Ua lohe paha ʻoe i nā puʻupuʻu ʻē e ulu ana i loko o nā ovaries, aia nā mea e like me ka lauoho, nā niho, a me ka ʻili? He mea ʻē iki ke kani ʻana, ʻeā? Akā, he mea maoli kēia. ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau he 'Ovarian Dermoid Cyst' a i ʻole 'Mature Cystic Teratoma'. ʻOiai paha e kani weliweli ka inoa, ʻaʻole pinepine kēia he maʻi kanesa. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi i kēia lā?
He aha ke ʻano o ka ovarian dermoid cyst?
I ka ʻōlelo maʻalahi, he ʻeke piha wai ia e hana ʻia ana i loko o kāu mau ovaries. Akā, ʻaʻole wale ka wai i loko o kēia ʻeke. He ʻiʻo ia mai nā ʻāpana ʻē aʻe o kou kino, e like me kou mau follicle lauoho, nā ʻili ʻili, nā niho, a i kekahi manawa nā ʻiʻo nerve. E noʻonoʻo e pili ana i ia mea, he mea ʻē iki ia, ʻeā?
ʻAʻole e like me nā cysts ʻē aʻe e hana mau ana ma nā ovaries, ʻaʻole pili kēia mau cysts dermoid me kāu pōʻaiapuni menstrual. Hoʻokumu maoli ʻia lākou i ka wā e hōʻiliʻili ai nā ʻiʻo i ulu piha ʻia ma kahi ʻano ʻē, e like me kāu ovary.
ʻO ka mea nui loa, ʻo kēia mau cysts dermoid ovarian he mau kūlana ʻaʻole ia he maʻi kanesa . ʻO ia hoʻi, ʻaʻohe mea e hopohopo ai. Eia nō naʻe, inā ulu nui kēia mau cysts ma mua o ko lākou nui, hiki ke loaʻa kekahi mau pilikia. No laila, ʻoi aku ka maikaʻi o ke kiʻi ʻana i kēia e ke kauka a loaʻa ka ʻōlelo aʻoaʻo no ka wehe ʻana iā lākou a i ʻole, inā pono.
ʻO wai ka mea e loaʻa ana i nā cysts dermoid? Pehea ka maʻamau o lākou?
Hiki i kekahi mea me nā ovaries ke hoʻomohala i kahi ovarian dermoid cyst. Manaʻo pinepine ʻia aia kēia mau mea i ka wā hānau . Eia nō naʻe, ʻike wale ka poʻe he nui i loaʻa iā lākou i ka wā o ke kaʻina hana kiʻi i hana ʻia no kekahi kumu ʻē aʻe. No ka laʻana, he mea maʻamau ka ʻike ʻia ʻana o kahi cyst i ka wā o ka ultrasound scan i ka wā hāpai.
ʻO nā Ovarian Dermoid Cysts ke ʻano maʻamau o ka ʻōpū germ cell benign ovarian e ulu ana i loko o nā ovaries. ʻO lākou nō hoʻi ke ʻano maʻamau o ka ovarian cyst i loaʻa i ka wā hāpai. Ma kahi o hoʻokahi hapakolu o nā cysts noncancerous i ʻike ʻia i ka wā hāpai he ovarian dermoid cysts. I kekahi manawa, ma 10% a 15% o nā hihia, loaʻa lākou i nā ovaries ʻelua.
He aha nā hopena o kēia mau puʻupuʻu i ke kino? Aia kekahi mau pilikia?
ʻO ka maʻamau, ʻo ka pilikia nui me kēia mau cysts dermoid ovarian ʻo ia ka hoʻoulu ʻana i kekahi mau pilikia. ʻO ka nui o ka cyst, ʻo ka nui aʻe o ka hiki ke hoʻoulu i nā pilikia.
ʻElua mau pilikia nui e hiki ke loaʻa:
1.ʻO ke kuʻi ʻana o ka ovary: Hiki i kēia mau cysts dermoid ke ulu nui i kekahi manawa. Ke hana ʻia kēia, hiki i ka ovary e loaʻa ana ka cyst ke milo a puni kona axis. E noʻonoʻo iā ia e like me kahi mea kaumaha e kau ana mai kahi kaula e milo ana. Ke hana ʻia kēia milo, ua emi a nalowale loa paha ke kahe koko i ka ovary. Inā ʻaʻole e mālama koke ʻia, hiki i ka ovary ke hōʻino ʻia a make paha. He pilikia kēia.
2. Pohā: Hiki i kēia ke kumu o ka pohā ʻana o ka cyst a ninini i kona mau mea i loko o ka lua ʻōpū. ʻO ka hapa nui o ka manawa, e omo ke kino i nā mea i loko a ʻaʻole ia he pilikia nui. Eia nō naʻe, i kekahi manawa hiki i kēia pohā ke alakaʻi i ka maʻi. Inā hana ʻia kēia, pono ka mālama olakino ulia pōpilikia.
He mea nui: ʻO ka manawa kūpono o kēia mau cysts dermoid ovarian e lilo i maʻi kanesa he haʻahaʻa loa, ʻaʻole i hiki i ka 2%.
Eia nō naʻe, hiki ke hoʻonui iki ʻia ka pilikia o ka loaʻa ʻana o ka maʻi kanesa i nā hihia aʻe:
- Inā ʻoe ma luna o 45 mau makahiki .
- Inā ulu wikiwiki loa ka puʻupuʻu.
- Inā ʻoi aku ke anawaena o ka puʻupuʻu ma mua o 10 kenimika .
Inā manaʻo kāu kauka e haki ka puʻupuʻu, haki, a lilo paha i maʻi kanesa, hiki iā ia ke ʻōlelo aku e wehe iā ia.
He aha nā hōʻailona o nā cysts dermoid?
ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau cysts dermoid ovarian e hōʻike i kekahi mau hōʻailona , ʻoiai inā he liʻiliʻi ka cyst. Inā loaʻa iā ʻoe nā hōʻailona, ʻo ia ka manawa maʻamau i ka wā e nui loa ai ka cyst. ʻO nā mea nui āu e ʻike ai:
- ʻEha ma ka ʻōpū lalo
- He manaʻo o ke kaomi i loko o ka ʻōpū
- He manaʻo o ka piha
Ma waho aʻe o kēia mau mea, hiki iā ʻoe ke ʻike i nā hōʻailona ma lalo nei, ʻoiai ʻaʻole pinepine pinepine:
- Ka luaʻi
- Ka luaʻi ʻana
- Ka paʻa ʻana o ka ʻōpū
- Nā loli i ka makemake
- ʻEha i ka wā o ka moekolohe (Dyspareunia)
E noʻonoʻo, ua loaʻa iā Nimali kahi ʻeha like ma kona ʻōpū haʻahaʻa no kekahi manawa. Ua manaʻo ʻo ia he mea maʻamau ia. Ma hope mai, ua ʻike ʻo ia i ke kauka a ua hana ʻia kahi scan, a ua ʻike ʻia he cyst dermoid kona i loko o kāna ovary. No laila, inā ʻoe e ʻike nei i kēia mau hōʻailona, he manaʻo maikaʻi e ʻike i ke kauka.
No ke aha i hana ʻia ai kēia mau cysts dermoid ovarian? No ke aha he lauoho a me nā niho ko lākou?
He moʻolelo paʻakikī kēia. Hoʻokumu ʻia kēia mau ovarian dermoid cysts ma mua o kou hānau ʻia ʻana, i ke kahua embryonic . Aia nā ʻano o nā cell i loko o ko mākou kino i manaʻo ʻia e hana i nā mea e like me ka ʻili, ka lauoho, a me ka ʻōnaehana nerve, a ulu kekahi o kēlā mau cell i loko o kēia mau dermoid cysts.ʻAʻole hiki i nā kānaka ʻepekema ke ʻike i ke kumu kūpono o kēia ulu ʻano ʻē.
Hoʻomohala kēia mau ʻāpana i loko o nā ʻiʻo i ulu piha. ʻO ke ʻano kēia, hiki i kēia puʻupuʻu ke loaʻa ka ʻili i hana piha ʻia, ka lauoho, nā niho, nā ʻiʻo aʻalolo, a i kekahi manawa nā ʻiʻo lolo! Hoʻohui pū kēia mau ʻano ʻiʻo a pau e hana i kahi puʻupuʻu maikaʻi i loko o kāu ovary.
Eia kekahi, hiki i nā ʻiʻo mai nā kelepa hou ke ulu i loko o kēia cyst. Hoʻopuka kēia mau kelepa i kahi wai ʻaila i kapa ʻia ʻo 'sebum'. Ma muli o kēlā sebum e ulu mālie ai kēia cyst. Ulu mālie nā cysts dermoid. ʻIke ʻoe i ka ulu nui loa i kou wā hānau, ʻo ia hoʻi, i ka wā hiki iā ʻoe ke loaʻa nā keiki.
No ke aha i loaʻa ai nā mea e like me ka lauoho a me nā niho i loko o kēia mau nati?
ʻO kēia no ka mea ua hoʻokumu ʻia nā Dermoid Cysts mai kahi ʻano cell kūikawā i kapa ʻia ʻo 'germ cells'. ʻO kēia mau germ cell nā cell e lilo i mau cell hua manu a i ʻole sperm cell. Ke ulu ka embryo, aia ʻekolu papa o kēia mau germ cell. ʻO kēia mau papa ʻekolu ka mea e hoʻoulu ai i nā ʻiʻo like ʻole, nā ʻōkana, a me nā ʻōnaehana o ke kino:
- Ectoderm: Maanei kahi i hoʻokumu ʻia ai nā mea e like me ka ʻili, ka lauoho, nā ʻōpū hou, a me nā niho.
- Mesoderm: Maanei kahi e hana ʻia ai nā ʻiʻo a me nā ʻiʻo pili.
- Endoderm: Maanei kahi e hana ʻia ai ke ala ʻai (ʻōpū) a me nā ʻano kino o loko.
No laila, i kekahi manawa ulu kēia mau papa i kahi ʻano ʻē , a hui pū nā ʻiʻo i hoʻomohala piha ʻia e hana i kahi cyst dermoid. ʻO ia ke kumu e hiki ai i kēia mau cysts ke loaʻa nā mea e like me ka lauoho a me nā niho. Akā, ʻaʻole wale ka lauoho a me nā niho, hiki i kēia mau cysts ke loaʻa nā ʻiʻo e ulu ana mai kekahi o nā papa ʻekolu o kahi cell germ.
Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe kēia, e ke kauka?
E like me kaʻu i ʻōlelo ai ma mua, ʻo ka hapa nui o ka manawa, ʻaʻole kēia mau cysts dermoid ovarian e hoʻoulu i nā hōʻailona, no laila e ʻike paha ʻoe he hoʻokahi kāu i ka wā o ke kaʻina hana kiʻi maʻamau i hana ʻia no kekahi kumu ʻē aʻe.
Hiki i kāu kauka ke ʻike i kēia me ka ultrasound ʻōpū a i ʻole ka ultrasound transvaginal . He ʻano kū hoʻokahi ko nā cysts dermoid, e maʻalahi ai ke ʻike ʻia ma kahi scan. Hiki i kahi sonographer akamai e kālailai i nā kiʻi ultrasound ke ʻike piha i nā cysts dermoid.
ʻAʻole pinepine loa, he hoʻāʻo MRI (Magnetic Resonance Imaging)Hoʻohana ʻia kēia no ka ʻike ʻana i nā cysts dermoid ovarian. Inā ʻaʻole lawa ka ʻike i hāʻawi ʻia e kahi scan ultrasound, hiki i kahi scan MRI (Magnetic Resonance Imaging) ke kōkua i ka loaʻa ʻana o ka ʻike kikoʻī e pili ana i nā mea o loko o ka cyst.
Pono anei e wehe ʻia kēia mau ovarian dermoid cysts?
ʻAʻole, ʻaʻole pono e wehe ʻia nā cysts dermoid ovarian āpau. Hiki i kāu kauka ke ʻōlelo aku e wehe i ka cyst i nā hihia aʻe:
- Inā nui loa ka puʻupuʻu (ʻoi aku ma mua o 5 kenimika ke anawaena).
- Inā ʻoe e ʻike nei i nā hōʻailona ma muli o ka puʻupuʻu.
- Inā he kānalua paha he maʻi kanesa (malignant) ka puʻupuʻu .
E nalowale ana kekahi ʻano o nā cysts ovarian iā lākou iho i ka hala ʻana o ka manawa. Eia nō naʻe, ʻaʻole e nalowale nā cysts dermoid iā lākou iho . E nalowale wale nō lākou inā e wehe ʻia.
Pehea e mālama ʻia ai?
ʻO ka mālama ʻana no nā cysts dermoid ovarian e pili ana i ka wehe ʻana i ka cyst ma ke ʻoki kino . I nā hihia kakaikahi, pono paha e wehe ʻia ka ovary holoʻokoʻa e loaʻa ana ka cyst. ʻO ka lāʻau āu e koho ai e hilinaʻi ʻia i ke koʻikoʻi o ka cyst a inā ʻoe e hoʻolālā e loaʻa nā keiki i ka wā e hiki mai ana.
ʻElua mau koho ʻoki kino nui:
1. Ovarian Cystectomy: Pili kēia i ka wehe ʻana i ka ʻāpana o ka ovary e loaʻa ana ka cyst. Mālama kēia kaʻina hana i kāu mau ovaries, no laila ʻaʻole e hoʻopilikia ʻia kou momona.
2. Oophorectomy: Ma kēia, ua wehe ʻia ka ovary holoʻokoʻa me ka puʻupuʻu.
Hoʻopau ka nui o nā kauka i nā cysts dermoid ovarian me ka hoʻohana ʻana i kahi kaʻina hana i kapa ʻia ʻo laparoscopy . Ua kapa ʻia hoʻi kēia ʻo 'keyhole surgery.' Pili kēia i ka hana ʻana i kekahi mau ʻoki liʻiliʻi loa i loko o kou ʻōpū, ke hoʻokomo ʻana i kahi kāmela a me nā mea hana maikaʻi ma o lākou, a me ka wehe ʻana i ka cyst. Hiki i kēia ke kōkua iā ʻoe e hoʻōla wikiwiki.
Eia nō naʻe, inā nui loa kāu cyst, inā he mau cysts kou ma nā ovaries ʻelua, a inā he kānalua paha he maʻi kanesa ka cyst, hiki i kāu kauka ke ʻōlelo aku i kahi ʻoki ʻē aʻe i kapa ʻia he laparotomy . Pili kēia i ka hana ʻana i kahi ʻoki nui iki ma kou ʻōpū.
E wehewehe aku kāu kauka iā ʻoe i ke koho ʻoki kino i kūpono loa i kou kūlana.
Aia kekahi ala e pale aku ai i ka hoʻokumu ʻia ʻana o kēia mau puʻupuʻu?
ʻAʻole. ʻAʻohe mea hiki iā ʻoe ke hana e pale aku i kēia. E like me kaʻu i ʻōlelo ai ma mua, hana ʻia nā ovarian dermoid cysts ma mua o kou hānau ʻana, i ka wā o ka embryonic. No laila he mea kēia ma waho o kou mana.
He aha kāu e hana ai inā loaʻa iā ʻoe kahi cyst dermoid? He aha kāu e manaʻo ai?
Inā manaʻo kāu kauka e haki a haki paha ka ʻōpū i ka ovary, hiki iā ia ke ʻōlelo aku i ka wehe ʻana i ke ʻoki kino. Inā ʻaʻole nui loa ka pilikia, hiki iā ia ke hoʻomau i ka nānā ʻana i ka ʻōpū. ʻO ia hoʻi ke loaʻa ʻana o nā scan maʻamau e ʻike ai inā loli ka nui a i ʻole ke ʻano o ka ʻōpū.
ʻO ka nūhou maikaʻi, ke wehe ʻia kēia mau puʻupuʻu ma ke ʻoki ʻana, ua haʻahaʻa loa ka manawa e hoʻi hou mai ai lākou. ʻO ia hoʻi, he liʻiliʻi ka manawa e hoʻi hou mai ai lākou, ma waena o 3% a me 4%.
He aha nā manawa kūikawā e pono ai ʻoe e ʻike i ke kauka?
Ma waho aʻe o ka loaʻa ʻana o nā scan ultrasound maʻamau e nānā i kāu cyst, pono ʻoe e makaʻala i nā hōʻailona o ka cyst i haki a i ʻole ka ovarian torsion. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona , e ʻike koke i ke kauka:
- ʻEha nui a hiki ʻole ke hoʻomanawanui i loko o ka ʻōpū (pinepine ma ka ʻaoʻao ʻākau haʻahaʻa o ka ʻōpū, akā ʻaʻole i nā manawa a pau).
- Ka luaʻi a me/a i ʻole ka luaʻi ʻana.
- Manaʻo puni.
- Ke kahe koko ʻano ʻē.
- Kuni.
ʻOiai he mau pilikia paha kēia, inā loaʻa kekahi mea e like me kēia, ʻoi aku ka maikaʻi o ka hoʻokaʻulua ʻole, ʻeā?
He pēpē anei kēia ovarian dermoid cyst?
ʻAʻole, ʻaʻole loa. ʻAʻole he pēpē kahi ovarian dermoid cyst. He hōʻiliʻili wale nō ia o nā ʻiʻo i ulu piha ʻia a me ka wai pipili, i hoʻokumu ʻia e ka ulu ʻana o nā cell maʻamau ʻole.
Ke ʻike ʻoe he puʻupuʻu kou i loko o kou kino nona nā mea e like me ka ʻili a me ka lauoho, e makaʻu iki paha ʻoe, he mea ʻē, a he mea hoʻopailua paha. He mea maʻamau kēlā.
Akā ʻo ka nūhou maikaʻi, ʻaʻole kēia mau puʻupuʻu he maʻi kanesa (benign). ʻO ka ʻike ʻia ʻana me kekahi o kēia mau puʻupuʻu ʻo ia hoʻi ua ʻike kāu kauka e pili ana i ia mea a hiki iā ia ke nānā iā ia. Inā he pilikia o nā pilikia e hiki ke hōʻeha iā ʻoe, hiki ke wehe ʻia. No laila e wehe me kāu kauka e pili ana i nā hopohopo a i ʻole nā makaʻu āu e loaʻa ai.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
No laila, ua kamaʻilio nui mākou e pili ana i nā Ovarian Dermoid Cysts. Eia kekahi mau mea e hoʻomanaʻo ai:
- He ʻano puʻupuʻu kēia e hana ʻia i loko o nā ovaries a hiki ke loaʻa nā ʻiʻo e like me ka lauoho, nā niho, a me ka ʻili, a pinepine ʻaʻole ia he maʻi kanesa .
- Hiki ke loaʻa kēia mau mea mai ka hānau ʻana mai a ʻaʻole pinepine e hōʻike i nā hōʻailona.
- Inā nui aʻe, hiki ke loaʻa nā pilikia e like me ke ovarian torsion a i ʻole ka haki ʻana o ka ovarian .
- Hiki ke maʻalahi ke ʻike ʻia me ka hoʻohana ʻana i ka ultrasound.
- ʻAʻole pono ʻoe e wehe i kēlā me kēia tumo.Hoʻopau ʻia ia ma ke ʻoki kino wale nō inā pono.
- ʻAʻole hiki ke pale ʻia kēia mau mea.
- ʻAʻole kēia he mau pēpē.
- Inā ʻike ʻoe he puʻupuʻu kou e like me kēia, mai hopohopo a e hahai i nā ʻōlelo aʻoaʻo a kāu kauka. Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui, ka nausea, a i ʻole ka luaʻi ʻana, e ʻike koke i ke kauka.
Manaʻolana wau he mea pono kēia ʻike nou. E ola kino!
ʻO ka Ovarian Dermoid Cyst, Ovarian Dermoid Cyst, Ovarian Cyst, Teratoma, Ola Kino Wahine, Gynecology, ʻO ke ʻoki kino Ovarian











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