The problem of breast diseases each year has become increasingly important.
More than 40% of women of different age groups are currently in one way or another disease of the body, and, unfortunately, the proportion of breast cancer is large enough. Of particular concern is the significant growth of this terrible disease in recent years.
Among the reasons for the growth of breast cancer there are the following:
1. unfavorable environmental conditions;
2. early abortion;
3. some endocrine and gynecological diseases;
4. contusions of the mammary glands;
5. unfavorable heredity.
Modern diagnostic techniques make it possible to recognize the various forms and stages of breast disease - fibrocystic breasts, cysts, benign and malignant tumors.
The most effective is a comprehensive diagnosis. It consists of clinical examination of patients with palpation glands, mammography (breast x-rays produced by special apparatus mammography with low-dose radiation exposure), ultrasound examination of breast, needle biopsy revealed formations and taking the material for biopsy.
It is necessary to adhere to the following scheme: a survey of women brand name viagra younger than 35 years begins with the U.S., and only when needed after that is a mammogram and biopsy, screening women older than 35 years, begins with a mammogram, and then carried ultrasound and biopsy.
In this case, ultrasound can identify or confirm the availability of education in the breast, to clarify its structure, to signs of benign or malignant tumors. The final diagnosis is made after examining the cellular composition of the material taken during biopsy.
It should be noted that this technique allows to detect early, so-called pre-clinical forms of breast cancer, but not detected by palpation. This is especially valuable, because small tumors form most often completely treatable, and sometimes can only perform a resection of the tumor and save the mammary gland, as well as to avoid chemotherapy.
Unfortunately, the educational work for breast diseases, we developed enough. Many women do not hurry the person experiencing the fear of examination, and upon detection of the tumor begin to self-medicate, seek traditional healers, witches, follow the advice of friends, far away from medicine. Result - lost time and serious consequences.
For example, in my practice, I faced with a case where a woman 35 years of age found in the breast tumor, but was afraid to contact doctors, preferring to help a psychic, who claimed that a few sessions he "will remove the" tumor. Six months later, a woman psevdolecheniya dramatically thinner and education in the mammary gland increased, and she finally decided to seek medical care in our center. In one day she was conducted a comprehensive survey. Diagnosis, unfortunately, was disappointing - breast cancer. The patient was sent to surgery followed by chemotherapy. Late referral to the doctor resulted in the appearance of metastatic tumors, which further complicated the treatment.
Another example. Patient was 37 years old asked for a survey of the mammary glands due to pull periodic chest pains. Ultrasonography revealed a Viagra a history of impotence very small vaguely shaped formation in the left breast, but the biopsy revealed cancer cells. In this case, early diagnosis of early forms of cancer has allowed to produce only a partial resection of the breast and to avoid chemotherapy. Timely diagnosis and treatment would fully preserve the patient's health and ability to work.
In order for early diagnosis of breast disease has become the rule rather than exception requires the combined efforts of doctors and patients.
Doctors of all specialties should be aware of the need of the annual Breast survey of women of all age groups, professionals involved in mammalogy must strictly comply with the order of the methods of mammography and ultrasound, depending on the patient's age.
Every woman should know the techniques of breast self-examination, which is held 1 time per month for 6-12 days from the onset of menstruation and is as follows:
1. Inspect washing on the presence of spots appearing in the presence of discharge from the nipple.
2. Inspect nipples, drawing attention to their symmetry, indrawing, ulceration.
3. Inspect the skin glands - discoloration, swelling, areas indrawing.
4. Inspect the breasts before the mirror with downcast, with your hands, rotating right and left, paying attention to the asymmetry of the glands, their location on the same level, even their displacement.
5. To hold the feeling of glands in the supine position and standing
6. Squeeze the nipple, checking for discharge
If you find any deviations should immediately consult a specialist.
In the absence of complaints should be screened by the above methods (mammography and ultrasound), 1 per year.
You should know that the correct and timely diagnosis can only be set in a medical facility equipped with modern equipment and use the experience of qualified professionals.
I do not want to eat
Intracranial pressure
29 Aralık 2010 Çarşamba
27 Aralık 2010 Pazartesi
Where does dad
Where do babies come from? The eternal question. Everything seems to know how to answer it, but do not know how to answer in each case. However, the response generally consists of two parts. The first - simple: Mom, her stomach and possible ways out of this very stomach. The second part - more difficult. And where does dad?
And, indeed, considerable abilities needed to use without vulgarity and profanity to characterize the role of the father in child birth. But what is especially interesting: we both take for granted the fact that much himself, the pope is aware of their role and what to do - he knows.
And here we must sadly conclude: in most cases the father - not the main - well, the episode. The author, being a pediatrician on a daily basis has the opportunity to view the so-called passport part of the history of the disease. Under "place of work and the age of the parents' time and again we read:" 21-year student "or" 24 years, temporarily not working. " And you begin to involuntarily imagine such a situation. A student, 21 year-old, decided to start his aquarium fish. At first, this young man will calculate how long it must spend money. Then think about what to buy a tank and where it is put, advise what to run back the fish, determined with the question of who, when and how they will feed.
Fish - lovely! They are, as it may sound cruel, even dying in silence ...
But here is the same student, tired of kissing in doorways and rent an apartment from a friend, decides to start a family. His imagination paints rosy prospects warmth, comfort, as well as anyone and unrestricted sexuality. But after a while it turns out that from this very life cases, children. And after nine months, it turns out: there is nowhere to put the crib, money, comfort, no rest, and sexual life is not very much and wants. But it's done.
It is in this situation and there is an urgent need to revise our traditional notions about the role of the father. After all, it is clear - in fatherhood has two faces: the biological and the social.
We always seemed difficult to explain to children the biological brand name viagra role of the father. The notorious school pistils and stamens of children's curiosity is not satisfied, but the press, television and the stories of friends is more than fill gaps of education. As for the social functions of the future pope, then none of nowhere and no one says - all somehow convinced the evidence of this knowledge.
Biological inability to father a specific illness. Very often, doctors can help. A social immaturity? How to deal with her? Who can help?
No! Do not hold your breath: rescue of drowning in slippery hands failed drowned! Let us therefore self-salvation.
Thus, the ability to perform biological functions (effective sexual intercourse), we mean. Do you need more knowledge and knowledge of concrete - not women's snot and emotions, not the lamentations of the "small slavnenky, poor, lame duck, and accurate information. This man simply must know that the child is good and bad.
Believe me: your beloved woman (the mother of your unborn or future children) only pretends that she knows how to feed, clothe, bathe and treat, what to buy, where to put the crib, when to walk, how to sleep, etc., etc . n. Yes, the maternal instinct is several times stronger than his father. Yes, you are not given to experience what it is, when there inside leg kicking ... What is an unearthly lightness, what bliss, when after several hours of pain he cried out, and thus became a mother, has become a real woman ... How to breastfeed ... But the difficulty of the biological role (conceive, bear, give birth and bring up a much more difficult than to convince and be able to) do not indicate more knowledge and greater ability to navigate the social functions.
I emphasize again: knowledge about what to do with the child, held in mom and dad are absolutely the same - ie, practically none. Who make decisions? Who is right - women's feelings, emotions, instincts, or male prudence, logic, common sense?
The probability that an incorrect decision will be made man, many times less. But the main thing in the other! If only the men themselves are, firstly, understand, and secondly, wanted to - wanted to take those same decisions.
Of course, there will always be a moot point - when, without special knowledge, without the help of a specialist (doctor, teacher) to take the right decision is difficult, almost impossible. But a huge number of problems, thinking adult, are completely safe and manageable.
Denote these issues briefly.
*
Contraception. It is not for women! This is a family matter. You know how the internal combustion engine? Candles, rings, valves, cylinders ... and how the body of your wife? The uterus, tubes ovaries, the cycle, ovulation, "critical days" ... Maybe we should ask? Why all the civilized world can swallow pills, and our "smartest" shouting: "Hormones! No way! ". Maybe you're an adult and sane man, able to understand and then explain to his wife that 5 years to swallow the pill is less harmful than 1 every 5 years to have an abortion. You - a man, a future father, a stake and we must do everything to ensure that your child fails to start, do not accidentally get, and would deliberately conceived two adults and loving each other people. Conceived precisely when and time of year, and parents' health, and financial condition are optimal for pregnancy, childbirth and neonatal care.
*
Medicine. You have already met with the gynecologist? You know, where we give birth? And about the child's doctor is not forgotten? Maybe before the birth to go to consult? Or do you wait for disease and then will be looking for a pediatrician? Wife on the front (in hospital). But who does not like you - man - provide rear.
*
Children are expensive. Full care and education - fly in a pretty penny. This penny at 100% on your man of conscience! Self-respecting man should first pay off his debts, and then the children start.
*
Relatives. Always remember - it's your child! Yours is yours! Any help grandparents should be regarded as desirable, but in any case - as mandatory. And only you - Mom and Dad have the right to decide! In advance - before birth, before the house the kid - you're a man, must hold diplomatic negotiations, to dot the i, agree with the Viagra can not at all older generation principles of relationships.
Stereotypes - "Mother and Child", women's work, men's work - it is easy to overcome. Is wanted, and at the very guy very quickly have the confidence in their abilities, convinced that he is better than anyone else knows what you need it baby! But the worst thing is that they are men, often do not want. Do not want to take a decision not want to be fellows! All at the mercy of women - are to blame, with their emancipation Got Game!
And they are women themselves, not relying on anyone trying to make decisions and implement them in practice. They can decide which of prescription pills to provide, and what not to much to wear jackets in July, how many drops of urine to drip into his nose.
As a doctor declare with conviction: in terms of the emancipation of the UN - well, and terms of Pediatrics - badly.
It is obvious that continuation of the race, from every standpoint - the biological, social, economic - is one of the paramount predestination. And if your health allows you to have children, it is happiness. But this happiness will be complete only when your kids are happy. Trite? Quite possibly, but for some reason not obvious to everyone. Not having a job, housing and health, have children? Well, this does not happen?
It's just terrible ... who are out of our countrymen can boast the presence of health, well-paying jobs and good housing?
But how do you want baby! Look in his eyes and know that it is yours, the flesh of the most beautiful, most intelligent, most beloved! And how they smell! Fit, cuddling. "I love you, Daddy ...". What is this for a family without children ...
You feel it? You are his life no longer think without it? You can not indifferently and without envy to look at the kid of your friends? You know what to do? "For it is possible to give everything." Are you ready to give up everything? Yes! Yes! Yes! Well, fine. You obviously have evolved biological paternity. You can, you deserve to be pope, man.
And, indeed, considerable abilities needed to use without vulgarity and profanity to characterize the role of the father in child birth. But what is especially interesting: we both take for granted the fact that much himself, the pope is aware of their role and what to do - he knows.
And here we must sadly conclude: in most cases the father - not the main - well, the episode. The author, being a pediatrician on a daily basis has the opportunity to view the so-called passport part of the history of the disease. Under "place of work and the age of the parents' time and again we read:" 21-year student "or" 24 years, temporarily not working. " And you begin to involuntarily imagine such a situation. A student, 21 year-old, decided to start his aquarium fish. At first, this young man will calculate how long it must spend money. Then think about what to buy a tank and where it is put, advise what to run back the fish, determined with the question of who, when and how they will feed.
Fish - lovely! They are, as it may sound cruel, even dying in silence ...
But here is the same student, tired of kissing in doorways and rent an apartment from a friend, decides to start a family. His imagination paints rosy prospects warmth, comfort, as well as anyone and unrestricted sexuality. But after a while it turns out that from this very life cases, children. And after nine months, it turns out: there is nowhere to put the crib, money, comfort, no rest, and sexual life is not very much and wants. But it's done.
It is in this situation and there is an urgent need to revise our traditional notions about the role of the father. After all, it is clear - in fatherhood has two faces: the biological and the social.
We always seemed difficult to explain to children the biological brand name viagra role of the father. The notorious school pistils and stamens of children's curiosity is not satisfied, but the press, television and the stories of friends is more than fill gaps of education. As for the social functions of the future pope, then none of nowhere and no one says - all somehow convinced the evidence of this knowledge.
Biological inability to father a specific illness. Very often, doctors can help. A social immaturity? How to deal with her? Who can help?
No! Do not hold your breath: rescue of drowning in slippery hands failed drowned! Let us therefore self-salvation.
Thus, the ability to perform biological functions (effective sexual intercourse), we mean. Do you need more knowledge and knowledge of concrete - not women's snot and emotions, not the lamentations of the "small slavnenky, poor, lame duck, and accurate information. This man simply must know that the child is good and bad.
Believe me: your beloved woman (the mother of your unborn or future children) only pretends that she knows how to feed, clothe, bathe and treat, what to buy, where to put the crib, when to walk, how to sleep, etc., etc . n. Yes, the maternal instinct is several times stronger than his father. Yes, you are not given to experience what it is, when there inside leg kicking ... What is an unearthly lightness, what bliss, when after several hours of pain he cried out, and thus became a mother, has become a real woman ... How to breastfeed ... But the difficulty of the biological role (conceive, bear, give birth and bring up a much more difficult than to convince and be able to) do not indicate more knowledge and greater ability to navigate the social functions.
I emphasize again: knowledge about what to do with the child, held in mom and dad are absolutely the same - ie, practically none. Who make decisions? Who is right - women's feelings, emotions, instincts, or male prudence, logic, common sense?
The probability that an incorrect decision will be made man, many times less. But the main thing in the other! If only the men themselves are, firstly, understand, and secondly, wanted to - wanted to take those same decisions.
Of course, there will always be a moot point - when, without special knowledge, without the help of a specialist (doctor, teacher) to take the right decision is difficult, almost impossible. But a huge number of problems, thinking adult, are completely safe and manageable.
Denote these issues briefly.
*
Contraception. It is not for women! This is a family matter. You know how the internal combustion engine? Candles, rings, valves, cylinders ... and how the body of your wife? The uterus, tubes ovaries, the cycle, ovulation, "critical days" ... Maybe we should ask? Why all the civilized world can swallow pills, and our "smartest" shouting: "Hormones! No way! ". Maybe you're an adult and sane man, able to understand and then explain to his wife that 5 years to swallow the pill is less harmful than 1 every 5 years to have an abortion. You - a man, a future father, a stake and we must do everything to ensure that your child fails to start, do not accidentally get, and would deliberately conceived two adults and loving each other people. Conceived precisely when and time of year, and parents' health, and financial condition are optimal for pregnancy, childbirth and neonatal care.
*
Medicine. You have already met with the gynecologist? You know, where we give birth? And about the child's doctor is not forgotten? Maybe before the birth to go to consult? Or do you wait for disease and then will be looking for a pediatrician? Wife on the front (in hospital). But who does not like you - man - provide rear.
*
Children are expensive. Full care and education - fly in a pretty penny. This penny at 100% on your man of conscience! Self-respecting man should first pay off his debts, and then the children start.
*
Relatives. Always remember - it's your child! Yours is yours! Any help grandparents should be regarded as desirable, but in any case - as mandatory. And only you - Mom and Dad have the right to decide! In advance - before birth, before the house the kid - you're a man, must hold diplomatic negotiations, to dot the i, agree with the Viagra can not at all older generation principles of relationships.
Stereotypes - "Mother and Child", women's work, men's work - it is easy to overcome. Is wanted, and at the very guy very quickly have the confidence in their abilities, convinced that he is better than anyone else knows what you need it baby! But the worst thing is that they are men, often do not want. Do not want to take a decision not want to be fellows! All at the mercy of women - are to blame, with their emancipation Got Game!
And they are women themselves, not relying on anyone trying to make decisions and implement them in practice. They can decide which of prescription pills to provide, and what not to much to wear jackets in July, how many drops of urine to drip into his nose.
As a doctor declare with conviction: in terms of the emancipation of the UN - well, and terms of Pediatrics - badly.
It is obvious that continuation of the race, from every standpoint - the biological, social, economic - is one of the paramount predestination. And if your health allows you to have children, it is happiness. But this happiness will be complete only when your kids are happy. Trite? Quite possibly, but for some reason not obvious to everyone. Not having a job, housing and health, have children? Well, this does not happen?
It's just terrible ... who are out of our countrymen can boast the presence of health, well-paying jobs and good housing?
But how do you want baby! Look in his eyes and know that it is yours, the flesh of the most beautiful, most intelligent, most beloved! And how they smell! Fit, cuddling. "I love you, Daddy ...". What is this for a family without children ...
You feel it? You are his life no longer think without it? You can not indifferently and without envy to look at the kid of your friends? You know what to do? "For it is possible to give everything." Are you ready to give up everything? Yes! Yes! Yes! Well, fine. You obviously have evolved biological paternity. You can, you deserve to be pope, man.
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