ʻO ka pilikia o ka pilikia o ka mammary maʻi āpau ka hopena o kēia maʻi: uaʻikeʻia nā maʻi o ka maʻi maʻi ma 35-60% o nā wāhine, ma ke alo o nā meaʻinoʻole o ke kinikōlani a piʻi ka piʻiʻana i 75-96%. ʻEhā wale nō kūlana kahi iʻikeʻia ai ka hoʻomaʻemaʻe a iʻole keʻokeʻo mai ka pahu mai i keʻano maʻamau: hoʻoulu wahine (2-3 mau iho i lalo o ka hopena), ka hāpai, ka hānai, 2-3 mau lā ma mua o ka hoʻomakaʻana o ka male. I nā hihia'ē aʻe,ʻo ka hoʻonaninanaʻana o ka wai mai ka'ōmato mammary he hōʻailona hōʻailona e hōʻike ana i ka uluʻana o ka maʻi, no lailaʻaʻole hiki ke nānāʻia.
ʻO Anatomia o ka umauma
ʻO ka'ōmaʻa mammary he'ōpili hui pūʻia,ʻo ka hana nui o ka maheleʻana o ka waiū i ka wā o ka lactation. He 15-20 mau lobes i kēlā me kēia āpau, i hoʻokaʻawaleʻia e ka septa kiko pūnaewele. ʻO nā lobes nā lobules, ka mea hope mai ka alveoli. Mai nā lobes a pau i ka heleʻana o ke kuʻi e hele i nā waiū waiū. Hāpaiʻia ke koko o ka momona e nā'alekiuma - ma keʻoki a me ka loko, hiki i ka lono ma waena o nā aʻalolo pīpīpika mai ka plexus pēpē. ʻO ka'ōpūʻokoʻa he hormone e pili ana i nā'ōpū, no laila,ʻo ka hanaʻana i kahi mea liʻiliʻi loa o ka'ikelala māmā, he physiological wale nō ia. Pono e mālama i ka hoʻoponopono āpau,ʻaʻole e pili ana i kaʻaneʻane a me ka hāpaiʻana, me nā manaʻoʻeha a me ka kaumaha ma ka umauma.
Hoʻoihoʻia mai ka pahu - nā kumu hana mua:
- ka nele i ka hormonal, me ka lole lole hōʻoluʻoluʻole;
- lawe i na antipope;
- nā kūkino pili kino, ka predisposition āpau;
- ka hānau, hāpai;
- nā papahana inflammatory i ka biliary tract / hānai;
- nā pilikia, ka hopena pinepine;
- ka manawa o ka menopause / malearche.
ʻO kaʻili momona mai ka pahu - nā kumu
ʻO Galactorrhea. Ke hana nei ia ma muli o ka hōʻinoʻiaʻana o ka hormonal i ke kumu o ka piʻiʻana o ka hormone prolactin wahine, e hiki ai i ka puka nui o ka wai keʻokeʻo mai nā'āpana mammary. E like me ka ikaika o ka hoʻokuʻuʻana,ʻehā kūkelē o ka galactorrhea i hoʻoholoʻia:ʻo ka puka mua - mai ka pahu i ka wā e kaomi ai i ke kuʻi, ua hāʻawiʻia ka hapalua o nā'ōmoleʻelua,ʻo ka hoʻokuʻu kūʻokoʻaʻekolu o ka ikaika nui,ʻo ka hāhā keu loa. ʻO nā kumu o ka galactorrhea: nā neoplasms o ka hypothalamus, ka maʻi pituitary, nā maʻi o ke kino o ke kino, ke kino kīnā. Hōʻike Kūkākūkā:'ākihue, ho'ēmi libido, hōʻino i nā'elā.
Mastitis. ʻO ka maʻi o ka umauma o ka maʻi pilikino. ʻO ke kiʻi o ka hoʻolālā uaʻikeʻia e ka hoʻonuiʻia o ka mahana o ke kino a 39-39.5 degrees, ke kūpikipiki a me kaʻeha o nā moma momona, kaʻulaʻula o kaʻili, keʻokeʻo keʻokeʻo / palekana mai nā nipples. Me ka holomua o ke kaʻina hana, ua komo ka maʻi i loko o ka wā'ōkuhi, a hiki i ka pilikia nui.
ʻO ka unuhiʻana mai ka pahu - nā kumu
ʻO ke kino o nāʻauwai waiū. ʻO ka hoʻonuiʻana o nā waiū waiū me ko lākou hoʻonā hou e hoʻonanea i ka puka o ka wehe i waho o ka pahu, kaʻoluʻolu i loko o nā'āpana a me nā kēpau mammary. ʻO ka hoʻonāʻana o ke kaʻina hana e hōʻemi i keʻano - ua lilo nā'āpana i'ōleʻa a lahilahi, e loaʻa i kaʻaʻahuʻeleʻele /'ōmaʻomaʻo.
ʻO ka mastopathy pa'ū. He fibro-cystic kahuma, e hōʻike ana iā ia iho he loli holoʻokoʻa holoʻokoʻa a me ka hoʻonui (inflammatory) i nā mea o ka umauma me ka uhaki i keʻano o nā mea pilikino a me nāʻano epithelial. ʻO ka pilikia o ka hoʻonuiʻana i kēia maʻi e hoʻonui ai i ka hānauʻoleʻana a me ka hāpaiʻana, hāpai i ka hānauʻana, ke'ōmua o ka hānau mua, ka wā umauma me ka wā lōʻihi (i hoʻokahi makahiki aʻoi aku paha).
ʻO ka dysbiosis pūpū. ʻO ka disbacteriosis ke kumu o nā'alopero kipiʻole, ka hopena hormonal, ka ponoʻole o kaʻaiʻana, nā maʻi kūlohelohe / maʻi āpau, e ho'ēmi i ka pane o ke kino. Nā hōʻailona maʻamau: stool (constipation, diarrhea), bloating, abnormalities dyspeptic (vomiting, nausea, eructation), signs of intoxication (insomnia, weakness, fast fatigue). Inā loaʻa ka maʻi dysbacteriosis i ka hope o ka maʻi lewē, hiki i ka maʻi ke hōʻike iā ia iho ma waho o ka umauma.
Ke puhiʻana o nā ovaries (oophoritis). ʻO ke kaʻina hana e pili ana i nā ovaries a me nā pullopian tubes. ʻO nā maʻi o ka maʻi, he mauʻelele o ka microflora pāʻani āpau (E. coli, streptococci, staphylococcus, gonococci). Me ka'ālana, nui ka palahalahaʻana o ka maʻi i ka pūpū i nā kolo a me nā ovaries. Hōʻikeʻia nā'ōpili o ka honua e like me ka hōʻehaʻana i ke kūlana o ka manawa, kaʻehaʻeha ma ka piko lalo / i loko o ka'ōpū, iʻole ka hoʻomaʻemaʻe o ka pahu a me ka uhi.
Ka hopena o ka momal. Hoʻopili ka lawaiʻa / wehe i nāʻupena o ka umauma me ka hoʻokumuʻana i kahi hematoma. Hiki iāʻoe ke hele pū me nā naluʻeha, ka umauma'ōpū. Ke hopohopo nei ka wahine no ka pihi a me kaʻeha i loko o ka umauma, i ka wā e hōʻinoʻia ai nā waiū waiū - me kaʻoluʻolu kūpono me ka iniʻana i ke koko.
Ke komoʻana i nā lāʻau'alomolo. ʻO ka hoʻomōhalaʻana i nā māmā mamakua, ke hoʻololi i kā lākou mau hana i ka makahiki o ka'ōpiopio, i ka wā o ka hāpaiʻana, aia ma lalo o ka mana o nā hormones, nā hanu i loko o ke kaulike e hoʻonāukiuki ai i nā meaʻino o ke kino o ka mammary. Ma muli o ke kūlana o ka lōʻihi o ka hōʻailona o ka hana waha, hiki ke hoʻonui nui i ka'enerogeneene me ka prolactin, a me keʻano o ka weheʻana i waho o ka pahu.
Hoʻoihoʻia mai nā'āpana mammary -ʻaʻole hiki ke hanaʻia:
- hoʻohana i ka wela. ʻO ka hoʻohanaʻana i ka wai wela maʻemaʻe a me nā wāwae wela e hiki ai ke hoʻonā i ka mumū a hoʻonui loa i ke kūlana;
- e mālamaʻia me ke kōkua o nā hōʻailona;
- hoʻoulu / kuhi i nā mea huna;
- Lawe i nā hormones wale nō ka mea lapaʻau e hiki ke hoʻoholo i nā lāʻau'alomoni e hoʻokuʻu i nā'ōpiopio i nā himonia a me ka paleʻana i ka hanuʻana, aia naʻe he mea pono e hoʻokomo i kēia mau lāʻau lapaʻau i loko o ka hoʻolālā kino.
Ke weheʻia mai ka pahu - hōʻoia a me ka lāʻau hoʻomalu
ʻO ka weheʻoleʻana o nā mea maʻamauʻole mai ka'āpana mammary he kumu no ka kūkākūkāʻana me ka mammologist. ʻO ka hōʻailona o nā maʻi pilikino o ka umauma e kauʻia ma kā lākou ninaninauʻana, palpation, ultrasound, mammography, puncture o nāʻano pilikia, keʻano noiʻi cytological. E hanaʻia ka nānaka i loko o ka mahele mua o ke kaʻina (2-3 mau lā ma hope o ka pauʻana o ka menestrua), no ka mea ua piʻi ka pilikia o nā hewa diagnost i ka lua o ka hopena no ka loliʻana o nā kēpau.
Nā mea hōʻailona:
- nānā / palpation. ʻIkeʻia kaʻikeʻana o nā kēne mammary (keʻole / ka heleʻana o ka pani, kahi o nā nipples, kaʻili o kaʻili). Hōʻikeʻia ka papaʻana i kahi kū kū a me ka moeʻana ma ke kua, palpable ma ka manawa like me ka supraclavicular, subclavian a axillary lymph nodes;
- 'Ohanahana. Ke kaʻina hana noiʻi kūpilikiʻi aʻikeʻole, eʻae ana eʻike i nā neoplasms o nā māmā mammary (nā kupa, nā pūpū);
- mammography. ʻO ke kamepiula o nā namo mammary, kahi i hanaʻia ma nā'ōkuhiʻelua. ʻO ke ala kūpono loa ia (a hiki i 95% me ka'ikekike, a hiki i ka 97% me ka mastopathy). Nā kuhiakau: ka hanuʻana, ka lactation, nā makahiki ma lalo o 35 makahiki.
Hanaʻia keʻano o ka mālamaʻana no ka makahiki o ka mea maʻi, keʻano o ka maʻi, keʻano o nā mea kūponoʻole i ka manstrual, ka hopena i ka hana kuʻuna / mālamaʻana i ka hana hānau, ka heleʻole / kahi o nā maʻi hauʻoli a me nā maʻi endocrine. Nāʻano Conservative: hormone therapy, ka lāʻau hua'anāʻau, phytotherapy, physiotherapy.
ʻO kaʻulaʻula mai ka poho mai ka pahu mai he hōʻailona maʻamau paha e pono ai ke nānā pono a me ka lāʻau. ʻO ka māmā mamakua he hapa nui o ka'ōnaehana hānau, no laila e mālama ponoʻia ko lākou kūlana - e kōkua kēia i ka mālamaʻana i ke olakino o nā wāhine no ka manawa lōʻihi a maikaʻi ka hoʻomaikaʻiʻana i ka maikaʻi o ke ola.