علل شایع درد سینه در زنان

مجله تفریحی سرگرمی دخترونه

علل شایع درد سینه در زنان

درد سینه,علل درد سینه,درد سینه در زنان مصرف برخی از داروها می تواند باعث تشدید درد سینه در زنان شود

 

علت شایع درد سینه در زنان
زنان در هر سنی از درد سینه (درد پستان) خبر می‌دهند که به نام ماستالژیا نیز شناخته می‌شود. درد مزبور می‌تواند هم در دوران پیش از یائسگی و هم پس از آن بروز کند. در هر حال درد سینه در میان زنان جوان در دوران قاعدگی بیش از همه رایج است.

در حالی که حدود ۷۰ درصد زنان در برخی اوقات در طول زندگی خود درد سینه دارند، فقط حدود ۱۵ درصد این دردها نیاز به درمان پزشکی دارد. شدت و محدوده درد سینه می‌تواند متفاوت باشد. درد می‌تواند در هر دو پستان، یک پستان یا در ناحیه زیر بغل بروز کند. شدت درد می‌تواند از خفیف تا حاد متفاوت باشد و معمولاً به عنوان سوزش حاد، یا سفت شدن بافت سینه توصیف می‌شود. تغییرات هورمونی بسته به وقایعی نظیر یائسگی، بارداری، و عادت ماهانه نیز می‌توانند در نوع درد سینه تجربه شده تأثیر داشته باشند.

علت درد سینه در زنان می تواند یکی از موارد زیر باشد:
۱٫ کیست‌های پستان
پستان‌ها در اشکال و اندازه‌های متفاوت رشد می‌کنند و برخی از آنها ممکن است نسبت به بقیه در ریسک بالاتری برای توسعه دردهای پستان قرار داشته باشند. در برخی زمان‌ها ممکن است زنان در حال توسعه مجرای شیر یا تغییرات غدد باشند که به شکل کیست پستان ظاهر می‌شود. کیست‌های پستان کیسه‌های پر از مایع هستند که می‌تواند نرم یا سفت باشند و ممکن است این مورد سبب درد شود یا نشود. این کیست‌ها معمولاً در طول دوران چرخه عادت ماهانه بزرگ می‌شوند و در هنگام یائسگی از بین می‌روند.

۲٫ داروها
برخی از انواع دارو می‌تواند باعث توسعه درد سینه شود. داروهایی که با افزایش درد پستان مرتبطند عبارتند از:
• داروهای ناباروری
• داروهای پیشگیری از بارداری هورمونال خوراکی
• استروژن پس از یائسگی و آماده‌سازی پروژسترون
• مهارکننده بازجذب انتخابی سروتونین
• داروهای ضد افسردگی
• آماده‌سازی دیجیتال
• متیل‌دوپا (الدومت)
• اسپیرونولاکتون (الداکتون)
• برخی از دیورتیک‌ها
• انادرول
• کلرپرومازین
افراد دچار درد پستان باید با مراقبان بهداشتی خود صحبت کنند تا مشخص شود که یکی از این داروها ممکن است در این موضوع مؤثر باشد یا خیر.

۳٫ جراحی پستان
جراحی پستان و فرم بافت زخم می‌تواند به درد سینه منجر شود.

۴٫ عفونت غضروفی و دنده‌ها
عفونت غضروفی و دنده‌ها نوعی از آرتریت است که در محل اتصال دنده‌ها و جناغ بروز می‌کند. وقتی این وضعیت مرتبط به سینه نباشد، درد همراه سوزش ناشی از آن می‌تواند با درد سینه واقعی مخلوط شود. این شکل از آرتریت در افراد پیر و نیز مردم فقیر دیده می‌شود.

۵٫ تغییرات فیبروکیستیک سینه
زنان در دوره پیش از یائسگی و آنهایی که تحت هورمون‌درمانی پس از یائسگی قرار دارند ممکن است دچار حالت ناصافی، افتادگی و تورم ناشی از ساخته شدن مایعات در پستان شوند. این وضعیت بدون ضرر تحت عنوان تغییرات فیبروکیستیک سینه شناخته می‌شود.

۶٫ ورم پستان
ورم پستان یک عفونت دردناک سینه است. این درد بیش از همه در زنان شیرده در پیوند با انسداد مجرای شیردهی تجربه می‌شود. نشانگان مرتبط با ورم پستان اغلب شامل تب، انواع درد و خستگی است که با تغییرات پستان نظیر گرم شدن، سرخ شدن، ورم و درد همراه است.

۷٫ سینه بند نامناسب
درد پستان ممکن است بر اثر استفاده از یک سوتین نامناسب ایجاد شود. در برخی زمان‌ها سینه‌بندهای زنان یا خیلی سفت و یا خیلی شل و ول هستند و سینه‌ها را به درستی پوشش نمی‌دهند. فقدان حمایت کامل می‌تواند منجر به درد پستان شود.

 

درد سینه,علل درد سینه,درد سینه در زنان مادران شیرده معمولا دچار درد سینه می شوند


۸٫ سرطان پستان
اغلب انواع سرطان پستان سبب ایجاد درد نمی‌شوند. در هر حال سرطان سینه التهابی و برخی تومورها می‌توانند سبب ناراحتی پستان شوند.

افرادی که موارد زیر را در خود دارند باید به دکتر مراجعه کنند:
• وجود توده یا سطوح نگرانی‌‌آور در سینه
• درد یا توده‌ای که پس از پایان عادت ماهانه از بین نمی‌رود.
• وجود هر نوع ترشح از پستان، چه خونین چه به رنگ روشن و غیره
• درد سینه بدون علت شناخته شده که از بین نمی‌رود.
• نشانگان پایدار همراه عفونت سینه نظیر سرخی، چرک یا تب.

درد سینه ادواری و غیر ادواری
درد پستان را می‌توان به دو گروه تقسیم‌بندی کرد: درد ادواری و درد غیر ادواری

درد ادواری
درد سینه ی ادواری به عنوان دردی تشریح می‌شود که با تغییرات هورمونی در طول دوره ی عادت ماهانه همراه است. این درد به طور معمول در طول ۲ هفته مانده به آغاز عادت ماهانه بدتر می‌شود.

این نوع از درد سینه شامل ۷۵ درصد شکایات مرتبط به درد سینه می‌شود.
درد سینه ادواری بیش از همه توسط زنان در دهه‌های بیست و سی و چهل زندگی تجربه می‌شود. این درد بیشتر اوقات در سطوح بالای بیرونی هر دو پستان و گاهی اوقات در ناحیه زیر بغل بروز می‌کند.
زنانی که دچار درد سینه ی ادواری می‌شوند اغلب تغییرات فیبروکیسیتیک شامل بروز سطوح توده و سفت در بافت سینه را گزارش می‌دهند. ورم دوره‌ای، درد، تیرکشیدن سینه، احساس سنگینی پس از پایان عادت ماهانه رو به رفع شدن دارد.

درد غیر ادواری
خلاف درد سینه ی دوره‌ای، درد سینه ی غیر ادواری کاملاً متمایز از چرخه ی عادت ماهانه است. این درد بیشتر اوقات در زنان پس از یاسگی در سنین ۴۰ و ۵۰ سال بروز می‌کند.
این شکل از درد پستان اغلب به عنوان درد یا سوزش یا سفتی پایدار و لاینقطع تشریح می‌شود. این درد متمایل به حضور در یکی از پستان‌ها است و می‌تواند ناشی از تروما یا جراحت باشد.

چگونگی اداره درد پستان
این موضوع اهمیت دارد که افراد با مراقبان بهداشتی خود در مورد تصمیم‌گیری در باره ی علت درد سینه و نیاز به توجه بدان صحبت کنند.

علی‌رغم اینکه خوددرمانی ممکن است از نظرگاه علمی قابل تأیید نباشد، برخی از موارد برشمرده در زیر می‌تواند برخی از ناراحتی‌ها را کاهش دهند:

 

• محدود کردن مصرف کافئین و سدیم: منابع کافئین شامل شکولات، قهوه، چای و نوشابه‌های غیر الکلی است.

• پوشیدن سینه‌بند مناسب در تمام مدت روز، سینه‌بند ورزشی در طول ورزش، و لحاظ کردن پوشانیدن سینه‌ها در سینه‌بند در هنگام خواب برای آسایش بیشتر.

• فراهم کردن کمپرس‌های سرد و گرم برای پستان‌ها

• رعایت رژیم غذایی کم‌چربی، افزایش میزان مصرف روزانه میوه‌ها و سبزی‌ها و غلات

• حفظ وزن در محدوده ی سالم

• مصرف ویتامین‌هایی نظیر B6، B1 و ویتامین E

 

• مصرف داروهای بی‌نیاز از نسخه نظیر آسپیرین، استامینوفن و ایبوپروفن

• استفاده از روش‌های آرام‌بخشی برای کاهش استرس، اضطراب و تنش

• در نظر گرفتن بخور کیست یا درناژ اگر توصیه شده باشد.

• داشتن یک ژورنال علایم برای کمک به اتخاذ تدبیر مناسب اگر درد دوره‌ای یا غیر ادواری است.

مردم باید پیش از امتحان روش‌های خوددرمانی برای اطمینان از مناسب بودن وضعیت خود با مراقبان بهداشتی مشورت کنند. در برخی اوقات، افراد ممکن است برای درد سینه ی خود نیازمند برخورداری از مداخلات پزشکی باشند. 

 

منبع: mehrinmednews.com

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