Thupi la mkaziyo, lomwe ntchito yake imakhala mayi, amafanana kwambiri ndi mawonekedwe a clockwork, komwe mbali zake zonse zimagwira ntchito inayake, ndipo kusokoneza ntchito yachinthu chochepa kwambiri chingathetsere njira yonse. Mwachitsanzo, kuchokera kuntchito yosafunika kwenikweni, poyang'ana, gawo la chiberekero cha mkazi, ngati thupi la chikasu, lomwe ndi kachikwama kakang'ono ka madzi pa khoma la ovary ndi kupereka mahomoni oyenera, nthawi yabwino yotsatira msinkhu, kukula bwino ndi kusungidwa kwa mimba kumadalira. Ndipo ngati modzidzimutsa kusamba kwake kumatha, pamakhala kupweteka m'mimba kapena m'magazi kumayamba kufuna thandizo lachipatala mwamsanga (chithunzi cha "chifuwa chachikulu"), chifukwa cha izi zingakhale hypertrophy (kutuluka mofulumira) kapena mwa kuyankhula kwina khungu la chikasu.
Chofunika kwambiri pamapangidwe ake ndi kuphwanya njira za resorption mu chikasu thupi: malo a follicle kupasuka mu ovary amasonkhanitsa madzimadzi, nthawizina ndi magazi, omwe chifukwa chosatheka kwa magazi ndi maselo amphongo akuzungulira amakhala osasintha mapangidwe mamita atatu masentimita. Kuonjezerapo, chofunika kwambiri pakuwonekera kwa kachipangizo kameneka kamakhala kosawerengeka.
Kodi mungatani kuti mukhale ndi thupi la chikasu?
Kawirikawiri amapangidwa panthawi ya mimba, chikasu cha chikasu sichifuna chithandizo. Kupereka chitukuko cha hormone ya progesterone yomwe imayendetsa chitetezo cha mimba, pa nthawi ya masabata 18-20 iyo imatha, kusamutsira ntchito yake ku pulasitiki. Nthawi zina, chifuwa cha thupi la chikasu chimadalira mbiri ya wodwalayo komanso kuchuluka kwake kwa ntchito zake. Zingaphatikizepo:
- Njira zowunika momwe maphunziro amachitira pa nthawi ya kusamba kwa mlendo kwa amayi ndi thandizo la njira za ultrasound ndi CDC;
- mankhwala ochizira omwe amachititsa ovarian ntchito (mankhwala apamtima odwala matenda a m'mimba, electrophoresis, magnetophoresis, laser therapy, ultraphoonophoresis, njira zamakono, etc.). Pofuna kukhazikitsa chiwerengero cha mahomoni, madokotala amalimbikitsa Dufaston ndi khungu la chikasu. Mankhwala amene ali ndi progesterone yachilengedwe amachititsa kuti magazi asapitirire kuchepa, progesterone imatulutsidwa pang'ono, ndipo thupi la chikasu limachepera.
- Kuchulukitsa opaleshoni ndi laparoscopy (resection ya ovary kapena kukwapula kwa mabwinja), ngati njira zomwe tatchulazi zakhala zosagwira ntchito.