Chotupa cha ovarian ndi thumba lodzaza ndi madzi omwe amatuluka kapena mu ovary. Amayi ambiri amadwala chotupa cha ovarian nthawi yonse ya moyo wawo. Ovarian cysts, omwe nthawi zambiri samapweteka, amakhala ofala kwambiri ndipo sakhala owopsa.

Ambiri mwa ovarian cysts amanenedwa kuti amagwira ntchito ndipo amachoka pakapita nthawi popanda chithandizo. Komabe, ma cysts ena amatha kung'ambika, kupotoza, kukula kwambiri, ndikupangitsa ululu kapena zovuta.

Ovariya zili mbali zonse za chiberekero. Nthawi iliyonse ya msambo, dzira limatuluka m'mimba mwake ndikupita ku dzira chiberekero kuti adyetsedwe. Dzira likatulutsidwa mu ovary, corpus luteum imapanga, yomwe imapanga kuchuluka kwa estrogen ndi progesterone pokonzekera kutenga pakati.

Mitundu yosiyanasiyana ya ovarian cysts

Ziphuphu zamchiberekero zinchito

Izi ndizofala kwambiri. Amawoneka mwa amayi pakati pa kutha msinkhu ndi kusintha kwa thupi, chifukwa amagwirizanitsidwa ndi kusamba: 20% mwa amayiwa amakhala ndi zotupa zoterezi ngati ultrasound ichitidwa. Ndi 5% yokha ya amayi omwe ali ndi vuto losiya kusamba ali ndi mtundu uwu wa chotupa chogwira ntchito.

Ma cysts omwe amagwira ntchito amatha kuzimiririka pakangopita milungu ingapo kapena atatha kusamba kawiri kapena katatu: 70% ya cysts yogwira ntchito imayambiranso pakatha milungu 6 ndi 90% m'miyezi itatu. Chotupa chilichonse chomwe chimakhalapo kwa miyezi yopitilira 3 chimaonedwa kuti sichikugwiranso ntchito ndipo chiyenera kufufuzidwa. Mitsempha yogwira ntchito imakhala yofala kwambiri mwa amayi omwe amagwiritsa ntchito njira zolerera za progestin-only (zopanda estrogen).

Organic ovarian cysts (zosagwira ntchito)

Iwo ali abwino mu 95% ya milandu. Koma ali ndi khansa mu 5% ya milandu. Amagawidwa m'mitundu inayi :

• Ziphuphu zam'madzi akhoza kukhala ndi tsitsi, khungu kapena mano chifukwa amachokera ku maselo omwe amapanga dzira la munthu. Nthawi zambiri amakhala ndi khansa.
• Serous cysts,
• Zotupa za mucous
• Ndi cystadénomes serous kapena mucinous amachokera ku minofu ya ovarian.
• Matenda okhudzana ndi endometriosis (endometriomas) yokhala ndi zotuluka magazi (zotupazi zimakhala ndi magazi).

Le sycystic ovary syndrome

Polycystic ovary syndrome imatchedwa polycystic ovary syndrome pamene mkazi ali ndi zotupa zazing'ono zingapo m'mimba mwake.

Kodi chotupa cha ovarian chingakhale chovuta?

Ma cysts, akapanda okha, amatha kubweretsa zovuta zingapo. Ovarian cysts akhoza kukhala:

• yopuma, pamene madzi amadzimadzi amatuluka mu peritoneum kumayambitsa kupweteka kwambiri ndipo nthawi zina kutuluka magazi. Zimatengera opaleshoni.
• Kupinda (kupindika kwa chotupa), chotupacho chimadzizungulira chokha, kupangitsa chubu kusinthasintha ndi kutsina kwa mitsempha, motero kuchepetsa kapena kuyimitsa kufalikira kumayambitsa kupweteka kwambiri komanso kusowa kwa okosijeni wa ovary. Uwu ndi opaleshoni yadzidzidzi kuti asasokoneze ovary kuti asavutike kwambiri kapena necrosis (panthawiyi, maselo ake amafa chifukwa chosowa mpweya). Izi zimachitika makamaka kwa cysts zazikulu kapena cysts ndi pedicle woonda kwambiri. Mkaziyo amamva lakuthwa, wamphamvu ndi osatha ululu, nthawi zambiri kugwirizana ndi nseru ndi kusanza.
• Wodala : Izi zikhoza kukhala intracystic hemorrhage (kuwawa kwadzidzidzi) kapena peritoneal extracystic hemorrhage (mofanana ndi kupasuka kwa chotupa). Opaleshoni ya priori laparoscopic iyeneranso kugwiritsidwa ntchito.
• Compress oyandikana ziwalo. Zimachitika pamene chotupa chikukula. Izi zingayambitse kudzimbidwa (kupanikizana kwa m'mimba), kukodza pafupipafupi (kupanikizana kwa chikhodzodzo) kapena kupanikizana kwa mitsempha (edema).
• Kuyambukiridwa. Izi zimatchedwa matenda a ovarian. Zitha kuchitika pambuyo pa kuphulika kwa chotupa kapena kutsatira kuphulika kwa cyst. Opaleshoni ndi mankhwala opha maantibayotiki amafunikira.
• Kukakamiza Kaisareya pakachitika mimba. Pa nthawi ya mimba, zovuta zochokera ku ovarian cysts ndizofala kwambiri. 

   

Momwe mungadziwire ovarian cyst?

Popeza ma cysts nthawi zambiri samakhala opweteka, matenda a cyst nthawi zambiri amapangidwa panthawi ya mayeso okhazikika a pelvic. Ma cysts ena amatha kuwoneka pa palpation pakuwunika kumaliseche akakhala akulu mokwanira.

A jambulani imalola kuiona m’maganizo ndi kudziŵa, kukula kwake, mawonekedwe ake ndi malo ake enieni.

A zojambulajambula nthawi zina amakulolani kuti muwone mawerengedwe okhudzana ndi chotupa (ngati dermoid chotupa).

A IRM Ndikofunikira ngati chotupa chachikulu (kuposa 7 cm)

A laparoscopy kumakupatsani mwayi wowona mawonekedwe a chotupacho, kuchiboola kapena kuchotsa chotupacho.

Magazi amayesedwa, makamaka kudziwa kuti ali ndi pakati.

Kuyesa kwa puloteni, CA125, kumatha kuchitidwa, puloteniyi imakhalapo kwambiri m'makhansa ena am'mimba, mu uterine fibroids kapena endometriosis.

Ndi akazi angati akudwala ovarian chotupa?

Malinga ndi National College of French Gynecologists and Obstetricians (CNGOF), azimayi 45000 amagonekedwa m'chipatala chaka chilichonse chifukwa cha chotupa cha m'mimba. 32000 akanatha kugwira ntchito.