Matenda m'mawere: mankhwala

matenda chifuwa - matenda zokhudza England mammary ndipo chifukwa cha m'thupi kulephera akazi. Iwo amakhala ndi chitukuko cha zotupa chosaopsa, zomwe zingakhudze ducts, alveoli, kulumikiza, ndi zina - ndi adipose minofu.

Mastitis amaliona m'njira ziwiri: ndiwofatsa, sizikutanthauza opaleshoni, ndi kugwira ntchito, ine .E. opaleshoni. Mu magawo oyambirira nthawi imachitika chithandizo ndiwofatsa a mastitis. Ngati matendawa amakhala ndi kukhalapo kwa zisindikizo kwambiri, cysts, ndipo ngati si amenable mankhwala nonsurgical, kuwaika opaleshoni.

Ntchito zotsatirazi muli pa matenda a mastitis:

• kuchepetsa ululu;
• kuchepetsa chotupa ndi fibrous m'mawere minofu;
• Popewa zisadzachitikenso chotupa;
• kusintha udindo m'thupi.

Si kale mu kuchita pa zamankhwala mankhwala atsopano (prozhestozhel, mastodipon, mammoleptin, Wobenzym), amene atsimikizira mogwira mankhwala a mastitis mu magawo oyambirira anali anayambitsa. Komabe, iwo anasonyeza kuti operewera kwa odwala ndi mastopathy fibrocystic ndi akazi, amene banja la mastitis zowawa kapena zowawa wachibale wapafupi.

Mankhwalawa matenda kutsindika ali kuthetsa mavuto a mastitis: yamchiberekero kukanika, matenda a ubongo, chiwindi matenda ndi matenda matenda. mankhwala timadzi Kwalamulidwa mu Zikavuta.

Komabe, pali mitundu ya mastitis, n'zovuta mankhwala m'thupi. Zikuphatikizapo fibromatous ndi fibrocystic chifuwa matenda, komanso proliferative fibroadenomatosis.

Chimagwiritsidwa ntchito pa matenda m'thupi la mastitis anapeza mankhwala zotsatirazi:

• antiestrogens (Fareston, tamoxifen);
• progestins;
• m'kamwa kulera;
• prolactin zoletsa;
• androgens;
• analogues gonadotropin kumasuka timadzi (LHRH).

Zochitika zasonyeza kuti progestins kuonjezera zotsatira akangofika 80%. Gulu la mankhwala amene zambiri zotchulidwa monga "Pregnin", "Norkolut", "Orgametril".

atsikana osakwana zaka 35 amavomereza ngati kulera m'kamwa monga "Silest" "Marvelon", "Mersilon" ndi "Femoden". njira izi kwambiri kusiyiratu odwala ndi engorgement, ndi kuchepetsedwa msambo. Pamene kulandira "danazol" ululu kumawononga ndi kutha kwa mwezi woyamba.

Monga ulamuliro, nthawi ya chithandizo ndi miyezi 4-6 zofunika zisindikizo resorption. Ngati pali kochulukira prolactin msinkhu ndi lotha mkaka, dokotala n'kukulemberani ngati prolactin zoletsa monga "bromocriptine" kapena "Parlodel".

Mankhwalawa mastitis watsimikizira mankhwala ogwira kwambiri ntchito kunja "Prozhestozhel" 1%. Pamafunikanso mikroninizirovanny progesterone kuwapeza zitsamba mankhwala omwe kukhala zofanana ndi amkati, opangidwa mu mawonekedwe a gel osakaniza a.

The mwayi waukulu "Prozhestozhelya" tichipeza mu tanthauzo lake kunja, umene zambiri za mankhwala akhala mwa bere minofu, kulowa m'magazi mu pang'ono (10%). Ikufotokoza kupanda mavuto amene kutheka pambuyo preoral kulandira progesterone. The mlingo kuchitidwa pa lililonse chifuwa magalamu 2.5 ya kalekale kapena miyezi 3-4 pa yachiwiri kuzungulira kusamba.

mankhwala Non-m'thupi, kuwonjezera pa kuwukonza zakudya, kusankha moyenera kamisolo kumatanthauza kutenga mavitamini, sanali steroidal odana ndi yotupa (NSAID) , ndipo okodzetsa, komanso limatanthauza kusintha kufalitsidwa. Pamene akakufunsani mastitis amagwiritsidwa ntchito NSAIDs.

Indomethacin kapena Brufen zajambulidwa yachiwiri gawo la kuzungulira kusamba, kupweteka, kulimbikitsa kuchotsa edema resorption ndi zisindikizo, ndi bwino zotsatira za X-ray ndi ultrasound. Chitsanzo zikuonetsa ntchito mankhwala awa ali mu glandular chifuwa mawonekedwe.