Fibroadenoma o ka umauma

ʻO ka Fibroadenoma o ka umauma kahi tumo maikaʻi. ʻO ka maʻi maʻi Benign ʻaʻole ia he maʻi ʻaʻai.

ʻAʻole ʻike ʻia ke kumu o fibroadenomas. Pili paha lākou i nā hormones. ʻO nā kaikamahine e hele nei i ka wā ʻōpio a me nā wahine hāpai e hoʻopilikia pinepine ʻia. Loaʻa pinepine ʻo Fibroadenomas i nā wahine ʻoi aku ka nui i hala i ka menopause.

ʻO Fibroadenoma ka tumo benign maʻamau o ka umauma. ʻO ia ka tumuma umauma maʻamau o nā wahine ma lalo o 30 mau makahiki.

Hana ʻia kahi fibroadenoma i nā kiko o ka umauma a me nā ʻaʻa e kōkua i ke kākoʻo o kaʻiʻo gland.

ʻO nā Fibroadenomas he mau puʻupuʻu hoʻokahi wale nō. Loaʻa i kekahi mau wahine kekahi mau puʻupuʻu e hoʻopili i nā umauma ʻelua.

ʻO nā puʻupuʻu paha kekahi o kēia mau mea:

• Hiki ke neʻe i lalo o ka ʻili
• Kūpaʻa
• Painless
• Pāpale

He laumania nā lumps, he palena palena maikaʻi. Ulu paha lākou i ka nui, keu hoʻi i ka wā hāpai. ʻOi aku ka liʻiliʻi o nā Fibroadenomas ma hope o ka menopause (inā ʻaʻole lawe ka wahine i ka hormone therapy).

Ma hope o kahi hoʻokolohua kino, hana maʻamau hoʻokahi a ʻelua paha o nā hōʻike aʻe:

• Pākuʻi ultrasound
• Mamamogram

Hana ʻia kahi biopsy e kiʻi i kahi hōʻailona paʻa. ʻO nā ʻano biopsies like ʻole:

• Kūʻokoʻa (ka lawe ʻana i ka puʻupuʻu e kahi kauka)
• Stereotactic (nila biopsy e hoʻohana ana i kahi mīkini e like me ka mammogram)
• Alakaʻi ʻia ʻo Ultrasound (biopsy o ka nila e hoʻohana ana i ka ultrasound)

ʻAʻole pono nā wahine i ko lākou mau ʻōpio a i ʻole 20 mau makahiki i kahi biopsy inā hele ka lump iā ia iho a i ʻole inā ʻaʻole e loli ka puʻupuʻu i kahi manawa lōʻihi.

Inā hōʻike kahi biopsy nila i ka puʻupuʻu he fibroadenoma, e waiho ʻia ka puʻupuʻu i kahi a hemo paha.

Hiki iā ʻoe a me kāu kauka olakino olakino ke kūkākūkā inā hemo paha ka puʻupuʻu. ʻO nā kumu e hemo ai ʻo ia:

• ʻAʻole maopopo nā hopena o ka biopsy nila
• ʻEha a i ʻole nā ​​hōʻailona ʻē aʻe
• Ka hopohopo e pili ana i ka maʻi ʻaʻai
• E māhuahua ana ka ʻōpuʻu i ka hala ʻana o ka manawa

Inā ʻaʻole e hoʻoneʻe ʻia ka puʻupuʻu, e nānā kāu mea nāna e ʻike inā loli a ulu paha ia. Hana ʻia kēia i ka hoʻohana ʻana:

• Mamamogram
• Ninaninau kino
• Kukuna ultrasound

I kekahi manawa, luku ʻia ka puʻupuʻu me ka hemo ʻole ʻana:

• Luku ka Cryoablation i ka puʻupuʻu ma ka hoʻopaʻa ʻana iā ia. Hoʻokomo ʻia kahi probe ma o ka ʻili, a kōkua ka ultrasound i ka mea hāʻawi e alakaʻi iā ia i ka puʻupuʻu. Hoʻohana ʻia ka Gas e hoʻāhu a hoʻopau i ka puʻupuʻu.
• Hoʻopau ka hoʻopau ʻana o ka radiofrequency i ka puʻupuʻu e hoʻohana ana i ka ikehu pinepine pinepine. Hoʻohana ka mea hāʻawi i ke ultrasound e kōkua i ka nānā ʻana i ke kaola ikehu ma ka puʻupuʻu. Hoʻowela kēia mau nalu i ka puʻupuʻu a luku iā ia me ka loli ʻole i nā nāʻaʻa kokoke.

Inā waiho ʻia ka puʻupuʻu a nānā pono ʻia, pono paha e hemo i kekahi manawa ma hope inā hoʻololi a ulu paha.

I nā hihia kakaikahi loa, he maʻi ʻaʻā ka puʻupuʻu, a pono e mālama hou ʻia.

Kāhea i kāu mea hāʻawi inā ʻike ʻoe:

• ʻO nā puʻupuʻu umauma hou
• ʻO kahi puʻupuʻu i nānā ʻia e kāu mea hoʻolako ma mua o ka ulu ʻana a i ʻole nā ​​loli
• ʻEha ma kou umauma no ke kumu ʻole
• ʻEleʻele i mimilo a ʻili paha (e like me ka ʻalani) ma kou umauma
• Hoʻololi ka Nipple a i ʻole ka hoʻokuʻu ʻana i ka nipple

Puʻupuʻu umauma - fibroadenoma; Puʻupuʻu umauma - noncancerous; Puʻupuʻu umauma - benign

Pākuʻi loea i ke kiʻi ʻana i ka umauma; ʻO Moy L, Heller SL, Bailey L, et al. ACR Appropriateness Criteria Palpable umauma lehulehu. ʻO J Am Coll Radiol. 2017; 14 (5S): S203-S224. PMID: 28473077 pubmed.ncbi.nlm.nih.gov/28473077/.

Gilmore RC, Lange JR. Maʻi maʻi umauma Benign. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 657-660.

Hacker NF, Friedlander ML. ʻO ka maʻi umauma: kahi kuanaʻike gynecologic. I: Hacker NF, Gambone JC, Hobel CJ, eds. ʻO Hacker a me Moore's Essentials of Obstetrics a me Gynecology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 30.

ʻO Smith RP. Uwi fibroadenoma. I: Smith RP, hoʻoponopono. ʻO Netter's Obstetrics a me Gynecology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap 166.