Cov ntaub so ntswg mammary tsis tu ncua hloov pauv, uas yog tshwm sim los ntawm kev ua haujlwm tshwj xeeb ntawm poj niam cev xeeb tub (thelarche, cev xeeb tub, menarche, menopause, lactation). Txawm li cas los xij, qee qhov kev hloov kho uas tshwm sim hauv fibrous (fibrous) thiab glandular cov ntaub so ntswg ntawm lub mis tuaj yeem ua rau pathological thiab ua rau muaj kev hloov pauv hauv cov qog mammary. Cov kws tshaj lij tau hais tias qhov kev ua txhaum cai no yog ib txwm muaj rau 45% ntawm cov poj niam hauv lub sijhawm yug me nyuam.
Cas ntawm no pathology
Diffuse hloov hauv cov qog mammary cuam tshuam:
- Parenchyma - lub luag haujlwm tseem ceeb hauv qog-epithelial lub mis nrog fibrillar fibers ntawm cov mis nyuj thiab alveoli.
- Strom - cov ntaub so ntswg fibrous uas nyob ib puag ncig cov ducts thiab faib cov lobules.
- Adipose ntaub so ntswg tiv thaiv parenchyma.
Nrog cov ntaub so ntswg nce ntxivcov qog nqaij hlav hauv lub mis lossis lawv qhov txo qis, nrog rau dysplasia (kev loj hlob tsis zoo), peb tuaj yeem tham txog keeb kwm ntawm hormonal. Qhov ua rau ntawm kev hloov pauv hauv cov qog mammary tuaj yeem yog vim:
- Pathology ntawm cov thyroid caj pas (nws tsim cov synthesis ntawm cov tshuaj hormones triiodothyronine thiab thyroxine uas tswj cov khoom metabolism).
- Cov txheej txheem mob ntev (adnexitis) lossis lub zes qe menyuam uas tsim cov poj niam cov tshuaj estrogen.
- Kab mob ntawm cov qog adrenal (lawv lub cortex synthesizes glucocorticoids).
- Ib qho tsis txaus ntawm lub qog pituitary (nws yog lub luag haujlwm rau kev tsim cov tshuaj prolactin thiab luteotropic hormone).
- Kev rog. Nws ua rau muaj kev nce hauv cov tshuaj estrogen. Nws yog dab tsi yuav tau tham hauv qab no.
- Kab mob ntawm lub txiav ua haujlwm cuam tshuam nrog kev tsim cov tshuaj insulin.
Cov no yog qhov ua rau kub hnyiab hauv qog mammary.
Tsis muaj qhov tseem ceeb me me hauv qhov pom ntawm kev hloov pauv, cov kws tshaj lij qhia txog cov laj thawj xws li kev coj khaub ncaws tsis xwm yeem, thawj cev xeeb tub tshaj li 35 xyoos, rov rho menyuam dua, tsis muaj kev pub niam mis tom qab yug menyuam, lig menopause, hereditary predisposition. Nws yuav tsum tau muab sau tseg tias cov pathogenesis ntawm cov yam ntxwv uas tau teev saum toj no yog nyob rau hauv txhua rooj plaub txuam nrog hormonal ntshawv siab.
Nws tseem yuav tsum tau muab sau tseg tias kev hloov pauv hauv cov qog mammary tshwm sim hauv cov poj niam noj qab haus huv. Piv txwv li, ua tsaug rau cov tshuaj estrogen, kev loj hlob ntawm stroma, lub deposition ntawm cov roj hlwb thiab kev loj hlob ntawm ducts yog guaranteed. Progesterone, nrog rau cov tshuaj estrogen, tso cai rau cov qog nqaij hlav loj hlob thiablobular qauv, txhawb kev tshem tawm thiab kev hloov pauv ntawm alveolar secretory. Hauv cov poj niam ntawm lub hnub nyoog yug me nyuam thaum lub voj voog ntawm kev coj khaub ncaws (thaum kawg ntawm lub sijhawm luteal), ib feem ntawm cov hlwb epithelial ntawm alveoli thiab ducts ntawm cov qog mammary nyob rau hauv tus ntawm cov progesterone undergoes replication thiab ntxiv apoptosis (physiological ntuj tuag). Txawm li cas los xij, nce qib ntawm cov tshuaj estrogen hauv cov poj niam thiab qhov tsis muaj progesterone tuaj yeem cuam tshuam cov txheej txheem no thiab ua rau muaj kev hloov pauv fibrotic.
Thaum cev xeeb tub, placental lactogen, tib neeg chorionic gonadotropin thiab prolactin txhawb cov txheej txheem ntawm cov kua mis tso tawm thiab lactation tom qab yug menyuam. Yog tias muaj qhov tsis txaus ntawm hormonal tshwm sim, cov txheej txheem ntuj tsim nyob rau hauv cov poj niam cov ntaub so ntswg cuam tshuam. Raws li kws kho mob sau tseg, feem ntau muaj ib tug pathological proliferation ntawm tej hlwb, lawv hloov lwm tus neeg. Xws li cov ntaub so ntswg hloov pauv hauv mammology txhais tau tias yog dyshormonal diffuse hloov pauv hauv cov qog mammary.
About estrogens
Nov yog lub npe sib sau ua ke rau ib pawg ntawm poj niam txiv neej cov tshuaj hormones. Lawv raug tsim nyob rau hauv zes qe menyuam nyob rau hauv cov poj niam, nyob rau hauv me me nyob rau hauv cov noob qes nyob rau hauv cov txiv neej, thiab nyob rau hauv lub siab thiab adrenal cortex (ob leeg txiv neej thiab poj niam). Cov tshuaj hormones kev sib deev, feem ntau, muab kev ua haujlwm ntawm kev ua me nyuam.
Cov tshuaj hormones deev ib txwm muaj nyob hauv poj niam lub cev. Lawv qib thiab qhov sib piv yog nyob ntawm lub sijhawm ntawm nws lub neej. Cov poj niam cov tshuaj hormones tseem ceeb yog estrogens. Nyob rau hauv lub fetus, lawv yog lub luag hauj lwm rau kev tsimQhov chaw mos ntawm cov poj niam hom, nyob rau hauv thaum yau - txhawb kev loj hlob ntawm qhov chaw mos kab mob. Thaum lub hnub nyoog hluas, tus nqi ntawm cov tshuaj estrogen hauv lub cev nce. Vim lawv lub zog, cov yam ntxwv ntawm kev sib deev tom qab raug tsim.
qib tshuaj estrogen yog qhov siab tshaj plaws hauv cov poj niam uas muaj hnub nyoog yug me nyuam. Nyob rau lub sijhawm no, nws lub cev tau hloov pauv raws li lub sijhawm hloov pauv (kev coj khaub ncaws).
Cov tsos mob ntawm lub mis hloov
Cov tsos mob thawj zaug ntawm cov kev hloov pauv no tuaj yeem tshwm sim raws li qhov tsis xis nyob hauv siab, nws qhov tsis txaus ntseeg ua ntej pib thiab thaum hnub tseem ceeb. Coob tus poj niam tsis xyuam xim rau qhov no, vim tias tom qab ua tiav cov menarche tom ntej, tag nrho cov cim tsis zoo yuav ploj mus.
Txawm li cas los xij, kev sab laj nrog tus kws kho mob mammologist yuav tsis muaj txiaj ntsig.
Cov kws kho mob hu cov yam ntxwv zoo tshaj plaws ntawm kev hloov pauv:
- Ntxhais thiab hnyav hauv cov qog mammary, uas feem ntau nrog o.
- Kev kub hnyiab ntawm cov qog mammary, khaus hauv thaj tsam ntawm lub txiv mis, lawv qhov rhiab heev.
- Me me, txav pob hauv qhov kev ntxhib los mos ntawm cov ntaub so ntswg ntawm lub mis, uas tuaj yeem hnov ntau dua thaum cev xeeb tub.
- Nkag mob ntawm ntau lub zog (qhov mob hnyav tuaj yeem tawg mus rau thaj tsam ntawm lub xub pwg nyom, lub xub pwg lossis caj npab).
- mob hauv lub mis.
- Tso tawm cov xim ntshiab ntawm lub txiv mis thaum nyem.
Ntau tus tsis hnov dab tsi ntawm cov tsos mob uas tau teev tseg saum toj no, thiab lub pob hauv siab tau kuaj pom tsis raug, vim tias cov tsos mob tshwm sim tau nthuav dav. Kev hloov pauv hauv cov qog mammary feem ntau yog lub caij nyoog thiab yog vim kev coj khaub ncaws.
Muaj Teeb Meem
Tej zaum yuav muaj teeb meem xws li tsim cov qog nqaij hlav ntawm qhov sib txawv. Qhov teeb meem txaus ntshai tshaj plaws yog qhov malignancy ntawm cov qog no.
Txawm hais tias qhov pathology no yog qhov zoo, nyob rau hauv muaj mob qog noj ntshav ntawm lub cev xeeb tub (cov qog mammary, zes qe menyuam, tsev menyuam) hauv cov txheeb ze ntshav, qhov tshwm sim loj heev tsis suav nrog uas yuav tsum tau muaj kev kho mob. Feem ntau, nrog kev hloov pauv hauv cov qog mammary, qhov kev cia siab yog qhov zoo. Txawm li cas los xij, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus account qhov muaj peev xwm ntawm qhov tshwm sim ntawm cov qog nqaij hlav uas tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov kab mob no ntau dua li thaum nws tsis tuaj.
Kev faib tawm cov ntawv ntawm diffuse mastopathy
Raws li kev kho mob-xov tooj cua-morphological cov ntaub so ntswg hloov pauv hauv cov qog mammary, diffuse mastopathy yog cais raws li hauv qab no:
- Adenosis yog ib qho kab mob sib kis nrog qhov tseem ceeb ntawm cov qog ua haujlwm.
- Diffuse mastopathy, uas cov cystic tivthaiv predominates.
- Fibroadenomatosis - diffuse mastopathy, nyob rau hauv uas fibrous tivthaiv predominates.
- Sclerosing hom adenosis.
- Fibrocystic mixed daim ntawv ntawm mastopathy.
Thaum txiav txim siab ib lossis lwm qhov kev kho mob sib txawv, lawv pib los ntawm kev faib ua feem ntawm fatty, glandular thiab connective cov ntaub so ntswg ntawm mammograms.
Sib cais raws li qib kev hloov pauv tam sim nome ntsis pronounced, pronounced thiab nruab nrab diffuse mastopathy.
Kev kuaj mob ntawm qhov hloov pauv hauv cov qog mammary
Diffuse mastopathy yog kuaj tau raws li cov txiaj ntsig ntawm kev kuaj lub mis los ntawm tus kws kuaj mob mammography, mammography, ultrasound, kuaj kuaj, kuaj ntshav biopsy thiab MRI ntawm cov qog mammary.
Nrog diffuse mastopathy, kev hloov pauv sab nraud hauv cov qog mammary tsis tau txiav txim siab. Thaum kuaj palpation ntawm lub mis, qhov sib txawv ntawm qhov loj thiab qhov ntev yog tsim, mob, tsis muaj ciam teb meej ntawm compaction nrog lobed lossis granular nto. Hauv diffuse mastopathy, cov ntsaws ruaj ruaj feem ntau nyob rau sab sauv sab nraud ntawm cov qog.
Tus qauv echographic daim duab, txiav txim siab los ntawm ultrasound hauv kev hloov pauv hauv cov qog mammary, yog tus cwj pwm los ntawm cov qog nqaij hlav, kev hloov pauv ntawm cov kab mob hauv lub cev thiab cov hlab ntsha, kev hloov pauv hauv glandular echo ntom, ntau yam cyst tsim, tsis sib xws. ntawm glandular hom qauv nrog hnub nyoog, ductectasia.
Mammography (dawb radiography) nrog diffuse mastopathy pom cov nqaij mos heterogeneity ntawm cov qog nrog me me foci ntawm compaction, ntom qauv los yog cystic formations.
Ua tsaug rau mammography, nws muaj peev xwm tshem tawm cov qog nqaij hlav hauv caj pas thiab txiav txim siab hom mastopathy.
Yog tias muaj paug tawm ntawm lub txiv mis tawm tsam keeb kwm ntawm diffuse mastopathy, qhov no yuav qhia tau tias qhov xav tau ntawm ductography, uas feem ntau txiav txim siab qhov deformation ntawm cov mis nyuj thiab cov hlwv ntawm ntau qhov ntau thiab tsawg. Txoj kev tshawb fawb ntawm cov smear tau los ntawm lub txiv mis ua rau nws muaj peev xwm sib txawv diffuse mastopathy los ntawm lwm cov kab mob - syphilis, actinomycosis, tuberculosis ntawm cov qog mammary.
Nrog rau qhov chaw mos thiab cov keeb kwm yav dhau los, kev tshuaj xyuas ntawm cov tshuaj hormones poj niam txiv neej thiab cov thyroid hormones, daim siab enzymes, kev sab laj ntawm tus kws kho mob endocrinologist-gynecologist, ultrasound ntawm lub plab me me yog sau.
Yog tias cov ntaub ntawv ntawm qhov kev kuaj mob yav dhau los tsis ntseeg, tom qab ntawd kuaj lub mis ntawm lub mis, kev tshuaj xyuas cytological ntawm biopsy, MRI, kev txiav txim siab ntawm tus cim CA 15 - 3 hauv cov ntshav.
Kev kho mob ntawm pathology
Yuav kom sau cov kev kho mob, kev sab laj nrog tus kws kho mob mammologist.
Nrog diffuse mastopathy, kev kho kom zoo thiab kev saib xyuas zoo tau raug sau tseg. Nws raug nquahu kom hloov cov zaub mov, suav nrog ntau cov khoom siv mis nyuj thiab zaub fiber ntau, txwv cov tsiaj rog. Yog tias tus neeg mob muaj cov kab mob plab hnyuv dysbacteriosis, uas cuam tshuam qhov nqus ntawm cov kab mob thiab cov vitamins, kev kho mob los ntawm tus kws kho mob gastroenterologist yuav tsum tau ua. Cov vitamins complexes, potassium iodide, homeopathy, kev noj haus tshuaj, adaptogens, tshuaj ntsuab tshuaj. Los ntawm kev kho tsis yog tshuaj hormones, tshuaj ntawm cov tshuaj enzymatic, sedative thiab diuretic hom tuaj yeem raug sau.
Nrog diffuse mastopathy, nws raug pom zoo kom ua kom lub cev muaj zog, txuas kev kho mob hlwb thiab kev tawm dag zog. Ntawm cov txheej txheem physiotherapeutic, kev siv electrophoresis, laser kho, galvanization, magnetotherapy, balneotherapy (kev kho av nkos, climatotherapy, av nplaum kho, hiav txwv thiab ntxhia kho.da dej).
Hauv diffuse mastopathy, kev kho tshuaj hormone-regulating yog txhawm rau tshem tawm cov tshuaj hormones tsis xws luag thiab tej zaum yuav suav nrog cov tshuaj gestagens (dydrogesterone, progesterone, thiab lwm yam), thyroid hormones, thiab xaiv txoj kev tiv thaiv kab mob rau tus neeg mob. Tag nrho cov kev kho no yuav pab kom sib npaug ntawm cov tshuaj estrogen. Nws yog dab tsi, tam sim no nws pom tseeb.
Txhawm rau txo qhov kev ntxhov siab thiab mob hauv cov qog mammary, cov gel uas muaj cov tshuaj progesterone yog siv tshuaj pleev ib ce.
Thaum twg yuav tsum tau phais?
Yog hais tias kev kho mob ntawm diffuse hloov nyob rau hauv cov qog mammary rau rau lub hlis tsis ua rau muaj kev cuam tshuam, ces lawv mus rau kev phais - cov ntsaws ruaj ruaj raug tshem tawm. Thaum lub sijhawm ua haujlwm, cov txheej txheem hauv qab no tuaj yeem siv tau:
- Kev txiav txim. Nyob rau hauv nws, excision ntawm qhov chaw mob yog supposed. Cov ntaub so ntswg tom qab raug xa mus rau kev tshuaj ntsuam histological los txiav txim seb mob qog noj ntshav.
- Nyob rau tus mob sclerosis. Nws yog siv rau cystic daim ntawv ntawm diffuse hloov. Txoj kev no yog to taub raws li kev taw qhia ntawm ib tug sclerosing tshuaj, ua rau lub overgrowth ntawm nws tsis xws luag nyob rau hauv lub caj pas mammary.
- Kev phais (kev phais) kev kho mob ntawm ntau qhov tsim tsis tau ua tiav: nws muaj peev xwm tshem tawm lossis tshem tawm cov ntaub so ntswg ntawm lub mis los ntawm nucleation tsuas yog thaum kuaj mob oncology. Yog tias muaj kev hloov pauv, tom qab ntawd kev saib xyuas ntawm lub xeev ntawm cov qog thiab kev kho kom zoo yog raug sau tseg. Tus neeg mob tau sau npe nrog tus kws kho mob mammologist. Nws raug kuaj txhua rau lub hlis.
Kev Kho Mob Neeg
Ntawm cov pej xeem txoj kev siv hauv kev kho mob ntawm pathological diffuse fibrous hloov pauv hauv lub caj pas mammary, cov neeg ua haujlwm sab nraud thiab tshuaj ntsuab kho mob hauv daim ntawv ntawm decoctions uas tau noj hauv qhov ncauj tuaj yeem paub qhov txawv.
thawj qeb suav nrog cov compresses los ntawm infusions ntawm ntau cov nroj tsuag tshuaj: liab clover, qab zib clover, St. John's wort, cuff thiab wormwood. Thiab txawm hais tias thawj ob tsob nroj muaj phytoestrogens, nws tsis meej meej tias lawv ua haujlwm li cas hauv daim ntawv ntawm compresses.
Tsis tas li ntawd, kev kho mob nrov tau nrov nrog kev pab ntawm compresses los ntawm nplooj nplooj, grated raw beets, propolis nrog lard, aloe nrog zib mu (compresses feem ntau yog siv rau hmo ntuj ntawm lub hauv siab).
tshuaj ntsuab kho mob muaj cov lus pom zoo rau kev noj cov tshuaj soothing ntawm valerian (rau 200 milliliters ntawm boiling dej, tsib grams ntawm cov hauv paus hniav), decoction ntawm ib tug sib npaug zos npaum li cas ntawm peppermint thiab motherwort (ib tablespoon ntawm sib tov ib khob. dej), decoction ntawm cumin thiab fennel noob (ib qho sib npaug ntawm cov khoom xyaw sib xyaw, noj 1 tbsp ib khob dej) - ob zaug ib hnub, 100 milliliters. Fennel feem ntau yog siv rau flatulence thiab tsam plab, thiab nws siv nyob rau hauv diffuse mis pathology yuav piav qhia los ntawm muaj cov roj yam tseem ceeb nyob rau hauv cov txiv hmab txiv ntoo ntawm cov nroj tsuag, uas muaj unsaturated fatty acids, xws li oleic thiab linoleic. Cov txiv hmab txiv ntoo cumin, ntsig txog fennel, yog siv los txhim kho kev zom zaub mov. Lawv kuj muaj nplua nuj nyob rau hauv terpene tebchaw, phenol carboxylic acids thiab roj.
mob mis txaus ntshai npaum li cas?
Tam sim kev hloov pauv mastopathy ua rau mob qog noj ntshavhauv siab? Lo lus nug no muaj kev txhawj xeeb heev rau cov poj niam uas ntsib teeb meem zoo sib xws. Mastopathy nws tus kheej tsis ua rau muaj kev hloov pauv tsis zoo thiab tsis suav tias yog tus mob precancerous. Txawm li cas los xij, cov xwm txheej uas ua rau cov tsos mob ntawm tus kab mob no tshwm sim nrog oncological pathologies. Muaj qee qhov zoo sib xws ntawm cov kab mob no hauv morphology. Muaj cov ntaub ntawv txheeb cais uas qhia txog kev sib xyaw ua ke ntawm cov kab mob benign nrog cov qog nqaij hlav hauv ib nrab ntawm txhua tus neeg mob, tab sis qhov tshwm sim ntawm kev hloov pauv daim ntawv ntxiv ntawm mastopathy mus rau mob qog noj ntshav tsawg dua ib feem pua.
Tab sis diffuse mastopathy tuaj yeem txhim kho mus rau hauv nodular, uas yog qhov tseem ceeb rau theem tom ntej. Nrog rau hom no, tsim cov nodes tshwm sim tas li. Nws tsis yog nyob ntawm poj niam cev xeeb tub. Tias yog vim li cas cov poj niam uas kuaj pom tus mob mastopathy yuav tsum tau kuaj xyuas los ntawm tus kws kho mob mammologist txhua rau lub hlis. Koj yuav tsum tsis tu ncua xyuas cov poj niam cov tshuaj hormones estrogen.
Tiv thaiv thiab tawm tswv yim rau diffuse mastopathy
Tus yuam sij rau kev tiv thaiv zoo thiab kev kuaj mob raws sij hawm ntawm diffuse mastopathy yog kev kuaj xyuas ib ntus ntawm tus kws kho mob mammologist nrog ntau qhov kev tshawb fawb. Nws yog ib qho tsim nyog los kho cov kab mob gynecological thiab lawv cov kab mob ntawm qhov chaw mos hauv lub sijhawm.
Lub luag haujlwm tseem ceeb yog los ntawm kev kuaj xyuas tsis tu ncua los ntawm tus poj niam nws tus kheej ntawm tus mob ntawm nws cov qog mammary. Kev saib xyuas tshwj xeeb yuav tsum tau them rau cov tsos ntawm cov ntsaws ruaj ruaj thiabmob, pob khaus ntawm daim tawv nqaij ntawm lub hauv siab, hloov pauv ntawm cov qog mammary, tawm ntawm lub txiv mis. Nws raug nquahu kom xaiv lub khiab mis zoo kom nws tsis txhob nyem lub hauv siab, tiv thaiv cov qog mammary los ntawm kev poob siab, siab, thiab kev raug mob. Thaum pub niam mis, qhov tsos ntawm lub txiv mis tawg, mastitis, lactostasis yuav tsum tsis pub. Txhawm rau tiv thaiv mastopathy, yuav tsum siv cov tshuaj tiv thaiv niaj hnub no thiab tsis pub rho menyuam tawm.
Yog tias muaj diffuse mastopathy, qhov no yog contraindication rau mammoplasty, siv cov ntaub qhwv hauv zos thiab kub compresses ntawm lub hauv siab, mus saib da dej thiab saunas, tanning nyob rau hauv lub hnub thiab nyob rau hauv solarium.
