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Выделяют несколько форм мастопатии [2](https://www.clinica-repromed.ru/states/mastopatiya-molochnoj-zhelezyi/): \n* **Диффузная** — изменения затрагивают обе железы, распространяются в груди без чёткой локализации [1](https://Megapteka.ru/specials/lechenie-mastopatii-5648). \n* **Узловая** — образуются локальные «узлы», которые могут развиваться только в одной груди [1](https://Megapteka.ru/specials/lechenie-mastopatii-5648). \n* **Смешанная (фиброзно-кистозная болезнь)** — диффузная с разрастанием тканей и появлением мелких узелков или узловая с появлением крупных одиночных кист [2](https://www.clinica-repromed.ru/states/mastopatiya-molochnoj-zhelezyi/).\n\n## Причины\nОсновная причина — **гормональный дисбаланс**: избыток эстрогенов и недостаток прогестерона [1](https://Megapteka.ru/specials/lechenie-mastopatii-5648)[7](https://medeste.ru/articles/mastopatiya/). Также большую роль играет повышенный уровень гормона пролактина, который вызывает нагрубание и болезненность груди [1](https://Megapteka.ru/specials/lechenie-mastopatii-5648). \n\nНекоторые факторы риска: \n* возраст 30–50 лет (период активных гормональных колебаний, особенно перед климаксом) [7](https://medeste.ru/articles/mastopatiya/); \n* нерациональное питание, дефицит витаминов и минералов [7](https://medeste.ru/articles/mastopatiya/); \n* курение, злоупотребление кофеином и алкоголем [7](https://medeste.ru/articles/mastopatiya/); \n* сидячий образ жизни [7](https://medeste.ru/articles/mastopatiya/).\n\n## Симптомы\nНекоторые симптомы мастопатии: \n* **Боль в груди** — тянущий, распирающий характер, могут быть симметричными или односторонними [7](https://medeste.ru/articles/mastopatiya/). Усиливаются за 5–10 дней до начала менструации и проходят после неё [7](https://medeste.ru/articles/mastopatiya/). \n* **Увеличение объёма молочных желёз** — ощущение «раздутости» или «переполненности» из-за отёка тканей и задержки жидкости во второй фазе цикла [7](https://medeste.ru/articles/mastopatiya/). \n* **Ощущение плотности и напряжения** — при пальпации могут прощупываться участки уплотнений, чаще всего в верхне-наружных квадрантах груди [7](https://medeste.ru/articles/mastopatiya/). \n* **Повышенная чувствительность груди** — даже лёгкое прикосновение может вызывать дискомфорт [7](https://medeste.ru/articles/mastopatiya/). \n* **Выделения из сосков** — встречаются не всегда, но возможны — чаще в виде прозрачной, желтоватой или молочной жидкости [7](https://medeste.ru/articles/mastopatiya/).\n\n## Диагностика\nДиагностикой мастопатии занимается врач-маммолог [10](https://voronezh.sovamed.ru/zabolevaniya/mastopatiya/)[16](https://unclinic.ru/mammologija/mastopatija-diagnostika-i-lechenie/). Некоторые методы исследования: \n* **Клинический осмотр** — врач изучает состояние кожи, сосков и окружающих тканей, проводит пальпацию молочной железы [14](https://premium-clinic.ru/kak-diagnostiruetsya-mastopatiya/). \n* **Инструментальные методы** — УЗИ молочных желёз, маммография (рентгеновское исследование) [2](https://www.clinica-repromed.ru/states/mastopatiya-molochnoj-zhelezyi/)[14](https://premium-clinic.ru/kak-diagnostiruetsya-mastopatiya/). \n* **Лабораторные исследования** — анализы крови на гормональный фон, анализы на воспалительные маркеры [14](https://premium-clinic.ru/kak-diagnostiruetsya-mastopatiya/).\n\n## Лечение\nЛечение мастопатии зависит от формы заболевания [1](https://Megapteka.ru/specials/lechenie-mastopatii-5648). Например: \n* **Консервативное** — диффузные формы лечатся с помощью гормональных и негормональных лекарственных препаратов [2](https://www.clinica-repromed.ru/states/mastopatiya-molochnoj-zhelezyi/). Курс лечения обычно длительный — от двух месяцев до полугода [2](https://www.clinica-repromed.ru/states/mastopatiya-molochnoj-zhelezyi/). \n* **Хирургическое** — при узловых формах заболевания показано малоинвазивное хирургическое лечение: кисты размером более 2 мм пунктируют, крупные узлы удаляют [2](https://www.clinica-repromed.ru/states/mastopatiya-molochnoj-zhelezyi/). \n\n**Важно!** Самодиагностика и самолечение мастопатии опасны — при первых признаках заболевания следует обратиться к врачу [3](https://www.VIDAL.ru/encyclopedia/gynecology/mastopatiya)[11](https://polyclinika.ru/tech/mastopatiya-prichiny-simptomy-lechenie/).","linksData":[{"sourceId":1,"url":"https://Megapteka.ru/specials/lechenie-mastopatii-5648","shownUrl":"https://Megapteka.ru/specials/lechenie-mastopatii-5648","title":"Лечение мастопатии: Препараты, таблетки, капли, гели, мази, витамины","shortUrl":"Megapteka.ru","isTranslated":false,"description":"","greenUrl":"Megapteka.ru"},{"sourceId":2,"url":"https://www.clinica-repromed.ru/states/mastopatiya-molochnoj-zhelezyi/","shownUrl":"https://www.clinica-repromed.ru/states/mastopatiya-molochnoj-zhelezyi/","title":"Мастопатия молочной железы - 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