Mkanda wamawere

Mphuno ya m'mawere ndi kutupa, kukula, kapena kulemera kwa m'mawere.

Ziphuphu zam'mimba mwa amuna ndi akazi zimabweretsa nkhawa za khansa ya m'mawere, ngakhale kuti mabampu ambiri si khansa.

Amuna ndi akazi a misinkhu yonse amakhala ndi minofu yoyama ya m'mawere. Minofu imeneyi imayankha kusintha kwa mahomoni. Chifukwa cha izi, ziphuphu zimatha kubwera ndikupita.

Ziphuphu za m'mawere zitha kuwoneka pamtundu uliwonse:

• Ana onse aamuna ndi aakazi atha kukhala ndi zotupa za m'mawere kuchokera ku estrogen ya amayi awo akabadwa. Chotupacho nthawi zambiri chimachoka chokha pamene estrogen imatuluka m'thupi la mwana.
• Atsikana achichepere nthawi zambiri amakhala ndi "masamba a m'mawere," omwe amawonekera atangotha ​​kumene kutha msinkhu. Ziphuphu izi zitha kukhala zofewa. Amakonda pafupifupi zaka 9, koma amatha kuchitika ali ndi zaka 6.
• Anyamata achichepere amatha kukulitsa mawere ndi zotupa chifukwa cha kusintha kwa mahomoni mukamatha msinkhu. Ngakhale izi zitha kukhumudwitsa anyamata, zotumphukira kapena kukula kwake nthawi zambiri kumachoka paokha pakadutsa miyezi.

Ziphuphu mwa mkazi nthawi zambiri zimakhala fibroadenomas kapena cysts, kapena kusiyanasiyana kwabwinobwino kwamatenda am'mabere omwe amadziwika kuti kusintha kwa fibrocystic.

Kusintha kwa ma fibrocystic ndikopweteka, mabere olumpha. Ichi ndi vuto labwino lomwe silikuwonjezera chiopsezo chanu cha khansa ya m'mawere. Zizindikiro zimakhala zoyipa nthawi yanu isanakwane, kenako zimasintha pambuyo poti msambo wanu wayamba.

Fibroadenomas ndi ziphuphu zopanda khansa zomwe zimakhala ngati mphira.

• Amayenda mosavuta mkati mwa minyewa ya m'mawere ndipo nthawi zambiri amakhala opanda mtima. Zimachitika nthawi zambiri pazaka zoberekera.
• Mapewawa alibe khansa kapena amakhala ndi khansa kupatula nthawi zina.
• Wothandizira zaumoyo nthawi zina amakayikira kuti chotupa ndi fibroadenoma potengera mayeso. Komanso, ultrasound ndi mammogram nthawi zambiri zimapereka chidziwitso kuti mudziwe ngati chotupa chikuwoneka ngati fibroadenoma.
• Njira yokhayo yotsimikizirira, komabe, ndikuti mukhale ndi singano ya singano kapena kuchotsa chotupa chonse.

Ziphuphu ndi matumba odzaza madzi omwe nthawi zambiri amakhala ngati mphesa zofewa. Izi nthawi zina zimatha kukhala zachikondi, nthawi zambiri musanakhale kusamba. Ultrasound imatha kudziwa ngati chotupa ndi chotupa. Ikhozanso kuwulula ngati ndi chotupa chosavuta, chovuta, kapena chovuta.

• Ma cysts osavuta ndimatumba okhaokha odzaza ndi madzimadzi. Samafunika kuchotsedwa ndipo akhoza kupita okha. Ngati chotupa chosavuta chikukula kapena chikuyambitsa kupweteka, chitha kufunidwa.
• Chotupa chovuta chimakhala ndi zinyalala pang'ono m'madzimadzi ndipo zimatha kuwonedwa ndi ultrasound kapena madziwo amatha kutayika.
• Chotupa chovuta chikuwoneka chovuta kwambiri pa ultrasound. Chidziwitso cha singano chiyenera kuchitika pazochitikazi. Kutengera zomwe singano imawonetsa, cyst imatha kuyang'aniridwa ndi mayeso a ultrasound kapena kuchotsedwa opaleshoni.

Zina mwa zifukwa za ziphuphu za m'mawere ndi monga:

• Khansa ya m'mawere.
• Kuvulala. Magazi amatha kusonkhana ndikumverera ngati chotupa chotchedwa hematoma ngati bere lanu litunduka. Ziphuphuzi zimayamba kukhala bwino patokha m'masiku kapena milungu ingapo. Ngati sizikupita patsogolo, woperekayo angafunike kukhetsa magazi.
• Lipoma. Uwu ndi mndandanda wamafuta amafuta.
• Ma cysts amkaka (matumba odzaza mkaka). Izi zotupa zimatha kuchitika poyamwitsa.
• Chifuwa cha m'mawere. Izi zimachitika mukamayamwitsa kapena mwangobereka kumene, koma amathanso kupezeka mwa amayi omwe sakuyamwitsa.

Onani omwe akukuthandizani ngati muli ndi zotupa zatsopano kapena zosintha m'mawere. Funsani za ziwopsezo zanu za khansa ya m'mawere, komanso kuwunika ndi kupewa khansa ya m'mawere.

Itanani omwe akukuthandizani ngati:

• Khungu lomwe lili pachifuwa chako limawoneka lopindika kapena litakwinyika (ngati khungu la lalanje).
• Mumapeza chotupa chatsopano pakudziyesa.
• Mwalalira pachifuwa koma simunavulazidwe.
• Mumakhala ndi zotupa zamabele, makamaka ngati zili zamagazi, zoyera ngati madzi, kapena zapinki (zotulutsa magazi).
• Nipple wanu wasandulika (kutembenukira mkati) koma nthawi zambiri samatembenuzidwa.

Komanso itanani ngati:

• Ndinu mzimayi, wazaka 20 kapena kupitilira apo, ndipo mukufuna chitsogozo cha momwe mungadziyesere pachifuwa.
• Ndiwe mayi wazaka zopitilira 40 ndipo sunakhale ndi mammogram chaka chatha.

Wopereka wanu apeza mbiri yonse kuchokera kwa inu. Mudzafunsidwa pazomwe zingayambitse chiopsezo cha khansa ya m'mawere. Woperekayo ayesa mayeso mozama. Ngati simukudziwa momwe mungadziyesere pachifuwa, funsani omwe akukuthandizani kuti akuphunzitseni njira yoyenera.

Mutha kufunsidwa mafunso a mbiri yakale ngati:

• Ndi liti ndipo munazindikira bwanji chotumphukacho?
• Kodi muli ndi zizindikiro zina monga kupweteka, kutuluka kwa mawere, kapena malungo?
• Kodi chotupacho chili kuti?
• Kodi mumadziyesa pachifuwa, ndipo kodi buluyu wasintha posachedwapa?
• Kodi mwakhala mukuvulazidwa pachifuwa?
• Kodi mukumwa mahomoni, mankhwala, kapena zowonjezera?

Zomwe wothandizira wanu angatengepo zikuphatikizapo:

• Lamuzani mammogram kuti ayang'ane khansa, kapena bere ultrasound kuti muwone ngati chotupacho ndi cholimba kapena chotupa.
• Gwiritsani ntchito singano kuti mutulutse madzi kuchokera mu chotupa. Nthawi zambiri madzimadzi amatayidwa ndipo safunikira kuyang'aniridwa ndi microscope.
• Konzani biopsy ya singano yomwe nthawi zambiri imachitidwa ndi radiologist.

Momwe chotupa cha m'mawere chimasamalidwira zimadalira chifukwa.

• Ziphuphu zolimba za m'mawere nthawi zambiri zimasankhidwa ndi singano ndi radiologist. Kutengera momwe zinthu zilili, atha kuchotsedwa opaleshoni. Amathanso kuyang'aniridwa pakapita nthawi ndi omwe amakupatsani.
• Ziphuphu zimatha kuthiridwa muofesi ya omwe amapereka. Ngati chotupacho chimasowa mukakhetsa, simusowa chithandizo china. Ngati chotupacho sichidzatha kapena kubwerera, mungafunikire kuyambiranso mayeso ndi kujambula.
• Matenda a m'mawere amachiritsidwa ndi maantibayotiki. Nthawi zina chotupa cha m'mawere chimafunika kuthiridwa ndi singano kapena kutulutsa opaleshoni.
• Mukapezeka kuti muli ndi khansa ya m'mawere, mukambirana mosamala ndi zomwe mungachite ndi omwe akukuthandizani.

Misa ya m'mawere; Nodule mabere; Chotupa cha m'mawere

• Chifuwa chachikazi
• Ziphuphu za m'mawere
• Kusintha kwa mawere kwa Fibrocystic
• Fibroadenoma
• Kuchotsa chotupa cha m'mawere - mndandanda
• Zimayambitsa zotupa za m'mawere

Davidson NE. Khansa ya m'mawere ndi zovuta zamawere. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 188.

Gilmore RC, Lang JR. Matenda a m'mawere a Benign. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 657-660.

Henry NL, Shah PD, Haider I, Freer PE, et al. Khansa ya m'mawere. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 88.

Kutha KK, Mittendorf EA. Matenda a m'mawere. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 34.

Kern K. Atazindikira kuti ali ndi khansa yam'mimba yodziwika. 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 86.