Kutupa kwa ovary - mndandanda

Mazira a mazira ndi azimayi omwe amachititsa mazira ndi mahomoni (progesterone ndi estrogen). Amakhala otengeka kwambiri ndi mapangidwe a zotupa - mapuloteni a volumetric m'magazi a ovary, nthawi zambiri amanyansa.

Zizindikiro zoyambirira za nthenda zopwetekedwa mtima ndi zopweteka, vuto la kukodza, kupsa mimba, fossilization. Chakumapeto kwa nyengo, thanzi labwino likusokonekera, kutentha kumatuluka, kutupa kwa matumbo ndi kulemera kumachitika.

Chiwerengero cha zotupa za m'mimba

Ziphuphu m'mimba mwa amayi, zopangidwa ndi maselo kapena maselo ena, zimalandira dzina lomwelo.

Ziphuphu zapakatili

Ziphuphu zoterezi zimapangidwa kuchokera ku epithelium ya ovary:

1. Kutupa kwa serous kukuphatikizidwa ndi epithelium, ndi maselo omwe amatulutsa mapuloteni. Kupanga zilonda zam'mimba, ziwalo za m'mimba zimagawidwa kukhala benign (serous adenocystoma popanda polymorphism, ntchito ya mitotic) ndi yoopsa (serous cystic adenocarcinoma, yomwe nuclei ndi yowona, yopanga ma polymorphism).

2. Makina osokoneza bongo , kupanga mapuloteni, epithelium omwe amachititsa kuti muswe. Kusiyanitsa mucinous:

• malonda ;
• cystic adenocarcinoma ;
• chotupa cha m'mimba chozungulira ;
• cystadenoma (osati maselo opanga mapulogalamu);
• cystic adenocarcinoma .

3. Chotupa chotchedwa endometrioid chimakhala ndi miyeso yayikulu, imapanga mitsempha yambiri yosavomerezeka yachinsinsi.

4. Chotupa cha Brenner ndi mndandanda wa maselo otupa ozunguliridwa ndi stroma yamagetsi.

5. Khansara ya ovarian .

Zovunda za ovarian stromal

Zoipa :

• chotupa cha granulose- selo chimapangidwa kuchokera ku mesenchyme ya ovary cortex (kuchokera ku maselo amkati), ikhoza kusungunulira ma estrogens;
• granular cell carcinoma (choipa ndi choipa pamapeto otsika) chotupa cha mazira chimapezeka musanafike ndi kumapeto kwa nthawi ya kusamba, nthawi ya kusamba, limodzi ndi magazi;
• ziphuphu zopangidwa ndi maselo a Sertoli-Leydig .

Benign :

• fibrom ;
• tekoma ndi mtundu wamatenda oopsa omwe amachititsa estrogens ndipo umakhala ndi maselo ambiri omwe ali ndi mafuta;
• androblastoma imapangidwa kuchokera ku mesenchyme, imatha kutseka androgens. Amaoneka ngati atrophy pachifuwa, chiberekero, hirsutism, mphukira pamaso, tsitsi lofiira, hypertrophy ya clitoris.

Germinogenic kutupa kwa mazira ambiri

1. Dysherminoma - mtundu wa chotupa chomwe chimakhudza amayi mpaka zaka 30, amachotsedwa bwino.

2. Teratoma imapangidwa kuchokera ku maselo a majeremusi, opaleshoni yakuchotsedwa pambuyo pake ndi chemotherapy:

• mwana (khansa);
• okhwima (osati khansa).

4. Choriocarcinoma imakhudza placenta pa nthawi ya mimba.

5. Kutupa kwa sinus endodermal kumakhudza mazira ochuluka kwambiri.

Njira zochizira maonekedwe a zotupa

Pofuna kudziwa maopaleshoni a mazira ochuluka, ma ultrasound, mayeso a magazi, CT, biopsy, PET ndi kupopera kwa isotope, laparoscopy imagwiritsidwa ntchito. Kuti athetse bwino maphunziro osapatsirana khansa, opaleshoni imagwiritsidwa ntchito, pamene ovary amachotsedwa pang'ono kapena kwathunthu.