Kuyambira ali ndi zaka 30, kukacheza kwa mayi wamagulu a amayi kumakhala kovomerezeka. Ulendo wa katswiri uyenera kuchitika kamodzi pachaka. Pakhomo, mayi amafunika kuyang'anitsitsa mawere ake nthawi zonse. Ndibwino kuti muchite izi muzisamba, m'mawa kapena madzulo. Lembetsani phokosoli kuti zola zazing'ono ziziyenda bwino. Kenaka kwezani dzanja limodzi ndikukankhira kumbuyo kwa mutu, zala kumbali inayo kuti muzimva chifuwa, kotero kuti muyang'ane kachiwiri kwa chidindo. Bustu imathandiza kwambiri kusamba kwa nthawi zonse.
Wodwala kapena wosakhala ndi pakati
Iyi ndi nthawi yogwira ntchito yobereka. Ali ndi ntchito zazikulu ziwiri - mimba ndi kulera. Mimba iyenera kukonzedwa ndi kukonzekera bwino. Ngati pasanathe miyezi isanu ndi umodzi ndi umodzi ndikukhala ndi moyo wogonana nthawi zonse popanda kugwiritsa ntchito njira iliyonse yobereka yobereka, m'pofunika kuti mupite kukafufuza ndikupeza zifukwa. Kafufuzidwe ka mayi wina wochokera kwa mayi wa amai ndi amayi ake amatha kupangitsa zifukwa zosiyanasiyana.
Kawirikawiri maulendo a amayi odwala matendawa amaphatikizapo izi: Kuyeza magazi, kutenga smear kwa mlingo wa chiyero cha m'mimba, chiwerengero cha ziwalo zamkati ndi PAP mayeso (cytological test of the cervix). Ngati zotsatira za mayesero zikukayikira za matenda, khungu lake limayambanso kupezeka. Chizindikiro cha matenda angakhale zodandaula za amayi pokhudzana ndi kutaya kwa nthawi yaitali kwa mtundu wosasintha, fungo, kuyambitsa kuyabwa ndi kukwiya. Pachifukwa ichi, muyenera kupyolera muzoyezetsa zofunikira zonse za mayi wochokera kwa amai ndi amayi komanso mammologist.
Kamodzi mu 1.5-2 zaka, tikulimbikitsidwa kuti tipezeke ndi ultrasound kuyeza kwa mammary glands. Mammography panthawi imeneyi imangokhalapo pamene kusintha kwina kumapezeka. Cholinga chachikulu chachiwiri kwa amayi a msinkhu uwu ndi kupeĊµa mimba yosafunika. Posankha njira ya kulera, kupindula kumaperekedwa kwa othandizira odwala matendawa. Malingaliro a dokotala yemwe amadziwa zochitika za thanzi lanu, ayenera kuziganizira panthawi ya mayeso a mkazi wochokera kwa mayi wa amai ndi amayi ake.
Pogwiritsira ntchito njira za kulera, mayi ayenera kupita kukaonana ndi amayi amodzi kamodzi pachaka. Ndipo chitani V3H, tengani nyemba pazomera ndi kuyesa PAP.
Kulera kovuta
Iyi ndi nthawi yovuta komanso yofunika kwambiri pamoyo wa mkazi. Malingana ndi deta zatsopano, msinkhu wa zaka za kubala ndi zaka 4 9. Chifukwa chake, ntchito zazikuluzikulu pazomweyi ndizo kulera, nthawi zambiri mimba kapena chithandizo cha matenda opatsirana pogonana.
Ngati mimba ikukonzekera, ndiye kuti kukonzekera koyenera ndikofunikira: kuwonjezera pa kuyezetsa magazi, funsani za geneticist.
Mungagwiritse ntchito, mutatha kufunsa dokotala wanu, njira zothandizira kulandira mankhwala, mankhwala osokoneza bongo, kapena (kawirikawiri).
Kulandira chithandizo chamagazi kumaperekedwa mosamala kwambiri, chifukwa m'zaka zino pali chiopsezo chachikulu cha matenda a mthupi mwa mtima, omwe mwina chifukwa cha kutayika kwapang'onopang'ono kwa ntchito yotsegula. Kuchokera zaka 40-47, akazi a ku Ulaya ali ndi nthawi yoyamba, ndipo amatha zaka 4. Pali kusintha, kumapeto kwa msinkhu wokha, komanso nthawi ndi kuchuluka kwa magazi.
Chenjerani
Panthawi imeneyi chiopsezo cha matenda a amai chimakula: endometriosis, uterine myomas, njira zowonjezera (kusintha kwa mucous membrane ya chiberekero).
Mayi amayenera kuchezera kamodzi pa miyezi isanu ndi umodzi. Kufufuza kumaphatikizapo ultrasound ya ziwalo zapakhosi, kuyesa kwadzidzidzi, kuyesa PAP.
Ndibwino kuti muyesetse kufufuza mafilimu a mammary (once) nthawi zonse zaka 1.5-2.
Poyang'anitsitsa bwino bere liyenera kusamalidwa ndi amayi ndipo azichita kawirikawiri amayi omwe amachokera kwa mayi wamayi komanso mayi wamwamuna. Panthawi imeneyi, mayi ayenera kudziyang'anira yekha, kulemera kwake, kudya. Monga chiopsezo chokhala ndi matenda ochulukirapo ambiri - mtima wam'mimba ndi wodwala, kunenepa kwambiri - kumawonjezeka. Mayi amafunika kuyambiranso zakudya - ziyenera kuchepetsedwa ndi theka kapena theka poyerekeza ndi voliyumu yomwe idadyedwa zaka 20. Zokonda zimaperekedwa kwa ndiwo zamasamba, zipatso, nsomba, nsomba - zowonjezera mapuloteni ndi fiber. Kuchita masewera olimbitsa thupi ndi kugona kumafunikira kwa maola oposa asanu ndi atatu.
Pa msinkhu uliwonse - izi ndizofunika kwambiri - bulu liyenera kukhala ndi kukula kwake, osayika "chifuwa chaching'ono". Apo ayi, kuyambira zaka zambiri zosautsa zosavuta pali zisindikizo, kusamala. Boto ayenera kusamalidwa. Tsiku lililonse muyenera kutsanulira madzi ozizira kapena kupukutira ndi thaulo mumadzi ozizira. Ndikofunika kugwiritsa ntchito mavitamini abwino pachifuwa, ogula ku pharmacy. Ndipo ndithudi amachititsa masewera olimbitsa thupi ndi kuwala kowala, kotero kuti minofu ya phokoso ili bwino.
Pewani Syndrome
Zaka khumi mu moyo wa mkazi - nthawi ya kusamba kwa thupi (nthawi yoyambira kumayambiriro kwa ntchito ya mazira ochuluka mpaka kutha kwa msambo), kusamba kwa mimba ndi kuyamba kwa msana (kuchokera kumapeto kwa msambo mpaka kumapeto kwa mazira ochuluka, kumatha zaka zisanu ndi zitatu). Matendawa omwe amapita ndi kusintha kwa thupi amayamba mwa amayi ambiri (pafupifupi 80%). Zikuwonetseratu kuti zikuphwanya dongosolo la vegetative-vascular, kusintha kwa maganizo-maganizo. Matenda owopsa kwambiri angayambe: kutupa kwa matenda, matenda a urogenital, matenda a mtima.
Panthawi imeneyi, m'pofunika kuwonana ndi azimayi okhaokha komanso mammologist, komanso katswiri wamagetsi, katswiri wa zamoyo, phlebologist, ndi zina. Ndi matenda a climacteric a mawonekedwe ofatsa, zakudya zamaganizo ndi zochita zolimbitsa thupi zimathandizidwa ndi phyto-estrogens.
Ndili ndi chiwerengero chachikulu chokhazikika, mankhwala otchedwa hormone substitution therapy (HRT) amalembedwa. Cholinga chake - kudzaza mahomoni ambiri omwe ali ndi vuto la mahomoni ogonana. Kusankhidwa kungatheke pokhapokha atayang'anitsitsa kafukufuku wamagetsi a zachipatala.
Nthawi ya ntchito ya HRT siyoposa zaka zisanu. Pankhaniyi, m'pofunikira kuti munthu ayese kufufuza momwe angapezere phindu komanso ngozi ya SIC m'mbali iliyonse.
Katswiri wa amayi amafotokoza mayesero omwe amaphatikizapo kuyesa magazi, kusanthula kwa zinthu zakuthambo ndi mankhwala a lipid, magazi omwe amachititsa kuti thupi liziyamwa, ndi osteodensitometry (kafukufuku wokhudzana ndi mafupa, kapangidwe kake). Kwa mammologu pambuyo pa zaka 50 ayenera kuyenda nthawi zambiri monga momwe analembera dokotala wamayi.