Ngakho-ke kusobala ukuthi inani elidlulele noma ukuntuleka kwama-hormone ocansini kuphazamisa ukulawulwa komsebenzi we-epithelium ye-glandular yezinhlayiya ze-mammary futhi kungaholela ekusebenzeni kwezinsongo ngaphakathi kwazo.
Ukukhathazeka kwesinye sezifo ezivame kakhulu phakathi kwabesifazane: imvamisa yayo i-30-45%, futhi phakathi kwabesifazane abanezinkinga zokubeletha - 50-60%. Amacala avamile kakhulu abesifazane abaneminyaka engama-40 kuya kwengu-50, ukukhubazeka kokuncipha kunciphisa, kodwa isifo somdlavuza webele sanda.
Amafomu okukhathazeka.
- Ukusabalalisa ukukhathazeka kwe-fibrocystic:
- With the predominance of the glandular element;
- Ngenqwaba yezinto eziphathekayo;
- Ngokuyinhloko yesakhi se-cystic;
- Ifomu elixubile.
- Ukukhathazeka kwe-Nodal fibrocystic.
Ukukhathazeka kwama-cystic ne-predominance ye-component glandular kubonakala ngemitholampilo nge-soreness, injorgement, ukudluliswa kwe-gland noma isayithi. Izimpawu ziqinisa isikhathi sokuqala. Leli fomu lokukhathazeka livame ukutholakala kumantombazane amancane ekupheleni kokukhulelwa.
Ukukhathazeka okunamandla-ama-cystic okubaluleke kakhulu kwe-fibrosis. Leli fomu lesi sifo libhekene nezinguquko ezicukwaneni ezixhunyiwe phakathi kwezinhlayiya zesifuba. Ngamahlombe, izindawo ezibuhlungu, ezinomdlandla, ezinama-arched zikhonjisiwe. Izinqubo ezinjalo ziyinhloko yabesifazane besandulela.
Ukukhathazeka okunamahloni okunamahloni okuhambisana ne-cystic ingxenye. Ngalolu fomu, ama-cystic amaningi ahlanganiswa ngokuqina okuhlanganiswayo akhiwa, ahlanganiswe kahle nakwamathishu. Isibonakaliso sesimpawu ubuhlungu, obuqinisa ngaphambi kokuya esikhathini. Leli fomu lokukhathazeka livela kwabesifazane ekumeni.
Ukubalwa kwe-cysts nokukhona kokuqukethwe kwamanzi kuzo kuwuphawu lwenqubo embi.
Ukubhekwa kwe-fibrocystic okungavamile kukhonjiswe nezinguquko ezifanayo kumathishu wegland, kodwa azihambisani, kodwa zenziwe njengendawo eyodwa noma ngaphezulu. Amanothi awunayo imingcele ecacile, ukwanda ngaphambi kokuya esikhathini nokunciphisa ngemuva. Awuxhunyiwe esikhumbeni.
Ukuxilongwa kwenzelwa ngesisekelo sezimpawu ezizenzekelayo (izikhalazo zesiguli) nokuhlolwa okuhloswe, okufaka ukufakwa kwesifuba, endaweni ephezulu, ukuma nokuhlolwa okulandelana kwazo zonke iziqu zayo.
Izibonakaliso ezitholakele ngesikhathi sokulunywa, ezikhathini eziningi, zitholakala ezindaweni eziphezulu ezingaphandle. Ngezinye izikhathi izimpawu zinezimo ezingafani.
Uma ucindezela ama-nipples kungase kubonakale kunikezwa - okusobala, okukhanyayo noma okufiphalayo, nge-tinge eluhlaza okwesibhakabhaka, ngezinye izikhathi - ezimhlophe, njengebisi.
Izifundo ezikhethekile zisebenzisa i-mammography, eyenziwa engxenyeni yokuqala yomjikelezo wokuya esikhathini. I-Ultrasound nayo yenziwa esigabeni sokuqala somjikelezo. Ikakhulukazi, i-ultrasound inquma izinguquko ze-microcystic nemfundo.
Ukucubungula kwe-magnetic imaging nge-enhancement enhancement kwenza kube lula ukuhlukanisa izilonda ezinobuthi ezinobungozi zezintuthwane ze-mammary, kanye nokuchaza ngokucacile uhlobo lwezilonda zamakhemikhali ezinama-axillary, okuvame ukuhambisana nezinqubo ezimbi kabi, kodwa nezinqubo ezinobungozi ezinhlambini zamathambo.
I-biopsy ye-puncture yenziwa ngokulandela ukuhlolwa kwe-cytological ye-aspirate. Ukunemba kokutholakala komdlavuza ngale ndlela kungu-90-100%.
Abesifazane abanenkinga yokuya esikhathini ngokuvamile bahlushwa yi-fibrocystic, futhi iziguli ezinjalo zisengozini yokuthuthukisa umdlavuza webele. Ngakho-ke, ukuhlolwa kwegazi kufanele kubandakanye ukufakwa kwezinhlayiya ze-mammary.
Owesifazane othole ukuqina emgodini we-mammary uzoqinisekiswa ukuthi uyothunyelwa ku-oncologist.
Ukwelashwa kunqunywe kuphela lapho zonke izindlela zokuxilonga ziye zaqinisekisa ukuthi isiguli asinaso ukwakheka okubi. I-Fibroadenoma kufanele isuswe ngokuhlinzwa. Ezinye izinhlobo zokukhathazeka ziphathwa ngendlela efanele.