Thaum twg yog lub sijhawm los hu rau kws kho mob mammologist

2024 Tus sau: James Gerald | [email protected]. Kawg hloov kho: 2023-12-17 14:08

Hmoov tsis zoo, mob qog noj ntshav yog mob qog noj ntshav feem ntau hauv cov poj niam. Raws li kev txheeb cais tu siab, hauv Russia txhua tus neeg sawv cev thib 10 ntawm kev sib deev ncaj ncees poob mob nrog nws. Yog li ntawd, peb txiav txim siab nrhiav tswv yim los ntawm kws tshuaj tua kab mob Alla Kartasheva, tus tswv ntawm “10 Kev Txiav Txim ntawm Kws Kartasheva” txoj haujlwm ntawm Tus Kws Saib TV TV.

Tus kws kho mob qog noj ntshav yog tus kws tshaj lij nqaim uas kuaj mob qog noj ntshav. Raws li txoj cai, kws kho mob mammologist muaj thawj qhov tshwj xeeb hauv oncology lossis gynecology, tsawg dua hauv kev kuaj mob hluav taws xob.

Kev kuaj mob ntawm cov qog hauv lub mis pib hauv cov menyuam ntxhais thiab poj niam txij thaum lub caij muaj cev ntas tshwm sim thiab cov qog ntawm lub mis pib loj hlob thiab teb rau cov tshuaj hormones hloov pauv hauv lub cev. Txij li thaum kuv yog tus kws kho mob laus, cov neeg mob tuaj rau kuv txij hnub nyoog 18 xyoo.

Raws li txoj cai, qhov kev tsis txaus siab tseem ceeb hauv cov neeg mob hluas yog qhov mob hauv ib nrab ntawm lub cev ntas, asymmetry, tawm ntawm cov ducts. Tsis tas li, cov ntxhais yuav ntsib kev tsis xis nyob lossis hnov cov ntsaws ruaj ruaj. Peb, kws kho mob qog noj ntshav, nyiam ua qhov kev kuaj mob los ntawm 5 txog 12 hnub txij thaum pib ntawm kev coj khaub ncaws. Nyob rau lub sijhawm no, lub mis tsis mob ntau dua ntawm kev kuaj mob, tsis muaj edematous thiab, yog tias tsim nyog, txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau kuaj mob, qhov txiaj ntsig tshaj plaws yog ntseeg tau.

Kev kuaj mob yooj yim

Thaum tus neeg mob muaj hnub nyoog txog 40 xyoo, kev sab laj sab laj yuav tsum tau ntxiv los ntawm kev kuaj ultrasound ntawm cov qog qog thiab cov qog ntshav hauv cheeb tsam. Txij li hnub nyoog "daim ntawv hla tebchaws" tsis tas yuav cuam tshuam nrog lub hnub nyoog lom, tus qauv ntawm cov qog nws muaj nws tus kheej cov yam ntxwv: fibrous-rog cuam tshuam rau cov poj niam hluas thiab qog nqaij hlav hyperplasia (adenosis) hauv cov poj niam laus heev.

Nyob ntawm seb nws pom dab tsi ntawm ultrasound, tus kws kho mob txiav txim siab yuav ua li cas qhia txog kev tshawb fawb mammography yuav rau tus neeg mob no. Yog tias cov qog ua kom tuab, thiab xav tau kev tshuaj xyuas ntxiv, tom qab ntawd nws yog qhov zoo rau cov ntxhais hluas ua MR-mammography nrog qhov sib txawv lossis tomosynthesis.

Rau cov poj niam uas muaj hnub nyoog tshaj 40 xyoo, kev kuaj kab mob qog noj ntshav tseem yog tus txheej txheem kub, thiab qhov ntsuas siab saum toj no, tomosynthesis, thiab MR mammography tau ua ntxiv thiab raws li xav tau.

Nws yog ib qho tseem ceeb uas yuav tsum tau hais meej tias lub mis ultrasound, kuaj pom lub mis thiab sib piv-txhim kho MR mammography yog txhawm rau txheeb xyuas cov teeb meem sib txawv thiab tsis yog txoj hauv kev tshwj xeeb ntawm kev tshuaj xyuas.

Yog li ultrasound yuav pab kom paub qhov sib txawv ntawm fibroadenoma los ntawm cyst, thiab nws yuav tuaj yeem pom qhov sib txuam ntawm microcalcifications thiab thaj chaw me me ntawm kev hloov kho cov ntaub so ntswg (thawj zaug, ua ntej pom tias muaj mob qog noj ntshav) tsuas yog nyob hauv cov duab thaij duab.

Cov ntsiab lus tseem ceeb: lawv txhais li cas?

Thaum kuaj mob, tus kws kho mob qog noj ntshav tuaj yeem txheeb xyuas qhov paug tawm ntawm cov ducts.

• Yog tias qhov paug tawm yog huab, ntsuab lossis dawb, tom qab ntawd qhov no yog ib qho cim ntawm kev nthuav dav mastopathy, kab mob tom qab thiab, raws li txoj cai, tsis txaus ntshai. Tus kws kho mob yuav siv lub tshuab luam ntawv swab rau ntawm daim iav kom paub tseeb tias tsis muaj kev phom sij.
• Yog tias qhov paug tawm meej, quav nyab, daj, xim av lossis ntshav, tom qab ntawv qhov no yuav yog ib qho cim ntawm kev nkag mus rau hauv papillomas lossis cov kab mob phem. Hauv qhov no, nws yog qhov tshwj xeeb tshaj yog mus ntsib kws kho mob sai sai.

Nrog rau qhov kev tso tawm no, ntxiv rau kev pleev xim, kev kawm tshwj xeeb ntawm cov hlab ntsha, cov hlab ntaws, yuav ua, thiab, tom qab ntawd, tus kws kho mob yuav txiav txim siab txog cov tswv yim ntxiv.

Kev kuaj mob thiab cev xeeb tub

Nws yog ib qho tseem ceeb heev uas yuav tsum tau tshuaj xyuas los ntawm kws kho lub mis ua ntej qhov xwm txheej tseem ceeb hauv lub neej xws li cev xeeb tub.

Nrog rau qhov pib xeeb tub, lub mis hloov pauv, o tuaj, o thiab, tiv thaiv keeb kwm yav dhau los no, koj tuaj yeem hla qhov pib mob hnyav. Kev hloov pauv hauv lub cev thaum cev xeeb tub kuj tseem tuaj yeem cuam tshuam kev loj hlob ntawm kev tsim tawm tam sim no hauv cov qog ntshav. Cov lus pom zoo ib yam - ua ntej pib IVF, sau cov tshuaj tiv thaiv hormonal lossis hloov kho tshuaj.

Ob peb lo lus hais txog kev tshuaj xyuas tus kheej

Kev tshuaj xyuas tus kheej yog ua ntej ua ntej ntawm daim iav hauv lub teeb pom kev zoo, nyob rau tib hnub ntawm thawj ib nrab ntawm kev coj khaub ncaws.

• Txhawm rau pib nrog, tsa koj txhais tes, ntsuas seb puas muaj kev thim rov qab lossis deformities ntawm daim tawv nqaij.
• Tom qab ntawd txav mus rau palpation. Nias ntawm caj pas nrog koj cov ntsis ntiv tes: ua ntej tshaj plaws, tom qab ntawd nrog lub zog ntau dua. Kev txav tau zoo tshaj plaws hauv ib lub voj voog.
• Tom qab ntawd nyem rau ntawm lub mis thiab tshawb xyuas lub qhov taub.

Txoj hauv kev no, koj tuaj yeem qhia nws tus kheej ntawm kev hloov pauv ntawm cov qog qog uas tsis tau muaj ua ntej.

Nws yuav tsum tsis txhob suav ntau dhau, nrog "txhais tes", txawm tias mob hnyav heev, nws muaj peev xwm txiav txim siab qog pib los ntawm 1-2 cm, thaum siv cov txheej txheem tshuaj xyuas tshwj xeeb peb kuaj pom cov qog los ntawm 3 hli.

Txhawm rau suav tag nrho txhua yam uas tau hais:

• Kev kuaj mob los ntawm kws kho lub mis yuav tsum pib thaum muaj hnub nyoog 18-19. Thaum tsis muaj kab mob pathology thiab mob qog noj ntshav loj - ib xyoos ib zaug hauv thawj ib nrab ntawm kev coj khaub ncaws.
• Ib qho ultrasound ntawm cov qog mammary yuav tsum tau ua yam tsawg ib xyoos ib zaug.
• Mammography tau qhia rau cov poj niam tom qab 40 xyoo hnub nyoog 1 zaug hauv 1, 5-2 xyoo.
• Ib qho ultrasound lossis mammogram tsis hloov pauv mus ntsib kws kho mob tshwj xeeb.
• Ua ntej npaj cev xeeb tub, ua raws txheej txheem IVF, sau ntawv GC lossis HRT, yuav tsum mus ntsib kws kho mob qog noj ntshav.
• Yog tias koj pom kev tso tawm los ntawm cov ciav dej, cov qog nyob hauv cov qog ntshav hauv lub cev lossis lwm yam tsos mob txaus ntshai, koj yuav tsum mus ntsib tus kws kho mob sai sai, tsis hais txog theem ntawm kev coj khaub ncaws li cas.

Ntseeg tus kws tshaj lij thiab tsis txhob mob!