Kukula Kwambiri kwa Minofu Kufupi ndi Ovariya
Minofu ya adnexal ndi kukula kodabwitsa kumene kumayambira pafupi ndi chiberekero, chomwe chimachokera ku mazira, mazira, kapena matenda. Mphungu ngati msuzi ukhoza kukhala wosakanizidwa (wodzazidwa ndi madzi) kapena olimba. Ngakhale misala yambiri ya adnexal idzakhala yonyozeka (osati ya khansa), nthawi zina imakhala yoipa (khansa).
Misala ya Adnexal ikhoza kuchitika pa msinkhu uliwonse, ngakhale kuti nthawi zambiri imawoneka kwa akazi a msinkhu wobereka.
Zifukwa za Misa ya Adnexal
Pali zenizeni zenizeni zomwe zimapangitsa kuti misala ya adnexal ikhalepo. Amayi am'mawa amayamba kugwiritsidwa ntchito ndi mazira ovunda , odwala matenda ovunda odwala matenda a m'mimba, endometriosis , sycystic ovary syndrome (PCOS) , mimba ya ectopic (tubal), ndi khansa ya ovari.
Popeza magulu a adnexal ndi ofala, madokotala ayenera kulingalira zinthu zingapo kuti adziwe chifukwa chake ndi kukula kwa kukula kwake. Ngakhale khansara ndi chimodzi mwa zifukwa zambiri zomwe zingayambitse, mbendera zofiira zimakhala ngati:
- Unyinji umakhala wolimba mmalo mwa chisiki.
- Unyinjiwu ndi wosasunthika kapena wowerengeka.
- Amuna amayamba kusamba asanayambe.
- Unyinji umakula pambuyo pa kusamba.
- Unyinji umapweteka.
- Pamene chimwalacho ndi chachikulu kwambiri.
Kudziwa
Ngati minofu ya adnexal imapezeka panthawi ya kuyezetsa thupi, pali mayesero angapo ojambula omwe angathandize kuchipatala, kuphatikizapo:
Kuyezetsa mimba kumathandizanso kuti tipeze kugonana kwa mimba. Ngati kansa ya ovari imayesedwa, mayeso a CA 125 (omwe amachititsa mapuloteni, otchedwa kansa antigen 125, m'magazi) akhoza kulamulidwa.
Ngati misa ndi yonyansa, dokotala akhoza kuyesa kutulutsa madzi ndi singano ndi sering'i.
Komabe, madokotala ambiri amapewa izi, makamaka ngati khansara imakayikira, popeza mcherewo umakhala ndi maselo oopsa omwe akhoza kubzala zina.
Utsogoleri ndi Chithandizo
Malingana ndi zomwe anapeza koyamba, dokotala akhoza kutenga njira yolondera ndi kuyembekezera, kuyang'anira nthawi zonse kusintha kulikonse, kapena kuyamba nawo mwamsanga. Izi zikhoza kuphatikizapo kuchotsa opaleshoni ya misa yotsatira ndi kuyesedwa kwabubu.
Ngati pangakhale mimba yamatenda, chithandizo chodzidzimutsa chingafunike kuteteza kupweteka kwa moyo, makamaka ngati mkazi ali ndi chizindikiro.
Nthawi zambiri, misala ya adnexal siidzakhala chifukwa cha mantha ndipo sangayambitse mkaziyo mavuto alionse a thanzi.
Pomwe zikunenedwa, madokotala adzasamala kwambiri misala iliyonse kapena zilonda zomwe zimawonekera kapena kuzungulira mazira ozungulira kapena m'matope. Kafukufuku wasonyeza kuti kukula kwa ziphuphu zapakhomo nthawi zambiri kumakhala ngati chitsimikizo cha zaka zapamwamba za serous ovarian carcinomas (HGSOC). Ndalama za HGSOC pafupifupi 75 peresenti ya khansa yonse ya mazira
Mawu Ochokera
Ngati nthenda ya adnexal imapezeka ndipo khansa ikudziwika, nthawizonse ndi bwino kupeza njira yachiwiri kuchokera kwa mayi wina yemwe ali ndi matenda opatsirana pogonana, yemwe adzadziwe zambiri pa matenda, matenda, komanso mankhwala a khansa ya m'mimba komanso mazira.
Kawirikawiri, nthawi zowonongeka kwa amayi omwe akusamaliridwa ndi ovomerezeka za amayi ambiri zidzakhala zazikulu kuposa zomwe zimachitidwa ndi dokotala wamkulu wa opaleshoni.
Ngakhale ngati adnexal mass akuoneka kuti ali ndi khalidwe labwino, akatswiri odziwa za matenda a umoyo amatha kudziwa ngati kusintha kwachitukuko kukuthandizani kwambiri.
> Zotsatira:
> Chan, K; Sherman, A .; Zapp, D. "Mphamvu za amayi opatsirana pogonana pa moyo wa odwala khansa ya m'magazi." J Clin Oncol. 2011; 29 (7): 832-8. DOI: 10.1200 / JCO.2010.31.2124.
> Dodge, J. "Kusamalira mwambo wodalirika wa adnexal: njira yothandizira odwala." Kokota Oncology . 2012; 19 (4): e244-57. DOI: 10.3747 / co.19.980.
> Labidi-Galy, S .; Papp, E .; Hallberg, D. et al. "Maphunziro apamwamba otchedwa serous ovarian carcinomas amachokera m'chiguduli." Nat Commun. 2017; 8: 1093. Kodi: 10.1038 / s41467-017-00962-1.
> Suh-Burgmann, E. ndi Kinney, W. "Zowononga zowonjezereka zimaposa phindu losayang'anitsitsa kayendedwe ka adnexal masses." Amer J Gynecol Obstetric . 2015; 213 (6): 816.e1-4. DOI: 10.1016 / j.ajog.2015.09.005.