Yãfẽwa ovarian marurai: ganewar asali, cututtuka, magani

A zamani gynecology benign ovarian marurai - shi ne ainihin matsalar. Tare da cutar kawai "ƙaramin" a kowace shekara. Shi ne daidai da saukin kamuwa zuwa da matasa da 'yan mata da kuma tsofaffi daga mata. Babu ingancin kula iya kai wa ga m sakamakon, ciki har da mutuwa.

Yãfẽwa kuma m ovarian marurai

Ƙari girma ne pathologically maras kyau nama cell. A karshen an kafa daga abubuwa na daban-daban asalin, yi da dama ayyuka. Marurai ne ko da yaushe uku-girma tsarin. Amma ga mata haihuwa tsarin, a cikin wannan yanayin, da pathological aiwatar farko ya fara ci gaba a cikin gabobin da kansu. Sa'an nan, ya iya tafi zuwa ga makwabta Tsarin, mamaya sabon yankunan.

Shan la'akari da canje-canje faruwa a cikin sel duk siffofin maruran da wannan yanki za a iya subdivided cikin kungiyoyin biyu: benign kuma m ovarian siffofin maruran. Wannan rarrabuwa ne sabani. A haihuwa lokaci, wasu benign canza kama zuwa m. Duk da haka, suna da wani taro da bambance-bambance.

M ƙari halin da m taki na girma da kuma ikon shiga a wasu lafiya Kwayoyin. Duk wannan babu makawa entails germination pathological Kwayoyin a cikin lymphatic tasoshi, da kuma yaduwar a ko'ina cikin jiki tare da jini ya kwarara. A sakamakon haka ne mahara metastases. Histologically, da m Kwayoyin bambanta a cikin tsarin daga lafiya ovarian sassan. A bayyanar, su ne sosai bambancin, kamar yadda su ne kullum a matakai daban-daban na ci gaba.

Yãfẽwa takaitawa daga kasashen nama daina kai hare hare, tava wuce shi. Duk da haka, suna da halin da ikon girma a size, wanda wani lokacin take kaiwa zuwa matsawa na makwabtaka da gabobin. Irin wannan abubuwa ba su hallaka ba, m nama ba ya nuna wani hali to metastasize. Bayan m kau ne kusan ko da yaushe ta zo da wani cikakken maida. Da komowa lokuta da wuya zo haske.

Siffofi da wani benign tsari

A ovaries suna dauke da mafi muhimmanci gabobin da haihuwa tsarin. Su ake samar jima'i hormones, balagagge kwai. A daya hannun, suna quite sau da yawa aiki a matsayin mai manufa domin da dama pathological tafiyar matakai. Cysts da marurai daga cikin daban-daban haihuwa gabobin yawanci zabi da ovaries. Su suna dauke da wani m tsarin. Yãfẽwa ovarian ƙari ba ya bar haddi a cikin shafa sashin jiki, da cewa ba a rabu da cutar. Babban Hanyar magani a cikin ni'imar tiyata.

Daga cikin sauran siffofin da wannan irin likitoci ne da wadannan abokai:

1. Formation a kowane zamani.
2. Rage mata wajen haihuwa m.
3. A rashin takamaiman bayyanar cututtuka.
4. Babban hadarin da m canji - canji a cikin wani m ƙari.

Mafi sau da yawa pathological aiwatar rinjayar mata bayan shekaru 30. An halin asymptomatic. Wannan "shiru ciwon daji". Its suna obliges kowace mace a hankali saka idanu da kiwon lafiya da kuma sha na lokaci-lokaci dubawa a likitan mata.

Alal misali, kumburi daga cikin appendages a wani m form ko da yaushe yana sa appreciable zafi. Wannan sa lady ganin likita a liyafar da aka yi wahayi da kuma kawo hadari cutar. A wasu lokuta su ne musamman rare ja abin mamaki a cikin ƙananan ciki yankin. Saboda haka, da ciwon daji tsari na iya zama rude da wani hanji cuta ko cuta daga cikin mahaifa. A sakamakon rashin lafiya ya zauna watsi da rayayye tasowa.

Pathology Sanadin

Etiology na kirki ovarian marurai ba a sani ba. Physicians ci gaba da muhawara a kan batun, ya nuna daban-daban balanci zato. Alal misali, likitoci sun iya gano a dukan rukuni na provocateurs dalilai. Su nan da nan tasiri muhimmanci ƙara da alama na ci gaba da pathological tsari. Wadannan dalilai sun hada da:

• hormonal cuta.
• m ovulation.
• kwayoyin predisposition.
• take hakkin aiwatar follicular maturation;
• samun progesterone.
• shan taba.

Pregnancy kuma iya fararwa da ci gaban mai kirki tsari.

asibiti hoto

Mafi sau da yawa a farkon matakai na kirki ovarian marurai bayyana wani bayyanar cututtuka. Tare da ci gaban ilimi na asibiti hoto canje-canje. Mata yawanci zo liyafar da likitan mata da wadannan gunaguni:

1. Zane zafi a cikin ƙananan ciki yankin, halin da daya mai gefe.
2. Rashin haihuwa.
3. Take hakkin mace ta sake zagayowar.
4. Constant ji na wani nauyi a cikin ƙananan ciki.
5. Dizuricheskie cuta.
6. Matsaloli tare da defecation, ta ƙara ciki ƙarfi saboda flatulence.

A karshe biyu manifestations da cutar ne rare, amma kuma wani wuri alamar ma wani karamin girman da ƙari. Mata da kansu da kuma ko likitoci kusan ba ba shi da wani kima.

Wasu iri cysts, benign daban-daban yanayi, suna iya samar da hormones. A sakamakon haka, cutar na iya a tare da wadannan matsaloli kiwon lafiya:

• shafe tsawon babu haila;
• clitoral kara girma;
• rage girman da mammary gland.
• ci gaban da kuraje.
• wuce haddi jiki gashi girma daga namiji da irin;
• Cushing ta ciwo.

Wadannan cututtuka na iya bayyana sarai a kowane zamani, ciki har da lokacin daukar ciki.

Bayyanar cututtuka da cutar a ƙari torsion kafafu

Da dama wasu cututtuka halin da rikitarwa hanya na wani benign ƙari na kwai a mata. Mafi na kowa bayyanuwar shi an dauke su a torsion neoplasms kafafu. Yana iya faruwa a benign da iyakar jihohin. A tsarin hada da kafafu m jijiyoyi, jini, fallopian tube, peritoneal rabo da kuma igiyar ciki jijiya. Wadannan cututtuka faru a lokacin da ƙari take hakkin ikon:

• Kwatsam unilateral zafi a cikin ƙananan ciki yanki, wanda wani lokacin daukan kan wani m hali.
• amai da tashin zuciya.
• bloating.
• clammy gumi.
• kodadde fata.
• kara a yanayin jiki.

Wadannan alamu na hanawa ba m. A hali na m torsion na tsanani daga kafafu ne da yawa kasa. Sun iya bace a kan nasu da kuma bayyana sake.

cuta rarrabuwa

A duk zamani gynecology growths sanya su raba wa kungiyoyin da subgroups. Akwai da yawa sukayi fassara benign ovarian marurai, kowanne daga abin da daukan matsayin dalilin wani aya. Alal misali, World Health Organization yayi da wadannan rabuwa zaɓuɓɓuka:

1. Epithelial marurai: serous, mucinous, endometrioid, bayyananne cell da sauransu.
2. Sex igiyar-stromal neoplasms: Tecoma, fibroma, androblastoma.
3. Jam cell marurai: dermoid mafitsara, ovarian goiter.
4. Ƙari matakai: mahara follicular cysts, surface epithelial inclusions, endometriosis, stromal hyperplasia, da dai sauransu gipertekoz.

Duk da haka, a yi fi amfani da rabuwa pathological aiwatar biyu Categories: ƙari samuwar kuma surface (epithelial) ovarian ƙari. A rarrabe fasali na kowane daga cikin kungiyoyin biyu da za a tattauna a kasa.

ƙari samuwar

Wannan category na kirki ovarian marurai hada da:

1. Follicular mafitsara. Mafi sau da yawa bincikar lafiya a 'yan mata matasa. Mafitsara tasowa kawai a daya kwai, halin da high motsi da kuma sassauci. Its diamita iya bambanta daga 2.5 zuwa 10 cm. A Pathology bayyana take hakkin mace sake zagayowar. Yawancin lokaci shi yana tare da ci gaban da jinkiri haila, bi da tsanani zub da jini. Bayan 3-6 hawan keke a mafitsara kanka vuya. Yana ba ya bambanta da hali to malignancy, amma na bukatar saka idanu. Bayan gano shawarar m kula.
2. Corpus luteum mafitsara. A size marurai iya Range 3-6.5 cm. Asibiti, shi bayyana haila, hanzari zub da jini daga cikin farji, ƙirjinka engorgement. Corpus luteum mafitsara ne, wani lokacin ya gane a lokacin daukar ciki. Yana yiwuwa a yi la'akari da tsarin yin amfani da duban dan tayi. A gaban guda / mahara partitions, jini clots ba cire. Zai yiwu rata samuwar bayan wani jima'i.
3. Serous mafitsara. Kafin zuwa histology Pathology ne sau da yawa kuskure domin follicular mafitsara. Akwai shawarwari na wani yiwu malignancy, amma su ba a tabbatar a yi. Serous mafitsara tasowa daga remnants na farko tayi koda. Shi ne m na roba ilimi, wanda size bai wuce 10 cm. Mafi sau da yawa ya nuna busa bayan dõmin karkatarwa ƙwaurinta.

Jiyya da marasa lafiya da benign ovarian marurai fara kawai bayan tabbatar da dalilin da yanayi da kuma iri-iri na pathologies.

epithelial marurai

Wannan shi ne mafi girma kungiyar, wanda asusun for game da 70% na dukkan benign ovarian siffofin maruran. Marurai suna ci gaba daga epithelial stroma da kuma na waje jiki. Sun yawanci suna da wani daya mai gefe hali. A palpation sãɓa ba wajen kisa, amma an halin motsi da kuma na roba daidaito. Biyu-hanyar yanayi da cutar ne a matsayin m for malignancy.

Mutane daya-daya da hankali, iyakar siffofin maruran. Wannan serous, mucous, gauraye da sauran iri abokai. Bayan tiyata, shi ba zai yi jinyar da alama na sake komowa. A cewar nazarin, iyakar marurai suna classified kamar yadda low-sa munanan. Mafi sau da yawa, suna kamu a mata matasa a farkon matakai na raya kasa.

Medical jarrabawa

Diagnosing ovarian benign marurai quite matsala. Musamman a farkon matakai, a lokacin da hujjoji bayyanannu daga pathological tsari ne mãsu fakowa ba. Mutane da yawa samu gynecology iya gane marurai da palpation. Ta amfani da wannan hanyar, a tabbatar Resort a lokacin dubawa.

Idan ka zargin wani Pathology haƙuri pelvic duban dan tayi da aka nada. An dauke da mafi kyau daya transvaginal ultrasonography da launi Doppler jarrabawa. Wannan m jarrabawa hanya domin kayyade tsarin da kuma girman da ƙari. Bugu da ƙari sanya wani jini gwajin for kayyade CA-19 da kuma CA-125 alama. Tare da shi ya bayyana yiwuwar samun malignancy.

A karshe mataki an dauke su bincike histological jarrabawa, a lokacin da likita daukan wani samfurin na ƙari nama. Bayan nazarin littattafai na dakin gwaje-gwaje na iya daidai magana na kirki ko m tsari.

Features far

Ainihin hanyar zalunta benign ovarian marurai ne m baki. Jiyya da shirin da kuma ikon yinsa, daga aiki aka zaba akayi daban-daban. A wannan yanayin, likita dole ne ya yi la'akari da shekaru da haƙuri, ta so a kiyaye haihuwa aiki. Ba na karshe rawar da aka buga da yanayin marurai a cikin wannan al'amari.

Yau, mafi masana fi son laparoscopic tiyata. Yãfẽwa ovarian ƙari - ba a jumla. Tare dace magani domin taimakon likita zai yiwu a kiyaye haihuwa aiki. Wannan baki Hanyar ne halin da low hadarin rikitarwa, kuma fi lokaci ya wuce da sauri isa.

Idan laparoscopy ba za a iya sanya oophorectomy. Wannan aiki ya nuna cikakken oophorectomy tare da sarrafa neoplasm. Shi ne ya kamata a lura da cewa resection muhimmanci ƙara hadarin rasa haihuwa a nan gaba. Saboda haka, lura da benign ovarian marurai a cikin wannan hanya ne da za'ayi a cikin matsanancin. Lokacin da biyu mai gefe sarrafawa na pathological aiwatar kwashe pangisterektomiya - wani aiki a cikin abin da ya zauna cikin mahaifa an cire tare da appendages.

Wani lokaci marurai suna kamu a mata masu juna biyu. Abin farin, wannan cuta ne m, kuma shi ne kawai 0.4% na lokuta. Babban alamomi ga tiyata a lokacin daukar ciki - a benign ovarian ƙari na 10 cm a diamita. Surgery aka yi kawai na ko II trimester.

zai yiwu rikitarwa

Bayan ganewa na marurai a mafi yawan lokuta, likita nace a kan kau. Dalilin wannan shawarar ne babban alama na da rikitarwa. Menene matsalolin mace iya fuskantar?

1. Malignancy na pathological tsari. Wannan shi ne mafi hatsari wahala na kirki ovarian ƙari. Operation da za'ayi a cikin wani dace hanya yale mu mu fatan wani cikakken maida. Idan ƙari da aka yi fama a ci-gaba mataki da magani da aka fara yi latti, yiwuwar samun da canji a cikin m ne 30-50%. A lokaci guda akwai wani ƙari ta ikon girma cikin m tsokoki da kuma gabobin. Mutated abubuwa iya yada a ko'ina cikin jiki, haddasa babu ja cancerous tafiyar matakai.
2. Kwantena katsewa. Wannan matsala ne da yaushe tare da ciwo mai tsanani, na jini, da kuma buga. Da sauri isa abinda ke ciki na kwantena shiga kogon ciki. A sakamakon tasowa aseptic peritonitis. Wannan wahala bukatar nan da nan m baki. In ba haka ba, shi ne kara da alama na adhesions cewa endangers mace ta ikon yi ciki.
3. Torsion kafa ƙari. Wannan wahala tasowa benign ovarian ƙari ko da yaushe ba tsammani. An sau da yawa wadda ta gabãta daga kwatsam motsi na jiki ko jiki motsa jiki. Yanã mai karkatar da kanta na taimaka trophic cuta a cikin ƙari. A Pathology yana tare da m zafi. Fata ya zama kodadde da kuma bugun jini rãyar muhimmanci. Torsion kafa ƙari bukatar gaggawa aiki. In ba haka ba, da mafi kusantar da samuwar necrosis, secondary kamuwa da cuta a cikin jiki.

Wadannan matsalolin da suke dauke da ya fi na kowa.

hanyoyin hana

Babban dalilin guje halin yanzu Pathology dauke da wani boye ci gaba. Don kwanan wata, musamman matakan for kareshi ba ci gaba. Duk da haka, yau da kullum m checkups a likitan mata tare da wani layi daya US-bincikowa da damar dace gane da kuma hana yiwu malignancy na kirki ovarian ƙari.

Clinical shawarwari da likitoci don rigakafin cutar da kuma rage ga lokaci-lokaci saka idanu na wani hormonal bango. Wannan ya shafi dukan Ladies suka isa haihuwa shekaru. Idan dole, kana bukatar tuntubar likita da kuma wani sashe da ya umarni ga ma'auni na daidaita.