Kukurumidza kwechinetso chemapfupa emakumbo emakumbo anokonzerwa nekuwedzera kwekuwedzera kwezvirwere izvi: zvirwere zvepabonde zvinowanikwa mu 35-60% yevakadzi, pamberi pekushaya simba kwechikadzi kunowedzera kune 75-96%. Pane mamiriro mana chete apo kujekesa kana kuchena kwechichena kubva muchifuva kunonzi chimiro: kurwisana kwepabonde (2-3 madonhwe pasi pechirwere), pamuviri, kunwisa, mazuva maviri asati atanga kuenda kumwedzi. Mune zvimwe zviitiko zvose, kuchengetedzwa kwemvura kunobva mumammary gland chiratidzo chinoparadza chinoratidza kukura kwechirwere, naizvozvo hachigoni kuregererwa.
Anatomy yechipfuva
Iyo mammary gland inhengo yakabatana, iyo basa guru iyo inogoverwa mukaka munguva yewakabatwa. Gland rimwe nerimwe rine 15-20 lobes, rakaparadzana nemagetsi anonzi septa. I-lobes inosanganisira lobules, iyo yekupedzisira kubva ku-alveoli. Kubva kumativi ose erubes kunotungamira mutsva enda kumucheka wemukaka. Ropa rezvipembenene rinogadzirwa nemagetsi e thoracic - lateral uye mukati, kusununguka kunowanikwa kuburikidza nemishonga inoparlavicular inobva pervus plexus. Iyo gland thorgy is an hormone dependent organ, saka kubudiswa kwechinguva chiduku chekuvhara pachena chiri chepanyama chete mumasikirwo. Kuchenjerera kunofanira kunge kusinganzwisisiki, kusabatanidzwa nekuenda kumwedzi nekuzvitakura, pamwe nekunzwa kunorwadza nekuremara mubhokisi.
Kusununguka kubva mubhokisi - zvinokonzera zvinhu:
- kusabatana kwehomoni, kupfeka zvipfeko zvisina kunetseka;
- kutora antidipressants;
- kushungurudzwa kwepabonde, kuzvidzora nhaka;
- kubereka, pamuviri;
- zvinokonzera kupisa mubazi rebiliary / chiropa;
- mamiriro anorwadza, kuora mwoyo kunowanzoitika;
- nguva yekuenda kumwedzi / menarche.
Kubuda kwakachena kubva mubhokisi - zvinokonzera
Galactorrhea. Izvo zvinoitika nekuda kwekukundikana kwehomoni kunopera mamiriro ehuwandu hwehutachiona hwemadzimai ehommone prolactin, iyo inotungamirira pakugadzirwa kwakanyanyisa kwechichena chemvura kubva kumaronda emamota. Maererano nekukwirira kwekubuda, zviyero zvina zvegalactorrhea zvinotsanangurwa: yekutanga-kubuda kubva muchifuva ichioneka kana ichikwira pamusoro pembera, madonhwe echipiri-oga anoshandiswa pakarepo, kusununguka kwechitatu kusununguka kwemasikirwo emasikirwo emvura, yechina-yakanyanya kubudiswa. Zvinokonzera galactorrhea: neoplasms ye hypothalamus, pituitary tumor, ovarian / adrenal gland pathologies, kukundikana kwehepatic / renal. Kugutsikana kwezviratidzo: acne, kuderedza libido, kukanganisa kwemwedzi.
Mastitis. Zvirwere zvemuzamu wepachirwere chinotapukira. Chirwere chemakiriniki chinoratidzwa nekuwedzera kwekushisa kwemuviri kusvika kune 39-39.5 digrii, kuzvimba uye kuora kwezvinyama zvinyuchi, ruvara rweganda, mutsvuku / purulent secretions kubva pamawere. Nekufambira mberi kwegadziriro iyi, chirwere ichi chinopinda muchikamu chekubvisa, izvo zvinogona kutungamirira kumatambudziko akakomba.
Kusununguka kusina kubuda kubva pachifuva - zvinokonzera
Ectasia yemukaka ducts. Kuwedzerwa kwemukaka wemukaka nekuputika kwavo kunokonzera kutaridzika kwekusununguka kwakachena kubva muchifuva, unyoro muzvinyama uye mazamu emamota. Kugadziriswa kwegadziriro yacho kunowedzera mamiriro acho ezvinhu - zvikamu zvinogadzikana uye zvakasvibirira, kuwana maruva / ruvara rwemavara.
Inonakidza-magetsi ekusaziva. Icho chirwere che-fibro-cystic pathology, iyo inozviratidza sehuwandu hwakawanda hwemagonduru uye huwandu hwekutsvaira (kuvhiringidzika) kuchinja mune zvinyama zvepamuviri nechokuputsa kwehuwandu hwehutano hwehutano uye epithelial elements. Mungozi yekuvandudza chirwere chacho inowedzera mukusavapo kwekuberekwa uye pamuviri, kubvisa pamuviri, kutanga kutanga pamuviri, nguva pfupi / kwenguva refu yekuyamwisa (gore kana kupfuura).
Kurwisa + mumatumbo dysbiosis. Disbacteriosis inokonzerwa ne: kusadzivirirwa kwemishonga inorwisa mabhakitiriya, hormonal therapy, kushaya kudya kwakakwana, kusingaperi / kubatwa mukati mechirwere chetachiona, zvakaderedza kupindirana kwemuviri mumuviri. Unhu hunoita zviratidzo: chigaro (kuvimbiswa, chirwere), kuputika, kunetseka kunosuruvara (kurutsa, kushungurudza, kukanganisa), zviratidzo zvekumwa doro (kusuruvara, kushaya simba, kuneta zvakanyanya). Kana chirwere chinonzi dysbacteriosis chinopesana nechemberi kwehutachiona hwehupisi, chirwere chinogona kuwedzera pakuzviratidza sekusununguka kwakachena kubva muchifuva.
Kuvhiringidza mavha mavari (oophoritis). Izvo zvinoshandisa mazai uye fallopian tubes. Zvirwere zvepachigoni zvechirwere ndevamiririri vemamiriro ezvinhu pathogenic microflora (E. coli, streptococci, staphylococcus, gonococci). Nekuputika, chirwere ichi chinopararira zvishoma nezvishoma kubva muhutachi uterine kusvika kune fallopian tubes uye mavari. Chronic oophoritis inoratidzika sekuputsika kwekuenda kumwedzi, kurwadziwa kunorwadza mudumbu rezasi / mukumera, zvishoma zvishoma zvakajeka / kuchena kwechichena kubva muchifuva nemudzimai.
Kukuvadzwa kwemammary gland. Kutambudza kwakavharwa / kukanganisa kwakasununguka kumatumbu ehudziro nekuumbwa kwehematoma. Inogona kuendeswa nenyuchi dzakaputsika, chipfuva chakaputika. Mukadzi wacho ane hanya nokuputika uye kurwadziwa mubhokisi, kana kukanganisa kumucheka wemukaka - kubuda pachena uye kujova ropa.
Kuwanika kwemishonga inodhaka. Kubudirira kwezvinyama zvinyoro, zvinoshandiswa mumabasa avo munguva yehutano hwepabonde, panguva yekuzvitakura kunoitika pasi pemafungiro emahomoni, chero kuchinja kwechiyero uko kunokonzera dysplastic kuputsika kwezvisikwa zvezvinyorwa zvemamota. Mukurwisana nemamiriro ekugara kwenguva refu kwekugamuchira vana pamuviri, ruyero rweestrogen uye prolactin zvinogona kuwedzera zvakanyanya, izvo zvinoita kuti kuonekwa kwekusununguka kwakachena kubva muchipfuva.
Kusununguka kubva kumadzimai emammary - izvo zvisingagoni kuitwa:
- shandisa kupisa. Kushandiswa kwekushambidza kunopisa kana kukwikwidza kunopisa kunogona kuwedzera kukuvadzwa uye kunowedzera kuipa mamiriro ezvinhu ose;
- kunobatwa nekubatsira kwemishonga yevanhu;
- kurudzira / kufambisa zvakavanzika;
- tora mahomoni.Iye chete ndiye chiremba anogona kupa mishonga yemapurusi kuti asabvisa kubuda kwemawere mumakemikironi emakondomboni uye kuvhara ropa, kunze kwekuti zvakakosha kuisa mishonga iyi mumutano werapa.
Kusununguka kubva mubhokisi - kuongororwa uye kurapwa
Chero kusvibiswa kusina kujairika kubva kumaronda emammary ndiyo nguva yekukurukurirana nemumwe mammistro. Kuongororwa kwehutano hwehutachiona hunobva pakuongorora kwavo, palpation, ultrasound, mammography, kuputika kwezvinetso, nzvimbo yekuongorora. Kuongorora kwebonde kunoitwa muchikamu chekutanga chekufamba (mazuva 2-3 mushure mekupera kwekuenda kumwedzi), nokuti njodzi yekukanganisa zvikanganiso inowedzera muchikamu chechipiri nekuda kwekuwedzerwa kwezvinyorwa.
Kuongorora zviyero:
- kuongorora / palpation. Kuongororwa kwechimiro chezvipembenene zvinyuchi zvinoshandiswa (kusavapo / kuvapo kweasymmetry, nzvimbo yezvikoti, ruvara rweganda). Chikafu chinowanikwa pachimiro uye chigaro chenhema pamusana, chinoputika panguva imwechete supraclavicular, subclavia uye axillary lymph nodes;
- Ultrasound. Inokuvadza uye inodzidzisa nzira yekutsvakurudza, inobvumira kuona mishonga yemakumbo emakumbo (cysts, tumorum);
- mammography. Mifananidzo yezvinyorwa zvinyuchi, izvo zvinoitwa muzvikamu zviviri. Nzira yacho inonyatsovimbika (kusvika ku95% ne oncology, kusvika ku 97% nekutarisira). Contraindications: kubata, lactation, makore pasi pemakore makumi matatu.
Mushonga unoitwa uchifunga nezvezera remurwere, chimiro chechirwere, chimiro chekusiya kumwedzi, kufarira kubata pamuviri / kuchengetedza basa rekuberekwa, kusavapo / kuvapo kwekugadzikana kwevanhu vane simba uye endocrine pathologies. Maitiro ekuchengetedza: hormone therapy, vitamin therapy, phytotherapy, physiotherapy.
Kusununguka kwakachena kana kuchena kubva muchifuva chiratidzo chinogona kutyisa chinoda kunyatsoongorora uye kurapwa. Izvo zvipembenene zvinyuchi zvinowedzera chikamu chekuberekera, naizvozvo hupenyu hwavo hunofanirwa kurapwa zvakanyatsonaka - izvi zvichabatsira kuchengetedza utano hwevakadzi kwemazuva mazhinji uye hunovandudza zvikuru hupenyu hwehupenyu.