Kusiyanitsa-kusokoneza maganizo

Mu mtundu wovuta kwambiri wa mankhwala osokoneza bongo, mtundu wonse wa mammary umagwirizanitsidwa ndi kuchulukana kwa minofu ya fibrous, ndipo m'zigawo za gland palokha palinso machitidwe opangidwa mosiyana ndi kukula kwake. Kuwoneka mochititsa chidwi - katswiri wamasewera amadziwika ndi kukhalapo kwa cstic cavities ndi khoma lamtunda, mkati mwake pakhoza kukhala zonse zamkati ndi zamkati mucous. Kusokonezeka kwa cystic fibrosis kusamala kungakhale kwa mitundu itatu:

• chofunika kwambiri pa chigawo chododometsa;
• chofunika kwambiri pa chigawo cha fibrous;
• zofunikira kwambiri za gawo lachinsinsi.

Kutaya mawonekedwe a fibrocystic kusamala - zimayambitsa

Zomwe zimayambitsa kusamala sizikumvetsetsedwa bwino, koma nthawi zambiri zimakhala zosiyana ndi zomwe zimachitika m'madzi. Kawirikawiri chitukuko cha chidwi chimalimbikitsidwa ndi ma exerrogens (omwe amachititsa kuti phokoso liwonjezeke kwambiri komanso kuti kuchulukana kwa epithelium ya alveoli) kukusowa kwa progesterone mu thupi la mkazi wotsutsa njirazi.

Zomwe zikuthandizira pa kukula kwa chidwi ndi:

• utsogoleri (kukhalapo kwa kusamala, khansa ya m'mawere m'mabuku ambiri a akazi);
• Kuchotsa mimba, kutaya padera, mimba yofiira patapita nthawi (nthawi zingapo kumawonjezera chiopsezo cha mastitis);
• kugonana kosagwirizana ndi mkazi;
• Kusabereka kapena kubadwa koyamba kwa amayi pa msinkhu wotsatira;
• kudya kochepa (osakwana miyezi itatu) kapena kusowa kwa mkaka;
• zoopsa za mammary gland (kuphatikizapo kuvulala kawirikawiri ndi zovala zosayenera);
• Matenda a endocrine (matenda a chithokomiro matenda a shuga, matenda a shuga, matenda oyambitsa mazira, kunenepa kwambiri);
• nkhawa, zizoloŵezi zoipa (kusuta, mowa).

Zovuta-zamatsenga zosamala - zizindikiro

Kukula kwa cystic fibrosis kusamala kumakhala ndi zizindikiro zingapo:

• maonekedwe a ululu, kupweteka, zowawa zosapweteka m'mimba ya mammary;
• maonekedwe a kumaliseche (mkaka, colostrum);
• kusintha kwa kapangidwe ka chikopa (mawonekedwe a zisindikizo ndi zizindikiro) - chizindikiro ichi chimapezeka m'mayambiriro a matendawa asanatuluke kuchipatala mwa amayi oposa theka la amayi ndipo amadziwika akadzifufuza.

Zizindikiro zimagwirizana kwambiri ndi msambo. Kuwonjezeka kwa zizindikiro kumachitika madzulo amayamba kusamba, amawonjezeranso kutupa kwa mitsempha ya mammary patsogolo pawo.

Chinthu chosiyana kwambiri ndi kuchepa kwa khansa ya m'mawere ndi kusintha kwa khungu pamtundu wamtundu wa chigoba komanso maonekedwe a mitsempha m'dera la axillary. Koma ndi chizindikiro cha njira yosanyalanyaza, ndikuyesa kufufuza nthawi yeniyeni ndi kuyesedwa kwathunthu, pamaso pa kusintha kulikonse kwa kapangidwe kake, kumapangitsa kuti tithe kusiyanitsa khansara yosazindikira pazigawo zoyambirira.

Kuzindikira za kusokonezeka kwasayansi

Njira yeniyeni yodziwira zovuta ndizoyang'anitsitsa pachifuwa cha mayi kuti zisinthe maonekedwe awo. Pambuyo poyezetsa magazi, mayi ayenera kumvetsera kusintha kwa mawonekedwe akunja a chikopa (maonekedwe a asymmetry, kusintha maonekedwe ndi malo a zikopa, mtundu wa khungu), ponseponse pomwe manjawo amatsika ndi manja. Kenaka amachititsa kuti zizindikirozo zisamveke. Atafufuza, dokotalayo amawonjezera mamembala, Mazira a mammary , kudziŵa kuchuluka kwa mahomoni ogonana m'magazi.

Kuchiza kwa machitidwe osokonekera

Kawirikawiri amayi amalembedwa mankhwala osamalitsa, pogwiritsira ntchito mankhwala osokoneza bongo - ma progesterone analogues (Dyufaston, Utrozhestan). Amagwiritsiranso ntchito mankhwala omwe amalepheretsa kufalikira kwa prolactin (Bromocriptine), kuphatikizapo njira zothandizira pakamwa, antitigonadotropins (Danazol), antiestrogens (Tamoxifen). Koma kumayambiriro koyambirira nthawi zambiri amagwiritsa ntchito mankhwala ophikira m'mimba, omwe amathandiza kwambiri (Wobenzym, Klimadinon, Mastodinon).