Diagnosis of mastitis


  • A survey at the doctor
  • Other methods of examination
  • Treatment

  • Diagnosis of mastitis

    A survey at the doctor

    the first of which begins with a survey in the doctor's office - a collection
    anamnesis (patient survey). In an interview specialist will find out the age, time
    menstruation start, length of the menstrual cycle, the presence of
    menstrual disorders (pain, scanty menstruation, and so on.

    Do pain in the breast,
    presence of genital diseases including venereal, were
    Do undergone surgical operations, whether children are, how many and
    What age were birth, whether artificial or spontaneous
    termination of pregnancy, if so, how much and at what age,
    the presence of a close relative (mother, sister), suffering
    cancer, chronic diseases, and so on. d.

    For any question the doctor need to answer honestly, do not hide any
    information or ashamed to talk about their symptoms.

    The next
    step is inspection and palpation of the breast. Palpation - this
    feeling, which is carried out with the fingers on the 5-7th day
    beginning of menstruation. This method provides information on the status of breast tissue

    Step number 1. at first
    the doctor carefully examines both cancer in several positions (standing,
    standing with hands raised, lying and sitting). It focuses on
    the skin of the glands, the symmetry of their location, shape,
    and size of the nipple and areola. Changing even
    One of these signs is taken into account in setting the preliminary
    diagnosis. For example, a change in color is an indication
    inflammatory processes (mastitis) or tumor growth.

    Step number 2. Doctor
    It begins to probe the breast, nipple, lymph nodes. This is a mandatory
    procedure, so do not be embarrassed. There is nothing humiliating.
    The doctor needs to know everything, but in this case it might help.

    After collecting the history and palpation transferred to instrumental methods of investigation.

    Always sent to:

    • mammography;
    • ultrasonography;
    • pneumocystography;
    • screening;
    • definition of hormonal status;
    • ductography;
    • thermography;
    • needle biopsy;
    • radioisotope scanning.

    The diagnostic method is determined by the type and stage of disease.

    It is the leading method for diagnosing breast diseases, namely
    him and begins breast examination. Mammography do first
    phase of the menstrual cycle using a special apparatus.
    X-rays passes through the breast so that
    I get a shot.

    The positive is the
    the fact that the radiation dose is small. The sensitivity of the method is very high and
    It reaches 86-90%. Before the procedure, you can not use deodorants and
    antiperspirants, as this may cause improper
    result. In order to obtain images compress the chest. Very important,
    that while there was no pain in the gland. Each breast is removed
    2 times.

    With the help of X-ray mammography is made possible in a timely manner to identify pathological changes in the breast.
    That's why every woman, even in the absence of complaints in 35 years
    It has to undergo such an examination. After 40 years of mammography
    make 1 time in 2 years, and after 50 - every year. This helps to identify
    the disease in the early stages.

    As a rule, a mammogram is carried out simultaneously with the US, since these two methods complement each other.

    Other methods of examination

    Currently, ultrasound is widely used in medical practice, it is
    quite effective technique. Data obtained using
    ultrasound diagnostics, supplement and clarify the overall picture
    disease. ultrasonic wave passed through the gland, and their
    reflection is displayed on a special screen that displays
    flatteningDiagnosis of mastitistneniya, cysts filled with fluid. On US can result
    determine the type of mastitis (nodular or diffuse).

    Currently, this method is not widely used because it
    You can not see the complete picture of the disease, in contrast to the US and
    mammography. It is based on the measurement of skin temperature at various
    cancer sites.

    It is believed that in the place where
    skin is hot, there is inflammation. Because of the small amount of information in
    Currently, thermography is used much less frequently, mostly
    as an additional diagnostic method.

    needle biopsy. With this method you can determine the tissue that has undergone change as well as to determine the nature of growth (malignant
    or benign). However, it is rarely used,
    because it is very complicated and is carried out only in laboratories. Puncture
    biopsy - a prostate tumor specific puncture needle via
    where you can take a sample of tissue for examination under a microscope.

    This method of research, with the help of which you can see the ducts
    mammary glands. For this purpose they are administered contrast agent is not
    transmissive X-rays, and then do a mammogram.
    Ductography often used, as it allows to determine the state
    all the ducts.

    It is used only when it detects cysts. During cyst survey
    pierce and remove the contents therefrom, and then introduced into
    radiopaque substance. This method allows to determine
    mammogram cyst size, its shape and location.

    Determination of hormonal status.
    To determine the level of hormones in the body to take study
    blood test. Be sure to set the content of estrogen,
    progesterone and prolactin, which are products of the activities
    ovary and pituitary.

    Treatment of mastitis

    The science
    does not stand still, each year to produce new drugs,
    both hormonal and non-hormonal, which are more efficient
    help cope with the disease.

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