Matenda opatsirana a chiberekero nthawi zambiri samapereka chithunzi chachipatala, chomwe chimapangitsa kuti zikhale zovuta kuzipeza. Zizindikiro zambiri zimakhala zofanana ndi zomwe zimachitika - kutayika kwa mahomoni. Panthawi yofufuza, n'zotheka kukhazikitsa chifukwa chenicheni. Tiyeni tiwone mwatsatanetsatane matendawa, monga cystoma ya mazira a m'mimba mwake: ndi chiyani ngati matendawa akuwonetsedwa.
Chst ndi ovary cyst
Kawirikawiri, amayi amasokoneza mawuwa ndi zina zomwe zimagwiritsidwa ntchito m'magazi - "cyst". Mwachizoloŵezi, ichi si chinthu chomwecho. Ngati tilankhula za kusiyana pakati pa kacisi ndi tsamba, izi ziyenera kuzindikiridwa:
- Kistoma ndi chotupa chenicheni chomwe chimayambira mwachindunji kuchokera ku maselo a epithelial omwe amakula ku ziwalo ndi machitidwe oyandikana naye.
- Pakati pa ultrasound - momveka bwino, mapangidwe amodzi omwe ali ndi mbali zochepa, mipanda yoonda. Cystoma pa ultrasound nthawizonse imakhala yochepa malire, malire amtunduwu, makulidwe a makoma amasiyana, pangakhale zovuta kuchokera kumagulu ena mkati.
- Kistoma siyimitsa kukula kwake, ndikuchepetsera chitukuko kwa kanthawi kochepa chabe. Mphunoyi imatha kuyamba kusinthika ndikusowa (ntchito zogwirira ntchito).
- Kukula kwa cystoma ndiko chifukwa cha kugawidwa kwa maselo ake, chiwongolero chikuwonjezeka kukula chifukwa cha kukongola kwa makoma ake oonda.
- Kupweteka kwa ziwalo zozungulira ndi ziphuphu zimapezeka kawirikawiri ndi mapangidwe a chimanga. Kistoma ikhoza kufalikira ku ziwalo zina ndi ziwalo zina, kuti apereke metastases, kutuluka kwa cystoma ndikosowa.
Ovarian cysts - classification
Podziwa mawu akuti ovarian cyst, m'pofunika kunena kuti chotupacho chingakhale cha mitundu yosiyanasiyana. Pali zigawo zingapo zomwe zimaganiziranso osati kukula kwa cystoma, komanso zochitika za matenda, mapangidwe a maphunziro, chikhalidwe cha zomwe zili. Kotero, malingana ndi momwe zimakhalira, cystoma imagawidwa mu:
- choipa - kukula pang'onopang'ono, kukanikiza zinyama zoyandikana;
- kufalikira - kukhala ndi malo apakati pakati pabwino ndi owopsa;
- Zowopsya - zimakula mofulumira, zimere m'mipingo yoyandikana naye.
Malinga ndi mtundu wotchulidwa, ndi awa:
- serous - makamaka osakanikirana, ndi madzi, opaque okhutira;
- mucinous cysts - ali ndi chipinda chamagulu mawonekedwe, wodzazidwa ndi zinthu zosasinthasintha zofanana ndi zojambula.
Malinga ndi mtundu wa chipinda cha mkati:
- Zambiri -ziri ndi gland;
- Zilimbikitsa - zimakhala ndi makoma abwino;
- mapaipi - ali ndi zowonongeka, amatha kukhala khansara.
Mucinous cystoma
Mtundu uwu wa mapangidwe ndi osiyana-siyana mu dongosolo. Mitundu yotereyi imapezeka mwa amayi ali ndi zaka, zomwe zimasonyeza kusowa kwa mgwirizano ndi ntchito yobereka. Chizoloŵezi cha zochitika chikuwonjezeka pa nthawi ya mimba ya mimba. Kusintha kwa mtundu uwu wa cystoma kukhala khansara kumatchulidwa kokha mu 3-5% milandu, kuchokera ku maziko onse.
Zimavomerezedwa payekha kuti zisiyanitse zosiyanasiyana monga pseudomucin cystoma. Zimadziwika ndi zizindikiro zofanana, koma mosamala kuyang'aniridwa ndizosiyana. Matenda a chifuwa amayamba kufalikira m'mabuku okometsa a embryonic. Izi zimakhala ndi chotupa chimodzi chokha cha ovary, kuzungulira kapena ovoid, ndi kusagwirizana kolimba, ndi malo osagwirizana.
Serous cystoma wa losunga mazira
Zirusi za serous zili ndi chipinda chimodzi. Madzi omwe amawadzaza amawonekera momveka bwino, ndipo nthawi zambiri amajambula mtundu wa tsaya. Maphunzirowa amadziwika ndi kukula komanso kukulirakulira. Choncho mphalapala imatha kufika pamtunda wa masentimita 30. Kuzindikira kuti mapangidwe amapangidwa kwambiri makamaka kwa amayi 40-50. Pachifukwa ichi, matenda odwala matenda a m'mimba amapezeka mu 10-15% mwa matenda odwala matenda.
Kodi chimbudzi chotchedwa borderline cystoma cha ovary n'chiyani?
Mosiyana, oncologists amasiyanitsa mitundu yosiyanasiyana ngati malire a cystoma. Dzina lake linaperekedwa ku mapangidwe atsopanowa chifukwa cha kukhalapo kwa zizindikiro zosiyana za chotupa chochititsa manyazi komanso choipa panthaŵi yomweyo. Mwachidziŵikire, sangathe kuonedwa kuti ndi owopsa chifukwa chakuti amatha kubwereza kawirikawiri posankha mankhwala othandizira ziwalo. Mphepete mwa mabomba amapezeka nthawi zambiri mwa amayi a msinkhu wobereka. Zinthu zina zimakhudza mapangidwe awo, pakati pawo:
- kumapeto kwa nthawi;
- kugwiritsa ntchito intrauterine spirals ;
- kusintha kwa mahomoni.
Ovarian cyst - zizindikiro ndi chithandizo cha mkazi
Azimayi omwe amadziwa za mazira a ma cystic samasonyeza bwino zizindikiro za matenda. Kistoma yaying'ono siyinadzipangitse yokha nthawi yaitali. Kawirikawiri kuphulika kumawoneka ndi kufufuza kwa mankhwala opatsirana. Ndi kuwonjezeka kwa mphamvu ya 3 cm kapena kuposa, zizindikiro zoyamba zimawonekera. Amayamba ndi kupweteka, kukoka ululu m'mimba pamunsi. Kawirikawiri ululu umapereka mu kubuula, dera la lumbar. Ovarian cyst ya kukula kwakukulu ikuphatikiza ndi:
- kumva kupweteka, kutuluka mu mimba;
- kuchuluka kwa m'mimba;
- Kuphwanya kwa msambo ;
- Kuwonjezeka kwafupipafupi chifukwa cha kupweteka kwa chikhodzodzo;
- kuphwanya matumbo - kutsegula m'mimba, kudzimbidwa;
- edema pa miyendo.
Zovuta zapore zomwe zimakhudzana ndi kuphwanya kukhulupirika kwa cystoma, zikhoza kuzindikiridwa:
- kutentha kwa thupi;
- daggerache m'mimba;
- tachycardia;
- mavuto a m'mimba pamimba khoma.
Ndili ndi matenda monga cystoma, mankhwala amatha kokha opaleshoni. Pazigawo zoyamba, ntchito zoteteza mawonekedwe zikuchitika. Madokotala amachotsa malo okhaokha omwe ali ndi mimba. Pankhaniyi, gland palokha limapitiriza kugwira ntchito. Zambiri zilonda amafuna kwathunthu kuchotsa mazira ambiri. Kumayambiriro koyamba ndi othandiza:
- mankhwala;
- chemotherapy .
Chovala chamanja chamanzere
Kupezeka kwa "cystoma ya ovary kumanzere" kumakhala kozolowereka mu chikhalidwe cha akazi. Izi zimachokera ku malo amtundu, kusindikizidwa kwa gland. Kuwonjezera apo, kulunjika molunjika kwa ovary kumanzere kumapereka chithunzi chodziwika bwino chachipatala, kumapangitsa kuti azindikire. Akazi oterewa amadandaula za:
- kulemera ndi kupweteka m'mimba pamunsi;
- nthawi zambiri kusuta, nthawi zina kusanza;
- Kuphwanya kusintha kwa msambo.
Cystoma wa ovari yoyenera
Mphuno ya ovari yoyenera nthawi zambiri imapezeka pamapeto pake. Chifukwa cha ichi ndi kusowa kwa chithunzi choonekera cha matenda, zizindikiro. Chotupachi chikupezeka ndi kafukufuku wodzitetezera, kufufuza mwakuya za kusabereka. Zomwe zimayambitsa matendawa zimapitirira chimodzimodzi m'magulu awiriwo. Kupita mofulumira kumafuna thandizo lachipatala, ntchito.
Kuchotsedwa kwa ovarian kansalu
Ngati wodwalayo ali ndi kansalu koyambitsa mazira ambiri, kukula kwa opaleshoni n'kosavuta. Pachifukwa ichi, madokotala amalangiza kuti athetse chotupacho mosasamala kanthu za kukula kwake. Choncho n'zotheka kuteteza kusintha kwa chotupa chachikulu. Panthawi ya opaleshoni, chotsani chigudulicho, mudziwe chikhalidwe chake, kuphatikizapo chiwonongeko.
Mtundu wa opaleshoni umatsimikiziridwa ndi kukula kwa chotupa, mtundu, zaka za wodwalayo. Kawirikawiri, njirayi imayendetsedwa ndi njira ya laparoscopic. Ndi serous cysts, cystectomy imachitidwa - mapangidwe amachotsedwa, kusunga minofu ya ovari. Makina amphamvu amafuna resection ya gland yosokonezeka - oophorectomy. Pambuyo pa opaleshoni yotereyi kuchotsa cystoma, chitsulo chotsalira chimakhala "choyenera" pa ntchito yobereka.