Kwinyanga enye umfazi wesimo semimandla ehluke kakhulu. Oku kubangelwa ukulungiswa komzimba wakhe ukwenzela ukuba ukhulelwe, kwaye ukuba kungenzeki, imvelaphi ye-hormonal ibuyela kwimo yaso yangaphambili. Inyanga nganye, i-follic follicle iyahlukana ngokukhutshwa kweqanda, kwaye i-endocrine gland yengqumbo, ebizwa ngokuba ngumzimba ophuzi, ivela kwiiseli ze-follicle ngokwayo. Indima yomzimba ophuzi kukuvelisa i-progesterone, ekhuthaza ukunyakaza kombindi okhulelweyo kwisisu kunye nokufakelwa kwayo. Ukuba ukukhulelwa kuyenzeka, ke ukuvakaliswa komzimba ophuzi kwenzeka emva kweentsuku eziyi-12-14.
Umzimba ophuzi ubonakala njani kwi-ultrasound?
Kwi-ultrasound, imiqondiso yomzimba ophuzi ngumzimba ongeyunifomu, odibeneyo, odibeneyo kunye ne-ovary. Ukuba le ntombazana inokulibaziseka kwinyanga, kwaye umzimba ophuzi awubonakaliswa kwi-ultrasound, isizathu esisizathu sokulibaziseka sisisifo kwisifo se-endocrine okanye inkqubo yokuzala. Ngaphandle kokuqala kokukhulelwa, ukungabikho kokubonwa komzimba ophuzi kwi-ultrasound kubonisa isongelo sokupheliswa kokukhulelwa kumgangatho onganeleyo weprogesterone. Ubungakanani bomzimba obomvu we-18 mm lungcono ukuchumisa ukuba kwenzeke, kwaye imbungu yafakwa kwisibeleko kwaye yaphuhliswa kakuhle. Ukuba i-ultrasound ibonisa umzimba ophuzi ngaphezu kwe-23 mm, ukuvuthwa kwe-ovulation ayikho kwaye ukukhula kobuqili buqhubeka, ngoko kuthiwa yi-cyst follicular. I-cyst ye-follic ingakwazi ukutshabalalisa ngexesha lokuya esikhathini okanye ngexesha elilandelayo 2-3. Ukuba i-ultrasound ibonakaliswe umzimba ophuzi ngaphezu kwe-30 mm ngokungabikho kokukhulelwa, ngoko kuthiwa yi-yellow body cyst.
Umzimba ophuzi - ubungakanani be-ultrasound
- ubukhulu bomzimba ophuzi kwi-ultrasound 18-23 mm bubonisa isigaba sokuqala sokuvuthwa nokulungelelanisa ukuchumisa;
- ubukhulu bomzimba ophuzi kwi-ultrasound ukusuka kwi-20 ukuya kwi-30 mm ngexesha lokukhulelwa lithetha ngolu hlobo oluqhelekileyo, kwaye ekungabikho malunga nobukho be-cyst follicular;
- ukuba ngethuba lokuhlolwa kwe-ultrasound ukubunjwa kwe-anechogen kwimilo ejikelezileyo inkulu kunama-40 mm endaweni apho kufumaneka khona umzimba ophuzi, kuyinto yesiko ukuthetha nge-cyst body body.
Iimpawu ze-Dopplerometric ze-yellow body hypofunction zifumaneka kwiveki ye-13-14 yokukhulelwa, xa ukubunjwa kwe-placenta kugqityiwe, kwaye iqalisa ukwenza umsebenzi we-yellow body ukuveliswa kweprogesterone.
I-yellow body cyst - ultrasound
Njengoko sele kukhankanywe, umzimba ophuzi wokukhulelwa ngexesha le-ultrasound limiselwe ukuya kwiiveki ezili-14, kwaye emva koko i-involution yayo ivela. Kwiimeko ezinqabileyo, ukuphela komsebenzi kunye nokungondleki komzimba ophuzi akunakwenzeka, kodwa ukwanda kwawo kunye nokwakhiwa kwe-cyst yomzimba, obunokuba ubukhulu obungaphezu kwe-40 mm, kwenzeka. Olu lwakhiwo aluchaphazeli kakubi ikhosi kunye nesiphumo sokukhulelwa, kodwa ngokukhula ngokugqithiseleyo, kunokwenzeka ukuba ucinezele i-cyst ngokuphulukana okulandelayo.
I-cyst yomzimba ophuzi unokwenza kwakhona ekungabikho kokukhulelwa. Ngoko, iintsuku ezili-12 ukuya emva kwe-ovulation, ekungabikho kokuchumisa, ukuveliswa komzimba obomvu kufanele kwenzeke, kodwa ukuba iyaqhubeka ikhula kwisiza se-follicle eqhekezayo, kukhokelela ekubunjweni kwe-cyst body body. Kwiimeko ezinjalo, i-cyst yomzimba ophuzi unokuba yinto engabonakaliyo kwaye ibe yinto yokufumanisa ukuhlola kwisicwangciso se-ultrasound esicwangcisiweyo.
Njengoko sibona, umzimba ophuzi ofunyenwe kwi-ultrasound uvavanyo lwezitho zengqungquthela kwabasetyhini, umzimba ophuzi lubaluleke kakhulu umlinganiselo wokuxilonga komsebenzi wokuzala owenziwayo (mhlawumbi ukukwazi ukukhulelwa, okanye inkqubo yokukhulelwa kwi-trimester yokuqala, ingozi yokuphazanyiswa).