Maitiro echiito muhutano hwekuberekera chirwere chinowanzoitika chevakadzi vane makore ekubereka. Pazvikamu zvekutanga chirwere hachizviratidzi mairi nenzira ipi zvayo. Kuziva kuti cyst yevarivha ndeyei, zviratidzo uye kurapwa, vakadzi vanogona kukanganisa kurwara kwavo uye kutsvaga kurapwa.
Ovarian cysts - species
Kirasi ine bhendi yakagadzirwa ine ganda rakazadzwa mukati memvura. Iyo haina kubatana nechomuviri, asi ngozi yekuparara kwayo kuva kenza iripo. Muchiitiko ichi, krisiti yevarivha inowanikwa, zviratidzo uye kurapwa kwemukadzi kuchaonekwa munyaya yacho, inogona kunge iri mukuguma, panguva yekubereka uye kunyange kuvasikana. Zvichienderana nechitarisiko, zviri mukati uye maitiro ezvakabva, krisst paivary inogona kunge yakasiyana siyana. Muzvirwere zvevakadzi vanosiyanisa:
- the follicular cyst;
- yellow body;
- endometrioid;
- dermoid;
- paraovarian;
- mucinous.
Follicular ovarian cyst
Ichi chinoshandiswa chevhisi yepamusoro inoshandiswa panzvimbo ye follicle yakatsvuka. Kuumbwa kwaro kunoitika kana pane chimwe chikonzero kushandiswa kwehuvhu kwakaoma. Zuva rakasvibira harisi kuputsa follicle uye harisi kubva mairi. Somugumisiro, inotanga kukura uye izere nemvura. Panguva imwe chete, masvingo aro anoonda, uye kukura zvishoma nezvishoma kunowedzera. Pazvikamu zvekutanga chirwere hachizviratidzi mairi nenzira ipi zvayo. Kakawanda, majekiti anoshanda anowanikwa panguva yekuongorora kwevakadzi:
- Kusangana kwemwedzi kushungurudzika ;
- kuramba kusina pamuviri kwenguva refu;
- chimiro chekupindira kwemimba kumudzimai.
Endometrioid ovarian cyst
Apo iyo yega yekstasi inoumbwa, kuvapo kwemasero emakemikari endometrial kwakagadzirirwa mavharosi muvakadzi. Kazhinji ivo vanongova muuterine cavity chete. Iyo endometrium inorambwa mwedzi mumwe nomumwe, uye zvikamu zvayo zvinogona mune zvimwe zviitiko zvinopinda muzvinyorwa zvepabonde. Somugumisiro wekushandura kwakadaro, sopule ine mishonga yemapendometri inoumbwa, inenge iri mukati memhara. Nega imwe neimwe itsva yekuenda kumwedzi, kune kuwedzera kwehuwandu hwezvedzidzo.
Purostetrioid cyst inogona kufungwa navanachiremba semugumisiro:
- kupindira kwezvikamu zvepachiviri (kutamirwa kwemasero kubva mucosa kupinda mumashizha);
- kupinda mukati memukati neropa;
- zvinokonzerwa nehomoni, kushandiswa mumabasa emaovha, pituitary gland;
- immune disorders.
Dermoid ovarian cyst
Iyi cyst iri munharaunda yevakadzi inogona kuumbwa kunyange pamutambo we intrauterine wekuvandudzwa kwehutano hwekubereka. Inowanzo ine adnexal tissue mumakumbo ayo. Nekuongorora nekunyatsoongorora dzidzo iri kure, vanachiremba vanowanzoratidzira kuvapo kwezvimedu zvemapfupa emapfupa, masisita emasumbu, mafuta ane mavara. Iyo cyst yakakomberedzwa ne capsule dense, kukura kwayo kunoitika zvishoma nezvishoma, asi nguva dzose. Kunze, chirwere hachizviratidzi, saka chinorwara kana chiumbwa chinosvika pakukura kukuru: nhengo uye maviri anowanikwa ari pedyo anonyanya kushandiswa, basa ravo rinokanganiswa.
Paraovarian Ovarian Cyst
Paraovarian ovarian cyst inogadzirwa necavidhi iyo inowanikwa munzvimbo inowedzera: fallopian tubes uye mavari. Kazhinji kristi inoumbwa mumhandara yevechiri kuyaruka munguva yekuyaruka. Kukurudzira kwekufambira mberi ndiko kukura kuwedzera kwezvikamu zvehutano hwekubereka, hunozotanga kushanda panguva ino. Nezvekuvapo kwechirwere, vasikana vaduku vanodzidza pavanenge vachitsvaga kuongororwa kwakazara kunotarirwa kuziva chinokonzera kukanganisa kwemaitiro ekuenda kumwedzi. Nechirudzi urwu, pane ngozi yakawanda yekubatanidza, saka vanachiremba vanokuraira kuti vabvise.
Mucinous ovarian cyst
Dzidzo yakanaka uye inowanzoumbwa muvakadzi vanopfuura makore makumi mashanu. Muchutukiti wekodhi wekona yakanaka (kazhinji inogadzirisa) inoratidzwa nekuvapo kwemasero mune chimiro chakafanana pakugadzirisa kusvika kumadziro emadzimai. Kazhinji kristi yacho yakawanda-siyana, ine mitsetse yakazara kana yakasvibirira, iyo inonzi tuberous surface. Kubva kune mamwe maitiro anozivikanwa nekukura nokukurumidza uye kuwedzera kwechimiro chekuvadza (3-5% yezvose zvinokonzera chirwere).
Yellow Ovarian Cyst
Iyi cyst mu mavha mavari inomira zvakananga mumakorati akavhara gland. Nheyo yaro ndeyomuviri wemiviri - yakagadzirwa kwenguva pfupi, yakagadzirwa neboka rema endocrine masero. Iyo inoumbwa panzvimbo iyo follicle yakanga isati yasvika. Iyo yomuviri yakasvibirira inokurudzira kutanga kwehutano nekubudirira fertilization, kugadzira progesterone. Kana kubata kusina kuitika, kudzoka kwekuvandudza kunoitika. Panguva ino, mamwe masero anogona kuve akabatanidzwa mukugadzirisa chirwere chepfungwa, sechikonzero chekuti krisst inoumbwa.
Dzidzo ine chimiro chakakomberedza uye nzvimbo yakadzika. Mukati maro mune mudziyo wejira. Yellow body cyst inoreva kushanda zvakanaka - inokwanisa kuzvigadzirisa pachedu panguva yekufamba kwemwedzi kusvika 1-3. Irosty ovarian iyo panguva yekuzvitakura isiriwo isiri. Vanachiremba vanoshandisa maitiro ekutarisira. Kurapa kunowanikwa chete nehuwandu hwekuumbwa kana kusungirirwa kwehutachiona kana kuvhunika.
Ovarian cysts - zvinokonzera
Kutaura nezvezvinokonzera chirwere ichi, vanachiremba vanowanzoshandisa izwi rokuti multifactority - huwandu hwezviitiko zvakasiyana-siyana zvinokonzera krisst. Zvakakosha kugadzirisa zvakananga chii chakakonzera chirwere ichi uye chakakonzera chirwere chepfungwa. Mune zvimwe zviitiko, chirwere chacho chinogona kuva chikonzero cheimwe kutyora muhutano hwekubereka. Tichifunga nezvehutano hwakadaro sejasiti yevarivha, zvikonzero zvekuvandudzwa kwayo ndeizvi:
- Kuvapo kwekugadziriswa kwakapetwa kakawanda muamnesnesis. Maitiro ekuberekwa kwekubereka, kubvisa pamuviri nguva dzose kunotungamirira mukuvhiringidzwa kwehutano hwehutano hwepabonde.
- Hormonal failure. Kuita zvechisimba kwehomoni kunotungamirira kukurudzirwa kwebasa rinoshanda.
- Zvinokonzera kuvhiringidza muhutano hwekubereka. Adnexitis , salpingoophoritis, endometriosis , uye zvirwere zvepabonde ndizvo zvinowanzokonzera krisst inogadziriswa mune zvepabonde zvepabonde.
- Zvirwere zvetachiona gland. Kusakwana kwekuita mahomoni nehlandu ( hypothyroidism ) zvinotambudza basa rekuberekwa kwemukadzi.
- Matambudziko endocrine. Chirwere cheshuga chinokanganisa, kuneta kunokonzera kuchinja kwehutachiona, uye zvichiguma - kunowedzera dambudziko rekuvhara mazai emagetsi.
Ovarian cyst - zviratidzo
Kana chirwere chinoputika chikafu chikaonekwa, zviratidzo uye kurapa kwomukadzi zvakakwana zvinoenderana nechikamu chechirwere chacho. Pathology haina zviratidzo zvakananga, saka inogona kuvharwa kune dzimwe zvirwere zvekuberekwa. Izvi zvinonyanya kuoma nzira yekuongororwa - ma cysts akawanda anowanikwa nechiitiko kana kana vachifungidzirwa kune dzimwe zvirwere. Zviratidzo zvekutanga zvechirwere chechirwere chechirwere zvinogona kugadziriswa pasina humwe chete nekuwedzera kukuru mune dzidzo muhukuru. Pakati pese, apo mavhiri ejasti yakaumbwa, zviratidzo zvevakadzi ndezotevera:
- Kusuruvara mucheche pasi. Chiratidzo chinoratidzika apo cyst muhupamhi inosvika 4 cm kana kupfuura. Panguva imwecheteyo, vakadzi vanogunun'una nezvekurwadza, kunorwadziwa kunotapukira muchechi chetatu chemuviri, izvo zvinogona kuwedzera nekushingaira kwepanyama nekubatana pabonde. Kazhinji kazhinji kurwadziwa kunowanikwa kune rumwe rutivi. Kazhinji manzwiro asina kufadza omurwere anotsanangura sekuonekwa kwekunzwa kusuruvara uye kuomesa mukati.
- Marwadzo paunenge uchibhururuka, kukanganisa kwekuzvidzivirira. Kusagadzikana manzwiro murwere anotanga kuonekwa nguva dzose paunoshanyira chimbuzi. Muchiitiko ichi, nhamba yose yekushambadzira pazuva inowedzera. Marwadzo anokonzerwa nokukura nokukurumidza kwedzidzo, iyo inomanikidzira nhengo dzomuvakidzani.
- Kupesana kwekuenda kumwedzi. Nekugadzirwa kwe-cysts inogona kubudisa mahomoni, amenorrhea inowanzoitika. Mune zvimwe zviitiko, chirwere chinogona kuendeswa nguva dzinorwadza, kuwedzerwa kuwedzera kwekubuda, uye kunonoka pakuenda kumwedzi.
- Kuwedzera kwemuviri. Chiratidzo ichi chinoitika apo kuumbwa kunosvika pakukura kukuru kana kuti kunokwira ascites (kuunganidzwa kwemvura mumakumbo emimba).
Ovarian cyst rupture
Kusvibiswa kwehutenderedzwa hwekrisiti inowanzomiririra kushandiswa kwehutano. Itai kuti iite:
- kuwedzerwa, kuita kwenguva refu kuita basa;
- kuita zvepabonde zvakasimba.
Kana mukadzi akangoerekana aputika mujasi rekuvhara ropa, zvakakosha kukumbira chiremba nokukurumidza. Kuvapo kwezvinetso zvinogona kuonekwa nezviratidzo zvakananga:
- kurwadziwa kwakanyanya mumudumbu, kurasa mumakumbo, kupinda munzvimbo ye rectum;
- kuderedza ropa;
- chizoro;
- cold sweat;
- syncope - kuwedzera mumhepo, kuchenesa kweganda, kurasikirwa kwekuziva.
Ovarian cysts - mhinduro
Kutaura nemurwere nezvekrisiti inotyisa pane ovary, vanachiremba vanotaura kuti zvinoita kuti ave kenza pakutanga. Zvisinei, kakawanda mune zvekurapa, kune matambudziko anokonzerwa nekukura kwechirst - torsion uye kuparara (kukurukurwa pamusoro). Yokutanga inogona kuitika, kana cyst inenge iine mitsipa - yakasununguka, iyo iyo capsule pachayo yakabatanidzwa. Somugumisiro, pane kutyora kwehutachiona hwehutachiona mumhutu pachake, kubuda ropa kunoda kuti kurapwa kwekukurumidzira kuvepo.
Kirasi yakakura yevarivha (zviratidzo uye kurapwa kwomudzimai akaongororwa pamusoro) zvinogona kufambisa nhengo dziri pedyo. Izvi zvinotungamirira mukuvhiringidzwa kwemaitiro avo anowanzoshanda. Chirwere uye mumatumbo zvinowanzonyanya kupindirwa nejasi rinopfuura. Zvisinei, mukushayikwa kwechikonzero chakakosha, zvinokwanisika kukura zvirwere zvegynecological. Kazhinji ivo vanokonzera izvo zvinoderedza zvinoratidzika zvinowanikwa mune gland rega.
Cyst paan oary - kurapwa kana kushanda
Apo iyo yevarivha yekasi inowanikwa, kurapwa kunorayirwa kuchitarisa:
- rudzi rwezvidzidzo zvechirwere;
- zvikamu zvekuvandudza;
- kuvapo kwezvirwere zvinokonzera zvekuberekwa.
Functional cysts (yellow body and follicular) yakakodzerwa nekuchengetedza chirwere. Nheyo yeHymmone uye anti-inflammatory drugs. Zvisinei, haisi nguva dzose kugona kurapa cyst pasina kuvhiyiwa . Kupindira kwekuvhiya kunosvika kune:
- kuvapo kwe cyst kwemwedzi inopfuura 3;
- hapana chiitiko chekurapa;
- kuonekwa kwekrisiti panguva yekuenda kumwedzi;
- anofungidzirwa kuuraya;
- kukura kwezvinetso (kudyidzana, kutambudzika, kuputika).
Ovarian cyst - kurapwa pasina chirwere
Asati apora chirwere chemaawa, chiremba anogadzira chimiro chacho uye chikonzero chekuumbwa. Iyo nzira yekurapa inobva pane hormone therapy. Nokuda kwekushandiswa kweivarian cysts kushandiswa kunobatanidza kubata pamuviri. Vanodzorera basa rezvinyengeri zvepabonde, zvinodzivisa kuumbwa kwezvitsva. Pakati pemishonga inoshandiswa:
- Lindineth;
- Marvelon;
- Regulon;
- Rigevidone;
- Silestus;
- Diane-35.
Nechirwere chakadai se cyst ovarian, kurapwa nemishonga yevanhu kunogona kuonekwa seyowedzera. Pakati pemishonga nemiti yakashandiswa:
- bovine uterus;
- tsvuku bvuku ;
- yarrow;
- immortelle;
- chamomile;
- gavakava;
- elecampane.
Kubviswa kwechivhisi yeOvarian
An ovarian cyst (iyo zviratidzo zvikuru uye kurapa kwomukadzi haisi nguva dzose pasi rose) zvinowanzogadziriswa kuita chirwere chakanyanya. Kushanda kupindira muhupo hwekuumbwa mukati mavha mavari kunogona kuitwa nenzira mbiri:
- Laparoscopy ye cyst ovarian ndiyo nzira yakanakisisa yokurapa chirwere ichi, umo ruzivo rwekudzivirira hutachiwana huri kuburikidza nepcctures duku. Kuvhiya kunoitwa pasi pekutungamirirwa kweiyo mavhidhiyo, zvichiita kuti panjodzi yakaderedzwa yekutambudzika kwemashuga ari pedyo.
- Laparotomy - inoitwa kuburikidza nekucheka mukati mekunze kwemadziro emadziro nehukuru hukuru uye kuipa kwechirst. Munguva yokuvhiyiwa, chiremba wacho anoongorora zvachose ganda redu duku, risingabviri kuvapo kwemafuro matsva.