ʻO nā umauma paʻa, ʻeha a me nā ʻōpala - ʻo ia nā hōʻailona o ka mastosis, kahi maʻi umauma maikaʻi e pili ana i nā wahine he nui. Ma waho aʻe o ka ʻehaʻeha e hoʻoulu ai, ʻo ka mastosis kekahi kumu o ka hopohopo.

ʻO ka mastosis (a i ʻole sclerocystic mastosis a i ʻole cystic fibrosis o ka umauma) he maʻi maikaʻi ia o ka umauma, i hōʻike ʻia e ka ʻeha a me ka ʻeha o ka umauma (mastodynia), a me kahi ʻano like ʻole o ka umauma, me nā wahi paʻa i laila. kahi nui o ka mammary gland (ma nā ʻaoʻao a ma luna o nā umauma). Ke kamaʻilio nei mākou no "nā umauma fibrous" a i ʻole "granular".

Ma ka palpation, ʻike pū mākou i ka hele ʻana o nā puʻupuʻu liʻiliʻi a me nā puʻupuʻu kelepona. ʻO kēia paha he cysts (he nui piha i piha i ka wai) a i ʻole he fibroadenoma (he ʻāpana liʻiliʻi liʻiliʻi o ka ʻiʻo fibrous a me ka ʻiʻo glandular). He mau maʻi maikaʻi kēia e pili ana i ka 50 a 80% o nā wahine, ʻoi loa ma waena o 30 a 50 mau makahiki.

ʻO nā umauma i hoʻopilikia ʻia e ka mastosis ke ʻano o ka loaʻa ʻana o ka ʻiʻo glandular kiʻekiʻe. He genetic ia: hānau ʻia kekahi mau wahine me kēia ʻano umauma, kahi e mālama ai lākou i ko lākou ola a pau. ʻO kēia hiʻohiʻona anatomical ka mea e maʻalahi ai ka umauma i nā ʻano hormonal. Eia kekahi, he mea maʻamau ka hormonal imbalance ma waena o ka estrogen a me ka progesterone, me ka lawa ʻole o ka lutheal (ʻaʻole lawa ka progesterone i nā ovaries i ka wā post-ovulatory phase) a me ka hyperestrogenism (excess estrogen).

No laila, ke kiʻekiʻe ke kiʻekiʻe o ka estrogen ma mua o ka progesterone, hiki ke ʻike ʻia ka ʻeha, a me kēia ʻano granular. E loaʻa i kekahi mau wāhine ka ʻeha ma ka umauma i ka wā o ka ovulation (estrogen surge) a i ʻole i ka hoʻomaka ʻana o ka menstruation; ʻo nā mea ʻē aʻe e ovulate i ka hopena o ka pōʻai.

Hiki ke ʻike ʻia kēia mau ʻano hormonal ma hope o kou mau kanahā, ke liʻiliʻi ka progesterone.

ʻO kahi hoʻokolohua lapaʻau, hiki ke hoʻohui ʻia e kahi ultrasound a / a mammogram, e hōʻoia i ka maʻi o ka mastosis a me kona ʻano maikaʻi. E hōʻoia ana nā hoʻokolohua i ka hele ʻana a ʻaʻole ʻole o nā cysts a i ʻole adenofibromas. Inā kānalua, hiki ke hana i kahi biopsy.

Ka nānā ʻana i ka mastosis

A laila, e hana ʻia ka nānā ʻana i kēlā me kēia hihia, e pili ana i ka mea maʻi, kona mau makahiki a me kona mōʻaukala ʻohana o ka maʻi maʻi umauma. Hoʻopili pinepine ka Mastosis i ka nānā ʻana i nā umauma. He mea ʻeha ka hoʻokolohua lapaʻau no ka mea maʻi, a ʻo ka nui a me ka heterogeneity o nā umauma e paʻakikī ai ka palpation no ka ʻoihana mālama ola.

No laila, ʻoi aku ka nui o nā hoʻokolohua. Eia nō naʻe, ua ʻoi aku ka paʻakikī. Ma ka heluhelu ʻana, ʻoi aku ka paʻakikī o ka mammography no ka mea ʻoi aku ka paʻakikī o ka umauma, no laila ke koʻikoʻi o ka hahai ʻana i kahi kikowaena loea i ka senology. Hoʻohui pū ʻia ka mammography a me ka ultrasound e hoʻokō i kekahi i kekahi. Inā pono, hiki ke hana i ka tomosynthesis (3D mammography). 

ʻO ka palpation ponoʻī no ka nānā ʻana

No nā wahine hoʻi, ka mea i ʻōlelo ʻia e hana maʻamau i ka palpation o ka umauma i ka ʻimi ʻana i kahi ʻano nui, hiki i ka hele ʻana o kahi mastosis ke paʻakikī i ke kaʻina hana a lilo i kumu hopohopo nui no ka mea, ma ke ʻano, he granular nui nā umauma. . He mea nui no ka hana ʻana i kēia hoʻokolokolo ponoʻī i hoʻokahi manawa i ka mahina. Inā he mobile ka nui, inā ʻokoʻa kona nui i ka wā o ka pōʻai, inā ʻike ʻia a nalowale paha, he mau hōʻailona hōʻoluʻolu kēia, akā he mea nui e kamaʻilio me kāu kauka.

ʻElua mau lāʻau lapaʻau nui e hoʻomaha ai i ka mastosis: 

ʻO ka lāʻau lapaʻau progestin wale nō

Hiki ke kuhikuhi ʻia kahi papa hoʻopaʻapaʻa progestin wale nō e kaupalena i ka ʻeha o ka umauma, e hoʻoponopono i ka lawa ʻole o ka lutheal. Hoʻomaha ia i nā hōʻailona, ​​​​akā ʻaʻole pono i nā wahine a pau. He ʻokoʻa loa ka ʻike Hormonal mai kekahi wahine a i kekahi. 

ʻO ka gel e pili ana i ka progestin

Hiki ke kuhikuhi ʻia kahi gel e pili ana i ka progestin a i ʻole anti-inflammatory, e hoʻopili ʻia i nā umauma i ka wā e ʻeha ai.

I ka homeopathy, ʻo ke kau ʻana o Folliculininum i nā dilutions kiʻekiʻe (15 a 30 CH) e kaupalena i ka hyperostrogeny. Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau ʻē aʻe ma ke ʻano he lapaʻau maʻamau, ma muli o ke ʻano o ka wahine: Lachesis, Iodum, Calcarea Carbonica. ʻO ka homeopathy kahi lāʻau lapaʻau, he mea nui e nīnau i kahi loea no kahi protocol pilikino.

I ka wā pre-menopausal, ʻoi aku ka nui o nā hōʻailona o ka mastosis, no ka mea e emi ana ka pae o ka progesterone ma mua o ka estrogen. Akā i ka hala ʻana o kēia manawa hoʻololi, e nalowale ana ka mastosis, a me kāna mau hōʻailona me: ʻeha, ʻeha, ʻeha. Inā ʻaʻole, ʻoiaʻiʻo, ke lawe nei ka wahine i ka hormone replacement therapy me ka nui o ka estrogen. 

I ka wā hāpai, a ʻoi aku ka nui o ka trimester mua i ka wā e ikaika loa ai ka impregnation hormonal, hiki i ka makuahine ke loaʻa i ka mastosis.