Sabtu, 07 Mei 2011

BREAST TUMOR

Every mammal (its nursing) and humans when developing normally would have breasts. Usefulness of the breast is very much among others, to breastfeed her child.

Breast development begins in infancy but growing rapidly since the child appears to the first menstruation (menarche).

Given that this organ is very important for us all, then we should know the signs - signs that show if breast abnormalities.

How do we find breast abnormalities

Actually very easy to do it live we imagine → then we feel → we see → we touch → we do the examination in more depth (mammography).

The first thing is we think: easy for us imagine a normal breast shape then we have our match with

The second thing we feel: the easiest is the feeling of pain. The pain can occur in normal and abnormal circumstances. Normal is feeling pain that is felt when getting your period (menstruation). Feelings of pain is usually felt one side but not both. The feeling of pain is not normal is when there is infection / inflammation, trauma, tumor, etc..

The third thing is we see: performed by sitting in front of the glass → after finished watching the second lift arms up and then observe again.

   1. We note the color of the skin on the affected breast, will usually appear reddish or even looks like an orange skin (wrinkles). The redness can be caused by infection, whereas if you look like an orange peel is caused by edema. If it appears like this picture we should be more vigilant because they may be symptoms of cancer.
   2. appear uneven breast size
      Breast enlargement, this situation can also occur under normal circumstances and not normal. Normal is breast enlargement during the acquisition period and during pregnancy / nursing.
      Withdrawal from the nipple, this situation could occur because there is decree anything thing around (below) either nipple or the other tumor.
   3. Nipple discharge. Discharge from the nipple that normally occurs during pregnancy / lactation, the influence of contraceptive pill use is long, the breastfeeding period is too long. While that is not normal when the liquid is reddish, foul or fishy odor accompanied by abnormal breast conditions.

The fourth thing is that we touch:
In palpability: breast feels hot, palpable lump (soft, or hard), pain when touched. There is a technique - a special technique done to examine the breast that is a way to check breast self examination (BSE).

How:

   1. Gently massage the area around the nipple and observe whether the discharge is not abnormal. Under normal circumstances, both nipples: symmetrical, freely movable, and only give out milk.
   2. Lie down with your right arm under his head → put a small pillow under the back right → Touch the entire surface of your right breast with his left hand, how: Touch with 3 shoots that sealed the middle finger → do the twist with gentle but steady pressure, starting from the edge hold to the center (nipple), and back from the edge by following a clockwise direction → notice when there is a suspicious lump. REMEMBER! SYMPTOMS FIRST and foremost of breast cancer is a lump arise.
   3. Do the same thing, but with the left arm under his head is right hand fingering payudra your left.
   4. The breast part side (right and left) is the most frequently found in breast tumors.
   5. When you feel a suspicious lump, consult your doctor immediately.
   6. Do breast self-exam once a month after menstruation.

The fifth thing we can do this at the beginning or the end of that phase with more in-depth examination. This examination can be done with mammography. The advantage of this examination by mammography is a technique is expected to detect breast abnormalities as early as possible. So we can find out defects early before it's finished berantakan.Bicara of breast abnormalities, then we know several disorders, among others:

   1. Congenital abnormalities (congenital) deformity (amastia left), the number of nipples
   2. Inflammation (infection): mastitis,
   3. Benign Tumor: FAM, breast cyst
   4. Malignant Tumors: breast cancer

Description:
a. Congenital Abnormalities

    * Amastia, this deformity can occur when one breast does not grow properly, so it felt only has 1 breast only.

b. Inflammation / infection

    * Mastitis usually occurs in women who are pregnant or breast-feeding, although in other cases there are. Called mastitis because the breast was inflamed. Inflammation occurs when there injury in her breast making it easier for germs entering and infected him. This disease there are 2 phases namely inflammation and stage of stage of abscess (Java: wudun). At the first stage is usually enough to compress with warm water, then given pain-killers and the sick seconded by fabric 3 sides. When you have entered the stage of abscess, the abscess must be cleaned → then given a drain to drain the pus and tissue nekrotiknya → clad press for emnghentikan lactation → given the appropriate medication cause.

c. Benign Breast Tumors

    * Fibro adenoma mammary (FAM). This is one type of benign breast tumors. Usually arises in women aged adolescents to young adults approximately 20-35 years. These tumors besides causing lumps on the palpability chewy, not attached to (can be moved), the pain is felt but not very. Nothing to do with the menstrual cycle when menstruation does not mean a big plus, her nipples do not show any change and there is absolutely no spontaneous pain.

    * Necrosis of fat: the kind of tumor is almost like a malignancy will be the palpable hard when touched. Only the difference with breast cancer is fat necrosis is rarely experienced enlargement. Rarely does not necessarily can not enlarged.

Treatment for this case was done by excision (surgery).
d. Breast Cancer

    * Mammary carcinoma, this type is a type of highly malignant tumor payudra. Why is there a malignant tumor that is said but there is not (benign)? This is because it is the malignant spread to other parts of the body. For example in the breast used to be just right but a few months later appeared also on the left or sebarnya child caught in the lungs. Disease risk factors were: women who run do not have children (infertile). This is because there are currently pregnant do not ovulate, ovulation suppression that can reduce the risk of mammary Ca. The second was a woman who is ill, family members of breast cancer (heredofamilial).

Treatment for this case is not enough just to do surgery but should be done in accordance with tingakat ferocity. So after surgery but sometimes there is need in the light, there is a need to undergo chemotherapy, there is a surgery to take her ovaries (oophorectomy).

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