Ona chiremba wako kana iwe uine mazamu anochinja
Munguva yechipfuva kuzviongorora , iwe unogona kuona mazhenje kana kuchinja mukati mako. Kunyange zvazvo izvi zvingave zvinotyisa, zvakakosha kunzwisisa kuti haisi mavhinga ose ane kenza.
Kunyange zvakadaro, kana iwe ukawana bundu, zvakakosha kuona chiremba wako pakarepo. Izvi zvinogona kuva zvakaoma kuziva kana bundu rakanaka kana rakashata , uye kazhinji nzira chete yekuziva nayo ndeyokuti kuburikidza nekuedzwa kwakafanana semammogram, ultrasound, MRI, kana kunyange biopsy (apo muenzaniso webundu yakabviswa uye yakatarisa pasi pekroscope).
Kune vazhinji vane hutano hwakanaka hunogona kuenzanisa kenza yemazamu , kunyange pamigariro yekufungidzira, saka izvi zvinogona kuva nguva yakaoma kusvikira iwe uwana mhinduro dzaunoda.
Kunyange iwe unogona kunge uchinetseka kutora matanho aya kuti uone zviri kuitika muzamu rako, ramba uchifunga kuti kunyange mumamiriro ezvinhu akaipisisa emukenza webonde, mishonga yakawanda inoporesa zvikuru, kunyanya kana yakawanikwa kare.
Ngatitarisei mashoma emhando dzakawanda dzinowanzobatisa (kwete-kenza) mazamu emvere, uyewo zviratidzo zvinoshungurudza uye zviratidzo zvehutano hwemucheche.
Basics pa Breast Cysts
Chifuva cyst inorwara (isina kuipa) gasi-filled filled sac inogona kukura mukati memaviri emvere. Chirwere chepabonde chinowanzoshandiswa uye hachiwanzobatanirwi nekenza yemazamu. Izvo zvinowanzoonekwa kune vakadzi mumakore avo makumi mana (40m) vari kurarama panguva imwechete (nguva yenguva isati yasvika kumwedzi kana mukadzi achirega kuva nenguva), asi inogona kuitika chaizvoizvo panguva ipi zvayo.
Kuumbwa kweBrst Cyst
Chifuva cyst inowanzonzwa inobata uye yakashata. Mune mamwe mazwi, kana iwe uri kuomesa pa cyst, ichave neine vamwe vachipa , sebhokisi remvura. Uyezve, chifuva chekasi chinogona kufamba-famba uye chinogona kuchinja muhukuru panguva yekuenda kumwedzi .
Chirwere chepabonde chinogonawo kuva chinorwadza kana chiri chikuru uye chiri kukurira pane imwe nzvimbo.
Izvozvo zvakati, iwe unogona kungozvinzwa kana kunzwa kurwadziwa kubva kwavari nguva isati yasati yaenda kumwedzi.
Nzvimbo yeBrast Cysts
Chirwere chepabonde chinogona kunge chiri pedyo nechokumusoro, kana mukati mukati, pedyo nehombodo yako. Kana cyst iri pedyo nepamusoro, zviri nyore kuwana uye zviri nyore kusiyanisa kubva kune mamwe mavhinga. Zvisinei, kana iri mukati mukati, zvakanyanya kuoma kusiyanisa kubva kune dzimwe mhando dzemazamu emvere, nekuti kana iwe uchifambisa pairi, iwe uri kuedza chaizvo kushanda kuburikidza nematanda emvere, izvo zvingave zvakaoma uye zvakasimba.
Kuongororodza Cyst
Nyeredzi haigoni kuonekwa nekliniki yepamu kuongorora kana mammogram oga. Panzvimbo pacho, chiremba angangodaro akagadzira chifuva chemazamu, sezvo mafungu emhepo anopfuura nepakati pemvura yakasviba, asi zvinopesana nekukombera mumagetsi akasimba. Munyaya ye cysts yakasimba, miedzo yakawanda, yakadai sedopsy inogona kudiwa.
Muchikamu chekrisiti yakazadza mvura, chiremba angatorawo samuenzaniso ye cyst fluid nekuita zvakanaka nendira inoshushikana nesirin'i. Iyi nzira inobvisa fluid kubva mukati memhepo. Kana iyo cyst inosvibisa ne aspiration uye mvura inenge isiri ropa, ichi chinonzi benign breast cyst. Simba rekuvhara rechifuva, ndizvo zvinowanzoita kuti cyst inopera zvachose kana mvura inenge yadzoka, kuitira kuti iwe usisada kuzvidya mwoyo (kunyange zvazvo maitiro ezvinyorwa ari nyore nguva dzose).
Basics pa Breast Fibroadenomas
Breast fibroadenomas zvipembenene zvine bhenekeri zvinoshandiswa uye zvinowanzobatana uye zvinowanzowanikwa muvakadzi vane makore makumi maviri nemakumi matatu nemakumi matatu, asi zvinogona kuitika chero ipi zvayo. Kunyange zvazvo fibroadenomas ivo pachavo vachirwara, vanowedzera kadzimai yevakadzi yekuita kenza yemazamu mune ramangwana, inenge imwe nehafu yenguva (kana kupfuura) kupfuura mukadzi asina kuchinja muzamu rake.
Fibroadenoma Maitiro uye Nzvimbo
I-fibroadenoma ichanzwa sechitenderera chepfupa uye inowanzosimba. Inogona kutenderera pasi pasi peganda panguva yekuzora kuzvidzivirira.
Fibroadenomas inowanzova pedyo nepamusoro pezamu uye zvino inonzwika nyore, kunyange zvazvo dzimwe dzingave dzisinganyanyi kuderera.
Muchiitiko ichi, fibroadenoma inogona kuwanikwa nenzira inowanikwa mumuviri.
Fibroadenoma Diagnosis uye Kurapa
Bhiopsy inodiwa kuti uongorore fibroadenoma; zvisinei, kunyange neine biopsy, chiremba wako anogona kukurudzira kubviswa kwe fibroadenoma kuti ave nechokwadi zvachose kuti hapana kenza yemazamu (uye kana iripo, kuibata, zvechokwadi). Mukuwedzera kune lumpectomusi, kupisa kwemazuva ano dzimwe nguva kunoshandiswa kugadzirisa fibroadenoma. Iko kune mamwe maitiro emishonga inonzi fibroadenoma zvakare, kunyange zvazvo akawanda aya aya anoshandiswa kudarika kakawanda.
Basics pane Rimwe Breast Lumps
Kune dzimwe mimwe mimwe mitemo inogona kukonzera kushaya simba, precancerous , kana kenza yemazamu. Zvimwe zvezvi zvinosanganisira:
Ductal kana Lobular Hyperplasia
Atypical lobular hyperplasia uye atypical ductal hyperplasia ndiyo mitemo inonzi inonzwisisika. Mune mamwe mazwi, izvi zvipembenene hazvisi kenza, asi zvakanyanya kuwedzera ngozi yokuti iwe unogona kukura kenza yemvere.
Lobular Carcinoma In Situ (LCIS) uye Ductal Carcinoma In Situ (DCIS)
Vose LCIS neDDCIS vane kenza, asi kubvira apo matumire asati avhara kuburikidza nechimwe chinhu chinozivikanwa se "chikamu chepasi," havatorerwi sevanopinda. (Chikamu I kusvika kunechina chekenza yemazamu yose inofungidzirwa isingaiti). Carcinoma in situ inoonekwa sendima 0 kenza.
Adenosis
Adenosis inobata muviri umo kune kuwedzerwa mukati memakondomu emuzamu. Adenosis inogona kukonzera bundu rinonzwa se cyst kana chirwere uye dzimwe nguva zvakaoma kusiyanisa nekenza sezvo inowanzokonzera maverengi pamamamigam.
Phyllodes Tumors
Chirwere chepirllodi chirwere chisina kujairika chinogona kuva chinopisa kana chakaipa. Sezvo bheninedi yepineti inorwara ine tsika yokuva yakaipa, izvi zvipembenene zvinobatwa nenzira yakafanana. Kazhinji zvirwere zvepamuviri zvinotanga mumasero anonzi epithelial cells anoumba marinomas. Kusiyana neizvi, zvipembenene zvepilllodi zvinowanikwa mumasero e-mesenchymal (anogadzirisa masero emasero) uye zviremara zviri chaizvoizvo sarcomas.
Intraductal Papillomas
Intraductal papillomas zviputi zvinotanga mumukaka wemukaka wemukomana uye zvinowanzoonekwa nekuvapo kwechiko chinopera. Kunyange zvazvo zvipembenene izvi zvinowanzonyangadza, kana dziine nzvimbo dzeatypical hyperplasia, dzinogona kunge dzichibatanidzwa nehuwandu hwekenza.
Fat Necrosis uye Mafuta Mafuta
Apo mazamu ari kukuvadzwa nekuvhiyiwa kana kushungurudzika, ruvara ruvara runogona kuitika. Fat necrosis inogona kuitika iyo inonzwa sechinhu chakaoma, kana kuti panzvimbo iyo, mafuta ebenstyst angapinda. Fat necrosis dzimwe nguva inotyisa sezvo, uyezve, inogona kukonzera kubuda kwemazamu uye kutengesa kwemukoti uye ganda, zviratidzo izvo vakadzi vanodzidziswa kuti vatarisire pavanenge vachizviongorora mazamu. Kunyange paPET scan fat necrosis inogona kutevedzera kenza, uye dzimwe nguva biopsy inodiwa kuti ichitaure kusiyana.
Mastitis
Utachiona hwehwamanda, mastitis inowanzoperekedzwa nehutsvuku, kuzvimba, uye kurwadziwa. Dzimwe nguva zvinogona kuva zvakaoma kusiyanisa pakati pemamiti uye kenza yepamuviri yepamuviri , iyo inowanzotanga nehutsvuku, unyoro, uye kukwikwidza, panzvimbo peganda.
Duct Ectasia
Mammary duct ectasia inonyanya kugadzirisa umo mukaka wemukaka wakavharidzirwa uye unoputika, kazhinji zvichikonzera kubuda kwegorosi. Izvozvo zvinogona kukonzera bundu duku riri pasi pemukono wako, uye dzimwe nguva zvinokonzera kuti mbiru idzoserwe mukati. Iko inonyanya kuwanikwa kune vakadzi vanenge vari kumakore ekukwegura kwemwedzi.
Radial Scars
Mavara emhepo ndeyemamiriro ezvinhu asingazivikanwi angave akaipa, anononoka, kana ane kenza. Hazviwanzokonzera bundu raunogona kunzwa asi rinogona kuonekwa semarara pamusana. Uwandu hunobatanidza nehutambo hwehutachiona hwemammogram kazhinji hunopisa uye hunogona kukanganisa kenza. Bhiopsy inowanzodiwa, kunyanya nokuti masero emukenza angave akavhenganiswa nehutachiona hwemazuva.
Zvimwe zveBenign Breast Changes
Lipomas kana zvimwe zvipembenene zvinopisa zvinosanganisira hamartomas , mafupa emvere , hemangiomas, adenomyoeptheliomas, uye neurofibromas dzinogona kuitika.
Metastatic Cancer
Pazviitiko zvisingawanzoitiki, zvirwere zvekenza mune dzimwe nzvimbo dzomuviri, dzakadai sekenza yekoloni kana mutapu wemapapu, zvinogona kuita kuti mutsva wechipfuva uwedzere.
Basics pa Breast Cancer
Kenza yemazamu ibundu rinonyangadza rinoitwa nemasero emhando dzemazamu, asina kukurudzirwa anogona kupararira kune mamwe maitiro kana zvimwe nhengo.
Kuumbwa uye Nzvimbo yeBeti Cancer
Chirwere chinotapira chinenge chisina kumira chichava nechimiro chisina kujeka (kunyange dzimwe nguva chinogona kunge chakakomberedza) nechando chepamusoro, zvakangofanana nebhokisi gorofu. Inowanzova yakaoma zvikuru, sekacheka karoti yakasvibiswa. Inogona kunge isingafambidzwi panguva yekuzvidzivirira mazamu, asi sezvo zvisikwa zvakakomberedza zvingafamba, dzimwe nguva zvakaoma kuziva kana bundu riri kufamba kana kana mhuka dzakapoteredza dzichifamba. Kazhinji kazhinji kenza yemazamu haibatsiri, kunyange kenza yemazamu dzimwe nguva inokonzera kurwadziwa kwepamu , saka kana kana musana wechipfuva uri munyoro haugoni kusimbisa kuongororwa.
Chirwere chepabonde chinogona kuva pedyo nepamusoro kana mukati mukati memvere, pedyo nehombodo. Inogonawo kuitika munharaunda yeArmpit, uko kune mazamu akawanda ("muswe" wezamu). Nzvimbo yakakurumbira ndeyepamusoro, kunze kwechitsiko chezamu, asi chironda chinogona kuitika chero kupi zvako.
Chirwere Chepabonde Kuongororwa uye Kurapwa
Chirwere chetachiona chekuongorora uye mammogram kunogona kubatsira nekuongororwa, asi dzimwe nguva inonzi ultrasound kana MRI inodiwa. Kunyangwe nezvose izvi zvidzidzo zvekufungidzira, zvingave zvakaoma kuziva kana bundu rakanaka kana rakaipa. Bhiopsy inonyanya kudiwa kuti ipe ruzivo rwakawanda pamusoro peganda uye ndiyo nzira chete yekusiyanisa pakati pekenza uye isina-kenza chimiro. Kune nzira dzakasiyana-siyana dzekuita mazamu emvere, kusanganisira nenyuchi bhiopsy, nheyo yepisopi, kana bhiopsy yakasununguka, uye nzira yakanakisisa ichaenderana nenzvimbo yechiremera nezvimwe.
Kurapa kwekenza yemvere kunobva pane imwe nzvimbo yekuongorora. Kunze kwekuvhiyiwa, kurapa kunogona kusanganisira chemotherapy, hormonal therapy, remedy radiation, targeted therapies, kana mishonga mitsva, iyo iri kuongororwa mumakiriniki ekuedzwa.
Shoko Rinobva
Pakupedzisira, kungova necheputi chete kunogona kusiyanisa pakati peganda rekenza kana chirwere chinopesana nehutano hwechifuva kana chironda. Uyezve, zvakakosha kuziva kuti zvimwe zvirwere zvepamuviri-zvakadai semapillomas kana kuti atypical hyperplasia-zvinogona kuwedzera mungozi yevakadzi ekurapa kenza yemazamu munguva yemberi.
> Sources:
> Larribe, M., Thomassin-Piana, J., uye A. Jalaguier-Coudray. Makondombera ezvepabonde ane Rwendo Rwenzira: Kubatana Pakati Pekufungidzira uye Anatomopathology. Kuongorora uye Kufananidza Kufananidza . 2014. 95 (1): 37-46.
> Lehman, C., Lee, A., uye C. Lee. https://www.ncbi.nlm.nih.gov/pubmed/25341156. AJR American Journal of Roentgenology . 2014. 203 (5): 1142-53.
> Valeur, N., Rahbar, H., naT. Chapman. Ultrasound of Pediatric Breast Masses: Chii chaunofanira kuita neLumps uye Bumps. Dhiyabhorosi Radiology . 2015. 45 (11): 1584-99.