Kab mob Dishormonal, uas muaj ntau dhau ntawm cov ntaub so ntswg loj hlob thiab tsim cov hlwv, hu ua fibrocystic mastopathy ntawm cov qog mammary. Kev kho mob, ua rau, cov tsos mob ntawm tus kab mob no yuav raug txiav txim siab hauv kab lus.
Txhua xyoo txog ib lab tus poj niam hnov qhov mob qog noj ntshav txaus ntshai. Thiab, hmoov tsis, cov lej no tau nce zuj zus mus. Tsis yog txhua tus paub tias tus kab mob no feem ntau tshwm sim los ntawm fibrocystic mastopathy. Nws yog dab tsi? Raws li tau hais los saum toj no, qhov no yog ib yam kab mob-nyob ntawm cov tshuaj hormones, uas yog tus cwj pwm los ntawm ntau yam kev hloov pauv hauv cov qog mammary - ob qho tib si proliferation (nce) thiab regression (qis) hauv cov ntaub so ntswg. Tsis tas li ntawd nyob rau hauv lub caj pas muaj cov kev hloov pauv ntawm qhov sib txuas ntawm cov ntaub so ntswg thiab cov khoom siv epithelial, vim tias cov cystic lossis fibrous Cheebtsam tuaj yeem ua tau.
ua rau ntawm pathology
Cov kab mob hauv lub caj pas mammary feem ntau tshwm sim vim kev hloov pauv hormonal hauv tus poj niam lub cev. Hormones ua haujlwmnyob rau hauv lub caj pas mammary, uas yog vim li cas muaj ntau yam kev hloov pauv - los ntawm qhov pib ntawm kev puberty thiab maj mam loj hlob ntawm lub caj pas mus rau cev xeeb tub thiab pub niam mis.
Yog tias cov tshuaj hormones rau qee yam tsis tswj cov txheej txheem no, kev ua haujlwm tsis zoo tshwm sim hauv cov qog mammary, kev hloov pauv tshwm sim hauv cov ntaub so ntswg - fibrous lossis cystic.
Ua kom muaj qhov tsis txaus ntseeg hauv hormonal keeb kwm ntawm poj niam lub cev yog:
- kev nyuaj siab;
- overwork;
- xeeb tub;
- yim
- kev sib deev;
- kab mob siab;
- endocrine thiab gynecological pathologies;
Qhov laj thawj tseem ceeb rau kev txhim kho mastopathy yog qhov nce hauv lub cev ntawm cov tshuaj hormone estrogen thiab txo qis hauv cov tshuaj hormone progesterone.
Thaum qee qhov laj thawj ntawm cov ntsiab lus ntawm progesterone hauv lub cev txo qis, edema tshwm sim hauv lub caj pas mammary, cov ntaub so ntswg sib txuas ntxiv hauv ntim, thiab cov hlwv tsim hauv qog.
Cov poj niam hauv qab no muaj kev pheej hmoo:
-
rog dhau, tshwj xeeb tshaj yog cov ntshav qab zib thiab ntshav siab;
- poj niam tshaj 35;
- leej twg tsis yug ua ntej hnub nyoog 30;
- ntau qhov rho menyuam;
- ua ntej tso mis niam;
-
nyob hauv xeev tau ntevkev nyuaj siab, kev nyuaj siab.
Duab
Mastopathy feem ntau nrog cov kab mob xws li endometrial hyperplasia, uterine fibroids, endometriosis, inflammatory kab mob ntawm lub tsev menyuam appendages.
Kev faib tawm ntawm mastopathy
Muaj ntau hom kab mob "fibrous cystic mastopathy":
- fibrous daim ntawv (fibroadenosis) - cov khoom siv fibrous predominates;
- fibrocystic - dominated los ntawm cystic tivthaiv;
- adenosis - cov kab mob qog nqaij hlav ua ntej;
- daim ntawv sib xyaw (tag nrho cov khoom);
- adenosis sclerosing.
Txhua qhov no yog hais txog kev mob mastopathy. Kuj tseem muaj nodular fibrocystic mastopathy. Nrog rau daim ntawv no ntawm tus kab mob no, pom muaj cov ntsaws ruaj ruaj uas mob, dhau sij hawm lawv tuaj yeem loj tuaj.
Cov tsos mob ntawm tus kab mob fibrocystic mis
Daim ntawv diffuse yog thawj theem ntawm tus kab mob, nws yog tus cwj pwm los ntawm qhov tsos mob ntawm cov qog mammary ua ntej kev coj khaub ncaws (ob peb hnub ua ntej). Ntau tus poj niam yws tias lawv mob lub mis thaum lub sij hawm premenstrual. Cov tsos mob ntawm mastopathy feem ntau mob me me thiab yog li lawv tuaj yeem ua yuam kev yooj yim rau ib lub hlis o ntawm cov qog mammary. Raws li txoj cai, qhov mob ploj mus nrog qhov pib ntawm "hnub tseem ceeb".
Maj mam, qhov mob hnyav zuj zus, lawv lub sijhawm thiab kev siv zog nce ntxiv. Mob tsis xis nyob feem ntau txuas mus rau lub xub pwg hniav, caj npab, caj dab, txhua yamkov lub hauv siab tsis kaj siab.
Mastalgia (mazoplasia, mastodynia) yog thawj theem ntawm kev mob xws li diffuse fibrocystic mastopathy. Kev tshuaj xyuas cov poj niam qhia qhov mob thiab thickening ntawm cov ntaub so ntswg. Palpation ntawm cov qog mammary paub meej tias cov tsos mob no. Tus mob no feem ntau tshwm sim hauv cov poj niam hnub nyoog qis dua 35 xyoos. Tag nrho cov kev tshwm sim ploj tom qab pib kev coj khaub ncaws.
Sij hawm dhau mus, cov tsos mob mob ntawm fibrocystic mastopathy tsis muaj zog. Nyob rau hauv cov qog mammary, cov cheeb tsam ntawm compaction yog xav tias tsis muaj meej ciam teb, coarsening ntawm glandular lobes, nplua granularity. Thaum nias ntawm lub txiv mis, tawm ntawm qhov sib txawv tshwm sim. Nyob rau hauv lub sij hawm premenstrual, tawm los ntawm lub txiv mis thiab mob cov ntsaws ruaj ruaj nce, nrog rau qhov pib ntawm kev coj khaub ncaws lawv txo. Txawm li cas los xij, qhov ua tiav softening ntawm qog mus rau lub xeev ib txwm tsis tshwm sim.
theem tom ntej ntawm tus kab mob yog nodular mastopathy. Nodular formations nyob rau hauv lub hauv siab nrog daim ntawv no ua kom pom tseeb, cov hlwv loj feem ntau pom. Xws li neoplasms tuaj yeem nyob hauv ib lub qog mammary lossis ob qho tib si, ua ib leeg lossis ntau yam.
Nodular ntsaws ruaj ruaj yog tsim nrog diffuse mastopathy nrog kev khaws cia ntawm tag nrho nws cov tsos mob: ntxhib lobulation, hnyav, granularity, tawm ntawm lub txiv mis. Cov ntsaws ruaj ruaj tuaj yeem hnov zoo nyob rau hauv txoj hauj lwm sawv, nyob rau hauv txoj hauj lwm yooj yim lawv ciam teb tsis tau txhais, ib puag ncig compacted mammary caj pas cov ntaub so ntswg zais cov nodules. Daim ntawv no ntawm mastopathy tau kuaj pom feem ntau hauv cov poj niam laus dua 30-50 xyoo.xyoo.
Diagnosis
Peb tau tham txog cov tsos mob, ua rau thiab cov qauv ntawm cov kab mob xws li fibrocystic mastopathy, peb paub tias nws yog dab tsi. Tam sim no cia peb tham txog txoj hauv kev los kuaj xyuas qhov pathology.
Thaum kuaj pom tus mob fibrocystic mastopathy ntawm cov qog mammary, kev kho mob tuaj yeem raug sau tsuas yog tom qab kuaj xyuas kom meej. Kev kuaj thawj zaug suav nrog kev siv palpation ntawm cov qog mammary. Txhawm rau tshem tawm qhov ua tsis zoo ntawm kev kuaj mob, nws yog qhov zoo dua los teem sijhawm mus ntsib kws kho mob mammologist rau hnub 7-10 ntawm kev coj khaub ncaws. Ntxiv nrog rau cov qog mis, tus kws kho mob tshuaj xyuas cov qog nqaij hlav axillary thiab clavicular.
Kev kuaj mob ntxiv muaj cov txheej txheem hauv qab no:
- Ultrasound. Cov txheej txheem muaj kev nyab xeeb kiag li thiab tuaj yeem siv tau ntau zaus rau lub sijhawm luv luv. Txoj kev tshawb no tuaj yeem ua tiav thaum cev xeeb tub thiab lactation. Kev siv cov txheej txheem no nyuaj nrog ntau cov ntaub so ntswg adipose hauv cov qog.
- X-ray mammography. Cov txheej txheem no yog txoj hauv kev rau kev kuaj xyuas lub mis pathologies: nws yog cov ntaub ntawv zoo heev, ua rau nws muaj peev xwm txheeb xyuas cov neoplasms me me, thiab ua rau nws muaj peev xwm txheeb xyuas qhov mob ntawm tus kab mob. Txawm li cas los xij, x-ray yuav tsis muaj ntaub ntawv txaus thaum kuaj xyuas cov poj niam hluas uas nws cov qog mammary muaj qhov ntom ntom ntom ntom. Tsis tas li, cov txheej txheem no yog contraindicated thaum cev xeeb tub thiab pub niam mis.
- YDoppler sonography. Txoj kev tso cai rau koj kom paub meej qhov sib txawv ntawm ntau yam kab mob ntawm lub mis.
- Kev kuaj ntshav thiab kuaj cytological ntawm cov khoom siv biomaterial. Cov txheej txheem yog ua nrog kev xav tias muaj kab mob qog thiab atypia.
Nrog xws li mob xws li fibrocystic mastopathy ntawm cov qog mammary, kev kho mob yuav tsum tau pib tom qab kev sab laj nrog cov kws kho mob tshwj xeeb: gynecologist, endocrinologist, psychotherapist.
Kev kho mob
Txij li thaum muaj ntau hom kab mob "fibrous cystic mastopathy" (fibrous form or nodular), ces kev kho mob yog nqa tawm los ntawm ntau txoj kev. Ua ntej tshaj plaws, nws yog ib qho tsim nyog los tshem tawm cov laj thawj thiab cov laj thawj vim li cas mastopathy tau tsim.
Kev kho mob ntawm diffuse fibrocystic mastopathy yog ua los ntawm txoj kev khaws cia. Kev siv tshuaj kho mob suav nrog kev siv tshuaj hormonal thiab tsis yog tshuaj hormonal. Cov tshuaj hormonal raug sau rau hauv cov ntaub ntawv xav tau ceev thiab raws li cov txiaj ntsig ntawm kev tshuaj ntsuam xyuas.
Tus kab mob fibrocystic lub mis nruab nrab yuav tsum muaj kev noj haus: tsis suav cov khoom noj rog dhau, caffeine, dej cawv.
YNon-hormonal therapy
Siv rau mastalgia:
- Decongestants, non-steroidal anti-inflammatory tshuaj, analgesics (Ibuprofen, Nurofen, thiab lwm yam).
- Tshuaj uas txhim kho cov ntshav ncig (Vitamin B).
- Nyob zoo thiabsedatives (motherwort, valerian).
- Ua lub cev kho mob (electrophoresis siv cov poov tshuaj iodide).
- Ua tshuaj ntsuab raws li cov tshuaj xws li Mastodinon, Vitokan, Tazalok.
Nws yog ib qho tseem ceeb heev rau hnav ris tsho hauv qab. Kev siv lub tsho loj lossis lub tsho tsis zoo tuaj yeem ua rau lub mis deformity, mob, thiab o.
YHommon Therapy
Mastopathy tuaj yeem tshwm sim los ntawm qhov tsis txaus ntawm cov tshuaj hormones hauv lub cev. Txhawm rau normalize poj niam txiv neej cov tshuaj hormones, cov tshuaj antihormones tau sau tseg - cov tshuaj "Tamoxifen" thiab "Toremifen". Rau tib lub hom phiaj, cov tshuaj tiv thaiv qhov ncauj yog siv - tshuaj "Marvelon" thiab "Janine", nyob rau hauv tus ntawm cov tshuaj steroids, estrogens, androgens yog suppressed thiab hormonal theem nyob rau hauv lub cev yog stabilized. Tsis tas li ntawd, tus kws kho mob tuaj yeem sau npe rau kev siv cov tshuaj progestogens - cov tshuaj progesterone (Dufaston, Utrozhestan), cov tshuaj no inhibit qhov kev loj hlob ntawm cov hlwv thiab pab txhawb rau cov gradual regression. Qee zaum, cov kws kho mob tshwj xeeb tshaj tawm cov tshuaj antiprolactins (Parlodel), androgens (Methyltestosterone), gonadotropin antagonists (Buserelin thiab Zoladex).
Nco ntsoov, tsuas yog tus kws tshaj lij uas tsim nyog yuav tsum kho fibrocystic mastopathy! Cov tshuaj pom zoo los ntawm tus kws kho mob tshwj xeeb yuav tsum tau ua nruj me ntsis raws li cov lus qhia.
YHomeopathy
Kev kho tus kab mob no, ntau yamtshuaj homeopathic. Cov neeg mob thiab cov kws kho mob uas kho mob fibrocystic mastopathy nrog cov tshuaj no tawm cov kev tshuaj xyuas zoo: cov tshuaj no txo cov qib prolactin zoo yam tsis ua rau muaj kev phiv. Cov tshuaj no suav nrog Cyclodinon, Remens, Mastodinon.
Kev noj haus
Nrog tus kab mob no, nws tseem ceeb heev uas yuav tsum tau kho cov zaub mov. Txhua yam khoom uas muaj methylxanthines yuav tsum tsis suav nrog: kas fes, tshuaj yej, qhob noom xim kasfes, cola, cocoa. Nws tseem pom zoo kom tsis txhob siv cov khoom haus luam yeeb, pickles. Cov zaub tshiab uas muaj fiber ntau, txiv hmab txiv ntoo, citrus txiv hmab txiv ntoo, cereals yuav tsum muaj nyob rau hauv cov khoom noj txhua hnub. Ntxiv rau 2 litres dej ib hnub, nws tseem pom zoo kom haus cov tshuaj ntsuab tshuaj ntsuab uas muaj cov nyhuv diuretic thiab decongestant. Ntsev yuav tsum raug txwv, vim nws ua rau cov kua hauv lub cev thiab cov ntaub so ntswg o.
tshuaj kho lwm yam
Tsis yog kev kho mob nkaus xwb, tab sis kuj tseem siv txoj hauv kev uas tsis yog ib txwm siv los kho fibrocystic mastopathy. Kev tshuaj xyuas ntawm cov neeg paub thiab cov hluas nkauj txog pej xeem txoj kev kho tus kab mob no yuav tsum tsis txhob dhau los ua ib qho kev qhia. Txhua yam kev ntsuas yuav tsum tau ua tom qab kev sab laj nrog tus kws kho mob tshwj xeeb.
Raws li qhov ntxiv rau kev kho mob tseem ceeb, tus kws kho mob tuaj koom yuav pom zoo cov zaub mov ua pov thawj rau pej xeem.
- Cov nyhuv Antineoplastic yog siv los ntawm cov tshuaj xws li burdock, wormwood, immortelle, elderberry, thistle, celandine, cinquefoil, birch.
-
Immunomodulating action - aloe, echinacea, elecampane, propolis.
Duab
Kev cuam tshuam rau kev phais rau nodular mastopathy
Kev kho mob phais yog siv yog tias aspiration biopsy nthuav tawm cov hlwb atypical lossis kev hloov pauv hauv lub mis epithelium hauv punctate. Sectoral resection (linear cov ntaub so ntswg excision) thiab mastectomy (tshem tawm ib feem ntawm lub caj pas) yog siv.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kab mob fibrocystic yog kab mob ua ntej. Yog li ntawd, tsis muaj ib qho xwm txheej twg koj yuav tsum tsis quav ntsej mus ntsib kws kho mob thiab ua kev kuaj mob. Kev noj tshuaj rau tus kheej, dhau los, tuaj yeem ua rau muaj kev phom sij rau kev noj qab haus huv, suav nrog mob qog noj ntshav mis. Kev kho mob hauv qhov no yog qhov hnyav dua: kev kho lub mis, kho hluav taws xob, kev phais nyuaj.
Zoo kawg
Tom qab nyeem tsab xov xwm no, koj kawm paub ntau ntxiv txog cov kab mob xws li fibrocystic mastopathy ntawm cov qog mammary, kev kho mob, ua rau thiab cov tsos mob ntawm pathology tau txiav txim siab los ntawm peb. Peb vam tias koj yuav pom cov ntaub ntawv muaj txiaj ntsig. Saib xyuas koj tus kheej, ua tib zoo saib xyuas koj tus mob, tam sim ntawd teb rau qhov hloov me ntsis hauv lub cev. Thiab noj qab nyob zoo!
