He aha ka Gigantomastia?
Anter
- He aha nā hōʻailona?
- He aha ke kumu?
- Nā ʻano gigantomastia
- Pehea ia ʻike?
- Nā koho lapaʻau
- ʻOki kino
- Nā Lapaʻau
- Aia kekahi pilikia?
- He aha ka kuanaʻike?
Hōʻike Overview
ʻO Gigantomastia kahi kūlana maʻamau i kumu e ulu nui i nā umauma wahine. ʻO nā hihia wale nō i hōʻike ʻia i nā puke olakino.
ʻAʻole maopopo ke kumu kūpono o gigantomastia. Hiki ke ʻano lūlū ke ʻano, akā ua ʻike ʻia kekahi i ka wā ʻōpio, hāpai keiki, a ma hope paha o ka lawe ʻana i kekahi mau lāʻau. ʻAʻole hiki i nā kāne.
Hiki ke ulu ka umauma i ka hala o kekahi mau makahiki, akā aia kekahi mau hihia o gigantomastia kahi i ulu ai nā umauma o ka wahine ʻekolu a ʻoi paha mau nui kīʻaha i loko o kekahi mau lā. ʻO nā ʻōuli ʻē aʻe e pili ana i ka ʻeha o ka umauma, nā pilikia kū, nā maʻi, a me ka ʻehaʻeha.
ʻOiai ʻo gigantomastia i manaʻo ʻia he kūlana maikaʻi (noncancerous), hiki ke hoʻopau ʻia ke kino inā ʻaʻole e mālama ʻia. I kekahi mau hihia, hoʻonā ke ʻano iā ia iho, akā nui nā wahine me gigantomastia e pono e loaʻa i kahi ʻoki hōʻemi umauma a i ʻole mastectomy.
Hele pū ʻo Gigantomastia i nā inoa ʻē aʻe, e like me ka hypertrophy umauma a me ka macromastia.
He aha nā hōʻailona?
ʻO ka hōʻailona nui o gigantomastia kahi ulu nui o nā kiko o ka umauma i hoʻokahi umauma (unilateral) a i ʻole nā umauma ʻelua (bilateral). Hiki ke lohi i ka ulu ʻana ma kahi o kekahi mau makahiki. I kekahi mau wahine, ulu wikiwiki ka ulu ʻana o ka umauma ma kahi o kekahi mau lā a i ʻole mau pule.
ʻAʻohe wehewehe ākea ākea no ka nui o ka ulu ʻana. Hōʻike nā mea noiʻi he nui i ka gigantomastia ma ke ʻano he hoʻonui ʻana i ka umauma e koi ana i ka hōʻemi ʻana o 1,000 a i ka 2000 gram o ka poli.
ʻO nā ʻōuli ʻē aʻe o gigantomastia me:
- ʻehaʻeha (mastalgia)
- ʻeha ma nā poʻohiwi, kua, a me ka ʻāʻī
- ʻulaʻula, ʻili, a mehana ma a ma lalo o ka umauma
- kūlana maikaʻi ʻole
- nā maʻi a me nā abscesses
- nalo o ka manaʻo nipple
Hoʻokumu pinepine ʻia nā pilikia ʻeha a me ke kūlana e ka nui o nā kaumaha o nā umauma.
He aha ke kumu?
ʻAʻole i maopopo pono ke ʻano o ke ʻano o ka gigantomastia i ke kino. ʻO nā genetics a me ka hoʻonui ʻana i ka ʻike i nā homone wahine, e like me ka prolactin a i ʻole estrogen, manaʻo ʻia he mea nui. No kekahi mau wahine, kūleʻa ka gigantomastia me ka ʻole o ke kumu maopopo.
Ua pili ʻo Gigantomastia me:
- hāpai keiki
- ʻōpio
- kekahi, e like me:
- D-penicillamine
- bucillamine
- neothetazone
- cyclosporine
- kekahi mau ʻano autoimmune, me:
- ʻōnaehana lupus ʻōnaehana
- Thyroiditis o Hashimoto
- ka maʻi lōhiu
- myasthenia gravis
- psoriasis
Nā ʻano gigantomastia
Hiki ke hoʻokaʻawale ʻia ka Gigantomastia i mau subtypes. Pili nā subtypes i ka hanana i hoʻomaka i ke ʻano.
Nā ʻano o ka gigantomastia e:
- ʻO gigantomastia i hāpai ʻia a hāpai ʻole paha kū i ka wā o ka hāpai ʻana. Kuhi ʻia kēia subtype e nā hormones hāpai keiki, ma ka manawa ma ka trimester mua. Hana ʻia ia ma 1 wale nō o kēlā me kēia hāpai hāpai 100,000.
- ʻO gigantomastia ʻōpio a i ʻole ʻōpio ʻōpio kū i ka wā ʻōpio (ma waena o nā makahiki o 11 a me 19), ma muli paha o nā homone wahine.
- ʻO ka gigantomastia i hoʻōla ʻia a lāʻau kū ma hope o ka lawe ʻana i kekahi mau lāʻau. ʻO ka mea maʻamau, hoʻokumu ʻia ia e kahi lāʻau i kapa ʻia ʻo D-penicillamine, i hoʻohana ʻia e mālama ai i ka rheumatoid arthritis, ka maʻi o Wilson, a me ka cystinuria.
- Gigantomastia ʻIdiopathic kū wale me ke kumu ʻole. ʻO kēia ka ʻano maʻamau o ka gigantomastia.
Pehea ia ʻike?
E lawe kāu kauka i ka mōʻaukala a me ka mōʻaukala ʻohana a hana i kahi hoʻokolokolo kino. E nīnau paha ʻoe i nā nīnau e pili ana i:
- ka nui o kou umauma
- nā ʻōuli ʻē aʻe
- ka lā o kou menstruation mua
- nā lāʻau lapaʻau āu i lawe ai i kēia manawa
- inā hiki iā ʻoe ke hāpai
Inā he ʻōpio ʻoe, hiki i kāu kauka ke hana i kahi hōʻailona o gigantomastia inā ulu koke kou umauma ma hope koke o kāu manawa mua. ʻO ka hapanui o ka manawa, ʻaʻole pono nā hoʻokolohua diagnostics ʻē aʻe ke ʻole ke manaʻo nei kāu kauka he maʻi maʻi hou kāu.
Nā koho lapaʻau
ʻAʻohe mālama maʻamau no gigantomastia. Mālama mau ʻia ke ʻano ma kēlā me kēia hihia. Hoʻopaʻa mua ʻia ka mālama ʻana i ka mālama ʻana i nā maʻi, ulcer, ʻeha, a me nā pilikia ʻē aʻe. ʻO kahi laʻana, nā antibiotic, nā lole mehana, a me nā lāʻau ʻeha ma over-the-counter e koi ʻia.
E hele aku paha ʻo gigantomastia i hāpai ʻia e ka hāpai ma hope o ka hānau ʻana. Eia nō naʻe, i ka hapanui o nā hihia, manaʻo ʻia ke kaha ʻana e hōʻemi i ka nui o nā umauma.
ʻOki kino
ʻO ke ʻoki kino e hoʻēmi ai i ka nui o nā umauma i kapa ʻia ka ʻoki hōʻemi ʻana o ka umauma. ʻIke pū ʻia ia me ka hoʻemi mammoplasty. I ka wā o ka ʻoki hōʻemi ʻana o ka umauma, e hoʻoliʻiliʻi kahi kauka lula i ka nui o nā kiko o ka umauma, hemo i ka nui o ka ʻili, a hoʻonohonoho hou i ka piko a me ka ʻili ʻeleʻele a puni ia. Lawe ke ʻōpala i kekahi mau hola. Noho paha ʻoe i ka haukapila no hoʻokahi pō ma hope o ka hana.
Inā hāpai ʻoe, pono paha ʻoe e kali a hiki i ka pau ʻana o ka hānai ʻana a loaʻa kahi ʻoki hōʻemi umauma. Inā he ʻōpio ʻoe, makemake paha kāu kauka iā ʻoe e kali a hiki i ka pau ʻana o ka ʻōpio ma mua o kāu hana ʻana. ʻO kēia no ka mea he nui ka manawa kūpono o ke ola hou ʻana. E noi paha ʻoe e kipa i kāu kauka no ka loiloi a me ka hoʻokolokolo kino ʻana i kēlā me kēia ʻeono mahina i kēia manawa.
ʻO kekahi ʻano o ke kaha ʻana, i ʻike ʻia ʻo mastectomy, kahi haʻahaʻa o ka reoccurrence. Hoʻopili kahi mastectomy i ka hemo ʻana i nāʻiʻo umauma. Ma hope o ka mastectomy, hiki iā ʻoe ke loaʻa i nā implant umauma. Eia nō naʻe, ʻaʻole hiki i ka mastectomy a me nā implants ke koho maikaʻi maikaʻi loa ma muli o ka pilikia o nā pilikia. Eia hou, ʻaʻole hiki i ka hapanui o nā wahine ke hānai hānai ma hope o ka mastectomy pālua. E kūkākūkā kāu kauka i nā pilikia a me nā pōmaikaʻi o kēlā me kēia ʻano o ke ʻoki pū me ʻoe.
Nā Lapaʻau
Kau kauka paha kāu kauka i nā lāʻau i mua a ma hope paha o kahi ʻoki hōʻemi ʻana i ka umauma e kōkua ai e hōʻoki i ka ulu ʻana o nā umauma. Pākuʻi ʻia kēia mau mea:
- tamoxifen, kahi koho estrogen receptor modulator (SERM) i hoʻohana ʻia i ka mālama ʻana i ka maʻi ʻaʻai umauma
- medroxyprogesterone (Depo-Provera), ʻo ia hoʻi ka pana o ka hānau hānau
- ʻO bromocriptine, kahi agaminist receptor dopaminergic i hoʻohana pinepine ʻia no ka maʻi o Parkinson i hōʻike ʻia e hoʻōki i ka ulu ʻana o ka umauma.
- danazol, kahi lāʻau i hoʻohana mau ʻia e mālama i ka endometriosis a me nā ʻōuli o ka maʻi fibrocystic umauma i nā wahine
Eia nō naʻe, ʻokoʻa ka maikaʻi o kēia mau lāʻau i ka mālama ʻana i gigantomastia. Pono hou ka noiʻi.
Aia kekahi pilikia?
Hiki i ka hoʻonui ʻana i ka umauma nui a me ke kaupaona keu o nā umauma i hopena i nā pilikia o ke kino, e like me:
- ʻoi loa ana i ka ʻili
- huʻi ka ʻili ma lalo o ka umauma
- ulcer ma ka ʻili
- ʻāʻī, poʻohiwi, a me ka ʻeha o ke kua
- ʻeha poʻo
- asymmetry umauma (ke nui aku kekahi umauma ma mua o kekahi)
- wā pōkole a paʻa mau paha nā nerve (kikoʻī i ka ʻehā, ʻelima, a i ʻole ʻono mau aʻa intercostal), e hopena ana i ka nalo ʻana o ka nipple sensation
- paʻakikī i ka pāʻani ʻana i nā haʻuki a i ʻole ka hoʻoikaika kino ʻana, e alakaʻi ana i ka momona
Hoʻohui ʻia, hiki i nā umauma nui ke hopena i nā pilikia psychological, naʻau, a me nā pilikanaka. ʻO kahi laʻana, hoʻonāukiuki a hilahila paha nā ʻōpio me ke ʻano ma ke kula. Hiki i kēia ke alakaʻi i:
- kaumaha
- hopohopo
- pilikia pilikia kino
- hōʻalo i nā hana kaiaulu
I nā wahine hāpai a wahine paha i hānau hānau, hiki i ka gigantomastia ke hopena i:
- ulu maikaʻi ʻole o ka ʻōpū
- abortual spontaneous (hāpai keiki)
- kaohi ʻana i ka lako o ka waiū
- mastitis (umauma maʻiʻaʻai)
- pāhū a ʻeha hoʻi no ka mea ʻaʻole hiki i ka pēpē ke kau pono iā ia; hiki i nā ʻeha ke lilo i mea ʻeha a maʻi paha
He aha ka kuanaʻike?
Inā mālama ʻole ʻia, hiki i ka gigantomastia ke alakaʻi i nā pilikia me ke kū ʻana a me nā pilikia hoʻi, a hiki ke hōʻino kino. Hiki iā ia ke kumu i nā maʻi weliweli, nā pilikia kiʻi o ke kino, a me nā pilikia o ka hāpai ʻana. I nā hihia maʻamau, pono paha i kahi kanaka me gigantomastia e loaʻa i kahi mastectomy pōpilikia ma muli o nā pilikia. ʻAʻole kumu ʻo Gigantomastia i ka maʻi ʻaʻai a ʻaʻole hohola i nā ʻāpana ʻē aʻe o ke kino.
ʻO ka ʻoki hōʻemi ʻana i ka umauma he mea mālama palekana a maikaʻi. Eia nō naʻe, ua hōʻike ʻia kahi noiʻi e hiki ai i ka wā ʻōpio a me ka gigantomastia hāpai hāpai ʻia ke hoʻi hou aʻe ma hope o ke kahena ʻana o ka umauma. Hāʻawi ʻo Mastectomy i kahi lapaʻau kūpono loa no gigantomastia.