Women ike nsogbu: a torsion nke ovarian ahu otutu

Ovarian ahu otutu - a benign enweghị nchịkwa mmụta, nke bụ a afụ na ọkara mmiri mmiri ma ọ bụ mmiri mmiri ọdịnaya, nke nwere ike dịkwuo ibu nke ovary. Olu nke ovary guzobere na-achọta ọtụtụ n'ime anụ ahụ ule, Otú ọ dị, ọ dị mkpa iji gosi na nchoputa ultrasound.

Ihe ka ọtụtụ ná ndị ọrịa ovarian cysts ime enweghị ihe ọ bụla mgbaàmà na adịghị ichegbu ọrụ na ọmụmụ. Otú ọ dị, n'oge ime nwere ike ime torsion ovarian ahu otutu kpasue nkọ mgbanwe ahụ ọnọdụ ime, arọ na-ebuli, inwe mmekọahụ, ịrụsi ọrụ ike, na-abawanye site na ruo ogologo oge ụkwara abdominal nsogbu, wdg N'ọnọdụ ndị dị otú ahụ torsion ụkwụ ovarian cysts iduga mkpakọ nke ọbara na venous Kporo, nke na-emi odude ke ovaries.

Na-adịghị ngwa torsion, na nso nke 90-120 degrees, ovarian ike na-emekarị na-adịghị ewute, ha niile nwere ike asymptomatic. Mgbe agbagọkwa ụkwụ 180 ogo ma ọ bụ karịa nwere ike squeezed ewusiri veins, na-eme ọbara na ha na-kwụsịlata ma ọ bụ ọbụna na-akwụsị kpam kpam. Dị ka a N'ihi nke na-emepe emepe venous stasis, ngwọta na-etolite size na hemorrhage emee ya oghere. Na oké ikpe, e nwere a ahu otutu-agbawa, Bilie arọ ọbara ọgbụgba n'ime abdominal oghere. Complete cessation nke ọbara na-eduga ná necrotic mgbanwe cysts na egwu mmepe nke peritonitis na a oké ụdị.

Acutely pụta torsion ovarian ahu otutu esonyere n'oké ihe mgbu ke ala afo, mụbara obi ọnụego, ọgbụgbọ, vomiting, na-abawanye na ahu okpomọkụ ruo 38C. Pain syndrome nwere ike mgbe ụfọdụ-esonyere ujo phenomena: oyi na nsọtụ, Ugboro usu, pallor nke anụ ahụ, a ọnụ ke ọbara mgbali, omume nke a nnyapade oyi ọsụsọ na ndị ọzọ.

Ọ bụghị mgbe niile doro anya ihe mere e torsion nke ovarian ahu otutu. A ọrụ na a sikwuoro nwere ike igwu ndị na-esonụ ihe: na nkọ adiana nke ahụ, ọbara mgbali abawanye na akpụ ya ma ọ bụ na-akpụ veins ụkwụ, ogologo ụkwụ, na-akpụ akpụ na ahu otutu n'ime abdominal uji eze, hypercatharsis ejupụta eriri afo.

Iji mere torsion nke ovarian cysts, ọ (na ahu otutu) nwere na-ọ bụghị nanị na ogologo, ma nnọọ a na-akpali akpali ụkwụ.

Ọ bụrụ na achọpụtara mmamiri ule akpụ na ejiji nwere tugoelasticheskuyu anọgidesi, ịdị nro na palpation, nakwa dị ka na-agbalị dechapụ onye ọrịa na mkpa nke ndị dị otú ahụ nke ogwugwo ọgwụgwọ, na futures. The akpụ a na-ewepụ dị otú ahụ ikpe na-adịghị ogho, iji gbochie thromboembolism, dị ka ya stalk nwere ike ịbụ ugbu thrombi. Mgbe ya mwepụ na-achọsi ike ka histological nchoputa, sochiri a ikpeazụ nhọrọ nke na o kwere omume ịwa aka olu.

Na obere cysts (ruo 1) na-eji na-eche nche nchere, ma ọ bụrụ na ultrasound adịghị egosi oké inclusions - n'ụzọ pụtara ìhè ịrịba ama nke etuto ahụ.

Conservative ọgwụ nyere mmiri ọgwụ ọgwụ iji na-egbochi (ma ọ bụ na-ebelata) uto nke etuto ahụ.

Ịwa ahụ aka site laparoscopy a na-eji mgbe na-eche abụọ atọ ịhụ nsọ cycles. Ọ bụrụ na ndị ahu otutu anaghị akwụsị, ọ na-ewepụ dị ka ukwuu nke na-ike anụ ahụ nke ovary.

Ovarian ahu otutu: Diagnosis

Diagnosis nke ọrịa na nnukwu torsion ụkwụ na-emekarị adịghị akpata ihe isi ike. Mbụ nchoputa na-mere, dabeere na onye ọrịa akụkọ ihe mere eme na-ahụkarị mkpesa. Mgbe anya si niile ihe ịrịba ama nke "nnukwu afo" A na-akọwa na ọtụtụ mgbe: ịrịba ama nke peritoneal iyatesịt na muscle erughị ala ya n'ihu mgbidi. Mmamiri nnyocha na-enye ohere ị tụlee ọdịdị ovary metụtara na a na-egbu mgbu akụziri. Ọbara ọgbụgba na-adịghị hụrụ.

Bụrụ na nke ele mmadụ anya n'ihu torsion n'ime ihe mgbaàmà ndị na-erughị akpọ, Otú ọ dị, na nwetụrụ enyo nke torsion nke ahu otutu, onye ọrịa na mkpa nke nnyocha, chọpụtara na inpatient ịwa ahụ ọgwụgwọ.