Kurapa Nzira Dzokubata Nebonde Fibroadenoma
Mafuta epa fretenenomas anoitwa sei? Pane tariro here kuti vachadzoka? Uye vanogona here kuwedzera mukana wekuti uve nekenza yepazamu? Kunyange zvazvo vasiri kenza yemazamu, fibroadenomas inonyanya kubudisa kana isiri iko inorwadza. Kunyanya vanogona kunge vakavhiringidzika paunenge uchiedza kuita zvidzidzo zvako zvezamu. Ngatitarisei nzira dzokurapa dzekutora kubvisa fibroadenomas kuitira kuti ugone kushanda nachiremba wako kuti uite chisarudzo chakanaka pamusoro pezviito zvako zvinotevera.
Overview
Breast fibroadenomas haisi mishonga yemazamu isingave nekenza iyo yakaumbwa ne stroma (fibruous connective tishu inotsigira gland mammary) uye adenosis (lobes yakagadzira hyperplasia).
Fibroadenomas inogona kunzwika mukati mezamu rako rega roga roga kudziongorora uye richaratidza pamammograms uye ultrasound. Vakadzi vane makore makumi maviri kana makumi matatu kana makumi matatu vanogona kunge vachikudziridza mazamu fretenenoma, iyo inogona kukura zvikuru panguva yekudzivirira kana kunwisa (lactation.)
Aina
Kune mhando mbiri dzakasiyana dze fibroadenomas uye zvakakosha kusiyanisa pakati peizvi pakusarudza nzira dzakanakisisa dzokurapa. Vanhu vanowanzobvunza kuti kana vane fibroadenoma inowedzera dambudziko rekuita kenza yemazamu. Neine mhando dzakawanda, mhinduro yacho kwete. Marudzi e fibroadenomas anosanganisira:
- Zviri nyore. Mazhinji fibroadenomas ndiwo mhando dzakasarura-kazhinji kacho chimwe chete chazvo chiri muchifuva chako, ine mhedziso chaiyo uye masero akafanana kwazvo. A simple fibroadenoma haina kukonzera njodzi yekenza yepazamu .
- Complex. Flexroadenomas yakawanda haina kufanana, uye pavanenge vane ruzivo rwakajeka, ndizvo zviri mukati memhando iyi ye fibroadenoma inoita kuti ive yakasiyana. Fiberenoma inorema haizotaridzi yakarongeka uye yunifomu seye nyore fretenenoma. Kunyange zvazvo fibroadenomas yakakomba isingave nekenza, inogona kunge ine chests zviduku duku, calcifications , yakawedzerwa mazamu, mapillomas uye marudzi akasiyana e hyperplasia. Apo inypical hyperplasia inosvika, zvakadaro, inogona kukonzera njodzi yako yekuve nekenza yengema.
Kuziva
Bhuku reFinretenenoma rinowanzonzwa kunzwa rakanaka, rakasimba uye raibharira. Inogona kufamba mukati memukati mako kana iwe uri kuita mazamu ako kuzviongorora, uye hazvikwanisi kunzwa uchinetseka kana unhu. Zvizhinji zvezvipembenene zvinotapira zviri pakati peyendimita imwe nehatu (½ kusvika 1 ½ inches), asi imwe inogona kukura yakareba seyendimita mashanu (inenge 2½ inch inches).
Radiologist yako ichakwanisa kuona fibroadenoma pakuongorora kwako mammogram , uye inonzi ultrasound ichabatsira kusiyanisa kubva kune cyst-filled filled cyst. Asi nzira yakanyatsojeka yekutarisa kufungidzirwa kwe fibroadenoma ine nhengo yehadzi yebonde .
Chenjedzo
Zvakakosha kuratidza mazano mashoma ne fibroadenomas. Izvi zvipembenene zvinotapira zvinowanzoonekwa kuvakadzi vasati vava nemakore makumi matatu nemashanu. Muvakadzi vakwegura kune makore makumi matatu, chirwere chekujekesa chinonyanya kukosha. Chifuva chechifu ndeimwe nzira yekuita izvi, kunyange chidimbu chechifu chinongoridza imwe chikamu cheganda. Isu tinoziva kuti mazamu akawanda emvere, zvose zvinokonzera bonde uye kenza zvinokonzera. Izvi zvinoreva kuti masero ari mune chimwe chikamu chechirwere angave akasiyana kune avo vari mune imwe chikamu chechirwere. Pakave nezviitiko umo bhaopsy yemvere yakaratidza fibroadenoma, asi mushure mokusunungurwa, apo chironda chose chichiongororwa nechirwere chekare, kenza yakave iripo zvakare.
Mishonga
Kana chiremba wako agutsira kuonekwa kwefiberroadoma, kune maitiro akasiyana-siyana akasiyana ekurapa anowanikwa. Izvi zvinongoratidzira maitiro kubva kungocherechedza fibroadenoma, kune lumpectomy. Pane zvinhu zvakawanda zvinogona kuchinja sarudzo yako yekurapa. Chimwe ndechokuti iwe une fibretenenoma iri nyore kana yakaoma. Zviratidzo zvako zvinokosha zvakare. Uri kunetseka here? Kana, pane kudaro, uri kunyanya kushungurudzika pamusana pokushamisika kana iwe uri kushayikwa chimwe chinhu. Zvamunonzwa manzwiro zvinokosha sezvamunofunga mumuviri kune zvizhinji.
Iva nechokwadi chokuti chiremba wako anonzwisisa zvauri kutarisana kuitira kuti iwe uri papeji imwe chete. Usati zvose zvakanaka zvakanaka kuenda kumba uye kunetseka. Mishonga yekurapa inosanganisira:
- Tarisa uye kumirira ndiyo imwe nzira. Sezvo fibroadenomas haisi nguva dzose inonetsa uye dzimwe nguva ichizvidzivirira pachavo, kungozvichengetedza kuenderera mberi kwavo inzira inopedzisira isingaiti yekuita nayo.
- Lumpectomy , kana kubviswa kwekuvhiya kwe fibroadenoma, kunogona kuitwa kana iwe unonetseka nezvekuchengeta mukati mako. Zvichienderana nehukuru hwechigunwe ichi uye chifuva chako, lumpectomi inogona kuchinja shanduko yako yepese kana maitiro. New fibroadenomas inogona kukura munharaunda yekutanga bundu, saka iwe unofanira kuziva kuti kuvhiyirwa haisi chivimbo chokuti hauzombovi neimwe fibroadenoma. Kune rumwe rutivi, fibroadenoma yako inogona kunyatsoongororwa nebazi rehutano kuti ione kuti chirwere chacho chakarurama (bhiopsy haisi 100 muzana inobudirira pakuita kuti uongororwe sezvo inongoratidzira imwe chikamu cheganda) uye kenza yemazamu inogona kuva akatonga kunze.
- Laser ablation inzira isiri yekuvhiya yekubvisa fibroadenoma. Muhofisi yako yechiremba, sarudzo inotungamirirwa ne ultrasound inoshandiswa kuparadza fibroadenoma, ichisiya tsanga shoma shoma, kwete sutures, uye hapana kuchinja muhutu hwemvere. Hapana hune anesthesia inofanirwa hunodiwa uye inogona kuitwa seimwe zuva-chirwere chekuvhiya.
- Cryoablation inzira inokurumidza, inobudirira yekukanda fiberroadoma . Muhofisi imwe yekushanyira, cryoablation inosunungura bundu kuitira kuti mishonga ine utano inogona kutora. Iyi nzira inotora pasi pemaminitsi makumi matatu uye inoguma mucheka kadiki.
- Rediofrequency ablation (RFA) kubviswa kwe fibroadenomas imwe nzira yokutora bundu risingadiwi kubva muchifuva chako usingashandisi ku-lumpectomy. Kushandisa anesthesia yemunharaunda uye utungamiri hwe ultrasound, 6 kusvika kune masere-millimita yakagadzirwa pamusoro pe fibroadenoma. Nenzira iyi yakagadzirwa, wandinoshandisa chirwere inosungirirwa ndokusungirirwa nebanga rinopisa nehuwandu hwemazuva ano. Izvi zvinobatsira kudarika nhengo dzemazamu pasina kukonzera kubuda ropa. Kana inosvika pakatarisana, zviduku zviduku uye zvombo zvebhobhoti zvinotora fibroadenoma uye inoitora.
- Mafupa emapfupa emapfupa ehurumende anogona kushandiswa senzira isina kunaka yokubvisa fibroadenomas. Mumaminitsi masere, uye pasi peanesthesia yemunharaunda, matanhatu-millimita (1/4 inch) yakagadzirwa pamusoro pe fibroadenoma. Zvadaro ne ultrasound mutungamiri, probe yeMammome inosungirirwa mucheka, iyo inoputika zvikamu zvemuviri. Kudzoka kunokurumidza uye ruvara rwako ruchava ruduku.
- High-frequency inotarisa ultrasound (HFU) ine mushandisi mutsva iyeyo wave uchishandiswa fibroadenomas, uye dzimwe nguva, kunyange nekenza yengema. HFU inogona kunge inokonzera kuparadza kusarura kwemasvosve akadzika kunze kwekukuvadza mhuka dzakapoteredza.
- Mishonga yeHomeopathic yakashandiswawo kudzivirira kana kubata mazamu fretenenomas, kunyange kune zvishoma zvidzidzo zvinodzorwa zvakatarisa maitiro aya. Herbal tonics, teas, mafuta, mapiritsi anonzi homeopathic ave achishandiswa mumitambo yekare nokuda kwefibertraomas. Mhepo inopisa yemvura, mafuta e-castor, kana ginger tea yakaedzwa zvakare, nokuda kwekusunungurwa kwemazamu okunyorova izvo zvingave kana zvisingaiti nekuda kwe fibroadenoma. Zvakakosha kuziva kuti pasina biopsy, uye zvichida kubviswa kwe fibroadenoma, pane nguva dzose mukana wekuti kenza yepamu inogona kushaikwa, uye naizvozvo kurapwa kunonoka.
Shoko Rinobva Pamusoro Pokurapa Ongororo yeFibroadenomas
Zvakajeka kubva pane zvakasarudzwa zvekurapa pamusoro pekuti kune nzira dzakasiyana-siyana dzekurapa mazamu fibroadenoma. Fibroadenomas dzakasiyana zvakasiyana, uye izvi zvinogona kunge zvakagadzirisa zvimwe zvezvakasiyana-siyana.
Kazhinji, mafetenenas akawanda haawedzeri ngozi yokuti iwe uchakura nekenza yemazamu, kunyange zvisingawanzoitiki zvakanyanya fibroadenomas zvinogona kusanganiswa nehuwandu hwehutano. Mamwe "mashizha" angavewo akabatanidzwa kwehutano humwechete, somuenzaniso, fibroadenoma pamwe nekenza yemazamu, uye izvi zvinofanira kuchengetwa mupfungwa.
Nzira chete yekuwana kugadziriswa kwekuzivikanwa kwefiberroadenoma ine mazamu emvere. Kunyange zvazvo izvi zvichigona kukonzera kushungurudzika, zvinogonawo kuva nzira yakanakisisa yekuderedza kuzvidya mwoyo zvakare, sezvo ruvara rwekuongorora runogona kukuvimbisa zvauri kuita chaizvoizvo.
Ramba uchifunga kuti kune marudzi akawanda emakumbo emvere, imwe chete yaro ndeye fibroadenoma. Kana iwe uine bundu ramazamu, kunyange iwe unofunga kuti ndeye fibroadenoma chete, ita kuti iongorore. Izvo zviripo, zvinosuruvarisa, vanhu vazhinjiwo vakadzingisa bundu rehadzi se "sega" fibroadenoma, chete gare gare kuti vazive kuti ivo vaive nekenza yepabonde.
> Sources:
> Cavallo Marincola, B., Pediconi, F., Anzidei, M. et al. High-Intensity Focused Ultrasound in Breast Pathology: Isingaiti-Inoshandiswa Kuchengetedzwa kweBenign uye Malignant Zvipembenene. Kuongorora Ongororo Yezvipatara Zvirwere . 2015. 12 (2): 191-9.
> Li, P., Xiao-Yin, T., Cui, D. et al. Kuongororwa kweKuchengetedzwa uye Kubudirira kweAradical Radiofrequency Ablation yekurapa Multiple Breast Fibroadenoma. Nhoroondo yeCancer Research uye Therapeutics . 2016. 12 (Kuwedzera): C138-C142.