Fibroadenoma wa m'mawere
Fibroadenoma ya m'mawere ndi chotupa chosaopsa. Chotupa cha Benign chimatanthauza kuti si khansa.
Chifukwa cha fibroadenomas sichidziwika. Zitha kukhala zokhudzana ndi mahomoni. Atsikana omwe akutha msinkhu komanso amayi omwe ali ndi pakati amakhudzidwa kwambiri. Fibroadenomas amapezeka kawirikawiri mwa amayi achikulire omwe adutsa msambo.
Fibroadenoma ndiye chotupa chofala kwambiri cha m'mawere. Ndilo chotupa chofala kwambiri mwa azimayi ochepera zaka 30.
Fibroadenoma imapangidwa ndimatenda am'matumbo ndi minyewa yomwe imathandizira kuthandizira minyewa ya m'mawere.
Fibroadenomas nthawi zambiri amakhala mabala amodzi. Amayi ena amakhala ndi zotupa zingapo zomwe zimakhudza mawere onse awiri.
Ziphuphu zitha kukhala izi:
- Zosunthika mosavuta pansi pa khungu
- Olimba
- Zopanda pake
- Mpira
Mapewa ali ndi malire osalala, odziwika bwino. Amatha kukula, makamaka panthawi yapakati. Fibroadenomas nthawi zambiri amakhala ocheperapo atatha kusamba (ngati mayi samamwa mankhwala a mahomoni).
Pambuyo pakuyezetsa thupi, mayesero amodzi kapena awiriwa amachitika:
- Chiberekero cha m'mawere
- Mammogram
Chidziwitso chikhoza kuchitidwa kuti mudziwe bwinobwino. Mitundu yosiyanasiyana ya ma biopsies ndi awa:
- Zosangalatsa (kuchotsa mtanda ndi dotolo)
- Stereotactic (singano biopsy pogwiritsa ntchito makina ngati mammogram)
- Kutsogozedwa ndi Ultrasound (singano yosagwiritsa ntchito ultrasound)
Amayi azaka zapakati pa 20 kapena 20 sanayesedwe kaye kuti aone ngati chotulukacho chapita chokha kapena ngati chotupacho sichisintha kwakanthawi.
Ngati biopsy ya singano ikuwonetsa kuti mtandawo ndi fibroadenoma, chotupacho chimatha kusiya kapena kuchotsedwa.
Inu ndi omwe amakuthandizani pa zaumoyo mutha kukambirana ngati muchotse chotupacho kapena ayi. Zifukwa zochotsera izi ndi izi:
- Zotsatira za biopsy ya singano sizikudziwika bwinobwino
- Ululu kapena chizindikiro china
- Kuda nkhawa ndi khansa
- Chotupacho chimakula pakapita nthawi
Ngati bulu silinachotsedwe, omwe amakupatsani amayang'anira kuti awone ngati akusintha kapena akukula. Izi zitha kuchitika pogwiritsa ntchito:
- Mammogram
- Kuyesedwa kwakuthupi
- Ultrasound
Nthawi zina, chotupacho chimawonongeka osachichotsa:
- Cryoablation imawononga chotupacho poyizizira. Kafukufuku amalowetsedwa kudzera pakhungu, ndipo ultrasound imathandizira woperekayo kuti awutsogolere ku chotumphuka. Gasi amagwiritsidwa ntchito kuzizira ndikuwononga chotumphukacho.
- Kuchotsa ma Radiofrequency kumawononga chotumphuka pogwiritsa ntchito mphamvu yamafupipafupi. Woperekayo amagwiritsa ntchito ultrasound kuti athandizire kuyika mphamvu pamtengo. Mafunde amenewa amatenthetsa chotupacho ndi kuchiwononga osakhudza minofu yapafupi.
Ngati chotupacho chatsalira ndikuwonetsedwa mosamala, chitha kuyenera kuchotsedwa nthawi ina ngati chingasinthe kapena kukula.
Nthawi zambiri, chotupacho ndi khansa, ndipo chidzafunika chithandizo china.
Itanani omwe akukuthandizani mukawona:
- Ziphuphu zatsopano zilizonse za m'mawere
- Chotupa cha m'mawere chomwe wothandizira wanu adachiyang'anitsitsa chisanakule kapena kusintha
- Kudzitukumula pachifuwa popanda chifukwa
- Khungu lopindika kapena lamakwinya (ngati lalanje) pa bere lanu
- Nipple amasintha kapena kutuluka kwa mawere
Chifuwa cha m'mawere - fibroadenoma; Chifuwa cha m'mawere - chosasokoneza khansa; Chifuwa cha m'mawere - chosaopsa
Gulu la Katswiri pa Kujambula M'mawere; Moy L, Mthandizi SL, Bailey L, et al. Makhalidwe Abwino a ACR Mawere osakwanira. J Ndine Coll Radiol. Chizindikiro. 2017; 14 (5S): S203-S224. PMID: 28473077 adasankhidwa.ncbi.nlm.nih.gov/28473077/.
Gilmore RC, Lange 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.
Wolandila NF, Friedlander ML. Matenda a m'mawere: mawonekedwe a amayi. Mu: Wolowa mokuba NF, Gambone JC, Hobel CJ, eds. Hacker and Moore's Essentials of Obstetrics and Gynaecology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 30.
Smith RP. Chiberekero cha fibroadenoma. Mu: Smith RP, Mkonzi. Netter's Obstetrics and Gynecology. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: chap 166.