Kodi chimbudzi choyambirira ndi chiyani?
Choyamba, tiyeni tiyang'ane ntchito ya ovariya. Mavairasi ndi gulu la mahomoni ozungulira awiri pafupifupi masentimita atatu mu kukula komwe kuli pafupi ndi chiberekero ndipo muli mazira ambiri. Mwezi uliwonse, ovary "amakonzekera ndi kutulutsa" kawirikawiri dzira limodzi (mwinamwake palibe limodzi, mwinamwake awiri). Dzira limeneli, lomwe lili mu kapsule wochepa kwambiri komanso lozungulira madzi, limatchedwa follicle. Kuchokera pazinthu zosawerengeka pa zifukwa zosiyanasiyana, fungo limene dzira liyenera kuonekera, mwachitsanzo, chifukwa cha matenda a mahomoni kapena zotupa, follicular cyst amapangidwa. Ndipangidwe ka mpanda wolimba kwambiri umene umadzaza ndi zamadzimadzi kapena zamtundu wa mkati, zomwe kukula kwake kuli kuposa masentimita atatu. Kawirikawiri, follicular cysts akhoza kufika kukula kwa masentimita 5-6, ndipo nthawi zina zambiri. Magulu oterewa amakhala ndi chipinda chimodzi. Ngakhale kuti nthawi zina zingapo zotchedwa follicular cysts zingapangidwe panthawi imodzi, zomwe zimagwirizana mwamphamvu, ndipo zimapereka chithunzi cha makina ambiri. Azimayi otha msinkhu wobereka, kawirikawiri pali zoterezi (zokhudzana ndi thupi), zomwe nthawi zambiri zimathera paokha.
Malingana ndi mndandanda wapadziko lonse wa zotupa za m'mimba, sizinthu zonse zopangira machitidwe, ndi chikhalidwe chawo, ndi zowona. Chomera chokwanira chikuwonjezeka chifukwa cha kuchuluka kwa zomwe zilipo komanso kufalikira kwa nembanemba, osati chifukwa cha kugawanika kwa maselo omwe amapanga chigoba, monga momwe zilili ndi matenda. Choncho, ziphuphu za chiberekero ndi zoona zamoyo za chikasu, mapuloteni a mapuloteni komanso a paraovarian cysts, mitundu yosiyanasiyana ya mphutsi siyiyi yomwe imadwala kwambiri. Koma mucinous ndi dermoid cysts ndi benign neoplasms wa ovaries. Endometrioid ("chokoleti") cyst ndi chimodzi mwa mawonetseredwe a endometriosis a ma thumba losunga mazira, komanso amakhalanso ndi zosiyana kwambiri ndi matenda a mthupi.
Zizindikiro za mazira otupa.
Mazira ambiri ovariya amakhala ochepa kwambiri ndipo samayambitsa zizindikiro. Komabe, ena angakhale akukumana ndi kupweteka kosautsika, kumverera kolemetsa ndi kupanikizika m'mimba pansi ndi m'malo mwa sacrum, ululu panthawi yogonana. Nthawi zina kansalu ikhoza kuyambitsa mavuto omwe amabwera chifukwa cha kusamba, kuupanga kukhala wamfupi kapena nthawi yayitali. Nthawi zambiri, ziphuphu zingayambitse kupweteka kwambiri, magazi komanso ngakhale peritonitis. Nthawi zina mumakonda kukodza (pamene mukupaka chikhodzodzo chachikulu). Mavuto ambiri omwe amapezeka m'mayendedwe a ovari ndi mapepala am'mimba ndi mazunzo a mitsempha, komanso kupweteka kwa khungu. Pamene miyendo imapotoka, mitsempha ya magazi imapangidwira, magazi amatha kuphulika, ndipo zimakhala zotupa, ndipo zimakhala ndi zizindikiro za "mimba yovuta": ululu waukulu m'mimba m'mimba, zakumwa zoledzeretsa (kutentha thupi, kunyoza, kusanza) ndi kupweteka kwa peritoneum. Mchitidwe wodzitetezera wa mphutsi umaperekanso ndi malungo ndi ululu wowawa m'mimba. Pakakhala zovuta zilizonse amayi amafunikira thandizo lapadera.
Matendawa.
Kuzindikiritsa za chifuwa cha mimba kumayambira pa zodandaula za wodwala, koma kuyambira nthawi zambiri matendawa amapezeka popanda ziwonetsero zachipatala, nthawi zambiri chidziwitso chimapezeka mwadzidzidzi ndi dokotala panthawi yoyezetsa magazi mzimayi kapena panthawi yoyezetsa magazi pamimba. Mothandizidwa ndi ultrasound akhoza kutsimikizira ndi kuika ndondomeko yolondola kwambiri. Nthawi zina dokotala amayenera kupita ku MRI ndikuyesedwa magazi.
Kuwunika ndi kuchiza ma cysts.
Ngati kansalu kameneka ndi kochepa ndipo sikakuchititsani zizindikiro, ndiye kuti mukhoza kuyisunga kwa miyezi yambiri mothandizidwa ndi ultrasound, mavitamini ambiri amatha kudutsa okha pakapita masiku awiri kapena awiri. Ngati chifukwa cha mapangidwe a khungu ndi zotupa m'mimba mwake, ndiye musanayambe kulimbana ndi chotupacho, chotsani kutupa.
Chigamulo cha dokotala pankhani yosunga kapena kuchotsa chigudulicho chimakhudzidwa ndi zinthu zambiri: zaka, kukula kwake, kapangidwe kake, kapangidwe ka ultrasound, komanso zizindikiro. Mwachitsanzo, dermoid cysts ndi endometriomas sizidutsa paokha, kotero zimachotsedwa opaleshoni yokha.
Mosasamala kanthu kuti khungu limayambitsa zizindikiro kapena silingakuvutitseni nkomwe, muyenera kuyang'anitsitsa: ndikofunika kuti chigamulocho chikhazikitsidwe (Ndikukumbukira kuti ziphuphu zambiri zogwira ntchito zimatha pokhapokha patapita masentimita 1-2). Kapena, osachepera, musati muwonjezere kukula. M'magulu ambiri a cysts ndi oopsa, ngakhale kuti nthawi zina sizikhala zovuta.
Ngati mukufunika kuchotsa opaleshoniyi, muyenera kudziwa kuti pali njira zingapo: laparoscopy (opaleshoniyi imagwiritsidwa ntchito pang'onopang'ono ndi kamera yapadera). Dokotala wanu adzasankha njira yabwino kwambiri kwa inu malingana ndi msinkhu wanu, kukula kwake kwa machitidwe, makhalidwe ake ndi zina zambiri.
Kupewa.
Kodi n'zotheka kuteteza mapangidwe a chiwindi? Mankhwala opatsirana pogonana angachepetse mwayi wopanga mankhwala osokoneza bongo komanso endometrioma. Mphamvu pa mapangidwe ndi kukula kwa mitundu ina yamakono sizingatheke.
Koma kawirikawiri kufufuza kwa amayi azimayi kudzathandiza kuzindikira kutupa mwadzidzidzi, kuika matenda oyenerera ndikupeza mankhwala, kapena, ngati kuli koyenera, opaleshoni.