Kodi mwaona kusintha kulikonse m'mabere mwanu, kupweteka, kapena kutuluka kwa madzi m'mabere mwanu posachedwapa? Ndizachibadwa kumva mantha mwadzidzidzi mukaona chinthu chonga ichi. Makamaka tikamalankhula za mabere, mantha a khansa amabwera m'maganizo mwathu. Koma musachite mantha. Si kusintha kulikonse kapena chotupa m'mabere chomwe ndi khansa. Lero tikambirana za vuto lomwe simuyenera kuopa, koma ndilofunika kwambiri kulidziwa. Ilo ndi Mammary Duct Ectasia.
Mwachidule, kodi Ectasia ya Mammary Duct ndi chiyani?
Ngakhale kuti izi zingamveke ngati dzina la sayansi, nkhaniyi ndi yosavuta. Matenda a m'mawere otchedwa Ectasia si khansa.
Taganizirani momwe mabere athu amapangidwira. Mkati mwa bere muli tinthu totulutsa mkaka (lobules) ndi netiweki ya machubu ang'onoang'ono (ducts) omwe amanyamula mkaka womwe amaupereka kupita ku nipple. Pankhani ya Mammary Duct Ectasia, imodzi kapena zingapo mwa njirazi zonyamula mkaka zimatupa, zimakhuthala, komanso zimatambasuka pang'ono.
Mukakula, nthawi zambiri mukafika nthawi yosiya kusamba, njira zotulutsira mkaka mwachibadwa zimafupika komanso zimakula. Izi ndi zinthu zachilendo zomwe zimachitika m'thupi. Koma nthawi zina, madzi amatha kusonkhana mkati mwa njirazi ndikuzitseka. Pamenepo ndi pomwe zizindikiro monga kupweteka m'mawere ndi kupweteka zimayamba kuonekera.
Chabwino kwambiri n’chakuti kwa anthu ambiri, vutoli limatha pakapita nthawi popanda chithandizo chilichonse. Komabe, ngati zizindikiro zikupitirira, dokotala wanu angakupatseni mankhwala opha majeremusi kapena, nthawi zina, angasankhe kuchotsa chubu chokhudzidwacho kudzera mu opaleshoni.
Ndani amene ali ndi mwayi waukulu wokumana ndi vutoli?
Matenda a m'mimba otchedwa Ectasia amatha kuchitika mwa mkazi aliyense. Komabe, amapezeka kwambiri mwa akazi omwe atsala pang'ono kusamba. Izi nthawi zambiri zimatanthauza akazi omwe ali ndi zaka pafupifupi 50 kapena kuposerapo. Matendawa amathanso kuchitika akamaliza kusamba.
Matendawa ndi osowa kwambiri mwa amuna, koma amatha kuchitika nthawi zina.
Kodi iyi ndi khansa ya m'mawere? Kodi ndiyenera kuda nkhawa?
Ili ndi funso lalikulu komanso mantha omwe aliyense ali nawo. Ndibwerezanso kunena, ayi. Matumbo a Mammary Ectasia si khansa. Ndipo kukhala ndi vutoli sikukuwonjezera chiopsezo chanu chokhala ndi khansa ya m'mawere mtsogolo.
Koma apa pali chinthu chofunikira kwambiri kuti tonse timvetse: Zizindikiro zina za vutoli (monga chotupa m'bere) zitha kufanana ndi zizindikiro za khansa ya m'mawere.
Kotero, mudzamva kumverera kwatsopano m'mabere mwanu komwe simunamvepo kale.Onetsetsani kuti mwalankhula ndi dokotala wanu za kusintha kulikonse, ziphuphu, ululu, kapena kutuluka kwa mabere anu. Ndi chinthu chotetezeka komanso chabwino kwambiri chomwe mungachite. Musakhale panyumba mwamantha. Ndi mpumulo waukulu kwa maganizo anu kuonana ndi dokotala ndikutsimikiza kuti si nkhani yaikulu.
Kodi ndi zifukwa ziti za Ectasia ya Mammary Duct?
Chifukwa chachikulu cha izi ndi kutupa kapena kutupa kwa njira zotulutsira mkaka m'mabere. Kutupa kumeneku kumapangitsa kuti njira zotulutsira mkaka zichuluke ndikukulirakulira. Pamene kutupa kukuchulukirachulukira, njira zotulutsira mkaka zimatsekeka ndipo madzi amayamba kusonkhana kumbuyo kwawo. Ichi ndiye chifukwa chachikulu cha zizindikiro.
Sizikudziwika bwino chifukwa chake kutupa kumeneku kumachitika, koma pali zinthu zingapo zomwe ofufuza amakhulupirira:
- Ukalamba: Izi zimakhudzidwa ndi kusintha kwa mahomoni komwe kumachitika ndi kusamba komanso kusintha kwachilengedwe komwe kumachitika m'maselo a m'mawere.
- Matenda a bakiteriya: Chifukwa china cha vutoli chingakhale matenda a bakiteriya omwe amalowa m'mitsempha ya mkaka.
- Kusuta: Pali chikhulupiriro chakuti akazi omwe amasuta ndudu ali ndi chiopsezo chachikulu chotenga matenda a mammary duct ectasia.
Kodi zizindikiro za vutoli ndi ziti?
Azimayi ena omwe ali ndi Mammary Duct Ectasia saona zizindikiro zilizonse. Komabe, kwa iwo omwe amakumana nazo, izi ndi zizindikiro zodziwika kwambiri.
| Chizindikiro | Kufotokozera |
|---|---|
| Kutulutsa madzi m'machubu | Ichi ndi chizindikiro chofala kwambiri. Kutuluka kwa madzi ambiri komanso omata kungatuluke. Kungakhale kobiriwira, kwakuda, kapenanso magazi . |
| Kupweteka m'mawere kapena kupweteka | Mungamve kupweteka, kupweteka, kapena kuuma m'mabele ndi m'malo ozungulira (areola). Komabe, si aliyense amene amamva kupweteka. |
| Kufiira kwa khungu la m'mawere | Khungu lozungulira nipple likhoza kufiira. |
| Nipple Yosinthidwa | Nipple yomwe kale inali yabwinobwino ingatembenukire mkati mwadzidzidzi ndikuyamba kumira. |
| Chotupa kumbuyo kwa nipple | Mungamve chotupa chaching'ono kapena chikukhuthala pansi kapena pafupi ndi nipple. Chotupachi chimayamba chifukwa cha zipsera zomwe zimapangika mozungulira payipi yotupa. Ichinso si khansa. |
Kodi izi zikumveka bwanji? Zikuoneka bwanji?
Si aliyense amene amamva kupweteka kwambiri. Anthu ambiri amamva kupweteka pang'ono, kufewa, kapena kumva ngati chotupa kumbuyo kwa nipple.
Ponena za momwe zimaonekera kunja, ena amaona kutuluka magazi kokhuthala, kobiriwira, kapena kwakuda. Ena amaona kufiira kuzungulira nipple. Ena saona chilichonse kunja, koma amaona chotupa chomwe chimamveka.
Kodi dokotala amazindikira bwanji izi?
Mukauza dokotala wanu za zizindikiro zanu, iye angachite mayeso angapo kuti atsimikizire ngati ndi Mammary Duct Ectasia kapena vuto lina.
| Mayeso | Kodi izi zimachita chiyani? |
|---|---|
| Kuyezetsa Mabere | Dokotala adzayang'ana mabere anu pamanja ndikuyang'ana ngati pali ziphuphu, kukhuthala, kapena kutuluka madzi. |
| Kujambula kwa Ultrasound | Imagwiritsa ntchito mafunde a phokoso kuti ipange chithunzi cha mkati mwa bere. Izi zimathandiza kuti mkhalidwe wa misempha ya mkaka uwonekere bwino. |
| Mammogram | Iyi ndi njira yapadera yoyezera mabere yotchedwa X-ray. Ingakuthandizeni kuona bwino kusintha kwa mabere ndi momwe misempha ya mkaka ilili. |
| Kujambula kwa MRI | Nthawi zina zapadera, MRI scan ingalimbikitsidwe kuti mupeze zithunzi zomveka bwino komanso zatsatanetsatane za mkati mwa mabere. |
| Kufufuza za thupi | Ngati pali chotupa, kuti atsimikize 100% kuti si khansa, dokotalayo adzatenga chidutswa chaching'ono kwambiri cha chotupacho n'kuchiyang'ana pogwiritsa ntchito maikulosikopu. Izi zimatchedwa biopsy. |
Kodi mankhwala ochizira izi ndi otani?
Nthawi zambiri, matenda a Mammary Duct Ectasia amatha okha popanda chithandizo chilichonse. Komabe, ngati mukukumana ndi vuto la zizindikiro, pali zinthu zosavuta zomwe mungachite kunyumba, komanso chithandizo chamankhwala, kuti muchepetse vutoli.
Zinthu zomwe mungachite kunyumba:
- Ma compress ofunda: Zilowerereni nsalu yoyera m'madzi ofunda ndikuyipaka pa bere lopweteka kangapo patsiku. Izi zingathandize kuchepetsa ululu ndi kutupa.
- Kugwiritsa Ntchito Mabele Opangidwa ndi Mabele: Ngati pali kutuluka madzi m'mabele, mungagwiritse ntchito mabele opangidwa ndi mabele omwe amapezeka m'mafakitale kuti asadetse zovala zanu zamkati.
- Kugona: Gonani chammbali kapena kuyang'ana mmwamba, kupewa kupweteka.
- Kuvala bra yokwanira bwino: Valani bra yabwino yomwe imakuthandizani bwino mabere anu komanso si yothina.
Chithandizo chamankhwala:
- Mankhwala Opha Utoto: Ngati dokotala wanu akukayikira kuti vuto lanu layamba chifukwa cha matenda a bakiteriya, adzakupatsani mankhwala opha tizilombo toyambitsa matenda kuti mumwe.
- Mankhwala Ochepetsa Ululu: Dokotala wanu angakulangizeni kugwiritsa ntchito mankhwala ochepetsa ululu monga Ibuprofen kuti muchepetse ululu ndi kutupa.
- Opaleshoni: Izi zimachitika kawirikawiri. Opaleshoni imaganiziridwa kokha ngati njira yotulutsira magazi ikadali yotsekeka ndipo kutuluka magazi sikusiya ngakhale pali mankhwala ena onse. Izi zimaphatikizapo kudula khungu pang'ono kwambiri pakhungu lozungulira nipple ndikuchotsa njira yotulutsira magazi kapena njira yotulutsira magazi yotsekeka.
Kodi mavuto angachitike ngati sanachiritsidwe?
Kawirikawiri, palibe mavuto aakulu omwe amabwera chifukwa cha matendawa. Komabe, nthawi zina, ngati matenda a bakiteriya m'mitsempha ya mkaka sanachiritsidwe, amatha kufalikira ndikuyambitsa matenda otchedwa mastitis , omwe ndi matenda omwe amafalikira ku minofu ya bere. Ngati mukumva zizindikiro monga kutentha thupi, kuzizira, ndi kugwedezeka, kungakhale chizindikiro chakuti matenda akufalikira. Ngati izi zitachitika, pitani kwa dokotala nthawi yomweyo.
Palibe chifukwa chodera nkhawa kwambiri ndi izi, chifukwa anthu ambiri amachira matendawa ndi chisamaliro cha kunyumba kapena popanda chithandizo.
Uthenga Wopita Nawo Kunyumba
- Matumbo a Mammary Ectasia si khansa, ndipo siiwonjezera chiopsezo cha khansa.
- Vutoli limapezeka kwambiri mwa akazi azaka zapakati pa 50 ndipo akuyandikira kusamba.
- Zizindikiro zodziwika bwino ndi kupweteka kwa m'mawere, kutuluka kwa madzi obiriwira kapena akuda kuchokera mu nipple, ndi chotupa pansi pa nipple.
- Musachite mantha kapena kubisa kusintha kulikonse kwachilendo komwe mukuona m'mabere anu, koma onetsetsani kuti mwawonetsa dokotala. Ndicho chinthu chotetezeka kwambiri kuchita.
- Nthawi zambiri, vutoli limatha popanda chithandizo chilichonse. Kusamalira munthu kunyumba kungakhale kokwanira.
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