Isifo wamabele: imithi

isifo wamabele - isifo esithinta indlala mammary futhi ngenxa yokwehluleka hormone kwabesifazane. It libhekene ukuthuthukiswa izimila kungavamile ukuba ingozi, okungase kuthinte Amapayipi, ama-alveoli, yokuxhuma, futhi kwezinye izimo - ijwabu adipose.

Mastitis iphathwa ngezindlela ezimbili: ngoludala, akusho ukuhlinzwa, futhi ukusebenza, i .e. surgically. Okwakuhlalwa kuzo lapho kusaqalwa ngokuvamile kwenziwa ukwelashwa ngoludala of mastitis. Uma lesi sifo libhekene khona lwezimpawu abalulekile, izinhlumba, futhi uma akusiyo amenable zokwelapha nonsurgical, asesebenzisa ukuhlinzwa.

Imisebentiluhlolo abalandelayo ekwelapheni mastitis:

• ekunciphiseni izinhlungu;
• ukunciphisa simila futhi fibrous webele izicubu;
• ukuvimbela yokuphindela isimila;
• ulungise isimo hormone.

Hhayi kudala e kwezokwelapha kwemithi emisha (prozhestozhel, mastodipon, mammoleptin, Wobenzym), okuyinto okuye kwenziwa kuye kwabonisa ngempumelelo ekwelapheni mastitis kusaqalwa kwangena. Nokho, baba ayizwakali iziguli mastopathy fibrocystic nabesifazane, emndenini mastitis ehlupheka noma ziye zabhekana isihlobo esiseduze.

Esikhathini ekwelapheni izifo kugcizelelwa izimbangela of mastitis: ukungasebenzi wesibeletho, iziyaluyalu esithinta izinzwa, isifo sesibindi kanye nezifo izifo zabesifazane. Ukwelapha i-hormone ezinqunyiwe ezimweni ezinzima.

Nokho, kukhona izinhlobo mastitis, kunzima ekwelashweni kwama-hormone. Lezi zihlanganisa fibromatous futhi fibrocystic webele isifo, kanye fibroadenomatosis proliferative.

Kabanzi esetshenziswa ekwelashweni kwama-hormone ngesikhathi mastitis bathole imithi ezilandelayo:

• antiestrogens (Fareston, tamoxifen);
• progestins;
• zokuvimbela inzalo ngomlomo;
• inhibitor prolactin;
• androgens;
• analogue gonadotropin ukukhulula ama-hormone (LHRH).

Okuhlangenwe nakho kuye kwabonisa ukuthi progestins ukwandisa umphumela oqabulayo ku-80%. Iqembu izidakamizwa ukuthi zivame kakhulu ebekiwe zihlanganisa "Pregnin", "Norkolut", "Orgametril".

Abesifazane abasha ezingaphansi kweminyaka engu-35 avame ukuthatha ezifana nokukhandela imbeleko temlomo ngokuthi "Silest" "Marvelon", "Mersilon" futhi "Femoden". Lezi izindlela wehlise kakhulu yokugula kwabantu kanye engorgement, futhi yehlise umjikelezo wokuya esikhathini. Lapho ethola "danazol" ubuhlungu siyehla ekupheleni kwenyanga yokuqala.

Njengomthetho, isikhathi kwelashwa izinyanga 4-6 kwadingeka kwezinhlelo resorption lwezimpawu. Uma kukhona anda prolactin ezingeni kanye kokuphela ubisi, udokotela ekunika ezifana prolactin inhibitor ngokuthi "bromocriptine" noma "Parlodel".

Ekwelapheni mastitis uye wafakazela izidakamizwa ephumelela kakhulu ukusetshenziswa yangaphandle "Prozhestozhel" 1%. Kuhlanganisa progesterone mikroninizirovanny eyatholakala kusukela amakhambi okwelapha, okuyinto kokuba nsé endogenous, ekhiqizwa ngesimo ijeli.

Inzuzo enkulu "Prozhestozhelya" liqukethe isicelo ngaphandle kulona, lapho ngobuningi zomuthi uhlala izigaxa ebeleni, ukuthola emgudwini wegazi e esincane (10%). Lokhu kuchaza ukuntuleka amathuba okuba nemiphumela engemihle ukuthi zingenzeka ngemva preoral eyamukelayo progesterone. Umthamo watusa ukuba usetshenziswe ku womabili amabele, 2.5 amagremu unomphela noma 3-4 izinyanga ngesikhathi sesigaba we umjikelezo wokuya esikhathini uwubufakazi yesibili.

ukwelashwa Non-hormone, ngaphezu ukulungiswa yokudla, ukukhethwa efanele bra, kuhilela amavithamini ukuthatha, non-steroidal anti-inflammatory (NSAID) , futhi isisu, kanye kusho ukuthini nokujikeleza kwegazi. Lapho ekubhebhetselisa mastitis evame ukusetshenziswa ama-NSAID.

Indomethacin noma Brufen ethathwe yesibili esigabeni se-umjikelezo wokuya esikhathini, okudambisa ubuhlungu, ukukhuthaza ukususwa edema resorption nezimvu zamanzi, kanye ngcono imiphumela-X-ray kanye ultrasound. izinkomba ejwayelekile ukusetshenziswa le mithi uku yezindlala ifomu webele.