一、吃(chi)什么藥對乳(ru)腺炎乳(ru)腺增(zeng)生好
1、治療乳腺增(zeng)生可以用中藥
治(zhi)療乳(ru)(ru)腺(xian)增生可以用(yong)藥物(wu)治(zhi)療。可治(zhi)療乳(ru)(ru)腺(xian)增生癥的(de)中(zhong)藥有加味(wei)逍遙(yao)丸、逍遙(yao)散(san)、小金(jin)丸、乳(ru)(ru)癖消(xiao)、乳(ru)(ru)塊(kuai)消(xiao)等(deng)。其功(gong)能為活血化淤、軟(ruan)堅(jian)散(san)結(jie)、清熱解毒。聯合使用(yong)逍遙(yao)散(san)(丸)和小金(jin)丸或乳(ru)(ru)塊(kuai)消(xiao)片,每日3次(ci),以疏郁調經(jing)、消(xiao)結(jie)止(zhi)痛,可取得一定(ding)的(de)效果。
2、治(zhi)療(liao)乳腺(xian)增生可以用改善癥狀(zhuang)的輔助治(zhi)療(liao)藥物
在經(jing)前期乳(ru)房脹滿者于(yu)經(jing)前7-e10天用(yong)(yong)利(li)尿藥有益,因(yin)減少了(le)液(ye)體(ti)滯留,可減輕癥狀。本病因(yin)卵(luan)巢功能失調(diao),黃體(ti)酮不(bu)足(zu)促使性腺激素增加,導致卵(luan)巢合成雌(ci)激素,造成水(shui)鹽儲(chu)留及水(shui)腫,故可用(yong)(yong)利(li)尿藥。
3、治療乳腺(xian)增生可以用性激素類藥
此類藥有翠丸酮、黃體酮、三苯氧(yang)胺(an)、嗅隱亭、丹那哇等。全部(bu)月(yue)經(jing)(jing)異常(chang)的病例(li),停(ting)藥后經(jing)(jing)過(guo)兩(liang)個月(yue)經(jing)(jing)周期均自行恢復(fu)正(zheng)常(chang)。部(bu)分(fen)病例(li)白帶異常(chang)。其它副作用輕微,不需停(ting)藥或特殊治療,均在停(ting)藥后兩(liang)個月(yue)內恢復(fu)正(zheng)常(chang)。
4、治(zhi)療乳腺增生可以(yi)用非性激素類治(zhi)療藥
乳腺(xian)增(zeng)生(sheng)如(ru)何治療?青島(dao)坤如(ru)瑪麗(li)婦(fu)產(chan)醫院專家表示,碘劑(ji)(ji)(ji)(ji)(碘化(hua)鉀或(huo)復方碘溶液)可(ke)減輕(qing)疼痛,改善乳腺(xian)增(zeng)生(sheng)癥狀。因小(xiao)劑(ji)(ji)(ji)(ji)量碘劑(ji)(ji)(ji)(ji)可(ke)刺激(ji)(ji)(ji)垂體前葉,產(chan)生(sheng)黃(huang)(huang)體生(sheng)成激(ji)(ji)(ji)素(su),促使(shi)(shi)卵巢(chao)濾泡囊(nang)腫(zhong)黃(huang)(huang)體素(su)化(hua),從(cong)而雌激(ji)(ji)(ji)素(su)水平(ping)(ping)降低,并(bing)恢復卵巢(chao)的正(zheng)常功能(neng)。但長期使(shi)(shi)用(yong)碘劑(ji)(ji)(ji)(ji)可(ke)能(neng)影(ying)響激(ji)(ji)(ji)素(su)平(ping)(ping)衡和甲狀腺(xian)功能(neng),有人認為(wei)應該慎重應用(yong)。
5、治療(liao)乳腺增生可以用(yong)維生素類(lei)藥(yao)
能(neng)治療乳(ru)腺增(zeng)(zeng)生(sheng)(sheng)癥的(de)維生(sheng)(sheng)素(su)有B族維生(sheng)(sheng)素(su),VitE. VitA。維生(sheng)(sheng)素(su)E治療乳(ru)腺增(zeng)(zeng)生(sheng)(sheng)癥的(de)機理:當給予動物VitE時(shi),垂(chui)體(ti)前葉(xie)促(cu)性(xing)腺激素(su)分泌細(xi)胞機能(neng)亢進,分泌增(zeng)(zeng)加(jia),從(cong)而調節(jie)性(xing)腺機能(neng),增(zeng)(zeng)加(jia)尿中(zhong)l7-酮類物的(de)排(pai)泄,增(zeng)(zeng)加(jia)卵巢重(zhong)量(liang)及機能(neng),使成熟卵泡(pao)增(zeng)(zeng)多(duo),黃體(ti)細(xi)胞增(zeng)(zeng)大并(bing)抑制孕(yun)酮在體(ti)內(nei)的(de)氧化(hua),增(zeng)(zeng)強孕(yun)酮的(de)作固(gu)醇化(hua)合用,是否從(cong)而調節(jie)了機體(ti)內(nei)分泌的(de)紊亂,使乳(ru)腺腺病(bing)得以痊愈。
二(er)、乳腺(xian)炎乳腺(xian)增生的(de)病因是什么
產(chan)褥(ru)期乳(ru)腺炎是(shi)產(chan)褥(ru)期的常見病,常常繼(ji)發于乳(ru)頭皸裂、乳(ru)房過度充盈(ying)、乳(ru)腺管阻(zu)塞(sai)。
1、乳頭皸裂
通常是由于(yu)(yu)哺(bu)乳姿勢不正(zheng)確,嬰兒未(wei)將乳頭及大部分乳暈含吮在口內(nei),且固定于(yu)(yu)一側的哺(bu)乳時(shi)間(jian)過(guo)長所(suo)致(zhi)。
2、乳腺管阻塞
常(chang)見(jian)于繼發(fa)性(xing)的(de)(de)乳(ru)(ru)(ru)(ru)(ru)(ru)(ru)汁(zhi)(zhi)淤積(ji),不(bu)完全吸空(kong)乳(ru)(ru)(ru)(ru)(ru)(ru)(ru)房(fang)(fang)、不(bu)規律(lv)性(xing)經常(chang)哺(bu)乳(ru)(ru)(ru)(ru)(ru)(ru)(ru)及乳(ru)(ru)(ru)(ru)(ru)(ru)(ru)房(fang)(fang)局部受壓(ya)是(shi)其主要原因。乳(ru)(ru)(ru)(ru)(ru)(ru)(ru)汁(zhi)(zhi)淤積(ji)也多見(jian)于乳(ru)(ru)(ru)(ru)(ru)(ru)(ru)頭發(fa)育不(bu)良(liang)者(如乳(ru)(ru)(ru)(ru)(ru)(ru)(ru)頭凹(ao)陷(xian)),影響了哺(bu)乳(ru)(ru)(ru)(ru)(ru)(ru)(ru)的(de)(de)進行。另外,初產(chan)婦的(de)(de)乳(ru)(ru)(ru)(ru)(ru)(ru)(ru)汁(zhi)(zhi)中含有較多的(de)(de)脫落上皮細胞,更容(rong)易引起乳(ru)(ru)(ru)(ru)(ru)(ru)(ru)腺管(guan)的(de)(de)阻塞,使乳(ru)(ru)(ru)(ru)(ru)(ru)(ru)汁(zhi)(zhi)淤積(ji)加重。
3、細菌入侵
急性(xing)乳(ru)腺炎主要的病(bing)原菌是金(jin)黃色葡萄球菌,少見于鏈球菌。
(1)細(xi)(xi)菌可直接(jie)經乳(ru)管(guan)侵入,因由乳(ru)汁淤積潴留(liu),容易感染。因潴留(liu)的(de)乳(ru)汁易分解,分解的(de)產(chan)物為酸性不(bu)僅對乳(ru)腺管(guan)有刺激,而且是細(xi)(xi)菌繁殖很(hen)好的(de)培養基。
(2)細菌可通過乳頭小創口或(huo)裂縫進(jin)入,經(jing)淋巴管侵入乳葉(xie)間質形(xing)成蜂窩(wo)織炎。
(3)產褥期產婦身體其他部位感(gan)染的病原菌(jun),可經血循環(huan)引起(qi)乳腺感(gan)染。
(4)另一條感(gan)染(ran)途徑是由嬰兒體內的病(bing)原菌(如口腔、鼻咽部(bu)感(gan)染(ran))在(zai)哺乳(ru)時直接沿乳(ru)腺管逆行侵入乳(ru)腺小葉、在(zai)淤積的乳(ru)汁中生長(chang)繁(fan)殖引起乳(ru)腺感(gan)染(ran)。
4、乳汁淤積
(1)初(chu)產(chan)婦哺乳無(wu)經驗,乳汁多(duo),嬰兒往(wang)往(wang)不(bu)能把乳汁吸盡,致(zhi)使有多(duo)余的(de)(de)乳汁淤積(ji)在(zai)腺(xian)小葉(xie)中,有利于(yu)細(xi)菌生(sheng)長繁殖。初(chu)產(chan)婦的(de)(de)乳汁中含有比較(jiao)多(duo)的(de)(de)脫落上(shang)皮細(xi)胞(bao),易引起(qi)乳腺(xian)管的(de)(de)堵塞,使乳汁淤積(ji)加重。乳汁的(de)(de)淤積(ji)促使急性炎癥發生(sheng)。
(2)初產婦如孕期不經常(chang)擦洗乳(ru)頭,上皮脆弱(ruo),小(xiao)兒(er)吸(xi)吮(shun)時(shi)間過長,乳(ru)頭表(biao)皮浸(jin)軟,易(yi)發生皸裂(lie),發生皸裂(lie)后嬰兒(er)吸(xi)吮(shun)引起母親劇烈(lie)疼痛(tong),影響充分哺(bu)乳(ru),乳(ru)房不易(yi)排(pai)空,乳(ru)汁易(yi)淤積。此外,乳(ru)頭發育(yu)不良,短平(ping)、小(xiao)、內(nei)陷等(deng),乳(ru)汁更易(yi)淤積。
三、乳(ru)(ru)腺(xian)(xian)炎乳(ru)(ru)腺(xian)(xian)增(zeng)生的一(yi)般癥狀有哪些
1、淤積性乳腺炎
發生于產(chan)褥初期(常在產(chan)后1周左(zuo)右)。由于初產(chan)婦缺(que)乏喂哺乳(ru)(ru)兒(er)經驗,易致(zhi)乳(ru)(ru)汁(zhi)淤積(ji),未按時排空(kong)(kong)所(suo)致(zhi)。患者感雙乳(ru)(ru)不(bu)等程度的(de)脹痛,并有中等度體溫升高(gao)(38.5℃左(zuo)右)。檢查乳(ru)(ru)房脹滿,表面(mian)微紅(充血(xue)),壓痛,但(dan)(dan)經吸出乳(ru)(ru)汁(zhi)后癥狀(zhuang)多能消失(shi)。但(dan)(dan)如不(bu)及時處(chu)理,或(huo)乳(ru)(ru)頭較(jiao)小,被新生兒(er)用力吮破,滯留乳(ru)(ru)汁(zhi)可為化膿性細菌(jun)所(suo)污染(ran)。因此,須將(jiang)多余乳(ru)(ru)汁(zhi)排空(kong)(kong),并注意乳(ru)(ru)頭清潔。
2、化膿性乳腺炎
多由(you)于(yu)葡萄球菌或鏈球菌通過破裂(lie)的乳(ru)頭感(gan)染所致(zhi)。如前所述(shu),產后乳(ru)汁淤積(ji),如不(bu)及時排空,易致(zhi)感(gan)染。細菌侵入乳(ru)腺(xian)管(guan)后,繼(ji)續(xu)向實質部侵犯,則可形成(cheng)各種類型的化膿性乳(ru)腺(xian)炎(yan)。
(1)炎(yan)癥擴散至(zhi)表淺淋巴(ba)(ba)管(guan),導致丹毒(du)樣淋巴(ba)(ba)管(guan)炎(yan)。患者突(tu)發(fa)高(gao)熱,往(wang)往(wang)伴有寒戰,乳(ru)房觸(chu)痛,局部皮膚(fu)出現紅點或紅線,為此型(xing)特征。
(2)炎癥局限于乳(ru)暈部結締組織(zhi),形(xing)成乳(ru)暈下膿腫。
(3)感染沿著淋(lin)巴管擴散到乳腺(xian)(xian)間質內,可自(zi)表面(mian)至(zhi)(zhi)基底,橫(heng)貫乳房組織(zhi)(zhi)。由(you)于(yu)(yu)結(jie)締組織(zhi)(zhi)化膿而形成間質部(bu)膿腫(zhong)(zhong)。此種膿腫(zhong)(zhong)可局限于(yu)(yu)單(dan)一(yi)乳腺(xian)(xian)小葉,亦可擴散至(zhi)(zhi)大部(bu)乳腺(xian)(xian)。
(4)感染迅(xun)速擴散,深達位于乳房基底部與胸大肌之間(jian)的乳房后疏松結締組織,形成(cheng)乳房后膿腫。
炎(yan)癥(zheng)或膿(nong)腫(zhong)(zhong)所在部位,均(jun)表(biao)現紅腫(zhong)(zhong)及壓(ya)痛。膿(nong)腫(zhong)(zhong)部按之有(you)波(bo)動(dong)感(gan),必要時可(ke)行試驗穿刺(ci),抽出膿(nong)液做細菌學(xue)檢查(cha),并(bing)做藥物(wu)敏(min)感(gan)試驗,以供選擇(ze)抗(kang)生(sheng)素時參考。
四、乳(ru)腺增生有什么(me)危害
女性一(yi)到中年(nian),就收到各(ge)類疾(ji)病的(de)威(wei)脅,其中最常見的(de)就是乳腺增生(sheng),一(yi)旦發生(sheng)這(zhe)類疾(ji)病,有(you)些女性往往心理壓(ya)力比較大,工作中經常不順(shun)心,嚴重影響(xiang)著(zhu)人們的(de)生(sheng)活(huo)質量(liang),下面介紹的(de)文章就是,乳腺增生(sheng)有(you)什么危害?
乳腺(xian)增(zeng)生對女(nv)性的危(wei)害
乳(ru)(ru)腺(xian)增(zeng)生的危害(hai)有哪些呢?乳(ru)(ru)腺(xian)增(zeng)生是乳(ru)(ru)腺(xian)增(zeng)生是指乳(ru)(ru)腺(xian)上皮和纖維組織(zhi)(zhi)增(zeng)生,乳(ru)(ru)腺(xian)組織(zhi)(zhi)導管和乳(ru)(ru)小葉在結構(gou)上的退行(xing)性(xing)病變及進(jin)行(xing)性(xing)結締(di)組織(zhi)(zhi)的生長。
乳腺增生(sheng)發(fa)病(bing)原(yuan)(yuan)因(yin)(yin)主(zhu)要是由于內(nei)(nei)分(fen)泌激(ji)(ji)素失調。那么又是哪些原(yuan)(yuan)因(yin)(yin)導(dao)致(zhi)內(nei)(nei)分(fen)泌激(ji)(ji)素紊亂呢?中醫認(ren)為:情懷不(bu)暢(chang),肝(gan)氣不(bu)得正常疏瀉而氣滯(zhi)血淤疾(ji)凝(ning),沖任(ren)不(bu)調者,常有月經(jing)紊亂,面部色(se)斑(ban)。現代醫學認(ren)為:婚育(yu)、膳食(shi)、人生(sheng)存的外環(huan)境和遺傳因(yin)(yin)素是乳腺發(fa)病(bing)的主(zhu)要原(yuan)(yuan)因(yin)(yin)。
乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)增(zeng)(zeng)(zeng)(zeng)(zeng)生(sheng)的(de)(de)(de)(de)危害有哪(na)些呢?乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)增(zeng)(zeng)(zeng)(zeng)(zeng)生(sheng)性(xing)的(de)(de)(de)(de)疾病(bing)不單是(shi)乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)的(de)(de)(de)(de)增(zeng)(zeng)(zeng)(zeng)(zeng)生(sheng)還包括一(yi)(yi)些乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)的(de)(de)(de)(de)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)病(bing)、乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)的(de)(de)(de)(de)囊性(xing)增(zeng)(zeng)(zeng)(zeng)(zeng)生(sheng)病(bing)等,這(zhe)些乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)疾病(bing)和(he)乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)癌一(yi)(yi)樣都(dou)是(shi)有乳(ru)(ru)(ru)(ru)(ru)房的(de)(de)(de)(de)腫(zhong)塊,因(yin)此讓(rang)女性(xing)朋(peng)友很(hen)擔(dan)心(xin),乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)增(zeng)(zeng)(zeng)(zeng)(zeng)生(sheng)性(xing)疾病(bing)是(shi)否會(hui)發展成(cheng)乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)癌嗎受很(hen)多因(yin)素影(ying)響,不要過于(yu)擔(dan)心(xin)。乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)病(bing)是(shi)指乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)體組(zu)織局灶性(xing)增(zeng)(zeng)(zeng)(zeng)(zeng)生(sheng)。根據乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)增(zeng)(zeng)(zeng)(zeng)(zeng)生(sheng)的(de)(de)(de)(de)程(cheng)度不同(tong),分為小(xiao)葉(xie)增(zeng)(zeng)(zeng)(zeng)(zeng)生(sheng)、纖維腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)病(bing)和(he)硬化性(xing)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)病(bing)3種(zhong)。通常乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)病(bing)有一(yi)(yi)定的(de)(de)(de)(de)癌變率,一(yi)(yi)般(ban)為3%-6%。該病(bing)一(yi)(yi)般(ban)是(shi)屬(shu)于(yu)乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)增(zeng)(zeng)(zeng)(zeng)(zeng)生(sheng)病(bing)的(de)(de)(de)(de)后(hou)期階段,由于(yu)乳(ru)(ru)(ru)(ru)(ru)管或乳(ru)(ru)(ru)(ru)(ru)泡的(de)(de)(de)(de)上皮增(zeng)(zeng)(zeng)(zeng)(zeng)生(sheng)以及(ji)乳(ru)(ru)(ru)(ru)(ru)管擴張(zhang),形成(cheng)了囊腫(zhong),甚至可(ke)能會(hui)增(zeng)(zeng)(zeng)(zeng)(zeng)生(sheng)變為癌。不過我(wo)國患(huan)這(zhe)種(zhong)乳(ru)(ru)(ru)(ru)(ru)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)增(zeng)(zeng)(zeng)(zeng)(zeng)生(sheng)病(bing)的(de)(de)(de)(de)人較少(shao),故不必過于(yu)驚慌。
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