Ukwahlula i-Fat Necrosis ngeCarcer Breast
Yiyiphi i-fat necrosis yebele? Ukuba ugqirha wakho ufumene ukuba le ngxaki unokuba udidekile kwaye ukhathazekile, ingakumbi kuba ikhangeleka njengomhlaza wesibeleko kwiimvavanyo zengqondo ezifana ne-mammogram. I-fat necrosis iyenzeka njani? Ngaba kunokukhokelela kumhlaza webele? Ngaba iya kuhamba ngokwawo okanye ngaba kufuneka iphathwe?
Emva kokuhlinzwa kwebele okanye emva kokulimala kwebele-ukusuka kwimidlalo, izingozi okanye i-belt seat-utshitshisi-ungaba nehlunu esiswini sakho. Ezi ntlobo zebindi zibizwa ngokuba yi-fat fat necrosis ngenxa yokuba zenziwe ngeethambo ezinobungozi, ezimazi, okanye ezifayo.
Ngelishwa, i-fat fat necrosis yinto eqhelekileyo kwaye ibangela umngeni kumayeza nakwabafazi ngokufanayo. Ingxaki ye-fat necrosis ebantwini kukuba ihlala ibonakala kwaye ivakalelwa ngumhlaza wesifuba, kwaye ikhangeleka njengomhlaza wesisu kwi-mammogram nangona ibuhlungu. Enyanisweni, iimpawu zinokuyikrakra ukuba uyazi kakuhle iimpawu zomhlaza webele. Abanye abantu bayethusa, bebuza ukuba oogqirha banokuqiniseka njani ukuba "kuphela" banamafutha e-necrosis.
I-fat necrosis inokuthatha iindidi ezininzi kwaye kunokuba nzima ukuyihlolisisa. Makhe sijonge iimpawu, izibangela, kunye nonyango lwe-fat necrosis, kunye nendlela wena kunye nodokotela wakho unokufumanisa ngayo ukuba le nto ibangela ukuhluma kwakho.
Yintoni i-Fat Necrosis ye Breast?
I-fat necrosis yimeko yesisu esinobunzima engenzeka kwibele. Iqukethe izicubu ezinamafutha eziye zatshatyalaliswa, zenzakaliswe, okanye zafa. I-fat necrosis inokubangelwa emva kwaluphi na uhlobo lotyando lwebele, ukusuka kwi-biopsy ukuya kwakha kabusha , okanye nayiphi na uhlobo lokulimala kwebele.
Xa ama-fatty tissue akhatywe okanye sele efile, unokutshintsha ngokuthe ngcembe abe yisisundu okanye angaqokelela njengelwelo ngaphakathi kwe- cyst yeoli . I-fat necrosis ayikhokelela ekuphuhliseni umdlavuza webele, kodwa ngezinye izihlandlo ingabangela intlungu yesisu .
Eminye imigaqo ye-fat necrosis - Ukongeza kwixhala elidalwe ukuxilongwa kwe-fat necrosis yimiba emiselweyo ukuchaza oko kuthetha into efanayo. I-fat necrosis ingabizwa ngokuba:
- I-membranous fat necrosis
- Liponecrosis microcystica calcificata
- I-post-traumatic pseudolipoma
Iimpawu zeBast Fat Necrosis
Ummandla we-fat necrosis ebelebeni lwakho unokuziva unjengomquba onzima, okanye njengecandelo le-skin-thick in essence, uhlobo olufanayo lweempawu eziqhelekileyo ngomhlaza wesibele.
Isifuba sakho sinokuziva sisithande okanye sibuhlungu esijikeleze indawo ye-fat necrosis, kodwa oku akunjalo ngaso sonke isikhathi, kwaye ngokuqhelekileyo indawo ye-necrosis ayibuhlungu (iphinda ifane nomhlaza wesifuba.)
Unokubona umsele othile ukusuka kwiphonsi elisondele kwiphondo eliphazamisekileyo. Ngamanye amaxesha, ingono yakho inokungena ngaphakathi kwincinci, okanye isikhumba sakho sesifuba singanciphisa ngaphezu kwesikhumba se-fat necrosis. Kwakhona, ezi ziimpawu sonke sizitshelwe ukuba sijonge iimpawu zesifo somhlaza webele.
Ukuba unayo i- cyst yeoli, kunokuvakalelwa njengento epholileyo kunye ne-squishy, efana nokuvakalelwa kwamagilebhisi amancinane phantsi kwesikhumba sakho.
Kwisifundo esithile kwi-fat fat necrosis kwafunyaniswa ukuba i-97 ekhulwini yayingenakuvakalelwa (yayingenakulinganiswa) kwaye i-sibini yesithathu yayingenabuhlungu.
Iinkalo ze-fat necrosis kwisifundo esinye sathi:
- Izibonda zihlala zihlaziywa (zijikeleze ingono) kwaye zingaphezulu (zivakalelwa nje phantsi kwesikhumba)
- Ukuqhawula okanye ukunyamezela kwaphawulwa ngamaphesenti angama-24 e-tie.
- Ukuqhawula izikhumba okanye ukutshatyalaliswa kwesikhumba kwaphawulwa ngama-14 ekhulwini.
- Ukubuyiswa kwe-ingono kwakukho kwiipesenti ezili-9.
Emva kokuba indawo ye-fat fat necrosis ibonakala ingakhula ngobukhulu, iyancipha ngobukhulu, okanye ihlale enye. Ingadlulela kwiminyaka okanye isenokusombulula ukushiya emva kwe-fibrosis kunye nokubala (okungabonwa kwi-mammogram.)
Iingxaki zeBastast Fat Necrosis
Kukho iintlobo ezahlukahlukeneyo zezizathu ze-fat necrosis kwibele.
Iifama ezinamafutha esiswini sakho zingahle zidibanise okanye zife emva kwaluphi na uhlobo lokulimala kwesisu okanye ukuhlinzwa. Isifuba sebele - nokuba ingaba inaliti ye-biopsy okanye i- biopsy yokugonywa - ingabangela ukuba i-fat fat necrosis. I-neatrosis ye-Fat iyakwenza iindawo ezizungezile izinto ezifakwe kwiibele, ezifana ne-silicone okanye iparafini.
Utsholongwane lwamayeza lwamayeza lunokubangela ukuba i-fat necrosis ibe yindawo kwaye ikwazi ukuphosakela ngokuphindaphinda umdlavuza webele. Kubonakala kuqhelekileyo kubasetyhini abaye bakhawuleza ukukhanya kwemitha kunye nama-radiologists bafuna iindlela ezingcono zokuvavanya oku, kubandakanywa nokusetyenziswa kwenkqubo yokubamba.
Kwabo baphethwe ngumhlaza wesifuba, kuxhaphake kakhulu kwabo bafumana i-chemotherapy adjuvant. I-fat necrosis iya kuba yinkxalabo eninzi kunye nokuqhafaza amafutha ngexesha lokwakha kunye nokwahlula i-necrosis ye-fat kusuka ekuphindaphindiweyo komhlaza webele.
I-Fat Necrosis ibonisa ezinye iifom
Esinye isizathu sokuba i-fat necrosis ibe nzima ukuyixilonga kukuba iyafana nezinye izibilini . Imizi eyenziwe ngamafutha e-fat necrosis ingabonakala njengezifuba ezincelisayo zesifuba kwimimmogram nakwezinye izifundo zokucinga. Ubunzima bungabonakala bukhulu, bunobume obungavumelekanga, umda we-spiky, kunye neqoqo lezinto ezincinci . I-fat necrosis ebusweni ingabonakala ibe yi-lipoma okanye i-liposarcoma, iimbini eziqhelekanga ezingabonakaliyo kwiisisu zebele. Ukuba amanqatha aphendulwe ngamanzi, angakhangela njenge- cyst kwi-ultrasound. I-fatast necrosis yamathambo ingathatha ukubonakala okwehlukeneyo ngexesha elide, ngoko-ke ukulandelelana kwamammogram kuya kubonisa utshintsho ubunzima.
I-fatast necrosis ye-Breast ingakhokelela ekufumaneni i-PET.
Indlela i-Breast Fat Necrosis ichongwa ngayo
I-fat necrosis ibonakala ibonakala kwaye ivakalelwa njengezinye izibilini zebele. Ukuba ucinga ukuba unendawo ye-fat necrosis ebusweni lwakho, jonga ugqirha wakho weentsapho okanye ugqirha wezilwanyana kwisifo sekliniki . Uya kufuneka ube nolwahlu lwezilwanyana zokuhlinzwa kunye neemeko zempilo zakutshanje ukubonisa ugqirha wakho. Lindela ukuba ithunyelwe kwi-mammogram, enokuthi ibonakalise isinyithi, ubunzima obubi kunye nemigca (spiky) kunye nemeko engavumelekanga. Kunokwenzeka ukuba i-breast ultrasound iza kulandela-njengoko oku kunceda ukufumana ama-cysts eoli. Ukuba akukho mfanekiso uququzelele, i- MRI ingamkelwa.
Ukugqatswa kokugqibela kunokufuna i- biopsy ukuqinisekisa i-necrosis ye-fat ngoba uvavanyo lwezinto ezincinci lweeseli luya kulukhanyisa kakhulu imeko yakho.
Unyango lwe-Fat Necrosis Ye Breast
Icandelo ngalinye le-fat necrosis lihlukile, ngoko ke unyango luyahluka. Ukuba i-fat necrosis yakho iyenje nje, ngokusebenzisa ukufudumala okufudumele kunokukunceda. Xa i-fat necrosis ibangela intlungu, ungasebenzisa i-Advil (ibuprofen) kunye ne-aspirin. Ukuba intlungu yakho inzima, ungadinga ukucela ugqirha wakho kwiyeza zentlungu.
Kwiimeko apho i-fat fat necrosis inkulu kwaye ibangela ukuphazamiseka okanye ukuxinzezeleka, inokuthi isuswe ngenaliti yomnxeba engundoqo okanye inalumpomy . I-cyst yeoli inokucinywa ngedaliti enhle , okanye inokupheliswa ngamandla.
Ukuba usandul 'ulwaphulo lwebele okanye utyando kwaye unqabisa ukuba u-necrosis we-fat, zama ukufudumala okufudumeleyo kunye nokunciphisa umzimba-ngokuba ngokunyamekela, ngamanye amaxesha izicubu ziya kuphulukisa kwaye i-necrosis iza kuzincoma yona, kodwa qiniseka ukuthetha nodokotela wakho ukuba iimpawu zakho ziphelile.
Ngaphantsi kweFat Necrosis ye Breast
Umhlaza wesibeletho se-necrosis unokwesabisa kubafazi kunye nomngeni kumayeza. Oko kuthetha, ngokudibanisa izifundo zengcamango, kunye ne-biopsy xa kuyimfuneko, wena kunye nodokotela wakho unokuqinisekisa ukuba uhlangabezana ne-fat necrosis yedwa kwaye akukho nto ibi kakhulu.
> Imithombo:
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> Ayyappan, A., Crystal, P., Torabi, A., Foley, B., kunye noB.. Ukucingelwa kwezilwanyana ezinamafutha eziseBestile: i-Pictorial Essay. Umbhalo we-Clinical Ultrasound . 2013. 41 (7): 424-33.
> Hickey, B., Lehman, M., Francis, D., no-A. Yabona. I-Breastal Breast Irradiation yeCarcer Early Breast. I-Cochrane Database yeeNkqubo eziPhezulu . 2016. 7: CD007077.
> Kerridge, W., Kryvenko, O., Thompson, A., noBh. Shah. I-Fat Necrosis yeSifuba: Ukuphononongwa kwe-Pictorial ye-Mammographic, Ultrasound, CT, kunye ne-MRI Findings kunye ne-Histopathologic Correlation. Uphando lwe-Radiology kunye nokuSebenza . 2015. 2015: 613139.
> Taboada, J., Stephens, T., Krishnamurthy, S. et al. Iintlobo ezininzi ze-Fat Necrosis kwi-Breast. I-American Journal ye-Roentgenology . 2009. 192 (3): 815-825.