Mamota emazamu mumbwa nekatsi

Zviratidzo zvemazamu emazamu

Kutanga kwechirwere kunogona kunge kusingaoneki, kunyanya mumhuka dzine mvere dzakakora. Mumatanho ekutanga, muridzi anogona, paanenge achipuruzira dumbu kana kuongorora mazamu ezamu, anoona zvisimbiso, zvinogona kuva zviduku zvikuru, kukura kwepea. Zvisinei, ichi chatova chikonzero chokufunganya. Mazamu anogonawo kupisa. Panogona kuve nekubuda kubva muminyatso yeruvara rwakajeka, yeyero kana dzvuku. Mumatanho anozotevera, muridzi anogona kuwana tumwe tuhombe tunogara tuine maronda, kunhuwa, uye kubuda. Mamiriro akazara emhuka angave akaipisisa: kuneta, kushaya kana kuderera kwechido, nezvimwewo. Izvo zvinodikanwa kubvunza chiremba kuti ajekese kuongororwa, sezvo, semuenzaniso, mastitis kana nhumbu yenhema inogona kuitika nezviratidzo zvakafanana. Zviratidzo zvine ngozi zvakanyanya zvinoda kurapwa nekukurumidza:

• kukurumidza bundu kukura
• kuchinja kwechimiro uye ruvara rwedzidzo
• kurwadziwa, kutsvuka, kuzvimba
• kuonekwa kwekukukurwa uye maronda

Zvikonzero zvekuumbwa kwemamota emazamu

• Sezvo mutemo, mapundu anoenderana nehomoni. Pane zvakawanda zvidzidzo zvekuti castration pamberi peestrus yekutanga (hongu, castration ndiko kubviswa kwechibereko, mazai, testes - zvisinei nokuti murume kana mukadzi) kunoderedza njodzi yekugadzira mazamu emazamu (BM) kusvika 0,5%. Kana iwe ukatena mushure mekupisa kwekutanga - 8%, 26% mushure mekupisa kwechipiri, mushure mechitatu - kukanda hakukonzeri chero nzira.

• Muvarume, kusaenzana kwakasimba kwehomoni kunogona kukonzera pathology.

• Kugara kupa kwemishonga kumhuka kudzvinyirira chido chepabonde kunowedzerawo mikana yekuvandudza oncology.

• Mhuka dzenhema muhure dzinogonawo kutungamirira kukuchinja kwezamu remammary. Mastitis, mastopathy inokura, iyo mune ramangwana inogona kutungamirira kenza.

• Kufutisa kwemhuka.

Sei neoplasms ine ngozi?

Ngozi huru yeAMF iri mune metastasis. Masero akachinjwa anopararira kuburikidza neropa kana lymphatic midziyo kune nhengo uye matishu emuviri wese, mapapu anonyanya kukanganiswa. Mhuka dzinofa nekusashanda kwenhengo dzemukati, kuneta, kushaya okisijeni uye zvimwe zvikonzero zvinomuka nekuda kweoncology. Uyewo, mazamu akazarurwa ndiwo masuwo ehutachiona, anogona kupera uye anokonzera sepsis - chepfu yeropa.

Matanho ekukura kwemazamu emazamu

Matanho egomarara rezamu anobva pane:

• mamiriro ekutanga kutarisa;
• chimiro chebundu pachacho;
• kuvapo kwekuchinja lymph nodes;
• kuvapo kwemametastases ari kure.

Zvinotendwa kuti chirevo chemaitiro asina kunaka ebundu hukuru hwebundu: kune makati ndeye 3 centimita kana kupfuura, kune imbwa dzepakati dzinza 5-7 centimita kana kupfuura.

Nhanho 1 - chisimbiso chidiki kana bump kusvika 1 cm muhupamhi, metastases haioneki. Danho 2 - neoplasm kusvika 3 cm muhupamhi, pasina zviratidzo zvemetastasis. Danho rechitatu - kuumbwa kwakakura kusvika masendimita mashanu muhupamhi, inogona kusviba pamusoro pepamusoro uye muzvikamu zvakadzika zveronda, izvo zvinogona kubuda ropa, kune metastases mu lymph nodes. Danho rechina - bundu rakakura kudarika masendimita mashanu pakufara. Kune metastases munzvimbo dziri kure dzemuviri, kazhinji mumapapu. Zvishoma kazhinji, veterinary oncologists vanosangana nemetastasis kuchiropa, spleen, pancreas, uye pfupa tishu. Zvinogona kuva zvakaoma kuona danho rekukura neziso. Kuti uite chisarudzo pamusoro pekurapa kwakakodzera, nhamba yehutano hwekuongorora huchadiwa.   

Diagnostics

• Kuongororwa nemaoko kwemhuka. Palpation yemammary glands, kunze lymph nodes.
• Auscultation. Kuteerera kugunun'una mumapapu.
• Kuongororwa kweropa (biochemical uye kliniki). Kuongororwa kwehuwandu hwekushanda kwemuviri.
• Ultrasound yedumbu uye thoracic cavity. Kuzivikanwa kwekuchinja kwemaitiro munhengo, kuvapo kwemasastases makuru.
• Chifuva x-ray naXNUMX! fungidziro. Kuongororwa kwemamiriro emukati wemapapu, kuona metastases. Mufananidzo mumwe hauna kukwana kuti uongororwe zvakanaka.
• Cytological kuongorora inokubvumira kuti uite preliminary diagnostic.
• Histological kuongororwa kwebundu rakabviswa richabatsira kunyatsoona mhando yeoplasm, ingave yakaipa kana kwete.
• Kutsvaga kenza uchishandisa computed tomography. Imwe nzira ye x-ray uye ultrasound, asi inoitwa pasi peanesthesia.

mabatiro

Kurapa kunoenderana nedanho re oncology, mamiriro ese emhuka, concomitant zvirwere. Pamatanho 1 ne2, vanachiremba vanovhiya vanowanzokurudzira mastectomy - oparesheni yekubvisa mammary gland. Kazhinji kacho, mutsetse wose wemagland unobviswa (unilateral mastectomy), dzimwe nguva (kunyanya mumatanho ekutanga) mastectomy inokwana inoitwa, resection yemamwe mapaketi emaglands. Kana maronda ari kumativi maviri, ipapo kuvhiyiwa kunoitwa mumatanho akati wandei, nekuti kupindira kwacho kwakanyanyisa, kunorwadza uye kupihwa kweganda kunodiwa kusimbisa mipendero yeronda. Zvinokurudzirwa kukanda mhuka panguva imwe chete. Kakawanda, vanachiremba vanovhiya vanoona kuchinja kwezvinyama zvechibereko uye mazai. Mumamiriro ezvinhu akadaro, kuvhiyiwa kunogona kuitika mumatanho matatu. Zvakakosha kuti oncologist anoita oparesheni anzwisise ablastics - ndiko kuti, anoziva mitemo yekubvisa bundu kuitira kuti arege kusiya masero anogona kuwedzera zvakare uye kuti metastasis irege kuitika. Resection of the neoplasm inoitwa nekubatwa kukuru kwematishu akapoteredza uye nekubviswa kwe lymph node iri pedyo. Mushure mekuvhiyiwa, mhuka inoiswa chubhu yakakosha yemvura munzvimbo yemusono, umo mushonga unobaiwa kuti ubvise kurwadziwa. Zvakare, katsi kana imbwa inogamuchira anti-inflammatory uye analgesic zvinodhaka systemically. Chemotherapy inoshandiswa muchiitiko chekusakwanisa kurapwa kwekuvhiya kana mushure mekuona imwe mhando yeoplasm, kana zvichidikanwa. Kune akawanda akasiyana maprotocol. Iyo oncologist inosarudza iyo yega, zvichienderana nehunhu hwemurwere. Hupenyu hurefu hwekuonekwa kwemazamu emazamu hunoenderana nedanho uye chiyero chekupararira kwemaitiro. Kuonekwa mumatanho ekutanga kunobvumira kutanga kurapwa kunoshanda, izvo zvinobvumira kubvisa zvachose bundu uye kuve nechokwadi chekuregererwa kwenguva refu - kubva pamakore 3-5 kana kupfuura. Kana mamiriro emhuka akanyanyisa zvokuti hapana imwe yenzira dziri pamusoro apa yakakodzera, saka varidzi vanosarudza kuita euthanasia kana kunyengera kuvandudza mararamiro ehupenyu.   Postoperative nguva Zvinetso zvinogoneka mushure mekuvhiyiwa

• Suture chirwere
• Divergence of the sutures, inowanzoitika munzvimbo dzeaxillary uye inguinal nekuda kwehuwandu hwematishu akabviswa uye kufamba kwepamusoro kwesuture munzvimbo idzi.
• Tumor kudzoka kana kupararira kwegomarara risati raonekwa uye panguva yekuvhiyiwa

Kuti udzivise kunyengedza uye hutachiona hwema sutures, chifukidzo chemashure uye collar zvinoiswa, uye kudziviswa kwekufamba kunodiwawo panguva yekuporesa ye sutures, anenge mavhiki maviri. Zviri nani kusiya mhuka kwemazuva mashomanana ekutanga mushure mekushanda muchipatara nokuda kwehutano hwehutano uye maitiro. Zvipfuyo zvakawanda zvinoburitswa muchipatara mazuva 2-1 mushure mekuvhiyiwa, zvichienderana nekuwanda kwekuvhiyiwa uye mamiriro emurwere. Mhuka zhinji hadzidi mamwe manipulations atova mazuva 5-3 mushure mekuvhiyiwa. Varwere vanokokwa kumusangano wechipiri ane oncologist uye chiremba anovhiya mazuva 5-12 mushure mekushanda kwechipiri chekuongorora uye kubviswa kwe sutures paganda.

dziviriro

Mhinduro yechokwadi ndeye kukanda chipfuyo chisati chatanga kuyaruka, kunyanya kana mhuka yacho isiri yekubereka. Kana mhuka yacho isina kubviswa, iongorore kakawanda, teerera kune mammary glands ekati nembwa dzako, kunyanya kana dzatova pakati kana kuti dzakwegura. Ita ongororo yekurapa yechipfuyo chako gore rega, izvi pasina mubvunzo zvinobatsira kuziva uye kutanga kurapwa kwete chete kumazamu ezamu, asiwo kune zvimwe zvirwere kare. Kugara uchishanyira chiremba nemhuka dzakakura kudarika makore matanhatu, kuongororwa nenguva uye kurapwa kwemamota mumatanho ekutanga kunoderedza njodzi yekufa kwemhuka kubva kukenza.