Ho potlakile ha bothata ba maloetse a liphatsa tsa mammary ke ka lebaka la keketseho e tsitsitseng ea bothata bona: mafu a tšoaroeng ke benign a fumanoa ka 35-60% ea basali, ka lebaka la ho se tloaelehe ha basali ka tsela e tloaelehileng ho eketseha ho fihlela ho 75-96%. Ho na le maemo a mabeli feela ao phallo e hlakileng kapa e tšoeu e tsoang sefubeng ho nkoa e le ntho e tloaelehileng: ho tsosa takatso ea botona kapa botšehali (marotholi a 2-3 tlas'a orgasm), bokhachane, ho anyesa, matsatsi a 2-3 pele ho qala ho ea khoeling. Maemong a mang kaofela, ho khutsuoa ha motsoako o tsoang meleng ea mammary ke letšoao le tšosang la ho nts'etsa pele ha lefu lena, kahoo le ke ke la hlokomolohuoa.
Anatomy ea sefuba
Mammary gland ke karolo e kopanetsoeng, e leng mosebetsi o ka sehloohong oa ho aroloa ha lebese nakong ea lactation. Tsela e 'ngoe le e' ngoe e na le li-lobe tse 15-20, e arohanngoa ke septa tse tloaelehileng. Li-lobe li na le li-lobules, tse tsoang ho alveoli. Ho tswa ho li-lobe tsohle tse lebang lehlakoreng le e-ea teng, e-ba le li-ducts tsa lebese. Tšelo ea mali ea litšoelesa e etsoa ke methapo ea thoracic - lateral le ka hare, ho boloka boitsebiso ho hlaha ka methapo e mengata e tsoang ho pervus ea mokokotlo. Tete ea thoracic ke karolo e itšetlehileng ka li-hormone, ka lebaka leo tlhahiso ea palo e nyenyane ea sephiri se pontsoeng ke feela ea tlhaho ea tlhaho. Tlhokomelo e lokela ho ba phekolo ea tlhaho, e sa amane le nako ea ho ea khoeling le ho ima, ho tsamaea le maikutlo a bohloko le boima bofubeng.
Tloha sefubeng - lisosa tse hlahelang:
- ho se leka-lekane ha li-hormone, ho apara liaparo tsa ka tlaase tse sa phutholohang;
- ho noa khatello ea kelello;
- mathata a ho kopanela liphate, lefats'e;
- ho beleha, ho ima;
- mekhoa ea ho ruruha ka pampiri ea likokoana-hloko / sebete;
- maemo a hatellang, ho tepella maikutlong;
- nako ea ho ikhula khoeli / khoeli.
Ho tsoa ha sefubeng ho tsoa sefubeng - sesosa
Galactorrhea. E hlaha ka lebaka la ho hlōleha ha li-hormone ho latela mokokotlo oa tekanyo e ntseng e eketseha ea li-hormone tsa prothectine tsa botona le botšehali, e leng se lebisang ho tlhahiso e feteletseng ea metsi a mosoeu ho tloha litulong tsa mammary. Ho ea ka matla a phekolo, likhase tse 'nè tsa galactorrhea li ikemiselitse: ho tsoa ha sefuba ho tsoa sefubeng ho bonahala ha ho hatelloa ke marotholi, marotholi a bobeli a lekanngoe a arotsoe ka boomo, ho lokolloa ha boraro ho ikemetseng, ho hlahisa ho hongata haholo. Lisosa tsa galactorrhea: li-neoplasms tsa hypothalamus, li-pituitary tumor, li-ovarian / adrenal gland pathologies, ho hlōleha ha hepatic / renal. Lipontšo tse khotsofatsang: li-acne, li fokotsehile libido, ho tlōla ha nako ea ho ea khoeling.
Mastitis. Lefu la sefuba sa mafu a tšoaetsanoang a tšoaetsanoang. Setšoantšo sa kliniki se bonahatsoa ke keketseho ea mocheso oa 'mele ho ea ho likhato tse 39-39.5, ho ruruha le ho hlomoha ha litšoelesa tsa mammary, khubelu ea letlalo, likheo tse tšoeu / tsa purulent ho tswa ho li-nipples. Ha mokhoa ona o ntse o tsoela pele, lefu lena le fetela karolong ea abscessing, e ka lebisang mathata a tebileng.
Ho tlosoa ka ntle ho sefubeng - lisosa
Ectasia ea maqeba a lebese. Ho atolosoa ha maqeba a lebese le ho ruruha ha bona ka ho eketsehileng ho etsa hore ponahalo ea phallo e hlahisoe ka sefubeng, bonolo ho li-armpits le liphatsa tsa mammary. Ts'ebetso ea ts'ebetso ena e mpefatsa boemo - lihlopha li fetoha tse tsitsitseng le tse teteaneng, fumana lesela le sootho / le tala.
Ho ba le mekhoa e metle ea ho se tsotelle. Ke boloetse bo sebetsang ba 'mele, bo iponahatsang e le liphetoho tse ngata tse tloaelehileng le tse feteletseng (ho ruruha) liphatseng tsa maotong a sefuba ka ho tlōla tekanyo ea likaroloana tse sebetsang le liphatsa tsa lefutso. Kotsi ea ho hlaolela lefu lena e eketseha ka ho ba teng ha lesea le ho ima, ho ima, ho ntša mpa, ho ba le bokhachane pele ho bokhachane, ho fepa nako e khutšoanyane / nako e telele (selemo kapa ho feta).
Thrush + intestinal dysbiosis. Disbacteriosis e bakoa ke: lithibela-mafu tse sa laoleheng, phekolo ea li-hormone, phepo e sa lekaneng, mafu a sa foleng a sa foleng, a fokolisa likarabo tsa 'mele oa' mele. Matšoao a matšoao: setulo (ho itšitisa, letšollo), ho senya, ho se hlole ho e-ba le bothata (ho hlatsa, ho nyeheloa ke pelo, litsela), matšoao a tahi (ho robala, ho fokola, mokhathala o potlakileng). Haeba lesea le entsoeng ka maleng le hlaha ka lebaka la tšoaetso ea tomoso, lefu lena le ka iponahatsa e le ho tsoa ha sefuba.
Ho ruruha ha mae a bomme (oophoritis). Mokhoa o amang li-mae a bomme le li-tublopian tubes. Likokoana-hloko tsa lefu lena ke baemeli ba maemo a pathogenic microflora (E. coli, streptococci, staphylococcus, gonococci). Ka ho ruruha, tšoaetso eo e ata butle-butle ho tloha kahare ea uterine ho ea ho li-tublopian tubes le mae a bomme. Bokooa ba nako e telele bo iponahatsa e le ho tlōla ha nako ea ho ea khoeling, ho opeloa ka mpeng / ka botong, ho tsoa habonolo ka nakoana ho tsoa sefubeng le botšehali.
Kotsi ea mokokotlo oa mammary. Ho sithabela ho koaletsoe / ho senya litho tsa maotong a sefuba le ho thehoa haematoma. E ka tsamaea le likhopo tse robehileng, sefuba se senyehileng. Mosali o amehile ka ho ruruha le ho opeloa ka sefuba, ha ho e-na le tšenyo ea maqeba a lebese - phekolo ea ponahalo ea ponahalo ea mali.
Kamohelo ea lithethefatsi tsa hormone. Tlhahiso ea litšoelesa tsa mammary, liphetoho mesebetsing ea tsona nakong ea botona ba botona kapa botšehali, nakong ea bokhachane e hlaha tlas'a tšusumetso ea li-hormone, ho na le liphetoho leha e le life tse fokolang likokoana-hloko tsa mesifa ea mammary. Ho fapana le bothata ba nako e telele ea kamohelo ea lithibela-pelehi, litekanyetso tsa estrogen le prolactine li ka eketsa ka matla, tse lebisang ponahalong ea phallo e hlakileng.
Tloha litulong tsa mammary - se ke keng sa etsoa:
- sebelisa mocheso. Tšebeliso ea libaka tsa ho futhumatsa kapa ho halefa hamonate ho ka eketsa ho ruruha 'me ho mpefatsa boemo bo tloaelehileng haholo;
- ho tšoaroa ka thuso ea litlhare tsa batho;
- Khothalletsa hore u bala
- ho nka li-hormone Ke feela ngaka e ka fanang ka lithethefatsi tsa li-hormone ho qoba ho phalla ha li-hormone tsa ho kopanela liphate le ho thibela tšoaetso, hafeela ho eletsoa ho kenyelletsa lithethefatsi tsena mokhoeng oa phekolo.
Ho tsoa ka sefubeng - ho hlahlojoa le ho phekoloa
Tlhaloso leha e le efe e sa tloaelehang e tsoang litulong tsa mammary ke ketsahalo ea ho buisana le setsebi sa 'mele. Ho lemoha maemo a lefu la sefuba ho itšetlehile ka tlhahlobo ea bona, palpation, ultrasound, mammography, ho pepesa libaka tsa mathata, ho hlahloba cytological. Tlhahlobo ea bokhachane e etsoa karolong ea pele ea potoloho (matsatsi a 2-3 kamora ho fela ha nako ea ho ea khoeling), hobane kotsing ea liphoso tsa ho hlahloba e eketseha karolong ea bobeli ka lebaka la ho laoloa ke litšoelesa.
Mehato ea ho hlahloba:
- tlhahlobo / palpation. Tlhahlobo ea ponahalo ea litšoelesa tsa mammary e etsoa (ho se be teng / ho ba teng ha asymmetry, boemo ba li-nipples, lebala la letlalo). Karohano e etsoang sebakeng se emeng le ho bua leshano ka morao, ka nako e le 'ngoe e ka tšoaetsanoang ke li-lymph nodes, li-subclavia le axillary;
- Ultrasound. Tsela e kotsi le e rutang ea ho etsa lipatlisiso, e lumellang ho lemoha methapo ea litšoelesa tsa mammary (cysts, tumor);
- mammography. Litšoantšo tsa mahlaseli a mammary, a etsoang ka litekanyetso tse peli. Mokhoa ona o ka tšeptjoa haholo (ho fihlela ho 95% ka oncology, ho fihlela ho 97% ka ho se tsotelle). Litlhaloso: ho ima, lactation, lilemo tse ka tlase ho lilemo tse 35.
Kalafo e etsoa ho nahanisisa ka lilemo tsa mokuli, sebōpeho sa lefu lena, mokhoa oa ho ilela khoeli, thahasello ea ho thibela pelehi / ho boloka mosebetsi oa ho ikatisa, ho se be teng / ho ba teng ha likhohlano tse amanang le mafu le li-endocrine. Mekhoa ea ho itšireletsa: phekolo ea hormone, vitamin therapy, phytotherapy, physiotherapy.
Ho tsoa ka sefubeng ho tšoeu kapa ho ponahalo ke letšoao le kotsi le hlokang hore ho hlahlojoe ka hloko le kalafo. Litšoelesa tsa mammary ke karolo ea bohlokoa ea mokhoa oa ho ikatisa, kahoo boemo ba bona bo lokela ho tšoaroa ka hloko - sena se tla thusa ho sireletsa bophelo ba basali ka nako e telele le ho ntlafatsa boleng ba bophelo haholo.