Matenda a cystadenoma a ovary amapangidwa ndi dokotala ngati mayiyo ali ndi chotupa cha ovari, chomwe ndi chotupa chachikulu kwambiri chokhala ndi capsule ndi epithelial lining yomwe, mosiyana ndi chifuwa cha mimba, imatha kukula ndi kuphulika. Gulu lalikulu kwambiri la epithelial benign ovarian tumors limaimiridwa ndi cystadenomas. Poyambirira, muchipatala, matenda oterowo ankatchedwa cystoma.
Mitundu ya cystadenoma
Malingana ndi momwe mzere wamakono umamangidwira ndi zomwe ziri mkati mwa capsule, cystadenomas amagawidwa mu mucinous ndi serous. Pa zotupa zonse zomwe zimapanga epithelium, 70% ya zotupa ndi serous ovarian cystadenomas. Pambuyo pake, zotupa za serous zimagawidwa mu cilioepithelial ndi papillary cyst (papillary cystadenoma ya ovary). Serous cystadenoma ndi kamba kakang'ono, kamene kamene kamakhala kamene kali ndi mitsempha yambiri. Kawirikawiri, chotupa ichi ndi chozungulira, chipinda chimodzi chimakhala chimodzimodzi ndipo 95% amapezeka m'modzi mwa mazira.
Papillary cystadenoma kuchokera ku serous sizosiyana kwambiri. Koma pali kusiyana: chotupa choterechi chimakhala ndi kupezeka kwa parietal kukula. Pakati pali zambiri, chiphuphu chimakhala ndi matenda osokoneza bongo, chomwe chimaphatikizapo matendawa, chifukwa zizindikiro zimakhala zofanana ndi maonekedwe a kansa, hydrosalping ndi teratoma. Pakuti chotupa choterechi chimakhala ndi kupezeka pa epithelium ya papillae, kotero matendawa amatchedwa papillary cystadenoma ya mazira ambiri. Kukula kwakukulu kwa papillae kumafanana ndi kolifulawa. Pali mtundu wina wotchedwa cystadenoma wa ovary, umene suli ndi kuchuluka kwa papillae, komanso ndi mapangidwe ambirimbiri ozungulira.
Chizoloŵezi chofala kwambiri ndi mucinous ovarian cystadenoma, yomwe imakhala yolemera makilogalamu khumi ndi awiri ndipo imakula kukula kwambiri. Pa ultrasound kukayezetsa dokotala amapeza chotupa chamagazi chomwe chiri ndi mucosis. Chinsinsi chimenechi ndi chachikulu kwambiri, komanso chimakhala chokhazikika, choncho n'zosavuta kuzindikira mucinous cystadenoma. Matendawa ayenera kusiyanitsidwa ndi serous cystadenoma, endometriosis ndi tekalyutine cysts.
Kuchiza kwa cystadenoma
Matendawa samalola kulemekeza, chifukwa kukula kwa maphunziro kumasokoneza ntchito za ziwalo zili pafupi. Choncho, kupanikizika kwa mphutsi pamatumbo kumapangitsa kuti munthu asamangokhalira kudandaula. Zina mwa zizindikiro za ovarian cystadenoma ndikumva ululu m'mimba komanso kufooka kwanthawi zonse. Komanso, palibe amene angatsimikizire kuti mayiyo sangafike poipa kwambiri pakapita nthawi. Chizindikiro n'chofanana ndi khansa ya ovari ndi khansa ya m'mimba. Ndicho chifukwa pambuyo poyesera ultrasound ndi magazi, biopsy ndi X-ray mankhwala a cystadenoma a ovary amayamba pomwepo.
N'zosatheka kutchula bwino chifukwa cha kupangika kwa chotupa chotero, komabe akukhulupirira kuti mbali yaikulu mwa njirayi imapatsidwa udindo woumba, kufooketsa chitetezo cha mthupi, ku matenda ena odwala omwe amaphatikizidwa ndi mahomoni
Kwa amayi a msinkhu wobereka, madokotala akuyesera kuchita ntchito yopulumutsa ziwalo, zomwe zimasiya mwayi wabwino kwambiri wa mimba ya mtsogolo. Koma pamene chimaliziro chibwera, ndipo kusunga chiberekero cha mkazi sikumveka, ndiye mazira okhudzidwa amachotsedwa pamodzi ndi chiberekero.