Kukura Kusina Kunaka kweMateu Pedyo neAvari
An adnexal mass ndeyekukura kusingawanisiki kunowedzera pedyo nechibereko, kazhinji chinowanzobva mumapapiro omukati, mafiropian tubes, kana kuti maviri. Iko-bundu rinenge rakaita seganda rinogona kuva cystic (rizere nemvura) kana rakasimba. Kunyange zvazvo vazhinji vednexal masses vachave vakaipa (vasina kenza), dzimwe nguva vanogona kuipa (kanzira).
Adnexal masses anogona kuitika kune imwe nguva, kunyange zvazvo inowanzoonekwa mumadzimai ekuzera kwezera.
Zvinokonzerwa neAdnexal Mass
Iko chaizvoizvo mazana ezvikonzero nei chikwata chinonzi adnexal chichikura. Mumadzimai e-foremenopausal, anowanzobatanidzwa neavoan cysts , tumorous ovarian tumor, endometriosis , polycystic ovary syndrome (PCOS) , ectopic (tubal) pamuviri, uye kenza yemaawa.
Sezvo adnexal masasa yakawandisa, vanachiremba vanofanirwa kuongorora zvinhu zvakasiyana-siyana kuti vaone chinokonzera uye kusarudzwa kwekukura. Nepo kenza ndiyo imwe chete yezvikonzero zvinokonzera, mabhogi matsvuku anowanzosimudzwa kana:
- Nhamba yacho yakasimba panzvimbo ye cystic.
- Nhamba yacho haina kumira muchimiro kana kuwanda.
- Nhamba yacho inotanga kusati kwatanga kuenda kumwedzi.
- Nhamba yacho inokura mushure mekuguma kwekumera.
- Iyo yakawanda inorwadza.
- Apo kristi yakakura zvikuru.
Kuziva
Kana an adnexal mass inowanikwa panguva yekuongorora mumuviri, kune zviverengero zvekufungidzira zvinogona kubatsira mukuongorora, kusanganisira:
Kuongororwa kwepamuviri kunogona kuitwawo kuti ubatsire kuongorora kubata pamuviri. Kana kenza yeAvari inenge ichifungidzirwa, chirongwa cheC CA 125 (chinoshandisa puroteni, inonzi cancer antigen 125, muropa) inogona kurairwa.
Kana uwandu huchida, chiremba anogona kuita chishuvo kuti abvise mvura nemushonga uye seringe.
Zvisinei, vanachiremba vazhinji vanozvidzivirira izvi, kunyanya kana kenza inofungidzirwa, sezvo yakabudiswa mvura inogona kunge ine masero anonyangadza anogona kudyara mamwe matumbo.
Kutungamira uye Kurapwa
Kubva pane zvakatanga kuwanikwa, chiremba angatora chirongwa chekurinda-uye-kumirira, nguva dzose kuongorora chero kuchinja kupi zvayo, kana kuti kutanga matanho ekurumidza. Izvi zvingasanganisira kushandiswa kwekuvhima kwehuwandu huchiteverwa neongororo yekuongorora.
Mukana wekubata pamuviri wepabonde, kurapwa kwekukurumidzira kunogona kudiwa kuti udzivirire kuparara kunogona kutyisa upenyu, kunyanya kana mukadzi ari chiratidzo.
Muzviitiko zvakawanda, zvisinei, adnexal mashoma haazovi chikonzero chekuyemura uye haazombotauri matambudziko ehutano kumukadzi.
Nezvo zvichitaura, vanachiremba vachabhadhara zvakanyanya kune mashizha kana zvipembenene zvinowanikwa mukati kana zvakakomberedza mavha mavari kana mu fallopian tubes. Zvidzidzo zvakaratidza kuti kukura mu fallopian tubes kunowanzoshanda sevanomhanyisa kumakore epamusoro-grade serous ovarian carcinomas (HGSOC) makore gare gare. HGSOC inoratidzira makumi mapfumbamwe nezana makumi manomwe kubva muzana yemukondombera yose yevana
Shoko Rinobva
Kana adnexal mass inowanikwa uye kenza inofungidzirwa, nguva dzose yakanakisisa kuwana kechipiri kubva kune gynecologic oncologist uyo achange aine ruzivo mune zvekuongororwa, kushandiswa, nekurapa kwemakondomu ekupedzisira uye ovarian.
Kakawanda, nguva dzekuchengetedzwa kwevakadzi vari pasi pekutarisira gynecologic oncologist dzichave dzakakura kudarika dzakarapwa nemukuru wechiremba.
Kunyangwe kana adnexal mass inosvika pakuva nehupenzi, gynecologic oncologist ichava nani kukwanisa kuongorora kana kuchinja muhurumende yekukura kune dzimwe nzira dzechisimba.
> Sources:
> Chan, K; Sherman, A ;; Zapp, D. "Maitiro evanhu vane gynecologic oncologists mukurarama kwevarwere vane kenza yemapendometri." J Clin Oncol. 2011; 29 (7): 832-8. DOI: 10.1200 / JCO.2010.31.2124.
> Dodge, J. "Kutungamirirwa kwekufungidzira adnexal mass: kliniki yekuita mazano." Curr Oncology . 2012; 19 (4): e244-57. DOI: 10.3747 / co.19.980.
> Labidi-Galy, S .; Papp, E ;; Hallberg, D. et al. "High grade serous ovarian carcinomas inotanga mu fallopian tube." Nat Commun. 2017; 8: 1093. II: 10.1038 / s41467-017-00962-1.
> Suh-Burgmann, E. naKinney, W. "Zvinotambudza zvinowanikwa kunze kwezvikwereti zvisingagumi zvekucherechedza kwezvigadziriswe adnexal masses." Amer J Obstetric Gynecol . 2015; 213 (6): 816.e1-4. DOI: 10.1016 / j.ajog.2015.09.005.