Matenda Ochiberekero

Zamkati

• Mitundu ya zotupa m'mimba
• Chotsatira chotupa
• Corpus luteum ziphuphu
• Zizindikiro za chotupa chamchiberekero
• Matenda a ovarian cyst
• Kuzindikira chotupa chamchiberekero
• Chithandizo cha chotupa chamchiberekero
• Mapiritsi oletsa kubereka
• Laparoscopy
• Laparotomy
• Kupewa kwamatenda amchiberekero
• Kodi malingaliro akutali ndi otani?
• Funso:
• Yankho:

Kodi zotupa zotsekemera ndi chiyani?

Thumba losunga mazira ndi gawo la ziwalo zoberekera zazimayi. Amapezeka pamimba pamunsi mbali zonse za chiberekero. Amayi ali ndi mazira awiri omwe amatulutsa mazira komanso mahomoni a estrogen ndi progesterone.

Nthawi zina, thumba lodzaza madzi lomwe limatchedwa cyst limatuluka pa amodzi m'mimba mwake. Amayi ambiri amakhala ndi chotupa chimodzi m'moyo wawo. Nthawi zambiri, zotupa sizimva kuwawa ndipo sizimveka.

Mitundu ya zotupa m'mimba

Pali mitundu yambiri yamatumba ovarian, monga dermoid cysts ndi endometrioma cysts. Komabe, ma cysts ogwira ntchito ndi omwe amapezeka kwambiri. Mitundu iwiri yama cysts yogwira imaphatikizapo ma follicle ndi corpus luteum cysts.

Chotsatira chotupa

Mkati mwa msambo wa mkazi, dzira limakula m'thumba lotchedwa follicle. Thumba ili lili mkati mwa thumba losunga mazira. Nthawi zambiri, khola kapena thumba limatseguka ndikutulutsa dzira. Koma ngati chikopacho sichikutseguka, timadzi tamkati mwa utoto titha kupanga chotupa pa ovary.

Corpus luteum ziphuphu

Matumba amtunduwu amasungunuka atatulutsa dzira. Koma ngati thumba silisungunuka ndikutsegulidwa kwa zisindikizo za follicle, madzi owonjezera amatha kukula mkati mwa thumba, ndipo kusungunuka kwamadzimadzi kumeneku kumayambitsa chotupa chotchedwa corpus luteum cyst.

Mitundu ina yamatumba ovarian ndi awa:

• dermoid cysts: zophuka ngati thumba m'mimba mwake zomwe zimatha kukhala ndi tsitsi, mafuta, ndi minofu ina
• cystadenomas: zoperewera zopanda khansa zomwe zimatha kukula kunja kwa thumba losunga mazira
• endometriomas: Ziphuphu zomwe nthawi zambiri zimakula mkati mwa chiberekero zimatha kutuluka kunja kwa chiberekero ndikulumikizana ndi thumba losunga mazira, zomwe zimadzetsa chotupa

Amayi ena amakhala ndi vuto lotchedwa polycystic ovary syndrome. Matendawa amatanthauza kuti thumba losunga mazira lili ndi ziphuphu zambiri. Zitha kupangitsa kuti thumba losunga mazira likule. Ngati samasamalidwa, ma polycystic ovaries angayambitse kusabereka.

Zizindikiro za chotupa chamchiberekero

Nthawi zambiri, zotupa zamchiberekero sizimayambitsa zizindikiro zilizonse. Komabe, zizindikiro zimatha kuoneka ngati chotupacho chimakula. Zizindikiro zimaphatikizapo:

• Kutupa m'mimba kapena kutupa
• kusuntha kwa matumbo opweteka
• kupweteka kwa m'chiuno musanafike kapena nthawi ya kusamba
• kugonana kowawa
• kupweteka kumbuyo kapena ntchafu
• chikondi cha m'mawere
• nseru ndi kusanza

Zizindikiro zazikulu za chotupa chamchiberekero chomwe chimafuna chithandizo chamankhwala mwachangu ndi monga:

• kupweteka kwamphamvu m'chiuno
• malungo
• kukomoka kapena kuchita chizungulire
• kupuma mofulumira

Zizindikiro izi zitha kuwonetsa chotupa chotupa kapena torsion yamchiberekero. Zovuta zonsezi zitha kukhala ndi zotsatirapo zoyipa ngati sizichiritsidwa msanga.

Matenda a ovarian cyst

Mitundu yambiri yamchiberekero imakhala yoopsa ndipo mwachilengedwe imangochoka yokha popanda chithandizo. Ziphuphuzi zimayambitsa zochepa, ngati zilipo,. Koma mwakamodzikamodzi, dokotala wanu amatha kuzindikira kuti khansa ya cystic ovarian misa ikuyesedwa nthawi zonse.

Matenda a ovari ndi vuto lina losawerengeka la zotupa zamchiberekero. Apa ndipamene chotupa chachikulu chimapangitsa ovary kupindika kapena kuchoka pamalo pomwe inali. Magazi opatsirana m'chiberekero amadulidwa, ndipo akapanda kuthandizidwa, amatha kuwononga kapena kupha minofu yamchiberekero. Ngakhale sizachilendo, ma ovari torsion amawerengera pafupifupi 3% ya maopareshoni azadzidzidzi a gynecologic.

Ziphuphu zong'ambika, zomwe zimakhalanso zochepa, zimatha kupweteka kwambiri komanso kutuluka magazi mkati. Vutoli limakulitsa chiopsezo chanu chotenga kachilomboka ndipo chitha kukhala chowopseza moyo ngati sichichiritsidwa.

Kuzindikira chotupa chamchiberekero

Dokotala wanu amatha kudziwa zotupa za ovari panthawi yoyeserera m'chiuno. Amatha kuwona kutupa kwa chimodzi mwa mazira anu ndikuyitanitsa mayeso a ultrasound kuti atsimikizire kupezeka kwa chotupa. Kuyesa kwa ultrasound (ultrasonography) ndimayeso ojambula omwe amagwiritsa ntchito mafunde akumveka kwambiri kuti apange chithunzi cha ziwalo zanu zamkati. Mayeso a Ultrasound amathandizira kudziwa kukula, malo, mawonekedwe, kapangidwe kake (kolimba kapena kwamadzimadzi kodzaza) ka chotupa.

Zida zofananira zomwe zimagwiritsidwa ntchito pozindikira ma cyst ovarian ndi awa:

• CT scan: chida chojambulira thupi chomwe chimagwiritsidwa ntchito popanga zithunzi zamagulu amkati
• MRI: mayeso omwe amagwiritsa ntchito maginito kuti apange zithunzi zakuya zamkati
• chipangizo cha ultrasound: chida chojambulira chomwe chimagwiritsidwa ntchito kuwonetsa ovary

Chifukwa chakuti ziphuphu zambiri zimasowa patatha milungu ingapo kapena miyezi ingapo, dokotala wanu sangakulimbikitseni dongosolo lamankhwala. M'malo mwake, amatha kubwereza mayeso a ultrasound m'masabata kapena miyezi ingapo kuti awone momwe muliri.

Ngati palibe zosintha zilizonse mumkhalidwe wanu kapena ngati chotupacho chikuwonjezeka kukula, dokotala wanu apempha mayeso ena kuti adziwe zina zomwe zimayambitsa matenda anu.

Izi zikuphatikiza:

• kuyezetsa mimba kuti muwonetsetse kuti simuli ndi pakati
• kuchuluka kwa mahomoni kuti muwone ngati ali ndi mahomoni, monga estrogen kapena progesterone wambiri
• Kuyesa magazi kwa CA-125 kuti muwonetse khansa yamchiberekero

Chithandizo cha chotupa chamchiberekero

Dokotala wanu angakulimbikitseni chithandizo kuti muchepetse kapena kuchotsa chotupacho ngati sichichoka chokha kapena ngati chikukula.

Mapiritsi oletsa kubereka

Ngati muli ndi zotupa zobwerezabwereza zamankhwala, dokotala wanu amatha kukupatsani njira zolerera zakumwa kuti muchepetse ovulation ndikuletsa kukula kwa zotupa zatsopano. Njira zakulera zakumwa zitha kuchepetsa chiopsezo cha khansa yamchiberekero. Chiwopsezo cha khansa yamchiberekero chimakhala chachikulu mwa amayi omwe atha msambo.

Laparoscopy

Ngati chotupa chanu ndi chaching'ono ndipo chimachokera ku kuyesa kwa kujambula kuti athetse khansa, dokotala wanu amatha kupanga laparoscopy kuti achotse chotupacho. Njirayi imaphatikizaponso dokotala wopanga tating'onoting'ono pafupi ndi mchombo wanu ndikuyika kachidutswa m'mimba mwanu kuti muchotse chotupacho.

Laparotomy

Ngati muli ndi chotupa chachikulu, dokotala wanu amatha kuchotsani chotupacho kudzera pachimake chachikulu m'mimba mwanu. Adzapanga biopsy yomweyo, ndipo ngati awona kuti chotupacho chili ndi khansa, atha kuchita hysterectomy kuti achotse mazira ndi chiberekero chanu.

Kupewa kwamatenda amchiberekero

Ziphuphu zamchiberekero sizingalephereke. Komabe, kuyezetsa magazi pafupipafupi kumatha kuzindikira zotupa zoyambira m'mimba mwachangu. Mabakiteriya a Benign ovarian samakhala khansa. Komabe, zizindikilo za khansara ya ovari zimatha kutengera zisonyezo za ovarian cyst. Chifukwa chake, ndikofunikira kuchezera dokotala wanu ndikulandila matenda oyenera. Dziwitsani dokotala wanu za zizindikiro zomwe zingasonyeze vuto, monga:

• kusintha kwanu
• kupweteka kwapakhosi kosalekeza
• kusowa chilakolako
• kuonda kosadziwika
• kukhuta m'mimba

Kodi malingaliro akutali ndi otani?

Maganizo azimayi otsogola omwe ali ndi zotupa m'mimba ndiabwino. Ziphuphu zambiri zimatha miyezi ingapo. Komabe, zotupa zobwerezabwereza zomwe zimachitika pafupipafupi zimatha kupezeka mwa amayi ndi amayi omwe ali ndi vuto la mahomoni.

Ngati samasalidwa, ma cysts ena amatha kuchepetsa kubala. Izi ndizofala ndi endometriomas ndi polycystic ovary syndrome. Kuti mukhale ndi chonde, dokotala wanu akhoza kuchotsa kapena kuchepetsa chotupacho. Ma cysts ogwira ntchito, cystadenomas, ndi dermoid cysts samakhudza chonde.

Ngakhale madotolo ena amadikirira kuti awoneke ndi ma cyst ovarian, dokotala wanu angakulimbikitseni kuchitidwa opaleshoni kuti muchotse ndikuwunika chotupa chilichonse kapena kukula komwe kumachitika m'mimba mwake mutatha kusamba. Izi ndichifukwa choti chiopsezo chokhala ndi khansa yotupa kapena khansa ya m'mimba chimakulirakulira mukatha kusamba. Komabe, zotupa zamchiberekero sizimawonjezera chiopsezo cha khansa yamchiberekero. Madokotala ena amachotsa chotupa ngati chili chachikulu kuposa masentimita 5 m'mimba mwake.

Funso:

Kodi zimatanthauzanji zotupa m'mimba pa mimba? Kodi zimakhudza bwanji munthu yemwe ali ndi pakati komanso amene akufuna kutenga pakati?

Yankho:

Mitundu ina yamchiberekero imalumikizidwa ndi kuchepa kwa chonde pomwe ena satero. Endometriomas ndi cysts kuchokera ku polycystic ovarian syndrome zitha kuchepetsa kuthekera kwa amayi kutenga pakati. Komabe, ma cysts ogwira ntchito, ma dermoid cysts, ndi cystadenomas samalumikizidwa ndi zovuta kutenga pakati pokhapokha zitakhala zazikulu. Ngati dokotala wanu atenga chotupa cha ovarian mukakhala ndi pakati, chithandizocho chimadalira mtundu kapena kukula kwa chotupacho. Ma cysts ambiri amakhala owopsa ndipo samafuna kuchitidwa opaleshoni. Komabe, mungafunike kuchitidwa opaleshoni ngati chotupacho chikukayikira khansa kapena ngati chotupacho chang'ambika kapena kupindika (chotchedwa torsion), kapena ndi chachikulu kwambiri.

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