Chotupa cha m'mimba? Musachite Mantha! Tiyeni Tikambirane za Adnexal Mass

Ngati dokotala wanu akukufufuzani nati, "Muli ndi misa m'mimba mwanu," ndi zachilendo kumva mantha kwambiri komanso nkhawa. Tikamva mawu oti "misa," maganizo athu nthawi yomweyo amaganizira za chinthu choopsa. Koma musadandaule. Ma misa ambiri omwe amapezeka motere, otchedwa "adnexal masses," si khansa. Choncho tiyeni tikambirane za izi m'njira yosavuta komanso yolunjika.

Kodi Adnexal Mass iyi ndi chiyani kwenikweni?

Mwachidule, "adnexal mass" ndi chotupa chomwe chimamera pafupi ndi chiberekero chanu, kutanthauza, m'ziwalo zomwe zimalumikizidwa nacho. Madokotala amagwiritsa ntchito dzinali pofotokoza mitundu yosiyanasiyana ya zotupa zomwe zimamera m'chigawo chanu cha m'chiuno.

Mawu oti "adnexa" amatanthauza "zigawo zolumikizidwa." Pankhaniyi, amatanthauza mazira, machubu a fallopian, ndi minofu yolumikizana yomwe imathandizira ziwalo izi . Chifukwa chake, chotupa chilichonse chomwe chimayamba m'zigawo izi chimatchedwa "adnexal mass."

Kumbukirani, zina mwa zotupazi zimatha kudzazidwa ndi madzi (timatcha izi kuti ma cysts), pomwe zina zimakhala zolimba. Chofunika kwambiri ndichakuti ambiri mwa "Adnexal Masses" awa si a khansa (osaopsa). Ndipo ena amatha okha mkati mwa miyezi ingapo popanda chithandizo chilichonse.

Kodi zizindikiro za vutoli ndi ziti?

Si aliyense amene amaonetsa zizindikiro. Nthawi zina zimapezeka mwangozi panthawi yojambula pazifukwa zina. Koma ngati zizindikirozo zachitika, zizindikirozo zimatha kusiyana malinga ndi komwe chotupacho chili komanso chifukwa chake.

Onani tebulo ili m'munsimu kuti muwone zizindikiro zomwe zimapezeka kawirikawiri .

Kodi ndi zifukwa ziti zomwe zimapangitsa kuti adnexal mass ipangidwe?

Zotupa zimenezi zimatha kuchitika chifukwa cha zifukwa zonse ziwiri za amayi ndi za amayi. Komabe, nthawi zambiri zimachitika chifukwa cha zifukwa zokhudzana ndi njira zoberekera .

Zifukwa za Matenda a Chikazi

Izi ndi zifukwa zofala kwambiri.

• Ma cysts a Ovarian: Ma cysts odzaza ndi madzi omwe amapangika pamwamba pa mazira. Izi ndizofala kwambiri. Nthawi zambiri, sizipweteka ndipo sizimayambitsa zizindikiro zilizonse.
• Zilonda za m'chiberekero zomwe sizili khansa: Maselo m'chiberekero amakula modabwitsa, ndikupanga zotupa zolimba. Izi ndi zabwino ndipo nthawi zambiri sizifalikira kumadera ena.
• Mimba Yobereka: Dzira lokhala ndi umuna limadziika lokha kwina, monga payipi ya fallopian, m'malo mwa m'chiberekero. Imeneyi ndi vuto loopsa kwambiri. Lingayambitse kutuluka magazi mkati ndi kupweteka kwambiri. Ngati silinalandire chithandizo, likhoza kukhala pachiwopsezo kwa mayi.
• Corpus Luteum Cyst: Chiphuphu chosapweteka chomwe chimapangika panthawi ya ovulation. Izi zimatha zokha pambuyo pa ovulation.
• PCOS (Polycystic Ovary Syndrome): Iyi ndi vuto la mahomoni lomwe lingayambitse ma cysts ang'onoang'ono ambiri kupangidwa m'mazira.
• Endometriomas: Izi zimagwirizana ndi vuto lotchedwa endometriosis. Apa ndi pomwe ma cysts odzaza ndi madzi odzaza ndi magazi a msambo amapangidwa m'mazira obereketsa.
• Hydrosalpinx: Matenda omwe payipi ya fallopian imadzaza ndi madzi ndipo imapanga kapangidwe kofanana ndi thumba. Ngakhale kuti nthawi zambiri siimakhala ndi zizindikiro, nthawi zina ingayambitse kupweteka m'mimba kapena kuvutika kutenga pakati.
• Khansa ya M'chiberekero: Ngati chotupa chomwe chimapangika m'chiberekero chimakhala choipa, chimatha kukula ndikufalikira ku ziwalo zina za thupi. Koma kumbukirani, ndi gawo laling'ono chabe la adnexal masses lomwe limakhala khansa.

Zifukwa Zosakhala za Azimayi

Izi nthawi zambiri zimachokera ku ziwalo zina za m'mimba kapena mkodzo. Sizigwirizana ndi chiberekero, mazira, kapena machubu a fallopian.

• Zotupa m'matumbo akulu, chikhodzodzo, ndi appendix.
• Nthawi zina, mitundu iyi ya zotupa imathanso kuchitika pamene khansa zina, monga khansa ya m'mawere kapena khansa ya m'matumbo, zimafalikira (kufalikira) kudera la m'chiuno.

Kodi adnexal mass ingakhale yoopsa?

Ngati muli ndi ``Adnexal Mass'' ndipo mukukumana ndi zizindikiro monga kupweteka kwambiri m'mimba, nseru kapena kusanza, komanso kutentha thupi, kungakhale chizindikiro cha ngozi. Zikatero, pitani kwa dokotala nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Pachipatala (ETU).

Kungoti muli ndi chotupa sizikutanthauza kuti ndi khansa. Zotupa zambiri sizikhala ndi khansa (zoipa). Komabe, kuchuluka kwa adnexal komwe kumachitika mwa akazi akamaliza kusamba kumakhala ndi chiopsezo chachikulu chokhala ndi khansa (yoopsa).

Kodi dokotala amazindikira bwanji izi ndikuchiza bwanji?

Kawirikawiri, dokotala amakayikira kuti muli ndi chotupa panthawi yoyezetsa chiuno. Kenako amalamula kuti muyesedwe ndi ultrasound kuti muwone bwino. Nthawi zina, biopsy kapena opaleshoni ingafunike kuti muwone maselo a khansa omwe ali mu chotupacho.

Kuphatikiza apo, mayeso monga mayeso a mimba, mayeso a magazi, ndipo, ngati kuli kofunikira, CT scan kapena MRI scan zitha kuchitidwa kuti zitsimikizire kuti mimba ya ectopic siili bwino.

Chithandizocho chimadalira zinthu zambiri, kuphatikizapo chomwe chimayambitsa chotupacho, kukula kwake, ndi zizindikiro zanu. Pali njira zitatu zazikulu zochizira.

Zinthu zoti mufunse dokotala wanu

Mukangodziwa kuti muli ndi ``(Adnexal Mass)``, funsani dokotala wanu mafunso aliwonse omwe muli nawo. Mwachitsanzo:

• Kodi ndikufunika opaleshoni?
• Kodi mumayesa kangati chotupa ichi?
• Kodi pali mwayi wochepa woti izi zitha kukhala khansa?
• Ndi zizindikiro ziti zomwe ndiyenera kunena nthawi yomweyo zikachitika?

Ngakhale kuti ndi zachilendo kuchita mantha mukamva mawu oti "chotupa," yesetsani kuti musachite mantha mpaka mutalankhula ndi dokotala wanu ndikupeza chidziwitso choyenera. Kumbukirani, zinthu zambirizi sizowopsa, ndipo zina zimachira zokha.