Mammalgia - is subjectively unpleasant sensations in the breast area, feeling of swelling, soreness and engorgement, increased sensitivity to touch.
mastodynia syndrome occurs as a manifestation premenstrual syndromeIt may be one of the pregnancy symptoms, neurosis, a sign of entry into puberty in girls, but can occur on their own as a result of various disorders of the body.
At least once in your life with this phenomenon occurs every woman. Up to 50% of women say mastodynia monthly symptoms. It causes psychological and physical discomfort, adversely affect the performance and personal relationships, can lead to stress.
Causes
The reasons for the development of mastodynia enough, the main ones are:
- sudden hormonal fluctuations during puberty, pregnancy, menopause,
- inflammation of the mammary gland (purulent mastitis or noninfectious)
- benign or malignant prostate tumors (adenomas, cancers),
- injury, surgery on the gland, including breast surgery,
- premenstrual syndrome,
- Medical abortion, artificial birth,
- oral contraceptives, ovulation stimulants or diuretics,
- large breast size at or improper underwear,
- reflected the pain of myalgia, osteochondrosis, intercostal neuralgia, Heartache,
- liver disease and kidney disease, metabolic disorders (particularly related to the metabolism of fats),
- stress and neuroses.
Kinds
Due to the occurrence can be divided mastodynia on:
- physiological (puberty, pregnancy, menopause),
- pathological (breast disease symptom or adjacent organs).
By the nature of the occurrence can be identified cyclic mastodynia (occurs regularly, it is associated with the menstrual cycle phases) and a non-cyclic (there is no specific frequency).
development mechanism
Mastodynia basis for development is the imbalance of the body's hormones, or psycho-emotional disorders, and indirectly affect the levels of hormones.
Mammalgia can be formed as a result of mastitis - cystic fibrotic degeneration or cancer tissue (thus formed tissue seal).
In cyclic form arises fluid retention in the tissue gland with its swelling and compression of nerve trunks. The pulses are perceived as pain. Also plays an important role development of biologically active substances - histamine and serotoninWhich enhance the unpleasant manifestations.
manifestations mastodynia
Typically cyclic pain occur in direct relation to the menstrual cycle, often - in its second phase. This is due to shortage progesterone or excessive production estrogen. occurs
- pulling or aching, squeezing pain in the chest,
- breast enlargement in size, swelling,
- increased sensitivity of the nipple and breast tissue, discomfort when touched.
- sensations occur in both breasts,
- the average age of the manifestations of from 20 to 40 years.
When non-cyclic form mastodynia manifestations occur without regard to the cycle. When this appears:
- chest pain from not strong before burning,
- pain occurs periods or lasts permanently,
- Pain is usually unilateral, local - she could clearly identify its site,
- allocation may be a nipple,
- sometimes there are redness,
- no swelling breasts and increase its sensitivity,
- age when the average after 40 years.
Mastodnii danger lies in the fact that it may be the first sign of breast tumors or inflammatory tissue. Mammalgia often masks other somatic illnesses.
Diagnostics
When symptoms mastodynia necessary to conduct a thorough inspection and palpation of the breast, detailed questioning about the manifestations of women.
conducted general blood analysis and blood levels of sex hormones (estrogens, progesterone and testosterone).
Necessary to carry out ultrasound gland, mammography (X-ray breast on special projections) and a suspected tumor processes - prostate tissue biopsy.
mastodynia treatment
Diagnosis and treatment takes mastodynia gynecologists and mammologists. In the majority of cases, the elimination of the causative agent of pain without treatment. appointed if necessary:
- linen at a physiologic,
- the use of anti-inflammatory and analgesic agents - Nurofen, paracetamol, ketonal.
- use of vegetable drugs - Cyclodynon, mastodinon,
- use of combined oral contraceptives as menses correction and related manifestations,
- herbal medicine herbs providing decongestant and anti-inflammatory effect (Trifolium pratense, peony, thistle, burdock root, series, nettle).
- to relieve swelling and discomfort is necessary to correct the date and mode of supply, eliminating or drastically reducing the amount of salt, pungent and spicy seasonings,
- stress relief is necessary to use sedatives,
- It is not excessive vitamin.
When tumor and cystic processes, abscesses addressed the issue of surgical removal of formations with subsequent therapy.
The prognosis of mastodynia favorable in most cases, when drug correction pain completely eliminated. In cases of neoplastic processes prognosis depends on the type of neoplasm.
