Amabele aqinile, abuhlungu futhi anamabele - lezi yizimpawu ze-mastosis, isifo sesifuba esingenasifo esithinta abesifazane abaningi. Ngaphezu kokungaphatheki kahle okukubangelayo, i-mastosis nayo ivame ukuba wumthombo wokukhathazeka.

I-Mastosis (noma i-sclerocystic mastosis noma i-cystic fibrosis yebele) yisifo esibucayi sebele, esibonakaliswa ukungezwani nobuhlungu besifuba (i-mastodynia), kanye nokungaguquguquki kwamabele okungavamile, aminyene kanye ne-granular, enezindawo ezihlangene lapho. lapho indlala yebele inkulu (emaceleni nangaphezulu kwamabele). Sikhuluma "ngamabele ane-fibrous" noma "granular".

Ku-palpation, siphawula nokuba khona kwezixuku ezincane eziyindilinga nezihambayo. Lawa angase abe ama-cysts (isisindo esiyingozi esigcwele uketshezi) noma i-fibroadenoma (isisindo esincane esibucayi sezicubu ezine-fibrous kanye nezicubu zezindlala). Lezi yizimo ezibucayi ezithinta u-50 kuya ku-80% wabesifazane, ngokuvamile phakathi kweminyaka engama-30 no-50 ubudala.

Amabele athintwe yi-mastosis anesici sokuba nokuminyana okuphezulu kwezicubu zezindlala. Kuwufuzo: abanye besifazane bazalwa nalolu hlobo lwebele, abazoligcina impilo yabo yonke. Lesi sici se-anatomical senza amabele azwele kakhulu ekuhlukeni kwamahomoni. Ngaphezu kwalokho, kuvame ukuba nokungalingani kwama-hormone phakathi kwe-estrogen ne-progesterone, nokuntuleka kwe-lutheal (amaqanda awakhiqizi i-progesterone eyanele phakathi nesigaba sangemva kokuphuma kweqanda) kanye ne-hyperestrogenism (i-estrogen eyeqile).

Ngakho, lapho izinga le-estrogen liphakeme kune-progesterone, ubuhlungu bungase buvele, kanye nalokhu kuvumelana kwe-granular. Abanye besifazane bayoba nobuhlungu ebeleni ngesikhathi sokuphuma kweqanda (i-estrogen surge) noma ekuqaleni kokuya esikhathini; abanye bakhipha iqanda ekupheleni komjikelezo.

Lokhu kuhlukahluka kwamahomoni kungagqama kakhulu ngemva kweminyaka engamashumi amane, lapho i-progesterone iyindlala.

Ukuhlolwa komtholampilo, okungenzeka kungezwe nge-ultrasound kanye / ne-mammogram, kuzoqinisekisa ukutholakala kwe-mastosis kanye nesimilo sayo esihle. Ukuhlolwa kuzoqinisekisa ukuba khona noma cha kwama-cysts noma i-adenofibromas. Uma ungabaza, i-biopsy ingenziwa.

Ukuqapha i-mastosis

Khona-ke, ukuqapha kuzokwenziwa esimweni ngasinye, kuye ngokuthi isiguli, ubudala baso kanye nomlando womndeni waso womdlavuza webele ikakhulukazi. I-mastosis imvamisa yenza kube nzima ukuqapha amabele. Ukuhlolwa komtholampilo kubuhlungu esigulini, futhi ukuminyana kanye nokuhlukahluka kwamabele kwenza ukushaya kwenhliziyo kube nzima kuchwepheshe wezokunakekelwa kwempilo.

Njengesixwayiso, ukuhlolwa kungase kuvame kakhulu. Kodwa nalapha, aphenduka abe yinkimbinkimbi kakhulu. Ekufundeni, i-mammography inzima kakhulu ngoba ibele liminyene, yingakho kubalulekile ukulandelwa esikhungweni esigxile kwi-senology. I-Mammography kanye ne-ultrasound ngokuvamile kuhlanganiswe ngokuhlelekile ukuze kuhambisane. Uma kunesidingo, i-tomosynthesis (i-3D mammography) ingenziwa. 

I-self-palpation ukuze uzihlole

Futhi kwabesifazane, abelulekwa ukuthi bazenzele i-self-palpation yamabele befuna inqwaba engavamile, ukuba khona kwe-mastosis kungenza inqubo ibe nzima futhi kube umthombo wokukhathazeka okukhulu ngoba amabele, ngokwemvelo, ahlangene kakhulu. . Kusabalulekile ukuthi uzihlole kanye ngenyanga. Uma isisindo sihamba, uma ubukhulu baso buhluka phakathi nomjikelezo, uma buvela noma bunyamalala, lezi ziyizibonakaliso eziqinisekisayo, kodwa kubalulekile ukukhuluma nodokotela wakho ngaso sonke isikhathi.

Kunezinhlobo ezimbili zokwelapha eziyinhloko zokukhulula i-mastosis: 

Iphilisi lokuvimbela inzalo eline-progestin kuphela

Iphilisi lokuvimbela inzalo eline-progestin kuphela lingase linqunywe ukunciphisa ubuhlungu bebele, ukulungisa ukungasebenzi kahle kwe-lutheal. Ikhulula izimpawu, kodwa ayisebenzi kubo bonke abesifazane. Ukuzwela kweHormonal kuhluke kakhulu komunye wesifazane kuya komunye. 

Ijeli esekwe ku-progestin

Ijeli esekelwe ku-progestin noma evimbela ukuvuvukala, okufanele ifakwe emabeleni lapho ebuhlungu, ingase inqunywe.

Ku-homeopathy, incwadi kadokotela ye-Folliculinum ekuhlanjululweni okuphezulu (15 kuya ku-30 ​​CH) ingakhawulela i-hyperostrogeny. Amanye amakhambi angabekwa njengokwelashwa okuyisisekelo, kuye ngesizinda sowesifazane: Lachesis, Iodum, Calcarea Carbonica. I-Homeopathy ingumuthi wasendle, kubalulekile ukubonana nochwepheshe ukuze uthole iphrothokholi yomuntu siqu.

Esikhathini sangaphambi kokuya esikhathini, izimpawu ze-mastosis zingase zibe zimbi kakhulu, ngoba izinga le-progesterone liyehla ngaphambi kwe-estrogen. Kodwa uma lesi sikhathi soshintsho sesidlulile, i-mastosis izovame ukunyamalala, futhi izimpawu zayo: ubuhlungu, ukungezwani, ama-cysts. Ngaphandle uma kunjalo, owesifazane uthatha i-hormone replacement therapy ngomthamo omkhulu we-estrogen. 

Ngesikhathi sokukhulelwa, ikakhulukazi ku-trimester yokuqala lapho ukukhulelwa kwe-hormonal kunamandla kakhulu, umama ozoba ngumama angase aphathwe yi-mastosis.