Zakonisht cistet nuk shfaqin asnj\u00eb simptom\u00eb dhe zbulohen gjat\u00eb kontrolleve rutin\u00eb me ultratingull. N\u00eb rast se shfaqin simptoma, n\u00eb var\u00ebsi t\u00eb tyre mund t\u00eb p\u00ebrcaktohet se p\u00ebr \u00e7far\u00eb lloj ndryshimi b\u00ebhet fjal\u00eb. Shumica e grave, gjat\u00eb jet\u00ebs s\u00eb tyre p\u00ebrballen me ndonj\u00eb lloj ndryshimi cistik n\u00eb vezore, dhe shpesh nuk ndjejn\u00eb shfaqje t\u00eb simptomave. Zakonisht jan\u00eb ciste funksionale t\u00eb cilat krijohen si pasoj\u00eb e \u00e7rregullimit t\u00eb ndryshimeve normale t\u00eb cikleve n\u00eb vezore dhe ovulim. Shfaqen n\u00eb rast se folikulat normale nuk arrijn\u00eb t\u00eb shp\u00ebrthejn\u00eb gjat\u00eb periudh\u00ebs s\u00eb ovulimit, ku l\u00ebngjet mbeten dhe folikuli vazhdon t\u00eb rritet, duke krijuar k\u00ebshtu cist folikular. \u00a0Sipas Dr. Boban Sarxhovskit, gjinekolog akusher n\u00eb spitalin klinik \u201cAcibadem Sistina\u201d ato zakonisht zhduken pa marr\u00eb asnj\u00eb trajtim, p\u00ebr disa jav\u00eb apo disa muaj.<\/p>\n

Lloje t\u00eb tjera t\u00eb cisteve<\/span><\/p>\n

Cist endometriotik ose \u00e7okollat\u00eb<\/strong> –\u00a0 endometrioza e vezoreve, do t\u00eb thot\u00eb ekzistenc\u00eb e endometriumit n\u00eb vezore ( pjes\u00eb e mitr\u00ebs e cila ndryshon n\u00eb m\u00ebnyr\u00eb ciklike gjat\u00eb periudh\u00ebs s\u00eb nj\u00eb cikli menstrual), dhe gjat\u00eb menstruacioneve ka gjakderdhje n\u00eb vezore. \u00a0Me kalimin e koh\u00ebs merr ngjyr\u00eb t\u00eb kuqe t\u00eb err\u00ebt \/kafe,\u00a0 dhe prandaj k\u00ebto ciste quhen ceste \u00e7okollat\u00eb p\u00ebr shkak t\u00eb ngjyr\u00ebs s\u00eb tyre. \u00a0Grat\u00eb t\u00eb cilat kan\u00eb endometrioz\u00eb, mund t\u00eb ken\u00eb probleme me shtatz\u00ebnin\u00eb, dhimbje kronike n\u00eb fund t\u00eb barkut lidhur me ciklin menstrual, si dhe dhimbje gjat\u00eb marr\u00ebdh\u00ebnieve seksuale.<\/p>\n

Cist dermoid<\/strong> \u2013 nj\u00eb nd\u00ebr tumoret m\u00eb t\u00eb zakonshme q\u00eb shfaqet tek pacient\u00ebt m\u00eb t\u00eb rinj, dhe p\u00ebrmbajn\u00eb inde nga pjes\u00eb t\u00eb tjera t\u00eb trupit, t\u00eb tilla si kocka, flok\u00ebt, k\u00ebrcit\/dellit t\u00eb struktur\u00ebs cistike n\u00eb vezore.<\/p>\n

Cistet ovariale neoplastike<\/strong> –\u00a0 shfaqen nga rritja e pap\u00ebrshtatshme, e tepruar dhe e pakontrolluar e qelizave vezore. Neoplazmat malinje mund t\u00eb formohen nga t\u00eb gjitha llojet e qelizave vezore, por zakonisht jan\u00eb t\u00eb epitelit sip\u00ebrfaq\u00ebsor. Ndonj\u00ebher\u00eb ndryshimi i vezoreve mund t\u00eb jet\u00eb si rezultat i metastazave t\u00eb tumorit, prejardhja e t\u00eb cilit \u00ebsht\u00eb nga nj\u00eb organ tjet\u00ebr.<\/p>\n

Sindromi policistik i vezoreve<\/strong> –\u00a0 \u00cbsht\u00eb nj\u00eb nga \u00e7rregullimet hormonale m\u00eb t\u00eb zakonshme tek grat\u00eb. Diagnoza vendoset me an\u00eb t\u00eb kontrollit me ultratingull, ka m\u00eb shum\u00eb se 12 folikula t\u00eb vogla n\u00eb vezore. Tek k\u00ebto gra, p\u00ebrve\u00e7 pranis\u00eb s\u00eb cisteve, t\u00eb pranishme jan\u00eb edhe \u00e7rregullimet hormonale, gjakderdhje menstruale jo t\u00eb rregullta, shenja t\u00eb rritjes s\u00eb prodhimit t\u00eb hormoneve androgjene (pu\u00e7rra n\u00eb fytyr\u00eb, l\u00ebkur\u00eb t\u00eb yndyrshme, shfaqje t\u00eb qimeve n\u00eb trup) mungesl t\u00eb ovulimit, infertilitet, diabet.<\/p>\n

Simptomat dhe diagnoza<\/h2>\n

Dhimbjet lidhur me ciklin menstrual, zakonisht kan\u00eb t\u00eb b\u00ebjn\u00eb me endometrioz\u00ebn. Dhimbjet e forta, \u00a0t\u00eb cilat shfaqen papritur, kan\u00eb t\u00eb b\u00ebjn\u00eb me shperthimin e cistit apo me kthimin apo rrotullimin e cistit. N\u00ebse ekzistojn\u00eb formime m\u00eb t\u00eb m\u00ebdha cistike, mund t\u00eb shfaqen edhe simptoma nga organet p\u00ebrreth mbi t\u00eb cilat cisti shkakton presion, mund t\u00eb shfaqen probleme me urinimin, n\u00ebse cisti shkakton presion mbi fshik\u00ebz\u00ebn e urin\u00ebs, si dhe prbleme me jasht\u00ebqitjen n\u00ebse cisti shkakton presion mbi zorr\u00ebn e trash\u00eb. Tek kontrollet apo shqyrtimet e m\u00ebtejshme p\u00ebrfshihen: tomor markeri, tomografia kompjuterike, rezonanca magnetike dhe testi i shtatz\u00ebnis\u00eb, n\u00eb rast se ekzistojn\u00eb dyshime p\u00ebr shtatz\u00ebni jasht\u00eb mitr\u00ebs.<\/p>\n

Trajtimi<\/h2>\n

Konzervativ<\/strong> \u2013 sepse cistet funksionale jan\u00eb m\u00eb t\u00eb shpeshta, nuk paraqesin rrezik p\u00ebr sh\u00ebndetin e pacientes dhe zakonisht zhduken vet\u00eb, shum\u00eb rrall\u00eb mund t\u00eb ndodh\u00eb q\u00eb t\u00eb k\u00ebrkohet marrja e ndonj\u00eb trajtimi. \u00cbsht\u00eb e nevojshme ndjekja e tyre me an\u00ebt t\u00eb ultratingullit, dhe ndoshta terapia hormonale \u00a0p\u00ebr t\u00eb rregulluar ciklin menstrual, si dhe t\u00eb parandalohet formimi i cisteve folikulare t\u00eb q\u00ebndryeshme.<\/p>\n

Operativ<\/strong> \u2013 N\u00eb spitalin klinik \u201cAcibadem Sistina\u201d ekziston aparati m\u00eb bashk\u00ebkohor\u00eb laparaskopik minimalisht invaziv, me an\u00eb t\u00eb s\u00eb cilit mund t\u00eb dep\u00ebrtohet pa prerje n\u00eb barkun e pacientes, vet\u00ebm me an\u00eb t\u00eb disa shpimeve prej 5-10 mm me kamer, duke b\u00ebr\u00eb t\u00eb mundur vizualizimin e organeve. Gjat\u00eb k\u00ebtij kontrolli b\u00ebhet vler\u00ebsimi i cistit ovarian dhe organeve t\u00eb tjera, dhe m\u00eb pas, me an\u00eb t\u00eb instrumentave mikrokirurgjikale b\u00ebhet m\u00ebnjanimi i cisteve, dhe indi i m\u00ebnjanuar m\u00eb pas analizohet dhe p\u00ebrcaktohet lloji i cistit, shkalla e s\u00ebmundjes, si dhe nevoja e mundshme \u00a0p\u00ebr trajtimin e m\u00ebtejsh\u00ebm. N\u00ebse b\u00ebhet fjal\u00eb p\u00ebr ndryshime t\u00eb m\u00ebdha malinje, at\u00ebher\u00eb p\u00ebrdoret metoda operative klasike.\u00a0<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"

Zakonisht cistet nuk shfaqin asnj\u00eb simptom\u00eb dhe zbulohen gjat\u00eb kontrolleve rutin\u00eb me ultratingull. N\u00eb rast se shfaqin simptoma, n\u00eb var\u00ebsi t\u00eb tyre mund t\u00eb p\u00ebrcaktohet se p\u00ebr \u00e7far\u00eb lloj ndryshimi b\u00ebhet fjal\u00eb. Shumica e grave, gjat\u00eb jet\u00ebs s\u00eb tyre p\u00ebrballen me ndonj\u00eb lloj ndryshimi cistik n\u00eb vezore, dhe shpesh nuk ndjejn\u00eb shfaqje t\u00eb simptomave. Zakonisht jan\u00eb ciste funksionale t\u00eb cilat krijohen si pasoj\u00eb e \u00e7rregullimit t\u00eb ndryshimeve normale t\u00eb cikleve n\u00eb vezore dhe ovulim. Shfaqen n\u00eb rast se folikulat normale nuk arrijn\u00eb t\u00eb shp\u00ebrthejn\u00eb gjat\u00eb periudh\u00ebs s\u00eb ovulimit, ku l\u00ebngjet mbeten dhe folikuli vazhdon t\u00eb rritet, duke krijuar k\u00ebshtu cist folikular. \u00a0Sipas Dr. Boban Sarxhovskit, gjinekolog akusher n\u00eb spitalin klinik \u201cAcibadem Sistina\u201d ato zakonisht zhduken pa marr\u00eb asnj\u00eb trajtim, p\u00ebr disa jav\u00eb apo disa muaj.<\/p>\n","protected":false},"author":2,"featured_media":4977,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[340],"tags":[],"doktori":[],"class_list":["post-3791","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zhensko-zdravje-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/3791","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/comments?post=3791"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/3791\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/4977"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=3791"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=3791"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=3791"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=3791"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}