Isimo sokuvuvukala kwezigulane ezincelisayo, okuhambisana nokwanda komzwelo wabo kuze kufike ebuhlungu obuzwakalayo, kwezokwelapha kwakuthiwa i-mastodinia. Kukhona ukuvuvukala kwezigulane ezincelisayo ngaphambi kokuya esikhathini, kanye namantombazane esikhathini sokuqala.
Izinhlobo
Kunezinhlobo ezimbili zezidumbu: i-cyclic ne-acyclic.
- Ifomu lokuqala lihlotshaniswa nokugcinwa okuqondile kwamanzi emzimbeni wesifazane, okuholela ekuvupheni kwe-stroma yezinhlayiya ze-mammary ngaphambi kokuya esikhathini nokwehla kwegazi emithanjeni. Ngenxa yalokho, ukuphela kwezinzwa zezintuthwane ze-mammary zicindezelwa, ezibonakaliswa ubuhlungu obukhulu. Egazini kukhona ukwanda ezingeni lezinto eziphilayo ezisebenzayo (i-histamine, i-prostaglandins), okuvela kuzo izigulane ezincelisayo. Ngaphezu kwalokho, izinzwa ezibuhlungu zanda.
- Ngendlela yokuthuthukiswa kwesimo se-acyclic lesi sifo, indima eyinhloko idlalwe ukungalingani kwe - hormonal yemvelo, okubangelwa ukuphazamiseka kwengqondo. Ngaphezu kwalokho, ukuvuvukala nokuhlushwa kwezigulane ezincelisayo kungabonakaliswa kwezimo ze-pathological (mastopathy).
Izimbangela
Inkinga enkulu owesifazane ohlangene nale nkinga yilo: "Kungani izilonda ezincelisayo zikhula?" Izizathu zokuvuvukala kwezigulane ze-mammary ziningi kakhulu. Nazi okuyinhloko:
- izinguquko ze-hormone (ukuqhuma) ngezikhathi ezahlukene zokuphila (ukukhulelwa, ukukhulelwa, ukuyeka esikhathini, njll);
- isikhathi sokuqala, lapho owesifazane eveza ikhanda, ukushintsha kwengcindezi yegazi kwenzeka, kanye nokuhlukunyezwa komzwelo;
- izifo zesifuba esiswini (abscess, mastitis);
- isisu sebele ( fibroadenoma , cyst, umdlavuza webele);
- ukungenelela kokuhlinzwa noma ukulimala kwezigulane ezincelisayo;
- ukuthatha imithi ethile (izakhi zokuvimbela imithi ye-hormonal, izidakamizwa zokucindezeleka, izidakamizwa ezivuselela i-ovulation, i-diuretics);
- ukuphazanyiswa kwesibindi nesigxathu somzimba.
Ukubonakaliswa
Ubuhlungu be-cyclic nokuvuvukala kwezigulane ezincelisayo zivame ukuvela ngesikhathi sokuya esikhathini futhi kubonakala esigabeni sesibini. Lokhu kungenxa yokuntuleka emzimbeni we-hormone progesterone noma ukukhiqizwa ngokweqile kwama-estrogen (kusukela ezinsukwini ezingu-10-14 zomjikelezo nangaphambi kokuqala kokuya esikhathini). Owesifazane ukhononda ngokudweba nokuhlunguphazwa, okuhambisana nokuvuvukala okuqinile kwezigulane ezincelisayo. Ukuhlolwa kwe-Hypersensitivity kubonakala: kuyabuhlungu ukuthinta isifuba sakho. Kulesi simo, izigulane zombili zofuzo zivuvuka futhi zizwakala ubuhlungu. Iningi lezinyathelo ezihamba ngamabhayisikili liyabonakala kwabesifazane abaneminyaka engama-20-30, futhi futhi baneminyaka engaphezu kwengu-40.
Uhlobo lwe-acyclic lwe-mastodynia aluhlobene nokujikeleza kokuya esikhathini. Kule nkinga, izigulane ezincelisayo eziphefumulayo kubesifazane zibuhlungu kakhulu. Ubunjani bobuhlungu buhlukile (ukushisa, ukugcoba, ukumhlophe), indawo yangakini - ngokuqondile endaweni ethile. Isifuba esisodwa kuphela sihilelekile kule nqubo, okungukuthi, okuthiwa i-asymmetry yobuhlungu ibonakala. Leli fomu lijwayelekile kubantu besifazane eminyakeni engama-40-50 (isikhathi sokuya esikhathini sokuya esikhathini).
Ukwelapha
Okokuqala, nge-mastodinia, kubalulekile ukukhipha ngokuphelele izici eziholela ekuthuthukiseni ubuhlungu (ushintsho lwelineni, ushintsho embusweni wosuku). Futhi, owesifazane uboniswa ukuthatha amavithamini B, E, no-A, ama-diuretics kanye nama-sedative. Ngaphansi kokwengamela udokotela, owesifazane unqunywe izidakamizwa eziphikisayo (Indomethacin, Ketotenal, Ibuprofen). Njengoba ubuhlungu obukhulu, odokotela bavame ukubeka izidakamizwa ze-hormonal, i-Bromocriptine.
Ngakho-ke, izilonda ze-mammary zingakhula ngezizathu eziningi. Ukuze kutholakale kahle ukwelashwa ngokuqondile, owesifazane kufanele abonane nodokotela embukisweni wokuqala.