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GADUDI SHIR

gadudi-shirGADUDI SHIR (Glandula mammaris), gadudest, ki dar niyomi mushaki kaloni sina dar bayni qaburgahoi III va VI joygir ast. G. sh. az 15 – 25 hissacha iborat buda, majroi onho (rohhoi shir) dar surokhi piston boz meshavad. G.sh.-ro arteriyahoi bayni qaburgaho va sina (dokhili va beruni) bo khun tamin mesozand. G. sh. doroi shabakai limfavi ast, ki tavassuti on limfa ba limfaguddahoi asosan zeri kash meravad. Vazifai asosii G. sh . hosil va ikhroj kardani shiri sina buda, on zeri tasiri gormonhoi gipofiz, tukhmdon, gadudi siparshakl va g. surat megirad (ikhroji gormonhoi mazkur khususan dar davrai balogati jinsii dukhtaron, yane 10 – 12-solagii onho, avj megirad). G. sh. dar 18 – 20-solagi purra tashakkul meyobad. G. sh. dar davrai hayz va homilagi duchori tagyiroti anatomiyu fiziologi meshavad. On khususan dar davrai tavallud va sina makonidani tifl ba darajai beshtarini inkishof merasad. Dar davrai klimaks rushdi baraksi boftahoi G. sh. ogoz meyobad. Dar mardho G.sh. az faoliyat bozmemonad.
Hangomi muoinai G. sh. ba mutavozi joygir budan, andoza, shakl, mavjudiyati deformatsiya, khususiyati balogati jinsi, adadi homilagi, tavallud, isqot, sinamakoni, tarashshuhoti piston, tarzi hayz va dig. alomatho etibor doda meshavad. Hamchunin vazi pust (rang, tarangi, zakhm, varam, namudorii raghoi vena) va pistonho (chuqur joygir budan yo berun baromadani onho)-ro ba nazar megirand. Lams kardani pistonho (palpatsiya) avval dar holati rost budani zan, sipas dar vazi ba takhtapusht daroz kashidani u ijro karda meshavad. Zeri kashho, tahti chanbar va mavzei boloi onro niz palmosida mebinand. Dar surati ba mushohida rasidani yagon tagyirot, mas., sakht shudani limfaguddaho, digargunii pust va pistonho ba tashkhisi rentgenologi (mammografiya) va biopsiya ru meorand. Dar muassisahoi makhsusgardonida hamchunin az tashkhisoti ultrasadoi, termografiya va radioizotopi istifoda mekunand.
G.sh. giriftori bemorihovu osebhoi gunogun meshavad. Holathoi tamoman nabudani G. sh. (amastiya) va pistonho (ateliya) ahyonan duchor meoyand. Nuqsi G. sh. bisyor vaqt bo rohi jarrohi tabobat meyobad.
YAke az illathoi mamuli G. sh. kafidani piston ast. On asosan badi tavallud va haftahoi avvali sina makonidani kudak rukh menamoyad. Pistonho bazan chuqur kafida khunshor meshavand. Dar natija hangomi sina makondan, dardi sakht ehsos shuda, hatto shir «megurezad». Dar chunin mavridho ba piston mikrobho roh yofta, mumkin ast boisi sar zadani mastit shavad. Hangomi khurd budani joyhoi kafida sina makondanro naboyad qat kard (ba joyhoi illati spirt, tanin, permanganati kaliy, mahluli sabzi brillianti memoland). Dar surati khushk budani pistonho onhoro bo obi garm shusta, badi har dafai sina makondan vazelin, lanolin, ravgani mohi yo marhami 5%-i metiluratsil molidan lozim ast. Bo obi garm va khunuk be sobun shustani pistonho saddi rohi kafidani onho meshavad. Sinabandak boyad pakhtagin yo kanabi boshad.
Ba bemorihoi G. sh. mastit, ginekomastiya (dar mardho), mastopatiya, giperteliya, tromboflebiti venahoi zeri pust, galaktosele, bazan sil, sifilis, aktinomikoz va ekhinokokkoz, hamchunin adenoma, papilloma, fibroadenoma, lipoma va g. mahsub meshavand. YAke az bemorihoi mamuli G. sh. saraton meboshad. Saratoni G.sh. dar bisyor davlathoi jahon dar bayni amrozi saratonii zanho joi avvalro ishgol mekunad.

KL
Tasviri naqshavii gadudi shir (dar burrish): 1 – piston; 2 – majroi piston; 3 – hissachahoi gadudho; 4 – mushaki kaloni sina; 5 – chanbar; 6 – boftai shush; 7 – qaburga; 8 – mushaki kaloni sina; 9 – tanai gadudi shir; 10 – majroi shir.
M. F. Dodkhoeva.

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