Yintoni iGigantomastia?

Umxholo

• Ziintoni iimpawu?
• Ibangelwa yintoni?
• Iindidi zegigantomastia
• Kufunyaniswa njani?
• Izinketho zonyango
• Ugqirha
• Amayeza
• Ngaba zikhona iingxaki?
• Yintoni imbono?

Ushwankathelo

IGigantomastia yimeko enqabileyo ebangela ukukhula okugqithileyo kwamabele amabhinqa. Kuphela ziimeko ezichazwe kuncwadi lwezonyango.

Isizathu ngqo segigantomastia asaziwa. Imeko inokwenzeka ngokungahleliwe, kodwa ikwabonwa ukuba iyenzeka ngexesha lokufikisa, ukukhulelwa, okanye emva kokuthatha amayeza athile. Ayenzeki emadodeni.

Ukukhula kwamabele kunokwenzeka kwiminyaka embalwa, kodwa kuye kwakho iimeko ezithile zegigantomastia apho amabele omfazi akhula khona ngobukhulu beekomityi ezintathu okanye nangaphezulu kwiintsuku nje ezimbalwa. Ezinye iimpawu zibandakanya iintlungu zebele, iingxaki zokuma, usulelo kunye nentlungu yomqolo.

Ngelixa i-gigantomastia ithathwa njengemo enobungozi (engenabungozi), inokukhubaza ngokwasemzimbeni ukuba ayinyangwa. Kwezinye iimeko, imeko ixazulula yodwa, kodwa abaninzi abafazi abane-gigantomastia baya kufuneka batyando lokunciphisa amabele okanye i-mastectomy.

IGigantomastia ihamba ngamanye amagama, kubandakanya ibele hypertrophy kunye neMacromastia.

Ziintoni iimpawu?

Olona phawu luphambili lwe-gigantomastia kukugqithisa okugqithisileyo kwamathambo ebele kwibele elinye (elingahambelaniyo) okanye omabini amabele (omabini). Ukukhula kunokwenzeka kancinci kwisithuba seminyaka embalwa. Kwamanye amabhinqa, ukukhula kwebele kwenzeka ngokukhawuleza kwiintsuku nje ezimbalwa okanye iiveki.

Akukho nkcazo yamkelwe kwilizwe liphela yenani lokukhula. Abaphandi abaninzi bachaza i-gigantomastia njengokwandiswa kwebele okufuna ukunciphisa i-1,000 ukuya kwi-2 000 iigremu kwisifuba ngasinye.

Ezinye iimpawu ze-gigantomastia zibandakanya:

• iintlungu zebele (mastalgia)
• iintlungu emagxeni, ngasemva, nasentanyeni
• ububomvu, ukurhawuzelela, kunye nokushushubeza phantsi okanye ngaphantsi kwamabele
• ukuma kakuhle
• usulelo okanye amathumba
• ukulahleka kwengono

Iintlungu kunye neengxaki zomzimba zihlala zibangelwa kukutyeba okungaphezulu kwamabele.

Ibangelwa yintoni?

Indlela echanekileyo eyenzeka ngayo i-gigantomastia emzimbeni ayiqondwa kakuhle. Imfuza kunye nokonyuka kokuziva uvakalelo kwihomoni yabasetyhini, njengeprolactin okanye i-estrogen, kucingelwa ukuba badlala indima. Kwabafazi abathile, i-gigantomastia yenzeka ngokuzenzekelayo ngaphandle kwesizathu esicacileyo.

IGigantomastia inxulunyaniswa ne:

• ukukhulelwa
• ukufikisa
• ngokuqinisekileyo, njenge:
  • D-penicillamine
  • bucillamine
  • neothetazone
  • cyclosporine
• iimeko ezithile ezizimeleyo, kubandakanya:
  • inkqubo lupus erythematosus
  • Hashimoto's thyroiditis
  • isifo esinganyangekiyo esinganyangekiyo
  • imysthenia gravis
  • Psoriasis

Iindidi zegigantomastia

IGigantomastia inokwahlulahlulwa ibe zii-subtypes ezininzi. Ii-subtypes zinxulumene nomsitho onokubangela imeko.

Iindidi zegigantomastia zibandakanya:

• Gestational okanye ukukhulelwa okubangelwa yi-gigantomastia kwenzeka ngexesha lokukhulelwa. Olu hlobo lincinci kucingelwa ukuba lubangelwa ziihormone zokukhulelwa, zihlala ngexesha lekota yokuqala. Kwenzeka kuphela kwi-100,000 yokukhulelwa.
• Ukufikisa okanye ukukhula kolutsha gigantomastia yenzeka ngexesha lokufikisa (phakathi kweminyaka ye-11 kunye ne-19), kunokwenzeka ngenxa yehomoni zesini.
• Amayeza- okanye i-gigantomastia ebangelwa ziziyobisi kwenzeka emva kokuthatha amayeza athile. Eyona nto iqhelekileyo, ibangelwa sisiyobisi esaziwa njenge-D-penicillamine, nesetyenziselwa ukunyanga isifo samathambo, isifo sikaWilson kunye necystinuria.
• Idiopathic gigantomastia yenzeka ngokuzenzekelayo, kungekho sizathu sicacileyo. Olu lolona hlobo luqhelekileyo lwegigantomastia.

Kufunyaniswa njani?

Ugqirha wakho uya kuthatha imbali yezonyango kunye neyosapho kwaye enze uvavanyo lomzimba. Unokubuzwa imibuzo malunga:

• ubungakanani besifuba sakho
• ezinye iimpawu
• umhla wokuba sexesheni kwakho kokuqala
• nawaphi na amayeza owathathileyo kutshanje
• ukuba unokukhulelwa

Ukuba ukwishumi elivisayo, ugqirha wakho unokwenza isifo se-gigantomastia ukuba amabele akho akhule ngokukhawuleza nje emva kokuba uye exesheni. Uninzi lwexesha, ezinye iimvavanyo zokuqonda isifo azifuneki ngaphandle kokuba ugqirha wakho akrokrela ukuba unesinye isifo esisisiseko.

Izinketho zonyango

Akukho lonyango luqhelekileyo lwe-gigantomastia. Imeko ihlala iphathwa kwimeko-ngamatyala. Unyango lujolise ekunyangeni nasiphi na isifo, izilonda, iintlungu, kunye nezinye iingxaki. Umzekelo, amayeza okubulala iintsholongwane, ukunxiba okufudumeleyo, kunye neyeza ezingaphaya kwamayeza zinokucetyiswa.

I-gigantomastia ekhulelweyo inokuhamba yodwa emva kokubeleka. Nangona kunjalo, kwiimeko ezininzi, utyando luthathelwa ingqalelo ukunciphisa ubungakanani bamabele.

Ugqirha

Utyando lokunciphisa ubungakanani bamabele kuthiwa lutyando lokunciphisa amabele. Kwakhona kwaziwa ngokuba yi-mammoplasty yokunciphisa. Ngexesha lotyando lokuncitshiswa kwamabele, ugqirha weplastikhi uya kulinciphisa inani lezihlunu zamabele, asuse ulusu olugqithisileyo, abeke ingono kunye nolusu olumnyama olujikelezileyo. Olu tyando luthatha iiyure ezimbalwa. Kusenokufuneka uhlale esibhedlele ubusuku obunye emva kotyando.

Ukuba ukhulelwe, kuya kufuneka ulinde de emva kokugqiba ukuncancisa ukwenza utyando lokunciphisa amabele. Ukuba ukwishumi elivisayo, ugqirha wakho unokufuna ukuba ulinde de kube kugqityiwe ukufikisa ngaphambi kokuba wenze utyando. Kungenxa yokuba kukho amathuba aphezulu okuphinda kwenzeke kwakhona. Unokucelwa ukuba undwendwele ugqirha wakho kuvavanyo kunye novavanyo lomzimba rhoqo kwiinyanga ezintandathu ngeli xesha.

Olunye uhlobo lotyando, olubizwa ngokuba yi-mastectomy, lunezinga eliphantsi kakhulu lokuphinda kwenzeke kwakhona. I-mastectomy ibandakanya ukususa zonke izicubu zamabele. Emva kwemastectomy, unokufumana ukufakwa kwamabele. Nangona kunjalo, i-mastectomy kunye nokufakwa akunakuba lolona khetho lonyango lufanelekileyo ngenxa yomngcipheko weengxaki. Ukongeza, uninzi lwabasetyhini aluyi kuba nakho ukuncancisa emva kokubelekisa okubini. Ugqirha wakho uza kuxoxa ngobungozi kunye nezibonelelo zohlobo ngalunye lotyando kunye nawe.

Amayeza

Ugqirha wakho unokuyalela amayeza ngaphambi okanye emva kotyando lokunciphisa amabele ukunceda ukumisa ukukhula kwamabele. Oku kunokubandakanya:

• i-tamoxifen, i-modulator ye-estrogen receptor modulator (SERM) esetyenziselwa unyango lomhlaza wamabele
• medroxyprogesterone (Depo-Provera), ekwabizwa ngokuba lolawulo lokuzalwa
• i-bromocriptine, i-dopaminergic receptor agonist ehlala isetyenziselwa isifo sika-Parkinson esiye sabonisa ukuba siyamisa ukukhula kwamabele.
• I-danazol, ichiza elisetyenziselwa ukunyanga i-endometriosis kunye neempawu zesifo se-fibrocystic esifubeni kubafazi

Nangona kunjalo, ukusebenza kwala mayeza kunyango lwe-gigantomastia kuyahluka. Uphando olungakumbi luyafuneka.

Ngaba zikhona iingxaki?

Ukwandiswa okugqithisileyo kwebele kunye nobunzima obugqithisileyo bamabele kunokubangela iingxaki zomzimba, kubandakanya:

• ukolulwa kakhulu kolusu
• irhashalala phantsi kwamabele
• izilonda eluswini
• intamo, igxalaba kunye nentlungu yomqolo
• intloko ebuhlungu
• i-asymmetry yebele (xa elinye ibele likhulu kunelinye)
• ukulimala okwethutyana okanye okusisigxina (ngokukodwa eyesine, yesihlanu, okanye yesithandathu ye-intercostal nerves), ekhokelela ekuphulukaneni nemvakalelo yengono
• kunzima ukudlala imidlalo okanye ukuzilolonga, okukhokelela ekutyebeni kakhulu

Ukongeza, amabele amakhulu kakhulu anokubangela iingxaki zengqondo, ezemvakalelo nezentlalo. Umzekelo, ulutsha olunale meko lunokuhlukunyezwa okanye lube neentloni esikolweni. Oku kungakhokelela ku:

• ukudakumba
• ixhala
• iingxaki zomzimba
• ukunqanda izinto zentlalo

Kwabasetyhini abakhulelweyo okanye abasetyhini abasandula ukubeleka, i-gigantomastia inokubangela:

• ukukhula kakubi komntwana
• ukukhupha isisu ngokukhawuleza (ukuphuma kwesisu)
• Ukucinezelwa kobonelelo ngobisi
• imastitis (usulelo lwebele)
• i-blisters kunye namanxeba ngenxa yokuba umntwana akakwazi ukugcoba ngokufanelekileyo; amanxeba anokuba buhlungu okanye osuleleke

Yintoni imbono?

Ukuba ayinyangwa, i-gigantomastia inokukhokelela kwiingxaki zokuma kunye neengxaki zangasemva, ezinokukhubaza ngokwasemzimbeni. Inokubangela nosulelo oluyingozi, imiba yemifanekiso yomzimba, kunye neengxaki zokukhulelwa. Kwiimeko ezinqabileyo, umntu one-gigantomastia unokufuna ukuba ne-mastectomy engxamisekileyo ngenxa yeengxaki. I-Gigantomastia ayibangeli umhlaza kwaye ayisasazeki kwamanye amalungu omzimba.

Utyando lokunciphisa amabele luthathwa njengonyango olukhuselekileyo nolusebenzayo. Nangona kunjalo, uphando lubonise ukuba ukufikisa kunye nokukhulelwa okubangelwa yi-gigantomastia kunokuphinda kwenzeke emva koqhaqho lokuncitshiswa kwebele. I-Mastectomy ibonelela ngonyango oluchanekileyo ngakumbi lwegigantomastia.