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The autopalpation breast is a simple examination is recommended as part of screening for breast cancer. From what age autopalpation breast is it advisable, how often, how and what should you look?

Why autopalpation breast is recommended?

The autopalpation breasts can get to know each other better and to identify possible changes. Breast asymmetric or irregular in size or shape, are not signs of breast cancer. It is however the change and progress of certain factors that should alert. For example, if you encounter a feeling of size that does not have the same consistency as the surrounding tissue and that you had not detected during the previous review, it is necessary to consult your doctor or your gynecologist. Even if ultimately it is only a small benign cyst, this information is important for further consideration.

Starting from when and how often achieve autopalpation breasts?

The autopalpation is recommended every month from age 20.
The best time to conduct this review is two or three days after the end of the rules. At that time, breasts have regained their flexibility while decreasing their sensitivity. In the absence of rules, among postmenopausal women, it is preferable to make this autopalpation every month on a fixed date.

How to autopalpation?

1) Step observation: watch carefully in your ice chest, arms along the body, then raised arms behind his head.
Passing through these two positions, looking for a change in shape, size distortion, swelling, nipple retraction, redness, pain, dimple, wrinkles, bulge on the surface of the skin …
2) Check the absence of flow pinching each nipple gently between the thumb and index finger.
3) palpate your breasts while lying: Use left hand to feel the right breast and vice versa. Use your hand firmly flat on the breast, from top to bottom, a bank to another, the cervical region to the abdomen, the armpit to the middle part. Make a circular motion more and more from the nipple to the outer edge of the breast. By making these gestures, think properly examining the tissue located just below the skin, but also in depth.
Repeat this review completely seated and standing.
Any change should lead you to talk with your doctor.

You are a woman, you are menopausal and you suffer mild symptoms such as nervousness, fatigue, dry skin, tend to weight gain, and so on. and if it was hypothyroidism?

Hypothyroid frequent among women from 50 years …

The hypothyroidism, resulting from low production of hormones by the thyroid gland, does not mean that women past menopause, but we note that the disorder is more common in this population, particularly as regards the so-called primary hypothyroidism . Indeed, there are two forms:

Primary hypothyroidism is a deficiency in thyroid hormones due to a malfunction of the thyroid gland,

hypothyroidism secondary or center is linked to a problem with the pituitary or hypothalamus, brain structures that control the thyroid.
What are the symptoms typical of hypothyroidism?

Overall, in cases of hypothyroidism, the functioning of bodies is slowing down (conversely, it is accelerating in case of hyperthyroidism):
fatigue,

lack of training and fatigue,

slow intellectual

nervousness,

Cold and dry skin,

brittle hair and nails,

hair loss,

weight gain (moderate) despite a lack of appetite,

hoarsely,

muscle cramps and stiffness,

constipation,

irritability, etc..

But often the symptoms are subtle because they appear very gradually, and complications are placing on the track slow heartbeat, mental depression, hallucinations, memory, gallstones, anemia, and so on.

Note that hypothyroidism (or hyperthyroidism) can also be manifested by the presence of goiter, lump in the neck indicating a malfunction of the thyroid gland.

Anyway, this track should be explored at the slightest suspicion.

The doctor conducts a palpation of the thyroid gland, but it is a hormonal mix from a blood test to clarify the functioning of the thyroid. In some cases, cervical ultrasound or a thyroid scan is required to verify the structure and status of the gland.

How to treat hypothyroidism?

The treatment relies on prescribing hormone replacement (synthetic thyroid hormone) at doses and gradually increasing over several weeks, sometimes months or even for life. In any case, regular monitoring is needed to detect any overdose or dosage.

Surgery for obesity, or bariatric surgery, is to reduce the size of the stomach to limit food absorption. It can reduce daily caloric intake to about 40%. The surgery obesity is a reserved in case of significant obesity and after failure of other treatments. Ring and gastric bypass, explanations on these two surgical techniques of obesity.
The obesity surgery
The obesity surgery is reserved for those whose body mass index (BMI: weight divided by twice the size) is very high, exceeding 40 or above 35 in case of illness associated. In other words, we resorted to surgery for obesity in overweight very important and when all other treatments have failed. It hopes to reduce the psychological and counter diseases linked to overweight (hypertension, cholesterol, diabetes, sleep apnea, gallstones, osteoarthritis of the knee, back pain, certain cancers, etc.).. Indeed, obesity is a risk factor for many diseases, some very serious, such as cardiovascular disease. Obesity begins quality of life but also reduces life expectancy.
There are two main types of interventions.
The ring gastric (gastroplasty)
The laying of a ring around the upper stomach reduces the volume. The amount of food can be consumed at meals is reduced, its absorption is slowed and the feeling of satiety increased.
The by-pass (short-circuit gastric)
It is to install a bypass system in the digestive tract to reduce the amount of food absorbed by the intestine.

These interventions, once made abdomen open, are now much less invasive because they use Coelioscopy: devices equipped with an optical fiber and miniaturized instruments are introduced into the abdominal cavity through small incisions in the umbilical cord. The intervention is shorter and less traumatic. The patient soon resumed his daily activities. The post-operative complications are rare but close monitoring is necessary. Food later, especially in the beginning, we must be careful. Fats and sugars are limited because they are likely to cause digestive disorders, nausea, diarrhea, palpitations, sweating, feeling weak, and so on. It is also important to eat slowly and chew well to the risk of abdominal pain and vomiting.
What is the effectiveness of surgery for obesity?
These surgical techniques are very effective. They cause weight loss greater than or equal to half the excess weight, and up to 40 to 80 kg. Initially, weight loss is very fast and then slowed down gradually over about two years. We must take advantage of this time to learn or relearn how to eat a balanced way. Patients are usually framed by a multidisciplinary team including a nutritionist and a psychologist.
Finally, once the target is reached, it is often necessary to resort to surgery to Retension aesthetic skin after weight loss.