Khansara ya ovariya imapezeka pafupifupi 1 pa 18,000 mimba. Zizindikiro ndi zizindikiro zikufanana ndi zomwe zilibe pathupi. Kawirikawiri zimbudzi zimapezeka pamtundu wa antepartum (kuyendera nthawi yoyamba kubadwa). Ngati izo zibwerenso kawirikawiri pambuyo pa mayeso angapo ndi ma ultrasound, matendawa amakhala kawirikawiri yogwiritsidwa ntchito chifukwa cha mahomoni pa nthawi ya mimba.
Zilonda zajeremani za m'mimba ndizo zomwe zimawoneka kuti zakula mpaka zaka 30, ndipo zotupa zagonadal stromal zimapezeka m'zaka zonse zobereka ana. Mitundu yonse iwiriyi imakhudza ovary imodzi yokha poyerekezera ndi khansa yambiri yomwe imapezeka m'magazi. Chifukwa chake, ngati chotupacho chipezeka pa ovary imodzi yokha, kuchotsedwa kwa ovary yekha kungakhale chithandizo chokwanira pa nthawi ya mimba.
Zizindikiro zodziwika zikhoza kukhala zofanana ndi masewera olimbitsa thupi kapena oopsa a mazira. Izi zimaphatikizapo kupotoza ovary pa magazi (torsion), kutupa, kupweteka, magazi kapena matenda. Malingana ndi nthawi yomwe ali ndi mimba, mimba imapezeka, imatha kapena sichimveketseka pa dokotala kapena dokotala. Ngati zingamveke, zotsatirazi zingathandize pa chisankho chokhudza ntchito kapena kuyang'anitsitsa ndi kuyesedwa nthawi ndi ultrasound. Mulu umodzi womwe umasunthira mosavuta ndipo uli wochepa kuposa masentimita 4, ukhoza kuwonedwa ndi kafukufuku wa nthawi mpaka myezi itatu yachiwiri ya mimba.
Panthawi imeneyi, ngati misa ikuchepa mu kukula, kudzipangitsa kungakhale kachipangizo. Koma, ngati zikukula, muyenera kuchitidwa opaleshoni mwamsanga. Komanso ngati panthawi yoyamba misozi imakhala yosasinthasintha, sichimasunthira (imagwirizanitsidwa ndi ziwalo zina zapachiwalo), zikuwoneka kuti zimaphatikizapo mazira ochuluka kapena amadzimadzi opezeka m'mimba ndi m'mimba pa ultrasound, ikhoza kukhala nthawi yopaleshoni mosasamala kanthu trimester ya mimba.
Mwamwayi, khansara panthawi yomwe mayi ali ndi mimba nthawi zambiri amapezeka kuti ali ndi nthawi yoyamba (siteji I), chifukwa chakuti nthawi zambiri wodwalayo amafunsira kuchipatala kumayambiriro chifukwa cha mimba, isanayambe kusamba kwa zizindikiro za khansa ya ovari. Izi zimakhala zofanana ndi zomwe zilibe mimba, makamaka malingana ndi mtundu wa chotupa ndi siteji.
Kufufuza ndi kuyesa
Ultrasound ndi yotetezeka pa nthawi ya mimba, koma CT kapena CAT imawunikira kupanga ma radiation ndipo sali otetezeka, makamaka pa nthawi yoyembekezera mimba. MRI kapena Magnetic Resonance Imaging nthawi zambiri imakhala yotetezeka pa nthawi ya mimba ndipo ikhoza kugwiritsidwa ntchito ngati ultrasound sichidziwitsa zambiri.
Kuyeza magazi kwa CA-125 kungapangidwe koma sikulondola kwenikweni pa nthawi ya mimba. Mimba yokhayo ingapangitse kukwera mu chotupa ichi, pafupifupi mazana angapo. Choncho, mlingo wokwanira 35UU / ml umatengedwa ngati wosalongosoka, koma pamene ali ndi mimba, msinkhu uwu ukhoza kukhala wa 200 kapena 300 kapena woposa chifukwa cha mimba yokha. Komabe, msinkhu wa zikwi mwina ndi chifukwa cha khansa.
Utsogoleri
Chithandizo chimakhala chimodzimodzi ndi chikhalidwe chosakhala ndi pakati. Gawo loyamba ndi opaleshoni, ndipo funso lokha ndiloti. Kawiri kawiri katatu imasankhidwa chifukwa imakhudzidwa ndi kuchepa kwa mimba.
Ngati mayeserowa akusonyeza kusakayikira kochepa kwa khansara, ndiye nthawi yowunikira. Ngati kukayikira kuli kwakukulu, ndiye kuti opaleshoni iyenera kuchitidwa mwamsanga.
Opaleshoni
Pa opaleshoni, ngati odwala matendawa akutsimikizira khansa, ndiye kuti opaleshoni yamakono yatha. Izi zikutanthauza kuti kuchotsedwa kwa ovary, biopsies of lymph nodes ndi peritoneum m'madera osiyanasiyana. Ngati zikuwoneka ngati khansara yafalikira patali pa ovary, ndiye kuti cytoreduction kapena debulking ikuchitidwa ngati kulibe pathupi.
Ndikofunika kuti tikambirane zomwe zingatheke komanso zosankha musanachite opaleshoni. Chisankho chovuta, malingana ndi trimester, ndi choti achite pa mimba.
Pa khansa yoyambirira, nthawi zambiri mimba imatha kupitilizidwa ndipo mphutsi imachotsedwa pamodzi ndi mizere. Ngati khansara yayamba kupitirira pa ovary, zingakhale bwino kuchotsa chiberekero kuchotsa khansa yambiri ngati n'kotheka. Ngati mimba ili osakwana masabata makumi awiri ndi awiri, kuchotsa chiberekeroyo kumathetsa mimba ndipo mwanayo sangathe kukhala ndi moyo. Ngati mimba ili patadutsa masabata makumi awiri ndi awiri (24) koma sichikukhala okhwima (nthawi yoposa ma sabata 36) gawo la Cesarea likhoza kuchitidwa asanachotse chiberekero ndi mwanayo. Komabe, pali kusiyana kwakukulu mu luso la mwana wakhanda kuti apulumutsidwe pafupi ndi masabata makumi awiri ndi awiri motsutsana ndi masabata makumi atatu ndi atatu. Zonsezi ndizofunika kuziphimba pamaso pa opaleshoni.
Chemotherapy
Kuchiza kwa khansara ya ovari kupitirira opaleshoni ndi chimodzimodzi, siteji yoyenera ngati kuti panalibe mimba yoposa yoyamba itatu. Zonse za ziwalo zoberekera zatsiriza chitukuko pamapeto a trimester yoyamba. Pambuyo pazimenezi ndi kukula, komwe kungathe kuchepetsedwa ndi chemotherapy, koma palibe ngozi yobadwa nayo.
Mankhwala osokoneza bongo komanso mankhwala a chemotherapy omwe amafunika kudziwa ngati ali ndi mankhwala kapena ayi, amafunikira chimodzimodzi ndi omwe sali oyembekezera. Mwamwayi, popeza khansa yambiri yamagazi yomwe imapezeka panthawi ya mimba ndi gawo I, chemotherapy nthawi zambiri ingapewe. Ngati pakufunika, iyenera kuyambitsidwa mwamsanga. Ngati mankhwala a chemotherapy amafunika pa nthawi yoyamba itatu, ndizotheka kuti padzafunika kusankha kuti mutha kutenga mimba. Kudikira kwa miyezi kungapangitse moyo wa mayi kuika moyo pachiswe ndikupatsanso mwayi wochiritsidwa.