Mea Kākau: Randy Alexander
Lā O Ka Hana: 2 Apelila 2021
HōʻAno Hou I Ka Lā: 15 Nowemapa 2024
Anonim
ʻO Cvis ʻOvarian - Ola Kino
ʻO Cvis ʻOvarian - Ola Kino

Anter

He aha nā cista ovarian?

ʻO nā ovaries he ʻāpana o ka ʻōnaehana hānau wahine. Aia lākou i ka ʻōpū o lalo i nā ʻaoʻao ʻelua o ka kōpū. ʻElua mau ovaries a nā wahine e hoʻohua i nā hua me nā hormones estrogen a me ka progesterone.

I kekahi manawa, e ulu ka ʻeke piha piha wai i kapa ʻia he cyst ma kekahi o nā ovaries. E hoʻomohala nā wahine he nui ma ka liʻiliʻi i hoʻokahi cyst i ko lākou ola. I ka hapanui o nā hihia, ʻaʻohe ʻeha nā cista a ʻaʻohe kumu o nā ʻōuli.

Nā ʻano o nā cista ovarian

Aia kekahi mau ʻano o nā cista ovarian, e like me nā cerm dermoid a me nā comet endometrioma. Eia nō naʻe, ʻo nā ciste hana nā ʻano maʻamau. ʻO nā ʻano ʻelua o nā ciste hana e like me nā follicle a me nā cute corpus luteum.

Follicle cyst

I ka wā o ka menstrual cycle o kahi wahine, ulu kahi hua manu i loko o kahi ʻeke i kapa ʻia he follicle. Aia kēia ʻeke i loko o nā ovaries. I ka hapanui o nā hihia, wehe kēia follicle a ʻeke paha a hoʻokuʻu i kahi hua manu. Akā inā ʻaʻole haki ka follicle, hiki i ka wai i loko o ka follicle ke hana i kahi cyst ma ka ovary.


Corpus luteum cista

Hoʻopau pinepine nā ʻeke Follicle ma hope o ka hoʻokuʻu ʻana i kahi hua manu. Akā inā ʻaʻole hoʻoheheʻe ke ʻeke a me ka wehe ʻana o nā sila follicle, hiki ke hoʻomohala i ka wai i loko o ka ʻeke, a ʻo kēia hōʻuluʻulu ʻana o ka wai e hoʻoulu i kahi cyst luteum cyst.

ʻO nā ʻano ʻē aʻe o nā cista ovarian e:

  • dermoid cista: ʻeke e like me ka ulu ʻana ma nā ovaries i hiki ke komo i ka lauoho, momona, a me nā mea ʻē aʻe
  • cystadenomas: nā ulu noncancerous i hiki ke hoʻomohala ma ka papa waho o nā ovaries
  • endometriomas: nāʻaʻaʻa e ulu maʻamau i loko o ka uterus hiki ke hoʻomohala ma waho o ka kōpū a hoʻopili i nā ovaries, e hopena ana i kahi cyst

Hoʻomohala kekahi mau wahine i kahi ʻano i kapa ʻia polycystic ovary syndrome. ʻO kēia ʻano ke loaʻa i nā ovaries ka helu nui o nā cista liʻiliʻi. Hiki iā ia ke hoʻonui i nā ovaries. Inā haʻalele ʻole ʻia, hiki i nā ovary polycystic ke kumu i ka infertility.

Nā ʻōuli o ka cyst ovarian

ʻO ka manawa pinepine, ʻaʻole nā ​​cist ovarian e hana i kekahi ʻōuli. Eia nō naʻe, hiki ke ʻike ʻia nā ʻōuli ke ulu ka cyst. Pākuʻi ʻia paha nā ʻōuli:


  • ʻōpū o ka ʻōpū a huʻi paha
  • ʻoni ʻoni ʻeha
  • ʻeha pelvic ma mua a i ʻole i ka wā menstrual
  • moekolohe ʻeha
  • ʻeha ma ka ʻaoʻao i lalo a i ʻole nā ​​ʻūhā
  • palupalu o ka umauma
  • nausea a me ka luaʻi

ʻO nā ʻōuli koʻikoʻi o ka cyst ovarian e koi ai i ka mālama olakino pū me:

  • ʻeha a ʻeha pelvis paha
  • fiva
  • maule a poni paha
  • hanu wikiwiki

Hiki i kēia mau ʻōuli ke hōʻike i kahi cyst ruptured a i ʻole ka torsion ovarian. Hiki i nā pilikia ʻelua ke loaʻa i nā hopena koʻikoʻi inā ʻaʻole mālama mua ʻia.

ʻO nā kūpiliki cyst ovarian

ʻO ka hapa nui o nā cista ovarian helehelena a hele maoli i kā lākou iho me ka ʻole o ka lapaʻau. Hoʻokumu iki kēia mau cist i nā ʻōuli. Akā i kahi hihia kakaikahi, ʻike paha kāu kauka i kahi nui ovarian cystic ovarian maʻi i ka wā o kahi loiloi maʻamau.

ʻO ka ovarian torsion kekahi pilikia paʻakikī o nā ovist cista. ʻO kēia ke kumu e hoʻohuli a hoʻololi paha kahi cyst nui i kahi ovary mai kona kūlana mua. ʻOki ʻia ka hāʻawi koko i ka ovary, a inā ʻaʻole mālama ʻia, hiki iā ia ke hōʻino a make paha i kaʻiʻo ovarian. ʻOiai he mea maʻamau ʻole, ʻo ka nui o ka ovarian torsion no ka aneane 3 pākēneka o nā kauka gynecologic pilikia.


Hiki i nā cist ruptured, he kākaʻikahi hoʻi, ke hana i ka ʻeha ikaika a me ke kahe ʻana o loko. Hoʻonui kēia pilikia i kou makaʻi i kahi maʻi a hiki ke hoʻoweliweli i ke ola inā haʻalele ʻole ʻia.

Ke hōʻike nei i kahi cyst ovarian

Hiki i kāu kauka ke hoʻomaopopo i kahi cyst ovarian i ka manawa o kahi hoʻokolohua pelvic maʻamau. ʻIke paha lākou i ka pehu ʻana ma kekahi o kāu ovaries a kauoha i kahi hōʻike ultrasound e hōʻoia i ke kū ʻana o kahi cyst. ʻO kahi hoʻāʻo ultrasound (ultrasonography) kahi hōʻike kiʻi e hoʻohana ai i nā nalu kani kani pinepine e hana i kiʻi o kāu i loko. Kōkua nā hoʻāʻo ultrasound i ka nui, ka wahi, ke kinona, a me ka haku ʻana (piha a piha paha ka wai) o kahi cyst.

Hoʻohana ʻia nā pono hana kiʻi e ʻike ai i nā cista ovarian:

  • CT scan: kahi mea hoʻohana kiʻi kino i hoʻohana ʻia e hana i nā kiʻi ʻāpana o nā mea kūloko
  • MRI: kahi hoʻokolohua e hoʻohana i nā māla magnetika e hana i nā kiʻi hohonu o nā mea kūloko
  • hāmeʻa ultrasound: kahi mīkini kiʻi i hoʻohana ʻia e nānā i ka ovary

Ma muli o ka nalo ʻana o ka hapa nui o nā cist ma hope o kekahi mau pule a i ʻole mau mahina, ʻaʻole paha e koi koke kāu kauka i kahi hoʻolālā lapaʻau. Ma kahi o, hiki iā lākou ke hana hou i ka hoʻāʻo ultrasound i kekahi mau pule a i ʻole mau mahina e nānā i kou ʻano.

Inā ʻaʻohe hoʻololi i kāu kūlana a i ʻole inā hoʻonui ka cyst i ka nui, e noi aku kāu kauka i nā hoʻokolohua hou e hoʻoholo ai i nā kumu ʻē aʻe o kāu mau hōʻailona.

Pākuʻi ʻia kēia mau mea:

  • hoʻāʻo hāpai e hōʻoia inā ʻaʻole ʻoe hāpai
  • hoʻāʻo pae pae e nānā ai i nā pilikia pili i ka hormone, e like me ka nui o ka estrogen a i ʻole ka progesterone
  • ʻO ka hoʻāʻo koko CA-125 e nānā no ka maʻi ʻaʻai ovarian

Lapaʻau no ka ovarian cyst

Hiki i kāu kauka ke koi aku i ka mālama ʻana e hōʻemi a hemo i ka cyst inā ʻaʻole hele ia iā ia iho a i ʻole inā ulu nui aʻe ia.

Pila pale hānau

Inā loaʻa iā ʻoe nā cista ovarian hou, hiki i kāu kauka ke kuhikuhi i nā mea pale oral e hoʻōki i ka ovulation a pale i ka hoʻomohala ʻana o nā cista hou. Hiki i nā kaukaha waha ke hōʻemi i kou makaʻu i ka maʻi ʻaʻai ovarian. ʻOi aku ka makaʻu o ka maʻi ʻaʻai ovarian i nā wahine postmenopausal.

Laparoscopy

Inā liʻiliʻi kāu cyst a me nā hopena mai kahi hōʻike kiʻi e hōʻoki i ka maʻi ʻaʻai, hiki i kāu kauka ke hana i kahi laparoscopy e wehe ai i ka cyst. Hoʻopili ke kaʻina hana i kāu kauka e hana ana i kahi ʻoki liʻiliʻi kokoke i kou piko a laila hoʻokomo i kahi mea liʻiliʻi i loko o kou ʻōpū e hoʻoneʻe i ka cyst.

Laparotomy

Inā loaʻa iā ʻoe kahi cyst nui, hiki i kāu kauka ke hoʻopau i ka cyst ma o kahi ʻoki nui i loko o kou ʻōpū. E alakaʻi lākou i kahi biopsy koke, a inā lākou e hoʻoholo he maʻi ʻaʻai ka cyst, hana paha lākou i kahi hysterectomy e hemo i kāu mau ovaries a me kou kōpū.

ʻO ka pale ʻana i ka cyvarian ovarian

ʻAʻole hiki ke pale ʻia nā cist Ovarian. Eia nō naʻe, hiki i nā hoʻokolohua gynecologic maʻamau ke ʻike mua i nā cista ovarian. ʻAʻole lilo i nā maʻi maʻi ovarian Benign i maʻi maʻi maʻi. Eia nō naʻe, hiki i nā ʻōuli o ka maʻi ʻaʻai ovarian ke hoʻohālikelike i nā ʻōuli o kahi ovarian cyst. No laila, he mea nui e kipa aku i kāu kauka a loaʻa i kahi hōʻailona pololei. E hoʻomaopopo i kāu kauka i nā ʻōuli e hōʻike ai i kahi pilikia, e like me:

  • nā hoʻololi i kāu pōʻai menstrual
  • ʻeha pelvis mau
  • nalo ʻai ʻole
  • lilo kaumaha maopopo ʻole
  • hoʻopiha ʻōpū

He aha ka manaʻo lōʻihi?

ʻO ka nānā no nā wahine premenopausal me nā cist ovarian maikaʻi. Nalo ka hapa nui o nā cist i loko o kekahi mau mahina. Eia nō naʻe, hiki i nā cista ovarian hou ke hana i nā wahine premenopausal a me nā wahine me ke kaulike ʻole o ka hormone.

Inā haʻalele ʻole ʻia, hiki i kekahi mau cist ke hoʻemi i ka momona. Kūleʻa kēia me nā endometriomas a me polycystic ovary syndrome. I mea e hoʻomaikaʻi ai i ka momona, hiki i kāu kauka ke hemo a hōʻemi paha i ka cyst. ʻO nā ciste hoʻohana, cystadenomas, a me nā cist dermoid ʻaʻole e pili i ka momona.

ʻOiai ʻo kekahi mau kauka e hana i kahi "kali a ʻike" me nā ovist cista, hiki i kāu kauka ke koi aku i ke ʻoki e hemo a nānā i kēlā me kēia cyst a i ʻole ulu ulu i nā ovaries ma hope o ka menopause. ʻO kēia no ka mea ʻo ka makaʻu o ka hoʻomohala ʻana i kahi cyst cancerous a i ʻole ovarian cancer cancer e hoʻonui ma hope o ka menopause. Eia naʻe, ʻaʻole hoʻonui nā cista ovarian i ka makaʻu o ka maʻi ʻaʻai ovarian. E hoʻoneʻe kekahi mau kauka i kahi cyst inā ʻoi aku ia ma mua o 5 centimetres i ke anawaena.

Q:

He aha nā hopena o nā ovarian cista i ka hāpai? Pehea lākou e hana ai i kekahi mea hāpai a me kekahi e hoʻāʻo nei e hāpai?

Hoʻomanawanui inoa ʻole

A:

Pili kekahi mau cist ovarian me ka hoʻemi ʻia o ka momona ʻoiai ʻaʻole kekahi. Hiki i nā Endometriomas a me nā cist mai ka polycystic ovarian syndrome ke hoʻemi i ka hiki i ka wahine ke hāpai. Eia nō naʻe, ʻaʻole pili nā ciste hana, nā cerm dermoid, a me nā cystadenomas me ka paʻakikī i ka hāpai ʻana ke ʻole lākou nui. Inā ʻike kāu kauka i kahi cyst ovarian ʻoiai ʻoe e hāpai ana, hilinaʻi paha ka mālama ʻana i ka ʻano a i ʻole ka nui o ka cyst. ʻO ka hapa nui o nā cist ʻaʻole benign a koi i ke komo ʻana i ka lāʻau. Eia nō naʻe, pono paha ʻoe i kahi ʻokiʻoki inā kānalua ka cyst no ka maʻi ʻaʻai a i ʻole inā haki a kolo paha ka cyst (ʻike ʻia ʻo torsion), a nui paha.

ʻO Alana Biggers, MD, MPH Nā pane i nā manaʻo o kā mākou kauka loea. Hoʻomaopopo ʻike ʻike ʻole ʻia nā ʻike āpau a pono ʻole e noʻonoʻo ʻia he ʻōlelo aʻoaʻo olakino.

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