I-apoplexy ye-ovary yisimo esiphuthumayo segazi, okuhambisana nokuphulwa kobuqotho bezintuthwane zobulili. Ake sicabange nge-pathology ngokuningiliziwe, thola izimbangela, izinhlobo kanye nezimpawu ze-ovarian apoplexy, izindlela nezindlela zokwelashwa.
I-ovarian apoplexy - imbangela
Ukusuka kwe-ovary, izimbangela zazo ezihlukile, kwenzeka cishe ngo-1-3% wabesifazane abanesifo somzimba. Ukuhlukumeza okuningi kuthinta amantombazane iminyaka engu-20-35. Lokhu kungenxa yokuthi i-ovary i-apoplexy ivame ukucasulwa ngokushintsha kwezinto eziphilayo, ezishintshashintshayo, ezihambisana nokunyuka kwegazi kwizitho zangasese ze-pelvis encane. I-apoplexy ye-ovary kwesokunxele ayifani kakhulu, ngenxa yokunikezwa kwegazi okungaphansi.
Ngakho-ke, ku-90% wabesifazane abanalesi sifo, lesi sifo siphakathi komjikelezo noma ingxenye yesibili. Ngokushesha ngalesi sikhathi kunyuke ekukhungeni kwemithambo yegazi, ukugcwalisa ngegazi ngevolumu enkulu. Ngenxa yalokho, ukucindezela phezu kwezicubu ze-ovarian kwanda, okungenakukwazi ukumelana nomthwalo, kubhujiswa. Ngaphezu kwalokho, kunezici zokuqala:
- izinkinga ze-neuroendocrine;
- izifo ezivuvukalayo zesistimu yokuzala, kuhambisane nezinguquko ze-sclerotic kuma-ovari;
- ukulimala emphethweni;
- i-varicose veins ;
- umsebenzi owenziwe ngokweqile phakathi komjikelezo;
- ukuhlukunyezwa kwendawo yezitho zangasese;
- izicubu ezincane zesikhumba;
- ukuphazamiseka kwesistimu yegazi coagulation;
- ukuhlolwa kwesisu;
- ukuhlukunyezwa kwesisu;
- ubulili obudlova.
I-ovarian apoplexy - amafomu
Sekucabangele izimbangela zokuqothulwa kwama-ovarian kwabesifazane, siyaqaphela ukuthi lesi sifo sinokuhlukahlukene. Ngakho-ke, kuye ngokuthi ukubonakaliswa kwemitholampilo, izinhlobo ezilandelayo ze-pathology ezinjengokuhlukana kwe-ovary zihlukanisiwe:
- ebuhlungu - ephelezelwa ubuhlungu be-syndrome, i-nausea nokuhlanza, umkhuhlane;
- i-anemia - ekhumbuza ukubonakaliswa kwe-tube rupture eyenzeka nge-ectopic pregnancy, uphawu oluyinhloko luphuma.
Ngaphezu kwalokho, kukhona ukuhlukaniswa kwama-ovarian apoplexy ngokwegazi lokulahleka. Isetshenziswa ngokuqondile ekuhlanganisweni kwe-algorithm yokunakekelwa kwezokwelapha. Odokotela bathi:
- ubukhulu obukhulu - ivolumu yegazi ekhishwe ezifweni zobulili ayidluli ku-100-150 ml;
- isilinganiso - ukulahlekelwa igazi ngaphakathi kwemingcele ka 150-500 ml;
- esindayo - umthamo wegazi elahlekile udlula u-0.5 amalitha.
I-apoplexy yefomu le-ovary - elibuhlungu
I-apoplexy ye-ovary elifanele, ifomu elibuhlungu, libhekene nobuhlungu obuqinile, obubhoboza, obuhambisana nesicashu. Isithombe sesisu esisisindo - ukuphazamiseka kwemisipha yomshini wesisu, ukunciphisa kwengcindezi yomzimba, ubuhlungu besikhumba, ubuhlungu besibindi, kubangela iphutha lokuxilongwa. Ngokuvamile, odokotela abahlinzayo baphutha nge-appendicitis. Ukungabi khona kwegazi kwangaphandle akuvumeli owesifazane ukuba azibonele ngokuzimela ngendlala futhi afune ukunakekelwa kwezokwelapha.
Ifomu elimangalisayo lama-ovarian apoplexy
Ngenxa yobuningi bokunikezwa kwegazi, inethiwekhi yegazi enamandla, i-apoplexy ye-ovary efanele ivame kakhulu. Ifomu le-Hemorrhagic (i-anemic) lihambisana nokuphuma kwegazi okuvela ezifweni zobulili. Ngokuvamile kungaphakathi - igazi lithululwa emgodini wesisu. Izimpawu zesimpawu ziyavela:
- ubuthakathaka;
- isikhala sesikhumba;
- isiyezi;
- isimo sokuphelelwa amandla;
- ukudonsa okubukhali ekucindezeni kwegazi;
- ukwanda kwentando yenhliziyo;
- umlomo owomile wamangqamuzana amancane;
- ukuhlanza;
- imvamisa yokwanda kwamakhamera;
- isifiso esiningi sokuthi sinqabile.
I-apoplexy ye-ovary - izimpawu
Uma ukuphuka kwamaqanda kukhula, izimpawu zisho ukuthi kunzima ukuphoqeka ukuqala kwenqubo ye-pathological. Abesifazane babona ubuhlungu obunzima, ngokubuhlungu emathunjini aphansi. Kungumphumela wokucasuka kwamatholampilo wezicubu ze-ovari, umphumela wegazi ku-peritoneum. Lokhu kuholela ekugxileni kwezinhlaka zomzimba zesisu esingaphansi. Ubuhlungu bunendawo esendaweni ecacile, kuvela ohlangothini lwendlala ewonakele. Inothi labesifazane:
- ubuthakathaka obukhulu;
- isiyezi;
- ukuhlanza;
- isicasuli;
- ukulahlekelwa kokwazi.
Ngendlela ebuhlungu yokwelapha, isisu esiswini esiswini asikho. Igazi lidonswa ezinduneni ze-follicle, umzimba ophuzi. Kulolu cala, isithombe somtholampilo sezinhlobo ezibuhlungu kanye nezibuhlungu ezifanayo. Lapho uhlola owesifazane esihlalweni somzimba wegazi, lesi sibeletho sinobukhulu obujwayelekile, i-ovary ayikhuliswa kakhulu futhi iyabuhlungu. Izindwangu ze-vagina zijula, ziba mahhala.
I-ovarian apoplexy - ukuxilongwa
Ngosizo lwe-ultrasound yezitho zomzimba, akunakwenzeka ukubona ngeso lengqondo lezo zinguquko. Udokotela uthola i-clump yegazi kuphela endaweni yangaphakathi. Ngokuqondile futhi lokhu kuyi-apoplexy ye-ovary kwi-ultrasound. Ukuze uthole ukuxilongwa ngokuhlukana, ukuhlolwa kowesifazane esihlalweni kuyadingeka. Ngaphezu kwalokho, ukunquma ukusetshenziswa kokuphulwa:
- ukusungulwa kwe-hemoglobin;
- ukukhishwa kwesigxobo sokulala sangasese;
- i-laparoscopy.
Izimpawu ezijwayelekile zokuphulwa zibuhlungu obukhulu, obungenakubekezelelwa phakathi noma ingxenye yesibili yomjikelezo wesimiso. Inyangazonke emva kokuphuma kwe-ovary kungasuswa noma kungabikho. Ngokushesha izinhlungu zivame ukuba yizibonakaliso zokuhlolwa okuphelele kwesistimu yokuzala. Ukuxilongwa okusheshayo futhi ngokushesha unikeze usizo oluphuthumayo ngaphandle kwengozi yezinkinga, ukunciphisa isikhathi sokubuyiselwa kwesikhathi.
I-ovarian apoplexy - ukwelashwa
Njengoba ukukhubazeka okunjengokuqedwa kwama-ovari, ukwelashwa kuhilela ukuhlinzekwa kokunakekelwa kwezempilo okuphuthumayo. Ukwehla kwesisu kuholela ekufeni. Ukwelashwa kokugcinwa kwemvelo kwenziwa kuphela ezimweni ezincane, lapho kungekho khona izimpawu zokugaya kwangaphakathi. Njengoba ukwanda kwezimpawu, ukwanda komthamo wegazi elahlekile, ukungenelela okuhlinzayo kuyadingeka. I-algorithm yezenzo zezokwelapha ihlobene ngokuqondile nokubonakaliswa, ubukhulu bezimpawu, ubukhulu bokunqotshwa kwezicubu zomzimba.
Ukuphuka kwama-ovari - ukwelashwa ngaphandle kokuhlinzwa
Ukwelashwa okuqaphayo kwe-ovarian apoplexy kungenzeka ngezinga elingadingekile le-lesion of the gland. Le ndlela yokwelashwa isetshenziswa uma ivolumu yegazi elilahlekile lesiguli engadluli 150 ml. Ngokwenza kanjalo, basebenzisa:
- iqhwa phansi kwesisu;
- Amalungiselelo e-hemostatic (Etamsilate);
- Antispasmodics - Papaverina hydrochloride, Kodwa-Shpa;
- amavithamini - thiamine, pyridoxia, cyanocobalamin.
Esikhathini sokutakula, emva kokuqedwa kwesikhathi esiyinkimbinkimbi, i-physiotherapy inqunyelwe ukuphola okusheshayo:
- i-electrophoresis ene-calcium chloride;
- Ukwelashwa kwe-Microwave;
- izimbali zikaBernard ;
- i-diathermy.
Imithi yokwelashwa yenziwa kuphela esibhedlela, ngaphansi kokuqondiswa njalo odokotela. Ngokuthuthukiswa kokuhlaselwa okuphindaphindiwe kobuhlungu, ukuwohloka kwesimo, ukungazinzi kwemingcele ye-hemodynamic, ukwanda kwezinga legazi elitholwa emgodini we-peritoneum, i-apoplexy yama-ovari idinga ukungenelela okuhlinzekwa. Yenziwa i-laparoscopy, eyasheshisa isikhathi sokutakula.
I-apoplexy ye-ovary - operation
Le ndlela yokwelapha yindlela esemqoka ye-apoplexy. Ngesikhathi sokuhlinzwa, odokotela bahlola indawo yesilonda, bakhiphe igazi emgodini wesisu, bese bemboza i-ovary. Ngesisindo esikhulu se-gland, umbuzo uvela kanjani ukususa. Uma ukuphuka kwe-ovary kuqala, ukusebenza kuyimpoqo ngaphansi kwezimo ezilandelayo:
- Emgodini wesisu ngaphezu kuka-150 ml wegazi okwanele, okulawulwa yi-ultrasound;
- okwenziwe ukwelashwa okunamandla akuzange kube nomphumela olinganisiwe phakathi kwezinsuku ezingu-2-3;
- Kukhona isidingo sokuxilongwa ngokuhlukana kwe-pathology eqondile yezinkinga zokubeletha.
Ukuphuka kwama-ovari - imiphumela
Ngemuva kwe-apoplexy ye-ovary, ngokunakekelwa kwezempilo okungakapheli, izinkinga ezilandelayo zingenzeka:
- ukuphazamiseka okukhulu ;
- inqubo yokunamathisela ekhanda elincane;
- ukuqhuma okuphindaphindiwe kwesiginci;
- ukungabi nabantwana kokubili;
- umphumela obulalayo.
Ngingakwazi yini ukukhulelwa emva kwe-ovarian apoplexy?
Ukukhulelwa emva kwe-apoplexy of ovary kungenzeka. Uma insimbi ingasusiwe ngesikhathi sokulashwa, owesifazane unethuba lokuba umama. Nokho, ukukhulelwa kungenzeka nge-1 gland yokusebenza. Ukukhathazeka okukhulu odokotela lapho kuhlela ukukhulelwa kubangelwa ama-spikes e-pelvis encane. Lezi zakhiwo zivimbela izinqubo ezijwayelekile zokuvuvukala. Ukuze zijwayelekile, iziguli eziningi ziphoqeleka ukuba zisebenzise izidakamizwa ze-hormonal, izidakamizwa ezilwa nokuvuvukala. Ukukhulelwa kungenakwenzeka lapho zombili izigulane zisuswa ngesikhathi ukwelashwa.