Mazira Ovariya
Mkazi aliyense yemwe ali ndi msambo wokha msambo, kamodzi pa mwezi, amakhala ndi mapangidwe a benign cysts mu ovary - izi ndi kachikopa kakang'ono kamene kadzaza ndi madzi, kapena katemera wa ovari. Pamene dzira limayamba kuphuka, limathyola ndi kuyeretsa dzira, izi zimachitika nthawi ya chiwindi. Komabe, pamene ovulation sichitike, thumbali limakula, ndikupanga chiwombankhanga. Chifukwa chakuti zikuwoneka kuchokera kumtundu wamba ndi mwezi uliwonse zimasintha, zimatchedwa chifuwa chogwira ntchito, monga lamulo, zimatha nthawi isanayambe. Apo ayi, iyenera kufufuzidwa.
Pali mtundu wina wa mphutsi yomwe imapanga mazira pambuyo pa dzira. Mzerewu uli wodzaza ndi maselo atsopano ndi mitsempha ya magazi kuti apange thupi la chikasu, limapanga progesterone, kukonzekera ziwalo za mimba. Kawirikawiri, matupi achikasu amakhalapo kwa milungu iwiri, ndipo ngati mayi atenga mimba, skukozhivayutsya ndi kupanga kachilombo kakang'ono. Komabe, ngati ovary magazi ndi magazi alowa m'malo achikasu, chimanga chingapangidwe, chomwe chidzadzazidwa ndi magazi. Pokhapokha phokosoli, lomwelo, limadutsa patapita mwezi.
Mitundu ina ya mavalasi ndi ochepa kwambiri omwe amadzaza ndi madzi, ndipo amatha kukhala ndi tsitsi komanso mafuta. Ena mwa iwo amakhala ndi ntchentche ndipo amakula kufika pa miyezi 9 ya mimba.
Pali mitundu khumi ndi iŵiri ya cysts, ndipo zisanu ndi ziwiri zokhazo zimagwira ntchito, zomwe zimadutsa payekha isanayambe kusamba. Ngati chimbudzicho chitatha nthawi yaitali, kutuluka magazi ndi kupweteka kumachitika, kapena ukafika kukula, muyenera kupita kwa dokotala. Mukachifufuza ndi ultrasound, mukhoza kufotokoza digiri, kukula kwake ndi mtundu wake.
Kystynikak ambiri samawonekera, kotero simungadziwe ngakhale kuti m'mimba mwanu mpaka dokotala akukuuzani za izo panthawi yofufuza. Komabe, ngati zotupa za cystic zifikira kukula kwakukulu, zimatha kukanikiza chikhodzodzo, khoma la m'mimba kapena matumbo. Ndi mpweya wotere, ululu ndi mseru zimatha. Kawirikawiri izi zimachitika mofulumira, koma nthawi zina zimatha nthawi yaitali. Khalani momwe mungathere, muyenera kupita kwa dokotala kuti akufunseni.
Momwe mungakhalire tsopano?
Poyamba, konzekerani ulendo wopita kwa azimayi. Ngati chaka chino simunapite kukayezetsa, chitani tsopano. Mkazi aliyense ayenera kuyang'anitsidwa kwa mayi wazimayi pa msinkhu uliwonse. Popanda kufufuza, simudziwa kuti kansalu yanu imakula, mpaka itakula kwambiri.
Chotupa chilichonse chimene sichinawonongeke mwezi umodzi ndipo chakula ndi masentimita asanu, mwa mkazi amene wasunga msambo kapena 2 cm mwa mkazi amene wafika pakupita kwa nthawi, ayenera kufufuzidwa ndipo mosasamala kanthu achotsedwa, ngakhale ali abwino. Izi zachitika kotero kuti sizingasunthike ndipo sizimapotoza ndikuonetsetsa kuti ichi ndi chotupa chosasokoneza. Mothandizidwa ndi mtundu wa ultrasound, mukhoza kuzindikira mitundu yambiri ya mphutsi.
Kuyezetsa magazi, makamaka kwa amayi omwe ali ndi kusamba, kungakhalenso ndi chidziwitso chofunikira. Ngati amayi ali ndi zotsatira zabwino za kufufuza kwa ultrasound ndi zotsatira zabwino zowonongeka kwa CA-125, ndiye kuti chiopsezo chokhala choipa ndi chochepa kwambiri.
Laparoscopy ikhoza kuchotsa chiguduli, koma osati pamene chiri chachikulu kwambiri. Pachifukwa ichi, ntchitoyi ndi gawo la mimba ya m'mimba idzasankhidwa mofulumira, choncho adokotala akhoza kuyesa bwino mazira ozungulira.
Kodi ndingangotulutsa zitsambazo, ndikuzichotsa ngati zili zonyansa?
Izi sizingatheke, chifukwa zimatha kubwezeretsedwa zitatha. Komanso, dokotala akamachotsa zonsezi, mukhoza kuzifufuza bwinobwino pogwiritsa ntchito microscope kuti muzitsimikizira kuti sizowononga.
Kodi nkofunika kuti mukhale ndi hysterectomy pamene mukuchotsa makoswe?
Tsopano iwo samachita izi, koma panali nthawi yomwe iwo ankachita izo. Mzimayi aliyense wa zaka zovuta kwambiri anayenera kuchita opaleshoni yochulukitsa mavuvu kuti achotse chiberekero, kotero kuti m'tsogolo panalibe mavuto.
Ngati mayi akudwala ndi chiwindi cha mazira, ndiye kuti chiopsezo cha khansa ya mazira chimakula?
Pakati pa net.Esli mkazi ali ndi chiphuphu, sichikunena kuti ali ndi matenda a khansa.
Khwangwala la ovarian
Pakati pa matenda a khansa, monga chifukwa cha imfa mwa amayi, khansara ya ovari ndi yachinayi. Ku America chaka chilichonse anthu odwala 22,000 odwala matendawa amalembedwa. Kwa amayi osachepera 40, khansara ya ovari ndi yosavuta, koma pambuyo pake chiwopsezo cha matendawa chikuwonjezeka, ngakhale kuti sichimafala monga khansa, khansa ya m'magazi kapena mapapo. Kumayambiriro kosavuta ndikumenyana nawo, koma ndizosautsa chifukwa, kuti n'zotheka kuzizindikira nthawi yayitali, ngakhale kuti mayi mmodzi yekha wa makumi asanu ndi awiri akudwala ndi izi. Pamene, pamapeto pake, nthawi imabwera ndipo khansa ya ovari imapezeka, imakhala yovuta kulowa m'ziwalo zina, mosiyana ndi khansa ya m'mimba ndi khansara ya chiberekero, yomwe imakhala pang'onopang'ono, imatha kupezeka ngakhale panthawi yomwe imakhalapo.
Khansara ya ovarian ndi khansara yoipa, chifukwa ilibe zizindikiro kumayambiriro oyambirira: palibe ululu, palibe zizindikiro za nkhawa, osati magazi, palibe zotupa zooneka. Komanso, m'nthawi yathu ino palibe njira zabwino zomwe zingaganize kuti zikukula mwamsanga.
Momwe mungakhalire tsopano?
Chaka chilichonse, musaiwale kuti mukacheze amayi azimayi, omwe adzayang'anise mazira ndikumverera momwe akuyendera.
Uzani dokotala wanu ngati banja lanu lakhala ndi zilonda zoopsa kwambiri, kuti dokotala akhoze kukuyang'anani kwambiri ndikuyendera kawirikawiri.
Funsani dokotala ngati mukufunikira kutenga chithandizo cholera pakamwa. Pali zina zomwe zimasonyeza kuti ngati mayi ali ndi vuto la chifuwa choopsa, ndiye kuti akufotokoza mankhwala omwe amachepetsa chiopsezo cha khansa ya m'mimba ndi khansa ya ovari ndi pafupifupi 50%. Komanso, amamuteteza kwa zaka khumi ndi zisanu pambuyo pa kutha kwa kulandila kwawo.
Pamene aliyense angathe kupeza mayeso omwe angayang'anire jini lolakwika limene limapangitsa amayi kukhala ndi khansa ya ovari, lolani akazi ndi amayi anu athe kufufuza ngati wina m'banja mwanu akudwala khansa.
Nchifukwa chiyani sitingapeze khansara ya ovary pachiyambi pomwe?
Zomwe zimakhala bwino m'mimba mwake zimakhala masentimita awiri okha, zimakhala mkatikati mwa m'mimba ndipo zimatha kufika pokhapokha zitapezeka pamayesero. Ngakhalenso ultrasound sizimasiyanitsa khansara ya zotupa zowonongeka, ndipo tsopano palibe mayeso abwino omwe angayang'ane maselo a khansa.
Nchifukwa chiyani khansara ya ovari imaonekera?
Madokotala sangathe kukhazikitsa zifukwa zina zomwe zimayambitsa vutoli. Komabe, zimadziwika kuti amayi omwe sanaberekepo, makamaka omwe sakhala otetezedwa ku chiwerewere kwa zaka zambiri, amakhala ndi chiopsezo cha khansa ya ovari. Palinso maphunziro omwe amanena kuti zakudya zomwe zimakhala ndi mafuta ambiri zingapangitse ngoziyi. Koma azimayi-odwala ali ndi matenda a khansa ya ovari ndi 40% ochepa.
Kodi kukonzekera kubereka kungayambitse khansa ya ovari?
Izi zitha kukhala zochepa kwambiri, koma amayi omwe ali opanda chiwopsezo ali ndi chiopsezo chachikulu chokhala ndi khansara ya ovari. Pakhala pali kafukufuku wochuluka pa izi, koma sanawonetsere kuchuluka kwa chiwerengero cha khansa ya ovoda m'mitu yomwe idatenga mankhwalawa ndipo kenako imatenga mimba. Pali zochitika zokha pamene amayi amachiritsidwa chifukwa cha kusabereka ndipo sanatenge mimba, koma amakhala ndi khansa ya ovari. Mwina siziri mwa mankhwala osokoneza bongo, koma pamaso pa zolakwika za amayi, chifukwa cha zomwe mkazi sangathe kutenga mimba, ndipo maselo ambiri amayamba kugwira ntchito.