Njira Zothandizira Kuchita ndi Matenda a Fibroadenoma
Kodi matenda a m'mawere amatha bwanji? Kodi pali mwayi woti abwererenso? Ndipo kodi amatha kuonjezera mwayi wodwala khansa ya m'mawere? Ngakhale kuti sali khansa ya m'mawere, fibroadenomas ndizokhalira ndi nkhawa ngati sizili zowawa kale. Kuwonjezera apo iwo akhoza kusokoneza kwambiri pamene mukuyesera kuchita zovuta zanu. Tiyeni tiwone njira zomwe mungasamalirire kuti muthe kuchotsa fibroadenomas kuti muthe kugwira ntchito ndi dokotala kuti mudziwe zambiri pazotsatira zanu.
Mwachidule
Matenda a fetus ndi matenda osapitirira khansa omwe amapangidwa ndi stroma (zamoyo zomwe zimagwirizanitsa mammary gland) ndi adenosis (lobes yomwe yatulutsa hyperplasia).
Fibroadenomas ingamveke pamene mukudzipenda mawere a mwezi ndi mwezi ndipo muzisonyezedwa pa mammograms ndi ultrasounds. Azimayi omwe ali ndi zaka zapakati pa makumi awiri ndi makumi atatu kapena makumi atatu amatha kukhala ndi fetretenenoma ya m'mawere, yomwe ingakule kwambiri pamene ali ndi mimba kapena kuyamwitsa (lactation).
Mitundu
Pali mitundu iwiri yosiyana ya fibroadenomas ndipo ndikofunikira kusiyanitsa pakati pa izi posankha njira zabwino zothandizira. Anthu kawirikawiri amafunsa ngati kukhala ndi fibretenenoma kumawonjezera chiopsezo cha khansa ya m'mawere. Ndi mitundu yofala kwambiri, yankho ndilo ayi. Mitundu ya fibroadenomas ikuphatikizapo:
- Zosavuta. Mitundu ya fibretenomasi yambiri ndi mitundu yosavuta-nthawi zambiri imakhala imodzi mwa iyo m'kati mwako, ili ndi malire enieni ndi maselo ofanana kwambiri. Yophweka fibroadenoma siimabweretsa chiopsezo cha khansa ya m'mawere .
- Zovuta. Zipangizo zamagetsi zowonjezereka sizodziwika, ndipo pamene zingakhale ndi malire enieni, ziri mkati mwa fibroadenoma ya mtundu uwu yomwe imapangitsa kuti ikhale yosiyana. Fretenenoma yovuta siidzawoneka yokongola ndi yunifolomu monga yosavuta fibroadenoma. Ngakhale kuti fibroadenomas zovuta sizikhala ndi khansa, zikhoza kukhala ndi zipolopolo zazing'ono, ma calcifications , mapulogalamu a m'mawere ofutukuka, mapilisi ndi mitundu yambiri ya hyperplasia. Pamene matenda oopsa a hyperplasia amapezeka, amatha kutenga chiopsezo cha khansa ya m'mawere.
Kudziwa
Mawere a fibroadenoma nthawi zambiri amamva bwino, olimbika komanso mphukira. Zingasunthike m'mimba mwathu pamene mukuyesa kudziyesa, ndipo sizingakhale zomvetsa chisoni. Zambiri mwazirombozi zimakhala pakati pa masentimita atatu ndi atatu, koma zina zimakula ngati masentimita asanu (pafupifupi masentimita awiri).
Radiologist yanu idzatha kuona fibroadenoma pazomwe mukuyang'anira , ndipo ultrasound idzakuthandizani kusiyanitsa ndi chimphepo chodzaza madzi. Koma njira yeniyeni yothetsera matenda a fibroadenoma ili ndi chifuwa cha m'mawere .
Chenjerani
Ndikofunika kuchenjeza pang'ono ndi fibroadenomas. Zilonda za m'mawere ndizofala kwambiri kwa amayi osakwana zaka 35. Amayi okalamba omwe ali ndi zaka zoposa 35, ndizofunika kwambiri. Chidziwitso cha m'mawere ndi njira imodzi yochitira izi, ngakhale chifuwa chimatulutsa gawo limodzi la mtanda. Tsopano tikudziwa kuti zilonda za m'mawere, zonse zowopsa ndi khansa ndizosiyana. Izi zikutanthauza kuti maselo omwe ali mbali imodzi ya chotupa akhoza kukhala osiyana ndi omwe ali mbali ina ya chotupacho. Pali nthawi zina zomwe chifuwa cha m'mawere chimawulula fibroadenoma, koma atachotsedwa, pamene chifuwa chonse chikuyang'aniridwa ndi katswiri wa matenda, khansara yakhalaponso.
Kuchiza
Ngati dokotala wanu atsimikizira kuti matendawa ali ndi fibroadenoma, pali njira zosiyanasiyana zochiritsira zomwe zilipo. Izi zimapangitsa kuti anthu asamangoganizira za fibroadenoma, ku lumpectomy. Pali zifukwa zambiri zomwe zingakhudze kusankha kwanu mankhwala. Chimodzi ndi chimodzimodzi ngati muli ndi fretenenoma yosavuta kapena yovuta. Zizindikiro zanu ndi zofunika. Kodi mukuvutika? Kapena, m'malo mwake, mukuvutika maganizo chifukwa chodabwa ngati mukusowa chinachake. Chimene mumamva m'maganizo ndi chofunikira monga momwe mumamvera m'thupi.
Onetsetsani kuti dokotala wanu amamvetsa zomwe mukukumana nazo kuti mukhale pa tsamba limodzi. Musanene kuti zonse ziri bwino kupita kunyumba ndi kukhumudwa. Njira zothandizira ndizo:
- Yang'anani ndipo dikirani njira imodzi. Popeza fibroadenomas si nthawi zonse zovuta ndipo nthawi zina zimadzichepetsera okha, kungoona kuti njira zawo ndizovuta kwambiri.
- Lumpectomy , kapena kuchotsa opaleshoni ya fibroadenoma, ikhoza kuchitidwa ngati mukudandaula kuti mudzakhala pachifuwa chanu. Malinga ndi kukula kwake kwa chifuwachi ndi bere lanu, nthendayi imayambitsa kukula kwa msinkhu wanu kapena mawonekedwe anu. Mankhwala atsopano angapitirire kumbali ya mtanda woyamba, kotero muyenera kudziwa kuti opaleshoni sizitsimikiziranso kuti simudzakhalanso ndi fretenoma. Komabe, fiberenoma yanu ingathe kufufuzidwa mosamalitsa ndi labata kuti iwonetsetse kuti matendawa ndi olondola (biopsy si 100 peresenti yowunikira kuti ipeze ngati imangotengera gawo limodzi la mtanda) ndi khansa ya m'mawere ikhoza kukhala anadula kunja.
- Kuperekera kwa laser ndi njira yopanda opaleshoni yochotsera fibroadenoma. Ofesi yanu ya opaleshoni, chipangizo cha lasser chomwe chimatsogoleredwa ndi ultrasound chimagwiritsidwa ntchito kuwononga fibroadenoma, kusiya kansalu kakang'ono kokha, palibe sutures, ndipo palibe kusintha kwa mawere. Palibe odwala anesthesia omwe amafunikira ndipo amatha kuchitidwa opaleshoni ya tsiku lomwelo.
- Cryoablation ndi njira yofulumira komanso yowonjezereka yokhala ndi fibroadenoma. Mu ofesi imodzi ya maulendo, cryoablation imangomangirira mtanda kuti minofu yathanzi ikhoze kutenga. Ndondomekoyi imatenga mphindi zosachepera 30 ndipo izi zimawombera pang'ono.
- Kuchotsedwa kwa abde ( ablation ) kuchotsa fibroadenomas ndi njira ina yochotsera mtanda wosafunika kuchokera pachifuwa chanu popanda kugwiritsa ntchito lumpectomy. Pogwiritsa ntchito anesthesia kumalo komweko ndi malangizo a ultrasound, chodula chachisanu ndi chimodzi mpaka masentimita 8 chimapangidwa pamwamba pa fibroadenoma. Kupyolera mu kudulidwa uku, woyendetsa wolojekiti amalowetsedwa kenako amamangiriridwa ndi mpeni umene umatenthedwa ndi mpweya wamakono wamakono. Izi zimathandiza kudula minofu popanda kuchititsa magazi ambiri. Akafika pamalowera, zingwe zing'onozing'ono ndi zombo zogwiritsira ntchito zimagwiritsa ntchito fibroadenoma ndikuzichotsa.
- Mafupa amtengo wapatali amatha kugwiritsidwa ntchito ngati njira yowongoka yochotsera fibroadenomas. Pasanathe ola limodzi, ndipo pansi pa anesthesia, malo odulidwa masentimita asanu ndi awiri (1/4 inch) amapangidwa pa fibroadenoma. Kenaka ndi ulangizi wa ultrasound, ndondomeko ya Mammotome imalowetsedwa mu mtanda, yomwe imachotsa zigawo za minofu. Kubwezeretsa kuli msanga ndipo chilonda chako chidzakhala chochepa.
- Mankhwala otchuka kwambiri a ultrasound (HFU) ndi mankhwala atsopano omwe amagwiritsidwa ntchito pa fibroadenomas, ndipo nthawi zina, ngakhale khansa ya m'mawere. HFU ikhoza kuyambitsa chiwonongeko chosavuta cha minofu yakuya popanda kuwononga minofu yoyandikana nayo.
- Mankhwala ofooketsa tizilombo am'thupi adagwiritsanso ntchito popewera kapena kuteteza mafupa a m'mawere, ngakhale pali maphunziro ochepa omwe amayang'anitsitsa njirazi. Mankhwala a tizilombo, teas, mafuta odzola, kapena mapiritsi a homeopathic akhala akugwiritsidwa ntchito m'miyambo ya chikhalidwe pamagetsi. Mankhwala otentha a madzi, mafuta odzola, kapena tiyi ya ginger nayenso ayesedwa, kuti athandize ubweya wa m'mawere womwe ukhoza kapena sukhoza chifukwa cha fibroadenoma. Ndikofunika kuzindikira kuti popanda chiwopsezo, ndipo mwinamwake kuchotsedwa kwa fibroadenoma, nthawizonse mumakhala mwayi kuti khansara ya m'mawere iwonongeke, choncho mankhwala amachedwa.
Mawu ochokera Kuchipatala Njira za Fibroadenomas
Ziri bwino kuchokera pa mndandanda wa zosankha zamankhwala pamwambapa kuti pali njira zambiri zochizira mawere a fibroadenoma. Fibroadenomas ndizosiyana kwambiri, ndipo izi zikhoza kukhala zosiyana ndi zosiyanasiyana.
Kawirikawiri, mapuloteni ambiri samapanga chiopsezo choti mutenge khansara ya m'mawere, ngakhale kuti zovuta zochepa kwambiri za fibroadenomas zingagwirizane ndi chiopsezo chowonjezeka. "Zilombo" zina zingakhale zogwirizana ndi chikhalidwe chimodzi, mwachitsanzo, fibroadenoma kuphatikizapo khansa ya m'mawere, ndipo izi ziyenera kusungidwa m'maganizo.
Njira yokhayo yodziwira kuti fibroadenoma ikudziwika bwino ili ndi chifuwa cha m'mawere. Ngakhale kuti izi zingayambitse nkhawa zina, zingakhalenso njira zabwino zothetsera nkhawa, popeza minofu yowunika imatha kukutsimikizirani zomwe mukuchita nazo.
Kumbukirani kuti pali mitundu yambiri ya mawere a m'mawere, imodzi yokha ndiyo fibroadenoma. Ngati muli ndi chofuwa cha m'mawere, ngakhale mutakhala otsimikiza kuti ndi fibroadenoma yokha, yang'anani. Pali, mwatsoka, anthu ambiri omwe adataya bere la m'mawere ngati "kokha" fibroadenoma, kenaka amadziwa kuti anali ndi khansa ya m'mawere.
> Zotsatira:
> Cavallo Marincola, B., Pediconi, F., Anzidei, M. et al. Kuthamanga Kwambiri Kwambiri M'mawere Achiberekero: Kuchiza Kwachilendo kosavomerezeka kwa zilonda za Benign ndi Malignant. Kufufuza kwa Akatswiri Zamakono Zamankhwala . 2015. 12 (2): 191-9.
> Li, P., Xiao-Yin, T., Cui, D. et al. Kuwonetsetsa za chitetezo ndi zogwira mtima za kuperewera kwapadera kwa Radiofrequency Ablation pofuna Kuchiza Matenda ambiri a Fibroadenoma. Journal of Research Cancer and Therapeutics . 2016. 12 (Zoonjezera): C138-C142.