Kodi chotupa chamchiberekero ndi chiyani, zizindikiro zazikulu ndi mitundu yanji
Zamkati
- Zizindikiro zazikulu
- Mitundu ya zotupa m'mimba
- Kodi ndizotheka kutenga pakati ndi chotupa cha ovarian?
- Kodi khansa ya ovarian cyst?
- Chithandizo cha chotupa chamchiberekero
Ovarian cyst, yomwe imadziwikanso kuti ovarian cyst, ndi thumba lodzaza madzi lomwe limapanga mkati kapena mozungulira ovary, lomwe limatha kupweteketsa m'chiuno, kuchedwa kusamba kapena kuvutika kutenga pakati. Nthawi zambiri, chotupa cha m'mimba chimakhala chosaopsa ndipo chimatha pambuyo pa miyezi ingapo osafunikira chithandizo, komabe, ngati mungakhale ndi zizindikilo, mungafunike chithandizo chamankhwala.
Kukhala ndi chotupa chamchiberekero, nthawi zambiri, sikofunikira chifukwa ndizofala komwe kumachitika mwa azimayi ambiri azaka zapakati pa 15 ndi 35, ndipo imatha kuwoneka kangapo m'miyoyo yawo yonse.
Zizindikiro zazikulu
Nthawi zambiri kupezeka kwa cyst m'chiberekero sikumayambitsa kuwonekera kwa zizindikilo, pokhapokha cystyo itakhala yopitilira 3 masentimita m'mimba mwake, ndipo pakhoza kukhala ululu mu ovary, nthawi yovundikira kapena panthawi yogonana, kuchedwa kusamba ndi kutuluka magazi kunja kwa msambo. Dziwani momwe mungadziwire zisonyezo za zotupa m'mimba.
Komabe, kuti atsimikizire kuti ali ndi vutoli, a gynecologist ayenera kuchita mayeso olimbitsa thupi ndi azithunzi kuti azindikire kupezeka kwa chotupacho, mawonekedwe ndi mtundu, posonyeza chithandizo choyenera kwambiri.
Mitundu ya zotupa m'mimba
Mtundu wa cyst mu ovary ukhoza kuyesedwa mwa azachipatala kudzera mayeso monga ultrasound kapena laparoscopy, omwe ndi:
- Chotsatira chotsatira: imapanga pakakhala kuti sipangakhale ovulation kapena ngati dzira silichoka m'chiberekero panthawi yachonde. Kawirikawiri, ilibe zizindikiro ndipo safuna chithandizo. Kukula kwake kumatha kusiyanasiyana pakati pa 2.5 cm mpaka 10 cm ndipo nthawi zambiri kumachepa kukula pakati pa masabata 4 mpaka 8, popeza sadziwika ngati khansa.
- Corpus luteum chotupa: imatha kuonekera dzira litatuluka ndipo nthawi zambiri limasowa popanda chithandizo. Kukula kwake kumasiyana pakati pa 3 ndi 4 cm ndipo kumatha kuthyola mukamayanjana kwambiri, koma palibe chithandizo chofunikira chomwe chikufunika, koma ngati pali kupweteka kwambiri, kutsika kwa kuthamanga komanso kugunda kwamphamvu, kungafunike kuchotsa ndi opaleshoni ya laparoscopic.
- Chotupa cha lutein: Zimachitika kawirikawiri, kukhala wofala kwambiri mwa azimayi omwe amamwa mankhwala kuti atenge mimba.
- Chotupa chotupa m'mimba: zimachitika pamene magazi akutuluka magazi mkatikati mwa mkatimo, zomwe zimatha kupweteka m'chiuno;
- Dermoid chotupa: amatchedwanso okhwima cystic teratoma, omwe amapezeka mwa ana, okhala ndi tsitsi, mano kapena zidutswa za mafupa, zomwe zimafunikira laparoscopy;
- Chiberekero cha fibroma: ndi chotupa chofala kwambiri pakutha kwa thupi, kukula kwake kumatha kusiyanasiyana ndi ma microcysts mpaka 23 kg, ndipo kuyenera kuchotsedwa ndikuchitidwa opaleshoni.
- Endometrioma yamchiberekero: Zikuwoneka ngati endometriosis m'mimba mwake, ikufunika kuthandizidwa ndi mankhwala kapena opaleshoni;
- Chotupa cha Adenoma: chotupa chosaopsa cha ovarian, chomwe chiyenera kuchotsedwa ndi laparoscopy.
Chifukwa chakuti amadzazidwa ndi madzimadzi, ma cyst awa amatha kudziwikanso kuti anechoic cysts, chifukwa samawonetsa ma ultrasound omwe amagwiritsidwa ntchito poyesa matenda, komabe, mawu akuti anechoic sakhudzana ndi mphamvu yokoka.
Kodi ndizotheka kutenga pakati ndi chotupa cha ovarian?
Chotupitsa m'mimba sichimayambitsa kusabereka, koma mayiyo amatha kuvutika kutenga pakati chifukwa cha kusintha kwa mahomoni komwe kumayambitsa chotupacho. Komabe, ndi chithandizo choyenera, chotupa cha thumba losunga mazira chimayamba kuchepa kapena kutha, kuchititsa mkazi kubwerera kumayendedwe ake am'thupi, ndikuthandizira umuna.
Mayi yemwe ali ndi chotupa chotenga mazira amatha kukhala ndi pakati, amayenera kukambirana ndi mayi wobereketsa pafupipafupi chifukwa pamakhala chiopsezo chachikulu cha zovuta, monga ectopic pregnancy.
Kodi khansa ya ovarian cyst?
Chotupa cha ovarian nthawi zambiri sichikhala khansa, ndi chotupa chosaopsa chomwe chimatha kutha chokha kapena kuchotsedwa kudzera mu opaleshoni, ikakhala yayikulu kwambiri ndipo pamakhala chiopsezo chotuluka kapena chimayambitsa kupweteka kwambiri komanso kusapeza bwino. Khansara yamchiberekero imafala kwambiri mwa azimayi opitilira 50, osowa kwambiri osakwana zaka 30.
Makhalidwe ena a zotupa omwe amatha kukhala khansa ndi omwe amakhala ndi kukula kwakukulu, okhala ndi septum wandiweyani, malo olimba. Ngati angakayikire dotolo ayenera kuyitanitsa magazi a CA 125, chifukwa mtengo wokwerawu ungawonetse chotupa cha khansa, komabe azimayi omwe ali ndi ovarian endometrioma atha kukhala atakwera CA 125, osakhala khansa.
Chithandizo cha chotupa chamchiberekero
Kukhala ndi chotupa pa ovary sikuli koopsa nthawi zonse, ndipo nthawi zambiri amawonetsedwa ndi azimayi azachipatala omwe amangotsatira ndikutsimikizira kuti chotupacho chichepa pakapita nthawi osafunikira chithandizo chamtundu uliwonse.
Komabe, nthawi zina, chotupa cha m'mimba chimatha kuthandizidwanso pogwiritsa ntchito mapiritsi oletsa kubereka molingana ndi zomwe adokotala ananena. Nthawi yomwe chotupacho chimakhala chachikulu kwambiri ndipo chimayambitsa zizindikiro, opareshoni yochotsa chotupacho kapena ovary imatha kuwonetsedwa pomwe pali zizindikilo zosonyeza khansa kapena kupindika kwa ovary. Onani zambiri zamankhwala amchiberekero chotupa.
Kuphatikiza apo, njira yothanirana ndi mavuto ndikugwiritsa ntchito compress yamadzi ofunda pamalo opweteka. Onani njira zina zochepetsera kupweteka kwa chotupa m'mimba ndikuwonera poyang'ana vidiyo iyi: