Ma Ovarian Cysts Ovuta: Zomwe Muyenera Kudziwa
Zamkati
- Ziphuphu zosavuta
- Ziphuphu zovuta
- Zizindikiro zake ndi ziti?
- Nchiyani chimayambitsa ma cyst ovarian ovuta?
- Ndani ali pachiwopsezo cha zotupa zamchiberekero?
- Kodi matumbo ovuta ovuta amapezeka bwanji?
- Ultrasound
- Kuyesa magazi
- Kodi chotupa cha ovari ovuta chimachiritsidwa bwanji?
- Ndi zovuta ziti zomwe zingachitike?
- Kodi malingaliro ake ndi otani?
Kodi zotupa zotsekemera ndi chiyani?
Matenda a ovarian ndi matumba omwe amapanga mkati kapena mkati mwa ovary. Chotupa chodzaza madzi chamadzimadzi ndi cyst yosavuta. Chotupa chachikulu cha ovarian cyst chimakhala ndi zinthu zolimba kapena magazi.
Ziphuphu zosavuta
Ziphuphu zosavuta zimakhala zofala. Zimakula pomwe ovary yanu yalephera kutulutsa dzira kapena follicle m'chiberekero chanu ikupitilira kukula dzira litatulutsidwa. Chifukwa amapangika chifukwa cha msambo wanu wabwinobwino, amatchedwanso ma cysts ogwira ntchito. Ma cysts ogwira ntchito nthawi zambiri alibe zisonyezo. Amakonda kuthetsa okha pakanthawi kochepa kusamba.
Ziphuphu zovuta
Ziphuphu zovutirapo sizigwirizana ndi kusamba kwanu kwachibadwa, ndipo sizodziwika kwenikweni. Otsatirawa ndi mitundu itatu yodziwika bwino yamatenda ovuta ovarian:
- Ma cymo a Dermoid amapangidwa ndi maselo omwe mudali nawo musanabadwe. Thupi lanu limagwiritsa ntchito maselowa kutulutsa minofu ya khungu kuti itha kukhala ndi mafuta, khungu, tsitsi, kapena mano.
- Cystadenomas imakhala ndi minofu yamchiberekero yokhala ndimadzimadzi kapena ntchofu.
- Endometriomas amapanga pamene maselo ochokera m'chiberekero chanu cha chiberekero amakula kunja kwa chiberekero chanu kapena mkati kapena m'mimba mwanu.
Ndizochepa, koma zotupa zotulutsa mazira zimatha kukhala zoyipa. Matenda ambiri ovuta amakhala opanda vuto, makamaka omwe amayamba kusamba.
Zizindikiro zake ndi ziti?
Ndizotheka kukhala ndi zotupa zazing'ono m'mimba ndipo osakhala ndi zisonyezo. Zina mwazizindikiro zodziwika bwino za zotupa zamchiberekero ndi monga:
- Kutupa kapena kupanikizika m'mimba mwanu
- kupweteka m'mimba
- nseru ndi kusanza ngati chotupacho chikupotoza ovary
- kukodza pafupipafupi ngati chotupacho ndi chachikulu mokwanira kukanikiza chikhodzodzo chanu
- mwadzidzidzi, kupweteka kwambiri ngati chotupacho chang'ambika
Pitani kuchipatala msanga ngati mukudwala malungo, kusanza, kapena kupweteka m'mimba.
Ngati muli ndi endometriomas, zizindikilozo zimatha kuphatikiza:
- nthawi zopweteka
- kupweteka panthawi yogonana
- Kupweteka kwamadzimadzi ndi matumbo nthawi yanu
- kutopa
- nseru
- kutsegula m'mimba
- kudzimbidwa
- mavuto obereka
Nchiyani chimayambitsa ma cyst ovarian ovuta?
Nthawi zambiri sizingatheke kudziwa chifukwa cha chotupa chamagulu.
Ntchito zotupa zimachitika chifukwa cha vuto laling'ono, nthawi zambiri limakhudza mahomoni, mukamatha kusamba. Polycystic ovary syndrome (PCOS) ndimavuto omwe amachititsa ma cyst ang'onoang'ono osavuta. Zomwe zimayambitsa sizikudziwika, koma zimakhudzana ndi kusamvana kwa mahomoni.
Ndani ali pachiwopsezo cha zotupa zamchiberekero?
Matenda a ovarian amapezeka kwambiri mwa amayi omwe amawotcha. Simungathe kukhala ndi zotupa mukatha kusamba. Mukayamba kukhala ndi chotupa chamchiberekero mukatha kusamba, kumawonjezera chiopsezo cha khansa yamchiberekero.
Pafupifupi azimayi 8 pa 100 alionse azimayi otha msinkhu amakhala ndi chotupa chomwe chimakhala chachikulu mokwanira kuti athe kuchiritsidwa.
Kodi matumbo ovuta ovuta amapezeka bwanji?
Ngati mukukumana ndi zizindikiro za chotupa, onani dokotala wanu. Muyenera kuti mudzayesedwa m'chiuno. Ngati dokotala akukayikira kuti muli ndi chotupa, atha kudikirira ndikuwona njira chifukwa ma cyst ambiri otulutsa mazira amatha popanda chithandizo. Mwinanso mungafunike kuyezetsa mimba chifukwa mimba ingayambitsenso zizindikiro za m'mimba.
Mayesero ena opatsirana amatha kuphatikizira ultrasound kapena CT scan.
Ultrasound
Ultrasound imagwiritsa ntchito mafunde akumveka kuti apange zithunzi zenizeni za thumba losunga mazira ndi madera ozungulira. Ndi yachangu, yotetezeka, komanso yopweteka. Ngati dokotala akukayikira chotupa chamchiberekero, atha kugwiritsa ntchito transvaginal ultrasound kuti athandizire chotupacho. Kwa mtundu uwu wa ultrasound, mudzagona kumbuyo kwanu ndikuyika mapazi anu mothamanga. Adzaika transducer, yomwe imawoneka ngati ndodo yayitali, mainchesi angapo kumaliseche kwanu kuti apange zithunzi za mazira ndi chiberekero chanu. Transducer ndiyocheperako kuposa zomwe dokotala wanu amagwiritsa ntchito poyesa Pap. Zimangotenga mphindi zochepa. Kungakhale kovuta pang'ono, koma nthawi zambiri sikumapweteka.
Kujambula kwa Ultrasound kungakuthandizeni kudziwa malo, kukula, ndi mawonekedwe a chotupa. Ikhozanso kudziwa ngati chotupa cha ovarian ndi chophweka kapena chovuta.
Funsani dokotala ngati mungafike ndi chikhodzodzo chokwanira kapena chopanda kanthu. Mungafunike kukhala ndi ultrasound imodzi mutakhala ndi chikhodzodzo chonse ndikuchitsanulira musanakhale nayo yachiwiri. Kapenanso, atha kukufunsani kuti mufike pamalo osankhidwa ndi ultrasound chikhodzodzo chanu chilibe kanthu.
Kuyesa magazi
Mwinanso mungayesedwe magazi kwa khansa ya antigen 125 (CA 125), yomwe ndi puloteni yomwe imatha kukhala yayikulu mwa azimayi omwe ali ndi khansa ya m'mimba. CA 125 amathanso kukhala okwera ngati muli ndi endometriosis kapena mukusamba. Mayeso ena amwazi angakuthandizeni kudziwa ngati muli ndi kusalinganika kwama mahomoni.
Kodi chotupa cha ovari ovuta chimachiritsidwa bwanji?
Kupweteka kwapadera kungakhale zonse zomwe mukufunikira kuti mukhale ndi chotupa chosavuta. Ngati muli ndi zowawa zambiri, dokotala wanu akhoza kukupatsani china champhamvu.
Matenda ovuta ovarian angafunikire chithandizo china. Azimayi asanu kapena khumi mwa amayi 100 alionse amafunika kuchitidwa opaleshoni kuti achotse chotupa chamagulu. Makumi atatu ndi mphambu makumi awiri mphambu awiri mwa magawo awiri a ziphuphuzi amakhala ndi khansa.
Mungafunike kuchotsa cyst ngati ikukula kwambiri, ili yopweteka, kapena ikuyambitsa vuto lina.
Dokotala wanu amatha kuchotsa ziphuphu pogwiritsa ntchito kachipangizo kakang'ono kounikira kotchedwa laparoscope.
Dokotala wanu amatha kuyika m'mimba mwanu kudzera pang'ono. Adzachita izi pamene muli pansi pa anesthesia. Dokotala wanu amatha kuchotsa zotupa zazikulu kapena zovuta zomwe zimawoneka ngati khansa ndi opaleshoni yamtundu. Amatha kuyesa cyst kuti awone ngati ili ndi maselo a khansa.
Ngati mumakhala ndi zotupa nthawi zambiri, dokotala wanu amalimbikitsa kuti azitha kubereka. Izi zitha kuthandiza kupewa kutulutsa mazira ndikuchepetsa mwayi wopanga ma cysts ambiri.
Chithandizo cha endometriosis chingaphatikizepo mankhwala a mahomoni, mankhwala opweteka, ndi opaleshoni.
Ndi zovuta ziti zomwe zingachitike?
Ma cyst ambiri ovuta ovulala samavulaza.
Ma cyst ovarian ovuta, monga dermoids ndi cystadenomas, amatha kukula kwambiri. Izi zitha kukankhira ovary yanu pamalo. Zitha kupanganso vuto lowawa lotchedwa ovarian torsion, zomwe zikutanthauza kuti ovary yanu yasokonekera. Mphuno imathanso kukanikiza chikhodzodzo chanu, ndikupangitsa kukodza pafupipafupi kapena mwachangu.
Ngati chotupa chikang'ambika chimatha kuyambitsa:
- kupweteka kwambiri m'mimba
- malungo
- chizungulire
- kufooka
- kupuma mofulumira
- kusanza
- magazi
Ngati muli ndi izi, onani dokotala wanu.
Onse endometriosis ndi PCOS atha kubweretsa zovuta za chonde. Ma cyst ambiri samakhala ndi khansa, koma ma cyst ovuta ovuta amabweretsa chiopsezo cha khansa yamchiberekero.
Kodi malingaliro ake ndi otani?
Maganizo ake amakhala abwino kwambiri, makamaka ma cyst osavuta ovarian. Zomwe mungayembekezere ndi chotupa cha ovarian ovuta zimatengera chifukwa ndi chithandizo.
Sizingatheke kuti mudzakhala ndi mavuto azaumoyo atakhala kuti mwapulumuka kuchotsedwa kwa cyst.
Chithandizo cha endometriosis yayikulu chimatha kuphatikizira kuchitidwa opaleshoni komanso kuthandizira m'thupi. Nthawi zina, zimasiya zilonda zam'mimba zomwe zitha kuvulaza ziwalo zanu zamkati. Pafupifupi amayi 30 mpaka 40% azimayi omwe ali osabereka osadziwika ali ndi endometriosis.
Ngati muli ndi khansa yamchiberekero, malingaliro anu amatengera kutalika kwa khansara. Njira zochiritsira zimaphatikizapo kuchotsedwa kwa ovary, chemotherapy, ndi radiation. Maganizo ake amakhala abwino kwambiri pomwe dokotala amapeza ndikuchiza khansa yamchiberekero koyambirira.