Kodi muli ndi ovarian dermoid cyst? Musadandaule, tiyeni tikambirane!

Kodi mudamvapo za ziphuphu zachilendo zomwe nthawi zina zimamera mkati mwa mazira, zomwe zimakhala ndi zinthu monga tsitsi, mano, ndi khungu? Zimamveka zachilendo pang'ono, sichoncho? Koma izi ndi zenizeni. Izi ndi zomwe madokotala amati 'Ovarian Dermoid Cyst' kapena 'Mature Cystic Teratoma'. Ngakhale dzinalo lingamveke loopsa, nthawi zambiri silimakhala khansa. Ndiye, kodi tikambirane izi mwatsatanetsatane komanso lero?

Kodi kwenikweni dermoid cyst ya ovarian ndi chiyani?

Mwachidule, ndi thumba lodzaza ndi madzi lomwe limapangidwa m'mazira anu. Koma mkati mwa thumba ili simuli madzi okha. Ndi minofu yochokera ku ziwalo zina za thupi lanu, monga ma follicle a tsitsi lanu, maselo a khungu, mano, ndipo nthawi zina minofu ya mitsempha. Taganizirani izi, ndi zachilendo pang'ono, sichoncho?

Mosiyana ndi ma cysts ena omwe nthawi zambiri amapangika pa mazira, ma dermoid cysts awa sagwirizana ndi nthawi yanu ya msambo. Amapangidwadi pamene minofu yokhwima bwino isonkhana pamalo osayenera, monga mazira anu.

Chofunika kwambiri ndichakuti ma cyst a ovarian dermoid nthawi zambiri si matenda a khansa . Izi zikutanthauza kuti palibe chodetsa nkhawa nacho. Komabe, ngati ma cyst awa akukula kuposa kukula kwawo, mavuto ena amatha kuchitika. Chifukwa chake, ndibwino kupita kwa dokotala kukayezetsa izi ndikupeza upangiri ngati mungawachotse kapena ayi, ngati pakufunika kutero.

Ndani amadwala matenda a dermoid cysts? Kodi amapezeka kawirikawiri bwanji?

Aliyense amene ali ndi mazira amatha kukhala ndi chotupa cha dermoid cyst cha ovarian. Nthawi zambiri amakhulupirira kuti izi zimapezeka pobadwa . Komabe, anthu ambiri amapeza kuti ali ndi chotupacho panthawi yojambula zithunzi pazifukwa zina. Mwachitsanzo, nthawi zambiri chotupacho chimapezeka mwangozi panthawi yojambula ultrasound panthawi ya mimba.

Ma cysts a Ovarian Dermoid ndi mtundu wofala kwambiri wa chotupa cha maselo a ovarian chomwe chimayamba m'ma ovary. Ndiwo mtundu wofala kwambiri wa cyst ya ovarian yomwe imapezeka panthawi ya mimba. Pafupifupi gawo limodzi mwa magawo atatu a cysts zomwe sizili khansa zomwe zimapezeka panthawi ya mimba ndi ma cysts a ovarian dermoid. Nthawi zina, pa 10% mpaka 15% ya milandu, zimapezeka m'ma ovary onse awiri.

Kodi zotupa zimenezi zingakhudze bwanji thupi? Kodi pali mavuto aliwonse?

Kawirikawiri, vuto lalikulu ndi ma ovarian dermoid cysts awa ndi ngati amayambitsa mavuto. Chilonda chikakula, chimakhala ndi mwayi waukulu woyambitsa mavuto.

Pali mavuto awiri akuluakulu omwe angakhalepo:

1.Kutupa kwa Ovarian: Ma dermoid cysts awa nthawi zina amatha kukula kwambiri. Izi zikachitika, ovary yokhala ndi cyst imatha kuzungulira mozungulira mzere wake. Taganizirani ngati chinthu cholemera chomwe chikulendewera pa chingwe chozungulira. Kupotoka kumeneku kukachitika, magazi opita ku ovary amachepa kapena kutayika kwathunthu. Ngati sichichiritsidwa mwachangu, ovary ikhoza kuwonongeka ndipo mwina kufa. Izi ndi zadzidzidzi.

2. Kuphulika: Izi zingayambitse kuti chiphuphu chiphulike ndikutulutsa zomwe zili mkati mwake m'mimba. Nthawi zambiri, thupi limayamwa zomwe zili mkati mwake ndipo sizingakhale vuto lalikulu. Komabe, nthawi zina kuphulika kumeneku kungayambitse matenda. Ngati izi zitachitika, pamafunika chithandizo chadzidzidzi.

Chofunika: Mwayi woti ma cysts a ovarian dermoid cysts akhale khansa ndi wochepa kwambiri, osachepera 2%.

Komabe, chiopsezo chotenga khansa chingawonjezeke pang'ono m'milandu yotsatirayi:

• Ngati muli ndi zaka zoposa 45 .
• Ngati chotupacho chikukula mofulumira kwambiri .
• Ngati kukula kwa chotupacho kuli kopitirira masentimita 10 .

Ngati dokotala wanu akukayikira kuti chotupacho chidzaphulika, kuphulika, kapena kukhala khansa, angakulangizeni kuti muchichotse.

Kodi zizindikiro za Dermoid Cysts ndi ziti?

Nthawi zambiri, ma cyst a ovarian dermoid awa samayambitsa zizindikiro zilizonse , makamaka ngati cyst ndi yaying'ono. Ngati muyamba zizindikiro, nthawi zambiri zimakhala pamene cyst ndi yayikulu kwambiri. Zinthu zazikulu zomwe mungazindikire ndi izi:

• Ululu m'mimba pansi
• Kumva kupanikizika m'mimba
• Kumva kukhuta

Kuwonjezera pa izi, mukhoza kuonanso zizindikiro zotsatirazi, ngakhale kuti sizichitika kawirikawiri:

• Kusanza
• Kusanza
• Kudzimbidwa
• Kusintha kwa chilakolako
• Ululu panthawi yogonana (Dyspareunia)

Tangoganizani, Nimali wakhala akumva ululu wofanana ndi umenewu m'mimba mwake kwa kanthawi. Amaganiza kuti ndi wabwinobwino. Pambuyo pake, adapita kwa dokotala ndipo adamujambula, ndipo adapezeka kuti ali ndi dermoid cyst mu ovary yake. Chifukwa chake, ngati mukukumana ndi zizindikiro izi, ndi bwino kupita kwa dokotala.

N’chifukwa chiyani ma cyst a m’chiberekero amenewa amapangika? N’chifukwa chiyani amakhala ndi tsitsi ndi mano?

Nkhaniyi ndi yovuta kwambiri. Ma cysts a ovarian dermoid cysts awa amapangidwa musanabadwe, mu gawo la embryonic . Pali mitundu ya maselo m'thupi lathu omwe amayenera kupanga zinthu monga khungu, tsitsi, ndi dongosolo lamanjenje, ndipo ena mwa maselo amenewo amakula modabwitsa m'ma cysts a dermoid awa.Asayansi akadali osadziwa chifukwa chenicheni cha kukula kwachilendo kumeneku.

Maselo amenewa amakula kukhala minofu yokhwima bwino. Izi zikutanthauza kuti chotupachi chikhoza kukhala ndi khungu, tsitsi, mano, mitsempha, ndipo nthawi zina ngakhale minofu ya ubongo! Mitundu yonseyi ya minofu imasonkhana kuti ipange minofu yabwino mkati mwa dzira lanu.

Komanso, minofu yochokera ku ma glands a thukuta imatha kukula mkati mwa cyst iyi. Ma glands awa amatulutsa madzi amafuta otchedwa 'sebum'. Chifukwa cha sebum imeneyo, cyst iyi imakula pang'onopang'ono. Ma dermoid cysts amakula pang'onopang'ono . Mumawona kukula kwakukulu munthawi yanu yobereka, ndiko kuti, pamene mungathe kukhala ndi ana.

N’chifukwa chiyani pali zinthu monga tsitsi ndi mano mkati mwa mtedza uwu?

Izi zili choncho chifukwa ma Dermoid Cysts amapangidwa kuchokera ku mtundu wapadera wa selo wotchedwa 'maselo a majeremusi'. Maselo a majeremusi awa ndi maselo omwe pambuyo pake amakhala maselo a dzira kapena maselo a umuna. Mwana akamakula, pamakhala zigawo zitatu za maselo a majeremusi awa. Zigawo zitatuzi ndi zomwe zimapangitsa minofu, ziwalo, ndi machitidwe osiyanasiyana a thupi:

• Ectoderm: Apa ndi pomwe zinthu monga khungu, tsitsi, ma glands a thukuta, ndi mano zimapangidwa.
• Mesoderm: Apa ndi pomwe minofu ndi minofu yolumikizana zimapangidwira.
• Endoderm: Apa ndi pomwe njira yogaya chakudya (m'mimba) ndi ziwalo zosiyanasiyana zamkati zimapangidwira.

Choncho, nthawi zina zigawozi zimakula modabwitsa , ndipo minofu yokhwima bwino imasonkhana pamodzi kuti ipange dermoid cyst. Ndicho chifukwa chake ma cyst awa amatha kukhala ndi zinthu monga tsitsi ndi mano. Koma osati tsitsi ndi mano okha, ma cyst awa amatha kukhala ndi minofu yomwe imachokera ku zigawo zitatu za selo ya germ.

Kodi mukudziwa bwanji ngati muli ndi izi, dokotala?

Monga ndanenera kale, nthawi zambiri, ma cysts a ovarian dermoid awa samayambitsa zizindikiro, kotero mutha kupeza kuti muli ndi chimodzi panthawi yojambula zithunzi nthawi zonse pazifukwa zina.

Dokotala wanu akhoza kupeza izi pogwiritsa ntchito ultrasound ya m'mimba kapena ultrasound ya transvaginal . Dermoid cysts imakhala ndi mawonekedwe apadera, zomwe zimapangitsa kuti ikhale yosavuta kuzizindikira pa scan. Katswiri wodziwa bwino ntchito ya ultrasound yemwe amafufuza zithunzi za ultrasound amatha kuzindikira kwathunthu dermoid cysts.

Kawirikawiri, mayeso a MRI (Magnetic Resonance Imaging)Izi zimagwiritsidwa ntchito pozindikira ma cysts a ovarian dermoid. Ngati chidziwitso chomwe chaperekedwa ndi ultrasound sichikwanira, MRI (Magnetic Resonance Imaging) scan ingathandize kupeza zambiri zokhudza zomwe zili mu cyst.

Kodi ma cysts a ovarian dermoid awa ayenera kuchotsedwa?

Ayi, si ma cyst onse a ovarian dermoid omwe amafunika kuchotsedwa. Dokotala wanu angakulangizeni kuchotsa cyst pazochitika izi:

• Ngati chotupacho ndi chachikulu mokwanira (nthawi zambiri chimakhala choposa masentimita 5 m'mimba mwake).
• Ngati mukukumana ndi zizindikiro chifukwa cha chotupacho.
• Ngati pali kukayikira kuti chotupacho chikhoza kukhala cha khansa (choopsa).

Mitundu ina ya ma cysts a ovarian imatha yokha pakapita nthawi. Komabe, ma dermoid cysts satha okha . Amatha pokhapokha ngati achotsedwa.

Kodi chimachiritsidwa bwanji?

Chithandizo cha ma cysts a ovarian dermoid chimaphatikizapo kuchotsa cyst mwa opaleshoni . Nthawi zina, ovary yonse yokhala ndi cyst ingafunike kuchotsedwa. Chithandizo chomwe mungasankhe chidzadalira momwe cyst ilili yoopsa komanso ngati mukufuna kukhala ndi ana mtsogolo.

Pali njira ziwiri zazikulu zopangira opaleshoni:

1. Kuchotsa Chiberekero cha M'chiberekero: Izi zimaphatikizapo kuchotsa gawo lokha la chiberekero lomwe lili ndi chiberekero. Njirayi imateteza mazira anu kuti asaberekenso.

2. Kuchotsa Oophorectomy: Pachifukwa ichi, dzira lonse limachotsedwa pamodzi ndi chotupacho.

Madokotala ambiri amachotsa ma cysts a ovarian dermoid pogwiritsa ntchito njira yotchedwa laparoscopy . Izi zimatchedwanso 'keyhole surgery.' Izi zimaphatikizapo kupanga ma incisions ang'onoang'ono kwambiri m'mimba mwanu, kuyika kamera ndi zida zazing'ono kudzera mwa iwo, ndikuchotsa cyst. Izi zingakuthandizeninso kuchira mwachangu.

Komabe, ngati chotupa chanu ndi chachikulu kwambiri, ngati muli ndi chotupa m'mazira onse awiri, kapena ngati pali kukayikira kuti chotupacho chingakhale khansa, dokotala wanu angakulangizeni opaleshoni ina yotchedwa laparotomy . Izi zimaphatikizapo kudula pang'ono m'mimba mwanu.

Dokotala wanu adzakufotokozerani njira yochitira opaleshoni yomwe ikugwirizana ndi vuto lanu.

Kodi pali njira yopewera kuti zotupazi zisapangidwe?

Ayi. Palibe chomwe mungachite kuti mupewe izi. Monga ndanenera kale, ma cysts a ovarian dermoid amayamba musanabadwe, panthawi ya embryonic stage. Choncho ichi ndi chinthu chomwe simungachilamulire.

Kodi mungachite chiyani ngati muli ndi dermoid cyst? Kodi mungayembekezere chiyani?

Ngati dokotala wanu akukayikira kuti chotupacho chidzaphulika kapena kuphulika kwa dzira, angakulangizeni kuti muchotsedwe opaleshoni. Ngati chiopsezo sichili chachikulu kwambiri, angapitirize kuyang'anira chotupacho. Izi zikutanthauza kuti muyenera kuyesedwa nthawi zonse kuti muwone ngati chotupacho chikusintha kukula kapena mawonekedwe ake.

Nkhani yabwino ndi yakuti akangochotsa zotupazi mwa opaleshoni, mwayi woti zibwererenso umakhala wochepa kwambiri. Izi zikutanthauza kuti pali mwayi wochepa woti zibwererenso, pakati pa 3% ndi 4%.

Kodi ndi nthawi ziti zapadera zomwe muyenera kupita kwa dokotala?

Kuwonjezera pa kuyesedwa pafupipafupi ndi ultrasound kuti muwone ngati cyst yanu yayamba kuphulika, muyeneranso kuyang'anitsitsa zizindikiro za cyst yosweka kapena ovarian torsion. Ngati muwona chimodzi mwa zizindikirozi , pitani kwa dokotala nthawi yomweyo:

• Kupweteka kwakukulu, kosapiririka m'mimba (nthawi zambiri m'munsi mwa dzanja lamanja la mimba, koma osati nthawi zonse).
• Kusanza ndi/kapena kusanza.
• Kumva chizungulire.
• Kutuluka magazi kosadziwika bwino.
• Malungo.

Popeza izi zitha kukhala zadzidzidzi, ngati chinthu chonga ichi chichitika, ndibwino kuti musachedwe, eti?

Kodi chotupa cha ovarian dermoid cyst ichi ndi khanda?

Ayi, ayi konse. Chilonda cha dermoid cyst si khanda. Ndi gulu la minofu yokhazikika komanso madzi omata, omwe amayamba chifukwa cha kukula kosazolowereka kwa maselo.

Mukazindikira kuti muli ndi chotupa m'thupi mwanu chomwe chili ndi zinthu monga khungu ndi tsitsi, mungamve mantha pang'ono, zachilendo, komanso mwina kunyansidwa. Zimenezo ndi zachilendo.

Koma nkhani yabwino ndi yakuti zotupa izi si khansa (zoipa). Kupezeka ndi chimodzi mwa zotupazi kumatanthauza kuti dokotala wanu akudziwa za izo ndipo akhoza kuziyang'anira. Ngati pali chiopsezo cha mavuto omwe angakupwetekeni, chikhoza kuchotsedwa. Choncho lankhulani ndi dokotala wanu za nkhawa kapena mantha aliwonse omwe mungakhale nawo.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kotero, takambirana zambiri za Ovarian Dermoid Cysts. Nazi zinthu zingapo zomwe muyenera kukumbukira:

• Izi ndi mtundu wa chotupa chomwe chimapangika m'mazira ndipo chingakhale ndi minofu monga tsitsi, mano, ndi khungu, ndipo nthawi zambiri sichimakhala ndi khansa .
• Izi zitha kukhalapo kuyambira kubadwa ndipo nthawi zambiri siziwonetsa zizindikiro.
• Ngati ikukula, mavuto monga kuphulika kwa ovary kapena kuphulika kwa dzira angachitike.
• Zingathe kuzindikirika mosavuta ndi ultrasound scan.
• Simuyenera kuchotsa chotupa chilichonse.Imachotsedwa opaleshoni pokhapokha ngati pakufunika kutero.
• Izi sizingalepheretsedwe kuti zisachitike.
• Awa si makanda.
• Ngati mwapeza kuti muli ndi chotupa chonga ichi, musachite mantha ndipo tsatirani malangizo a dokotala wanu. Ngati mukumva zizindikiro monga kupweteka kwambiri, nseru, kapena kusanza, pitani kwa dokotala nthawi yomweyo.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

Chivundikiro cha Ovarian Dermoid, Chivundikiro cha Ovarian Dermoid, Chivundikiro cha Ovarian, Teratoma, Thanzi la Akazi, Matenda a Azimayi, Opaleshoni ya Ovarian