Methods of treating ovarian cysts in the hospital.
Ovarian cyst – tumor formation, having a circular shape, filled with fluid or mucus. Common (up to 25% of cases, appeals to the gynecologist), to a greater extent in women of childbearing age. The cyst may be one or more, on the left or right (sometimes both) ovaries. Fundamental differences in frequency of defeat of right and left ovaries, no, no and patterns of occurrence of some of the types of cysts on the right or left ovaries.
It is noticed that endometriotic cyst in 90% of cases affects both ovaries. Different forms of the disease are diagnosed in women of any age, including young nulliparous girls and even baby girls.
Risk factors of the disease:
- unnatural hormonal changes for a variety of reasons, including frequent medical abortion;
- beginning menstruation before age 12 years;
- taking certain medicines for the treatment of infertility in preparation for IVF, in cases of emergency contraception;
- disruption of thyroid and pituitary;
- frequent/chronic infections of the pelvic organs;
- frequent overcooling or overheating of the body;
- prolonged, intense stress, poor eating habits, a sharp and rapid decrease in body weight, psychological stress;
- alcohol and drug addiction.
Risk is reduced with regular intake of oral contraceptives (hormonal birth control pills). This effect is achieved due to the fact that these hormones inhibit certain physiological processes of the ovaries, which can cause cysts.
The initial stage of the process occurs without symptoms. But with regular visits to the gynecologist, if you suspect that the appearance of the tumor, the process is easy to identify.
Due to the accumulation of the liquid contents of the cyst gradually increases when its size becomes greater than 5 cm, the woman begins to disturb pains in the abdomen, depending on the lesion of the right or left ovary. The pain may worsen when walking, physical exertion, sudden movements.
Depending on the tissue from which it grows a cyst, and the contents of its cavity symptoms get specific in nature to determine the kind of tumor, but such nuances can correctly interpret only by a professional.
There are functional cysts and true tumor – cyst, and ovarian cysts include paraovarian cysts, which are formed not on the ovary, but in the immediate vicinity, and often reach large size (to 20 cm).
Functional cyst of the right or left ovary, the follicular and the luteal (yellow body), usually does not manifest itself, that is the symptoms. They found during the ultrasound and disappears in 2-3 menstrual cycle. But this does not mean that they should not be treated.
A true tumor or cystoma (serous, mucinous, and papillary cystadenoma, dermoid and endometrioid cysts) can cause the following symptoms:
- a slight increase in body temperature;
- pulling pain in the abdomen;
- frequent urination and constipation due to compression of the internal organs.
Need to know what these symptoms are similar to symptoms of many other diseases of the abdominal cavity, so it is not necessary to put a diagnosis at home and try something to treat. It is urgent to consult a doctor for differential diagnosis, which will help to distinguish one disease from another.
In some cases, the cysts of the right and left ovary are fixed on a thin movable stalk. When a strong physical exertion can be a torsion leg or rupture of the cyst. It is accompanied by symptoms similar to symptoms of «acute abdomen»:
- sharp pain in the abdomen;
- nausea and vomiting, not bringing relief;
- heart palpitations;
- blanching of the skin (if there is internal bleeding).
In such cases need urgent hospitalization and subsequent surgery.
Differential diagnosis of
Now the diagnosis of ovarian cysts is not difficult in connection with the appointment of a woman the ultrasound examination during scheduled or emergency visits to the gynecologist. Due to the wide use of ultrasound, most cysts detected at an early stage of the disease, which gives the opportunity to treat the patient.
Pelvic examination also helps to detect the tumor in the ovary region, determine its size and mobility.
To differentiate complicated cysts from other acute conditions (appendicitis, ectopic pregnancy), which have similar symptoms, and to clarify its varieties are used and other methods of diagnosis:
In the treatment of the disease apply conservative and surgical methods. To be treated at home with herbs or by any other means is unacceptable – because of the possible risk of losing time for a gentle intervention.
Conservative treatment – hormonal preparations containing estrogen and progestogen (this is most oral contraceptives), – is used for functional cysts. Given that the reason for their occurrence are minor hormonal disruption of a healthy woman’s body, these cysts usually respond well to medication effects and quickly regress. Therapy can be supplemented with anti-inflammatory and antimicrobial drugs. Sometimes physiotherapy.
A doctor examining a woman for 2-3 months, monitor the process via ultrasound and if the cyst does not disappear, providing prompt treatment.
All other varieties of cysts (cystoma) are treated only operatively. The need for mandatory removal of the cyst is dictated by the reason that they, unlike functional cysts, can grow and have a tendency to malignant degeneration.
Among the modern surgical methods of treatment most often used laparoscopy because of low-trauma statistics and positive results. This method is the most gentle diagnosis and therapy are performed through a small (3mm) punctures in the anterior abdominal wall. This operation typically does not include removal of the ovary. With timely removal of uncomplicated ovarian cysts by laparoscopy the woman’s body is not exposed to General anesthesia, stress from major surgery.
Given that this method does not require a long period of rehabilitation and application of many different medications soon after the surgery, the woman may be prescribed under the supervision of your doctor to convalesce at home. Modern medicine is very focused on the preservation of reproductive function and does not deprive a woman becoming a mother. This is most important for young or nulliparous patients, but women are older or already have children too, it is desirable to keep the maximum ovaries intact, so as not to start a chain reaction of hormonal imbalance, which will adversely affect the appearance and well-being.
However, laparoscopy is not always possible to apply on medical grounds. In cases of complicated cysts usually conducted emergency laparotomy the cyst is removed through the incision, sometimes with it is necessary to remove the ovary or part of it.
Any remote tumor is always sent for histological examination to rule out cancer.
An ovarian cyst is a well — studied because of its prevalence of the disease. Medicine, and gynecology in particular, is dynamic, constantly evolving technologies and equipment. Pharmacology is also introduced significant changes in methods of treatment of «usual and customary» disease. And the name of many medical procedures now has a slightly different meaning and content than 10-20-30 years ago.
Besides, now there is a possibility of comparison and choice of doctor and medical institution. All understand it adequately until, until the case begins to touch us. Then for some reason there is a strange cave of fear, and perceived by the normal to the «moment x» concept filled with a frightening sense. And then the «cyst» and «operation» are transformed in our minds in synonyms wheelchairs, although it has long been no reason.
All the talk on the topic «we have to wait harmful to treat hormones will resolve itself, and Marivanna reach right elbow to the left ear and drank the infusion of Mexican ants and it was gone», usually occurs around the woman when she detected the cysts will not lead to anything good. To remove from the body potentially harmful, threatening cancer education — while it is possible to do so without unnecessary stress to health — a duty to herself.
And doctors also not pleased with the need to cut the patient in half of the internal organs only because she was afraid of the word «operation» and came back too late.