http___medicinabih.info_medicina_hirurgija_palpacija-dojke__1.xml
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Breast Self Exam Many woman don’t pay attention with breast self exam. Do you know that breast self exam (BSE) must perform at least once per month. The breast physical exam be done because breasts can be more swollen, swollen, and lumpy. Some of women feel embarrassed to perform the exam. Don’t think that way because it involved your health and maybe can protect from breast cancer. Using the exam, you can find the breast cancer symptoms. The exam is not very hard to do and you can do it by yourself at home. This is the steps for breast self exam Lie down and place your right arm behind your head. The exam is done while lying down, not standing up. This is because when lying down the breast tissue spreads evenly over the chest wall and is as thin as possible, making it much easier to feel all the breast tissue. Use the finger pads of the 3 middle fingers on your left hand to feel for lumps in the right breast. Use overlapping dime-sized circular motions of the finger pads to feel the breast tissue. Use 3 different levels of pressure to feel all the breast tissue. Light pressure is needed to feel the tissue closest to the skin; medium pressure to feel a little deeper; and firm pressure to feel the tissue closest to the chest and ribs. It is normal to feel a firm ridge in the lower curve of each breast, but you should tell your doctor if you feel anything else out of the ordinary. If you’re not sure how hard to press, talk with your doctor or nurse. Use each pressure level to feel the breast tissue before moving on to the next spot. Move around the breast in an up and down pattern starting at an imaginary line drawn straight down your side from the underarm and moving across the breast to the middle of the chest bone (sternum or breastbone). Be sure to check the entire breast area going down until you feel only ribs and up to the neck or collar bone (clavicle). There is some evidence to suggest that the up-and-down pattern (sometimes called the vertical pattern) is the most effective pattern for covering the entire breast, without missing any breast tissue. Repeat the exam on your left breast, putting your left arm behind your head and using the finger pads of your right hand to do the exam. While standing in front of a mirror with your hands pressing firmly down on your hips, look at your breasts for any changes of size, shape, contour, or dimpling, or redness or scaliness of the nipple or breast skin. (The pressing down on the hips position contracts the chest wall muscles and enhances any breast changes.) Examine each underarm while sitting up or standing and with your arm only slightly raised so you can easily feel in this area. Raising your arm straight up tightens the tissue in this area and makes it harder to examine. Source Instruction : – Cancer.org Picture Instruction Source Pic :- Breastline.com Isn’t it easy?? If you have daughter, you need to teach them. If you want to know more, find a doctor nearest. Never to late for the exam.
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Palpacija dojke Palpacija dojke (klinička) - Palpacija uvijek počinje sa suprotne strane – počinje sa zdravom dojkom. Palpira se otvorenom šakom a ne prstim kako se ne bi izgubio osjećaj trodimenzionalnosti prvo obratiti pažnju na konzistenciju i homogenost tkiva. - Pregled retromamilarnog tkiva obavlja se palcem i kažiprstom. - Postojanje sekrecije ispituje se pritiskom kažiprsta na na areolu prateći izvodne kanale (koji idu radijalno prema mamili). Palpacijom nalazimo - elastično žljezdano tkivo bez patološkog nalaza - dvodimenzionalne elastične rezistencije bez treće dimenzije koje ukazuju na displaziju - grube displazije u dvije dimenzije ili sa početnom trećom dimenzijom koje ukazuju na teži stepen proliferativne displazije - trodimenzionalna displazija - tumor Samopregled dojke Samopregled dojke Prva stvar koju morate odlučiti je redoslijed kojim ćete obaviti ovaj dio pregleda, a svakako morate obuhvatiti: dojku, područje između dojke i pazuha, te područje pazuha. - Legnite na leđa i stavite desnu ruku iza glave. Ovaj dio pregleda se izvodi ležeći, zbog toga što se u ležećem položaju tkivo dojke rasporedi jednoliko preko prsnog koša i postane tanko koliko je to moguće. Na taj način olakšava se pregled i palpacija cjelokupnog tkiva. - Upotrijebite vrške prstiju srednja tri prsta lijeve ruke kako bi potražili bilo kakvu kvržicu u desnoj dojci. Malim kružnim pokretima koji se preklapaju pretražite čitavu dojku - Upotrijebite tri različite jačine pritiska kod pregleda. Lagani pritisak je potreban da bi se pregledalo tkivo najbliže koži, srednja jačina pritiska za pregled tkiva u sredini dojke, te čvrsti pritisak kako bi pregledali tkivo najbliže prsnom košu i rebrima. Upotrijebite sve tri jačine pritiska na svakoj pojedinoj regiji dojke prije nego pređete dalje. - Pretražite čitavu dojku koristeći male kružne pokrete odozgo prema dolje i obratno, počevši od graničnog područja prema pazušnoj jami, pa sve do prsne kosti. - Ponovite čitav postupak sa drugom dojkom - Potom sjednite ili ustanite i opipajte pazušne jame na obje strane, tako da malo podignete ruku kako bi omogućili jednostavnu palpaciju suprotnom rukom. Google+