Ọkpụkpụ ovarian bụ akpa jupụtara na mmiri nke na-etolite na ma ọ bụ n'ime akpa nwa. Ọtụtụ ụmụ nwanyị na-ata ahụhụ site na cyst ovarian n'oge ndụ ha. Ọkpụkpụ Ovarian, nke na-enwekarị mgbu, na-adịkarị ma ọ dịkarịghị njọ.

A na-ekwu na ọnụ ọgụgụ ka ukwuu nke cysts ovarian na-arụ ọrụ ma na-apụ n'oge na-enweghị ọgwụgwọ. Otú ọ dị, ụfọdụ cysts nwere ike ịgbawa, gbagọrọ agbagọ, too nke ukwuu, ma kpatara mgbu ma ọ bụ nsogbu.

Afọ dị n'akụkụ abụọ nke akpanwa. N'oge oge ịhụ nsọ ọ bụla, akwa na-esi na follicle ovarian apụta na-aga na ya fallopian akpa ka ifatilaiza. Ozugbo a chụpụrụ akwa ahụ n'ime ovary, corpus luteum na-etolite, nke na-emepụta estrogen na progesterone buru ibu na nkwadebe maka ịtụrụ ime.

Ụdị cysts nke ovarian dị iche iche

Ogwu nke ovarian arụ ọrụ

Ndị a bụ ndị na-emekarị. Ha na-apụta na ụmụ nwanyị n'etiti oge ntozu na menopause, n'ihi na ejikọtara ha na oge ịhụ nsọ: 20% nke ndị inyom a nwere cysts dị otú ahụ ma ọ bụrụ na a na-eme ultrasound. Naanị 5% nke ụmụ nwanyị postmenopausal nwere ụdị cyst a na-arụ ọrụ.

Cysts na-arụ ọrụ na-apụ n'anya ozugbo n'ime izu ole na ole ma ọ bụ mgbe ọnwa abụọ ma ọ bụ atọ gachara: 70% nke cysts na-arụ ọrụ regress n'ime izu isii na 6% n'ime ọnwa atọ. A na-ewere cyst ọ bụla nke na-adịgide karịa ọnwa 90 ka ọ bụghịzi cyst na-arụ ọrụ ma ekwesịrị nyochaa ya. A na-ahụkarị cysts na-arụ ọrụ na ụmụ nwanyị na-eji progestin-naanị (estrogen-free) mgbochi ime.

Organic ovary cysts (anaghị arụ ọrụ)

Ha dị njọ na 95% nke ikpe. Mana ha bụ ọrịa kansa na 5% nke ikpe. A na-ekewa ha na ụdị anọ :

• Ahụhụ Dermoid nwere ike ibu ntutu, akpụkpọ anụ ma ọ bụ ezé n'ihi na ha sitere na mkpụrụ ndụ na-emepụta akwa mmadụ. Ha anaghị adịkarị ka ọrịa kansa.
• cysts serous,
• Akpụkpọ anụ mucous
• Ihe kpatara cystadénomes serous ma ọ bụ mucinous sitere na anụ ahụ ovarian.
• Cysts jikọtara na endometriosis (endometriomas) nwere ihe dị n'ime hemorrhagic (cysts ndị a nwere ọbara).

Le polycystic ovary syndrome

Polycystic ovary syndrome ka a na-akpọ polycystic ovary syndrome mgbe nwanyị nwere otutu obere cysts na ovaries.

Ọkpụkpụ ovarian nwere ike gbagwojuru anya?

Cysts, mgbe ha anaghị apụ n'onwe ha, nwere ike ịkpata ọtụtụ nsogbu. Ọkpụkpụ ovarian nwere ike:

• ezumike, n'ọnọdụ nke mmiri na-adaba na peritoneum na-akpata oké mgbu na mgbe ụfọdụ ọbara ọgbụgba. Ọ na-ewe ịwa ahụ.
• Ihulata (cyst twist), cyst ahụ na-agbagharị n'onwe ya, na-eme ka tube na-atụgharị na akwara na-atụgharị, si otú ahụ na-ebelata ma ọ bụ kwụsị mgbasa ozi na-akpata oké mgbu na enweghị oxygen maka ovary. Nke a bụ ịwa ahụ mberede iji mebie ovary iji gbochie ya ịta ahụhụ nke ukwuu ma ọ bụ necrosis (na nke a, mkpụrụ ndụ ya na-anwụ n'ihi enweghị oxygen). Ihe omume a na-eme karịsịa maka nnukwu cysts ma ọ bụ cysts nwere pedicle dị oke mkpa. Nwanyị ahụ na-enwe mmetụta dị nkọ, siri ike na mgbu na-adịghị agwụ agwụ, na-ejikọta ya na ọgbụgbọ na vomiting.
• Ọbara : Nke a nwere ike ịbụ ọbara ọgbụgba intracystic (mgbu mberede) ma ọ bụ ọbara ọgbụgba extracystic peritoneal (nke yiri cyst rupture). Ekwesịrị ijikwa ịwa ahụ laparoscopic priori.
• Kwakọba akụkụ ndị agbata obi. Ọ na-eme mgbe cyst na-ebuwanye ibu. Nke a nwere ike ibute afọ ntachi (mkpakọ eriri afọ), urination ugboro ugboro (mkpakọ nke eriri afo) ma ọ bụ mkpakọ nke veins (edema).
• Nweta ọrịa. A na-akpọ nke a ọrịa ovarian. O nwere ike ime na-esochi mgbawa nke cyst ma ọ bụ na-esochi eriri cyst. A chọrọ ịwa ahụ na ọgwụgwọ ọgwụ nje.
• Na-amanye Caesarean n'ihe omume nke ime. N'oge ime ime, nsogbu sitere na cysts ovarian na-adịkarị. 

   

Kedu ka esi achọpụta cystitis ovarian?

Ebe ọ bụ na cysts na-enwekarị mgbu, a na-emekarị nchọpụta cyst n'oge ule pelvic mgbe niile. Enwere ike ịhụ ụfọdụ cysts na palpation n'oge nyocha nke ikpu mgbe ha toro oke.

A Doppler na-enye ohere iji anya nke uche hụ ya na iji chọpụta, nha ya, ọdịdị ya na kpọmkwem ebe ọ nọ.

A ihe nlere mgbe ụfọdụ na-enye gị ohere ịhụ calcifications metụtara cyst (ọ bụrụ na dermoid cyst).

A MRI Ọ dị mkpa ma ọ bụrụ na enwere nnukwu cyst (ihe karịrị 7 cm).

A laparoscopy na-enye gị ohere ịhụ ọdịdị nke cyst, gbanye ya ma ọ bụ mee nkwụsị nke cyst.

A na-enyocha ọbara, karịsịa ịchọpụta dị ime.

Enwere ike ịme nyocha maka protein, CA125, protein a na-adị na ụfọdụ ọrịa cancer nke ovaries, na fibroids uterine ma ọ bụ na endometriosis.

Kedu ụmụ nwanyị ole na-ata ahụhụ site na cysts ovarian?

Dị ka National College of French Gynecologists and Obstetricians (CNGOF), ụmụ nwanyị 45000 na-anọ n'ụlọ ọgwụ kwa afọ maka akpụ ovarian na-adịghị mma. 32000 ga-arụ ọrụ.