenza kwayo.
Ngenxa yentlungu ngqo kuma-ovari, iyakucaphukisa:
- ubukho bama-cysts;
- ukuxhatshazwa;
- uxinzelelo.
I-ovary ibuhlungu ngexesha lokuvuthwa
Amantombazana amaninzi akhalazela ukuba agule kakhulu phakathi komjikelezo wamaqanda. Ukunyamezeleka ngeli xesha kuhambelana ngqo nokuphulwa kobugqwetha beembumba zangaphandle zesigulo sesondo. Xa i- ovulation , iqanda elivuthiweyo lishiya intollicle ekhona kwi-ovary, kwisigxina esiswini. Ngaloo nto, i-traumatic microscopic ihlala kwisayithi yokuphumelela. Inani elincinci legazi likhishwe kuyo.
Ngokukhawuleza le mzimbeni we-biological ifika kwisigxina se-peritoneum, ebangela ukucasula. Ngenxa yoko, i-ovary ibuhlungu xa i-ovulating. Ezi zilandelayo zibonakalisa ukuba iintlungu zihambelana ngqo nale nkqubo:
- Intlungu ibonakala phakathi komjikelo;
- mhlawumbi ukubonakala kweempahla zokukhawula;
- ubude beentlungu zesifo - ukusuka kumzuzu emininzi ukuya kwiiyure eziliqela;
- intlungu ihlale isecaleni.
I-ovary ibuhlungu emva kwe-ovulation
Iintlungu ezininzi kwiiyunithi kwisiqingatha sesibini somjikelezo wokuya esikhathini kunokunxulumana neenguqu kwi-endometrial layer. Utshintsho lwama-hormonal kweli nqanaba landa izinga lokukhula kweeseli zegobolondo langaphakathi le-uterus. Ngoko isisu sisilungele ukukhulelwa. Ukuba akuyi kwenzeka, iinkqubo zokuguqula ukuphuhlisa ziqala. Imvelaphi ye-hormonal iyashintsha, i-myometrium iyomeleza umsebenzi wayo. Ukunciphisa ngokuthe ngqo ukuluhlu kungabangela ukhathazeka. Ngesizathu esifanayo, ii-ovari zibuhlungu emva kokuya esikhathini.
Ama-ovari agula ngexesha lokukhulelwa
Ngokuqhelekileyo, abafazi abasesikweni bayichazela oogqirha abongamela ukuba ii-ovari zabo zigula ngexesha lokukhulelwa, kwinqanaba lokuqala. Ekumiseni izizathu, kuyacaca ukuba akukho nxu lumano phakathi kweentlungu ezibuhlungu kunye nezinguqu kwizithobe zesini. Phakathi kwezona zinto ezibangela ukuphazamiseka, ukudonsa intlungu kwii-ovari ngexesha lokuthwala umntwana, izazi zezintlu zihlukanisa:
- Ukwanda kwubungakanani besisu. Iqumrhu lomzimba ngamnye ngosuku lokukhulelwa landa ngamandla. Ngenxa yolu tshintsho, kukho utshintsho kwi-opoe kunye neethubhu: ziphakanyisiwe kwaye zilapha ngaphezu kwendawo yazo eqhelekileyo.
- Ukugqithiswa kwezixhobo zeligament exhasa i-uterus kunye nezixhobo. Njengomphumo wokukhula kwe-fetus, iigamentsi ihlangabezana nemithwalo enkulu, kwaye ukungaxhamli kubonakala kuzo.
Ukujamelana nokutshintshwa kwezinto ezinjalo, kunye nokunciphisa ukubonakaliswa kwabo kubhinqa abakhulelweyo banceda:
- isondlo sokutya;
- ukuthotyelwa kolawulo;
- ukuzivocavoca.
Ubuhlungu kwiiyunithi ngexesha lesini
Intlungu ebuhlungu kwi-ovary ngexesha lokwabelana ngesondo kaninzi luba sisizathu sokuphazamiseka kwayo. Ibhinqa libuhlungu kakhulu, ngezinye iimeko iimvakalelo ezibuhlungu zibonakaliswa kakhulu kangangokuba iqabane lifanele lithathe iyeza. Izizathu ezichazayo ngenxa yezinto i-ovaries zithenga ngexesha lokulala, ezininzi. Phakathi kweyona ndawo:
- ukusuleleka kunye neenkqubo zokuvuvukala kwii-ovari - i-adnexitis;
- ovary polycystic ;
- cervicitis;
- ukuma komfazi;
- ukubambelela kwi-pelvis encinci.
Ama-ovari athwala emva kwesondo
Ubuhlungu kwii-ovari emva kwesondo kunokubangela ukugqithisa okuqinileyo kwezidumbu zesisu. Oku kubizwa ngokuba yi-gynecology "vaginismus". Ukongezelela, ukunyameka kwicala lesobunxele okanye langakwesokudla kunokubangelwa yindoda enobudlova, enobudlova. Ukungena ngokujulile, ukhetho olungalunganga lwesithuba sokubangela ukuba intlungu ibangele kwisisu esezantsi. Ukuxazulula ingxaki, kuyafaneleka ukuthetha nomgulana wezesondo.
Ubuhlungu kwi-cyst ovarian
Iintlungu ezityhutyayo kwi-ovary zingaba uphawu lobukho bama-cysts. Olu lwakhiwo lugumbi oluzaliswe ngumbane. I-Cyst njengoko ikhula ikhulisa ubukhulu besondo. Kwangexesha elide kunye nobukhulu obuncinci bama-cyst akukho zibonakaliso. I-syndrome ye-Pain ifana neyifom yesilinganiso esingaphezu kwe-3 cm. Ngexesha elifanayo, ihamba kunye neempawu ezilandelayo:
- Intlungu inendawo ecacileyo-ivela kwicala elinye;
- uvakalelo olubuhlungu lokutsala okanye ukuguquka;
- bavame ukucaphukiswa ngokwesondo;
- ihamba kunye negazi elingafanelekanga lokuphuma igazi, ukwandisa ukuphuma kwindoda.
Ziyintoni na izicangce
Ubuhlungu kwii-ovari zingakwazi ukuzimela ngokuzimeleyo kuphela nge-ovarian syndrome - xa ukuxhalabangela kubangelwa iinkqubo ze-ovulatory. Ezinye iimeko zifuna ukulungiswa ngonyango, unyango olukhethekileyo. Iingcebiso zamantombazana ezamkelwa koogqirha kule mpazamo ziyindawo yokucebisa:
- ukugcina uxolo;
- ukukhutshwa komsebenzi;
- ukuphepha ukuxinzelela, iingxaki zengxabano;
- ngentlungu enzima, ungathatha i-analgesics kunye ne-antispasmodics.
I-Ovarian Diagnosis
Ukuze uchane ngokuchanekileyo umonakalo obangela intlungu kwi-ovaries, izizathu zoluphawu, oogqirha bathatha uviwo olunzulu lwesigulane. Ngelo xesha, uluhlu lweenkqubo zokuxilonga ngokuxhomekeke ngqo kwisifo esilindelekileyo. Phakathi kweemviwo eziphambili kunye nokuhlalutya kwimeko enjalo, xa ama-ovari aphelile, sinokuhlukanisa:
- I-Ultrasound ye-pelvis encinci kunye nesisu esiswini;
- Uvavanyo lwegazi (jikelele kunye neengokwenyama);
- ukuhlolwa kwegazi ngamahomoni;
- I-Smears esuka kwi-urethra, isondo kunye nomlomo wesibeleko;
- uhlalutyo lomchamo.
Ukulungiselela intlungu e-ovari
Ukutyunjwa kwamachiza, xa ii-ovari zigula kakhulu, ugqirha ubandakanyeka kuphela. Kuphela emva kokuvavanywa ngokupheleleyo kwesigulane, ukuseka isizathu esithile, kukhethwe ikhosi yeyeza. Ngokuqhelekileyo, ukukhathazeka kubangelwa izifo kwisistim sokuzala. Kule meko, isiseko sonyango senziwe ngamachiza omzimba:
- i-tetracyclines (doxacyclin) - zininzi ezahlukeneyo, zisebenza ngokumalunga nokulwa neprotozoa;
- i-penicillin (i-Oxacillin, i-Ampicillin) - inefuthe elichanekileyo le-bactericidal effect;
- I-Lincosamides (i-Clindamycin) -thintela ukukhula kunye nokuveliswa kwee-microorganisms ze-pathogenic;
- i-macrolides (i-Azithromycin) - inefuthe le-bactericidal, ibe nefuthe elichanekileyo malunga ne-streptococci, i-mycoplasmas, i-staphylococci, i-chlamydia;
- nitroimidazoles (Metronidazole) - esebenzayo ngokumelene nama-microorganism anaerobic.
Ezi zixhobo zonyango ziqulethe i-suppositories kwintlungu ye-ovari, echazwe kwabasetyhini. Ifom yezilingo ezinjalo kukuvumela ukukhawuleza ukuphazamisa iimpawu, ukunciphisa impilo yegulane. Ukubonelela ngezenzo zengingqi, iifastosi zinciphisa ukubonakaliswa kwesi sifo-ntlungu, ukungathandeki, ukuphazamiseka kuyanyamalala emva kokusetyenziswa kwamachiza amaninzi.