Kuzindikira ndi Chithandizo cha Zitsembo za Ruptured Ovarian

Nthawi zambiri, zovuta zingakhale zovuta

Chotupa cha mazira ndi chimbudzi chodzaza madzi chomwe chimakhala mkati kapena pamwamba pa ovary. Ovarian cysts sizinthu zonse zomwe si zachilendo ndipo zimakonda kupita pawokha. Komabe, nthawi zina amatha kupweteka ndikupweteka kwambiri.

Zifukwa ndi Zizindikiro

Mazira ambiri a ovariya amatha kupweteka ndipo sangayambitse zovuta za mtundu uliwonse. Komabe nthawi zina, malo amodzi amatha kukhumudwitsa kapena kusokonezeka panthawi ya chifuwa kapena kugonana.

Izi zimachitika nthawi zambiri pamene chiphuphucho chikukula kwambiri moti amayamba kukanikiza mitsempha kapena ziwalo zina.

Ngati mphukira ikupitirirabe kukula, imatha kuphulika mwadzidzidzi, kuyambitsa kupweteka ndi kutuluka m'magazi. Nthawi zambiri ululu umakhala woopsa komanso mwadzidzidzi ndipo umakhala pambali mwa pelvis. Kupweteka kumakhala kochitika nthawi yomweyo kapena mwamsanga mutatha kuchita masewera olimbitsa thupi kapena kugonana.

Ngati magazi akulemera, mkaziyo akhoza kukhala ndi chizungulire, kumutu, kupuma pang'ono, komanso kuthamanga kwa mtima. Matendawa akhoza kuonjezera chiopsezo chotenga kachilomboka ngati sakusamalidwa.

Ngakhale ngati mphunoyi siimatha, nthawi zina imatha kupotoza ndi kudula magazi. Ichi ndi vuto lalikulu lomwe limatchedwa mazira ovindira omwe kuchepa kwawomwe kumapangitsa kuti minofu ya ovari ife. Monga kupweteka, ululu udzakhala wolimba ndipo uli pambali imodzi. Kuchita opaleshoni kamodzi kudzakhala kofunika kuti mutsegule mazira ndi kupewa necrosis (selo imfa).

Kudziwa

Kutulukira kwa mphutsi yotuluka m'mimba kumayambira ndi ultrasound. Ngati khunguli litaphulika, ultrasound iwonetsetsa madzimadzi pa ovary ndipo ikhoza kuwonetsa chilonda chopanda kanthu, chopanda magazi. Kuchuluka kwa magazi (CBC) kungagwiritsidwe ntchito pofuna kufufuza zizindikiro za matenda kapena zovuta zina.

Ngakhale kuti ultrasound ndiyo njira yabwino kwambiri yowunika kugwidwa, imakhala ndi malire ake. Pofuna kutsimikizira kuti adokotala akudwala matendawa, dokotala wanu amayenera kutulutsa matenda ena omwe amachititsa kuti asamakhale ndi matenda enaake, kuphatikizapo ectopic pregnancy, matenda opweteka a m'mimba (PID) , kapena zomwe sizimayambitsa matenda monga chiwindi kapena miyala ya impso.

Ndikofunika kuzindikira kuti ovulation palokha nthawi zina imapweteka pamene dzira limatulutsidwa. Timatchula izi ngati ululu wa mittelschmerz, chizindikiro chomwe sichibadwa mwachibadwa. Komabe, kwa amayi ena, kupweteka kungakhale koopsa ndipo kuyenera kufufuza kufufuza ngati pali zina zotheka monga endometriosis (kupitirira kwa minofu ya uterine).

Chithandizo

Kamodzi kansalu kameneka kamakhala kakuphulika, kaƔirikaƔiri palibe chosowa chithandizo choganiza kuti CBC ya mkaziyo ndi zizindikiro zofunika ndizomwe zimakhazikika. Mankhwala opweteka angapangidwe kuti athandize kuthana ndi vutoli. Mpumulo ukhoza kutonthozedwa kwa tsiku kapena awiri kuti zizindikirozo zithetse.

Komabe, nthawi zina, chimbudzi chingakhale pafupi ndi chombo chachikulu cha magazi, ndipo kupweteka kwake kungayambitse magazi ambiri. Ndi zina zoterezi, kuchipatala ndi opaleshoni zingafunike kuthetsa kutaya kwa magazi ndikuletsa kuwonongeka kwowonjezereka kwa magazi.

Ngati simunasamalidwe, kutuluka magazi kungayambitse matenda aakulu omwe amadziwika kuti hematoperitoneum momwe magazi amasonkhanitsira pakati pa khomo la mkati mwa mimba ndi m'mimba.

Kupewa

Palibe njira yothetsera chifuwa choyambitsa matenda ovunda. Ndiko kunena kuti, ngati dokotala wanu akupeza chimodzi panthawi yoyezetsa kachitidwe kawiri kawiri, iye angakulimbikitseni njira yolondera ndi kuyembekezera kuti muwone ngati chiphuphu chikuwonjezereka mu kukula kapena chimachoka payekha.

Ngati chotupacho ndi chachikulu ndipo chikuvutitsa kale, dokotala akhoza kulimbikitsa opaleshoni ya laparoscopic ("keyhole") kuti achotse kukula. Ndi njira ya chipatala ndi imodzi yomwe sayenera kusokonezeka ndi cystectomy (kuchotsa chikhodzodzo).

Mawu Ochokera

Ngati mukumva kupweteka kwa m'mimba kapena kupweteka kwa mimba , muyenera kuyang'anitsitsa ndi dokotala wanu nthawi yomweyo kapena kufunafuna chithandizo chadzidzidzi. Palibenso njira yodziwira vutoli kaya malo amva ululu kapena mtundu wa ululu.

Ngakhale kutaya kwa chotupa cha ovariya sikumayambitsa moyo, umakhala ndi ectopic mimba. Kuchiza kochedwa kungayambitse kuwonongeka kwamagazi, mantha, ngakhalenso imfa.

> Zotsatira:

> Congress of American Orthodox and Gynecologists. "Ovarian Mapulogalamu." Washington, DC; yasinthidwa mwezi wa 2017.

> Kim, J .; Lee, S .; Lee, J. et al. "Kupambana Kogwiritsira Ntchito Kowonongeka kwa Ruptured Ovarian Cysts ndi Hemoperitoneum mu Akazi Oyenera." PLoS One. 2014; 9 (3): e91171. DOI: 10.1371 / magazini.pone.0091171.