Kenza yeOvarian inoitika munenge 1 mu 18,000 pamuviri. Zviratidzo uye zviratidzo zvakafanana nevaya vasipo pakuberekwa. Kazhinji kuwanda kwemaawa anowanikwa panguva yeAntepartum (chiitiko chekutanga kuzvarwa) kushanyira. Kana iyo inodzokera kune yakajairika mushure mekuongororwa kwakawanda uye ultrasound, kuongororwa kunowanzova cyst inoshandiswa inoitika nekuda kwehutachiona nyaya panguva yekuzvitakura.
Zvirwere zveGermany-ovarian ndizvo zvinowanzozivikanwa kusvika kune makore makumi matatu, uye gonadal stromal tumor inowanika mumakore ose anotakura vana. Zvose zviri zviviri izvi zvinowanzowanzobatanidza imwe yenyuchi chete kana ichienzaniswa neyakanyanya kuwanda epithelial ovarian cancers. Nemhaka yei, kana bundu racho rinowanikwa pane imwe chete, kubudiswa kwechirwere ichi chete kungava kurapa kunogutsa munguva yekuzvitakura.
Zviratidzo zvakajairika zvingangove zvakafanana kune maitiro akaipa kana akaipa. Izvi zvinosanganisira kusanganisa mavhiri muropa rayo (torsion), kuputika, kuputika, kubuda ropa kana utachiona. Zvichienderana nezvakaitika pakuve nepamuviri musasa wevanhu vanowanikwa, zvinogona kana kuti hazvingave zvakanzwika pachirwere chepachiviri kana chepamuviri nachiremba. Kana iyo inogona kunzwika, zvitsva zvinogona kubatsira mukusarudza nezvekushanda kana kunyatsocherechedza nekuongororwa periodic uye ultrasound. Rimwe-mavara ovarian mass iro rinosununguka uye rakatsetseka kupfuura masentimita gumi (inenge 4 masendimita), rinogona kuonekwa ne periodic yokuongorora kusvika pamwedzi wechipiri wekuita pamuviri.
Munguva ino, kana uwandu huchiderera muhukuru, kuzviratidza hungava kristi inoshanda. Kune rumwe rutivi, kana ikakura, unoda kuvhiyiwa nokukurumidza. Uyewo, kana paunotanga kuongororwa uwandu hunoona sechinhu chisina kumira, haufambi (hunobatanidzwa kune dzimwe nhengo dzepelvic), hunoratidzika kuti hunosanganisira mavhavha maviri kana mvura inowanikwa mucheche nemapapiro pa ultrasound, inogona kuva nguva yekuvhiya zvisinei trimester of pregnancy.
Nenguva isipi, kenza panguva yekuzvitakura inowanzoonekwa pane imwe nguva (danho I), zvikurukuru nokuti murwere anowanzotanga kurapwa kwenguva refu nekuda kwekuita pamuviri, kusati kwatanga zviratidzo zvekufambisa kenza yevana. Izvo zvinodaro zvakafanana nezvo pasina kusununguka, zvichienderana zvichienderana nerudzi rwechiremera uye danho uye gorosi.
Kuongorora nekuedzwa
Ultrasound yakachengeteka panguva yekuzvitakura, asi CT kana CAT inoongorora inobudisa miviri uye haina kuchengeteka, kunyanya panguva yekudzivirira pamuviri. MRI kana Magnetic Resonance Imaging inowanzoonekwa yakachengeteka panguva yekubata uye inogona kushandiswa kana iyo ultrasound haina kupa ruzivo rwakakwana.
CA-125 Kuongororwa ropa kunogona kuitwa asi hakusi yakarurama zvakakwana panguva yekuzvitakura. Mucheche pachayo inogona kukonzera kukwirira kwechirwere ichi, kunyanya mukati mehuwandu hwemazana mazana. Saka, inopfuura 35IU / ml inowanzoonekwa isingaiti, asi pakuzvitora, iyi inogona kunge iri 200 kana 300 kana kupfuura zvakare nemhaka yekuzvitakura. Zvisinei, chiyero chezviuru zvichida chikonzero chekenza.
Management
Mishonga inonyanya kufanana neyeusati uri nepamuviri. Nhanho yekutanga inoberekwa, uye mubvunzo chete uripo. Chimwe chetatu chechipiri chinowanzosarudzwa sezvo ichibatanidzwa nemikana shoma yekudzivirira kurasikirwa.
Kana iyo miedzo ichiratidza kushamwaridzana kwakaderera kwekenza, zvino ndiyo nguva yekutsvaga. Kana kushungurudzika kwakakwirira, saka chirwere chinofanira kuitika nokukurumidza sezvinobvira.
Surgery
Panguva yokuvhiyiwa, kana chiremba anoratidza chirwere, chirwere chekugadzira chinopera. Izvi zvinoreva kusanganisa kubviswa kweivhari, maitiro e-lymph nodes uye peritoneum munzvimbo dzakasiyana-siyana. Kana ichiita sekuti kenza yakapararira mberi kweevary, ipapo kubvongodzwa kana kukwezva kunoitwa sezvinoitika pakusina kubata pamuviri.
Zvakakosha kukurukurirana maitiro uye zvisarudzo PAKAPENZWA kuvhiyiwa. Icho chisarudzo chakakosha, zvichienderana nhatu, ndeyekuita nezvekudzivirira.
Muchirwere chekutanga, kutora mimba kunogona kuenderera mberi uye kungovhurwa chete kunobviswa pamwe chete nekugadzirwa. Kana kenza yakapararira mberi kweevary, zvingava zvakanakisisa kubvisa chibereko ichi kubvisa kenza yakawanda sezvinobvira. Kana mimba iri pasi pemasvondo makumi maviri nemasere, kubvisa chibereko chinenge kuchigumisa kuberekwa uye fetus inenge isina kupona. Kana mimba inopfuura mavhiki makumi maviri nemasere asi isati yasvika mumamiriro ekukura (kazhinji kupfuura masvondo makumi mana nemaviri) chikamu cheCesarea chingaitwa musati wabvisa chibereko uye mwana anonunurwa. Zvisinei, pane musiyano mukuru mukukwanisa kwechechecheche kupona iri pedyo nekusvika mavhiki makumi maviri nemasere kunze kwemavhiki makumi matatu nemaviri. Zvose izvi nyaya dzakakosha kuvhara musati mavhiyiwa.
Chemotherapy
Kurapwa kwekenza yevana vanopfuura kurapwa kwakafanana zvakafanana, danho rekuita sendima kana pakanga pasina kubata kudarika chekutanga chetatu. Zvose zvenhengo dze fetal dzakapedza kubudirira pakuguma kwemwedzi mitatu yekutanga. Kunze kwechinhu ichi ndiko kunyanya kukura, izvo zvinogona kuderedzwa zvishoma ne chemotherapy, asi hapana ngozi yekuberekwa kwemaitiro.
Iyo chemotherapy nemishonga uye zvisarudzo sokuti kana kwete chemotherapy inotarisirwa yakangofanana neyomunhu asina kubata. Nenzira inofadza, sezvo mahara evanhu vakawanda vanowanikwa panguva yekuzvimba ari mukana wekuti, chemotherapy inogona kudziviswa. Kana zvichidiwa, inofanira kutanga nekukurumidza. Kana chemotherapi inotarisirwa panguva yekutanga kwemitatu, zvinoita kuti sarudzo ichadiwa pamusoro pokupedza kuberekwa. Kumirira kwemwedzi kunogona kuisa upenyu hwehupenyu pangozi uye kukonzera mikana yekurapa.