Kutulutsa kwamabele

Kutulutsa kwamabele ndi madzi amtundu uliwonse omwe amatuluka m'chigawo cha mawere m'mawere anu.

Nthawi zina kutuluka kwa mawere anu kuli bwino ndipo kumakhala bwino pakokha. Mutha kukhala ndi zotupa zamabele ngati mwakhala ndi pakati kamodzi.

Kutulutsa kwamabele nthawi zambiri osati khansa (chosaopsa), koma kawirikawiri, kumatha kukhala chizindikiro cha khansa ya m'mawere. Ndikofunika kudziwa zomwe zikuyambitsa ndikupeza mankhwala. Nazi zifukwa zina zotulutsira mawere:

• Mimba
• Kuyamwitsa kwaposachedwa
• Kusisita pamalopo kuchokera ku bra kapena t-shirt
• Kuvulala pachifuwa
• Matenda a m'mawere
• Kutupa ndi kutsekeka kwa mawere a m'mawere
• Zotupa za pituitary zopanda khansa
• Kukula pang'ono m'mawere komwe sikumakhala khansa
• Matenda owopsa a chithokomiro (hypothyroidism)
• Fibrocystic bere (chizolowezi chodziwika bwino m'mawere)
• Kugwiritsa ntchito mankhwala ena monga mapiritsi oletsa kubereka kapena mankhwala ophera nkhawa
• Kugwiritsa ntchito zitsamba zina, monga tsabola ndi fennel
• Kukulitsa njira zamkaka
• Intraductal papilloma (chotupa chosaopsa mumkhola wamkaka)
• Matenda a impso
• Kugwiritsa ntchito mankhwala osokoneza bongo, kuphatikizapo cocaine, opioid ndi chamba

Nthawi zina, makanda amatha kutuluka ndi mawere. Izi zimachitika chifukwa cha mahomoni ochokera kwa mayi asanabadwe. Iyenera kuchoka pakadutsa milungu iwiri.

Khansa monga matenda a Paget (khansa yosawerengeka yokhudzana ndi khungu la nsagwada) amathanso kuyambitsa kutulutsa kwamabele.

Kutulutsa kwamabele komwe si kwabwinobwino ndi:

• Magazi
• Amachokera kunsonga imodzi yokha
• Zimatuluka zokha popanda kufinya kapena kugwira mawere anu

Kutulutsa kwamabele kumatha kukhala kwachilendo ngati:

• Zimachokera ku nsonga zamabele zonse ziwiri
• Zimachitika mukamafinya mawere anu

Mtundu wakutuluka sikukuwuzani ngati zachilendo. Kutulutsa kumawoneka kwamkaka, kowoneka bwino, wachikaso, wobiriwira, kapena bulauni.

Kutsinira mawere anu kuti muwone ngati akutuluka kumatha kukulitsa. Kusiya nsonga yokhayo kumatha kutulutsa.

Wothandizira zaumoyo wanu adzakufunsani ndikufunsani mafunso okhudzana ndi zizindikilo zanu komanso mbiri yazachipatala.

Mayeso omwe angachitike ndi awa:

• Prolactin kuyesa magazi
• Mayeso a magazi a chithokomiro
• Mutu wa CT scan kapena MRI kuti ayang'ane chotupa cha pituitary
• Zolemba pamanja
• Ultrasound m'mawere
• Chifuwa cha m'mawere
• Ductography kapena ductogram: x-ray yokhala ndi utoto wosiyanitsidwa ndi jakisoni wamkaka
• Khungu lachikopa, ngati matenda a Paget ali ovuta

Chifukwa cha kutuluka kwa msana wanu chikupezeka, omwe amakupatsani mwayi amatha kulangiza njira zochiritsira. Mutha ku:

• Muyenera kusintha mankhwala aliwonse omwe adayambitsa kutuluka
• Chotsani zotupa
• Chotsani zonse kapena zina mwazifuwa za m'mawere
• Landirani zonona zochizira kusintha khungu pakamapeka kanu
• Landirani mankhwala ochiritsira thanzi lanu

Ngati mayeso anu onse ndi achilendo, mwina simudzafunika chithandizo. Muyenera kukhala ndi mayeso ena a mammogram ndi thupi pasanathe chaka chimodzi.

Nthawi zambiri, mavuto amabele si khansa ya m'mawere. Mavutowa amatha ndi chithandizo choyenera, kapena amatha kuwayang'anitsitsa pakapita nthawi.

Kutulutsa kwamabele kungakhale chizindikiro cha khansa ya m'mawere kapena chotupa cha pituitary.

Kusintha kwa khungu mozungulira nsonga kungayambitsidwe ndi matenda a Paget.

Muuzeni wothandizirayo kuti aunike zakumwa zilizonse zamabele.

Kutuluka m'mabere; Kutsekemera kwa mkaka; Lactation - zachilendo; Mkaka wa mfiti (mkaka wobadwa kumene); Matenda opatsirana; Nipple yosandulika; Mavuto amabele; Khansa ya m'mawere - kutulutsa

• Chifuwa chachikazi
• Mapulogalamu apamwamba papilloma
• Mammary England
• Kutulutsa kachilendo pamabele
• Thupi labwinobwino la amayi

Klimberg VS, Kutha KK. Matenda a m'mawere. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 21. St Louis, MO: Elsevier; 2022: mutu 35.

Leitch AM, Ashfaq R. Kutulutsa ndi kutulutsa kwa mawere. Mu: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, olemba. Chifuwa: Kusamalira kwathunthu kwa zovuta za Benign ndi Malignant. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 4.

Sandadi S, Rock DT, Orr JW, Valela FA. Matenda a m'mawere: kuzindikira, kasamalidwe, ndi kuwunika matenda am'mimba. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 15.