Txhua yam kab mob uas cuam tshuam rau poj niam lub cev, feem ntau tshwm sim vim hormonal tsis ua haujlwm, muaj tus kab mob inflammatory lossis kev ntxhov siab. Txawm tias muaj tseeb hais tias tus kab mob ntawm lub mis feem ntau manifests nws tus kheej tom qab thawj theem tau dhau mus, qhov yuav ua tau zoo ntawm kev kho mob yog heev. Ib qho kev kuaj mob feem ntau yog diffuse FCM ntawm lub mis (fibrocystic mastopathy). Nws yog ib qho tseem ceeb uas yuav tsum tau siv sij hawm ntsuas los tsim cov qauv thiab theem ntawm tus kab mob thiab pib kho kom zoo. Nws yog qhov tsis xav tau sim kuaj thiab kho tus kab mob koj tus kheej.
Kev txhais ntawm mastopathy
Lub sij hawm diffuse FCM (fibrocystic mastopathy) feem ntau nkag siab tias yog kab mob uas tshwm sim hauv cov poj niam. Qhov no yog tsim ntawm cov ntsaws ruaj ruaj, nodes, cysts nyob rau hauv lub caj pas mammary, uas muaj cov kua nyob rau hauv. Hom mastopathy no tuaj yeem muaj kev sib xyawdaim ntawv, los yog tsuas yog fibrous, sib xyaw, glandular los yog cystic. Raws li txoj cai, qhov swb ntawm cov ntaub so ntswg ntawm lub caj pas tshwm sim ntawm ib lossis ob sab. Hauv kev xyaum kho mob, diffuse fibrocystic mastopathy ntawm cov qog mammary yog ntau dua rau cov poj niam uas muaj hnub nyoog yug me nyuam (txog 40 xyoo). Qhov no cuam tshuam nrog kev ua haujlwm ntawm lub cev no, piv txwv li, cev xeeb tub lossis pub niam mis.
Thaum tus poj niam hla lub cev tsis muaj zog, daim ntawv nodular ntawm mastopathy feem ntau tau sau tseg. Nws txawv ntawm qhov node yog qhov loj me me, muaj ib qho kev suav nrog.
daim duab kho mob
Nws tau raug sau tseg tias qhov tseem ceeb ntawm kev nthuav dav FCM yog kev cuam tshuam hauv kev ua haujlwm ntawm cov tshuaj hormones. Nws tsis tuaj yeem hais tias ib tus ntawm lawv yog tus txhaum. Ntawm no peb tab tom tham txog tag nrho cov complex: TSH, androgens, estrogens, hCG (chorionic gonadotropin), progesterone, prolactins, gonadotropins. Yog tias qhov ua tsis tiav tshwm sim hauv poj niam lub cev, ces nws ua rau kev txhim kho cov txheej txheem dysplastic.
nce qib estrogen thiab txo qis hauv progesterone dhau los ua lub zog rau cov txheej txheem proliferative hauv stroma thiab epithelium. Hauv cov poj niam noj qab haus huv lub cev, progesterone tswj thaj chaw no thiab tiv thaiv kev loj hlob ntawm mastopathy.
Hauv kev xyaum, nws yog ib txwm ua kom paub qhov txawv peb theem ntawm qhov hnyav ntawm diffuse fibrocystic mastopathy ntawm lub mis: me, nruab nrab, hais tau. Thaum pib, tus kab mob pib yuav luag imperceptibly. Ntawm palpation, cysts los ntawm ob peb millimeters mus rau ob peb centimeters tuaj yeem raug sau tseg. Lawv zoo li cov txiv hmab txiv ntoo, uas, thaum lawv loj hlob, nquag pib tsim collagen, cov ntaub so ntswg thickens, loj hlob thiab caws pliav.
Yog cov kab noj hniav uas muaj cov kab mob hauv cov qog nqaij hlav hauv lub caj pas mammary, ces peb tab tom tham txog diffuse FCM nrog rau qhov tseem ceeb ntawm cov qog glandular. Qhov no pathology hu ua adenosis. Hauv kev xyaum, ib daim ntawv sib xyaw yuav tshwm sim, uas ob qho tib si txuas thiab qog nqaij hlav loj hlob.
Kev tshwm sim
Yog peb tham txog dab tsi ua rau txoj kev loj hlob ntawm diffuse FCM ntawm lub mis, ces nws yuav tsum tau hais txog:
- Lub sijhawm thaum tus poj niam cev xeeb tub. Cov placenta tsim cov tshuaj hormones uas ua rau lub mis hyperplasia.
- Cov txheej txheem mob ntawm lub tsev menyuam thiab cov appendages, zes qe menyuam (nrog rau kev ua haujlwm tsis zoo).
- Kab mob ntawm cov thyroid caj pas, uas yog lub luag haujlwm rau kev tsim cov tshuaj luteinizing.
- Kab mob cuam tshuam nrog lub siab.
- Hereditary predisposition.
- Teeb meem nrog cev xeeb tub (muag, nchuav menyuam, yug ntxov ntxov), rho menyuam, tsis muaj menyuam.
- Keeb thawj zaug los ntshav hauv cov ntxhais ua ntej hnub nyoog 12.
- luv, ntev dhau, lossis tsis pub niam mis.
- Ntev ntev ntawm kev siv tshuaj tiv thaiv qhov ncauj.
- Nquag lossis tsis muaj kev sib deev lub neej tuaj yeem ua rau cov ntshav nyob hauv lub plab pelvic.
Tseem muaj kev cuam tshuam tsis zoo ntawm kev rog, rog,kev ntxhov siab tas li, hnav ris tsho hauv qab (bra). Hauv thaj chaw muaj kev pheej hmoo, cov poj niam uas tau kho hluav taws xob, raug hluav taws xob lossis siv tshuaj khomob, tau raug mob hauv siab. Nquag mus ntsib solarium, da dej, saunas kuj cuam tshuam rau kev noj qab haus huv ntawm lub mis.
Nws tshwm sim li cas, cov tsos mob tseem ceeb
Yog tias ib tug poj niam tsis tu ncua mus kuaj mob, ces muaj caij nyoog ntawm kev kuaj pom FCM diffuse ntawm lub mis thaum ntxov ntawm qhov tshwm sim. Txij li outwardly ib tug poj niam yuav tsis pom muaj cov ntsaws ruaj ruaj nyob rau hauv lub hauv siab, thaum pib tus kab mob tsis ua rau tsis xis nyob. Txawm li cas los xij, koj yuav tsum tau saib xyuas cov tsos mob hauv qab no:
- Npauj npaim rhiab heev.
- Mob ntawm palpation ntawm lub mis, kev xav ntawm induration.
- Nipple tawm dawb los yog xim av.
- mob siab uas tawm ntawm lub hauv siab mus rau caj npab.
- Nyob rau lub sij hawm ua ntej pib los ntshav, ib tug poj niam sau ntawv o los yog engorgement ntawm lub mis.
Cov tsos mob cuam tshuam heev - txhua qhov tso tawm hauv siab. Thaum lawv tshwm sim, koj yuav tsum tsis txhob tos nyob rau hauv kab rau lub sij hawm nrog ib tug gynecologist, koj yuav tsum tam sim ntawd mus kuaj lub mis los ntawm ib tug mammologist. Nws tshwm sim tias qhov o nyob rau hauv thaj tsam ntawm lub caj pas mammary yog nrog ua npaws, kiv taub hau, xeev siab, qaug zog lossis mob taub hau. Thaum hu rau tus kws kho mob, koj yuav tsum tau hais txog qhov no, vim qhov no yuav qhia tau tias muaj teeb meem ntawm chav kawm.mastopathy.
Kev kuaj kab mob
Nyob hauv tsev, kev kuaj pom muaj rau tus poj niam txhawm rau txheeb xyuas cov cim ntawm FCM diffuse ntawm cov qog mammary. Yog hais tias nyob rau hauv cov teb chaws Europe cov txheej txheem no yog paub thiab zoo heev, ces nyob rau hauv Russia ob peb tus neeg xyaum kuaj lub hauv siab rau cov tsos mob ntawm cov ntsaws ruaj ruaj. Qhov no ua rau tus poj niam yuav paub txog qhov muaj tus kab mob uas twb muaj lawm thaum nws tau dhau mus rau theem thib ob lossis thib peb.
Kev kuaj mob ntawm ncha cov paib ntawm diffuse FCM hauv lub tsev kho mob tshwm sim nyob rau hauv ntau theem los ntawm cov kws kho mob sib txawv: mammologist, gynecologist thiab endocrinologist. Koj tuaj yeem tau txais cov duab pom ntawm lub xeev tam sim no ntawm lub mis ntawm ultrasound thiab thaum lub sij hawm mammography. Lawv tso cai rau koj los txheeb xyuas qhov muaj thiab qhov chaw ntawm cov hlwv, lawv tus lej thiab cov qauv, lub xeev ntawm cov kua mis, kev puas tsuaj rau lub txiv mis. Lub hnub nyoog ntawm tus neeg mob yog qhov tseem ceeb heev, yog li ntawd, thaum lub sij hawm txoj kev tshawb no, tus kws kho mob tshwj xeeb muab qhov kev ntsuas no piv nrog lub xeev ntawm lub mis thaum lub sij hawm kho. Piv txwv li, lub thickness ntawm lub glandular txheej nyob ntawm seb tus poj niam laus npaum li cas: tus laus dua, nws yog thinner, thiab cov ntaub so ntswg ceev yog ntau dua. Cov kev ntsuas ncav cuag lawv qhov siab tshaj plaws thaum tus neeg mob muaj hnub nyoog tshaj 55 xyoos.
Tsis ntev los no, cov duab sib nqus resonance tau dhau los ua neeg nyiam. Txawm li cas los xij, nws yog ib qho tsim nyog yuav tsum tau tshwj tseg tias hauv txoj kev tshawb no nws tsis tuaj yeem kuaj pom me me, qhov loj ntawm ob peb millimeters.
Yog tias qhov sib txawv FCM raug kuaj pom, thiab nwsQhov ntau thiab tsawg xav tau kev tshuaj xyuas biomaterial, tom qab ntawv muab tshuaj biopsy. Qhov no tso cai rau koj los txiav txim siab qhov kev xav los tsim mob qog noj ntshav lossis nws theem.
Ntxiv rau cov kev tshawb fawb uas cuam tshuam ncaj qha rau txoj kev tshawb fawb ntawm lub xeev tam sim no ntawm lub mis, kev sim kuj tau sau rau kev kis kab mob, txiav txim siab qib ntawm cov thyroid hormones (TSH thiab LH), qog cov cim.
Yuav ua li cas tshuaj xyuas hauv tsev
Nws tsis tas yuav mus ntsib kws kho mob txhua zaus kom kuaj xyuas lub mis. Txhua tus poj niam hauv kev nplij siab ntawm nws lub tsev tuaj yeem kuaj xyuas nws lub mis kom muaj kev hloov pauv hauv nws. Txhawm rau kom tus txheej txheem kuaj tus kheej ua tau zoo, nws yog ib qho tseem ceeb uas yuav tau ua raws li ntau txoj cai:
- Kev tshuaj xyuas yuav tsum tau ua nyob rau ntawm daim iav, nrog txhais tes, liab qab lub cev. Lub symmetry ntawm cov qog mammary, qhov tseeb ntawm cov duab, contours raug soj ntsuam.
- Thaum khoov rau sab, koj tuaj yeem pom qhov siab lossis kev nyuaj siab ntawm lub hauv siab, tawm thaum lub sijhawm txav mus.
- Nyob ntawm daim tawv nqaij yuav tsum huv si, tsis muaj microscopic ulcers, ua pob liab vog, daim tawv nqaij tone yog txawm.
- Tau nyob rau hauv ib qho chaw sawv ntsug thiab pw tsaug zog, nws yuav tsum tau palpate txhua lub qog mammary. Pom pom kev faib ua plaub ntu, ua tib zoo xyuas seb muaj cov ntsaws ruaj ruaj thiab cov tsim tsis zoo nyob rau hauv txhua qhov chaw ntawm lub mis.
Kom tau txais txiaj ntsig zoo, kev tshuaj xyuas tau pom zoo kom ua rau tib hnub ntawm kev coj khaub ncaws. Nws raug nquahu kom xaiv hnub thib ob lossis thib peb tom qab qhov kawg ntawm kev coj khaub ncawslos ntshav. Qhov no yog qhov tseem ceeb, vim tias nyob rau theem sib txawv ntawm lub hli, lub cev hloov pauv. Lub xeev ntawm lub mis kuj hloov.
txoj kev kho
Yog tias mob plab fibrocystic mis (FCM) raug kuaj pom, mob me lossis nruab nrab, ces tus kws kho mob yuav sau cov kev kho mob hauv qab no:
- kev kho sab nraud nrog cream.
- Kev siv tshuaj tsis yog tshuaj hormones.
- Vitamin complexes thiab tshuaj ntsuab.
txhawm rau txo cov qib ntawm prolactin hauv cov ntshav, cov tshuaj "Mastodinon" tuaj yeem raug sau tseg, nws tiv thaiv kev loj hlob ntawm diffuse FCM. Fitolon feem ntau tau muab tshuaj ua ib qho tshuaj tiv thaiv kab mob. Nrog rau kev nyiam tsim cov qog nqaij hlav oncological, nws muaj peev xwm tswj hwm qib ntawm cov enzymes metabolic nrog kev pab los ntawm Mastofit. "Klamin" tso cai rau koj kom normalize cov thyroid caj pas.
Cov tshuaj tiv thaiv kab mob tuaj yeem ua tiav los ntawm kev thov Mastocrel gel. Nws kuj muaj ib tug calming thiab analgesic nyhuv. Raws li kev kho tshuaj hormonal, Progestogel gel tau ua pov thawj nws tus kheej zoo, uas inhibits cov kev ua ntawm cov epithelium, txo cov nyiam ua edema nyob rau hauv cov ntaub so ntswg sib txuas.
Kev hloov pauv ntawm cov tshuaj hormonal tsis tuaj yeem ua tsis tau yam tsis tau noj cov tshuaj vitamin complex, uas suav nrog iodine, vitamins A, C thiab E. Kev teem sijhawm ntawm cov tshuaj uas muaj cov tshuaj hormones tsuas yog tom qab sab laj nrog kws kho mob. Raws li txoj cai, pawg no suav nrog cov tshuaj tiv thaiv qhov ncauj uas muaj gestagen lossis progestogens. Feem ntau, xws litshuaj nrog progesterone, xws li "Utrozhestan" lossis "Dufaston". Lub sijhawm ntawm kev kho mob tuaj yeem mus txog rau lub hlis, tab sis nws zoo heev.
Yuav ua li cas yog qhov teeb meem
Yog tias tus kab mob tau tso tseg tsis muaj kev saib xyuas thiab tsis kho, ces qhov tshwm sim uas cuam tshuam FCM nrog rau qhov tseem ceeb ntawm cov qog nqaij hlav lossis cov cystic yuav daws tau ntawm nws tus kheej yog qhov tsawg heev. Yog li, koj yuav tsum paub txog kev pheej hmoo ntawm kev tsim cov teeb meem xws li:
- Kev yug dua tshiab ntawm nws mus rau hauv kev tsim phem.
- Txhim kho cov txheej txheem inflammatory thiab kis kab mob ntawm cov ntaub so ntswg ze.
- Rupture of the cyst.
- Kev loj ntawm cov hlwv mus rau qhov loj uas yuav pom sab nraud thiab ua rau tsis xis nyob.
Qee zaum, yog tias tus poj niam lub cev lub cev tso cai thiab nws muaj lub siab xav thiab muaj lub sijhawm los xeeb tub, kev pom zoo los tiv thaiv kev txhim kho ntawm cov teeb meem yuav cuam tshuam nrog kev thov kom yug menyuam. Yog li, qee tus poj niam pib lub tswv yim ntawm kev rov ua dua tshiab thiab txhawb nqa cov txheej txheem ntuj tsim hauv lawv lub cev, thiab mastopathy rov qab thiab tsis tshwm sim ntxiv lawm.
ntsuas kev tiv thaiv
Kev tshuaj xyuas tsis tu ncua hauv tsev thiab nrog tus kws tshaj lij hauv lub xeev ntawm cov qog mammary, kev pub niam mis tuaj yeem tiv thaiv kev txhim kho thiab kuaj pom cov tsos mob ntawm FCM. Nws yog ib qho tsim nyog saib xyuas lub xeev kev puas siab puas ntsws, zam kev raug mob hauv thaj tsam ntawm cov qog mammary, zam kev rho menyuam tawm thiab ua lub neej noj qab haus huv. Cov kev cai yooj yim no tuaj yeem txuag taupoj niam los ntawm kev pheej hmoo ntawm kev tsim mastopathy. Txawm li cas los xij, tsis txhob hnov qab tias tus kab mob no yooj yim dua los tiv thaiv dua li kho.
Cov poj niam uas saib lawv qhov hnyav yuav tsum nco ntsoov tias kev poob sai sai kuj ua rau muaj kev cuam tshuam rau lub xeev hormonal. Tib yam siv rau qhov hnyav nce sai. Yog tias koj saib xyuas qhov hnyav, ces koj yuav tsum tsis txhob cia li dhia mus rau txhua qhov kev taw qhia.
Kev mob tshwm sim dhau los
Yog tias ib tug poj niam twb tau kuaj pom tias muaj qhov sib txawv ntawm FCM nrog qhov muaj feem ntau ntawm cov khoom siv fibrous lossis nws daim ntawv sib xyaw, ces qhov yuav mob qog noj ntshav nce ntau zaus. Tsis tas li ntawd, txij li thaum txoj kev loj hlob ntawm tus kab mob no feem ntau cuam tshuam nrog cov teeb meem hauv kev ua haujlwm ntawm cov tshuaj hormonal, kev pheej hmoo ntawm oncology ntawm zes qe menyuam thiab tsev menyuam yuav tsum tsis txhob txiav tawm. Yog li ntawd, kev kuaj xyuas raws sij hawm tuaj yeem pab kom tsis txhob muaj kab mob sib kis thiab kev puas tsuaj rau cov khoom nruab nrog cev.
Thaum tus poj niam tau tsim kev kuaj mob hauv daim ntawv ntawm mastopathy, uas tsis muaj qhov yuav tsum tau ua ua ntej rau kev loj hlob, nws yog ib qho tseem ceeb uas yuav tau kuaj xyuas lub mis tsis tu ncua. Qhov no yog qhov tsim nyog heev nyob rau hauv cov xwm txheej uas muaj kev hloov pauv ntawm cov tshuaj hormonal lossis thaum muaj xwm txheej ntxhov siab. Kev saib xyuas tshwj xeeb yog xav tau nyob rau hauv lub xub ntiag ntawm cov kab mob ntev ntawm cov poj niam cev xeeb tub thiab siv cov tshuaj hormonal mus sij hawm ntev.
