Kodi chotupa mu khansa ya m'mawere ndi chotupa? Tiyeni tiphunzire za fibroadenoma popanda mantha!

Kodi munayamba mwamvapo chotupa m'bere mwanu pamene munkachiyang'ana nokha, kapena pamene munkasamba? Ndizachibadwa kumva mantha ndi nkhawa zambiri mukamva choncho. "Kodi khansa iyi ndi iyi?" ndi funso lomwe limabwera m'maganizo nthawi zonse. Koma choyamba tiyeni tinene kuti si zotupa zonse m'bere zomwe ndi khansa. Ndipotu, zambiri mwa izo sizowopsa ndipo zitha kukhala zinthu zosavuta. Lero tikulankhula za fibroadenoma, mtundu wa chotupa chomwe chimapezeka kwambiri pakati pa akazi, koma si khansa.

Mwachidule, kodi fibroadenoma ndi chiyani?

Fibroadenoma ndi chotupa cholimba komanso chosaopsa chomwe chimapangika m'bere. Makamaka, chimapangidwa ndi chisakanizo cha minofu ya ulusi ndi minofu ya glandular m'bere. Ziphuphu zimenezi nthawi zambiri zimakhala zozungulira, zofewa mukakhudza, ndipo zimatha kuyenda pang'ono pansi pa khungu. Zimamveka ngati mwala waung'ono, wosalala mkati mwa bere.

Nthawi zambiri, ziphuphuzi zimachepa pakapita nthawi popanda chithandizo chilichonse, kapena zimatha kutha kwathunthu. Nthawi zina, dokotala wanu angayang'anire chotupacho kwa kanthawi kuti awone ngati chasintha, kapena angakulangizeni kuti muchotsedwe opaleshoni ngati pakufunika kutero.

Kodi pali mitundu ya fibroadenomas?

Inde, pali mitundu ikuluikulu ingapo. Tiyeni tiwone zomwe zili.

Kodi vutoli ndi lofala bwanji?

Izi zimachitika kawirikawiri. Ma fibroadenoma ndi zotupa zomwe sizili ndi khansa zomwe zimapezeka kwambiri m'mabere. Zimapezeka kwambiri pakati pa akazi azaka zapakati pa 15 ndi 35. Malinga ndi kafukufuku, mkazi m'modzi mwa akazi 10 (10%) amakhala ndi fibroadenoma imodzi m'moyo wawo wonse.

Kodi zizindikiro za fibroadenoma ndi ziti?

Ngati muli ndi fibroadenoma, mungakumane ndi zotsatirazi:

• Chipolopolo cholimba: Izi sizili ngati ma cysts omwe ali ndi madzi, koma ndi olimba mwachibadwa.
• Palibe ululu: Izi nthawi zambiri sizipweteka, koma nthawi zina mungamve kupweteka pang'ono ndi kufewa masiku angapo musanayambe msambo.
• Imayenda mosavuta: Ngati mutayikanikiza ndi zala zanu, mudzamva chotupachi chikusuntha pansi pa khungu.
• Kapangidwe kosalala komanso kofanana ndi rabala: Kakagwiritsidwa m'dzanja, kamakhala ndi kalembedwe kosalala, nthawi zina kamamveka ngati mpira wa rabala.
• Malire Omveka Bwino: M'mphepete mwa chotupacho muli mizere yoonekera bwino, zomwe zikutanthauza kuti sichikuoneka kuti chikusakanikirana ndi minofu yozungulira.

Ziphuphu zimenezi nthawi zambiri zimakula kwambiri. Nthawi zina sizimakula konse, koma zimakhalabe zofanana kukula kwake, ndipo zimatha kuchepa pakapita nthawi. Izi zimatha kuchepa kwambiri, makamaka ngati muli achinyamata kapena pafupi kusamba. Komabe, panthawi ya mimba, zimatha kukula pang'ono chifukwa cha kusintha kwa mahomoni.

N’chifukwa chiyani ma fibroadenoma amenewa amapangidwa?

Madokotala sanapeze chifukwa chenicheni cha izi, koma ambiri amakhulupirira kuti zimagwirizana ndi kukhudzidwa kwa mahomoni a estrogen .

Tangoganizirani, pamene kuchuluka kwa estrogen m'thupi mwathu kukukwera (mwachitsanzo, panthawi ya mimba, pamene mukumwa mankhwala a mahomoni), ziphuphuzi zimakula. Komanso, pamene kuchuluka kwa estrogen kumachepa pambuyo pa kusamba, zimachepa. Apa ndi pomwe lingaliro la kulumikizana kwa mahomoni kumeneku limachokera.

Kodi mungazindikire bwanji izi? Kodi dokotala adzakuyesani mayeso otani?

Ngati mwapeza chotupa m'bere mwanu, chinthu chabwino kuchita ndikupita kwa dokotala mwamsanga. Musachite mantha, koma ndikofunikira kwambiri kuti mukachiwone. Dokotala wanu akhoza kukuyesani ndikukuyesani mayeso ngati awa kuti adziwe bwino chotupacho.

1. Kuyezetsa Mabere: Choyamba, dokotala adzayang'ana mabere anu onse awiri. Izi zikupatsani lingaliro la kukula, mawonekedwe, ndi kuyenda kwa chotupacho.

2. Zojambulajambula:

• Kujambula kwa Ultrasound: Izi zimagwiritsa ntchito mafunde a phokoso kuti apange chithunzi chomveka bwino cha chotupacho. Izi zingathandize kudziwa ngati chotupacho ndi cholimba kapena chodzaza ndi madzi.
• Mammogram: Iyi ndi X-ray yowunika mabere. Nthawi zambiri imalimbikitsidwa kwa akazi azaka zopitilira 35-40.

3. Biopsy (Chithunzi-guided core needle biopsy): Anthu ena amachita mantha akamva mawu oti "biopsy," koma ndi osavuta. Amayang'ana chotupacho pa scan, amaika singano yaying'ono kwambiri, kenako amatenga chidutswa chaching'ono cha minofu. Kenako chimatumizidwa ku labu kuti akayesedwe kuti awone mtundu wa maselo omwe alimo. Izi zitha kukuuzani 100% motsimikiza ngati ndi fibroadenoma kapena china chake.

Kodi ma fibroadenomas amachiritsidwa bwanji? Kodi ayenera kuchotsedwa?

Chithandizo cha izi chimadalira zaka zanu, kukula kwa chotupa, zizindikiro zanu, ndi zotsatira za lipoti la biopsy.

• Kuwunika: Ngati biopsy ikutsimikizira kuti ndi fibroadenoma yopanda vuto, yosavuta, ndipo sikukubweretserani mavuto (monga ululu), dokotala wanu nthawi zambiri amanena kuti:"Tiyeni tingoyang'ana izi kwakanthawi." Izi zikutanthauza kuti muyenera kubwera kudzayezetsa miyezi itatu kapena isanu ndi umodzi iliyonse. Panthawiyo, dokotala adzayang'ana pamanja ndipo, ngati pakufunika, adzayesa kuti awone ngati pali kusintha kwa kukula kwa chotupacho. Nthawi zambiri, izi zimachepa zokha, kotero opaleshoni sikofunikira.

• Kuchotsa Chilonda Chochitidwa Opaleshoni: Nthawi zina, dokotala wanu angakulangizeni kuti muchotse chilondacho pazifukwa zotsatirazi:
• Ngati lipoti la biopsy likuwonetsa zizindikiro za "complex fibroadenoma".
• Ngati chotupacho chili chachikulu (monga kupitirira 3-4 cm).
• Ngati zimenezo zikukupangitsani kupweteka kapena kusasangalala.
• Ngati chotupacho chikupitirira kukula mofulumira.
• Ngati muli ndi nkhawa kapena mantha okhudza izi.

Opaleshoni iyi ndi yosavuta kwambiri. Pamadulidwa pang'ono ndipo chotupa chokha ndicho chimachotsedwa.

• Kuwotcha: Iyi ndi njira yatsopano yochiritsira. Mu izi, chipangizo chaching'ono chimagwiritsidwa ntchito kuziziritsa ndikuwononga chotupacho. Komabe, njira iyi siigwiritsidwa ntchito kwambiri ku Sri Lanka.

Ndi mafunso ati omwe muyenera kufunsa dokotala wanu?

Tikapita kukaonana ndi dokotala, nthawi zina timaiwala zomwe tikufuna kufunsa. Choncho ndi bwino kulemba mafunso ngati awa.

• Ndi mtundu wanji wa chotupa chomwe ndili nacho?
• Kodi chithandizo chabwino kwambiri ndi chiti kwa ine? Kodi ndiyenera kuchotsa ichi?
• Kodi chingachitike n’chiyani ngati chotupachi sichichotsedwa?
• Kodi izi ziwonjezera chiopsezo changa chodwala khansa ya m'mawere mtsogolo?
• Kodi ndiyenera kuchita mayeso kangati (monga mammogram)?
• Kodi pali zinthu zina zapadera zomwe ndiyenera kusamalira ndi mabere anga?

Kodi fibroadenomas ikhoza kupewedwa?

Mwatsoka, palibe njira yotsimikizika yopewera kukula kwa ma fibroadenomas, chifukwa amakhudzana ndi ntchito ya mahomoni. Komabe, mutha kusamalira thanzi lonse la mabere anu, zomwe zingachepetsenso chiopsezo chanu cha khansa ya m'mawere.

• Yesani kudziyesa nokha mawere nthawi zonse: Yesani mawere anu kamodzi pamwezi. Izi zikuthandizani kudziwa bwino momwe mawere anu alili komanso kukuthandizani kuzindikira kusintha kulikonse kwatsopano mwachangu.
• Moyo Wathanzi: Kudya zakudya zoyenera, kuchita masewera olimbitsa thupi nthawi zonse, kuchepetsa thupi lanu, komanso kupewa kumwa mowa ndi kusuta fodya zonse ndi zabwino pa thanzi lathunthu komanso thanzi la mabere.
• Kupimidwa kuchipatala nthawi zonse: Pezani mayeso monga mammograms nthawi ndi nthawi zomwe dokotala wanu akulangiza kutengera zaka zanu komanso chiopsezo chanu.