Uhlu lwe-Breast and Non-Breast Causes of Breast Pain
Kungasabeka ukuba nobuhlungu esifubeni sakho. Nakuba ukukhathazeka kwakho kokuqala kungaba ukuthi ungumdlavuza webele, kunezimbangela eziningi ezingabangela ngaphakathi nangaphandle kwamabele akho. Yiziphi ezinye zezimbangela? Kufanele ukhathazeke kanjani? Futhi yini okufanele uyenze kuqala? Kungakhathaliseki ukuthi ubuhlungu obuzwayo bubukhali noma bubuhlungu, buphakathi noma buhlala njalo, noma bumnene noma bunzima, kubalulekile ukulalela lokho umzimba wakho okutshela khona.
Izinyathelo Zokuqala Uma Unesifo Sebele
Isinyathelo sokuqala uma ubuhlungu besisu ukwenza i-aphoyintimenti ukuze ubone udokotela wakho. Lokhu akusho ukuthi ukuzwa ubuhlungu besisu kusho into ebalulekile eyenzekayo. Lutho neze. Eqinisweni, ubuhlungu obukhulu besifuba akusona uphawu lwezinto ezinzima.
Kodwa akunakwenzeka ukuhlukanisa izimbangela ezivamile, ezingekho ezingathí sina ezivela ezingavamile, kodwa ezimbangela ezinkulu ngaphandle kwengxoxo enhle nokuhlolwa nodokotela wakho.
Ngaphezu kwalokho, uma ufana nabantu abaningi, ubuchopho bakho buzoqala ukuzama ukubona ukuthi kwenzekani noma kunjalo, futhi ungase ulahlekelwe hhayi kuphela ukuhlushwa emini, kodwa ulale ebusuku.
Uma ubona udokotela wakho ngezihlungu zesifuba, uzokubuza imibuzo futhi enze ukuhlolwa okuphelele ngokomzimba ukuze athole umsuka wobuhlungu. Okokuqala, udokotela wakho uzozama ukuthola ukuthi ubuhlungu bakho buhlobene kanjani nebele, njengoba kuneminye imithombo yobuhlungu esifubeni okungase kube nomuzwa wokuthi unesifuba sakho.
Uma umthamo webele noma ihlombe ibonakala, i-mammogram yokuxilonga, kanye / noma i-ultrasound, kanye / noma i-biopsy izolalelwa. Kwezinye izimo, kuzodingeka i- MRI yebele , ikakhulu uma unomlando womndeni wesifo somdlavuza webele.
Uma udokotela wakho esolisa enye imbangela yesifo sakho sebele, njengesifo senhliziyo, uzodinga ukuhlolwa okuqhubekayo.
Ake sihlole izimbangela ezingase zibangele ubuhlungu esifubeni sakho (noma amabele), kuhlanganise nalawo avela esilwini nakwabanye okukhulunywa nje esifubeni.
Izizathu Ezihlobene Nebele Zesisu Sezinhlungu
Uma udokotela wakho enquma ubuhlungu bakho besifuba kuphela ubuhlungu besifuba futhi akukho okunye-lokhu kubizwa ngokuthi i-mastalgia. Kunezinhlobo ezimbili ze-mastalgia: ubuhlungu besibindi se-cyclic kanye non-cyclical. Kubalulekile ukwazi ukuthi ukuthi unesifo se-mastalgia, ezwa ubuhlungu besifuba, akwenyusa ingozi yokuthuthukisa umdlavuza webele.
I-Mastalgia: U-Cyclic Breast Pain
Izinhlungu zesifuba se-cyclic ziyahlukahluka ngokujikeleza kwakho kokuya esikhathini, ngakho-ke kwanda futhi kwehla ekuphenduleni i-hormone yakho yenyanga. Lobu buhlungu kaningi buzwa sengathi bubuhlungu, bunzima, buhlungu kokubili amabele futhi buyahlukazeka, okutholakala kuwo wonke amabele. Izinhlungu zesifuba se-cyclic zivame ukungena ezindaweni zakho ezivulekile.
Njengoba lolu hlobo lobuhlungu luhlotshaniswa nomjikelezo wesifazane wesifazane, abesifazane base-premenopausal cishe bayakuzwa. Emadodeni ase-post-menopausal, ubuhlungu obukhulu besisu abuhlungu ubuhlungu besifuba.
I-Mastalgia: Insizwa Ye-Breast Breast
Ubuhlungu obubukhali, obuvuthayo noma obuhlabayo esiswini esisodwa noma obuphakathi kungenzeka ukuthi abuhlobene nomjikelezo wakho wokuya esikhathini futhi kungenzeka kube ubuhlungu besibindi se-noncyclical.
Lolu hlobo lobuhlungu besisu lungaba ngaphakathi, ngaphansi, noma eduze nesifuba. Uma kwenzeka, lokhu ubuhlungu besifuba obukhali buzwa sengathi buyindawo eyodwa noma indawo yokuqeda.
Kubalulekile ukuqonda ukuthi lolu hlobo lwezinhlungu zesifuba lungabonisa kungakhathaliseki isimo sakho sezinsizwa. Okokugcina, kunezimbangela eziningi zezinhlungu zesifuba ezingenayo i-noncyclical ezisekhona nezinguquko ze-hormonal, kuhlanganise namaphilisi okubeletha ngomlomo, ukwelashwa kwe-hormone, neminye imithi. Ngaphezu kwalokho, amabele amakhulu angase abuhlungu, ikakhulukazi uma owesifazane engagqoke ibhande elifanele, elisekelayo.
Ukulimala Kwebele
Amabele akho ahlanganiswe isikhumba esibucayi, esikhuphuka esivikela izinzwa, imithwalo yegazi, nezicubu ezihambisanayo kanye namadada kanye nama-lobes okukhiqiza ubisi lwebele.
Uma unesihlungu sebele, ungalindela ukulimaza nokuphuza okuzoqhubeka kuze kube yilapho isikhumba nezicubu eziphambene ziphilile.
Ngezinye izikhathi ukulimala esifubeni kuphulukisa izicubu ezibomvu, futhi lezi zicubu ezibomvu zingabangela ubuhlungu (okuthiwa i-fat necrosis). I-necrosis ye-fat ingase ibonakale njengenhlamba enzima, okwenze kube nzima ukuhlukanisa nomdlavuza webele. Ngisho nangokwemvelo, i-fat necrosis ingenye yezimo ezinobunzima ezingalingisa umdlavuza webele .
Ukwelashwa Kwebele
Ngemuva kwanoma yiluphi uhlobo lwezinyosi zesifuba kungakhathaliseki ukuthi ukukhushulwa, ukunciphisa noma ukuvuselela , isifuba sakho siyolimala njengoba kusetshenziselwa izifo eziphulukisayo kanye nezicubu ezibomvu. Futhi njengokungathi izicubu ezibomvu zihlobene nokulimala, ubuhlungu buya khona futhi bude ngisho nangemva kokuhlinzwa kwakho. Kanti, ngezinye izikhathi kunzima ukuhlukanisa umcuba webele.
Izimo Zokudoba Ubisi Nezifo
Izimo eziningana ezibuhlungu kodwa ezibuhlungu zingathuthuka ngaphakathi kwesistimu yobisi lwebele. I- abscess ingenzeka ngaphansi kwe-nipple yakho noma i-areola. Amathanga amachizi angagcwala futhi agciwane, okwenza ukuba i-mastitis (isifo sofuba) noma i- ectasia ye-ductal .
Ukwengeza, ama-cysts kanye nama- fibroadenomas angakhula futhi aqoqe uhlelo lwakho lwebisi noma izicubu ezixhunyiwe, okwenza ama-aches nezinhlungu.
Izizathu zeHormonal
Izinguquko ze-hormone nazo zingabangela ukuthambekela kwebele, ikakhulu uma amazinga ashintsha ngesikhathi somjikelezo wesifazane noma ngesikhathi asebenzisa amaphilisi e-hormone, njengamaphilisi okubeletha ngomlomo, ukwelashwa kokubeletha, noma ukwelashwa kwe-hormone.
Nakuba izinguquko ze-hormone zivame ukubangela ubuhlungu kuzo zombili amabele, ubuhlungu bungase buzwakale esiswini esisodwa ngaphezu kwesinye. Kuhle ukuphawula nokuthi izimo zezokwelapha ezifana ne-hypothyroidism, ezibonakala ngezinga eliphansi lamahomoni e-thyroid emzimbeni, zingase zixhunywe nezinkinga zesifuba ezincelisayo ezibangelwa ubuhlungu besisu.
Ukuvuvukala nama-Lumps
Uma usola izifo zesifuba noma ukuvuvukala, vakashela udokotela wakho womndeni noma isazi sokubeletha. Kungase kudingeke uthathe ama-antibiotic noma iminye imishanguzo yegciwane ukuze ususe inkinga.
Okokugcina, noma nini lapho uthola izibungu ezintsha zebele noma u-bumps, xhumana nodokotela wakho ngokushesha ukuze uthole ukuxilongwa okucacile nokuphathwa kahle. Uma udokotela wakho ebhala isifuba sakho kodwa angacabangi ukuthi ungumdlavuza ngenxa yemvelo, cela imibuzo eminye noma uthole umbono wesibili. Kunabesifazane abaningi abaye baba nemilenze evamile naphezu kokuba nomdlavuza webele.
Umdlavuza webele
Kungenzeka ukuthi wezwa ukuthi ubuhlungu esifubeni sakho buyisibonakaliso esihle, nokuthi umdlavuza wesifuba awubuhlungu. Lokhu kuyiqiniso, okungenani ngezinga elithile. Ngezinye izikhathi, ubuhlungu besisu bungaba uphawu lomdlavuza webele .
Isibonelo, umdlavuza wesifuba wokuvuvukala uhlobo lomdlavuza olunonya lomdlavuza wesifuba ovame ukuqala ngobuhlungu, ubomvu nokuningi. Ngalolu hlobo lomdlavuza, abantu abaningi abakwazi ukuzizwa behluzekile.
Kucatshangwa ukuthi ama-cancer omuthi webele wezinhlungu zesifuba kuphela amaphesenti angu-0.5 yesikhathi, kanye nokuthola isifo somdlavuza webele we-2016 njengesisusa samacala angu-500 kuphela wezinhlungu zesifuba. Kwabesifazane abanomdlavuza wesifuba, abazungeze owodwa kwabahlanu noma owodwa kwabayisithupha abazwa ubuhlungu besisu esikhathini sezinsuku ezingu-90 okuholela ekutholeni kwabo. Kanti, ubuhlungu besisu abuvami umphumela wesifo somdlavuza webele, kepha kuvamile kulabo abanomdlavuza. Uma ubheka izibalo ezinjengalezi, kubalulekile ukuqaphela ingozi yakho. Uma unomlando womndeni wesifo somdlavuza webele (noma ezinye izifo zomdlavuza ezifana ne-ovarian, umdlavuza we-colon, umdlavuza we-pancreatic, nabanye), ubuhlungu obuzwayo bungaba namandla.
Izimbangela Ezihlobene Nezibeletho Zezinhlungu Zebele
Ngesinye isikhathi ubuhlungu buba khona eduze kwesifuba sakho ukuthi kunzima ukutshela ukuthi ubuhlungu buphakathi kwesifuba sakho noma ngaphansi kwalo. Kungaba khona amacala amaningana angenayo isifuba ebuhlungu bakho.
I-Costochondritis
I-Costochondritis ingukuvuvukala okubuhlungu kwesibindi se-cheti ne-bones. Uma ngabe uzizwa kanjani ubuhlungu besisu empeleni ku-cartilage yakho kune- costochondritis engxenyeni yakho (isifuba) singabangela ubuhlungu ngakwesokudla noma kwesobunxele besifuba.
Ukulimala Kwebhande Le-Wall
Uma uphakamisa, usebenzise umzimba, noma ugoqa ngendlela engafanele, kungenzeka ukuthi uthuthukise umfutho oswakalisiwe emdongeni wakho wesifuba, wabangela ukuqhuma kombambo, noma ubulethe ubuhlungu emuva-konke okungase kube nomuzwa ofana nobuhlungu obukhulu esifubeni sakho .
I-Muscle Spasm
Ngezansi kwebele lakho kukhona imisipha yesikhumba sekhanda okungase ihlume ngezikhathi zokukhathazeka nokucindezeleka, okubangela ubuhlungu obungase bugcine imizuzwana embalwa noma izinsuku eziningana. Ubuhlungu obuvela emisipha yamadundeni obukhulu bekhanda kungenzeka nganoma yiluphi uhlangothi.
Izifo Zesifo Sezinhlanzi
Izinguquko eziguquguqukayo zomgogodla ezifana nesifo somlomo wesibeletho noma se-thoracic ngezinye izikhathi zingabangela ubuhlungu besisu.
I-Fibromyalgia
I-fibromyalgia ingabangela ubuhlungu noma kuphi emzimbeni wakho, futhi ubuhlungu besifuba abuvamile. I-fibromyalgia ingathinta imisipha, amalunga, nezicubu ezixhumeneyo, ukudala ubuhlungu obukhulu noma ubuhlungu obukhulu.
Izinkinga ze-Airway
Kunezimo eziningana zamaphaphu ezingabangela ubuhlungu obuzwa emabeleni.
- I-brronchitis ukuvuvukala okubuhlungu kwezindiza eziholela emaphashini akho. Ubuhlungu be-bronchitis bubi nakakhulu uma ukhwehlela noma uzama ukuphefumula, kepha kungase kuzwe ubuhlungu besisu.
- I-pneumonia ingabangela ubuhlungu besisu kusukela amaphaphu akho esesifubeni sakho ngaphansi kwamabele akho.
- Ama-blood clots emilenzeni yakho ephuka futhi ehamba emapapheni akho, emapulazini we-pulmonary emboli, angabangela ubuhlungu obuzwa sengathi buvela esifubeni sakho.
Isifo senhliziyo
Uma ukholelwa ukuthi kukhona noma yikuphi amathuba ukuthi izimpawu zakho zingahlotshaniswa nenhliziyo yakho, sicela ufune usizo lwezokwelapha ngokushesha. Izimpawu ezingase zibe khona zesifo senhliziyo zingabandakanya:
- Ubuhlungu besifuba noma ingcindezi-qaphela ukuthi, okwesine kwabayisithathu kubantu abanesifo senhliziyo abatholi ubuhlungu besifuba noma ukucindezelwa.
- Ubuhlungu entanyeni yakho, emaseni noma ngakwesokunxele
- Ukuphefumula-lokhu kuvamile kwabesifazane abanesifo senhliziyo
- Ukuphunga
- I-nausea
- Lightheadedness noma ukudlula
- Umzwa wokuthi into ethile ayilungile noma umuzwa wezahlulelo ezizayo
Kubalulekile ukuqaphela ukuthi izimpawu zesifo senhliziyo kwabesifazane ngokuvamile zihluke kakhulu kunabesilisa. Esikhundleni sokuchoboza ubuhlungu besifuba, izimpawu zabesifazane zingacacile, njengokungathi awuzwa kahle noma ubuhlungu obungase buxoshwe njengesifo sobele.
Kodwa ngenxa yokubeletha yedwa, abesifazane bavame ukuthambekela ekuhlukumezeni ubuhlungu njengengcindezi noma ukucasula, kunokuba balilalele njengesibonakaliso sokuthi kukhona okwenzekayo okukhulu. Amaminithi ambalwa okuqala angabalulekile ekusindeni ukuhlaselwa kwenhliziyo. Uma ungeke uqiniseke, shayela u-911 ngokushesha.
Izifundo zisitshela ukuthi abesifazane basengozini yokufa ngenxa yesifo senhliziyo kunamadoda, kokubili ngaphambili, nangemva kokuthi bayifake esibhedlela. Ngokuphindaphindiwe, abesifazane abaningi bayavuma ukuthi banezimpawu ezicashile nezingacacile ezinyangeni ezintathu kuya kwezingu-4 ngaphambi kokuhlasela kwenhliziyo yabo. Njengowesifazane, ungaxoshi izimpawu ezicashile noma ezingachaziwe kahle ongazithola. Uyazi umzimba wakho. Uma kukhona okungahambi kahle kuwe, khuluma.
Izizathu Zokulinganisa
Njengoba isifo sakho sihamba ngaphansi kwesifuba sakho sobunxele, isifo se-reflux se-gastroesophageal singase sizizwe ngezikhathi ezithile njengokubuhlungu kwebele. Ubuhlungu obuhlobene nesifo bungase buzwe bunjengebuhlungu obuvuthayo, futhi ungaba nenambitheka enomlomo emlonyeni wakho, kodwa hhayi njalo.
Okunye izimo zesistimu yokugaya kungase futhi, ngezinye izikhathi, kubangele ubuhlungu obuzwa sengathi buvela endaweni yakho yesifuba noma yehlombe (isibonelo, ukuvuvukala kwe-gallbladder, okwenzeka ngakwesokudla).
Izikhwama
Ngezinye izikhathi abesifazane bahlakulela ubuhlungu ngokuvamile njengokuvutha noma ukucubungula okuzwakala sengathi kunesikhumba noma ebusweni bebele. Lokhu kungase kube yisibindi , isimo sesikhumba esithinta abantu kubantu abaneminyaka engama-60 kodwa kungenzeka kunoma ubani. Ngama-shingles, ubuhlungu bungase buqale ukuqala kwe-rash ngezinsuku ezimbalwa.
Izwi elivela
Uma uzama ukuthola ukuxilongwa okucacile kobuhlungu besifuba sakho, thatha imali. Gcina ishadi lezinsuku zakho zokuya esikhathini nokujikeleza kwesifuba sebele ukuze ukwazi ukwahlulela noma ubuhlungu buhlobene nomjikelezo wakho we-hormonal noma cha. Khona-ke, thintana nodokotela wakho bese uhlolwa ukuhlolwa kwesifuba . Ngesikhathi uvakashele, udokotela wakho uzophinde abukeze umlando wakho wezempilo kanye nohlu lwemithi.
Uma ulwazi oluthe xaxa mayelana nobuhlungu luyadingeka, ungathunyelwa ku- mammogram noma i- breast ultrasound , kanye nezinye izivivinyo, uma udokotela wakho esola isizathu esihlobene nesiboshwa.
> Imithombo:
> Arslan, M., Kucukerdem, H., Can, H., no-E. Tarcan. Ukuhlaziywa okubukeziwe kwabesifazane abaneMastalgia kuphela. I-Journal ye-Breast Health . 2016. 12 (4): 151-154.
> Jokich, P., Bailey, L., D'Orsi, C. et al. I-ACR Yokufaneleka Ukulinganisa Ubuhlungu Bomzimba. I-Journal ye-American College of Radiology . 2017. 14 (5S): S25-S33.
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
> Koo, M., Von Wagner, C., Abel, G. et al. Izimpawu Ezivamile Nezokwethula Eyesifo Se-Breast Cancer kanye Nezihlobo Zabo Ngezikhathi Zokuhlola: Ubufakazi obuvela ku-National Audit of Cancer Diagnosis. I-Epidemiology ye-Cancer . 2017. 48: 140-146.
> Pirti, O., uBarlas, A., Kuru, S. et al. I-Mastalgia Ngenxa Yezinguquko Eziguquguqukayo Zesihlwathi. Ukuthuthuka Emtholampilo Wezokwelapha Nezobuchwepheshe . 2016. 25 (5): 895-900.