Mphepete mwa mchere ndi mitsempha yomwe imadzaza ndi mkati. Kumalo kwawo kumakhala kosiyana. Kawirikawiri zimakhudza dongosolo la kubereka la amayi. Imodzi mwa mitunduyi ndiyo mpweya wa paraovarian umene umapanga mtundu wa ovary.
Mphuno ya ovary - ndi chiyani?
Mphuno ya ovary imapangika mu danga lomwe limapangidwa ndi mimba ya chiberekero, ovary ndi fallopian tube. Zimakhudza osati kugonana kokha, komanso kachilombo ka chiberekero. Chinthu chokhachokha ndi mapangidwe apamwamba a ovalo, ocheperapo, komanso osasinthasintha. Amapezeka pamwamba pa chiberekero kapena mbali ya chiwalo chogonana. Kutalika kwa makoma osindikizira osasunthika sikudutsa 1-2 mm.
Mkati mwa mpandawo muli nyumba yokhala ndi mipanda yozungulira yomwe imadzaza ndi madzi akumwa. M'mawonekedwe ake muli mapuloteni ambiri ndi mucin yaching'ono. Maphunziro amadziwika ndi kuchepa, kukula msanga. Kuwonjezeka kwa kukula kumachitika chifukwa cha kusungidwa kwa zomwe zili mkati mwazitali, kutambasula makoma ake. Paraovarial cyst m'mimba mwake akhoza kufika 10-15 masentimita. Mapangidwe oterowo sikuti amachititsa kuti chiwonongeko (kuwonongeka kukhala khansa).
Paraovarian Ovarian Cyst - Zimayambitsa
Chinthu chachikulu chomwe chimapangidwira, monga maonekedwe ena ofanana, ndi kuperewera kwa mahomoni m'thupi. Komabe, pakuchita, pakufufuza ndi kukhazikitsa chifukwa chake, madokotala akukumana ndi vuto limene chida chimakhala ndi maonekedwe osiyanasiyana (opangidwa ndi zifukwa zingapo). M'maganizo a amai, zimakhala zovuta kuzindikira zinthu zotsatirazi, zomwe zimawonjezera chiopsezo cha mapangidwe a khungu:
- Kuphwanyidwa kwa kusakaniza kwa follicles;
- kumayambiriro kwa msambo ;
- kusamba kwapadera;
- kupezeka kwa mimba mu anamnesis;
- mankhwala ndi mankhwala osokoneza bongo (Tamoxifen mu khansa ya m'mawere);
- matenda ndi kutupa kwa njira yobereka ( endometritis , oophoritis , parametritis);
- nthawi zambiri zovuta komanso zochitika.
Paraovarian cyst ya ovary kumanzere
Chigawo cholowera kumanzere chimakhala ndi zifukwa zofanana ndi zomwe zalembedwa pamwambapa. Chidziwitso cha matendawa ndicho kupititsa patsogolo maphunziro ku dera lamanzere, pamtunda pakati pa gland ndi kapu. Pachifukwa ichi, zotheka kumvetsa zowawa ndi zizindikiro zina za matenda zidzakhazikitsidwa makamaka mu theka lamanzere la thupi.
Paraviarial cyst ya ovary yolondola
Tiyenera kudziwika kuti chovala choyenera, zomwe zimayambitsa zofanana ndi zomwe tafotokozazi, nthawi zambiri zimatsalira. Izi nthawi zonse zimagwirizanitsa ndi topology ndi maonekedwe a ovary abwino. Pamene matendawa ali opweteka, amapezeka m'mimba pansi ndipo amatha kuperekedwa ku dera la inguinal.
Paravirus cyst mbali zonse
Mtundu woterewu umalembedwa mobwerezabwereza. Kawirikawiri, maselo amtundu wa ovary omwe ali kumanzere kapena choyamba amayamba, kenako maselo amtundu amapita ku chiwerewere chogonana. Izi zimachokera kumagazi abwino a mapepala ang'onoang'ono, kuntchito zonse zoberekera. Chizindikiro mu mawonekedwe awa sichimapezeka: kupweteka kumachitika kumbali imodzi kapena kumbali ina ya mimba. Pa nthawi yomweyi, kukula kwa machitidwe amenewa nthawi zambiri kumasiyana. Pakapita nthawi, matenda am'mimba amatha kuchitika.
Kodi ndi chiwopsezo chotani chapafupi?
Paraovariast cyst, kukula kwake komwe kumatha kufika 15-25 masentimita m'mimba mwake, sikudziwonetsera yokha kumayambiriro oyambirira, choncho matendawa amalembedwa pa siteji ya kutupa. Odwala ambiri amadziwa za vutoli pokhapokha ngati akukumana ndi mavuto. Kutengeka kotereku ndiko kupweteka kwa mwendo - chingwe chomwe chimagwirizanitsa mapangidwe ndi ovary kapena ligament ya chiberekero. Chotsatira chake, pali kuwomba kwa ligament, mitengo ikuluikulu ndi ziwiya. Nthawi zambiri, pangakhale kuphwanya kwa chiberekero cha uterine. Chikhalidwe choterocho chingapangitse necrosis ya chiwonongeko, chomwe chili ndi:
- kupweteka kwachisoni m'mimba yonse;
- mimba pamimba mkangano;
- kuchepetsa kuthamanga kwa magazi;
- kuwonjezeka kwa chiwerengero cha ziphuphu za mtima;
- blanching khungu;
- thukuta lozizira.
Ngati palibe mankhwalawa nthawi yaitali, ziphuphu zimatha kutha. Zimabwera chifukwa cha matenda kudzera mwazi kapena zamaliseche kuchokera ku matenda aakulu a matenda m'thupi. Chizindikiro chodziŵikiratu ndi kuwonjezereka kwakukulu kwa kutentha kwa thupi, komwe kumatha kufika madigiri 39. Azimayi amadziwa kupweteka m'mimba, kusanza, zizindikiro za kumwa mowa (kufooka, kupweteka mutu).
Mphunoyi imatha kupezeka pamene imafika pamtunda waukulu. Kotero pali zizindikiro za vuto loopsya: ululu wakuthwa, kukakamizika kuchepa, kuwonongeka kwa chidziwitso, mutu. Zovuta zonsezi zimafuna opaleshoni yofulumira. Chiwerengero cha opaleshoni chimatsimikiziridwa ndi chithunzi chachipatala (oophorectomy, andneksektomiya).
Paravirus cyst ndi mimba
Azimayi omwe ali ndi matendawa nthawi zambiri amaganiza ngati kansalu kameneka kamakhudza mimba. Madokotala akunena kuti maphunzirowa sali chopinga choyambitsa kubereka. Kutsimikiza kwa izi ndi nkhani ya mimba, yomwe panthawi yotsatira ultrasound inavumbulutsira chivomezi. Ngati kutalika kwa mapangidweko sikudutsa 5 masentimita, madokotala amatsatira njira zowonongeka: amapanga zotsatila kwa amayi apakati, akuyesa ma ultrasound masabata awiri.
Ngati khunguli lili ndi lalikulu kuposa masentimita asanu ndipo limapitiriza kukulirakulira, lingagwiritsidwe ntchito pochita opaleshoni. Kotero madokotala amayesera kugwirizanitsa izi ndi mitundu. Ngati yoberekayo akadali kutali kwambiri ndi kubereka, ndipo chifuwacho ndi chachikulu, chimateteza kukula kwa mwanayo, laparoscopy imachitidwa - ntchito yoopsya yochepa, yomwe imathandizira kupyolera mu katatu pamimba.
Matenda a paraovarian ovarian cyst - zizindikiro
Mapangidwe azing'ono samapereka zizindikiro. Mayi akhoza kuyenda ndi khungu kwa nthawi yaitali osadziwa kuti alipo. Matenda amatha kupezeka ndi kafukufuku wamakono kapena ultrasound mu matenda ena. Zizindikiro zoyamba ndi zochitika zachipatala zimadziwika pamene chiphuphu chimakhala chachikulu masentimita asanu ndi asanu. Kukula kwa khungu kumaphatikizapo maonekedwe a nthawi ndi nthawi omwe amamva kupweteka komanso kupweteka pambali kumbali ya ululu. Kawirikawiri, sacrum imamva kupweteka. Palibe kugwirizana ndi msambo ndi ovulation ndi ululu woterewu.
Kupweteka kochulukira kumachitika ndi kuwonjezeka kwa thupi, kuchita masewera olimbitsa thupi. Mbali yamakhalidwe ndi kupweteka kosalekeza. Palinso zizindikiro zina za matendawa. Pamene chiwonongeko chimayamba, zizindikiro zikhoza kukhala motere:
- kupanikizika kwa chikhodzodzo, matumbo - kuwonetseredwa ndi vuto la kukodza, kudzimbidwa kapena kukakamiza kukodza;
- kuwonjezeka kwa chiwerengero cha mimba - kumachitika ndi kukula kwachisa;
- Kuphwanya kwa msambo (osati nthawi zonse).
Paraovarian ovarian cyst - mankhwala popanda opaleshoni
Poyamba, madokotala amachititsa mayesero ambiri kuti aone ngati hydrosalpinx kapena paraovarial cyst ikuwonetsedwa panthawi inayake. Ndi hydrosalpinx, madzi amadzimadzikira mu tube lumen, yomwe imathandizanso kusintha kwake. Madokotala akunena kuti chithandizo cha parovarial cysts popanda opaleshoni sizingatheke.
Ngati maphunziro ali ndi pang'onopang'ono, njira zowonetsera zowonongeka zingatengedwe: madokotala amayesa mankhwala ophera mahomoni, mothandizidwa ndi omwe sitingathe kupeza zotsatira zabwino. Chifukwa chakuti kachilomboka kamakhala kofala kwambiri kwa amayi a msinkhu wobereka ndipo akhoza kukhala ovuta, madokotala amasankha kutsatira mankhwala opaleshoni. Kuchotsedwa kwa chisangalalo ndi choyenera pakukonzekera mimba ndi IVF.
Paraovarial cyst - mankhwala ndi mahomoni
Pamene phalaphalala imapezeka, mankhwala ndi mahomoni sachitidwa. Malinga ndi kafukufuku wamaphunziro a zachipatala, kugwiritsa ntchito mankhwala osokoneza bongo pamtundu uwu sizingatheke. Komabe, monga gawo la mankhwala ovuta a cysts, angagwiritsidwe ntchito. Mankhwalawa amalembedwa kuti azisamalidwa, kumakhala kovuta kumaliseche, zomwe nthawi zina zimathyoledwa ndi chigoba. Zikatero, mankhwala opangidwa ndi estrogen ndi progesterone amagwiritsidwa ntchito:
- Jarina,
- Janine,
- Proginova,
- Yoyamba.
Paraovarial cyst - mankhwala ndi mankhwala ochiritsira
Ndi matenda monga parovarian ovarian cyst, mankhwala ochiritsidwa ndi mankhwala ochiritsira angathe kuonedwa ngati njira yothandizira. Ndi thandizo lawo mukhoza kuchepetsa kupweteka, kuchotsani zina mwa zizindikiro.
Kulowetsedwa kwa zitsamba
Zosakaniza:
- aloe - 50 g;
- yarrow - 50 g;
- Wotchuka wa St. John - 50 g;
- chowawa - 50 g;
- wokondedwa - 50 g;
- vodka - 500ml;
- madzi - lita imodzi.
Kukonzekera, ntchito
- Zitsamba zimakhala pansi, zimatsanulidwa ndi madzi otentha.
- Kuumirira mu thermos kwa tsiku limodzi.
- Onjezani uchi ndi vodka, sungani.
- Tengani 1 tbsp. supuni katatu patsiku.
Kuchotsedwa kwa mpweya wa paraovarian
Ngati pulojekiti imaonekera, m'pofunika kuchotsa mapangidwe - dokotala amasankha. Chotupa chosakwana 5 masentimita awiri sichinachotsedwe. Opaleshoniyo yokha imagwiritsidwa ntchito mwa njira ya laparoscopy - njira yothandizira opaleshoni, momwe kupititsa kwa maphunziro kumaperekedwa kudzera m'matumba ang'onoang'ono kumtambo wamkati. Ndi zopanga zazikulu zamapangidwe, opaleshoni ikhoza kuchitidwa ndi laparotomy.
Paraovarial cyst operation
Laparoscopy paraovarial cyst ndi njira yabwino kwambiri yopangira opaleshoni. Ngati palibe vuto pa opaleshoni, pepala loyamba la chiberekero limatambasulidwa ndipo chifuwacho chafulidwa. Pankhaniyi, ovary ndi uterine chubu amasungidwa. Chifukwa cha kubwezeretsa kwa azimayi opundukawo amayamba kuchepetsedwa ndipo amatenga mawonekedwe omwewo. Ntchito yobereka sikuphwanyidwa.