Kutupa kwa Ovarian: Kodi Izi Zingakuchitikireni? Tiyeni Tikambirane!

Kodi munayamba mwamvapo kupweteka kwa m'mimba mwadzidzidzi? Makamaka m'mimba? Nthawi zina timaganiza kuti ululu wamtunduwu ndi wabwinobwino. Komabe, nthawi zina ungakhale wadzidzidzi. Chimodzi mwa izi ndi kuphulika kwa ovarian, kapena "Ovarian Torsion". Tiyeni tikambirane za izi mwatsatanetsatane lero, chifukwa ichi ndi chinthu chomwe inu, monga mkazi, muyenera kudziwa.

Kodi kutsekeka kwa ovarian ndi chiyani?

Mwachidule, Ovarian Torsion ndi pamene imodzi mwa mazira anu imazungulira minofu yomwe imaisunga pamalo ake. Monga mukudziwa, mazira ndi ziwalo ziwiri zofunika kwambiri mu njira yoberekera ya mkazi. Ndi ziwalo ziwiri zofanana ndi dzira zomwe zili mbali zonse za chiberekero. Munthawi yanu yobereka, mazira awa amatulutsa mazira ndikupanga mahomoni omwe amawongolera nthawi yanu ya msambo komanso mimba. Mazira awa amapachikidwa m'chiuno ndi minofu yotchedwa ligaments.

Tangoganizirani zomwe zimachitika pamene dzira ili likupotoka chonchi. Magazi opita ku dzira lopotoka atsekedwa, zomwe zingawononge. Izi ndi zomwe zimayambitsa kupweteka mwadzidzidzi komanso kosapiririka m'mimba. Ngati chithandizo chadzidzidzi sichikufunidwa panthawi ngati iyi, minofu ya dzira imatha kufa ndipo dzira limatha kutayika kwathunthu. Ichi ndichifukwa chake vutoli ndi loopsa kwambiri.

Nthawi zina, osati mazira okha, komanso thireyi ya fallopian yomwe ili pafupi imatha kupotoka. Pankhaniyi, vutoli limatchedwa adnexal torsion.

Kodi vutoli ndi lofala bwanji?

Ofufuza sakudziwa bwino momwe kutsekeka kwa mazira m'thupi kumachitikira mwa anthu ambiri. Komabe, kafukufuku wasonyeza kuti ndi chifukwa chachisanu chofala kwambiri cha opaleshoni yadzidzidzi ya amayi. Akuti 3% yokha ya maulendo opita ku dipatimenti yadzidzidzi kukachita opaleshoni yokhudzana ndi ziwalo zoberekera za akazi ndi omwe amachitidwa opaleshoni ya mazira m'thupi.

Kodi zizindikiro zake ndi ziti? Kodi mungazindikire bwanji?

Chizindikiro chachikulu cha vutoli ndi kupweteka kwadzidzidzi komanso koopsa m'mimba. Koma, kupweteka m'mimba ndi chizindikiro cha matenda ena ambiri, sichoncho? Sitithamangira kuchipatala chifukwa cha matenda onsewa. Komabe, pankhani iyi ya `(Ovarian Torsion)`, kupita kuchipatala mwachangu kumakupatsani mwayi waukulu wopulumutsa ovary yanu.

Zizindikiro zina zomwe zingadziwike ndi izi:

• Kupweteka pang'ono mpaka kwakukulu m'mimba.
• Kusanza ndi kusanza.

Tsopano, pali zizindikiro zina zomwe zikusonyeza kuti minofu ya mazira ikuyamba kufa. Izi ndi izi:

• Malungo.
• Kutuluka magazi kosayenera m'mimba kapena kutuluka magazi kwina.

Kodi ululu uwu umamveka bwanji?

Ululu umamvedwa mosiyanasiyana ndi aliyense. Chifukwa chake zimakhala zovuta kudziwa ngati ululu womwe mukukumana nawo ndi wadzidzidzi monga `(Ovarian Torsion)` kapena china chake. Komabe, anthu ambiri nthawi zambiri amalongosola ululu wa `(Ovarian Torsion)` kukhala wapakati mpaka wovuta. Izi zikutanthauza kuti, ndi ululu woonekera kwambiri womwe ndi wovuta kuunyalanyaza.

Ululu uwu ukhoza kuwoneka motere:

• Ululu wopweteka kwambiri (uwu ndi wofala kwambiri) kapena ululu wosakhazikika m'mimba.
• Ululu m'mimba yonse ya pansi (izi ndizofalanso) kapena ululu womwe umapezeka m'mbali mwa dzira lopindika (nthawi zambiri mbali yakumanja).
• Ululu ukhoza kufalikira m'mimba mwathu, kapena ukhoza kufika m'ntchafu, m'mbali, ndi m'munsi mwa msana.
• Ululu ukhoza kukhala wokhazikika (izi ndi zachilendo), kapena ukhoza kubwera ndi kutha nthawi ndi nthawi (izi sizichitika kawirikawiri).

Ngakhale nthawi zambiri sizimachitika kawirikawiri, nthawi zina zizindikiro za `(Ovarian Torsion)` zimatha kukhala zosakhalitsa. Izi zikutanthauza kuti ululu umabwera, umatha kwa kanthawi, kenako umabwereranso. Nthawi zina dzira lachiberekero limatha kupindika kenako limatambasulanso. Likapindika, kutuluka magazi kumasiya ndipo ululu umabwera. Likapindikanso, kutuluka magazi kumayamba ndipo ululu umatha. Chifukwa cha izi zosakhalitsa, simungathe kuganiza zomwe zikuchitika. Komabe, ngakhale ululuwo umabwera nthawi ndi nthawi, ngati muli ndi `(Ovarian Torsion)`, muyenera kuwona dokotala ndikupeza chithandizo.

N’chifukwa chiyani mazira a mazira amenewa akupotoka? Kodi zifukwa zake ndi ziti?

Mwachidule, Ovarian Torsion imachitika pamene mgwirizano womwe umasunga ovary pamalo pake wasokonekera pazifukwa zina. Mwachitsanzo, ngati pali chotupa mu ovary, monga ovarian cyst (makamaka chachikulu), chimawonjezera kulemera kwina ku ovary. Kenako chimakhala chozungulira ndikuzungulira mozungulira ligament yomwe imalumikizidwa nayo. Ngakhale izi sizofala, zotupa za khansa kapena magulu ena olimba mu ovary angayambitsenso kusintha kwa kulemera ndi kupindika kumeneku.

Ndani amene ali pachiwopsezo chachikulu cha izi?

Pali zinthu zina zomwe zingayambitse vutoli, Ovarian Torsion. Tiyeni tiwone zomwe zili:

• Zaka: Pafupifupi magawo atatu mwa anayi a anthu omwe amapezeka ndi vutoli ali m'zaka zawo zobereka. Izi zikutanthauza kuti limapezeka kwambiri mwa anthu azaka zapakati pa 29 ndi 34. Komabe, aliyense amene ali ndi mazira (ngakhale mwana wosabadwa m'mimba) akhoza kukhala ndi vutoli.
• Ma cysts a ovarian: Pafupifupi 85% ya anthu omwe amapezeka ndi ovarian torsion ali ndi ma cysts a ovarian kapena zotupa zina zosavulaza. Chiwopsezo chimakhala chachikulu ngati chotupacho chili ndi masentimita 5 (pafupifupi mainchesi awiri) kapena kuposerapo.
• Mitsempha ya mazira yayitali kuposa yachibadwa: Anthu ena amabadwa ndi mitsempha yayitali pang'ono. Anthu awa alinso pachiwopsezo chachikulu.
• Mimba:Pafupifupi kotala la anthu omwe apezeka ndi Ovarian Torsion ali ndi pakati. Chiwopsezochi chikhoza kuwonjezeka chifukwa cha kusintha kwa thupi panthawi ya mimba. Mwachitsanzo, ma cysts a corpus luteum amapezeka kwambiri panthawi ya mimba. Komanso, kusintha kwa mahomoni kungayambitse kufooka kwa mitsempha yamagazi, zomwe zimapangitsa kuti izungulire mosavuta.
• Mankhwala ochizira kubereka: Mankhwala omwe amalimbikitsa mazira kutulutsa mazira ambiri (ovulation) amawonjezera chiopsezo chokhala ndi ma follicular cysts. Follicle ndi thumba mkati mwa ovary lomwe limatulutsa dzira. Ndizachilendo kuti ma cysts apangidwe mu follicle iyi panthawi ya ovulation. Chifukwa chake, ma follicle akamagwira ntchito kwambiri, chiopsezo chokhala ndi ma cysts chimawonjezeka.

Kodi pali chinachake chomwe chimapangitsa kuti izi zichitike mwadzidzidzi?

Nthawi zina, kusuntha kwina m'thupi lanu kungayambitse zizindikiro za Ovarian Torsion. Kwa anthu ena, zizindikirozi zingachitike mutagonana kapena mutachita masewera olimbitsa thupi.

Koma kumbukirani, sikuyenera kukhala chochitika chapadera kuti Ovarian Torsion ichitike.

Ndi mavuto otani omwe angachitike ngati sanachiritsidwe?

Nthawi zambiri, kutsekeka kwa mazira kumatha popanda mavuto akachiritsidwa. Komabe, ngati salandira chithandizo mwachangu, magazi opita ku mazira amatha kutsekedwa ndipo minofu imatha kufa. Ngakhale kuti n'zotheka kutenga mimba ndi dzira limodzi lokha, kafukufuku wasonyeza kuti kuchotsa dzira chifukwa cha kutsekeka kwa mazira kungachepetse mwayi wokhala ndi pakati.

Ngakhale izi sizichitika kawirikawiri, minofu yakufayo ingayambitse matenda m'mimba (peritonitis). Ngati sichichiritsidwa nthawi yomweyo, matendawa amatha kufalikira ku ziwalo zina komanso ngakhale m'magazi. Ichi ndichifukwa chake chithandizo chachangu n'chofunika kwambiri.

Kodi matenda amachitika bwanji?

Kutupa kwa mazira nthawi zambiri kumatha kupezeka ndi transvaginal ultrasound, zomwe zimasonyeza kuti mazira sakuyenda bwino. Komabe, njira yokhayo yodziwira bwino ndi ngati dokotala wa opaleshoni angaone mazira opindika mkati mwa thupi lanu. Nthawi zambiri, amawona mazira anu mwachindunji pogwiritsa ntchito njira yotchedwa laparoscopy. Ngati awona kuti muli ndi kutupa kwa mazira panthawi ya laparoscopy, amatha kuchiza nthawi yomweyo.

Kodi mankhwala ake ndi otani?

Madokotala ochita opaleshoni amachiritsa kutsekeka kwa ovarian mwa kuwongola ovary yopotoka. Amathanso kuchotsa ma cysts aliwonse omwe angayambitse (ovarian cystectomy). Ovary yanu nthawi zambiri imatha kupulumutsidwa.

Kawirikawiri, madokotala ochita opaleshoni amagwiritsa ntchito njira yotchedwa laparoscopy pochiza ovarian torsion. Mu njira imeneyi, amadula pang'ono m'mimba mwanu. Amaika chipangizo chotchedwa laparoscope kudzera mu imodzi mwa mabala kuti aone ngati ovary yanu yapotoka. Ngati ovarian torsion yatsimikizika, opaleshoni imachitika kudzera m'mabala omwewo kuti akonze vutoli.

Nthawi zina opaleshoni yotseguka (laparotomy) ingafunike. Mukamaliza opaleshoni ya laparoscopy, mutha kupita kunyumba tsiku lomwelo. Komabe, opaleshoni ya laparotomy ndi opaleshoni yayikulu, kotero mungafunike kukhala m'chipatala usiku wonse ndikuchira nthawi yayitali.

Kodi chimachitika n’chiyani ngati mukukumana ndi vutoli?

Anthu ambiri omwe ali ndi Ovarian Torsion amalandira chithandizo ndikubwerera ku moyo wawo watsiku ndi tsiku ndi mazira awiri athanzi komanso ogwira ntchito bwino. Opaleshoni yotalikitsa dzira imapambana ndi 90%.

Komabe, ngati dokotala akuganiza kuti minofu yawonongeka kapena kuti chotupacho chachitika chifukwa cha khansa, angalimbikitse kuchotsa dzira. Komabe, izi sizichitika kawirikawiri.

Kodi pali njira zopewera izi?

Palibe njira yeniyeni yopewera kutsekeka kwa mazira.

Koma ngati mukupitirizabe kukhala ndi ovary torsion (zomwe sizichitika kawirikawiri), dokotala wanu angakulangizeni opaleshoni yotchedwa oophoropexy. Izi zimachitika kuti ovary ikhale yolimba kuti isapotoke.

Akatswiri ena azachipatala amalimbikitsa opaleshoni iyi ya ``oophoropexy`` kwa ana omwe adataya dzira limodzi chifukwa cha ``Ovarian Torsion`` ali ana. Imasunga dzira lotsalalo ndipo imawalola kukhala ndi ana mtsogolo ngati akufuna. Akatswiri akadali kuphunzira za ubwino wa ``oophoropexy`` pazochitika zotere.

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati muli ndi ululu wosaneneka m'mimba, makamaka ngati mukudziwa kale kuti muli ndi chotupa cha ovarian cyst, chomwe chimawonjezera chiopsezo chanu cha ovarian torsion, pitani ku chipinda chadzidzidzi (ETU) nthawi yomweyo.

Akatswiri sanganene nthawi yeniyeni yomwe minofu imatenga kuti ife pambuyo poti chilonda cha ovarian chaphulika ndipo zizindikiro zake zayamba. Ndicho chifukwa chake ndikofunikira kukhala otetezeka. Mukapita kwa dokotala mwachangu ndikupeza matenda, mwayi woti zinthu ziyende bwino umakhala wabwino.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati muli ndi vutoli, ndi bwino kufunsa dokotala mafunso awa:

• Ndi zinthu ziti zomwe ndiyenera kupewa pamene ndikuchira pambuyo pa opaleshoni?
• Kodi ndiyenera kubwerera liti kuti ndikaone ngati ndachira?
• Kodi pali mwayi wotani woti ndiyambenso kudwala Ovarian Torsion?
• Kodi opaleshoni iyi idzakhudza chonde changa?
• Kodi zizindikiro za vuto lomwe ndiyenera kuyang'anitsitsa ndi ziti?

Kodi izi zingakhale zoopsa pa moyo?

Kutupa kwa mazira nthawi zambiri sikuika moyo pachiswe, koma kumachitika kawirikawiri. Nthawi zambiri, mazira akufa amatha kubweretsa matenda aakulu ngati sanachiritsidwe. Komabe, choipa kwambiri chomwe chingachitikire anthu ambiri ndi kutayika kwa mazira.

Kulandira chithandizo mwachangu kungalepheretse zinthu zoipa kwambiri monga kutayika kwa chiwalo kapena kudwala matenda oopsa.

Kodi simungadziwe nthawi yayitali bwanji ngati izi zakhalapo?

Anthu ambiri omwe ali ndi vuto la kutsekeka kwa mazira amaonana ndi dokotala pasanathe masiku atatu kuchokera pamene zizindikiro zayamba. Komabe, pakhala malipoti akuti anthu omwe ali ndi vuto la kutsekeka kwa mazira nthawi ndi nthawi sapezeka kwa miyezi ingapo. Apa ndi pamene dzira limapotoka ndi kutambasula kachiwiri, zomwe zimapangitsa ululu womwe umabwera ndi kutha.

Koma, popanda matenda ovomerezeka, palibe njira yodziwira ngati ichi ndi chomwe chimayambitsa ululu wanu. Nthawi ndiyofunika kwambiri pano. Ngati muli ndi zizindikiro, musazengereze. Pitani kuchipatala mwamsanga.

Kodi izi zidzasintha zokha?

N'zotheka, koma n'zosowa kwambiri.

Pakupotoka kwa ovarian nthawi ndi nthawi, ovary imapotoka ndikutuluka m'njira yomwe pamapeto pake imabwerera ku mkhalidwe wake wabwinobwino (wosapotoka).

Koma musaganize kuti `(Ovarian Torsion)` idzachira yokha. Izi sizingachitike mwangozi. Ngati muli ndi zizindikiro, pitani kuchipatala mwamsanga.

Mukakhala ndi chizindikiro monga kupweteka m'mimba, zingakhale zokhumudwitsa komanso zoopsa kusadziwa ngati ndi chinthu chaching'ono kapena chomwe chikufunika thandizo lachipatala mwachangu. Pankhani ya kuphulika kwa mazira, palibe njira yodziwira ngati ululuwo umayamba chifukwa cha kupotoka kwa mazira mpaka dokotala atazindikira kuti ndi wovuta. Tsoka ilo, anthu ambiri sadziwa ngakhale kuti ali ndi vuto (nthawi zambiri lopanda vuto) lotchedwa ovarian cyst, lomwe ndi chiopsezo cha kuphulika kwa mazira.

Musachite chilichonse choopsa. Ngati muli ndi ululu waukulu m'mimba, pitani kuchipatala nthawi yomweyo. Kuchitapo kanthu mwachangu kungapulumutse mazira anu. Kungapulumutsenso moyo wanu.

Kotero, ndi zinthu ziti zofunika kwambiri zomwe tiyenera kukumbukira kuchokera apa?

Chabwino, kuchokera pa zomwe takambirana lero zokhudza Ovarian Torsion, nazi zinthu zofunika kwambiri zomwe muyenera kukumbukira:

• Ngati mukumva kupweteka kwadzidzidzi komanso kwakukulu m'mimba, nseru, ndi kusanza, musatenge mopepuka. Izi zitha kukhala Ovarian Torsion.
• Izi ndi zadzidzidzi zachipatala. Pali mwayi waukulu woti mutha kupulumutsa dzira lanu mwa kupita kuchipatala popanda kuwononga nthawi.
• Chiwopsezochi n'chokwera pang'ono kwa anthu omwe ali ndi ziphuphu m'mazira, amayi apakati, ndi omwe akulandira chithandizo cha kubereka. Komabe, chikhoza kuchitika kwa aliyense.
• Chithandizo chanthawi zonse ndi kutsegula dzira lopindika pogwiritsa ntchito laparoscopy. Nthawi zambiri, dzira limatha kupulumutsidwa.
• Musayembekezere kuti "izi zichira zokha." Funsani upangiri kwa dokotala mukangomva ululu.

Kumbukirani, njira yabwino kwambiri yokhalira ndi thanzi labwino ndiyo kusamala thupi lanu ndikuchitapo kanthu mukawona chilichonse chachilendo. Ngati muli ndi mafunso ena okhudza izi, musaope kulankhula ndi dokotala wanu.

Kutupa kwa Ovarian, Ululu wa M'mimba, Zadzidzidzi za Azimayi, Zilonda za Ovarian, Laparoscopy, Thanzi la Akazi