Zomwe Zimayambitsa Matenda a Paratubal ndipo Amathandizidwa Bwanji?

Zamkati

• Kodi paratubal cyst ndi chiyani ndipo ndizofala?
• Zizindikiro zake ndi ziti?
• Nchiyani chimayambitsa zotupa za paratubal ndipo ndani ali pachiwopsezo?
• Kodi zotupa za paratubal zimapezeka bwanji?
• Kodi ndi njira ziti zamankhwala zomwe zingapezeke?
• Kodi zovuta ndizotheka?
• Kodi zotupa za paratubal zimakhudza chonde?
• Maganizo ake ndi otani?

Kodi paratubal cyst ndi chiyani ndipo ndizofala?

Chotupa cha paratubal ndi thumba lokutidwa, lodzaza madzi. Nthawi zina amatchedwa ma paravarian cysts.

Mitundu yamtunduwu imakhala pafupi ndi thumba losunga mazira kapena mazira, ndipo siyingatsatire chiwalo chilichonse chamkati. Ma cysts awa nthawi zambiri amasungunuka pawokha, kapena samadziwika, chifukwa chake sichidziwika.

Ma cysts ang'onoang'ono, a paratubal ali azimayi azaka zapakati pa 30 ndi 40. Mitsempha yotupa imapezeka kwambiri mwa atsikana ndi atsikana.

Pitilizani kuwerenga kuti mudziwe zambiri za momwe amaperekera, zomwe zimawapangitsa, komanso momwe amathandizidwira.

Zizindikiro zake ndi ziti?

Ziphuphu za Paratubal nthawi zambiri zimakhala zazing'ono, kuyambira mamilimita awiri mpaka 20 m'mimba mwake. Akakhalabe kukula koteroko, nthawi zambiri amakhala opanda chizindikiro. Dokotala wanu akhoza kuzipeza pakuyesa kwa amayi kapena machitidwe osagwirizana ndi opaleshoni.

Ziphuphu zazikulu, zophulika, kapena zopindika za paratubal zimatha kupweteka m'chiuno kapena m'mimba.

Nchiyani chimayambitsa zotupa za paratubal ndipo ndani ali pachiwopsezo?

Ma fetus akamapangidwa, onse amakhala ndi kamwana kamene kamatchedwa "wolffian". Mbali iyi ya mluza ndipamene ziwalo zogonana zamwamuna zimapangidwira.

Mwana wosabadwayo akayamba kupanga ziwalo zogonana zachikazi, njirayo imanyinyirika kutali. Nthawi zina, zotsalira za ngalandezo zimatsalira. Zotsalira za paratubal zimatha kutuluka pazinthu zotsalazo.

Ma cysts amathanso kupanga kuchokera kutsalira kwa paramesonephrontic (Müllerian). Umu ndi momwe kamuna kamene kamayambira m'mimba momwe ziwalo zogonana zazimayi zimakula.

Palibe zifukwa zilizonse zomwe zimadziwika kuti ndi ziwopsezo zama paratubal cysts.

Kodi zotupa za paratubal zimapezeka bwanji?

Ngati mukumva kupweteka kwa m'chiuno kapena m'mimba, onani dokotala wanu. Adzawunikiranso zomwe mwakumana nazo komanso mbiri yazachipatala, kenako ndikuchita mayeso owunika kuti muwone ngati ali achifundo.

Angagwiritsenso ntchito mayesero amodzi kapena angapo:

• Pelvic ultrasound kapena m'mimba ultrasound. Mayesowa ojambula azachipatala amagwiritsa ntchito akupanga pafupipafupi kuti atumize zithunzi za m'chiuno pakompyuta.
• MRI. Mayesowa amathandiza dokotala kudziwa ngati chotupa ndi choipa. Itha kugwiritsidwanso ntchito kutsatira kukula kwa cyst.
• Kuyesa magazi. Ngati mukukayikira kuti pali vuto linalake, dokotala wanu atha kuyitanitsa kuyesa magazi, monga kuwerengera magazi kwathunthu (CBC) ndi kuyesa kwa chotupa.
• Laparoscopy. Ma paratubal cysts amatha kuwoneka ofanana ndi ma ovari cysts pa ultrasound, kotero dokotala atha kuperekanso mayeso a opaleshoniyi. Laparoscopy yodziwitsa matenda imafunikira pang'ono pamimba. Dokotala wanu amaika chubu, chomwe chimakhala ndi kamera yaying'ono yakanema yomwe imamangiriridwa kumapeto kwake. Izi zimathandiza dokotala kuti awone dera lanu lonse la m'chiuno.

Kodi ndi njira ziti zamankhwala zomwe zingapezeke?

Ngati chotupacho ndi chaching'ono komanso chopanda tanthauzo, dokotala wanu angakulimbikitseni njira "yoyembekezera kuti muwone". Adzakulowetsani kuti mudzayang'anitsidwe nthawi ndi nthawi kuti muwone ngati pali kusintha kulikonse.

Ngati chotupacho chili chachikulu kuposa masentimita 10, dokotala wanu angakulimbikitseni kuchotsa mosasamala kanthu kuti mukukumana ndi zizindikiro. Njirayi imatchedwa cystectomy. Dokotala wanu adzagwiritsa ntchito imodzi mwanjira izi:

• Laparoscopy. Njirayi imafunikira pang'ono pamimba. Zitha kuchitidwa pansi pa mankhwala ochititsa dzanzi kapena ochititsa dzanzi. Nthawi zambiri zimafunikira nthawi yocheperako poyerekeza ndi laparotomy.
• Laparotomy. Njirayi imakhala yovuta kwambiri, yomwe imafunika kutumbidwa m'mimba. Zimachitika nthawi zonse pansi pa anesthesia wamba

Dokotala wanu amatenga mawonekedwe, kukula, ndi malo a chotupacho musanavomereze njira imodzi pamzake.

Ngati simunafike msambo, dokotala wanu atha kusankha njira yochotsera yomwe ingasunge ovary kapena chubu lanu.

Kodi zovuta ndizotheka?

Nthawi zina, zotupa za paratubal zimatha kubweretsa zovuta monga:

• Kutaya magazi. Chotupacho chikaphulika, chimatha kutulutsa magazi mkati.
• Kuzunzika. Izi zikutanthawuza kupindika kwa chotupa pachimake, chomwe chimakhala ngati phesi chomwe chimachisunga. Izi zitha kupangitsa kupweteka kwambiri, kufooka, komanso nseru ndi kusanza. zochitika za kutsekemera kwamchiberekero zidanenedwa mwa atsikana achichepere.
• Kuphulika kwa chubu cha fallopian. Ngati ili pafupi ndi chubu, chotupa chachikulu kwambiri kapena chopindika chingayambitse chubu.

Ngakhale zotupa zazikuluzikulu zili, ndizotheka. Ziphuphu izi zimatha kukakamiza ziwalo zanu zamkati, kuphatikizapo:

• chiberekero
• impso
• chikhodzodzo
• matumbo

Kupsinjika kumeneku kumatha kubweretsa hydronephrosis. Izi zikutanthawuza kutupa kwa impso komwe kumayambitsidwa ndi mkodzo wambiri.

Ziphuphu zazikulu zingayambitsenso kutuluka kwa chiberekero ndi kugonana kowawa.

Kodi zotupa za paratubal zimakhudza chonde?

Ziphuphu zazing'ono za paratubal siziyenera kukhala ndi vuto pakubala kwanu. Koma zotupa zazikulu, zophulika, kapena zopindika zimatha kubweretsa zovuta ngati sizichiritsidwa.

Kuchotsa opaleshoni nthawi yomweyo kumathandizira kuonetsetsa kuti thumba la ovary ndi fallopian lisungidwe. Ngati chotupacho sichinachotsedwe mwachangu, chitha kubweretsa kuchotsedwa kwa ovary (oophorectomy), fallopian tube (salpingectomy), kapena zonse ziwiri.

Matenda a paratubal nthawi zambiri amakhala osagwirizana, kutanthauza kuti amapezeka mbali imodzi yokha ya thupi. Kutsekemera ndi kutenga mimba kumakhalabe kotheka ngakhale kuti ovary kapena chubu pambali yokhudzidwayo achotsedwa.

Maganizo ake ndi otani?

Ziphuphu za paratubal nthawi zambiri sizimatsagana ndi zizindikilo, chifukwa chake nthawi zambiri zimapezeka osadziwika. Amatha kupasuka okha pakapita nthawi.

Komabe, zotupa zazikulu zimatha kupweteka kapena zovuta zina. Ma cysts amayenera kuchitidwa opareshoni, koma izi nthawi zambiri sizikhala ndi zotsatira zokhalira ndi chonde.