Kusiyanitsa Mafuta Necrosis ndi Khansa ya M'bwere
Kodi kwenikweni mafuta a necrosis a m'mawere ndi otani? Ngati adokotala akupeza kuti muli ndi vutoli mwina mumasokonezeka komanso mukudandaula, makamaka popeza angayang'ane kwambiri ngati khansa ya m'mawere pazithunzi zojambula ngati mammogram. Kodi mafuta a necrosis amachitika bwanji? Kodi zingayambitse khansa ya m'mawere? Kodi idzatha palokha kapena likufunika kuchiritsidwa?
Pambuyo pa opaleshoni ya m'mawere kapena atapwetekedwa m'mawere-kuchokera ku masewera, ngozi, kapena chikwama chowotcha-mukhoza kukhala ndi chifuwa cha m'mawere. Mitundu ya mawere a m'mawere amatchedwa breast fat necrosis chifukwa imapangidwa ndi zovulazidwa, zovulala, kapena zakufa.
Mwatsoka, mawere a m'mawere ndi nthenda yamba ndipo imayambitsa zovuta kwa madokotala ndi amayi ofanana. Vuto la fat necrosis mu bere ndiloti nthawi zambiri limayang'ana komanso limamva ngati khansa ya m'mawere, ndipo imawoneka ngati khansa ya m'mawere ngakhale kuti ili ndi mphamvu. Ndipotu, zizindikiro zingakhale zoopsa ngati mukudziwa bwino zizindikiro za khansa ya m'mawere. Anthu ena amawopa, akudabwa momwe madokotala awo angatsimikizire kuti "okha" ali ndi mawere mafuta a necrosis.
Mafuta a necrosis angatenge mitundu yambiri ndipo zingakhale zovuta kudziwa. Tiyeni tione zizindikiro, zifukwa, ndi mankhwala kwa mawere a nthenda ya m'mawere, ndi momwe iwe ndi dokotala wanu mungadziwire kuti izi ndi zomwe zikupangitsa mtanda wanu.
Kodi Fat Necrosis ndi chiani?
Mafuta a necrosis ndi otetezeka kwambiri omwe angathe kuchitika m'chifuwa chanu. Amakhala ndi minofu yamtengo wapatali imene yavulazidwa, yavulala, kapena yafa. Mafuta a necrosis angayambitse pambuyo pa mtundu uliwonse wa opaleshoni ya m'mawere, kuchokera ku chiwopsezo kupita kumangidwe , kapena mtundu uliwonse wa kuvulala kwa bere.
Mafuta akakhala akuvulala kapena afa, pang'onopang'ono angasinthe minofu kapena akhoza kusonkhanitsa ngati madzi mkati mwa mafuta . Mafuta a necrosis sapita ku chitukuko cha khansa ya m'mawere, koma nthawi zina amachititsa ululu wa m'mawere .
Mauthenga ena a fat necrosis - Kuwonjezera pa nkhawa yomwe imapangidwa ndi matenda a necrosis ndi chiwerengero cha mawu omwe amagwiritsidwa ntchito kufotokoza zomwe zikutanthawuza chinthu chomwecho. Mafuta a necrosis angathenso kutchedwa:
- Membranous fat necrosis
- Liponecrosis microcystica calcificata
- Post-traumatic pseudolipoma
Zizindikiro za Breast Fat Necrosis
Malo amtundu wa mafuta a m'kamwa mwanu angamve ngati chotupa chowoneka bwino, kapena ngati chigawo chakuda khungu-makamaka, mtundu womwewo wa zizindikiro zomwe zimakhala ndi khansa ya m'mawere.
Chifuwa chanu chimakhala chowawa kapena chowawa chozungulira pafupi ndi mafuta a necrosis, koma izi siziri choncho nthawi zonse, ndipo nthawi zambiri malo a necrosis ndi opweteka (amatsanzira khansa ya m'mawere.)
Mutha kuwona madzi ena omwe ali pafupi ndi dera lovunda. Nthawi zina, mbozi yako ikhoza kulowa mkati pang'ono, kapenanso khungu lako limatuluka pamwamba pa mtanda wa mafuta a necrosis. Apanso, izi ndi zizindikiro zomwe timauzidwa kuti tiziyang'anitsitsa momwe zingathere zizindikiro za khansa ya m'mawere.
Ngati muli ndi mafuta odzola , akhoza kumva ngati mtanda wosalala komanso wonyezimira, wofanana ndi momwe mphesa zing'onozing'ono zilili pansi pa khungu lanu.
Pa kafukufuku wina pa mawere a mafuta a necrosis anapeza kuti 97 peresenti ikhoza kuzimva (inali yovuta) ndipo magawo awiri mwa atatu aliwonse alibe zopweteka.
Zizindikiro za mafuta a necrosis mu phunziro limodzi anapeza kuti:
- Ziphuphuzi nthawi zambiri zimakhala ndifupipafupi (kuzungulira msuzi) komanso zapamwamba (zimamveka pansi pa khungu)
- Kudandaula kapena kuchitira chifundo kunadziwika 24 peresenti ya tayiyo.
- Kukonza khungu kapena kuchepetsedwa kunadziŵika peresenti 14 peresenti.
- Kuchotsa minofu kunalipo 9 peresenti.
Pambuyo pa chifuwa cha m'mawere mafuta a nkhonois akuwoneka kuti akhoza kuwonjezeka kukula, kuchepa kukula, kapena kukhala chimodzimodzi. Zitha kupitirira zaka kapena zitha kuthetsa kuseri kwa fibrosis ndi ma calcifications (omwe angaoneke pa mammogram.)
Zifukwa za Breat Fat Necrosis
Pali mitundu yambiri ya mafuta a necrosis m'mimba.
Minofu yamatenda m'mimba mwanu imatha kusweka kapena kufa pambuyo pa mtundu uliwonse wa vuto lopweteketsa bere kapena kupaleshoni. Chidziwitso cha m'mawere - kaya ndi singano ya singano kapena chiopsezo chochita opaleshoni - chingayambitsenso mafuta a m'mawere. Mafuta a necrosis angapangidwe pozungulira zinthu zomwe zasokonezedwa m'mawere anu, monga silicone kapena parafini.
Matenda a ma ARV amatha nthawi zina kukhala ndi mafuta a necrosis ndipo akhoza kulakwitsa chifukwa cha kubwerera kwa khansa ya m'mawere. Zikuwoneka kuti ndizofala kwambiri kwa amayi omwe apititsa patsogolo mazira ndi ma radiologists akuyang'ana njira zabwino zowunika izi, kuphatikizapo kugwiritsa ntchito njira yolemba.
Kwa omwe achita opaleshoni ya khansa ya m'mawere, ndizofala pakati pa omwe alandira mankhwala a adjuvant chemotherapy. Mafuta a necrosis akudetsa nkhaŵa kwambiri ndi mafuta ophatikizidwa panthawi yomanganso ndi kusiyanitsa mafuta a necrosis kuchokera ku kubwerera kwa khansa ya m'mawere.
Mafuta a Necrosis Amayambitsa Mabala Ena Achifuwa
Chifukwa chimodzi chimene fat necrosis chingakhale chovuta kuchidziwitsa ndichoti chikufanana ndi ziwalo zina za m'mawere . Masses opangidwa ndi mawere mafuta a necrosis angawoneke ngati zotupa za m'mawere pamatumbo ndi maphunziro ena ojambula. Unyinji ungawoneke wandiweyani, uli ndi mawonekedwe osasinthasintha, malire a spiky, ndi mndandanda wa zochepa . Mafuta a necrosis m'matumbo angawoneke ngati a lipoma kapena a liposarcoma, omwe kawirikawiri amapezeka m'matumbo. Ngati mafuta asanduka madzi, akhoza kuwoneka ngati phokoso la ultrasound. Mawere a necrosis amatha kutengera maonekedwe osiyanasiyana mofulumira, motero mazamu otsogolera azisonyeza kusintha.
Mawere a necrosis amatha kuyambitsa zowonongeka pa PET.
Momwe Chifuwa cha Fat Necrosis Chimazindikiritsidwa
Mafuta a necrosis amawoneka nthawi zambiri ndipo amazimva ngati ziwalo zina za m'mawere. Ngati mukuganiza kuti muli ndi nthenda ya mafuta mumtambo wanu, onani dokotala wanu kapena azimayi anu kuti muwerenge mawere . Muyenera kukhala ndi mndandanda wa ma opaleshoni oyamwitsa komanso posachedwapa kuti muwonetse dokotala wanu. Yembekezerani kutumizidwa kuti mukhale ndi mammogram, omwe angasonyeze misala yowopsya, yopweteka kwambiri yomwe ili ndi mzere wambiri (spiky) m'mphepete mwa mawonekedwe osasintha. N'zosakayikitsa kuti mawere a ultrasound adzabweranso-popeza izi zimathandiza kupeza mafuta opangira mafuta. Ngati palibe chithunzi chokhazikika, chifuwa cha MRI chikhoza kulamulidwa.
Chotsatira cha matendawa chikhoza kufunsa kuti chivomereze mafuta a necrosis chifukwa kufufuza kwa maselo kumakhala kosavuta kwambiri pa chikhalidwe chanu.
Kuchiza Kwa Necrosis ya Mafuta Yachifuwa
Nthendayi iliyonse ya mafuta a necrosis ndi yapadera, kotero mankhwala amasiyana. Ngati mafuta anu a nkhonozi apangidwa posachedwa, kugwiritsa ntchito makina othandizira angathandize kuchepetsa. Pamene mafuta a necrosis amachititsa ululu, ukhoza kugwiritsa ntchito Advil (ibuprofen) ndi aspirin. Ngati ululu wanu uli wovuta, mungafunike kufunsa dokotala wanu mankhwala opweteka a mankhwala.
Nthawi imene nthenda ya mafuta necrosis ndi yaikulu ndipo imayambitsa kuvutika kapena kupsyinjika, ikhoza kuchotsedwa ndi chingwe chothandizira chotsitsimula kapena lumpectomy . Chotupa cha mafuta chikhoza kuthiridwa ndi singano yabwino , kapena akhoza kuchotsedwa opaleshoni.
Ngati mwangoyamba kumene kuvulala kapena kuchitidwa opaleshoni ndipo mukukayikira mafuta a necrosis, yesetsani kutentha komanso kuchepetsa minofu chifukwa mumasamala, nthawi zina matenda amachiritsa ndipo necrosis idzathetsa nokha, koma onetsetsani kuti mukuyankhula ndi dokotala wanu ngakhale ngati zizindikiro zanu zatha.
Pansi pa Mafuta a Necrosis a Chifuwa
Khansara ya m'mawere ya necrosis ikhoza kuopseza amayi ndi vuto kwa madokotala. Izi zinati, kupyolera mukuphunzira zojambula, ndi chiwerengero choyenera ngati inu mukuyenera, inu ndi dokotala wanu mukhoza kutsimikiza kuti mukukumana ndi mafuta a necrosis okha ndipo palibe choipa.
> Zotsatira:
> Adejolu, M., Huo, L., Rohren, E., Santiago, L., ndi W. Lang. Zilonda Zonyenga Kusintha Khansa ya M'thupi pa FDG PET ndi PET / CT. AJR American Journal ya Roentgenology . 2012. 198 (3): W304-14.
> Ayyappan, A., Crystal, P., Torabi, A., Foley, B., ndi B. Kuphwanya. Kujambula Mafuta Amene Ali ndi Matenda a Chifuwa: Pictorial Essay. Journal of Clinical Ultrasound . 2013. 41 (7): 424-33.
> Hikkey, B., Lehman, M., Francis, D., ndi A. Onani. Mazira Amtundu Wachiberekero wa Khansa Yoyamba Yam'mawere. Dongosolo la Cochrane la Zosintha Zogwirizana . 2016. 7: CD007077.
> Kerridge, W., Kryvenko, O., Thompson, A., ndi B. Shah. Mafuta a Necrosis a Chifuwa: Kujambula kwa Pictorial ya Mammographic, Ultrasound, CT, ndi MRI Maphunziro ndi Kugwirizana Kwake. Kafufuzidwe ndi Kafukufuku wa Zamankhwala . 2015. 2015: 613139.
> Taboada, J., Stephens, T., Krishnamurthy, S. et al. Maonekedwe Ambiri a Mafuta a Necrosis m'mimba. American Journal of Roentgenology . 2009. 192 (3): 815-825.