Mis kab mob: tshuaj

Mis kab mob - ib tug kab mob uas muaj feem xyuam rau lub mammary caj pas thiab yog ib tug ntawm hormonal tsis ua hauj lwm nyob rau hauv cov poj niam. Nws yog tsiag ntawv los ntawm txoj kev loj hlob ntawm benign qog, uas yuav cuam tshuam rau ducts, alveoli, txuas, thiab nyob rau hauv tej rooj plaub - lub adipose cov ntaub so ntswg.

Mastitis yog kho nyob rau hauv ob txoj kev: conservative, tsis hais kev phais, thiab operative, kuv .e. surgically. Nyob rau hauv thaum ntxov ua sawv yog feem ntau ua conservative kev kho mob ntawm mastitis. Yog hais tias tus kab mob no yog yus muaj los ntawm qhov kuaj pom ntawm tseem ceeb cov ntsaws ruaj ruaj, hlwv, thiab yog hais tias nws tsis yog amenable mus nonsurgical kev kho mob, muaj resorting rau kev phais.

Cov nram qab no paub tab yog nyob rau hauv cov kev kho mob ntawm mastitis:

• txo qhov mob;
• txo cyst thiab fibrous cov kua ntswg;
• tiv thaiv kom txhob rov muaj dua ntawm lub qog;
• kho cov hormonal raws li txoj cai.

Tsis li ntawd, ntev dhau los nyob rau hauv cov kev kho mob xyaum ntawm cov tshuaj tshiab (prozhestozhel, mastodipon, mammoleptin, Wobenzym), uas muaj proven zoo nyob rau hauv cov kev kho mob ntawm mastitis nyob rau hauv thaum ntxov ua sawv tau ua tswvcuab. Txawm li cas los, lawv muaj pov thawj rau pab tsis tau rau cov neeg uas fibrocystic mastopathy thiab cov poj niam, uas nyob rau hauv lub tsev neeg ntawm mastitis raug kev txom nyem los yog tau raug kev txom nyem rau qhov ze txheeb ze.

Nyob rau hauv cov kev kho mob ntawm cov kab mob ntau txog yog nyob rau xa cov ua mastitis: ntawm zes qe menyuam kawg, neurological mob, daim siab mob thiab gynecological kab mob. Lawm yog cov kev kho nyob rau hauv loj heev zaum.

Txawm li cas los, muaj cov ntaub ntawv ntawm mastitis, nws yog ib qhov nyuaj rau hormonal kev kho mob. Cov no muaj xws fibromatous thiab fibrocystic mis kab mob, raws li tau zoo raws li proliferative fibroadenomatosis.

Lug siv nyob rau hauv lub hormonal kev kho mob ntawm mastitis pom li nram qab no cov tshuaj:

• antiestrogens (Fareston, tamoxifen);
• progestins;
• qhov ncauj contraceptives;
• prolactin inhibitors;
• androgens;
• analogues gonadotropin tso lawm (LHRH).

Kev tau qhia hais tias progestins kom cov kho nyhuv ntawm mus txog 80%. Cov pab pawg neeg ntawm cov tshuaj uas feem ntau tus kws kho muaj xws li "Pregnin", "Norkolut", "Orgametril".

Cov ntxhais hluas nyob rau hauv lub hnub nyoog ntawm 35 yuav noj xws ncauj contraceptives li "Silest" "Marvelon", "Mersilon" thiab "Femoden". Cov txhais tau tias zoo heev txo lub morbidity thiab engorgement, thiab txo cev ntas. Thaum tau txais "danazol" mob diminishes los ntawm tus kawg ntawm thawj lub hli.

Raws li ib tug txoj cai, lub caij ntawm kev kho mob yog 4-6 lub hlis yuav tsum tau rau resorption cov ntsaws ruaj ruaj. Yog hais tias muaj yog ib tug muaj zog prolactin theem thiab lub expiry ntawm cov mis nyuj, tus kws kho mob prescribes xws prolactin inhibitors li "bromocriptine" los yog "Parlodel".

Nyob rau hauv cov kev kho mob ntawm mastitis tau muaj pov thawj zoo heev tshuaj rau lwm siv "Prozhestozhel" 1%. Nws muaj xws li mikroninizirovanny progesterone tau los ntawm medicinal tshuaj ntsuab, uas yog zoo tib yam rau endogenous, ua nyob rau hauv daim ntawv ntawm ib tug gel.

Lub ntsiab kom zoo dua ntawm "Prozhestozhelya" muaj nyob rau hauv nws cov sab nraud daim ntawv thov, uas lub ib thooj ntawm cov tshuaj nyob rau hauv lub mis cov ntaub so ntswg, tau txais mus rau hauv cov hlab ntsha nyob rau hauv ib tug me me npaum li cas (10%). Qhov no qhia rau cov tsis muaj kev phiv uas yog sai tau tom qab preoral txais progesterone. Cov pom zoo koob tshuaj yuav tsum tau muaj ntaub ntawv rau txhua lub mis, 2.5 grams ntawm mus tas li los yog rau 3-4 lub hlis thaum lub sij hawm thib ob theem ntawm lub cev ntas.

Tsis-hormonal txoj kev kho, nyob rau hauv tas li ntawd mus rau lub kev kho ntawm kev noj haus, kom zoo xaiv ntawm khiab mis, yuav noj vitamins, uas tsis yog-tshuaj anti-inflammatory (NSAID) , thiab diuretics, raws li zoo raws li txhais tau tias los txhim kho kev. Thaum diffuse mastitis kheev siv narcotics yuav muab.

Indomethacin los yog Brufen coj nyob rau hauv lub thib ob theem ntawm lub cev ntas, pab mob, txhawb qhov kev tshem tawm ntawm edema resorption thiab cov ntsaws ruaj ruaj, thiab txhim kho cov kev soj ntsuam ntawm X-ray thiab ultrasound. Raug indications rau kev siv ntawm cov tshuaj yog nyob rau hauv lub glandular mis daim ntawv.