ʻO nā cyst ovarian

ʻO ka cyst ovarian kahi ʻeke i hoʻopiha ʻia me ka wai e hana ma a i ʻole i loko o kahi ovary.

ʻO kēia ʻatikala e pili ana i nā cyst e hana i kāu wā menstrual cycle, i kapa ʻia he cyst hana. ʻAʻole like nā cist fungsional me nā cist ma muli o ka maʻi ʻaʻai a i ʻole nā ​​maʻi ʻē aʻe. ʻO ka hoʻokumu ʻia ʻana o kēia mau cista kahi hanana maʻamau maʻamau a he hōʻailona ia e holo pono ana nā ovaries.

I kēlā me kēia mahina i kāu wā menstrual, ulu kahi follicle (cyst) ma kāu ovary. ʻO ka follicle kahi e ulu nei kahi hua manu.

• Hana ka follicle i ka hormona estrogen. Hoʻololi kēia hormone i nā loli maʻamau o ka uhi ʻana o ka uterine i ka hoʻomākaukau ʻana o ka uterus no ka hāpai ʻana.
• Ke oʻo ka hua, hoʻokuʻu ʻia mai ka follicle. Kapa ʻia kēia ʻo ka ovulation.
• Inā ʻaʻole haki ka follicle a hoʻokuʻu i kahi hua manu, noho ka wai i ka follicle a hana i kahi cyst. Kapa ʻia kēia he follicular cyst.

Kū kekahi ʻano cyst ma hope o ka hoʻokuʻu ʻia ʻana o kahi hua manu mai kahi follicle. Kāhea ʻia kēia he corpus luteum cyst. Hiki i kēia ʻano cyst ke loaʻa i kahi koko liʻiliʻi. Hoʻokuʻu kēia cyst i nā progesterone a me nā estrogen estrogen.

ʻOi aku ka nui o nā cvis ovarian i nā makahiki hānau keiki ma waena o ka wā ʻōpio a me ka menopause. ʻAʻole emi ke ʻano ma hope o ka menopause.

Lawe pinepine i nā lāʻau lapaʻau momona i ka ulu ʻana o nā follicle (cist) he nui i nā ovaries. Hele pinepine kēia mau cist ma hope o ka manawa o ka wahine, a ma hope paha o ka hāpai ʻana.

ʻAʻole like nā cist ovarian functionional me nā tumors ovarian a i ʻole nā ​​cist ma muli o nā kūlana pili i ka hormone e like me polycystic ovary syndrome.

Hoʻokumu pinepine nā cista ovarian i nā ʻōuli.

ʻOi aku ka hopena o kahi cyst ovarian i ʻeha inā:

• Lilo i mea nui
• ʻO nā koko
• Wehe ʻia
• Hoʻopilikia i ka lako o ke koko i ka ovary
• Ua wili ʻia a kumu ʻo ia e wili ai (torsion) o ka ovary

Hiki i nā ʻōuli o nā cista ovarian ke hoʻopili pū:

• Pāhū a ʻōhū paha i ka ʻōpū
• ʻEha i ka wā o ka ʻōpū
• ʻEha ma ka pelvis ma mua koke a ma hope paha o ka hoʻomaka ʻana o kahi manawa menstrual
• ʻEha me ka moekolohe a i ʻole ka ʻeha pelvic i ka neʻe ʻana
• ʻEha pelvic - kū mau, ʻāʻū puʻū
• ʻO ka ʻeha pelvis hikiwawe a koʻikoʻi, pinepine me ka nausea a me ka luaʻi (he hōʻailona paha ia o ka torsion a i ʻole ka wili ʻana o ka ovary i kāna lako koko, a i ʻole ka haki ʻana o kahi cyst me ke kahe ʻana o loko)

ʻAʻole loli nā loli i nā manawa menstrual me nā cyst follicular. ʻOi aku ka maʻamau o kēia mau mea me nā cist corpus luteum. Hiki ke ʻike ʻia ke kahe ʻana a i ʻole ke kahe ʻana me kekahi mau cista.

Hiki i kāu mea mālama ola ke loaʻa i kahi cyst i ka wā o kahi hōʻike pelvic, a i ʻole ke loaʻa ʻana iā ʻoe kahi hōʻike ultrasound no kekahi kumu ʻē aʻe.

Hana ʻia paha ka ultrasound e ʻike ai i kahi cyst. Makemake paha kāu mea hāʻawi iā ʻoe e hōʻoia hou iā ʻoe i loko o 6 a 8 mau pule e ʻike pono ua hala.

Nā hoʻokolohua kiʻi ʻē aʻe i hiki ke hana ʻia inā pono e hoʻopili ʻia:

• CT scan
• Nā noiʻi kahe Doppler
• MRI

E hana ʻia nā hoʻokolohua koko aʻe:

• ʻO ka hoʻāʻo CA-125, e nānā no ka maʻi ʻaʻai hiki inā loaʻa iā ʻoe kahi ultrasound maʻamau a i ʻole i ka menopause
• Nā pae Hormone (e like me LH, FSH, estradiol, a me testosterone)
• Hōʻike hāpai hāpai (Serum hCG)

ʻAʻole pono nā cyst ovarian functioning i ka lapaʻau. Hele pinepine lākou iā lākou iho ma waena o 8 a 12 mau pule.

Inā loaʻa iā ʻoe nā cista ovarian pinepine, hiki i kāu mea hāʻawi ke kuhikuhi i nā lāʻau kaohi hānau (oral contraceptives). Hiki i kēia mau pila ke hōʻemi i ka makaʻu o ka hoʻomohala ʻana i nā cista hou. ʻAʻole hoʻemi nā lāʻau kaohi hānau i ka nui o nā cista o kēia manawa.

Pono ʻoe i ke ʻoki e wehe i ka cyst a i ʻole ovary e hōʻoia ʻaʻole ia i ka maʻi ʻaʻai ovarian. ʻOi aku ka pono no ke kaha ʻana no:

• Hiki ʻole ke hele aku i nā cista ovarian paʻakikī
• ʻO nā cist e hana nei i nā ʻōuli a hele ʻole aku
• ʻO nā cyst e hoʻonui nei i ka nui
• ʻOi aku ka nui o nā cista ovarian ma mua o 10 centimita
• ʻO nā wahine kokoke i ka menopause a i ʻole ka menopause i hala

ʻO nā ʻano o ke kaha ʻana no nā cist ovarian:

• Laparotomy ʻimi
• Pelvic laparoscopy

Hiki paha iā ʻoe ke mālama i nā lāʻau ʻē aʻe inā loaʻa ʻoe i ka polycystic ovary syndrome a i ʻole kahi maʻi ʻē aʻe e hiki ai ke hōʻeha i nā cist.

ʻO nā cyst i nā wahine e loaʻa mau ana nā manawa ke hele aku. ʻO kahi cyst paʻakikī i kahi wahine i hala i ka menopause i ʻoi aku ka nui o ka makaʻu i ka maʻi ʻaʻai. ʻAʻole hiki ʻole ka maʻi ʻaʻai me kahi cyst maʻalahi.

Pili nā pilikia me ke ʻano o ke kumu o nā cist. Hiki i nā pilikia ke hana me nā cist e:

• Koko
• Wehe hāmama.
• Hōʻike i nā hōʻailona o nā loli e hiki ke lilo i maʻi ʻaʻai.
• Wili, kaukaʻi ʻia i ka nui o ka cyst. Lawe nā cist ʻoi aku ka nui o ka makaʻu.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o ka ovarian cyst
• He ʻeha nui kou
• He kahe kou i kū ʻole i kāu

Kāhea pū i kāu mea hāʻawi inā ua ukali ʻoe i nā lā he nui no 2 mau pule.

• Ke hoʻopiha koke nei i ka wā e ʻai ana
• Lilo i kou makemake
• Ke kaupaona ʻana me ka hoʻāʻo ʻole

Hōʻike kēia mau ʻōuli i ka maʻi ʻaʻai ovarian. ʻO nā haʻawina e paipai nei i nā wahine e ʻimi i ka mālama no nā ʻōuli maʻi ʻaʻai ovarian ʻaʻole i hōʻike ʻia kahi pōmaikaʻi. Minamina, ʻaʻohe o mākou mea e hōʻoia ʻia ai ka kānana ʻana no ka maʻi ʻaʻai ovarian.

Inā ʻaʻole ʻoe e hoʻāʻo e hāpai a loaʻa pinepine iā ʻoe i nā cista hana, hiki iā ʻoe ke pale iā lākou ma ka lawe ʻana i nā lāʻau kaohi hānau. Pale kēia mau pila i ka ulu ʻana o nā follicle.

Cista ovarian ʻōiwi; Nā cista ovarian hana; Corpus luteum cista; ʻO nā cyst Follicular

• Anatomia hānau wahine
• ʻO nā cyst ovarian
• Uterus
• Anatomia ʻohana

Brown DL, Wall DJ. ʻO ka loiloi ultrasound o nā ovaries. I: Norton ME, Scoutt LM, Feldstein VA, eds. CʻO Allen's Ultrasonography i Obstetrics a me Gynecology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2017: chap 30.

Bulun SE Physiology a me nā pathology o ka wahine hānau axis. Ma Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 17.

ʻO Dolan MS, Hill C, Valea FA. Nā lehele wahine gynecologic Benign: ʻāpau, ʻōpua, ʻehaʻeha, uterus, oviduct, ovary, kiʻi ultrasound o nā pelvic. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 18.