Kodi munamvapo kanthu kena ngati chotupa chaching'ono m'bere mwanu? Ndizachibadwa kumva mantha pang'ono zikachitika, eti? Anthu ambiri amaganiza kuti, "O, kodi iyi ndi khansa?" Koma, kodi mumadziwa kuti si zotupa zonse zomwe zimamera m'mawere ndi khansa? Lero tikambirana za chinthu chomwe akazi ambiri amakula, koma sichimawopsa kwambiri, koma ndichofunika kudziwa. Ndicho '(Breast Cysts)', kapena monga momwe timanenera mu Chisinhala, za zotupa za m'mawere.
Kodi Chifuwa cha M'mawere N'chiyani?
Mwachidule, `(Breast Cyst)` ndi thumba laling'ono, lodzaza ndi madzi lomwe limapangika mkati mwa bere lanu. Izi si matenda a khansa (ndi `(Osaopsa)`). Amapangika pamene njira zotulutsira mkaka m'bere lanu zimakhala zopanda kanthu, ndipo malo opanda kanthuwo amadzaza ndi madzi. `(Cysts)` ena ndi ang'onoang'ono kwambiri ndipo sangamve. Komabe, ena amatha kukula mpaka mainchesi angapo. Akakula choncho, mumatha kuwamva ndipo nthawi zina angayambitse kusasangalala. N'zotheka kuti ma cyst angapo awa apangidwe m'bere limodzi kapena onse awiri, kapena m'magulu.
Chofunika kwambiri ndichakuti `(Matenda a m'mawere)` awa asakuwonjezereni chiopsezo chanu chokhala ndi khansa ya m'mawere. Ndipo sasintha kukhala matenda ena akuluakulu pakapita nthawi. Choncho musamachite mantha mosayenera, chabwino?
Vutoli nthawi zambiri limapezeka mu:
- Kwa akazi azaka zapakati pa 35 ndi 50.
- Kwa akazi omwe akupitirizabe kusamba mwezi uliwonse (`(Premenopausal)`).
- Azimayi omwe asiya kusamba koma akumwa mankhwala a mahomoni (HRT) (Postmenopausal therapy).
Kodi pali mitundu yosiyanasiyana ya ma cysts a m'mawere?
Inde, pali mitundu itatu ikuluikulu ya zotupa za m'mawere. Tiyeni tiwone zomwe zili.
1. Chotupa cha m'mawere chosavuta
Izi ndi mitundu yofala kwambiri, yomwe imapanga pafupifupi 90% ya ziphuphu zonse za m'mawere. Zimadzaza ndi madzi. Sizimayambitsa khansa. Palibe zinthu zolimba mkati mwa ziphuphuzi, ndipo khoma la chotupacho ndi losalala kwambiri.
2. Chotupa cha m'mawere chovuta
Mitundu iyi ya ziphuphu ikhoza kukhala ndi ziwalo zamadzimadzi komanso zolimba. Pafupifupi 20% ya mitundu iyi ya ziphuphu ili ndi mwayi wokhala khansa ya m'mawere. Chifukwa chake, ngati muli ndi chotupa chonga ichi, dokotala wanu nthawi zambiri amatenga chidutswa cha minofu ndikuchitumiza kuti akachiwone. Kenako mutha kudziwa motsimikiza ngati ndi khansa kapena ayi.
3. Chotupa cha m'mawere chovuta
Mitundu iyi ya ma cysts imadzazidwanso ndi madzi. Komabe, nthawi zina madziwo amatha kukhala amtambo pang'ono, kapena m'mphepete mwa cyst mutha kukhala osasinthasintha pang'ono. Nthawi zina, madzi ochokera ku ma cysts awa amachotsedwa ndi singano (`(Aspiration)`) ndikutumizidwa kukayezetsa. Nthawi zina, dokotala angakupempheni kuti mubwerenso pakatha miyezi isanu ndi umodzi kuti mukayezedwe. Izi zili choncho chifukwa mwayi woti awa akhale khansa ndi wochepa kwambiri (osakwana 2%).
Kuwonjezera pa gulu ili, ma cysts a m'mawere amatchedwanso ``Microcysts`` ndi ``Macrocysts`` kutengera kukula kwawo. ``Microcysts`` ndi ma cysts ang'onoang'ono kwambiri. Nthawi zina amatha kuwoneka pokhapokha ndi mayeso a ``Ultrasound``` kapena maikulosikopu. ``Macrocysts`` ndi ma cysts akuluakulu pang'ono omwe amatha kumveka.
Kodi ma cysts a m'mawere ndi ofala bwanji? Kodi zizindikiro zake ndi ziti?
Zotupa za m'mawere n'zofala kwambiri kuposa momwe mungaganizire. Pa avareji, pafupifupi 7% ya akazi adzadwala vutoli nthawi ina m'miyoyo yawo.
Tsopano tiyeni tiwone zizindikiro zake.
Ziphuphu zina zimakhala zazing'ono kwambiri moti simungamve chilichonse. Koma ngati muli ndi chophuphu chachikulu m'mawere, mungaone zizindikiro monga:
- Chotupa chomwe chingamveke m'dzanja: Nthawi zina ichi chingakhale chofewa, nthawi zina cholimba pang'ono. Koma nthawi zambiri chimakhala chofewa.
- Kapangidwe: Nthawi zambiri kumamveka ngati chotupa chozungulira, chosalala, komanso chooneka bwino.
- Ululu kapena kuuma: Mungamve ululu kapena kuuma pamalo omwe pali chotupa ichi, makamaka musanayambe kusamba.
- Kusintha kwa kukula: Chotupacho chingamveke chachikulu pang'ono pamene msambo wanu ukuyamba, ndipo chingamveke chochepa mukatha msambo.
- Chosavuta kusuntha: Makamaka ngati chotupacho ndi chachikulu, chingamveke ngati chingasunthidwe pansi pa khungu.
Matumbo a m'mawere awa akhoza kukhala ang'onoang'ono ngati mpunga kapena nyemba zobiriwira, kapena aakulu ngati mpira wa gofu. Azimayi ambiri amakumana ndi kusintha ndi kupweteka m'matumbo awa pamene nthawi yawo ya mwezi ikuyandikira, ndipo nthawi yomwe kuchuluka kwa mahomoni kumasintha. Ena amathanso kumva kutuluka kwa ma nipple kapena kupweteka m'derali.
N’chifukwa chiyani ma cysts a m’mawere amenewa amapangika?
Chifukwa chenicheni cha khansa ya m'mawere sichinadziwikebe. Akatswiri amakhulupirira kuti imayamba chifukwa cha kusinthasintha kwachilengedwe kwa mahomoni m'thupi lathu. Makamaka, mahomoni otchedwa `(Oestrogen)` akuganiziridwa kuti ndi omwe amachititsa. Pambuyo pa kusamba, kuchuluka kwa `(Oestrogen)` kumachepa, kotero khansa ya m'mawere siifala kwambiri.
Amaganiziridwanso kuti amatha kupanga ngati gawo la moyo wa bere. Izi zikutanthauza kuti, pamene minofu yotulutsa mkaka ichepa (njira yotchedwa "involution"), nthawi zina madzi amatha kutsekeka ndikupanga ma cysts ngati awa.
Kodi Mabala a M'mawere Angayambitse Mavuto?
Nthawi zambiri, zotupa za m'mawere izi sizimayambitsa mavuto aakulu komanso oopsa. Komabe,
- Nthawi zina ma cysts awa amatha kufalikira .
- Kapena, chotupacho chingakhale chachikulu kwambiri, cholimba, komanso chopweteka . Zikatero, kungakhale kofunikira kuchotsa madziwo ndi singano (`(Aspiration)`).
Ngati muli pachiwopsezo chachikulu chotenga khansa ya m'mawere (mwachitsanzo, ngati wina m'banja mwanu adadwala khansa), dokotala wanu angakulangizeni kuti mufufuze pafupipafupi kapena muwonjezere mayeso ena.
Kodi mungadziwe bwanji ngati muli ndi ma cysts a m'mawere? (Kuzindikira)
Nthawi zambiri, madokotala amapeza ziphuphu za m'mawere mwangozi akamayezetsa khansa ya m'mawere nthawi zonse, monga mammogram. Komabe, nthawi zina mumatha kupeza chotupa chachikulu cha m'mawere nokha.
Kuti adziwe ngati muli ndi chotupa m'mawere, dokotala wanu angachite izi:
1. Kuyesa thupi: Bere lanu lidzayesedwa ndipo mtundu wa chotupacho (cholimba, chofewa, momwe m'mphepete mwake mukuonekera) ndi malo ake enieni zidzadziwika.
2. Kuyeza kwa Ultrasound ya M'mawere: Iyi ndiyo njira yokhayo yodziwira ngati chotupacho ndi cholimba kapena chamadzimadzi. Chimagwiritsa ntchito zinthu monga kuwala kwa sonar.
3. Mammogram: Ngati muli ndi zaka zoposa 30, kapena ngati nthawi yakwana yoti mupange mammogram, mudzapemphedwa kuti muchite mayeso awa. Uwu ndi mtundu wapadera wa X-ray.
Ngati muli pachiopsezo chachikulu chotenga khansa, dokotala wanu angakulangizeninso kuti muyesedwe MRI ya m'mawere (Magnetic Resonance Imaging). Iyi ndi njira yodziwira khansa ya m'mawere mwachangu kwa amayi omwe ali pachiopsezo chachikulu.
Kodi kuyamwa kwa singano (kapena biopsy ya singano) kumachitika bwanji?
Chomwe chimachitika ndi chakuti dokotala kapena munthu wophunzitsidwa bwino amatenga singano yopyapyala kwambiri, yopanda kanthu ndikuyiyika mu cyst. Kenako, amagwiritsa ntchito sirinji kuti atulutse pang'onopang'ono madzi omwe ali mkati mwa cyst. Cyst imachepa. Nthawi zambiri iyi ndi njira yachangu komanso yopanda ululu.
Kodi mankhwala a ma cysts a m'mawere ndi ati?
Nthawi zambiri, ma cysts a m'mawere awa safuna chithandizo chilichonse. Ma cysts osavuta a m'mawere, makamaka, samayambitsa vuto lililonse, ndipo nthawi zina amangotha. Kodi sizodabwitsa zimenezo?
Komabe, ngati mukumva kupweteka kapena kupweteka chifukwa cha chotupa, dokotala wanu akhoza kuchotsa madziwo ndi singano monga tafotokozera kale. Komabe, pali mwayi woti madziwo adzadzanso akachotsedwa. Ngati akupitiriza kukula ndikupangitsa ululu, opaleshoni ingafunike kuti chotupacho chichotsedwe. Komabe, izi sizichitika kawirikawiri.
Ngati muli ndi zotupa za m'mawere zomwe zatchulidwa kale za "Complex" kapena "Complicated", muyenera kupita kuchipatala nthawi zonse kuti muwone ngati pali kusintha kulikonse.
Kodi ma cysts a m'mawere awa amangotha?
Inde, nthawi zambiri zotupa za m'mawere zimenezi zimatha zokha pakapita nthawi. Komabe,Ngati muwona kusintha kulikonse kwatsopano m'mabere anu (monga chotupa, kupweteka, kapena kutuluka kwa nipple), ndikofunikira kupita kwa dokotala kuti akakufufuzeni. Kudziyesa nokha mabere nthawi zonse, kupita kwa dokotala wanu pachaka, komanso kuyesedwa mammogram ngati pakufunika kungathandize kuzindikira kusinthaku msanga.
Kodi chimachitika ndi chiyani ndi chotupa cha m'mawere ngati sichinachiritsidwe?
Ngati chotupa cha m'mawere chili chaching'ono kwambiri ndipo simukumva kupweteka kapena kusasangalala, dokotala wanu angasankhe kuchiyang'anira kwa kanthawi popanda chithandizo chilichonse. N'zotheka kuti chidzatha. Komabe, ngati mukuvutika, kapena chotupacho chikupitirira kukula, kuchotsa madziwo kungakhale chithandizo chabwino kwambiri cha zizindikiro zanu.
Kodi sitingathe kuletsa kupangika kwa ma cysts a m'mawere awa?
Mwatsoka, palibe njira yopewera ziphuphu za m'mawere zimenezi. Komabe, monga tanenera kale, kudzifufuza nthawi zonse za m'mawere ndi mammogram nthawi zonse ndi njira zabwino kwambiri zosungira thanzi la mawere. Ngati mwapeza chotupa chatsopano, musachinyalanyaze ndi kunena kuti, "O, mwina ndi chotupa chabe." Nthawi zonse ndi bwino kupita kwa dokotala kuti akakufufuzeni.
Mafunso ndi mayankho ena omwe anthu ambiri ali nawo
Kodi Chilonda cha M'mawere Chingasanduke Khansa?
Funso limene anthu ambiri amafunsa ndi lakuti mwayi woti munthu adwale khansa ndi wochepa kwambiri.
- Sizimakhala kuti ma cysts a m'mawere nthawi zonse amakhala ndi khansa (yoipa). Ndi omwe amachititsa 90% ya zotupa za m'mawere.
- Matenda a m'mawere omwe ali ndi zovuta nthawi zambiri samakhala khansa. Chiwopsezo chotenga khansa ndi chochepera 2%.
- Matenda a m'mawere ovuta ndi omwe ali ndi chiopsezo chachikulu chotenga khansa. Ngakhale zili choncho, amapezeka pa 14% mpaka 23% yokha ya milandu. Ichi ndichifukwa chake amalandira chisamaliro chachikulu.
Kodi Mabele Otupa Amawonjezera Chiwopsezo cha Khansa ya M'mawere?
Ayi. Kukhala ndi zotupa m'mawere sikukuwonjezera chiopsezo chanu chokhala ndi khansa ya m'mawere. Kumbukirani izi.
Kodi Chifuwa cha M'mawere Chingasanduke Chotupa?
Ayi. Chiphuphu cha m'mawere chosakhala khansa (`(Chiphuphu cha m'mawere chosaopsa)`) sichidzakhala chotupa cha khansa (`(Chotupa)`). Izi ndi malingaliro olakwika pakati pa anthu ambiri.
Kodi ma cysts a m'mawere ndi oopsa? Kodi tiyenera kuwadera nkhawa nthawi yanji?
Matumbo a m'mawere ndi ofala kwambiri pakati pa akazi. Nthawi zambiri, si chizindikiro cha vuto lalikulu. Choncho musadandaule mopanda chifukwa. Komabe, monga tanenera kale, nthawi zonse ndi bwino kupita kwa dokotala ngati muwona zotupa zatsopano kapena kusintha. Mwanjira imeneyi, mutha kupuma momasuka.
Mafunso Ofunika Kufunsa Dokotala Wanu Okhudza Mabala a M'mawere
Ngati dokotala wakuuzani kuti muli ndi chotupa m'mawere, ndikofunikira kwambiri kufunsa mafunso awa:
- Kodi chotupa cha m'mawere ichi ndi cha mtundu wanji (`(Chosavuta, Chovuta, kapena Chovuta)`)?
- Kodi izi zimafuna kuchotsa madzi (`(Aspirate)`), kuchita mayeso a minofu (`(Biopsy)`), kapena kuchotsa opaleshoni?
- Kodi ndiyenera kuchitidwa mammogram kapena ultrasound nthawi zonse?
- Ngati ndikugwiritsa ntchito Hormone Replacement Therapy (HRT), kodi ndiyenera kupitiriza kugwiritsa ntchito?
Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)
Matumbo a m'mawere ndi ofala kwambiri, makamaka kwa akazi azaka za m'ma 40. Nkhani yabwino ndi yakuti ambiri mwa matumbo amenewa ndi osavulaza ndipo palibe chodetsa nkhawa nacho.
Komabe, kumbukirani, ngakhale kuti ziphuphu za m'mawere ndizofala, ngati mukumva chotupa chatsopano, chotupa, kapena kusintha kwa bere lanu, nthawi zonse pitani kuchipatala kukayezetsa. Musanyalanyaze, kuganiza kuti, "Izi zitha kukhala zangozi." Nthawi zonse ndibwino kusamalira thanzi lanu ndikukhala osamala. Ngati muli ndi kukayikira kulikonse, musaope kulankhula ndi dokotala.
` Mabele, Thanzi la Akazi, Mabele Otupa, Mammogram, Ultrasound, Mahormone

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