Yamchiberekero chotupa: kukula kwa ntchito woopsawo ndi wabwinobwino

Mmodzi wa matenda ambiri likukhudza amayi ndi yamchiberekero chotupa. Makulidwe kwa ntchito mapangidwe ili ndi mitundu yake ndi njira ya chithandizo m'nkhani ino.

ndi chotupa chimene

Masiku ano, ndi zambiri kwa phwando kuti gynecologist ndi akazi ndi zizindikiro za cysts yamchiberekero. Atamva matenda ake ambiri mantha. Komabe, izi si ofunika. Chotupa - ichi sichina ngati maphunziro abwino-quality, limene lili thupi ndi minofu yamchiberekero. Nthawi zambiri kumachitika pamene mkazi akukumana kulephera m'thupi. Kodi zodabwitsazi? Ndipotu, si chotupa, koma chabe kuwira wodzazidwa ndi madzi. Iye makoma woonda kwambiri, zochokera mwendo pachiyambi. Makulidwe a M'mimbamo akhoza zosiyanasiyana kuchokera millimeters angapo masentimita makumi awiri. Ikuluikulu kuwira, m'pamenenso kuti ziyenera kuchotsedwa. Dokotala kupezeka adzatiuza wodwala, pa zimene mlingo wa cysts yamchiberekero kuchita opaleshoni ndipo mankhwala mankhwala kutero.

Monga ulamuliro, izo sikukutanthauza choopsa chilichonse, ngati nthawi oterewa. Komabe, milandu amadziwika kusinthika ake mu chotupa chotupa.

Kudziwa chotupa mulole dokotala yekha. Kuyendera woyamba zikuchitika pa mpando matenda, pamene dokotala amaona kuti thumba losunga mazira (kapena mmodzi yekha wa iwo) awonjezera kukula. Pambuyo kuti nkhani ya ultrasound, dokotala amene anatsimikizira kopanda.

Komanso, m'pofunika kuti akapereke kusanthula pa mahomoni FSH ndi esitirojeni, kumvetsa chifukwa cha chotupa mapangidwe. Komanso tiyenera ndi kuchita kafukufuku pa CA 125 chikhomo. Nkhani yake ati awulule ngati palibe chiopsezo cha khansa.

Pamene mayesero onse ali amphumphu, tiyenera kuonetsetsa kuti kwenikweni ndi chotupa yamchiberekero. Zizindikiro ndi mankhwala a akazi adzapitiriza anamuona dokotala.

Chotupa kapena ayi?

Amene ayambirira chodabwitsa mwina si nthawi zonse kuzindikira ku matenda.

Kawirikawiri zizindikiro woyamba wa chizindikiro pa akazi awa:

• Ululu pamimba. Iwo akhoza isanafalikire mu gawo limodzi la izo.
• matenda kusamba. Anachedwa kwa mlungu umodzi kapena kuposerapo, kapena M'malo mwake, kufika m'mawa kusamba ayenera kuchenjeza mkazi. Makamaka kuchitika nthawi zonse.
• Soreness pa kugonana. Ikuluikulu kukula kwa chotupa, m'pamenenso iwo amayikanikiza ziwalo pafupi, kuchititsa nkhawa.
• Kuwonjezeka kutentha. Childs, izi ndi otsika chithunzi, pang'ono kuposa 37 madigiri.
• Kusowa tulo. Chifukwa kusintha m'thupi mkazi si kugona bwino usiku. Makamaka ngati pali ululu pamimba.
• Nseru. Chimodzi mwa zizindikiro ambiri kugwirizana.

Nthawi zambiri chotupa wa n'kuwasanganiza bwino kusokonezedwa ndi appendicitis pachimake. Ngati panali kupotoza miyendo yake, ndiye popanda ultrasound, matenda awa pafupifupi osiyana.

zimayambitsa

Malinga ngati pali chotupa, pali mitundu ingapo ya izo pazifukwa zosiyanasiyana. Komabe, pali zinthu wamkulu pakutchulidwa za matenda:

• Osasamba ndipo oyambirira kuyamba kusamba (zaka 10-11).
• Endocrine matenda.
• mankhwala m'thupi zokhudza maonekedwe a cysts.
• Osabereka.
• Nkhanza mankhwala osokoneza bongo.
• Kunenepa.

Zinchito (follicular)

Malinga ndi kafukufuku, mtundu ambiri chotupa ndi zinchito, kapena wachikasu thupi. Iye vonikaet nthawi zambiri akazi m'zaka zawo zoberekera. Mwezi uliwonse mkazi thanzi mmodzi wa yamchiberekero kukula follicle. Ndi dzira. Ngati umuna zimachokeradi, ndi follicle amapita underdeveloped unfertilized dzira, ndipo mkaziyo akuyamba kusamba. Koma si nthawi zonse, ndondomeko imeneyi amapita bwino. The glitch pang'ono m'thupi kungathandize kuonetsetsa kuti follicle si chophukacho. Pankhaniyi, ndi wodzazidwa ndi madzi. Makoma a chikhodzodzo woonda. Chimene icho chiri, kotero iwo ndi n'kakang'ono. Koma nkhawa ayi: kawirikawiri lotsatira mwezi kubwera ndi atamezedwa kotheratu. Ngati kumene izo sizitero, izo zikuyamba kudzaza ndi madzi ndi kuonjezera. Ngati inu anapezeka ndi "follicular chotupa cha n'kuwasanganiza ndi" kukula kwa ntchito amangoona 8 masentimita. Only mu nthawi zina, izo zimapezeka zokulirapo kuposa malire izi.

Koma izi zisanachitike opaleshoni, izo zifika si kawirikawiri. Pamene bwino kusasintha chiwembu cha mankhwala ndiwofatsa iye akachoke yekha. Chinthu chofunika kwambiri kuti chofunika wa mkazi - kugwiritsa ntchito poyamba chizindikiro kwa dokotala. Nthawi iyi chotupa yamchiberekero (onani chithunzi. M'nkhani) limodzi ndi ululu ndi zojambula pamimba, kawirikawiri kukula pambuyo ovulation.

A vuto kuti angagwe pamene kunyalanyaza mapangidwe izi, - torsion cysts miyendo ndi chotupa ake.

Nthawi zambiri zinthu zing'onozing'ono kakulidwe thovu madokotala mwangozi wapezeka pa ultrasound, ndipo iwo Musatenge choopsa chilichonse

dermoid

Mtundu wa chotupa ndi osiyana follikuryarnoy. Ngakhale chithunzi matenda ndi ofanana kwambiri: mkazi amayamba kuona ululu wina wa thumba losunga mazira, iye anadandaula za ululu m'mimba. Dermoid chotupa zambiri palibe zamitundu lalikulu. Monga ulamuliro, izo kuyambira kusonyeza, kufika 3-5 masentimita. Kuzionetsetsa, dokotala adzamva chidindo chimodzi mwa thumba losunga mazira ndi. Makoma a kuwira izi wandiweyani ndithu, koma okonzeka kusintha. Ultrasound, yokumana ndi dokotala, kudziwa kuti ndi chotupa dermoid wa n'kuwasanganiza lapansi. Zizindikiro ndi mankhwala a akazi ndi mapangidwe ngati osiyana zinchito. Zilibe pochitika paokha, kawirikawiri opaleshoni.

Chifukwa timadzi uyenderere kuwira aumbike mwa thupi la minofu connective. Kawirikawiri zimawonedwa atsikana pa unyamata, akazi akukumana kusintha kwa thupi, komanso amayi apakati. Kuwonjezeka lakuthwa mu Gomonov amakwiya chitukuko cha chotupa a. Nthawi zina, pamene mankhwala sanali ikuchitika pa nthawi otchedwa teratoma akhoza kukula kwa masentimita khumi ndi kukula, ndipo ngakhale nkukhala chotupa chotupa.

Mbali khalidwe la mtundu wa chotupa ndi gelled nkhani zake. Mukamafinya zotupa amenewa ndi madokotala chikhodzodzo M'mimbamo zoyamba mano, tsitsi follicles, chichereŵechereŵe. Kodi Akuti: ndi zopangitsa sebaceous amakonzedwa mu M'mimbamo chotupa cha. Ndipo chifukwa mulinso minofu mafuta.

M'munsi mlingo maphunziro, kosavuta ndi kuchotsa. Ngati ultrasound inu amauzidwa kuti muli teratoma, ayenera Usaope. Nthawi zambiri ndi mtima wabwino yamchiberekero chotupa. Makulidwe ntchito si zofunika matenda a cysts dermoid kutenga mayesero zofunika, adzalamulira kuchokera khansa, kenako akonze mtima kwa opaleshoni. Pambuyo nkhani za chotupa watengedwera phunzirolo.

Makulidwe kwa endometrioid yamchiberekero opaleshoni chotupa

Masiku ano, akazi nthawi zambiri anakumana ndi matenda a "endometriosis". Pansi pa dzina ili muli matenda m'malo lalikulu. Iwo limodzi ndi kutukusira kwa akalowa la chiberekero. ngati vuto ngati endometriodnyh chotupa angathe pa maziko a matenda.

Mwatsoka, madokotala simungakhoze kubwera kwa lingaliro wamba, chifukwa izo aumbike. Malinga ndi Baibulo lina, ndi chifukwa pa msambo, magazi chiberekero kugwa mu n'kuwasanganiza ndi maselo endometrial. Kumeneko kukula, n'kupanga chotupa chomwechi. zosinthika wina cha chiyambi chake: pakuti chiberekero aliyense opaleshoni ndi mazira a akazi anavulala, amene anathandiza kuti chitukuko cha chotupa a.

mapangidwe izi ziri kuwonetseredwa ndi zizindikiro zotsatirazi:

• Ululu pamimba m'munsi.
• Kulephera pathupi.
• nthawi kwambiri yaitali (masiku oposa 10).
• mavuto matumbo, kawirikawiri kudzimbidwa.
• Kuchuluka thupi kutentha.

Kawirikawiri, ndi chizindikiro yoopsa kwambiri kwa akazi ndi kuyesera pakati kwa nthawi yaitali sangathe kutero. matenda "endometriodnyh chotupa" angathe kuikidwa matenda akupanga.

Mwamwayi, pali mpata woti mukhoza kuchita popanda opaleshoni. dokotala woyamba yesani mankhwala ndiwofatsa. Mkazi chongopeka analenga kusintha kuti onse kumaliseche ali, titero, mu utumiki. Ngakhale kumwa mankhwala m'thupi amphamvu zotupa ngati kuchepa msinkhu pochitika konse.

Komabe, ngati m'madera lalikulu yamchiberekero chotupa opaleshoni mosalephera. Maphunziro awiri akuluakulu kuposa 5 masentimita ndi owopsa kwa umoyo wa amayi. Ngati mankhwala timadzi m'malo sanathandize, palibe opaleshoni sangachite.

Mu zipatala zabwino anachita otetezeka kunja kwa opaleshoni onse - laparoscopic yamchiberekero chotupa. Ndi monga mabowo pang'ono pamimba kwa dokotala anachotsa chotupa. Pambuyo njirayi, mkazi anachira zambiri mofulumira kuposa pambuyo opaleshoni lotseguka.

Paraovarialnaya

Akukhulupirira kuti ambiri mwa madokotala anandipeza ndi chotupa cha n'kuwasanganiza kumanzere. Makulidwe kwa ntchito za mabungwe oterowo zimadalira aliyense mtundu. Mwachitsanzo, chotupa paraovarialnaya yodziwika chakuti aumbike zambiri kumanzere.

chotupa otere zinaphatikizidwa n'kuwasanganiza ndi mafuta ake. Iwo lili Mitsemphayi uterine. Chifukwa mapangidwe ake imatengedwa matenda endocrine, anachedwa msinkhu, komanso pafupipafupi mimba opaleshoni.

Kukula kukula, kotero chotupa wayamba kukakamiza chikhodzodzo ndi matumbo. Chifukwa cha ichi, akazi kuona pafupipafupi pokodza ndi kudzimbidwa. Komanso, akusokoneza msambo ndi moyo kugonana kumakhala kovuta chifukwa cha zonse kukanikiza ululu.

Mtundu wa chotupa ndi yaikulu. Ngati sanalandire chithandizo, ndi buildup angafikire masentimita oposa khumi awiri. Pali milandu pamene maphunziro paraovarialnoe kuchuluka kwa makilogalamu angapo. Izi zimachitika kawirikawiri, nthawi zambiri amapezeka, ngati mnyamata wamng'ono.

Mosakayikira, ngati adokotala anena kuti muli parovarian chotupa cha kumanzere n'kuwasanganiza lalikulu, opaleshoni idzachitike posachedwapa. Nthawi zambiri, iye sangathe kupereka kukula kuposa 7-8 masentimita. Pali nthawi zina pamene timakhala-ndi kupeza. Palibe kusiyana kwa kuchiza kapena kuchotsa izo mwamtheradi sakutero.

Makoma a chotupa yowirira kwambiri, aziwapatsa Mitsempha.

Iwo adzasangalala ndi akazi okongola kuti maphunziro si ikuyenda mu zilonda. Koma sapereka akazi ufulu kuyiwala za izo! Only chithandizo yake angathandize kuchotsa chotupa a. Monga ulamuliro, ngati wamfupi osatinso kukula, ndiye palibe mavuto sizibweretsa buildup amenewa. Pankhaniyi, pamafunika polojekiti zonse ndi ultrasound ndi kukaonana ndi gynecologist.

Mwatsoka, abalewa parovarian chotupa si kuthetsa. Udzachitike Nthawi zina, mavuto dokotala kufufuta opaleshoni m'mimba. Yamchiberekero chotupa m'mimba mwake zochepa kuchotsedwa kudzera laparoscopy.

cystadenoma

Izi wina mtundu kistoobraznoy chotupa. Iwo ali m'mbali zovuta ndi kudzazidwa ndi madzimadzi serous. Chingakhale makamera umodzi kapena kuposerapo.

Ngati muli ndi serous yamchiberekero chotupa, kukula kwa machitachita a zotupa ngati mlandu oposa 5 masentimita awiri. Panali milandu pamene chinakula kwambiri kuposa 30 cm. Izi matenda bwino patsogolo, amene amapereka mkazi mumamva kupweteka. Komabe, pa zifukwa zina, odwala otero safuna kubwerera mu nthawi thandizo kwa madokotala. Ndi vuto ili pali kuwonjezeka noticeable mbali ina ya pamimba, kumodzi kokha kumene chotupa cha isanafalikire.

Nthawi zina, amatha kukhala yoopsa.

Poyamba chizindikiro cha cysts ngati dokotala n'kukulemberani antiinflammatory ndi anticancer mankhwala mankhwala m'thupi ndi kulimbikitsa mavitamini. Nthawi zambiri mankhwala ndiwofatsa amapereka zotsatira zabwino.

zosokonezeka

Nthawi zina, cysts yamchiberekero kungachititse kuti ena zosokonezeka. iwo amakhala zotsatirazi:

• chotupa chotupa. Pankhaniyi, nkhani lonse la kuwira umalowa mu zonse m'mimba. Pankhaniyi, pali ndondomeko ofanana ndi chophukacho wa kumapeto - peritonitis. Mkazi amamva kupweteka kwambiri, limatuluka kutentha thupi lake, izo zikhoza imfa ya chikumbumtima. Zonsezi ndi zinadzala ndi magazi mkati. Wodwala ayenera kuchipatala.
• chotupa kupotoza. Mu nkhani iyi, n'kuwasanganiza ndi "akapolo." Magazi si ikuyenda kwa izo, choncho mofulumira osauka ululu sangakhale kusiya mankhwala aliwonse. Pankhani ya torsion adzakhala yomweyo anachotsa yamchiberekero chotupa. Mwatsoka, nthawi zina ndi zina. Ngati n'kuwasanganiza si aziwapatsa magazi kwa nthawi yaitali, ndiye pali lifotabe a minofu yake, amene sakhoza anachira.
• Kusintha kwa chotupa chija. Kawirikawiri izi zinachitika pamene chotupa cha chakanidwa. Osati anayamba chithandizo nthawi zimachititsa kuti alibe minofu, ndipo uyu ndi kwambiri, woopsa kwambiri. N'chifukwa chake muyenera yomweyo dokotala anu ngati mukuganiza kuti muli cysts yamchiberekero. Makulidwe kwa ntchito zotupa ngati Mzimuyo dokotala. Izo zinachitika kuti chotupa follicular anafika masentimita oposa 8 awiri, koma sanali awo, popanda alowererepo a dokotala wa. Chirichonse chiri munthu kwambiri.
• Kutupa. Yaitali chitukuko cha cysts ndi angachititse n'kuwasanganiza kuti fester. Pankhaniyi, mwamsanga mankhwala mankhwala ayenera anayambitsa.

opaleshoni kuchotsa ndi chotupa n'kuwasanganiza ndi

mankhwala amakono n'zosavuta kuthana ndi matenda. Pamene ukulephera chithandizo ndiwofatsa, madokotala madokotala. Malinga ndi maganizo a akazi ambiri nthawi imodzi chithunzi cha dokotala ndi chigoba pa nkhope ya mabala kwa m'mimba ndi pansi. Monga angapo zaka zapitazo, izo zinali chomwecho. Koma tsopano pali njira zambiri yosalekerera. Mwachitsanzo, laparoscopy. dokotala Special chida akuchita timabowo ting'onoting'ono pamimba. Kenako, opaleshoni kuti achotse cysts. Choyamba, mokoma chilonda zirimo, amene pambuyo pake anatumiza kwa histology. Kamodzi kuchapidwa ndi chikhodzodzo khoma. losavuta The akuganiza kuchotsa cysts zinchito. Iwo ali pafupifupi otetezeka ndipo ndi zipupa woonda.

Dermoid chotupa amafuna alowererepo kusamala kwambiri chifukwa chakuti ili zosiyanasiyana m'kamwa zinthu olimba.

Ngati kumene mwadzidzidzi yopuma cysts kapena torsion, opaleshoni ikuchitika yomweyo. Imeneyi, zikuoneka kuti patsekeke. Konzanso pambuyo ali pafupi masiku khumi. Pa laparoscopy, nthawi imeneyi yafupika katatu.

yamchiberekero chotupa opaleshoni akhoza reappear. Komabe, akazi ambiri, podziwa chifukwa cha mapangidwe ake, akuyesera kuchenjeza ndi izi mtsogolo.

Choyamba, m'pofunika mosamala kuyan'ana ndandanda wa phwando mankhwala. Ngati sanachite, kusuta sizitenga nthawi yaitali. Pokhapokha ngati kuli kofunika kukhala zowawa kuti zimayenera kudutsa pa opaleshoni? Chachiwiri, ngati chotupa yamchiberekero kuchotsedwa, zilibe zingasokoneze ntchito zanu zoberekera. Popeza anachira, mkazi akhoza kukhala ndi amayi kachiwiri.

Kawirikawiri opaleshoni itha bwinobwino, muyenera kukhala naye mantha ndi kumukokera iye. Apo ayi pali chiopsezo kupeza vuto.

Pambuyo pa opaleshoni, adzapitiriza ululu, omwe udzachitike mu masiku pang'ono. Kumwa mankhwala adzakhala tisaletse chikhalidwe chanu. Ndipo musaiwale za kutheka, amene adzamuika dokotala kwa inu. Potsatira izi ayamikira njira zophweka simudzavutika kwambiri.

Pomaliza

Kuchokera m'nkhaniyi mupeza pa zimene mlingo wa yamchiberekero opaleshoni chotupa. Komabe, si nthawi zonse zofunika. Choyamba tiyenera pikhadacita chomwe unakhazikitsidwa. Ndiye dokotala kudziwa mtundu wa kusankha mkazi mayesero zofunika ndi ultrasound. Monga ulamuliro, izo zimakhala zofunika kudziwa mlingo wa mahomoni wapadera, woyera achiyesa maselo a magazi, mtima wa zolembera chotupa.

Pambuyo njira onsewa agwirizana mu njira zomwe chithandizo chichitike. cysts Large (8 masentimita) pafupifupi nthawi zonse kuchotsedwa mwachangu. Nthawi zambiri zimenezi ndi laparoscopy.

cysts Follicular ndi mbali kutha paokha. Komabe, pamene maonekedwe awo nthawi zonse ayenera kupatsidwa mankhwala m'thupi kupewa m'tsogolo. Komabe, ngati akatswiri onani, cysts izi adzaoneka ndi kutha paokha kwa pafupifupi lonse chonde nthawi ya moyo wa mkazi.

Endometriodnyh chotupa amafuna chithandizo zovuta zambiri. Ngakhale pambuyo kuchotsa ake ayenera kukhala bwinobwino kuchitira endometrium, zimene zingakuthandizeni kuthetsa musabise.

zina cysts amaoneka kamodzi kokha, ndipo pambuyo kuchotsa silinawadziwe kubwerera.