Ngendlela ehlukile yokwehla kwe-cystic, yonke inhlamba ye-mammary ihlanganiswa ukusabalala kwama-fibrous tishu, futhi ezinhlotsheni zegland ngokwayo kunama-cystic akhiwe ngobukhulu nobukhulu obuhlukile. Ukusabalalisa ama-cystic ukukhathazeka kwe-cystic kubonakala ngokutholakala kwemikhumbi ye-cystic enodonga olunamanzi, ngaphakathi lapho kungaba khona kokubili okuketshezi kanye nama-mucous obukhulu. Ukusabalalisa i-cystic fibrosis ukukhathazeka kungaba izinhlobo ezintathu:
- okuyinhloko yesakhi seglandular;
- okuyinhloko yecandelo le-fibrous;
- i-predominance yenxenye ye-cystic.
Ukwehlukanisa uhlobo lwe-fibrocystic ukukhathazeka - izimbangela
Izimbangela ezinkulu zokuqwashisa aziqondi ngokugcwele, kodwa ngokuvamile kuvame ukulwa nesimo sokuhluleka kwe-hormone owesifazane. Ngokuvamile ukuthuthukiswa kokukhathazeka kugqugquzelwa ngokweqile kwama-estrogens (kubangela ukwanda kwe-stroma ye-gland nokusabalalisa kwe-epithelium ye-alveoli yayo) ngokuntuleka kwe-progesterone emzimbeni wesifazane ovimbela lezi zinqubo.
Izinto ezibambelela ekuthuthukiseni ukukhathazeka yizi:
- ukuzalwa (ukutholakala kokukhathazeka, umdlavuza webele emadodeni amaningana abesifazane);
- Ukukhipha isisu, ukukhulelwa kwesisu, ukukhulelwa okubandayo ngesikhathi esilandelayo (izikhathi eziningana zandisa ingozi ye-mastitis);
- ubulili obungavamile nokungahambisani nomuntu;
- ukungabi namntwana noma ukuzalwa kokuqala kwabesifazane esikhathini esizayo;
- Ukudla okuncane (izinyanga ezingaphansi kwezinyanga ezintathu) noma ukuntuleka kokuncelisa;
- ukuhlukunyezwa kwe-mammary gland (kufaka phakathi ukulimala okuncane okuvamile ngokukhethwa okungafanele kwezingubo);
- izifo ze-endocrine (izifo zegciwane le-thyroid, isifo sikashukela, izifo ze-ovari, ukukhuluphala);
- ukucindezeleka, imikhuba emibi (ukubhema, utshwala).
Ukukhathazeka okungafani-kwe-cystic - izimpawu
Ukusabalalisa i-cystic fibrosis ukukhathazeka kubonakala ngezibonakaliso eziningana:
- ukubukeka kobuhlungu, ubunzima, ukuzwa okungajabulisi emthonjeni we-mammary;
- ukubonakala kokukhipha emlonyeni (ubisi, i-colostrum);
- izinguquko esakhiweni sobuningi (ukubonakala kwezimbozo namafindo) - lesi sibonakaliso sitholakala ezinyangeni zokuqala zesifo ngaphambi kokuba umtholampilo ubonakale engaphezu kwesigamu sabesifazane futhi kutholakala uma kuzihlola.
I-Symptomatics ihlobene eduze nomjikelezo wokuya esikhathini. Ukweqileka kwezimpawu kubonakala ngesikhathi sokuya esikhathini, nazo zenezela ukuvuvukala kwezigulane ezincelisayo ngaphambi kwazo.
Isici esihlukile sokwehla kwesifo somdlavuza emdlalweni wesikhumba kuyishintsho esikhumbeni ku-node ye-glandular ye-gland nokubonakala kwama-lymph nodes esifundeni se-axillary. Kodwa kuyi-symptomatology yenqubo ehlehliwe, futhi ukuhlolwa okufika ngesikhathi nokuhlolwa okuphelele, lapho kukhona noma yikuphi ukuguquka esakhiweni segundane, kwenza kube lula ukuhlukanisa umdlavuza ekukhathalelweni ngezigaba zangaphambili.
Ukuxilongwa kokusabalalisa ama-cystic
Indlela eyinhloko yokuxilonga ukukhathazeka ihlolwe njalo ngesifuba sowesifazane ukuze kwenziwe izinguquko esakhiweni sabo. Uma kuhlolwa, owesifazane kufanele aqaphele ushintsho ekubukeni kwangaphandle kwe-gland (ukubukeka kwe-asymmetry, izinguquko esimweni nesimo sezinsipho, umbala wesikhumba), kokubili isikhundla lapho izingalo ziyancipha futhi ngezandla ziphakanyisiwe. Khona-ke uveza i-palpation yezinhlayiya ukudalula izimpawu. Lapho ehlolwa, udokotela ukwengeza ukhethe i-mammogram,
Ukwelashwa kokusabalalisa kwama-cystic
Ngokuvame ukwesifazane kunqunywe ukwelashwa okulondolozayo, usebenzisa izidakamizwa ze-hormonal - ama-analogues e-progesterone (i-Dyufaston, i-Utrozhestan). Futhi basebenzisa izidakamizwa ezivimba ukuhlanganiswa kweprolactin (i-Bromocriptine), ukuhlanganiswa kokubeletha komlomo, i-antigonadotropins (i-Danazol), i-antiestrogens (i-Tamoxifen). Kodwa ezinkathini zokuqala ngokuvamile kuvame ukusebenzisa imishanguzo yokuhlwanyela kanye ne-homeopathic, enomphumela omuhle wezokwelapha (Wobenzym, Klimadinon, Mastodinon).