In order to timely detect serious breast disease Diseases of the Breast: from mastitis to cancer First of all - cancer, women should conduct regular breast examination. The most common method of early diagnosis is the palpation of the breast. It may hold as a doctor, and the patient herself at home.

How to examine the breast

It is recommended to examine the breasts monthly, a few days before the onset of menstruation. First, just look around the breast - in some cases, seals are visible to the eye. Note the change in shape and size of the breast Breast size - does it matter? , Nipples, reddening of the skin or the appearance of "orange peel" skin, edema. The so-called orange peel may indicate an aggressive, progressive cancer, and even if you do not find at other signs of tumor, this symptom is enough to see a specialist.

Now you are ready to palpation of the breast. Most women prefer to spend it lying on the bed or standing - in the shower. Palpation should be done with fingertips, applying pressure varying strength. With slight pressure can feel the tissue directly beneath the skin surface, and using the most powerful - tissue adjacent to the ribs. It is necessary to apply the pressure of different forces during the examination of each section chest before moving on to the next section. Take your time. Careful examination of the breast may take several minutes.

Use the following procedure to be sure that you have examined all of the breast:

• Place your left hand behind his head, and inspect the left breast with his right hand.
• Using the three middle fingers, you move from the collarbone to the nipple. Examine the entire breast, each time starting to move from the edge of the breast to the nipple.
• Likewise, inspect the right breast.
• Sit or stand, and inspect the armpits.

results

Many seals in the chest The seal in the chest - a reason to turn to mammologu   are normal changes that occur during each menstrual cycle. In fact, most of the nodules and sealing features are not a serious problem. However, it is necessary to consult a doctor if during the examination of the breast you will find:

• Solid nodule near the axilla;
• Seals, the touch is not similar to the surrounding tissue;
• Changes in the color, size and / or texture of the breast;
• Any irregularities on the surface of the breast skin;
• Inflammation and / or pain in the chest Chest pain is one symptom - a lot of diseases ;
• Itching, peeling and / or a rash on the chest;
• Bloody discharge from the nipple.

Physicians in the survey also use breast palpation. But they have, of course, more accurate diagnostic procedures such as ultrasound and mammography. If they show any suspicious growths, can be assigned to a biopsy - a procedure in which laboratory tests take a small piece of tissue from the seal.

Even if you have been referred for a biopsy, do not worry too much. Most found certain benign, many of whom do not even require treatment.

Tablets ceasing lactation

There are several medications to suppress lactation, but you need to use them with caution.

Bromocriptine

Bromocriptine (sold under the name parlodel, laktodel). This drug is usually prescribed for women who can not breastfeed for medical reasons. It is also used in some diseases associated with elevated levels of the hormone prolactin in acromegaly and to relieve some of the symptoms of Parkinson's disease. It refers to preparations of bromocriptine from the group dopamine receptor agonist and is ergot alkaloid derivative. It is sold only by prescription.

Bromocriptine is contraindicated in case of allergy to this drug and other medicines containing derivatives of ergot alkaloids, with uncontrolled hypertension, severe heart disease, mental illness Mental illness - ashamed to ask for help? . In addition, before taking this medication, tell your doctor if you have problems such as diabetes, liver disease, stomach ulcers, extreme sleepiness (including, if you happen to suddenly fall asleep in broad daylight) and, if recently purchased your stool is unusually dark or black. In such cases, bromocriptine is not contraindicated, but should be used with extreme caution. Also tell your doctor if you are lactose intolerant, and if you have experienced allergic reactions to any substances (including food, mold and pollen).

The following medications may affect the effectiveness of bromocriptine:

• Medicaments containing ergot alkaloids, such as the drugs used for the treatment of migraine;
• Medications used to treat hypertension;
• Any drugs that can raise or lower blood pressure;
• Pevodopa - drug used in the treatment of Parkinson's disease;
• Some antibiotics, such as erythromycin;
• Octreotide - a drug that is indicated for the treatment of acromegaly and certain types of cancer;
• Antiretroviral drugs - drugs used to treat HIV / AIDS such as ritonavir, nelfinavir, indinavir and delavirdine;
• Antifungal drugs such as ketoconazole, itraconazole and voriconazole;
• Antagonists of dopamine receptors;
• Phenylpropanolamine.

To suppress lactation is usually recommended to take one tablet of bromocriptine twice a day for two weeks. Sometimes milk production starts again in two to three days after treatment. In such cases it is necessary to take bromocriptine for another one week.

The first dose of bromocriptine is recommended to be taken with a small amount of food, just before sleep. While receiving the drug should be every time to get up slowly and carefully - no matter how long you have before this sitting or lying down. The fact that bromocriptine may lower blood pressure, which is why, when you get up in the eyes can darken or dizzy; there is also a pretty good chance of fainting. Take bromocriptine with food is recommended because it facilitates its side effects such as nausea and irritation of the gastric mucosa.

In the first days after the start of bromocriptine should refrain from driving a car. If the medicine does not cause you side effects such as dizziness, nausea and fainting, a couple of days, you can get behind the wheel. Otherwise, until the end of treatment is better to use other modes of transport.

While taking this medication is also recommended to abstain from alcohol.

In addition to the above-mentioned side effects of bromocriptine may cause nausea and vomiting, drowsiness (after taking the medicine if you fell asleep, doing their daily chores, immediately inform your doctor), fatigue, nasal congestion, problems with defecation (constipation or diarrhea), irritability Irritability - you try to control my temper , Anxiety Anxiety - how to distinguish normal from disease? , Sleep disorders, depression, lack of appetite, dry mouth, metallic taste in the mouth, eye pain, blurred vision, hair loss, a burning sensation in the chest, irregular heartbeat.

As soon as possible, contact the doctor if the following side effects: severe and prolonged headaches or vision problems, blood in the stool or vomit massage, bleeding from the anus, confusion, hallucinations, high fever, wheezing, coughing, chest pain. In addition, there are cases where women taking bromocriptine to suppress lactation, raises blood pressure, strokes and heart attacks. It is not known whether this is due to the drug itself or with complications during childbirth, but during the course of treatment must be very carefully monitor their state of health, and with the appearance of the slightest suspicion of serious health problems to seek immediate medical attention.

Mikrofollin

For suppression of lactation may be used and other drugs in the class of dopamine receptor agonists and ergot alkaloid derivatives, for example, cabergoline.

For this purpose, the drug may be used based on ethinylestradiol such as mikrofollin. This estrogen preparation is used to stop the lactation, and at a number of disorders such as metrorrhagia, dysmenorrhea, infertility, acne and certain malignancies.

Mikrofollin contraindicated in allergy drug components, pregnancy, thrombophlebitis, as well as estrogen-dependent tumors. Tell your doctor if you have in your history such conditions as endometriosis, thromboembolism, liver disease.

Dose mikrofollin the first three days of treatment is 20 ug (micrograms). Medicine to take three times a day. Then for another three days of a 10 ug mikrofollin also three times a day. In the last three days of treatment should take 10 mg of the drug once daily. Most of the patients is a nine-day course of treatment is sufficient to stop the lactation; many milk production ceases within a few days after the start of mikrofollin.

The most common side effects are mikrofollin chest pain Chest pain is one symptom - a lot of diseases   or breast tenderness, depression, headaches, nausea, changes in libido (it can both strengthen and weaken). On these side effects should inform the physician only if they drastically exacerbated or if they are stored after treatment.

The following side effects while using mikrofollin are rare, but if they occur, you should immediately seek medical attention: swelling of the legs or leg pain, dizziness, blurred vision, chest pain, weakness, there is on one side of the body, irregular heartbeat, dark urine, yellow skin color, abdominal pain, change in mental status.