Ovarian cysts ndizofala kwambiri m'zaka zobereka.
Chotupa cha mazira ndi chimbudzi chodzaza madzi chomwe chimakula kapena mkati mwa ovary ndipo akhoza kupezeka ndi dokotala wanu panthawi yoyezetsa magazi. Ovarian cysts ndizofala, makamaka kwa amayi pazaka zawo zobereka, ndipo zimapangitsa kuti pakhale zopweteka pang'ono, pokhapokha ngati vutoli likuchitika.
Mitundu yogwira ntchito ndiyo mtundu wochuluka kwambiri wa chiwindi cha mazira ndipo imayenderana ndi kusamba kwa mkazi.
Pali mitundu iwiri ya ziphuphu zothandiza:
- Zida Zosintha
- Corpus Luteum Cyst
Zambiri Zamatsenga
Mapuloteni amtunduwu ndi omwe amapezeka kwambiri m'mabambo omwe amachititsa kuti asamakhale ndi amayi. Iwo amapezeka bwino ndi ultrasound ndipo amawoneka kuti ali ndi makoma ofooka ndipo amakhala odzaza madzi. Mapuloteni amatha kukula mosiyanasiyana koma nthawi zambiri amakhala ang'onoang'ono (osachepera 3cm mwake), ngakhale amatha kukula mpaka kukula kwake kwa mamita 10cm (kukula kwa mphesa).
Kodi follicular cysts zimakhala bwanji? Kawirikawiri, mapuloteni amathyola ndi kutulutsa dzira pa nthawi ya ovulation. Koma pamene chiphuphu sichikuchitika, follicle ikhoza kupitilira kukula ndikupanga khungu lomwe liri ndi madzi kapena magazi.
Kodi ndi zizindikiro ziti zomwe zimapezeka ndi follicular cysts? Azimayi ena amamva kupweteka kwambiri kapena kupanikizika m'mimba mwawo ndi mapuloteni, makamaka pa nthawi yogonana kapena pokhala ndi matumbo.
Izi zikunenedwa kuti akazi ambiri sadziwa zizindikiro ndi mapuloteni, kupatula ngati atayamba kutuluka, kutuluka magazi, kapena matenda aakulu omwe amatchedwa ovarian torsion amapanga (kutembenuka kwa ovary pamagazi omwewo).
Mavutowa amachititsa kuti ululu wa m'mimba ukhale wovuta, wolimba, komanso wam'mimba mwadzidzidzi. Kuthamanga kwa ovariya kungathenso kugwirizanitsa ndi kunyoza ndi kusanza.
Kodi follicular cysts amachiritsidwa motani? Chowonadi ndi chakuti ngati mudikira, pafupifupi onse ovarian follicular cysts amangochoka okha, kawirikawiri mkati mwa masabata atatu kapena anai, koma nthawi zina zimatenga miyezi.
Ngati dokotala wanu atapeza chotupa, akhoza kupempha ultrasound kubwereza pamasabata pafupifupi 6 mpaka 8 kuti asawone.
Nkhani yabwino ndi yakuti opaleshoni sizimafunika kuti tipeze follicular cyst-makamaka ngati follicular cyst ikulitsa kapena kuchititsa zizindikiro monga kusasinthasintha kosalekeza.
Kuchita opaleshoni ndi kuyezetsa magazi kumatchedwa CA 125 kungalimbikitsidwe ngati muli ndi ammimba am'mawa ndipo muli ndi chimbudzi, chifukwa izi sizodziwika. Maseŵera apamwamba a CA 125 angasonyeze khansa ya ovarian m'mayi wam'maimenopausal.
Kodi mapiritsi oletsa kubereka amathandiza kuthana ndi mapuloteni othandizira? Yankho lalifupi ndilo ayi. Iwo amathandiza kokha kuteteza mapuloteni amtsogolo kuti asapange. Iwo sangapangitse mapepala anu amasiku ano kuti achoke.
Kodi chimachitika ndi chiyani ngati mphutsi ikuchoka? Ngakhale dokotala wanu atakhala ndi chidziwitso chophunzitsidwa bwino, palibe njira yodziwira ngati chitsimikizo chokhala ndi chotupa cha ovary ndi physiologic cyst kapena chotupa cha mazira . Pali zizindikiro zabwino, komatu, kuti muli ndi chotupa m'malo mwa chotupa. Inde, simukufuna kuphonya boti ndikukhala "chotupa" ndi njira zachilengedwe zomwe sizidzagwira ntchito. Mukhoza kuika moyo wanu pangozi kapena kupangitsa opaleshoni yaikulu ngati mukuchedwa-kotero ndikofunika kudziwa chomwe chikuyang'aniridwa ndi dokotala wanu.
Corpus Luteum Cyst
Mtundu wina wa makina opangira ntchito amadziwika kuti corpus luteum cyst (CLC). Izi ndizocheperapo kusiyana ndi zozizwitsa, koma monga follicular cysts sichizindikiro chilichonse pokhapokha ngati kutuluka, kutuluka, kapena kupuma kwa mazira kumapezeka. Nthawi zambiri amadzipangira okha mkati mwa milungu ingapo (nthawi zina miyezi).
Kodi corpus luteum cysts imakhala bwanji? Kawirikawiri, pambuyo pa follicle imatulutsa dzira imayamba kubala progesterone ndipo imakhala corpus luteum. Ngati dzira silinamere ndi umuna, corpus luteum imatha. Ngati mimba sichimachitika ndipo corpus luteum sichimwa, imatha kudzaza ndi madzi ndi magazi ndikupanga chimbudzi.
Pakati pa mimba yoyamba, khungu la corpus luteum nthawizonse limapanga. Kawirikawiri imachoka pa 2 trimester, ngakhale. Ena samatero, ndipo ngati sawoneka ngati akukayikira pa ultrasound, ndibwino kuti asiye iwo okha. Nthaŵi zambiri, amatha kutuluka mimba.
Kodi zizindikiro za corpus luteum cyst ndi ziti? Nthawi yosiyidwa yotsatiridwa ndi kupweteka kwapakati pamodzi, komanso kuunika kwapakhosi, komwe kumapezeka minofu yamatenda, imasonyeza kuti CLC yotsatila ndi yovuta kwambiri. Izi zanenedwa, ngati chipolopolo chodziwika, akazi ena alibe zizindikiro.
Kuonjezera apo, ndi zizindikiro zapamwambazi, nkofunika kutsimikizira, kuti kuyesedwa kwa mimba kumalangizidwa, monga momwe ziwonetsero zomwezo zingakhalepo pa ectopic pregnancy (tubal pregnancy). An ultrasound sangathe kuwauza awiriwa ndipo chithandizocho chikanakhala chosiyana kwambiri.
Palinso kachilombo kosagwira ntchito, komwe kungayambitse zizindikiro zofanana, zotchedwa endometrioma. Endometrioma imabwera kuchokera ku minofu yomwe imayika chiberekero ndipo imachiritsidwa mwanjira ina, nthawi zambiri imakhala ndikuchitidwa opaleshoni.
Kodi ma corpus luteum cysts amachiritsidwa motani? Monga follicular cysts, ziphuphuzi nthawi zambiri zimachoka paokha. Ngati opaleshoni ndi yofunikira chifukwa cha magazi, nthawi zambiri zimatha kutero kudzera mu laparoscope (opaleshoni ya bandaid). Kawirikawiri, ovary sichiyenera kuchotsedwa. Katsamba kokha kamachotsedwa ndipo kutuluka magazi kumayimitsidwa.
Ngati mankhwalawa sakuwombera, ndipo palibe magazi kapena kupweteka, ndizomveka kupewa opaleshoni ndi "kudikira" Chifukwa chiyani? Opaleshoni, ziribe kanthu zing'onozing'ono, zimayambitsa zipsyinjo kapena zokopa. Mukufuna kupewa opaleshoni ngati dokotala wanu akuganiza kuti ndizotetezeka pogwiritsa ntchito zonse zomwe mwawerenga.
Mitundu Yina ya Ovarian Cysts
Kuwonjezera pa zida zogwirira ntchito, palinso mitundu ina ya mphukira monga theca lutein cysts, yomwe imachitika chifukwa cha beta-hCG level (hormone of pregnancy). Theca lutein cysts kawirikawiri amawoneka ndi mapasa kapena mimba yokhala ndi mimba, pomwe placenta imakula koma mwanayo sachita.
Matenda a Polycystic ovary (PCOS) ndi matenda a amayi omwe amagwirizanitsidwa ndi kunenepa kwambiri, hirsutism , acne, ndi nthawi yosasamba. Azimayi ena omwe ali ndi PCOS amakhalanso ndi makina angapo (12 kapena kuposa) ang'onoang'ono opanga mazira awo, omwe amatha kuwonekera ndi ultrasound. Izi zikunenedwa, mkazi samasowa kansalu m'mimba mwake kuti apeze ndi PCOS.
Mawu Ochokera
Pomaliza, nkofunika kukumbukira kuti kupweteka kwapakhosi kapena popanda mavalasi omwe alipo sikukutanthauza kuti ululu ukuchokera ku chiwalo cha amayi. Mwa kuyankhula kwina, pali zinthu zina pansi apo pamapiko anu. Mukhoza kukhala ndi mavitamini kapena mavuto ena a m'mimba, omwe alibe chochita ndi ziwalo zanu za thupi.
Zonsezi zanenedwa, onetsetsani kuti mukuwona dokotala wanu ngati muli ndi zizindikiro zowawa ngati matenda atsopano, malungo, kapena kunyoza kapena muli ndi mafunso okhudza chifuwa choyambirira chopezeka.
> Zotsatira:
> American College of Obstetrics ndi Gynecologists. (July 2015). Mafunso Ofunsidwa Kawirikawiri: Ovarian cysts.
> Hochberg L, Hoffman MS. (August 2016). Kusiyana kwakukulu kwa adnexal mass. Mu: UpToDate, Goff B, Garcia RL, Levine D (Ed), UpToDate, Waltham, MA.