Y Mastopathy yog ib yam kab mob benign ntawm lub mis. Nws tshwm sim feem ntau nyob rau hauv kev ua txhaum ntawm hormonal tshuav nyiaj li cas. Thaum kuaj tus kheej ntawm lub mis, tus poj niam tuaj yeem pom cov cim tseem ceeb ntawm kev tsim cov kab mob.
Nws tsis yog ib txwm ua tau kom paub qhov txawv ntawm mastopathy los ntawm kev mob qog noj ntshav ntawm lub mis tsuas yog los ntawm cov cim sab nraud. Yog li ntawd, nws raug pom zoo kom siv cov tswv yim tshwj xeeb uas tso cai rau koj kom paub meej tias nws yog tus kab mob dab tsi. Tsuas yog tom qab kuaj pom, qhov kev kho yuav tsum raug sau tseg.
Tus kab mob
Mastopathy yog ib hom kab mob ntawm cov qog mammary uas cuam tshuam nrog kev loj hlob ntawm cov ntaub so ntswg thiab cov qog nqaij hlav. Kev loj hlob thiab tsim ntawm lub mis yog cuam tshuam los ntawm kev sib deev cov tshuaj hormones, uas yog, estrogens thiab progesterone, uas yog tsim nyob rau hauv zes qe menyuam.
Qhov ua rau mastopathy cuam tshuam nrog kev hloov pauv hauv cov ntaub so ntswg ntawm lub caj pas mammary. Qhov no yog tshwm sim los ntawm ntau dhau ntawm estrogen thiab tsis muaj progesterone. Hormonal tshuav tuaj yeem cuam tshuam vim cov kab mob ntawm qhov chaw moscov kab mob hauv nruab nrog cev, thiab vim yog siv cov tshuaj tiv thaiv qhov ncauj ntev.
Imbalance tshwm sim thaum cov txheej txheem physiological hauv lub cev cuam tshuam, tom qab kev phais ntawm zes qe menyuam thiab tsev menyuam. Qhov ua rau mastopathy kuj cuam tshuam nrog ntau dhau ntawm prolactin. Nws yog ib yam tshuaj uas tswj cov kua mis ntau lawm.
Cov pab pawg raug mob feem ntau yog cov poj niam hnub nyoog 30-40 xyoo, vim muaj qhov tsis muaj zog ntawm zes qe menyuam, nrog rau kev hloov pauv ntawm cov tshuaj hormones.
hom tsiaj
Cov kws kho mob paub qhov txawv ntawm cov hom mastopathy xws li:
- fibrous;
- fibrocystic;
- cystic;
- nodal;
- diffuse;
- involutive.
Fibrous mastopathy yog ib yam kab mob benign, thaum lub sij hawm cov ntaub so ntswg glandular hloov chaw thiab deformed nyob rau hauv kev cuam tshuam ntawm pathological kev loj hlob ntawm cov ntaub so ntswg connective. Raws li qhov tshwm sim, cov neoplasm ua rau kev nyem thiab txhaws ntawm cov ducts ntawm lub caj pas mammary, ua rau tus poj niam tsis xis nyob thiab txawm tias qee qhov mob.
Qhov ua rau fibrocystic mastopathy feem ntau cuam tshuam nrog cov hnub nyoog txog kev hloov pauv hormonal hauv poj niam lub cev. Tus kab mob manifests nws tus kheej nyob rau hauv lub tsim ntawm ntom accumulations ntawm connective cov ntaub so ntswg, uas, nyob rau hauv lub cuam tshuam ntawm tsis zoo yam, yuav degenerate mus rau hauv lub cyst.
Qhov ua rau cystic mastopathy cuam tshuam nrog kev hloov pauv ntawm qib ntawm cov tshuaj hormones hauv lub cev, uas feem ntau pom thaum cev xeeb tub. Nrog rau hom kab mob no, ntau cov hlwv raug kuaj pom, uas yog, tsim nrogelastic kev ntxhib los mos. Hauv qhov no, qhov mob tau pom. Morphologically, nws zoo nkaus li tshwj xeeb. Lub xov tooj cua qhia meej meej qhia tus qauv uas zoo li lub voj voog loj.
Nodular mastopathy tshwm sim los ntawm kev hloov pauv mus ntev hauv cov tshuaj hormones hauv cov ntshav, uas ua rau tsim cov qog nqaij hlav hauv siab. Hom kab mob no feem ntau nrog cov tsos mob ntawm lwm yam neoplasms, tshwj xeeb, xws li fibroadenoma, angioma, cyst, lipoma. Tus kab mob no muaj kev pheej hmoo siab ntawm degeneration ntawm neoplasm mus rau hauv cov qog malignant.
Diffuse mastopathy yog qhov sib txawv ntawm qhov nws feem ntau cuam tshuam tsis yog ib cheeb tsam ntawm lub mis, tab sis tag nrho lub cev.
Y Involutive mastopathy cuam tshuam tsuas yog txheej ntawm cov rog subcutaneous. Pathology feem ntau tsim nyob rau hauv qis lobes ntawm lub caj pas mammary thiab tsuas yog qee zaum nyob rau sab sauv sawv daws yuav. Maj mam, tus kab mob provokes lub mis deformity. Qhov ua rau thiab cov tsos mob ntawm mastopathy tuaj yeem sib txawv, uas yog vim li cas thiaj li yuav tsum tau kuaj xyuas ib ntus los ntawm kws kho mob.
Kev tshwm sim
Qhov laj thawj tseem ceeb ntawm lub mis mastopathy kws tshaj lij hu ua hormonal tsis ua haujlwm. Nrog rau kev ua haujlwm ntawm lub cev, kev hloov pauv hloov pauv tshwm sim txhua lub hlis, suav nrog hauv siab. Qhov tsis muaj progesterone, ib qho tshuaj hormones lub luag haujlwm rau kev coj khaub ncaws, cev xeeb tub thiab kev loj hlob hauv plab, nrog rau kev nce hauv estrogen yog qhov tseem ceeb ntawm qhov tshwm sim ntawm mastopathy.
Kev nce qib hauv prolactin kuj tseem ceeb heev,uas yog, cov tshuaj hormones uas yog lub luag haujlwm rau kev loj hlob thiab kev loj hlob ntawm cov qog mammary. Ntxiv nrog rau cov kab mob hormonal, cov hauv qab no tuaj yeem ua rau mastopathy:
- kab mob gynecological;
- abbortion;
- mob khaub thuas;
- genetic predisposition;
- tsis pub niam mis;
- Kev xaiv tshuaj hormonal tsis raug;
- mob plab;
- obesity;
- haus luam yeeb;
- kev nyuaj siab.
Cov laj thawj ua rau muaj kev cuam tshuam yuav tsum suav nrog kev hnav lub tsho nruj heev. Txawm hais tias ua rau mastopathy hauv cov poj niam, nws yog ib qho tseem ceeb heev kom paub txog cov tsos mob ntawm pathology, kuaj thiab kho.
Cov tsos mob tseem ceeb
Nyob ntawm daim ntawv, theem thiab ua rau mastopathy, cov tsos mob ntawm tus kab mob yuav txawv me ntsis. Ntawm cov cim tseem ceeb, nws yog qhov yuav tsum tau ua kom pom xws li:
- mob plab ua ntej lub sijhawm;
- tso tawm ntawm txiv mis;
- pom cov ntsaws ruaj ruaj hauv siab.
Thaum pib, muaj qhov mob me me hauv lub hauv siab, uas tus poj niam pom tau tias yog premenstrual syndrome. Txawm li cas los xij, dhau sijhawm, qhov mob rub tuaj yeem ua tau ntse, stabbing, thiab khaus ntau dua. Nws pib muab rau hauv tes thiab hauv qab lub xub pwg hniav.
Nyob rau hauv ib nrab ntawm lub voj voog, o thiab engorgement ntawm lub caj pas mammary tshwm. Cov ntaub so ntswg loj hlob nyem cov hlab ntsha, uas ua rau o thiab o ntawm lub caj pas. Thaum nias ntawm lub txiv mis, tso tawm tshwm. Lawv cov xim yuav yogleej twg kiag li. Greenish paug tshwm yog hais tias mob tshwm sim nyob rau hauv lub lobules thiab ducts. Qhov txaus ntshai tshaj plaws yog pom. Daim paib no yuav qhia txog kev tsim cov qog nqaij hlav.
Tej zaum yuav yog ib qho lossis ob peb zaug ib zaug. Nrog diffuse mastopathy, lub foob zoo-grained yog palpated vim qhov nce hauv lobules hauv cov qog mammary. Nrog nodular mastopathy, cov ntsaws ruaj ruaj tuaj yeem ncav cuag 7 cm. Nyob rau hauv ib lub cyst loj, lub foob muaj ib tug kom meej meej contour.
Paub qhov ua rau mastopathy thiab cov tsos mob ntawm tus kab mob, koj tuaj yeem tshawb xyuas nws cov sijhawm, kuaj xyuas thiab kho nws.
Diagnostics
Nws yuav pab txiav txim siab ua rau mob mastopathy, uas suav nrog cov txheej txheem xws li:
- palpation;
- mammography;
- YUltrasound.
Palpation, txawm tias nws qhov yooj yim pom tseeb, yog txoj hauv kev zoo heev los kuaj xyuas cov kab mob ntawm lub mis. Cov txheej txheem no tso cai rau koj los txiav txim siab muaj cov neoplasms, tab sis tsis tuaj yeem paub txog lawv hom thiab qhov hloov pauv. Nrog kev pab ntawm palpation, tus poj niam tuaj yeem txheeb xyuas qhov kev ua txhaum cai ntawm nws tus kheej.
Mammography yog kev kuaj x-ray ntawm lub mis. Cov txheej txheem no tso cai rau lub sijhawm tshawb nrhiav cov kev hloov pauv pathological hauv cov ntaub so ntswg ntawm lub mis. Nws yog qhov txawv los ntawm kev ua haujlwm siab thiab kev nyab xeeb. Txhua tus poj niam muaj hnub nyoog tshaj 35 xyoos raug pom zoo kom muaj ib qho mammogram txhua 2 xyoos, thiabthaum muaj hnub nyoog 50 xyoo - ib xyoos.
Ultrasound yog tus yam ntxwv los ntawm cov ntaub ntawv siab thiab ua tiav kev nyab xeeb, suav nrog rau cov poj niam cev xeeb tub thiab lactating. Txoj kev tshawb fawb no pab txheeb xyuas qhov kev hloov pauv.
Qee zaum, yuav tsum tau kuaj ntshav kuaj pom tseeb. Ib yam ntawm cov kev kuaj no yuav tsum tau ua nyob rau hnub 6-10 ntawm kev coj khaub ncaws.
Txoj kev kho mob
Ua ntej xaiv txoj kev kho mob rau mastopathy, qhov ua rau thiab cov tsos mob ntawm tus kab mob yuav tsum raug coj mus rau hauv tus account. Thaum xub thawj, tus kws kho mob yuav tsum tau ua ib qho puncture los ntawm neoplasm, uas tso cai rau koj los kuaj xyuas kom raug.
Thaum ua kev kho mob, nws yog ib qho tseem ceeb los tiv thaiv kev hloov pauv ntawm cov qog nqaij hlav mus rau ib qho malignant. Nws yog ib qho tsim nyog los tshem tawm qhov ua tsis taus ntawm pituitary thiab zes qe menyuam, nrog rau normalize lub siab thiab lub paj hlwb. Hauv kev kho mob mastopathy, qhov ua rau ntawm tus kab mob yuav tsum raug tshem tawm ua ntej. Qhov no yog qhov tseem ceeb tshaj plaws, tsis hais tus kab mob li cas.
Nrog nodular mastopathy, kev ua haujlwm yog siv, uas yog, tshem tawm cov nodes nrog kev teem sijhawm ib txhij ntawm cov tshuaj tshwj xeeb kom muaj kev tiv thaiv. Txawm li cas los xij, nyob rau xyoo tas los no, kev cuam tshuam tau pib kho ntau yam ceev faj, vim tias kev ua haujlwm tsis tuaj yeem tshem tawm qhov ua rau tus kabmob.
Nyob rau hauv ntau tus poj niam uas tau ua haujlwm 10-15, tom qab txhua qhov kev cuam tshuam, cov pob txha tau tshwm sim dua, nyob ntawm lub seam. Lwm lub tswv yim rau kev kho mob mastopathy yuav yog kev saib xyuas. Rau qhov no, kev kho enzyme yog sau, nrog rau kev noj tshuaj antihistamines.tshuaj, vitamins, immunomodulators, antipsychotics.
Txhawm rau tshem tawm qhov ua rau ntawm lub mis mastopathy, kev kho mob yog ua nrog kev pab ntawm cov tshuaj hormonal, tshwj xeeb, xws li:
- phytoestrogens;
- dydrogesterones;
- corticosteroids;
- adaptogens;
- tshuaj tiv thaiv kab mob sib xyaw ua ke.
Yog txoj kev khaws cia tsis muab qhov xav tau, ces tus neeg mob yuav raug pom zoo phais kom tshem tawm cov fibroids thiab cysts.
kev kho mob
Txhawm rau tshem tawm qhov ua rau ntawm lub mis mastopathy, kev kho mob yuav tsum ua kom tiav. Txoj kev tseem ceeb yog kev kho mob. Cov kws kho mob tau zoo heev siv tshuaj hormonal thiab non-hormonal. Cov tshuaj noj nyob rau hauv txhua rooj plaub yog xaiv ib tus zuj zus, nyob ntawm seb hom kab mob, tus yam ntxwv ntawm hormonal keeb kwm yav dhau thiab muaj teeb meem gynecological. Ntawm cov tshuaj hormonal, nws yog ib qho tsim nyog los qhia txog xws li:
- Yantestrogens;
- gestagens;
- androgens.
Antistrogen - tshuaj uas txo cov tshuaj estrogen hauv lub cev. Yuav kom ua tiav qhov txiaj ntsig zoo, cov tshuaj yuav tsum tau noj rau lub sijhawm ntev. Cov tshuaj xws li "Tamoxifen" thiab "Fareston" yog qhov txawv ntawm kev ua haujlwm siab. Thawj cov tshuaj yog tus neeg sawv cev tsim tshwj xeeb rau kev kho cov qog rhiab rau cov tshuaj estrogen, nrog rau cov kab mob malignant ntawm lub mis. Nws siv yuav tsum tau saib xyuas kev kho mob zeYuav ua li cas tshuaj yuav ua rau muaj teeb meem.
Fareston muaj txiaj ntsig zoo vim nws cov tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kab mob. Nrog nws siv, mob lub mis engorgement tag ploj mus, thiab cov tsos mob ntawm mastopathy kuj ploj. Txawm li cas los xij, cov tshuaj no muaj qee yam contraindications uas yuav tsum tau coj mus rau hauv tus account.
Androgens txo cov haujlwm ntawm zes qe menyuam, yog li ua kom qeeb ntawm cov txheej txheem ntawm ovulation. Lawv qhov kev noj qab haus huv zoo yuav pab tshem tawm qhov nruj ntawm lub hauv siab. Cov tshuaj "Dinazol" yog qhov nrov tshaj plaws.
Cov tshuaj tiv thaiv qhov ncauj tsis tsuas yog tiv thaiv ovulation, tab sis kuj normalize lub cev ntas, txo qhov tshwm sim ntawm mastopathy. Feem ntau xaiv "Mersilon", "Marvelon", "Femoden", "Cilest"
Ntawm cov kev npaj sab nraud, Progestogel ointment feem ntau tau sau.
Ntawm cov tshuaj uas tsis yog tshuaj hormonal, cov tshuaj homeopathic feem ntau tau sau tseg. Mastodinon tau ua pov thawj nws tus kheej zoo. Ib qho tshwj xeeb xaiv extract ntawm cov tshuaj ntsuab txo cov theem ntawm prolactin, tshem tawm cov tsos mob ntawm tus kab mob thiab tiv thaiv cov ntaub so ntswg loj hlob.
kev kho neeg zoo
Txhawm rau tiv thaiv kev txhim kho ntawm mastopathy thiab tshem tawm qhov ua rau ntawm tus kab mob, koj tuaj yeem siv txoj hauv kev pej xeem. Hauv kev kho mob, kev siv tshuaj ntsuab, nqi, compresses, tshuaj pleev yog dav siv. Kev ua tiav ntawm phytotherapy tau raug pov thawj los ntawm ntau xyoo ntawm kev paub hauv nws daim ntawv thov. Ntawm cov tshuaj ntsuab, cov txhuam liab thiab lub tsev menyuam toj roob hauv pes tshwj xeeb yog nrov.
Noj 1 tbsp. l. qhuav liab txhuam, ntxiv 1Art. boiling dej, boil thiab boil rau 10 feeb. Cia sawv ntsug, lim. Haus 70-80 ml peb zaug ib hnub.
Noj 5 tbsp. l. qhuav nyom ntawm upland uterus, ncuav ib lub raj mis ntawm vodka thiab tawm mus infuse rau 3 lub lis piam, stirring txhua hnub. Haus ib hlis rau 15-30 tee. Koj tuaj yeem npaj ib decoction ntawm cov nroj tsuag no. Txhawm rau ua qhov no, noj 3 tbsp. l. qhuav boron uterus, ncuav 300 ml ntawm dej. Boil rau 5 feeb, cia sawv ntsug, lim. Haus ib decoction peb zaug ib hnub twg rau 1 tbsp. l.
Burdock compress pab tau zoo. Ua li no, zuaj ib nplooj ntoos nruab nrab kom cov kua txiv hmab txiv ntoo pib sawv ntawm nws. Muab tso rau hauv lub khob khiab mis thiab tawm ib hmos. Cov chav kawm ntawm kev kho mob kav 2 lub lis piam. Tib compress tuaj yeem ua los ntawm nplooj nplooj.
Mastopathy hauv menyuam yaus
Qhov ua rau mastopathy hauv menyuam yaus yog cuam tshuam nrog cov placental hormones, uas kis tau los ntawm leej niam thiab ncig hauv cov ntshav ntawm tus menyuam mos. Nws yog ib qho nyuaj heev los txiav txim seb tus kab mob no, vim qhov pom ntawm lub mis tsis hloov txhua txoj kev.
Nws tuaj yeem tshwm sim hauv menyuam yaus txhua lub sijhawm thiab cov cim qhia yuav luag tsis txawv ntawm cov tsos mob ntawm cov neeg laus. Mastopathy tuaj yeem ploj mus ntawm nws tus kheej tom qab stabilization ntawm hormonal keeb kwm yav dhau. Txawm li cas los xij, ib tus tsis tuaj yeem cia siab rau qhov no, thiab kev noj tshuaj rau tus kheej yog txwv nruj, vim qhov no yog qhov ua rau muaj kev phom sij txaus ntshai.
Muaj Teeb Meem
Nws yog ib qho tseem ceeb tsis yog tsuas yog paub cov tsos mob thiab ua rau mastopathy, tab sis kuj muaj teeb meem dab tsi tuaj yeem tshwm sim yog tias tsis raug lossis tsis raws sijhawmkev kho mob. Yog tias tus kab mob tsis tswj tau, ces lub foob tuaj yeem loj tuaj, thiab tseem tig mus ua mob qog noj ntshav. Ib qho ntawm cov cim qhia ntawm degeneration rau hauv cov qog malignant yog qhov tshwm sim ntawm ntau cov calcifications me me hauv cov qog mammary.
Kev phom sij kuj yog kev txhim kho ntawm qhov mob hauv cheeb tsam nrog cov ntaub so ntswg puas, kua dej suppuration hauv cyst. Tsis tas li ntawd, lub foob tuaj yeem tawg, ua rau mob hnyav.
Huab cua
Tshuaj kho mob mastopathy feem ntau yog ib ntus, thiab ob peb xyoos tom qab kev kho mob, cov qog thiab cov nodules yuav rov tshwm sim. Qhov no yog qhov tseeb tshwj xeeb tshaj yog rau cov poj niam uas raug kev txom nyem los ntawm erosion, nquag o, dysplasia. Kev kho dav dav pab kom txo tau cov kab mob, tshem tawm cov tsos mob thiab ncua kev hloov mus rau theem tom ntej ntawm tus kab mob.
prophylaxis
Txhawm rau txo qhov yuav tshwm sim ntawm mastopathy, nws yog ib qho tsim nyog yuav tsum ua raws li cov hauv paus ntsiab lus ntawm kev tiv thaiv, xws li:
- khoom noj zoo;
- kev ua lub cev;
- txiav cawv thiab haus luam yeeb;
- zoo pw tsaug zog thiab so;
- kev kaj siab lub xeev;
- Y noj cov vitamins;
- kev xaiv ntse ntawm ris tsho hauv qab.
txhawm rau kuaj pom tus kab mob nyob rau theem pib, koj yuav tsum mus ntsib kws kho mob ib ntus kom kuaj xyuas.
