Amabele Ane-Fibrocystic

Ukushintsha kwebele eliyi-fibrocystic kuholela ekuthuthukiseni amasaka ayingqimba noma ayingqimba agcwele i-fluid, abizwa ngama-cysts. Ama-cysts angenza amabele azive ebuhlungu, e-lumpy noma e-ropy. Azizwa ehlukile kweminye imisipha yebele.

Amabele e-fibrocystic akhiwe yimisipha ezizwa i-lumpy noma i-ropelike ngokubukeka. Odokotela babiza lokhu ngokuthi yi-nodular noma i-glandular breast tissue.

Akuvamile nhlobo ukuba namabele e-fibrocystic noma ukuhlangenwe nakho ukushintsha kwebele eliyi-fibrocystic. Eqinisweni, ochwepheshe bezokwelapha baye bayeka ukusebenzisa igama elithi "ukugula kwebele eliyi-fibrocystic" futhi manje basebenzisa nje igama elithi "amabele e-fibrocystic" noma "ukushintsha kwebele eliyi-fibrocystic" ngoba ukuba namabele e-fibrocystic akuyona i-disease. Ukushintsha kwebele okuhlukahlukene ngesikhathi somjikelezo wokuya exesheni futhi okune-ropelike texture kubhekwa njengokujwayelekile.

Ukushintsha kwebele eliyi-fibrocystic akuhlale kubangeli izimpawu. Abanye abantu bahlangabezana nobuhlungu bebele, ubuhlungu kanye nokuluma - ikakhulukazi endaweni engaphezulu, yangaphandle yamabele. Izimpawu zebele zivame ukukhathaza kakhulu ngaphambi kokutholakala kwexesha futhi zibe ngcono ngemva kwalokho. Izindlela ezilula zokunakekela ngokwakho ngokuvamile zinganciphisa ukungakhululeki okuhlotshaniswa namabele e-fibrocystic.

Izimpawu nezimpawu zebele le-fibrocystic zingafaka: Izicubu zebele noma izindawo zokuqina ezinamandla ukuxuba nezinye izicubu zebele Ubuhlungu bebele olukhulu noma ubumnene noma ukungakhululeki okuhilela ingxenye engaphezulu yangaphandle yebhele Amakhanda ebele noma ushintsho lwezicubu ezinqunu oluguquka ngobukhulu ngesikhathi sesikhathi somjikelezo wokuya exesheni Ukukhishwa okuluhlaza okwesibhakabhaka noma okumnyama okungelona igazi okuvame ukuvuza ngaphandle kokucindezela noma ukucindezela Ushintsho lwebele olufana kokubili ebeleni Ukwanda kwenyanga yonke ebuhlungwini bebele noma ekuqineni kusukela phakathi komjikelezo (ukukhishwa kweqanda) kuze kube ngaphambi nje kwesikhathi sakho, bese kuphulukana lapho isikhathi sakho siqala. Ushintsho lwebele le-fibrocystic luvamile kakhulu phakathi kweminyaka engama-30 kuya kwengu-50. Lezi zinguquko zibangelwa kancane ngemuva kwe-menopause ngaphandle uma uthatha imithi yokushintsha ama-hormone njenge-estrogen noma i-progesterone. Izinguquko eziningi zebele le-fibrocystic ziyajwayelekile. Noma kunjalo, yenza i-aphoyintimenti nodokotela wakho uma: Uthola i-lump entsha noma eqhubekayo yebhele noma indawo ebonakalayo yokuqina noma ubukhulu bezicubu zebele Unezinye izindawo eziqhubekayo noma ezibi kakhulu zobuhlungu bebele Ushintsho lwebele luyaqhubeka ngemuva kwesikhathi sakho Udokotela wakho uhlole i-lump yebhele kepha manje kubonakala sengathi likhulu noma lushintshile ngenye indlela

Izinguquko eziningi zebele ezinobunqunu ziyajwayelekile. Noma kunjalo, yenza i-aphoyintimenti nodokotela wakho uma:

• Uthola isibopho esisha noma esiqhubekayo sebele noma indawo yokukhuluphala noma ubunzima obukhulu bebele
• Unayo izindawo ezithile zobuhlungu obungapheli noma obukhulu bebele
• Izinguquko zebele ziyaqhubeka ngemva kwesikhathi sakho
• Udokotela wakho uhlole isibopho sebele kepha manje kubonakala sengathi sikhulile noma sishintshile ngenye indlela

Isifuba ngasinye siqukethe ama-lobe angu-15 kuya kwangu-20 e-glandular tissue, ahlelwe njengephethuli le-daisy. Ama-lobe ahlukaniswe kakhulu abe yizigaba ezincane ezikhiqiza ubisi lokuncelisa. Izithebe ezincane, ebizwa ngokuthi ama-ducts, ziqondisa ubisi ebhangeli elitholakala ngaphansi nje kwesihle.

Imbangela eqondile yokushintsha kwebele le-fibrocystic ayaziwa, kodwa ochwepheshe bacabanga ukuthi ama-hormone okuzala — ikakhulukazi i-estrogen — adlala indima.

Amazinga e-hormone aguqukayo phakathi nesikhathi somjikelezo wesikhathi sezinyanga angabangela ukungakhululeki kwebele kanye nezindawo zebele ezinqamuzayo ezizwa zicindezela, zibuhlungu futhi ziqabukile. Ukushintsha kwebele le-fibrocystic kuvamise ukukhathaza kakhulu ngaphambi kwesikhathi sakho sezinyanga futhi kuqede emva kokuba isikhathi sakho siqalile.

Uma kuhlolwe ngaphansi komkhiqizo, i-fibrocystic breast tissue ihlanganisa izinto ezihlukile ezinjengalezi:

• Izikhwama ezizungezile noma eziyindebe ezigcwele uketshezi (ama-cysts)
• Ukuphakama kwe-scar-like fibrous tissue (fibrosis)
• Ukukhula okukhulu kwamaselula (hyperplasia) okugqoka ama-ducts obisi noma ama-tissue akhiqiza ubisi (ama-lobules) ebele
• Ama-lobules ebele amakhulu (adenosis)

Ukuba nebele eli-fibrocystic akuwandisi ingozi yakho yomdlavuza wamabele.

Phakathi nokuduba ngenhlanzi encane, inhlanzi ekhethekile ifakwa esiqwini sebele, futhi noma iyiphi isiliva isuswa (isuswa). I-Ultrasound — inqubo esebenzisa amaza omsindo ukwenza izithombe sebele lakho kwimonitha — ingase isetshenziswe ukusiza ukufaka inhlanzi.

Izivivinyo zokuhlola isimo sakho zingafaka:

• Mammogram. Uma udokotela wakho ethola isibopho sebele noma ukukhuluphala okukhulu kumafutha ebele lakho, udinga i-mammogram yokuxilonga — ukuhlolwa kwe-X-ray okuqondene nendawo ethile ebandakanyekayo ebeleni lakho. Umdwebi we-radiologist uhlola ngokucophelela indawo ebandakanyekayo lapho ehumusha i-mammogram.

• I-Ultrasound. I-ultrasound isebenzisa amaza omsindo ukukhiqiza izithombe zamabele akho futhi ivame ukwenziwa kanye ne-mammogram. Uma uneminyaka engaphansi kwengu-30, ungase ube ne-ultrasound esikhundleni se-mammogram. I-Ultrasound ilungele kangcono ukuhlola inyama yomuntu omncane — inyama ephakanyisiwe ngama-lobules, ama-ducts kanye ne-connective tissue (stroma). I-Ultrasound ingasiza nodokotela wakho ukwahlukanisa phakathi kwama-cysts agcwele uketshezi nama-masses aqinile.

• Ukuduba ngenhlanzi encane. Ngoba isibopho sebele esizizwa kakhulu njenge-cyst, udokotela wakho angase azame ukuduba ngenhlanzi encane ukubona ukuthi uketshezi lungasuswa yini esiqwini. Le nqubo ewusizo ingenziwa ehhovisi. Ukuduba ngenhlanzi encane kungase kuqede i-cyst futhi kulungise ukungakhululeki.

• I-biopsy yasebeleni. Uma i-mammogram yokuxilonga ne-ultrasound zivamile, kodwa udokotela wakho usenezinhlungu mayelana nesibopho sebele, ungase uqondiswe kudokotela we-breast surgeon ukuze ubone ukuthi udinga i-biopsy ye-surgical breast yini.

  I-biopsy yasebeleni inqubo yokususa isampula encane yenyama yasebeleni ukuze kwenziwe ukuhlaziywa nge-microscopic. Uma indawo engathandeki itholakala ngesikhathi sokuhlolwa kwezithombe, u-radiologist wakho angase acebise i-biopsy yasebeleni eholwa yi-ultrasound noma i-biopsy ye-sterotactic, esebenzisa i-mammography ukucacisa indawo eyiyo yebiopsy.

Ukuhlolwa kwebele lezokwelapha. Udokotela wakho uzizwa (uhlola) amabele akho nama-lymph nodes atholakala entanyeni yakho engezansi nendawo yasezandleni, ehlola inyama yasebeleni engavamile. Uma ukuhlolwa kwebele — kanye nomlando wakho wezokwelapha — kuphakamisa ukuthi unezinguquko zamabele ezivamile, ungase ungadingi ukuhlolwa okuengeziwe.

Kodwa uma udokotela wakho ethola isibopho esisha noma inyama yasebeleni engathandeki, ungase udinga ukubuya emavikini ambalwa kamuva, ngemuva kwesikhathi sakho, ukuze wenze enye i-clinical breast exam. Uma izinguquko ziqhubeka noma ukuhlolwa kwebele kukhathaza, ungase udinga ukuhlolwa okuengeziwe, njenge-mammogram yokuxilonga noma i-ultrasound.

I-biopsy yasebeleni. Uma i-mammogram yokuxilonga ne-ultrasound zivamile, kodwa udokotela wakho usenezinhlungu mayelana nesibopho sebele, ungase uqondiswe kudokotela we-breast surgeon ukuze ubone ukuthi udinga i-biopsy ye-surgical breast yini.

I-biopsy yasebeleni inqubo yokususa isampula encane yenyama yasebeleni ukuze kwenziwe ukuhlaziywa nge-microscopic. Uma indawo engathandeki itholakala ngesikhathi sokuhlolwa kwezithombe, u-radiologist wakho angase acebise i-biopsy yasebeleni eholwa yi-ultrasound noma i-biopsy ye-sterotactic, esebenzisa i-mammography ukucacisa indawo eyiyo yebiopsy.

Kubalulekile ukubika noma yiziphi izinguquko ezintsha noma eziqhubekayo zamabele kudoctor wakho, ngisho noma une-mammogram evamile ngaphakathi konyaka odlule. Ungase udinga i-mammogram yokuxilonga noma i-ultrasound ukuhlola izinguquko.