Мастопатия во время климакса: симптомы и лечение, отзывы пациенток

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Мастопатия при климаксе: симптомы и лечение, отзывы

Мастопатия – встречающаяся в период менопаузы патология, сопровождающаяся структурными изменениями в области молочных желез (mamma), болезненными ощущениями, нетипичной секрецией. Клиническая картина заболевания зависит от формы и степени поражения. Симптомы мастопатии молочной железы у женщин при климаксе значительно ухудшают качество жизни и требуют немедленного лечения.

Симптомы мастопатии при климаксе

Мастопатия представляет собой фиброзно-кистозный процесс, характеризуется появлением в груди доброкачественных новообразований. Основной причиной развития дисплазии является нейрогуморальный фактор. Гормональный дисбаланс с преобладанием эстрогена и пониженным уровнем прогестерона приводит к образованию мелкозернистых уплотнений. Они представляют собой очаги разрастания фиброзных тяжей и кистозные образования в области соединительной ткани, покрывающей паренхиму молочной железы.

Болезнь развивается у девушек и женщин детородного возраста, риск возникновения патологии возрастает с установлением менструального цикла. В юном возрасте гормональный фон нестабилен, поэтому часто на фоне дисбаланса женских половых гормонов возникает ювенильная фиброзно-кистозная дисплазия, которая проходит по окончании пубертатного периода.

Мастопатия при климаксе - симптомы и признакиВ период менопаузы и в постменопаузе дисплазию провоцирует дефицит эстрогена и других женских половых гормонов. Перестройка организма ведет к угасанию репродуктивной функции, железистая ткань атрофируется, замещается соединительной. Под влиянием некоторых факторов у женщин, находящихся в группе риска, при климаксе образуется фиброзно-кистозная болезнь, которая требует скорейшего вмешательства.

Патологии железистой ткани в менопаузе возникают при наличии следующих условий:

  • лишний вес женщины;
  • заболевания, связанные с нарушением обмена веществ;
  • патологические состояния репродуктивной системы в анамнезе;
  • отсутствие грудного вскармливания;
  • поздняя беременность;
  • травмы, ушибы груди.

В зависимости от локализации и характера поражения различают диффузную и очаговую формы. В первом случае наблюдается множественные участки преобразования железистой ткани в виде отдельных кист или фиброзных тяжей.

Очаговая форма характеризуется наличием единичного уплотнения (шишки) в мягких тканях mamma. Новообразование остается подвижным, имеет эластичную консистенцию, может быть болезненным при пальпации.

Признаками развития дисплазии грудных желез являются следующие симптомы:

  • мелкие зернистые уплотнения и узлы, которые можно прощупать при пальпации груди;
  • отечность нагрубание и чувство тяжести;
  • болезненность при пальпации;
  • выделение из соска молока в небольших количествах.

Женщины при фиброаденоматозе отмечают ухудшение общего состояния. Возникают жалобы на головную боль, чувство страха, повышенную тревожность, нарушения сна. Повышение температуры тела для данной патологии несвойственно, поэтому следует учитывать этот момент в дифференциальной диагностике.

В период пременопаузы, климакса и постменопаузы признаки дисплазии могут быть ошибочно приняты за проявления климактерического состояния женщины. Внимательное отношение к собственному организму и своевременная консультация врача помогут подобрать результативную терапию и избежать нежелательных последствий и осложнений.

Диагностика мастопатии при климаксе

В ранней диагностике фиброзно-кистозной болезни большое значение имеют профилактические осмотры женщин репродуктивного возраста и пациенток в период климакса. При внешнем осмотре врач обращает внимание на внешний вид mamma, отмечает наличие гиперпигментации, нагрубания, видимых уплотнений и узлов. Важно обратить внимание на симметричность и конфигурацию желез, форму, контуры и состояние кожных покровов в этой области.

Во время опроса выявляют возможные причины развития заболевания, отмечая факторы, способствующие образованию мастопатии. В климактерическом периоде необходимо уточнить наличие и особенности менструального цикла. При наличии сопутствующих заболеваний и в случае отягощенной наследственности, женщинам рекомендуют проходить профилактический осмотр два раза в год.

Мастопатия при климаксе - лечениеВ процессе пальпации определяется однородность и эластичность тканей, отсутствие зернистых и узелковых образований. При обнаружении образований, болезненности при прощупывании, в случае обнаружения патологической секреции в одной или обеих железах врач назначает пациентке дополнительное обследование. Необходимо сдать следующие анализы6

  • общий анализ крови и мочи;
  • биохимический анализ крови;
  • определение уровня женских половых гормонов.

Назначается инструментальное обследование: маммография или УЗИ. Просвечивание рентгеновскими лучами является распространенным и информативным методом диагностики заболеваний груди. Исследование визуализирует состояние паренхимы, характер кровоснабжения, обладает высокой точностью в выявлении новообразований.

Ультразвуковое обследование менее информативно в отношении процессов, протекающих в ретромамарном пространстве, но в случае, когда лучевая нагрузка противопоказана, используют этот метод диагностики.

В качестве дополнительного исследования назначают доплерографию грудных желез, которая дает оценку кровоснабжению данной зоны. Такой вид обследования выявляет узловую форму при климаксе.

Для исключения онкопатологии женщину отправляют на биопсию – такой анализ определяет состав и характер структурных изменений тканей в области уплотнения.

Лечение мастопатии при климаксе

Мастопатия в постменопаузеДля эффективной терапии фиброаденоматоза в период менопаузы необходимо провести тщательную дифференциальную диагностику и исключить возможность развития онкопатологии и воспалительных процессов в области mamma.

Медикаментозное лечение

На ранних стадиях развития заболевания результативными являются консервативные методы лечения. Медикаментозная терапия направлена на снятие симптомов и устранение причин развития болезни.

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Серозометра в постменопаузе

В комплексном лечении назначают гормональные препараты, фитоэстрогены, проводят заместительную гормональную терапию. Для снижения уровня тревожности используют седативные средства. При выраженном болевом синдроме применяют анальгетики и нестероидные противовоспалительные средства.

Для нормализации функции печени применяют гепатопротекторы, витамины и иммуномодуляторы влияют на общее состояние организма, помогая справиться с негативными последствиями нарушения гормонального фона.

Гормональные препараты следует использовать с осторожностью, так как неконтролируемый прием приводит к усилению дисбаланса женских половых гормонов. Такое состояние приводит к усилению признаков дисплазии.

В лечении дисплазии с успехом применяют наружные средства, которые обладают рассасывающим действием и усиливают трофику тканей. Мази и кремы назначают совместно с оральными препаратами, что усиливает их совместный эффект.

Хирургические методы

Хирургическое лечение проводят при запущенных формах фиброаденоматоза, когда велик риск малигнизации образований. Прямым показанием к операции служат:

  • наличие большой кистозной полости;
  • узловая форма заболевания;
  • подозрение на рак молочной железы;
  • наличие пролиферации в клетках.

Операцию проводят с целью удаления новообразования. Различают несколько методов хирургического вмешательства:

  • энуклеация новообразования – удаление опухоли или кисты, не затрагивая здоровые ткани;
  • секторальная резекция – вырезают часть пораженного органа;
  • радикальная резекция – грудная железа с патологическими изменениями удаляется полностью.

Для снижения риска рецидива заболевания совместно с хирургическими методами назначают медикаментозную терапию, которая направлена на нормализацию гормонального фона в период менопаузы. Важным является прием препаратов, снижающих выработку пролактина – женского полового гормона, стимулирующего лактацию. Его повышенное содержание на фоне угасания репродуктивной функции приводит к развитию патологических изменений в груди.

Народные средства от мастопатии

Отвары и настои на основе лекарственных трав оказывают хороший эффект на начальном этапе заболевания. Их применение комбинируют с традиционной медикаментозной терапией. Перед применением средств следует проконсультироваться с врачом, возможна коррекция дозировки лекарств.

В качестве рассасывающего и противоотечного средства используют компрессы из капустного листа, на 1-1,5 часа. Лист следует ошпарить кипятком и приложить к груди, закрепив при помощи бинта.

Настойка сабельника оказывает хороший эффект, препятствует возникновению новообразований и стимулирует обменные процессы в организме. Принимать ее следует три раза в сутки, разводя столовую ложку настойки в небольшом количестве воды.

Таким же действием обладает спиртовая настойка прополиса, применять ее нужно два раза в день, по чайной ложке. Прополис оказывает тонизирующее и укрепляющее действие на организм, повышает иммунитет, способствует нормализации гормонального фона.

Препарат Мастодинон для лечения мастопатии при климаксе

Негормональные гомеопатические средства оказывают выраженный эффект и практически не имеют противопоказаний, поэтому их широко назначают в терапии фиброаденоматоза во время менопаузы.

Можно ли принимать мастодинон при климаксе?В состав лекарства Мастодинон входят экстракты лекарственных растений, известных в терапии заболеваний грудных желез:

  • европейский цикламен;
  • тигровая лилия;
  • витек священный;
  • разноцветный ирис;
  • чилибуха игнация;
  • стеблелист.

Эти растения богаты фитоэстрогенами и изофлавоноидами, которые благотворно влияют на женское здоровье. Препарат нормализует кровообращение, снимает отечность, боль. Отдельные активные ингредиенты стимулируют обменные процессы, оказывают влияние на артериальное давление и нервную систему.

Важно! Основное действие Мастодинона на женский организм – нормализация нейрогуморальной функции в период климактерия, воздействие на эндокринную систему и снижение проявления дисбаланса женских половых гормонов.

На фоне приема Мастодинона женщины отмечают уменьшение признаков фиброзно-кистозной болезни во время менопаузы, снижение напряженности в груди, исчезновение болей. Средство препятствует перерождению доброкачественного новообразования в раковую опухоль, поэтому его часто назначают в комплексной терапии фиброзно-кистозной болезни и в послеоперационном периоде.

Препарат выпускают в виде капель и в таблетированной форме. Принимать его нужно 2 раза в день по 1 таблетке, запивая небольшим количеством воды. Курс составляет 3 месяца, если врачом не назначена индивидуальная схема приема.

Отзывы женщин о препарате Мастодинон

Пациентки дают положительную оценку терапии дисплазии в период климактерия с помощью лекарства Мастодинон. Отзывы пациенток:

Мария, 51 год

Мастопатия у меня наблюдалась и в юности, но после родов все нормализовалось. Вспомнила про шишки в груди с наступлением климакса, обратилась к врачу. Мне назначили таблетки Мастодинон, уже через полтора месяца я почти перестала замечать уплотнения и боли прошли.

Ольга, 48 лет

Мастодинон я начала принимать в период пременопаузы, посоветовали знакомые, и врач подтвердила, что препарат хороший. У меня грудь – проблемное место, ставили и мастит, и дисплазию. Но во время приема препарата и после окончания курса никаких образований не появилось, все хорошо. Думаю, лекарство помогло.

Ирина, 65 лет

Климакс протекал тяжело, грудь болела, врач говорил, что возможно придется оперировать. Но потом я стала пить Мастодинон, и после 2 месяцев заметила улучшения. Узелки стали меньше, боли прошли. И операцию мне не стали назначать.

510 КОММЕНТАРИИ

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