Ziphuphu zamchiberekero

Chotupa cha ovari ndi thumba lodzaza ndimadzimadzi lomwe limapangika mkati kapena mkati mwa ovary.

Nkhaniyi imakamba za zotupa zomwe zimachitika mukamasamba mwezi uliwonse, zotchedwa cysts zogwira ntchito. Ntchito zotupa sizofanana ndi zotupa zoyambitsidwa ndi khansa kapena matenda ena. Mapangidwe a zotupa ndi chochitika chabwinobwino ndipo ndi chisonyezo chakuti thumba losunga mazira likugwira ntchito bwino.

Mwezi uliwonse mukamatha kusamba, follicle (cyst) imakula pa ovary yanu. Follicle ndipomwe dzira limakula.

• The follicle imapanga hormone ya estrogen. Hormone iyi imayambitsa kusintha kwa chiberekero pomwe chiberekero chimakonzekera kutenga pakati.
• Dzira likakhwima, limatuluka mu follicle. Izi zimatchedwa ovulation.
• Ngati chikondicho chikulephera kutsegula ndi kutulutsa dzira, madzimadzi amakhalabe mu follicle ndikupanga chotupa. Izi zimatchedwa follicular cyst.

Mtundu wina wa chotupa umachitika dzira litatuluka m'thupi. Izi zimatchedwa corpus luteum cyst. Mtundu woterewu umatha kukhala ndi magazi ochepa. Chotupachi chimatulutsa ma progesterone ndi mahomoni a estrogen.

Matenda a ovarian amapezeka kwambiri m'zaka zobereka pakati pa kutha msinkhu ndi kusamba. Vutoli silofala pambuyo posiya kusamba.

Kutenga mankhwala osokoneza bongo kumayambitsa kukula kwa ma follicles angapo (ma cysts) m'mimba mwake. Ma cysts awa nthawi zambiri amatha pambuyo poti mai ali ndi pakati, kapena atakhala ndi pakati.

Ma cysts ogwira ntchito si ofanana ndi zotupa zamchiberekero kapena zotupa chifukwa cha zochitika zokhudzana ndi mahomoni monga polycystic ovary syndrome.

Matenda a ovarian nthawi zambiri samayambitsa zizindikiro.

Chotupa cha ovari chimatha kupweteka ngati:

• Zimakhala zazikulu
• Kutuluka magazi
• Kutsegula kumatseguka
• Zosokoneza magazi m'magazi
• Kupindika kapena kuyambitsa kupindika kwa thumba losunga mazira

Zizindikiro za zotupa m'mimba zimaphatikizaponso:

• Kutupa kapena kutupa m'mimba
• Ululu panthawi yamatumbo
• Kupweteka kwa mafupa a chiuno posachedwa kapena atatha msambo
• Ululu wogonana kapena kupweteka kwa m'chiuno poyenda
• Kupweteka kwa m'mimba - kupweteka kosalekeza, kosasangalatsa
• Kupweteka kwapakhosi modzidzimutsa, nthawi zambiri ndi mseru ndi kusanza (kungakhale chizindikiro cha kupindika kapena kupindika kwa ovary pama magazi ake, kapena kuphulika kwa chotupa chotulutsa magazi mkati)

Kusintha kwa msambo sikofala ndi ma follicular cysts. Izi ndizofala kwambiri ndi ma corpus luteum cysts. Kutulutsa kapena kutuluka magazi kumatha kuchitika ndi ma cysts ena.

Wothandizira zaumoyo wanu amatha kupeza chotupa panthawi yoyezetsa magazi, kapena mukamayesedwa ndi ultrasound pazifukwa zina.

Ultrasound itha kuchitidwa kuti ipeze chotupa. Wothandizira anu angafune kuti akuyang'anenso mu masabata 6 mpaka 8 kuti atsimikizire kuti apita.

Mayeso ena ojambula omwe angachitike pakafunika kutero ndi awa:

• Kujambula kwa CT
• Maphunziro a Doppler otuluka
• MRI

Mayeso a magazi otsatirawa atha kuchitika:

• Kuyesa kwa CA-125, kuti muyang'ane khansa yomwe ingachitike ngati muli ndi ultrasound yachilendo kapena mwayamba kusamba
• Mahomoni a mahomoni (monga LH, FSH, estradiol, ndi testosterone)
• Mayeso apakati (Serum hCG)

Ma cysts ogwirira ntchito nthawi zambiri safuna chithandizo. Nthawi zambiri amadzichitira okha pasanathe milungu 8 kapena 12.

Ngati mumakhala ndi zotupa zamatenda pafupipafupi, omwe amakupatsani akhoza kukupatsirani mapiritsi (njira zolera zakumwa). Mapiritsiwa amachepetsa chiopsezo chotenga zotupa zatsopano. Mapiritsi oletsa kubereka samachepetsa kukula kwa ma cysts apano.

Mungafunike kuchitidwa opaleshoni kuti muchotse chotupacho kapena ovary kuti muwonetsetse kuti si khansa ya m'mimba. Kuchita opaleshoni kumafunika kwambiri kuti:

• Ma cyst ovuta ovuta omwe samachoka
• Ziphuphu zomwe zimayambitsa zizindikilo ndipo sizimatha
• Ziphuphu zomwe zikukula kukula
• Matenda ovuta ovuta omwe ndi akulu kuposa masentimita 10
• Amayi omwe ali pafupi kusamba kapena kupitilira kusamba

Mitundu ya ma opaleshoni a ma ovari cysts ndi awa:

• Lapototomy yofufuza
• Ziphuphu zam'mimba

Mungafunike mankhwala ena ngati muli ndi polycystic ovary syndrome kapena matenda ena omwe angayambitse zotupa.

Matenda azimayi omwe akukadali ndi nthawi zambiri amatha. Chotupa chovuta mwa mayi yemwe watha msambo amakhala ndi chiopsezo chachikulu chokhala khansa. Khansa ndi yosatheka ndi chotupa chosavuta.

Zovuta zimakhudzana ndi zomwe zimayambitsa zotupa. Zovuta zimatha kuchitika ndi ma cysts omwe:

• Kutuluka magazi.
• Tsegulani.
• Onetsani zizindikiro zosintha zomwe zingakhale khansa.
• Kupotoza, kutengera kukula kwa chotupacho. Ziphuphu zazikulu zimakhala ndi chiopsezo chachikulu.

Itanani omwe akukuthandizani ngati:

• Muli ndi zizindikiro za chotupa chamchiberekero
• Mukumva kuwawa kwambiri
• Mukutaya magazi omwe si abwinobwino kwa inu

Komanso itanani omwe akukuthandizani ngati mwakhala mukutsatira masiku ambiri kwa milungu iwiri:

• Kukhuta msanga mukamadya
• Kutaya njala
• Kuchepetsa thupi osayesa

Zizindikiro izi zitha kuwonetsa khansa yamchiberekero. Kafukufuku yemwe amalimbikitsa azimayi kufunafuna chisamaliro cha matenda a khansa yamchiberekero sanasonyeze phindu lililonse. Tsoka ilo, tiribe njira zilizonse zowunikira za khansa yamchiberekero.

Ngati simukuyesera kutenga pakati ndipo nthawi zambiri mumakhala ndi ma cysts ogwira ntchito, mutha kuwaletsa pomwa mapiritsi oletsa kubereka. Mapiritsiwa amateteza kuti ma follicles asakule.

Ziphuphu; Zogwira ntchito yamchiberekero chotupa; Corpus luteum ziphuphu; Ziphuphu zotsatizana

• Matupi achikazi oberekera
• Ziphuphu zamchiberekero
• Chiberekero
• Kutengera kwa chiberekero

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Bulun SE. Physiology ndi matenda amtundu woberekera wamkazi. Mu Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 17.

Dolan MS, Hill C, Valea FA. Zotupa za Benign gynecologic: maliseche, nyini, khomo pachibelekeropo, chiberekero, oviduct, ovary, imaging ya ultrasound yamapangidwe amchiuno. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 18.