Kodi muli ndi zotupa ngati izi pa mabere anu? Tiyeni tikambirane za (Intraductal Papilloma)!

Kodi munayamba mwaonapo chinthu chachilendo, monga chotupa chaching'ono m'bere mwanu, kapena munaonapo chinthu chonga madzi akuchokera m'mawere mwanu ndipo munayamba kuda nkhawa pang'ono? Zimenezi zikachitika, timaganizira zinthu zosiyanasiyana, sichoncho? Koma si chotupa chilichonse kapena kusintha kulikonse komwe kuli khansa yoopsa. Lero tikambirana za vuto lomwe limapezeka m'mawere, koma si khansa, koma ndi lofunika kuliganizira. Limenelo ndi vuto lotchedwa `(Intraductal Papilloma)`. Dzinalo lingamveke lachilendo pang'ono mukalimva, koma tiyeni tilifotokoze mwachidule.

Kodi ichi (Intraductal Papilloma) n'chiyani? Mwachidule...

Mwachidule, Intraductal Papilloma ndi chotupa chosaopsa chomwe chimapangika mkati mwa ducts za mkaka m'mabere anu. Tangoganizirani, mabere athu ali ndi njira ya machubu ang'onoang'ono omwe amapanga mkaka ndikuupititsa ku nipple, sichoncho? Machubu awa, kutanthauza, ducts za mkaka, ndi komwe zotupa izi zimapangidwira. Mawu oti "Papilloma" amatanthauza chotupa chofanana ndi njere. Izi zimapangidwa ndi mtundu wa selo lotchedwa "Epithelial cells." "Epithelial cells" awa ndi mtundu wa selo lomwe limaphimba mkati ndi kunja kwa matupi athu. "Intraductal" amatanthauza "mkati mwa ducts" (mkati - mkati, ductal - yokhudzana ndi ducts). Chifukwa chake, zonsezi pamodzi, Intraductal Papilloma ndi chotupa chosaopsa chomwe chimapangika mkati mwa ducts za mkaka, ngati njere.

Chofunika kwambiri ndichakuti chotupa ichi chotchedwa ``Intraductal Papilloma`` sichili ndi khansa (chosaopsa). Komabe, dokotala wanu adzayang'ana chotupachi kuti atsimikizire kuti chilibe maselo achilendo omwe angayambitse khansa. Chifukwa chake ndikofunikira kudziwa izi.

Kodi pali mitundu ya izi (Intraductal Papilloma)?

Inde, pali mitundu iwiri makamaka:

1. Papilloma yokha:

• Uwu ndi mtundu wofala kwambiri. Monga momwe dzinalo likusonyezera, umapanga ngati chotupa chimodzi.
• Izi nthawi zambiri zimachitika m'mitsempha ikuluikulu ya mkaka yomwe ili pafupi ndi nipple yanu.
• Chilonda chikakula pang'ono, mumatha kuchimva kumbuyo kapena pafupi ndi nipple, ngati chotupa chaching'ono.
• Nkhani yabwino ndi yakuti mtundu uwu wa papilloma suwonjezera chiopsezo chanu chokhala ndi khansa ya m'mawere pa moyo wanu wonse.

2. Ma papillomas ambiri kapena ma papillomatosis:

• Mu mtundu uwu, pamakhala chotupa choposa chimodzi.
• Izi zimapangidwa m'mitsempha yaying'ono ya mkaka yomwe ili pafupi pang'ono ndi nipple.
• Anthu omwe ali ndi mtundu uwu akhoza kukhala ndi chiopsezo chowonjezeka pang'ono chotenga khansa ya m'mawere pa moyo wawo wonse. Koma musadandaule, dokotala wanu adzakufotokozerani zambiri za tanthauzo la "pang'ono".
• Pafupifupi 10% yokha ya ma papillomas omwe apezeka ndi a mtundu uwu, wotchedwa ``Papillomatosis.'' Izi zikutanthauza kuti ndi osowa pang'ono.

Kodi Intraductal Papilloma ndi yofala bwanji?

Ma intraductal papillomas ndi omwe amachititsa pafupifupi 10% ya zilonda zabwino za m'mawere. Ambiri mwa awa amaonedwa ngati ma solemnitary papillomas. Chifukwa chake, izi si zachilendo.

Kodi zizindikiro za vutoli ndi ziti? Kodi tikudziwa bwanji?

Si ma papillomas onse omwe amayambitsa zizindikiro. Nthawi zina, dokotala amapeza chotupa chachilendo mukayesedwa, monga mammogram, pazifukwa zina. Mwina simukudziwa ngakhale pang'ono panthawiyo.

Komabe, ma papillomas ena angayambitse kusintha kwa mabere. Samalani ndi zizindikiro monga izi:

• Kutuluka magazi kapena kutuluka magazi kuchokera mu nipple: Izi nthawi zambiri zimakhudza bere limodzi lokha. Ngati muwona izi zikuchitika mwadzidzidzi, musachite mantha ndipo pitani kwa dokotala.
• Chotupa chaching'ono chomwe chinamveka kumbuyo kwa nipple: Chotupa ichi chingakhale chopweteka kapena ayi.
• Kumva kupweteka kapena kusasangalala m'dera limodzi la bere: Ngati muli ndi kusasangalala kosatha m'dera lomwelo, dziwani zimenezo.

Ngati muli ndi zizindikiro izi, funsani upangiri wa dokotala. Ndicho chinthu chabwino kwambiri kuchita. Ndikofunikira kwambiri kuonana ndi dokotala ndikupeza upangiri woyenera kuposa kungofufuza zambiri pa intaneti.

Kodi n’chiyani chimayambitsa Intraductal Papilloma?

Matenda a Intraductal Papilloma amayamba chifukwa cha kukula kwambiri kwa maselo a epithelial m'mitsempha ya mkaka, zomwe tidakambirana kale. Zili ngati chomera chomwe chimakula mofulumira kwambiri. Komabe, akatswiri sakudziwabe chifukwa chake maselowa amakula mofulumira chonchi. Kafukufuku akupitirirabe.

Anthu ena, akamva mawu oti "papilloma", amaganiza kuti akugwirizana ndi kachilombo ka `(Human Papillomavirus - HPV)`. Koma palibe kugwirizana koteroko. N'zoona kuti mitundu ina ya kachilombo ka HPV yomwe ili pachiwopsezo chachikulu imawonjezera chiopsezo chotenga khansa zosiyanasiyana. Komabe, matenda a HPV samayambitsa `(Intraductal Papilloma)`, komanso sawonjezera chiopsezo. Ndi bwino kusasokoneza awiriwa, eti?

Kodi ndi zinthu ziti zomwe zimayambitsa izi?

Kafukufuku akupitirirabe kuti adziwe zomwe zimayambitsa chiopsezo zomwe zimapangitsa kuti `(Intraductal Papilloma) ikule. Chomwe chikudziwika pano ndichakuti zotsatirazi zitha kuwonjezera chiopsezo chanu chokhala ndi vutoli:

• Zaka: Ngati muli ndi zaka zapakati pa 35 ndi 55, muli ndi mwayi waukulu wopeza Intraductal Papilloma. Anthu ambiri omwe amapezeka ndi matendawa amakhala okalamba nthawi ya kusamba. Komabe, omwe ali ndi ma papilloma angapo akhoza kukhala aang'ono kuposa omwe ali ndi papilloma imodzi.
• Kukhudzidwa ndi hormone ya estrogen:Chiwopsezo chanu chingakule ngati mwakhala mukumwa mankhwala a hormone `(Oestrogen)` pa moyo wanu wonse. Mwachitsanzo, kutha msinkhu msanga, kusamba mochedwa, komanso kusakhala ndi ana kumawonjezera nthawi yomwe thupi lanu limamwa mankhwala a `(Oestrogen)`. Komanso, kugwiritsa ntchito mapiritsi oletsa kubereka omwe ali ndi `(Oestrogen)` ndi chifukwa china.
• Mbiri ya Banja: Ngati wina m'banja mwanu wakhala ndi khansa ya m'mawere, muli pachiwopsezo chachikulu chotenga khansa ya m'mawere. Izi zingakulitsenso chiopsezo chanu chotenga matenda a m'mawere omwe si a khansa monga intraductal papilloma.

Kodi Intraductal Papilloma imawonjezera chiopsezo cha khansa?

Ili ndiye vuto lalikulu kwa anthu ambiri. Monga tanenera kale, Intraductal Papilloma si khansa. Komabe, madokotala akuda nkhawa ndi ziphuphuzi chifukwa zimaonedwa ngati "zilonda zoopsa kwambiri." Izi zikutanthauza kuti nthawi zina madokotala amatha kupeza maselo omwe angakhale khansa (oopsa) mkati kapena pafupi ndi papilloma.

Koma izi zimachitika kawirikawiri. Madokotala nthawi zina amatha kuona zinthu ngati izi:

• Maselo osazolowereka, kapena Atypical Ductal Hyperplasia (ADH): Apa ndi pamene maselo omwe ali mu ducts yanu ya mkaka amagawikana mofulumira ndikukula modabwitsa. Maselo amenewa amatha kusanduka maselo a khansa pambuyo pake. Komabe, ndi ochepa kwambiri, pafupifupi 3%, a Intraductal Papillomas omwe amasanduka ADH.
• Khansa ya m'mimba (DCIS): DCIS ndi khansa yosalowa m'mimba kapena yolowa m'mimba. Izi zikutanthauza kuti siifalikira kupitirira misempha ya mkaka monga khansa zina. DCIS ndi chiwerengero chochepa kwambiri, pafupifupi 2.5%, cha ma papillomas a m'mimba.

Anthu omwe ali ndi ma papillomas ambiri amakhala ndi maselo osazolowereka awa kuposa omwe ali ndi ma papillomas okhaokha. Ma papillomas ambiri amawonjezeranso pang'ono chiopsezo chokhala ndi khansa ya m'mawere pakapita nthawi. Ofufuza akufufuzabe zifukwa zake.

Koma chofunika kwambiri kukumbukira ndichakuti ADH ndi DCIS zonse zimachiritsidwa kwathunthu. Choncho ngati zapezeka msanga, palibe chodetsa nkhawa.

Kodi Intraductal Papilloma imapezedwa bwanji?

Njira yokhayo yodziwira ngati muli ndi Intraductal Papilloma ndikuchita biopsy ya bere . Pa biopsy, dokotala wanu amachotsa chotupa chonse kapena gawo lake ndikuchitumiza ku labu. Kumeneko, katswiri wa matenda amachiyang'ana kuti awone ngati pali maselo olakwika.

Maphunziro achikhalidwe monga mammogram, ultrasound, kapena magnetic resonance imaging (MRI) angasonyeze kukula kosazolowereka. Komabe, sizingatheke kunena motsimikiza kuti chotupacho ndi papilloma popanda biopsy.

Mwachitsanzo, Intraductal Papilloma ingawoneke ngati chotupa, chotupa, kapena calcifications pa mammogram. Zizindikirozi zitha kuwoneka m'mitundu yambiri ya zotupa za m'mawere, zonse za khansa komanso zopanda khansa.

Choncho, kuti adziwe bwino Intraductal Papilloma, dokotala ayenera kufufuza minofu mwachindunji.

Kodi mumatani ndi mitundu iyi ya ziphuphu m'mabere?

Chithandizo cha `(Intraductal Papilloma)` chimadalira zinthu zingapo, monga kuchuluka kwa ziphuphu zomwe muli nazo, kaya zili ndi maselo osazolowereka, zizindikiro zanu, kukula kwa chotupacho, ndi chiopsezo chanu cha khansa ya m'mawere.

• Ma papillomas okha: Ngati awa ali ndi maselo osazolowereka kapena akuyambitsa zizindikiro, angafunike kuchotsedwa. Kukula kwa chotupacho ndi chiopsezo chanu cha khansa ya m'mawere zidzakhudzanso ngati opaleshoni ikufunika. Nthawi zina, madokotala amasankha kuyang'anira ma papillomas okha ndi x-ray.
• Ma papillomas ambiri: Izi ziyenera kuchotsedwa chifukwa, ngakhale kuti si khansa, zili ndi mwayi waukulu woti zisinthe zisanachitike khansa.

Kodi ma papillomas onse a intraductal ayenera kuchotsedwa?

Dokotala wanu nthawi zina angakulangizeni kuti muyang'anire ma papillomas ang'onoang'ono, opanda zizindikiro, omwe ndi amodzi okha. Komabe, ma papillomas ambiri amkati mwa ductal adzafunika kuchotsedwa.

Pali njira zingapo zochotsera ma papillomas:

• Kuchotsa chotupa pogwiritsa ntchito vacuum-assisted excision (VAE): Izi zimaphatikizapo kuchotsa chotupa pogwiritsa ntchito singano yaying'ono yolumikizidwa ku chipangizo choyamwa .
• Kuchotsa bere m'mawere (kotchedwanso Lumpectomy): Mu opaleshoni iyi, chotupa ndi malo ochepa a minofu yathanzi yozungulira (malire) zimachotsedwa kuti zitsimikizire kuti palibe maselo olakwika omwe atsala.
• Kuchotsa Mastectomy: Ngati muli ndi ma papillomas ambiri ndipo muli pachiwopsezo chachikulu chotenga khansa ya m'mawere, mungafunike kuchotsa bere lonse (mastectomy). Komabe, izi zimachitika kawirikawiri ndipo zimachitika pokhapokha ngati pali milandu yapadera.

Kutengera ndi lipoti lanu la biopsy, dokotala wanu adzakufotokozerani njira zochiritsira zomwe zili zoyenera kwa inu.

Kodi Intraductal Papilloma ndi yoopsa bwanji?

Apanso, Intraductal Papilloma si khansa. Komabe, nthawi zina, ziphuphuzi zingakhale ndi maselo osazolowereka omwe angafunike chithandizo. Ngati muli ndi ma papilloma angapo, chiopsezo chanu cha khansa chingawonjezeke pang'ono pa moyo wanu wonse. Izi zikutanthauza kuti mungafunike kuyang'aniridwa pafupipafupi kuti muwone ngati muli ndi khansa.

Nkhani yabwino ndi yakuti maselo osazolowereka awa, kapena maselo oyambitsa khansa, amatha kupewedwa kuti asapangidwe ndi mankhwala omwe amawachotsa. Ndipo ngakhale mutakhala ndi maselo osazolowereka, opaleshoni ingawalepheretse kukhala khansa. Choncho musadandaule.

Kodi kupangika kwa ma papillomas kungalepheretsedwe?

Mwatsoka, palibe njira yopewera kukula kwa `(Intraductal Papilloma).` Komabe, pochita kafukufuku wa khansa ya m'mawere nthawi zonse, dokotala wanu akhoza kuyang'anira thanzi la bere lanu. Ndikothandizanso kwambiri kuonana ndi dokotala kuti akupatseni upangiri mukangowona kusintha kulikonse m'mabere anu.

Mwa kuzindikira kusintha msanga ndi kulandira chithandizo choyenera, matenda a m'mawere omwe si a khansa angapewedwe kuti asapitirire kukhala khansa.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati mwapezeka ndi Intraductal Papilloma, onetsetsani kuti mwafunsa dokotala mafunso awa:

• Kodi ndili ndi ziphuphu zingati?
• Ndi njira ziti zojambulira zomwe ndiyenera kuchita kuti ndipeze ma papillomas onse?
• Kodi zotsatira za lipoti langa la `(Biopsy)` zikutanthauza chiyani?
• Kodi ndili pachiwopsezo chachikulu chotenga khansa ya m'mawere?
• Kodi ndikufunika opaleshoni kapena chithandizo china kuti ndichotse papilloma iyi?
• Kodi ndiyenera kuyezetsa khansa ya m'mawere kangati nditatha kulandira chithandizo?

Kuwonjezera pa mafunso awa, lankhulani momasuka ndi dokotala wanu za chilichonse chomwe mukuganiza, mantha aliwonse, kapena kukayikira kulikonse komwe muli nako. Pokhapokha mudzatha kumvetsetsa bwino.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ma papilloma a m'mimba mwa ductal si khansa. Komabe, ngati muli ndi papilloma imodzi kapena zingapo, mwina mungafunike chithandizo kapena kuyang'aniridwa nthawi zonse. Ma papilloma ambiri a m'mimba mwa ductal samakhala khansa, koma nthawi zambiri samakhala maselo olakwika. Zotsatira za biopsy yanu, kuchuluka kwa ma papilloma omwe muli nawo, komanso chiopsezo chanu cha khansa ya m'mawere pa moyo wanu wonse zidzasankha njira zomwe mungasankhire.

Choncho, ngati muwona kusintha kulikonse m'mabere anu, musawanyalanyaze. Pitani kwa dokotala nthawi yomweyo. Kuzindikira msanga ndiyo njira yabwino kwambiri yopezera bwino. Dokotala wanu adzakupatsani upangiri wabwino kwambiri komanso chithandizo. Musadandaule, simuli nokha!

` Intraductal Papilloma, Ziphuphu za m'mawere, Kutuluka kwa Nipple, Thanzi la m'mawere, Zotupa zopanda khansa, Thanzi la Akazi, Biopsy