Mapulogalamu opatsirana mu njira zoberekera ndi matenda a amayi omwe ali ndi zaka zobereka. Pazigawo zoyambirira matendawa sadziwonetseredwa mwa njira iliyonse. Kudziwa chomwe chiwindi chimayambira, zizindikiro ndi chithandizo, amayi amatha kukayikira matenda awo ndi kupita kuchipatala.
Ovarian cysts - mitundu
Chimake ndi chokhazikika chomwe chimakhala ndi chimbudzi chodzaza ndi mkati. Silikugwirizana ndi chotupacho, koma chiopsezo chake chokhala ndi khansa chilipo. Pachifukwa ichi, chotupa cha mazira chimapezeka, zizindikiro ndi chithandizo cha mkazi zidzakambidwa m'nkhaniyi, zikhoza kukhala panthawi yopuma, m'zaka za kubala komanso ngakhale atsikana. Malinga ndi kapangidwe ka zinthu, maonekedwe ndi zikhalidwe za chiyambi, chimanga pa ovary chingakhale cha mitundu ingapo. Amayi amasiyanitsa:
- chojambula;
- thupi lachikasu;
- endometrioid;
- dermoid;
- phokoso;
- mucinous.
Chipolopolo cha ovarian ovarian
Izi zimagwiritsidwa ntchito pa tsamba lopsa. Mapangidwe ake amapezeka pamene pazifukwa zina njira yowonjezeramo ndi yovuta. Dzira lopsa sathyola follicle ndipo silichokamo. Zotsatira zake, zimayamba kukula ndikudzaza ndi madzi. Panthawi imodzimodziyo, makoma ake amakhala ofooka, ndipo kukula kwake kumawonjezeka pang'onopang'ono. Pazigawo zoyambirira matendawa sadziwonetseredwa mwa njira iliyonse. Kawirikawiri, ziphuphu zimagwiritsidwa ntchito pofufuza za:
- kusamba kwa mliri ;
- kupezeka kwa nthawi yayitali;
- maonekedwe a kumaliseche kwa m'mimba.
Endometrioid ovarian cyst
Pamene mtundu uwu wa buluwu umapangidwa, kukhalapo kwa maselo a minofu a endometrial kumayikidwa pa thumba losunga mazira m'mayi. Kawirikawiri iwo ali kokha mu chiberekero cha uterine. Endometrium imakanidwa mwezi uliwonse, ndipo zida zake zimatha nthawi zina kulowa mkati mwa glands. Chifukwa cha kusintha koteroko, capsule ndi minofu ya endometrial imapangidwa, yomwe ili mkati mwa ovary. Ndi nthawi iliyonse yatsopano ya kusamba, kuwonjezeka kwa chiwerengero cha maphunziro.
Phokoso la endometrioid lingaganizidwe ndi madokotala monga zotsatira:
- Njira zothandizira opaleshoni paziwalo zouma (kutulutsa maselo kuchokera mu mucosa kulowa m'mimba mwake);
- selo lolowa m'kamwa ndi magazi;
- Matenda a mahomoni, kusintha kwa ntchito ya mazira, mafinya;
- matenda a chitetezo cha mthupi.
Dermoid ovarian cyst
Mphuno imeneyi mumayi amatha kukhazikitsidwa ngakhale pa intrauterine siteji ya chitukuko cha kubereka. Nthawi zambiri imakhala ndi tizilombo toyambitsa matenda m'thupi mwake. Mwa kufufuza mosamala maphunziro apamwamba, madokotala ochita opaleshoni nthawi zambiri amalemba kuti pali zigawo za mafupa, mafupa, minofu. Chiphuphucho chazunguliridwa ndi capsule wandiweyani, kukula kwake kumachitika pang'onopang'ono, koma nthawi zonse. Kunja matendawa sadziwonetseratu, choncho amapezeka ngati mapangidwe akufika kukula kwakukulu: ziwalo ndi ziphuphu zomwe ziri pafupi ndizoziphwanyidwa, ntchito yawo imasokonezeka.
Paraovarian Ovarian Cyst
Paraovarian ovarian cyst ndi mapangidwe opanga mavitamini omwe amapezeka m'dera lamapiri: mazira ndi mazira ochuluka. Kawirikawiri timagulu timapanga tizilombo ta msinkhu. Kulimbikitsidwa kwa chitukuko ndi kukula kwa ziwalo za kubereka, komwe kumayamba kugwira ntchito panthawiyi. Ponena za kupezeka kwa matendawa, asungwana aang'ono amaphunzira akamaphunzira mozama pofuna kudziwa chomwe chimayambitsa kusamba kwa msambo. Ndi mtundu umenewu, pali chiopsezo chachikulu chothandizira, kotero madokotala amalangiza kuti achotsedwe.
Mucinous ovarian cyst
Maphunziro ndi abwino ndipo nthawi zambiri amapangidwa kwa amayi oposa zaka 50. Mphuno yamtundu wa ovary wabwino (nthawi zambiri umakhudza) umadziwika ndi kupezeka kwa maselo mu kapangidwe kamene kamakhala kofanana ndi kukwera kwa vaginja. Kawiri kawiri kanyumba kameneka kamakhala kozungulira, kamene kali ndi mawu ozungulira kapena ovundu, pamwamba pamtunda. Kuchokera ku zochitika zina zimakhala ndi kukula mofulumira ndi chizolowezi chowonjezereka cha matenda oopsa (3-5% mwa matenda onse).
Yellow Ovarian Cyst
Mphunoyi mumapanga mazira amawonekera mwachindunji m'mimba mwachisawawa. Maziko ake ndi a chikasu thupi - yokhazikika mapangidwe, wopangidwa ndi masango a endocrine maselo. Amapangidwa pamalo omwe follicle inali isanayambe kuvuta. Thupi lachikasu limalimbikitsa kuyambira kwa mimba ndi kupambana kwa feteleza, kupanga progesterone. Ngati kutenga mimba sikuchitika, kubwezeretsa chitukuko kumachitika. Panthawiyi, maselo ena akhoza kutenga nawo mbali pamatendawa, monga chifukwa cha mphukira.
Maphunziro ali ndi mawonekedwe ozungulira ndi apamwamba. Mkati mwake muli ndi madzi a chikasu. Khungu lachikasu limatanthawuza machitidwe othandiza - limatha kudzikhalitsa pakapita masiku 1-3. Chotupa chotchedwa ovarian cyst pa nthawi ya mimba ndichinthu chachilendo. Madokotala amagwiritsa ntchito njira zamakono. Chithandizochi chimangokhala ndi mapangidwe ochuluka kapena othandizira matenda kapena kutupa.
Ovarian cysts - zimayambitsa
Kulankhula za zomwe zimayambitsa matendawa, madokotala amagwiritsa ntchito multifactority - kuchuluka kwa njira zingapo zomwe zimayambitsa matenda. N'zovuta kukhazikitsa chomwe chinayambitsa matendawa ndikumayambitsa matendawa. Nthawi zina, matendawa angakhale chifukwa cha kuphulika kwina mu njira yobereka. Poganizira za matendawa monga chifuwa cha mimba, zifukwa zowonjezera ndizo:
- Kupezeka kwafupipafupi popanga opaleshoni mu anamnesis. Zochita pa njira yobereka, kuchotsa mimba nthawi zonse kumabweretsa chisokonezo cha kapangidwe kake ka mawere.
- Kulephera kwa Hormonal. Kuphwanya mahomoni kumabweretsa chitukuko cha zida zogwirira ntchito.
- Njira yotupa mu njira yoberekera. Adnexitis , salpingoophoritis, endometriosis , ndi matenda opatsirana pogonana ndi omwe amachititsa anthu kupanga ziphuphu m'maganizo a kugonana.
- Matenda a chithokomiro. Kusakwanira kokwanira kwa mahomoni ndi matenda ( hypothyroidism ) kumakhudza kwambiri ntchito ya kubereka kwa mkazi.
- Matenda a endocrine. Matenda a shuga, kunenepa kwambiri kumayambitsa kusintha kwa mahomoni, ndipo chifukwa cha zimenezi - kumawonjezera chiopsezo chokhala ndi mavalasi.
Ovarian cyst - zizindikiro
Pamene chotupa cha mazira chimapezeka, zizindikiro ndi chithandizo cha mkazi zimadalira kwathunthu pa siteji ya matendawa. Matenda a chifuwa alibe zizindikiro zenizeni, kotero zimatha kusokonezeka chifukwa cha matenda ena a chiberekero. Izi zimapangitsa kuti pakhale njira yochizira - ma cysts ambiri amapezeka mwadzidzidzi kapena ngati akuganiza kuti ali ndi matenda ena. Zizindikiro zoyamba za chifuwa cha odwala zimatha kukhazikitsidwa pokhapokha ndi kuwonjezeka kwakukulu kwa maphunziro kukula. Kawirikawiri, pamene chiwindi chimayambitsa, zizindikiro za amayi ndi izi:
- Kupweteka m'mimba pamunsi. Chizindikiro chikuwonekera pamene mpweya waukuluwo ukufikira masentimita 4 kapena kuposerapo. Pa nthawi imodzimodziyo, amayi amadandaula za kupweteka, kupweteka kwambiri m'mimba yachitatu ya mimba, yomwe ingakhoze kuwonjezeka ndi kuchita mwakhama komanso kugonana. Kawirikawiri ululu uli kumalo amodzi. Kawirikawiri malingaliro osasangalatsa a wodwalayo akufotokoza ngati kuoneka kwakumverera kolemetsa ndi kupanikizana kumbali.
- Ululu mukamakopa, kuphwanya malingaliro. Zosasangalatsa zomwe wodwalayo amayamba nthawi zonse mukapita kuchimbudzi. Pankhaniyi, chiwerengero cha kukopa tsiku ndi tsiku chikuwonjezeka. Kupweteka kumayambitsidwa ndi kuwonjezereka kwa maphunziro, komwe kumapangitsa ziwalo zozungulira.
- Kuphwanya kwa msambo. Ndi chitukuko cha cysts chomwe chingathe kupanga mahomoni, amtherrhea amapezeka nthawi zambiri. Nthawi zina, matendawa amatha kuyenda ndi nthawi zopweteka, kuwonjezeka kwa kutuluka kwa magazi, ndi kuchedwa msambo.
- Kuchuluka kwa mimba. Chizindikiro ichi chimachitika pamene mapangidwe amakafika kukula kwakukulu kapena amapanga ascites (kuwonjezereka kwa madzi m'mimba pamimba).
Ovariya mphukira kupasuka
Kuphwanyidwa kwa chikhulupiliro cha chigamulo ndikumangomveka mobwerezabwereza. Limbikitsani likhoza:
- zochita zolimbitsa thupi;
- kuchita zachiwerewere.
Ngati mkazi atulukira mwadzidzidzi chotupa chamimba, ndikofunikira kuti mwamsanga mufunsane ndi dokotala. Kukhalapo kwa mavuto kumatha kudziwika ndi zizindikiro zina:
- kupweteka kwambiri m'mimba, kuperewera mu mwendo, kupita kumalo ozungulira;
- kuchepetsa kuthamanga kwa magazi;
- chizungulire;
- thukuta lozizira;
- syncope - kuwonjezeka kwa kutentha, blanching wa khungu, kutaya chidziwitso.
Ovarian cysts - zotsatira
Kulankhulana ndi wodwala za matenda oopsa pa ovary, madokotala akupereka mwayi woti iye akhale khansa poyamba. Komabe, kawirikawiri muzochita zachipatala, pali zovuta zokhudzana ndi kukula kwa chisokonezo ndi kupasuka (zomwe takambirana pamwambapa). Choyamba ndi chotheka, ngati chotupa chiri ndi mwendo - chotsalira pang'ono, chimene capsule yokha imayikidwa. Chotsatira chake, pali kuphwanya kwa kayendetsedwe kozungulira m'thupi lomwelo, kutuluka kwa magazi kumene kumafuna chithandizo chamankhwala mwamsanga.
Chotupa chachikulu cha ovarian (zizindikiro ndi chithandizo cha mayi wofufuzidwa pamwambapa) zimatha kufinya ziwalo zapafupi. Izi zimabweretsa chisokonezo cha ntchito yawo yachizolowezi. Chikhodzodzo ndi m'matumbo nthawi zambiri zimakanikizidwa ndi chimbudzi chokwanira. Komabe, ngati palibe mankhwala oyenerera, n'zotheka kukhala ndi matenda opatsirana pogonana. Kawirikawiri zimachokera ku njira zoterezi zomwe zimachitika pazokha.
Pakati pa ovary - mankhwala kapena opaleshoni
Pamene ovarian cyst amapezeka, mankhwalawa akuyenera kuganiziridwa:
- mtundu wa maphunziro okhudza matenda;
- magawo a chitukuko;
- kukhalapo kwa matenda omwe amachititsa kuti abereke.
Mankhwala opangidwa ndi chikasu (yellow and follicular) ndi oyenerera kuchipatala. Maziko a mahomoni ake komanso anti-inflammatory drugs. Komabe, sizingatheke kuti achiritse chithandizo popanda opaleshoni . Kuchita opaleshoni kunayamba ku:
- Kukhalapo kwa khungu kwa miyezi itatu;
- palibe zotsatira za mankhwala;
- maonekedwe a cyst pa nthawi ya kusamba;
- malingaliro;
- kukula kwa mavuto (kukhuta, kupweteka, kupasuka).
Ovarian cyst - mankhwala popanda opaleshoni
Asanayambe kulandira chisawawa, dokotala amadziŵa chikhalidwe chake ndi chifukwa cha mapangidwe. Njira zothandizira zimadalira ma ARV. Pochiza ovarian cysts amagwiritsira ntchito njira zothandizira kulera. Amabwezeretsanso ntchito za kugonana, zomwe zimalepheretsa mapangidwe atsopano. Pakati pa mankhwala ogwiritsidwa ntchito:
- Lindineth;
- Marvelon;
- Regulon;
- Chithunzi;
- Silestus;
- Diane-35.
Ndi nthenda yoteroyi monga chisawawa, mankhwala ochiritsidwa ndi mankhwala ochiritsira akhoza kuonedwa ngati ochuluka. Zina mwa zitsamba ndi zomera zomwe zimagwiritsidwa ntchito:
- chiberekero cha nkhumba;
- burashi wofiira ;
- yarrow;
- chithunzi;
- chamamile;
- chowawa;
- elecampane.
Kuchotsedwa kwa ovarian kansalu
Chotupa cha mazira (zizindikiro zazikulu ndi chithandizo cha mkazi sizomwe zimakhalapo nthawi zonse) nthawi zambiri zimathandiza kwambiri kuchipatala. Kuchitapo kanthu mwachangu pamaso pa maonekedwe opanga mazira angapangidwe m'njira ziwiri:
- Laparoscopy ya chotupa cha mazira ndi njira yodalirika yothandizira matendawa, momwe kuperekera kwa chiopsezo ndi kupyolera mu punctures. Ntchitoyi imagwiritsidwa ntchito poyang'aniridwa ndi zipangizo zamakono, zomwe zimapangitsa kuti ziwonongeko zazing'onoting'ono zapafupi zikhale zochepa.
- Laparotomy - imachitika kudzera kudula mu khomo la m'mimba pamimba ndi kukula kwakukulu ndi kuwonongeka kwa chida. Panthawi ya opaleshoni, dokotalayo amafufuza bwinobwino phokoso la mapepala ang'onoang'ono, kuphatikizapo kukhalapo kwa foci yatsopano.