Zamu chirwere: mishonga

Zamu chirwere - chirwere kunokanganisa mammary shwanu uye nemhaka hormone kukundikana vakadzi. It kunoratidzwa pave benign namamota, izvo zvinogona kukanganisa ducts, Formação de, unobva, uye mune zvimwe zviitiko - the adipose tishu.

Mastitis ikarapwa nenzira mbiri: kuchinja, hazvirevi vavhiyiwa, uye kushanda, i .E. surgically. In tanga Kazhinji inoitwa kuchinja dambudziko mastitis. Kana chirwere kunoratidzwa pamberi zvaikosha zvisimbiso, cysts, uye kana hazvina amenable kune nonsurgical mishonga, Kutenga kuvhiyiwa.

Zvinotevera mabasa vari nokurapa mastitis:

• kuderedza marwadzo;
• kuderedza chikofu uye fibrous zamu tishu;
• kudzivirira dzokororo ine mota;
• chinja kwemakemikari omuviri chinzvimbo.

Handizvo kare okurapa mishonga mitsva (prozhestozhel, mastodipon, mammoleptin, Wobenzym), izvo zvakava nyanzvi pakurapa mastitis ari mumatanho mangwanani wakatangwa. Zvisinei, havana kuva basa kuti varwere fibrocystic mastopathy navakadzi, vakanga vari mumhuri mastitis vanotambura kana vakatambura pedyo hama.

In kurapwa kwezvirwere kusimbisa kuri kubvisa zvinokonzera mastitis: ovarian dysfunction, chetsinga zvirwere, chiropa chirwere uye gynecological zvirwere. Kemikari ARV nezvaro Muzviitiko zvakaipisisa.

Zvisinei, pane nzira mastitis, zvakaoma hormone kurapwa. Izvi zvinosanganisira fibromatous uye fibrocystic zamu chirwere, uyewo proliferative fibroadenomatosis.

Zvikuru kushandiswa hormone dambudziko mastitis akawana zvinotevera mishonga:

• antiestrogens (Fareston, tamoxifen);
• progestins;
• zvokuudzwa nhumbu;
• prolactin FIs;
• androgens;
• analogues gonadotropin kusunungura kemikari (LHRH).

Zvakaitika zvinoratidza kuti progestins zvinowedzera kuchirapa mugumisiro 80%. The boka zvinodhaka kuti anowanzodanwa ushandiswe zvinosanganisira "Pregnin", "Norkolut", "Orgametril".

vasikana pasi pemakore 35 zvinoodza kutora zvakadai dzaiita nhumbu se "Silest" "Marvelon", "Mersilon" uye "Femoden". nzira idzi kuderera zvikuru hwevanhu vanorwara uye engorgement, uye kuderedzwa kumwedzi. Kana kugamuchira "danazol" marwadzo kunodzima pakazopera mwedzi wokutanga.

Kazhinji, ya kurapwa 4-6 mwedzi zvinodiwa resorption seal. Kana pane wakawedzera prolactin sandara uye expiry romukaka, chiremba prescribes zvakadai prolactin FIs se "bromocriptine" kana "Parlodel".

Pakurapa mastitis kwakaratidza zvikuru inoshanda zvinodhaka nokuda zvokunze kushandisa "Prozhestozhel" 1%. Rinosanganisira mikroninizirovanny progesterone akawana kubva yemakwati, izvo kuva akafanana kuti endogenous, anogadzirwa muchimiro gel.

The chikuru mukana "Prozhestozhelya" chinosanganisira zvayo zvokunze chikumbiro, naro unorema mushonga unorambira chityu rinenge kupinda muropa mune mari duku (10%). Izvi inotsanangura kushaya nemishonga kuti zvinokwanisika pashure preoral kugamuchirwa progesterone. Zvavakabvumirana dose kuiswa pamusoro mumwe zamu, 2,5 magiramu pakati zvachose kana kuti 3-4 mwedzi panguva danho rechipiri kumwedzi.

Non-hormone kurapa, kuwedzera kurangwa zvataidya, zvakakodzera kusarudzwa bra, kunosanganisira kutora mavhitaminzi, vasiri steroidal Anti-anogumbura (NSAID) , uye diuretics, uyewo zvinoreva kuvandudza kutenderera. Kana diffuse mastitis inowanzoshandiswa NSAIDs.

Indomethacin kana Brufen atora rechipiri chokutambudzika kumwedzi, marwadzo, kukurudzira kubviswa edema resorption uye zvisimbiso, uye kuvandudza migumisiro X-ray uye Ultrasound. Typical zvairatidza kuti kushandisa zvinodhaka izvi zviri glandular zamu fomu.