Bhatine tumor yemavhizha: kuongororwa, zviratidzo, kurapa

Mazuva Gynecology benign ovarian mapundu - ndiro dambudziko chairo. With chirwere chete "muduku" gore rimwe nerimwe. Ndiye zvakafanana kubatwa nevasikana vaduku navakadzi vakwegura. Kusavapo yepamusoro hanya kungaita kuti taisireva, kusanganisira rufu.

Benign uye nyanyisa ovarian anomera

Bundu kukura ari pathologically akaremara tishu sero. Ekupedzisira vari aumba kubva zvezvidzidzo siyana mavambo, kuita zvakasiyana siyana mabasa. Namamota nguva-dimensional matatu idzodzo. Kana munhukadzi dzokubereka nadzo, muchiitiko ichi, kuti pathological muitiro wokutanga kachitanga ari nhengo pachavo. Ipapo anogona kuenda pedyo zvivako, anokunda nzvimbo itsva.

Kufungisisa kuchinja kuitika masero ose anomera Nzvimbo iyi inogona dziya muzvikwata zviviri: benign uye nyanyisa ovarian anomera. kupatsanura Izvi zvemasanga. In dzokubereka nguva, vamwe benign kuva akaipa. Zvisinei, vane vakawanda kusiyana.

Akaipa bundu dzinoratidzwa kukurumidza kumhanya kukura uye kukwanisa munhumbi mune dzimwe mumasero utano. izvi zvose ndezvechokwadi rinobatanidza kumera pathological masero ari nhengo dzinobudisa mumidziyo, uye zvakare kupararira munyika muviri pamwe neropa chekubuda. Zvinoguma vakawanda metastases. Histologically, asi akaipa masero yakasiyana nechivako yavo utano ovarian zvikamu. Chitarisiko, vane siyana chaizvo, sezvo vari kugara panguva dzakasiyana zvokukura kukura.

Benign kukunyimai kubva pedyo zvinyama mumuhara, usambofa zvinopfuura izvozvo. Zvisinei, havana dzinoratidzwa nemano avo kukura kukura, izvo dzimwe nguva kunoita kuti compression kuti vakavakidzana nhengo. Kwakadaro zvinhu hazviparadzi zvinyama utano regai kuratidza tsika metastasize. Pashure kuvhiya kubviswa ndiyo inenge nguva anouya kunaya zvakakwana. Kuitazve nyaya kashoma kuuya muchiedza.

Ine benign muitiro

The ovaries vanonzi inokosha zvomukati dzokubereka nadzo. Ivo anobudiswa zvepabonde mahormone, vakasimba zai. Ukuwo, vanowanzoororwa chaizvo kuita sokunge kuti dzakasiyana-siyana pathological kwendangariro. Cysts uye mapundu pakati siyana nhengo dzokubereka nadzo kazhinji vanosarudza ovaries. Vari vaitirei pangozi marongerwo. Benign ovarian bundu haasiyi miganhu njodzi nhengo, unobvumira kubvisa chirwere. The nzira chikuru kurapwa mune nyasha kuvhiyiwa.

Zvimwewo zviri vanachiremba mhando iyi ndeizvi masangano:

1. Órgãos chero zera.
2. Kuderedza vakadzi pamuviri zvinogona.
3. Kushaya dzakananga zviratidzo.
4. High mukana akaipa kushanduka - kushanduka kuva akaipa bundu.

Kakawanda pathological muitiro inotambudza vakadzi pashure pemakore 30. It kunoratidzwa asymptomatic. Izvi "kenza chinyararire". rokuremekedza Its anoita mukadzi ose kunyatsotevera akuteerere utano hwavo uye kumbotambudzika nguva nenguva rokuongorora panguva gayinakorojisiti.

Somuenzaniso, kuzvimba zvinoshandiswa muimba rikwanise muchimiro anowanzokonzeresa kuti munhu marwadzo. Izvi zvinokonzera amai kuona chiremba pamabiko uko kunoratidzwa uye chirwere ngozi. Mune zvimwe zviitiko zviri apo neapo kudhonza manzwiro ari rezasi abdominal nzvimbo. Naizvozvo, kenza muitiro unogona kuva kuvhiringidzika ane intestinal nyonganyonga kana chirwere muchibereko chemusikana. Somugumisiro chirwere chinoramba kuteerera uye kushingaira anovandudza.

zvokurwara Zvinokonzera

Etiology pamusoro benign ovarian anomera USINGAZIKAMWI. Vanachiremba vanoramba nharo panyaya, achitaura zvekungofungira siyana. Somuenzaniso, vanachiremba vakakwanisa kuziva chose boka provocateurs zvinhu. Dzavo Impact yekudyidzana kunowedzera mukana wokuti kukura pathological muitiro. Zvinhu izvi zvinosanganisira:

• hormone zvirwere;
• enderera ovulation;
• nemagene kubatwa;
• kukanganisa kwacho follicular kuibvisa;
• kugamuchira progesterone;
• kusvuta.

Pamuviri kunogona kukonzera kukura munhu benign kwacho.

zvekuchipatara mufananidzo

Kakawanda iri tanga benign ovarian anomera akaratidza pasina zviratidzo. With Kukura dzidzo kunotoda mufananidzo kuchinja. Vakadzi kazhinji kuuya mabiko kuna chiremba pamwe inotevera zvichemo:

1. Achishandisa kurwadziwa rezasi abdominal nzvimbo, inozivikanwa nomumwe-mativi.
2. Kushaya mbereko.
3. Kutyora mukadzi kutenderera.
4. Constant kunzwa waziya panzvimbo dzapasi mudumbu.
5. Dizuricheskie nyonganyonga.
6. Nezvinetso defecation, vakawedzera abdominal vhoriyamu nokuda flatulence.

Okupedzisira kuratidzwa mbiri chirwere hadziwanzowaniki, asiwo vachiri chiratidzo kunyange chiduku kukura bundu. Vakadzi pachavo uye kunyange vanachiremba kushanda regai kukosha.

Dzimwe mhando cysts, benign dzakasiyana hunhu, vanokwanisa kubereka mahormone. Somugumisiro, chirwere angaperekedzwa matambudziko anotevera utano:

• asipo kwenguva yakareba kumwedzi;
• clitoral akawedzera;
• kuderedza ukuru mammary mumasero;
• kukura mburwa;
• zvakawandisa muviri bvudzi kukura kwevarume mhando;
• Cushing kuti syndrome.

Zviratidzo izvi zvinogona kuoneka zvachose chero zera, kusanganisira panguva yepamuviri.

Zviratidzo zviri chirwere panguva bundu torsion makumbo

zvimwe zviratidzo zvakawanda dzinoratidzwa yakaoma nzira imwe benign nebundu rimwe ovary vakadzi. The inonyanya kuoneka riri kuonekwa kuva torsion neoplasms makumbo. Zvinogona kuitika mune benign uye pamuganhu inoti. The mamiriro zvinosanganisira makumbo zvomusejari tsinga, tsinga, fallopian chubhu, peritoneal mugove uye uterine shwashwa. Zvinotevera Zviratidzo kuitika kana bundu kutyora simba:

• Sudden yaitsigira divi kurwadziwa rezasi abdominal nharaunda, izvo dzimwe nguva zvinotora pamusoro chimiro zvachose;
• kurutsa uye svoto;
• bloating;
• ndakatota ziya;
• ganda rakachenuruka;
• kuwedzera tembiricha muviri.

Izvi zviratidzo vanotaura hakusi kwechigarire. Kana rushoma torsion pamusoro kwokuomerwa makumbo avo shoma zvikuru. Vanogona kunyangarika voga uye kuonekwa zvakare.

chirwere kupatsanura

In zvose ano Gynecology growths akaita chokupa mapoka uye subgroups. Kune vazhinji classifications benign ovarian namamota, chimwe nechimwe zvinotora sezvikonzero imwe chiratidzo. Somuenzaniso, World Health Organization rinopa zvinotevera kuparadzana mikana:

1. Epithelial mapundu: serous, mucinous, endometrioid, sero yakajeka uye nezvimwewo.
2. Sex netambo-stromal neoplasms: Tecoma, fibroma, androblastoma.
3. Camadas Sero mapundu: dermoid chikofu, ovarian goiter.
4. Bundu pezvakaitwa: kakawanda follicular cysts, dzinongobuda epithelial inclusions, endometriosis, stromal hyperplasia isiri yekenza, nezvimwewo gipertekoz.

Zvisinei, mune tsika anowanzodanwa kushandiswa kuparadzana pathological kwacho mhando mbiri: bundu inotungamirwa uye pamusoro (epithelial) bundu ovarian. Nevamwe zviri nechimwe mapoka maviri ichakurukurwa pazasi.

mota inotungamirwa

chikamu ichi benign ovarian anomera zvinosanganisira:

1. Follicular chikofu. Most kazhinji chirwere mune vasikana vaduku. Chikofu hwapedyo chete chete ovary, dzinoratidzwa yakakwirira famba uye kunzwisisa. dhayamita Its anogona dzinosiyana 2.5 kusvika 10 cm. The zvokurwara akaratidza kutyora hadzi kutenderera. Kazhinji achabatsirwa pave kunonoka kuenda kumwedzi, zvichiteverwa yakanyanya ropa. Pashure 3-6 zvinogara ane chikofu pachako nokupera. Hazvina kusiyana katsika malignancy, asi kunoda zvichiongororwa. Pashure nezvezviratidzo ndakarumbidzwa kugara nokuongororwa.
2. Corpus luteum mbeu chikofu. Ukuru namamota ingabva 3-6.5 cm. Akaora, chinoratidza menstruations, kunyatsoteerera ropa kubva nyinyo, zamu engorgement. dzimwe nguva Corpus luteum mbeu chikofu kunonzwisiswa panguva yepamuviri. Zvinokwanisika funga maumbirwo uchishandisa Ultrasound. Kuvapo kuroora / akawanda partitions, clots ropa dziripowo. Possible pakakoromoka inotungamirwa pashure zvepabonde.
3. Serous chikofu. Risati histology zvokurwara kazhinji kururama kuti follicular chikofu. Pane mazano ane zvichibvira malignancy, asi ivo vasina nekusimba uchidzidzira. Serous chikofu hwapedyo kubva vakasara zvikuru embryo itsvo. Hazvina chinjwa kwakavharwa nenyama dzidzo, vane saizi hakuiti pfuura 10 cm. Kakawanda kuratidza kuzvimba pashure Achitsaudzira makumbo ake.

Kurapa varwere benign ovarian mapundu kutanga chete pashure kutsunga yezvakaita uye dzakasiyana-siyana pathologies.

epithelial anomera

Ndicho pakukura boka, izvo chinoita kuti anenge 70% vose benign ovarian anomera. Namamota dzinokudziridzwa kubva epithelial stroma uye asingafungi muviri. Kazhinji vane imwe-mativi hunhu. On palpation haana kumbosiyana hwevanhu vanorwara, asi vanoonekwa ne mufambo uye kwakavharwa nenyama kusachinja-chinja. Two-nzira hunhu maperembudzi sechinoitika kufungira kuti malignancy.

Individual nzeve, pamuganhu anomera. Ichi serous, mucous, zvakavhenganiswa uye mamwe marudzi masangano. Pashure pokuvhiyiwa, hazvina warambidzwa mukana wokuti wava kusvutazve. Maererano zvidzidzo, pamuganhu mapundu dzinoiswa yakaderera-mugiredhi abnormalities. Kakawanda, zviri akaonekwa mune vasikana vari tanga kukura.

Medical ongororo

Diagnosing ovarian benign yamamota zvikuru matambudziko. Kunyanya tanga, kana zviratidzo zvakajeka pathological muitiro hatisi. Vazhinji noruzivo Gynecology anogona kuziva yamamota kubudikidza palpation. Nokushandisa nzira iyi, iva nechokwadi kuti kushandisa panguva kuongorora.

Kana uchifungidzira munhu zvokurwara murwere pelvic Ultrasound anogadzwa. It anonzi akanakisisa chete transvaginal ultrasonography chete ruvara Doppler ongororo. Izvi zvakwo kuongororwa nzira nokuda Pakusarudza marongerwo uye kukura bundu. Uyezve basa muedzo ropa Pakusarudza CA-19 uye CA-125 zvechinguvana. With pachena ndingangokuvara malignancy.

Kwokupedzisira chikuva kuonekwa chirwere histological kuongororwa, panguva iyo chiremba anotora nzwisa bundu rinenge. Pashure pokudzidza zvinhu murabhoritari anogona zvakarurama vanotaura benign kana akaipa muitiro.

Features kurapa

Nzira inokosha yokusaruramisira benign ovarian mapundu ndiyo kuvhiya kupindira. Treatment kuronga uye kwakaita kushanda vanosarudzwa nomumwe. Panyaya iyi, chiremba anofanira kufunga nemakore murwere, wake chido kuchengetedza pamuviri ushande. Not yokupedzisira basa iri kuridzwa ne hunhu namamota panyaya iyi.

Nhasi, vanamazvikokota vakawanda vanosarudza laparoscopic kuvhiyiwa. Benign ovarian bundu - haasi mutongo. With nenguva kurapwa kuti rubatsiro zvinobvira kuchengetedza pamuviri ushande. Izvi Kupindira nzira kunoratidzwa yakaderera ngozi yematambudziko, uye vapore nguva inomhanya zvakakwana.

Kana laparoscopy haagoni kupiwa oophorectomy. oparesheni ichi chinoreva oophorectomy zvachose vemunyika neoplasm. Zvinokosha kucherechedza kuti resection yekudyidzana kunowedzera ngozi kushaya mbereko mune ramangwana. Naizvozvo, mabatiro benign ovarian anomera saizvozvi rinoitwa muzviitiko. Kana kaviri madziro localization pamusoro pathological muitiro vakatakura pangisterektomiya - kuvhiyiwa umo dumbu yabviswa ne zvinoshandiswa.

Dzimwe nguva mapundu vari panoonekwa vakadzi vane pamuviri. Sezvineiwo, chirwere ichi kwava kushoma, uye ndiyo 0,4 chete% nyaya. Huru zvairatidza kuti kuvhiyiwa panguva pamuviri - a benign ovarian nebundu 10 masendimita ari dhayamita. Kuvhiya rinoitwa I chete kana II trimester.

zvinogoneka yematambudziko

Kana Detective mapundu kakawanda, chiremba vakasimbirira atorwa. Chikonzero Chisarudzo ichi ndicho yakakwirira mukana yematambudziko. Matambudziko ndeapi mukadzi anogona kusangana?

1. Malignancy of pathological muitiro. Ndiro kuomesa kwakaita benign ovarian bundu zvikuru ngozi. Operation kuitwa nenguva nenzira kunotibvumira tariro kunaya zvakakwana. Kana bundu akaonekwa panguva azara uye kurapwa iri zvakatanga yapera, mukana kwayo kushanduka kupinda nyanyisa ndiyo 30-50%. Panguva iyo pane bundu kukwanisa kukura pedyo nyama uye nhengo dzomuviri. Mutated zvinhu zvinogona dzakapararira muviri, zvichiita kusingarapiki kenza kwendangariro.
2. Kamudzira atsamwira. dambudziko iri nguva dzose achiperekedzwa kurwadziwa zvikuru, ropa, uye kuvhunduka. Nokukurumidza zvakakwana zviri Kamudzira anopinda abdominal mhango. Somugumisiro dzichiri aseptic peritonitis. kuomesa Izvi zvinoda pakarepo kuvhiya kupindira. Zvikasadaro, zviri kuwedzera mukana wokuti adhesions kuti anoisa pangozi mukadzi anogona pamuviri.
3. Torsion gumbo bundu. kuomesa ichi anovandudza benign ovarian bundu nguva dzose tisingazvifungiri. Chinowanzoonekwa pashure pakarepo kwebasa muviri kana muviri muviri. Achitsaudzira pacharo zvinobatsira trophic zvirwere zviri bundu. The zvokurwara achabatsirwa kurwadziwa. Skin anova rakacheneruka uye kurova kwemwoyo unoraramisa yekudyidzana. Torsion gumbo bundu kunoda kukurumidza kuvhiyiwa. Zvikasadaro, kwakondiko paumbwe necrosis, yechipiri noutachiona mumuviri.

yematambudziko idzi rakajairika.

nzira kudzivirira

Chikonzero chikuru ambotiza ano zvokurwara anoonekwa kuwedzera yakavanzwa. To musi, chaiyo matanho kuti muzvidzivirire yaro hazvina yakatanga. Zvisinei, kugara chokudzivirira uchiongororwa ari gayinakorojisiti pamwe yakafanana US-Diagnostics achitirega yakakodzera zvikavengwa kudzivirira zvinobvira malignancy pamusoro benign ovarian bundu.

Clinical kurumbidza vanachiremba kuti kudzivirira zvirwere uye airarama periodic richiona nezvezvabuda hormone background. Izvi zvinoshanda zvose pavasikana vakanga zvasvika pamuviri zera. Kana zvakakodzera, unofanira chiremba uye aite mirairo yake nokuda pakuenzanisa normalization.