So akisikuru bi bɛn wo mmadwoa no? (Paraovarian Cyst) Momma yensua ho ade.

Ebia wɔahu sɛ wowɔ akisikuru ketewaa bi wɔ wo mmadwoa so bere a wɔreyɛ wo nhwehwɛmu daa anaasɛ wɔreyɛ wo scan no. Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo ho nyɛ wo dɛ kakra bere a wote eyi no. Nanso ansa na ehu bɛbɔ wo no, momma yɛnkyerɛkyerɛ nokwasɛm ahorow bi mu tẽẽ. Ɛnnɛ, yɛrebɛka tebea bi a wɔfrɛ no paraovarian cyst a ɛtaa ba mmea pii mu nanso ɛnyɛ nea asiane wom kɛse ho asɛm.

Dɛn ne Paraovarian Cyst? Sɛ yɛbɛka no tiawa a...

Saa edin yi ankasa wɔ ntease bi.

• "Para" kyerɛ sɛ "ɛbɛn" anaa "ɛbɛn."
• "Ovarian" kyerɛ sɛ ɛfa wo ovaries ho.
• "Cyst" yɛ ade a ɛte sɛ kotoku a nsu ahyɛ mu ma (ɛtɔ mmere bi a nsu ne nneɛma a ɛyɛ den a wɔadi afra).

Enti, Paraovarian Cyst nyɛ akisikuru a ɛba wo mmadwoa so anaasɛ ɛwɔ mu , na mmom akisikuru a nsu ahyɛ mu ma a ɛba bɛn awotwaa no na ɛbɛn no yiye . Eyinom yɛ soronko wɔ Ovarian Cysts ho.

Ɛtɔ mmere bi a, sɛ ɛba baabi a ɛbɛn wo Fallopian tubes a, wɔfrɛ no Paratubal Cysts (tubal kyerɛ tube) . Afei nso, ɔkwan titiriw bi wɔ hɔ a wɔfrɛ no Hydatid Cysts of Morgagni . Eyinom ba wɔ nsensanee nketenkete a ɛte sɛ nsateaa (a wɔfrɛ no fimbriae ) a ɛwɔ awotwaa no ano no so. Saa fimbriae yi ne nea ɛkyere nkesua a efi awotwaa no mu bere a ovulation no twetwe no kɔ fallopian tube no mu.

Nanso nea ɛho hia sen biara ne sɛ mpɛn pii no, saa paraovarian cysts yi nyɛ asiane biara na ɛnkyerɛ sɛnkyerɛnne kakraa bi pɛ.

Paraovarian cysts yi abu so dɛn?

Paraovarian cysts yɛ cysts a wohu wɔ w’awotwaa mu nyinaa mu 5% kosi 20% . Nanso ɛyɛ den sɛ yɛbɛka sɛnea ɛtaa ba ankasa, efisɛ mpɛn pii no wonni sɛnkyerɛnne biara, enti ebia nnipa binom renhu mpo sɛ wɔwɔ bi. Mpɛn pii no, wonhu wɔn yare efisɛ wonni ntease pɔtee bi a enti ɛsɛ sɛ wɔkɔ oduruyɛfo nkyɛn.

Ɛwom sɛ wotumi nyin wɔ mfe biara mu de, nanso wɔtaa hu wɔ mmea a wɔadi fi mfe 20 kosi 40 , a ɛyɛ wɔn mma mfe mu.

Dɛn ne eyi ho sɛnkyerɛnne?

Mpɛn pii no, paraovarian cysts mfa sɛnkyerɛnne biara mma . Nanso sɛ wɔyɛ saa a, mpɛn pii no, esiane sɛ akisikuru no anyin kakra na ɛrema nhyɛso aba wo yafunu mu nti. Saa nhyɛso yi betumi ayɛ te sɛ ɛyaw a ɛyɛ mmerɛw anaasɛ ɛyaw a ɛyɛ brɛoo a ɛyɛ sekan wɔ wo yafunu ase. Ɛtɔ mmere bi mpo a, ebetumi ayɛ ɛyaw a ano yɛ den .

So paraovarian cyst de ɛyaw ba?

Yiw, ebetumi aba saa. Ɛyaw betumi aba, titiriw bere a akisikuru no nyin na ɛmia akwaa afoforo a ɛwɔ yafunu no mu no. Ɛtɔ da bi a, sɛ ɛyaw nni wo mu a, ebia wobɛte nka sɛ wo mu yɛ duru, wo ho nyɛ wo dɛ, anaa wobɛte nka sɛ biribi ahyɛ wo yafunu ma. Eyi nso ba sɛ akisikuru no sõ yiye a.

Dɛn nti na saa paraovarian cysts yi ba?

Eyinom ba bere a ntini a ɛbɔ wo ho ban a wɔfrɛ no broad ligament a atwa w’awo akwaa ahorow te sɛ awotwaa ne awotwaa mu ntini ho ahyia no fã bi yɛ ade a ɛte sɛ kotoku na nsu boaboa ano wɔ mu no. Mpɛn pii no, saa akisikuru yi ba ntini a ɛtrɛw no mfinimfini.

Susuw ho hwɛ, bere a na woyɛ akokoaa wɔ wo maame awotwaa mu no, wo awo nhyehyɛe no afã horow (fallopian tubes, awotwaa, awotwaa, awotwaa no atifi) fi ntini a ɛyɛ abien abien a wɔfrɛ no Müllerian ducts mu . Enti, bere a saa akwaa ahorow yi nyin no, wogye di sɛ akyiri yi asinasin nketenkete a aka fi saa Müllerian ntini ahorow no mu no nyin bɛyɛ akisikuru wɔ saa ntini a ɛtrɛw yi mu. Sɛ yɛbɛka no tiawa a, eyinom yɛ asinasin nketenkete a aka a na ɛwɔ hɔ ansa na wɔrewo wo mpo.

Dɛn ne nsɛnnennen a ɛwɔ tebea yi mu?

Mpɛn pii no, sɛ paraovarian cyst no nni sɛnkyerɛnne biara anaasɛ enni asiane mu sɛ obenya nsɛnnennen a, enhia sɛ wɔde sa yare biara. Nanso, ɛtɔ mmere bi a nsɛnnennen betumi aba. Eyinom bi ne:

• Ntrɛwmu: Paraovarian cyst dodow no ara kɛse fi sɛntimita 1 kosi 8 (0.5 kosi bɛboro nsateakwaa 3 kakra). Mpɛn pii no, wonni sɛnkyerɛnne biara bere a wɔyɛ mmofra no. Nanso, ɛntaa mma koraa sɛ ebinom tumi nyin bɛyɛ sɛntimita 20 (ɛkame ayɛ sɛ nsateakwaa 8)! Sɛ wɔyɛ kɛse saa a, wotumi mia yafunu mu akwaa no so na wɔde sɛnkyerɛnne te sɛ yafunu ase yaw, akisikuru, ne nsu a wɔtaa tow aba. Nkwammoaa akɛse wɔ asiane kɛse mu sɛ wobenya nsɛnnennen afoforo te sɛ nea ɛbɛkyinkyin anaasɛ ɛbɛpaapae.

• Torsion: Ɛda adi sɛ akisikuru akɛse bɛkyinkyim . Sɛ wɔkyinkyim a, wobetumi de sɛnkyerɛnne ahorow te sɛ yafunu mu yaw kɛse, akyi yaw, atiridiinini, ne ɔfe aba . Ɛdenam baabi a akisikuru no wɔ so no, saa twitwiw yi betumi akyinkyim awotwaa no mpo. Eyi betumi atwa mogya ne mframa pa a ɛkɔ saa mmeae no mu, na ama ntini asɛe daa.

Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ! Sɛ akisikuru bi mu paapae a, ɛho hia sɛ wɔhwehwɛ ayaresa ntɛm ara.

• Paapae: Akisikuru betumi apae na ama mogya atu wɔ nipadua no mu.

• Kokoram: Eyi ho yɛ na yiye. Eyi kyerɛ sɛ sɛnea ɛbɛyɛ yiye sɛ paraovarian cyst bɛdan ɔyare bɔne no sua koraa. Sɛ afã horow a ɛyɛ den (akisikuru) wɔ akisikuru bi mu mpo a, ɛda adi sɛ ɛnyɛ nea asiane biara nni ho.

Ɔkwan bɛn so na wobetumi ahu sɛ obi anya paraovarian cyst?

Nnipa dodow no ara hu sɛ wɔwɔ cyst te sɛ eyi bere a oduruyɛfo yɛ pelvic nhwehwɛmu anaasɛ ultrasound scan . Ultrasound yɛ ɔkwan a wɔfa so twa w’awo akwaa ne nneɛma afoforo a ɛwɔ wo yafunu mu te sɛ akisikuru ho mfonini. Wobetumi de MRI (Magnetic Resonance Imaging) nhwehwɛmu nso ahu eyinom.

Sɛ wowɔ akisikuru a ayɛ kɛse ho sɛnkyerɛnne te sɛ yafunu ase yaw a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ wo transvaginal ultrasound . Eyi de mfiridwuma a wɔde yɛ ultrasound daa di dwuma. Nanso, wɔde afiri ketewaa bi a wɔfrɛ no transducer fa awotwaa no mu de hwehwɛ akisikuru. Eyi ma wotumi hu awotwaa ne mmeae a atwa ho ahyia no yiye.

Ɛtɔ da bi a, ebia wo duruyɛfo bɛpɛ sɛ oyi akisikuru no fi hɔ hwɛ sɛ ɛyɛ nsu kɛkɛ (akisikuru a ɛnyɛ den) anaasɛ ɛyɛ den (te sɛ akisikuru). Nanso wo duruyɛfo no besi gyinae sɛ ɔbɛyɛ eyi anaa. Mpɛn pii no, ɛho nhia.

Ɔkwan bɛn so na wɔsa paraovarian cysts?

Paraovarian cysts dodow no ara nyɛ asiane biara na enhia ayaresa. Nanso, wɔ nsɛm a ɛntaa nsi mu — sɛ wowɔ asiane mu sɛ wubenya nsɛnnennen afi cyst no mu, anaasɛ sɛ hokwan ketewaa bi wɔ hɔ sɛ ebetumi ayɛ kokoram a — wo duruyɛfo betumi ayi afi hɔ. Nneɛma a wɔde di dwuma ne ayaresa a wobetumi apaw bi ni:

• Sɛnea wɔhwɛ kwan sɛ wɔbɛhwɛ: Eyi kyerɛ sɛ wo cyst no nhia sɛ wodi akyi biara. Eyi te saa sɛ wo cyst no nyɛ nea epira, enni sɛnkyerɛnne biara, na ɛnyɛ nea asiane biara nni ho sɛ obenya nsɛnnennen a. Eyi ne mmuae a wɔtaa yɛ wɔ paraovarian cysts ho.

• Hwɛ: Ɛda adi sɛ wo cyst no nyɛ asiane biara, nanso sɛ asiane ketewaa bi wɔ hɔ sɛ ɔhaw bi te sɛ kɛse anaa kokoram bɛba a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ ultrasound scan anaa mogya mu nhwehwɛmu na ama wahu pii afa cyst no ho. Eyi kyerɛ sɛ wobɛma w’ani ahwɛ so kakra.

• Oprehyɛn: Sɛ wo cyst no de sɛnkyerɛnne ahorow reba anaasɛ asiane wɔ hɔ sɛ nsɛnnennen bɛba a, oprehyɛn a wɔde beyi cyst no yɛ ɔkwan a wobɛfa so.

Akwan a wɔfa so yɛ oprehyɛn

Oprehyɛn a wɔtaa yɛ de yi paraovarian cyst fi hɔ ne laparoscopic cystectomy . Nea ɛka eyi ho ne sɛ wubetwa wo yafunu mu nketenkete paa pii na wode mfoninitwa afiri ne nnwinnade pa afa mu de ayi akisikuru no afi hɔ. Nnipa binom nso frɛ eyi "keyhole surgery."

Sɛ wowɔ paraovarian cyst a, dɛn na wobɛhwɛ kwan?

Ɛda adi sɛ, wubehu saa akisikuru yi ho asɛm wɔ akwanhyia mu bere a wokɔ wo duruyɛfo nkyɛn kɔhwehwɛ biribi foforo no. Wo duruyɛfo bɛka akyerɛ wo sɛ ɛsɛ sɛ wɔhwɛ so anaasɛ ɛsɛ sɛ wɔyɛ nhwehwɛmu afoforo. Ɛda adi kɛse sɛ paraovarian cyst yɛ akisikuru a asiane biara nni ho a ennya w’asetra so nkɛntɛnso kɛse.

So saa akisikuru yi ankasa bɛkɔ?

Yiw, mpɛn pii no, wɔn ankasa kɔ a ɔhaw biara nni ho. Nanso ɛntaa mma koraa sɛ wɔn mu binom betumi ayɛ akɛse na wɔakyinkyim. Sɛ ɛba saa a, wo duruyɛfo betumi ayi afi hɔ.

So wobetumi asiw paraovarian cysts ano?

Awerɛhosɛm ne sɛ, ɔkwan biara nni hɔ a wɔbɛfa so asiw eyinom kwan sɛ wɔbɛhyehyɛ. Nanso asɛmpa no ne sɛ mpɛn pii no ɛyɛ akisikuru a asiane nnim a enhia sɛ wohaw wo ho wɔ ho.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Mma wo afe afe mmea ho nhwehwɛmu no nmpa wo ti so, fi ase bere a woadi mfe 15 anaa bere a woayɛ nna mu kyɛfa akyi no. Sɛ wuhu sɛnkyerɛnne foforo biara a, ka kyerɛ wo duruyɛfo wɔ wo afe afe nhwehwɛmu no mu. Ɛwom sɛ mpɛn pii no, paraovarian cyst nyɛ ɔhaw de, nanso wo duruyɛfo betumi ahwɛ ahu sɛ worenkɔ asiane mu sɛ wubenya nsɛnnennen.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Sɛnea yɛadi kan aka no, sɛ cyst bi twitwiw (torsion) a ɛyɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Ɛsɛ sɛ wohwehwɛ mmoa ntɛm ara. Nsɛnkyerɛnne no ne:

• Ɛyaw a ano yɛ den a ɛba mpofirim wɔ yafunu mu.
• Ɛyaw a efi ase wɔ akyi berɛmo mu na ɛhyerɛn.
• Ɛyaw a emu yɛ den a ɛba bere a obi te nka sɛ ne ti ayɛ no yaw na ne ho yɛ no yaw.

Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, ntwentwɛn wo nan ase, kɔ ayaresabea ntɛm ara.

Nsonsonoe bɛn na ɛwɔ ovarian cyst ne paraovarian cyst ntam?

Paraovarian cysts ba wɔ baabi a ɛbɛn awotwaa no, na ɛnyɛ ne so anaa ne mu. Nanso, akisikuru ahorow abien no nyinaa betumi ayɛ pɛ wɔ mfoninitwa mu na ɛtaa de sɛnkyerɛnne a ɛte saa ara ba. Nsɛnnennen betumi ayɛ nea ɛte saa ara, na ɛtɔ mmere bi a wotumi de oprehyɛn koro no ara yi fi hɔ.

Nanso nsonsonoe atitiriw kakraa bi wɔ hɔ.

Mpɛn pii no, ovarian cysts ba esiane nsakrae a ɛba wo nipadua mu wɔ hormone mu nti. Nanso, paraovarian cysts ntumi nyɛ hormone ahorow ho dwuma. Nhwehwɛmu bi kyerɛ sɛ paraovarian cysts taa paapae sen ovarian cysts.

So paraovarian cysts yɛ kokoram?

Ebetumi aba, nanso ɛntaa nsi koraa. Nnipa kakraa bi pɛ na wɔbɔ amanneɛ sɛ saa akisikuru yi dan kokoram.

Enti, sɛ wo duruyɛfo hu paraovarian cyst wɔ ultrasound scan mu a, mma wo ho nnpopo ntɛm ara.Ebia ɛyɛ biribi a aka fi bere a na w’awo nhyehyɛe renya nkɔso ansa na wɔrewo wo no. Ebia ɛnyɛ asiane biara. Wo duruyɛfo bɛkyerɛ wo sɛ ebia ɛsɛ sɛ woyi fi hɔ anaasɛ ɛnsɛ sɛ woyi fi hɔ.

Nneɛma a ɛho hia paa sɛ wobɛkae (Take-Home Message) .

Okay, enti momma yɛnbɔ nneɛma bi a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu no mua:

• Paraovarian cyst yɛ cyst bi a nsu ahyɛ mu ma a ɛba bɛn ovary no na mpɛn pii no ɛnyɛ asiane biara.
• Mpɛn pii no eyinom mfa sɛnkyerɛnne biara mma.
• Eyinom fi ntini bi a na ɛwɔ hɔ ansa na wɔrewo wo mu.
• Nsɛnnennen ntaa mma, nanso ebetumi aba, te sɛ akisikuru a ɛtrɛw, ɛkyinkyin, anaasɛ ɛpaapae. Akisikuru a ɛpaapae yɛ aduruyɛ mu asɛm a egye ntɛmpɛ!
• Mpɛn pii no, ayaresa biara ho nhia. Hwɛ anaasɛ sɛ ɛho hia a, oprehyɛn a wɔde yi fi hɔ nkutoo ne nea ehia.
• Eyinom nni asiane a ɛba fam koraa sɛ wɔbɛyɛ kokoram.
• Sɛ wowɔ sɛnkyerɛnne bi a ɛyɛ soronko (te sɛ yafunu ase yaw, akisikuru), anaasɛ wopa mmea ho nhwehwɛmu a woyɛ no afe biara a, kɔ oduruyɛfo nkyɛn.

Enti, mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Kae sɛ, nea ehia paa ne sɛ wobɛhwɛ wo nipadua ne w’akwahosan. Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi a, nsuro sɛ wo ne oduruyɛfo bɛkasa.

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