Zotupa ukazi

Chotupa ndi thumba lotsekedwa kapena thumba la minofu. Itha kudzazidwa ndi mpweya, madzimadzi, mafinya, kapena zinthu zina. Chotupa chachikazi chimapezeka mkati kapena pansi pa mzere wamaliseche.

Pali mitundu ingapo yamitsempha yam'mimba.

• Ziphuphu zophatikizira m'mimba ndizofala kwambiri. Izi zitha kupangidwa chifukwa chovulala pamakoma anyini panthawi yobadwa kapena atachitidwa opaleshoni.
• Ziphuphu zamtundu wa Gartner zimamera pamakoma ammbali mwa nyini. Mapaipi a Gartner amapezeka pomwe mwana akukula m'mimba. Komabe, izi zimasowa kwambiri akabadwa. Ngati mbali zina za njirayo zatsalabe, amatha kusonkhanitsa madzi amadzimadzi ndikukhala chotupa cha ukazi pambuyo pake.
• Chotupa cha Bartholin kapena chotupa chimakhala chamadzimadzi kapena mafinya ndikumanga chotupa mumodzi mwa ma gland a Bartholin. Matendawa amapezeka mbali iliyonse yamitsempha ya amayi.
• Endometriosis imatha kuwoneka ngati zotupa zazing'ono kumaliseche. Izi sizachilendo.
• Zotupa za Benign za nyini sizachilendo. Nthawi zambiri amapangidwa ndi zotupa.
• Ma cystoceles ndi ma rectoceles ndi ziphuphu pakhoma la nyini kuchokera pachikhodzodzo kapena m'matumbo. Izi zimachitika minofu yomwe imazungulira nyini ikayamba kufooka, makamaka chifukwa cha kubala. Izi sizotupa kwenikweni, koma zimatha kuwoneka ndikumverera ngati unyinji wamaliseche.

Matenda ambiri azimayi nthawi zambiri samayambitsa zizindikiro. Nthawi zina, chotupa chofewa chimatha kumveka pakhoma la nyini kapena kutuluka kumaliseche. Ziphuphu zimakhala zazikulu kuyambira kukula kwa nsawawa mpaka lalanje.

Komabe, ma cyth a Bartholin amatha kutenga kachilomboka, kutupa ndi kupweteka.

Amayi ena omwe ali ndi zotupa kumaliseche amatha kukhala osasangalala panthawi yogonana kapena kuvuta kuyika tampon.

Amayi omwe ali ndi ma cystoceles kapena ma rectoceles amatha kumva kutuluka, kuthamanga kwa m'chiuno kapena kukhala ndi vuto pokodza kapena kutuluka.

Kuyezetsa thupi ndikofunikira kuti mudziwe mtundu wa zotupa kapena misa yomwe mungakhale nayo.

Kukula kapena kukula kwa khoma lazimayi kumatha kuwonedwa poyesa m'chiuno. Mungafunike biopsy kuti muchepetse khansa ya m'mimba, makamaka ngati misa ikuwoneka yolimba.

Ngati chotupacho chili pansi pa chikhodzodzo kapena urethra, ma X-ray angafunike kuti muwone ngati chotupacho chimafikira m'matumbawa.

Kuyesa pafupipafupi kuti muwone kukula kwa chotupacho ndikuyang'ana kusintha kulikonse kungakhale chithandizo chokhacho chofunikira.

Ma biopsies kapena maopaleshoni ang'onoang'ono kuti achotse ziphuphu kapena kuzikhetsa ndizosavuta kuchita ndikuthana ndi vutoli.

Matenda a Bartholin gland nthawi zambiri amafunika kutsanulidwa. Nthawi zina, amapatsidwa maantibayotiki kuti awathandizenso.

Nthawi zambiri, zotsatira zake zimakhala zabwino. Ziphuphu nthawi zambiri zimakhala zazing'ono ndipo sizifunikira chithandizo. Akachotsedwa opaleshoni, ma cysts nthawi zambiri samabwerera.

Matenda a Bartholin nthawi zina amatha kubwereranso ndipo amafunikira chithandizo chamankhwala.

Nthawi zambiri, palibe zovuta kuchokera ku zotupa zokha. Kuchotsa opaleshoni kumakhala pachiwopsezo chazovuta. Chiwopsezo chimadalira pomwe chotupacho chimapezeka.

Itanani woyang'anira zaumoyo wanu ngati chotupa chimamveka mkatikati mwa nyini kapena chikutuluka kunyini. Ndikofunika kulumikizana ndi omwe amakupatsirani mayeso kuti mupeze mayeso a cyst kapena misa iliyonse yomwe mungawone.

Kuphatikiza chotupa; Chotupa cha Gartner

• Matupi achikazi oberekera
• Chiberekero
• Thupi labwinobwino la chiberekero (gawo lodulidwa)
• Bartholin chotupa kapena abscess

Baggish MS. Zilonda za Benign za nyini. Mu: Baggish MS, Karram MM, olemba. Atlas of Pelvic Anatomy and Gynecologic Opaleshoni. Wolemba 4. Philadelphia, PA: Elsevier; 2016: chap 61.

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.

Wopanga ES. Chikhodzodzo ndi diverticula wamkazi urethral. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 90.