Kodi Gigantomastia ndi Chiyani?

Zamkati

• Zizindikiro zake ndi ziti?
• Zimayambitsa chiyani?
• Mitundu ya gigantomastia
• Kodi amapezeka bwanji?
• Njira zothandizira
• Opaleshoni
• Mankhwala
• Kodi pali zovuta?
• Kodi malingaliro ake ndi otani?

Chidule

Gigantomastia ndichikhalidwe chosowa chomwe chimayambitsa kukula kwambiri kwa mabere achikazi. Milandu yokha ndi yomwe idanenedwa m'mabuku azachipatala.

Zomwe zimayambitsa gigantomastia sizikudziwika. Vutoli limatha kuchitika mwachisawawa, koma lawonekeranso kuti limachitika mukamatha msinkhu, mimba, kapena mutamwa mankhwala ena. Sizimachitika mwa amuna.

Kukula kwa m'mawere kumatha kuchitika pazaka zingapo, koma pakhala pali zochitika zina za gigantomastia pomwe mabere azimayi amakula kukula kwa kapu zitatu kapena kupitilira masiku angapo. Zizindikiro zina zimaphatikizapo kupweteka kwa m'mawere, mavuto am'thupi, matenda, komanso kupweteka msana.

Ngakhale gigantomastia imawonedwa kuti ndiyabwino (yopanda khansa), imatha kulepheretsa ngati singachiritsidwe. Nthawi zina, vutoli limatha lokha, koma amayi ambiri omwe ali ndi gigantomastia amafunika kuchitidwa opaleshoni yochepetsa m'mawere kapena mastectomy.

Gigantomastia imapitanso ndi mayina ena, kuphatikiza mawere hypertrophy ndi macromastia.

Zizindikiro zake ndi ziti?

Chizindikiro chachikulu cha gigantomastia ndikuchulukirachulukira kwa minofu ya m'mawere pachifuwa chimodzi (chosagwirizana) kapena mabere onse awiri. Kukula kumatha kuchitika pang'onopang'ono mzaka zochepa. Amayi ena, kukula kwa mawere kumachitika mwachangu m'masiku kapena milungu ingapo.

Palibe tanthauzo lovomerezeka konsekonse la kuchuluka kwakukula. Ofufuza ambiri amatanthauzira gigantomastia ngati kukulitsa kwa m'mawere komwe kumafuna kuchepetsedwa kwa magalamu 1,000 mpaka 2,000 pachifuwa chilichonse.

Zizindikiro zina za gigantomastia ndi monga:

• kupweteka kwa m'mawere (mastalgia)
• kupweteka m'mapewa, kumbuyo, ndi khosi
• kufiira, kuyabwa, ndi kutentha kapena pansi pa mabere
• kukhazikika koyipa
• Matenda kapena ziphuphu
• kutayika kwamabele

Zowawa ndi mayendedwe amakoka nthawi zambiri amayamba chifukwa cha kulemera kwambiri kwa mabere.

Zimayambitsa chiyani?

Makina enieni omwe gigantomastia amapezeka mthupi samamveka bwino. Chibadwa ndi chidwi chowonjezeka cha mahomoni achikazi, monga prolactin kapena estrogen, amalingaliridwa kuti amatenga gawo. Kwa amayi ena, gigantomastia imachitika zokha popanda chifukwa chomveka.

Gigantomastia yakhala ikugwirizana ndi:

• mimba
• kutha msinkhu
• zina, monga:
  • D-penicillamine
  • bucillamine
  • neothetazone
  • cyclosporine
• zikhalidwe zina za autoimmune, kuphatikiza:
  • zokhudza zonse lupus erythematosus
  • Hashimoto's thyroiditis
  • matenda a nyamakazi
  • myasthenia gravis
  • psoriasis

Mitundu ya gigantomastia

Gigantomastia ikhoza kugawidwa m'magulu angapo. Subtypes ndi ofanana ndi chochitika chomwe chingayambitse vutoli.

Mitundu ya gigantomastia ndi monga:

• Gigantomastia yochititsa chidwi kapena yoyembekezera kumachitika pa mimba. Sub subtype iyi imaganiziridwa kuti imayamba chifukwa cha mahomoni oyembekezera, nthawi zambiri m'nthawi ya trimester yoyamba. Imapezeka mwa mayi mmodzi yekha mwa amayi 100,000 aliwonse oyembekezera.
• Zomwe zimayambitsa kutha msinkhu kapena achinyamata gigantomastia Zimachitika nthawi yaunyamata (azaka zapakati pa 11 ndi 19), mwina chifukwa cha mahomoni ogonana.
• Mankhwala- kapena gigantomastia opangidwa ndi mankhwala zimachitika mutamwa mankhwala enaake. Kawirikawiri, amayamba ndi mankhwala otchedwa D-penicillamine, omwe amagwiritsidwa ntchito pochiza nyamakazi, matenda a Wilson, ndi cystinuria.
• Idiopathic gigantomastia zimachitika zokha, popanda chifukwa chomveka. Uwu ndiye mtundu wofala kwambiri wa gigantomastia.

Kodi amapezeka bwanji?

Dokotala wanu atenga zamankhwala komanso mbiri yabanja ndikuwunika. Mutha kufunsidwa mafunso okhudza:

• kukula kwa bere lako
• zizindikiro zina
• tsiku lanu loyamba kusamba
• mankhwala aliwonse omwe mwatenga posachedwa
• ngati mungakhale ndi pakati

Ngati ndinu wachinyamata, dokotala wanu akhoza kukupatsani matenda a gigantomastia ngati mabere anu adakula msanga mukangoyamba kusamba. Nthawi zambiri, mayesero ena azidziwitso safunika pokhapokha ngati dokotala akukayikira kuti muli ndi vuto linanso.

Njira zothandizira

Palibe mankhwala wamba a gigantomastia. Vutoli limagwiritsidwa ntchito nthawi ndi nthawi. Chithandizo chimayambira kuchiza matenda aliwonse, zilonda zam'mimba, kupweteka, ndi zovuta zina. Mwachitsanzo, maantibayotiki, mavalidwe ofunda, komanso mankhwala owawa owawa.

Gigantomastia yomwe imayambitsa kutenga pakati imatha yokha ikatha kubereka. Komabe, nthawi zambiri, opaleshoni imawonedwa kuti imachepetsa kukula kwa mabere.

Opaleshoni

Opaleshoni yochepetsa kukula kwa mabere amatchedwa opaleshoni yochepetsa mabere. Amadziwikanso kuti mammoplasty yochepetsera. Pochita opaleshoni yochepetsa mawere, dotolo wa pulasitiki amachepetsa kuchuluka kwa minofu ya m'mawere, kuchotsa khungu lochulukirapo, ndikuyikanso nsonga ndi khungu lakuda mozungulira. Kuchita opaleshoni kumatenga maola ochepa. Muyenera kukhala mchipatala usiku umodzi pambuyo pa opaleshoniyi.

Ngati muli ndi pakati, mungafunike kudikirira mpaka mukamaliza kuyamwa kuti muchite opaleshoni yochepetsa mabere. Ngati ndinu wachinyamata, dokotala wanu angafune kuti mudikire mpaka kutha msinkhu kumamalizidwa musanachite opareshoni. Izi ndichifukwa choti pali mwayi waukulu wobwereranso. Mutha kufunsidwa kuti mukachezere dokotala wanu kuti akakuyeseni ndikuyesedwa mthupi miyezi isanu ndi umodzi iliyonse panthawiyi.

Mtundu wina wa opareshoni, wotchedwa mastectomy, umakhala wotsika kwambiri mobwerezabwereza. Mastectomy imaphatikizapo kuchotsa minofu yonse ya m'mawere. Pambuyo pa mastectomy, mutha kupeza zodzala m'mawere. Komabe, mastectomy ndi implants sizingakhale njira yabwino yochizira chifukwa cha zovuta zomwe zingachitike. Kuphatikiza apo, azimayi ambiri sangathe kuyamwitsa pambuyo pa kupindika kwapadera. Dokotala wanu akukambirana nanu kuopsa ndi maubwino amtundu uliwonse wa opareshoni nanu.

Mankhwala

Dokotala wanu akhoza kukupatsani mankhwala musanachitike kapena mutamuchita opaleshoni yochepetsa mawere kuti athandize kukula kwa mabere. Izi zingaphatikizepo:

• tamoxifen, estrogen receptor modulator (SERM) yomwe imagwiritsidwa ntchito pochiza khansa ya m'mawere
• medroxyprogesterone (Depo-Provera), yemwenso amadziwika kuti njira yolerera
• bromocriptine, dopaminergic receptor agonist yomwe imagwiritsidwa ntchito nthawi zambiri matenda a Parkinson omwe awonetsedwa kuti amaletsa kukula kwa m'mawere
• danazol, mankhwala omwe amagwiritsidwa ntchito pochiza endometriosis komanso zizindikilo za matenda am'mimba a fibrocystic mwa amayi

Komabe, mphamvu ya mankhwalawa pochizira gigantomastia imasiyanasiyana. Kafufuzidwe kena kofunikira.

Kodi pali zovuta?

Kukulitsa kwambiri mawere komanso kulemera kwambiri kwa mabere kumatha kubweretsa zovuta zina, kuphatikizapo:

• kutambasula khungu
• zotupa pakhungu pansi pa mabere
• zilonda pakhungu
• khosi, phewa, ndi kupweteka msana
• kupweteka mutu
• asymmetry ya m'mawere (pamene bere limodzi ndi lalikulu kuposa linalo)
• kuwonongeka kwakanthawi kapena kosatha kwamitsempha (makamaka mitsempha yachinayi, yachisanu, kapena yachisanu ndi chimodzi yamkati), zomwe zimachititsa kuti mkodzo usawonongeke
• kuvuta kusewera masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi, zomwe zimabweretsa kunenepa kwambiri

Kuphatikiza apo, mabere akulu kwambiri amatha kubweretsa zovuta zamaganizidwe, malingaliro, komanso chikhalidwe. Mwachitsanzo, achinyamata omwe ali ndi vutoli amatha kuzunzidwa kapena kuchititsidwa manyazi kusukulu. Izi zitha kubweretsa ku:

• kukhumudwa
• nkhawa
• mavuto azithunzi zamthupi
• kupewa zochitika zina

Amayi apakati kapena amayi omwe angobereka kumene, gigantomastia atha kubweretsa:

• kukula kosauka kwa mwana wosabadwayo
• Mimba yokhazikika (kupita padera)
• Kupondereza mkaka
• mastitis (matenda a m'mawere)
• matuza ndi mabala chifukwa mwanayo sangagwire bwino; mabala amatha kupweteka kapena kutenga kachilomboka

Kodi malingaliro ake ndi otani?

Ngati sichithandizidwa, gigantomastia imatha kubweretsa zovuta pamavuto am'mbuyo ndi kumbuyo, zomwe zimatha kulepheretsa thupi. Zitha kupanganso matenda owopsa, mawonekedwe amthupi, komanso zovuta zamimba. Nthawi zambiri, munthu yemwe ali ndi gigantomastia angafunike kukhala ndi vuto ladzidzidzi chifukwa chazovuta. Gigantomastia siyimayambitsa khansa ndipo siyofalikira mbali zina za thupi.

Kuchita opaleshoni yochepetsa mabere kumawerengedwa kuti ndi njira yabwino komanso yothandiza. Komabe, kafukufuku wasonyeza kuti gigantomastia yomwe ingayambitse kutha msinkhu komanso kutenga pakati itha kubwereranso pambuyo pochepetsa mawere. Mastectomy imapereka chithandizo chotsimikizika cha gigantomastia.