In the life of a woman has a different role and nature of a man. Their responsibilities were not the same. A woman has a role ranging from pregnancy, childbirth, to raising children. Pregnancy and childbirth can not be done by a man. It is the nature of a woman who makes a woman different from a man and equal with men.
The role which is owned by a woman is unique. Hence, a woman also has a unique body shape that is different from a man. One of them, both women and men have two breasts. However, in women both breasts had been developed in line with the occurrence of puberty. While male breast did not develop.
Remember this picture for Adult only and It's terribleThe role which is owned by a woman is unique. Hence, a woman also has a unique body shape that is different from a man. One of them, both women and men have two breasts. However, in women both breasts had been developed in line with the occurrence of puberty. While male breast did not develop.
Breast composed of connective tissue, glands, and fat tissue. All parts were covered by skin. Gland with the help of the hormone prolactin, produced milk. And milk is excreted through the nipple (nipple) which is right in the middle of each breast. When a woman gave birth, the levels of the hormone prolactin in the body increases and stimulates the glands to produce milk. With the help of suction from the baby, then the milk out that we know as the ASI (Air Susu Ibu).
Normal breast has the same shape and size between the left and right. However, there are also women who experience disruption in her breast. One of the problems that can occur in the breast is gigantomastia unilateral or bilateral (breast enlargement in excess, either in one breast or both).
Gigantomastia unilateral or bilateral common in female peripubertal (around puberty). This is a rare case. In gigantomastia, occurred the development and abnormal growth of the breast. This not only resulted in physical disorders but also mental disorders. Because of such magnitude, the breasts will hang down and the skin around it will experience a great attraction which may result in tearing of the skin.
Gigantomastia consists of three types, namely:
1. Gigantomastia that occurs in peripubertal, better known by the name of Juvenile hypertrophy of the breast (JHB)
2. Gigantomastia that occur during pregnancy
3. Gigantomastia that occurs in adult women with no known cause.
In this article will discuss the Juvenile hypertrophy of the Breast. JHB is a very rare case. The cause is very difficult to determine, but the disorder describe the organ hypersensitivity due to disruption of endocrine regulation.
One such case ever reported in the U.S.. A 30-year-old woman has a problem with the size of her breasts that it is not symmetrical between the right to the left. Enlargement of the left breast which has been started from 15 years ago when he puberty. Have an enlarged left breast a more rapid and progressive or continuous. At the time she conceived, her left breast enlargement did not increase rapidly. However, it does not produce breast milk, so that only her right breast is normal that the issue of breastfeeding for infants. There was no history of any hormonal treatment including the use of NSAID drugs on him and his family. Her skin became very thin because of the pull of the left breast so that the blood vessels (vena superficialis) was visible and nipple enlarged or dilated. No enlarged lymph nodes. There is also no abnormalities in his blood test results. In April 2004, he underwent surgery mammaplasty, and the results are extraordinary. Both breasts are now symmetrical and there is little scarring tissue. Two years later she underwent a re-examination, and gigantomastia not happen again.
JHB can be overcome with two kinds of surgery, namely:
1. Mastectomy.
Mastectomy means the removal of the troubled breast intact.
2. Mammaplasti reduction.
Mammaplasti cuts breast reduction is problematic according to the image that was created earlier. The troubled breast shaped into appropriate and symmetrical with normal breast.
JHB Patients will usually give the complaints such as pain in the breast, waist and neck pain, and the deformity of the spine. But the main thing is the problem of psychological and social problems. JHB Patients will be difficult to find clothes that fit their size. They also withdrew from social life and activities outside the home. So in addition to treatment by surgery and administration of drugs, psychological factors must also be considered from the patient.
Magnification as in JHB can also occur in other diseases, including:
1. Giant fibroadenoma
This disease often occurs in young women, aged 21-25 years. Lump is very mobile (easy moving), and essentially free of the skin, can arise because of lost motion. Bumps do not feel pain and firmly bounded. Consistency resembles normal breast. Can be great but still mobile. Rapid growth occurs during pregnancy, lactation (breastfeeding), and menopause. Presumably it is related to the hormone estrogen.
2. Phyllodes tumor
In this disease, lumps enlarges rapidly as in JHB. And also there is a change in the skin. Phyllodes tumors have a heterogeneous and bounded consistency firm. While in JHB, consistency harder and diffus.
3. Gestational gigantomastia
Breast enlargement that occur because of pregnancy. But this is very rare.