Condición fibroquística de la mama y su repercusión biológicas y psicológica en mujeres atendidas en el Hospital Matilde Hidalgo de Procel y Hospital Mariana de Jesús de enero hasta agosto del 2017
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
La enfermedad fibroquistica en el seno son lesiones benignas que afecta al menos a una gran parte de las mujeres en edad fértil. La etiología sigue siendo desconocida y el tratamiento es solo empírico. El objetivo del estudio fue determinar la condición fibroquística de la mama y su repercusión psicológica y biológica en mujeres atendidas en los Hospitales Matilde Hidalgo De Procel y Mariana De Jesús. El presente estudio fue de tipo observacional, descriptivo, retrospectivo y de corte transversal. Mediante la observación directa a través de encuestas y el análisis de todo el historial médico de las pacientes atendidas desde Enero hasta Agosto del 2017. Entre los principales resultados se encontró el grupo etario de mayor frecuencia fue el de 41-60 años. La displasia mamaria benigna (42%) fue una de la patología fibroquística más predominante y según su lateralidad la de lado derecho tuvo mayor incidencia. El 50 % de las pacientes con enfermedad benigna de la mama presentaron como síntoma primordial dolor. Siendo el 51% el grupo de pacientes en fase II. El 60% de las mujeres presentaba repercusión de tipo biológica, siendo una de las principales el sedentarismo y la alteración de la menarquia. La principal repercusión psicológica en el grupo analizado fue el estrés. Se concluye que la displasia mamaria benigna de lado derecho es la patología fibroquística más común. Se debe fortalecer los programas de educación médica continua sobre métodos de diagnóstico y tratamiento de la displasia de la mama, especialmente de la displasia mamaria benigna.
Fibrocystic disease in benign lesions that affect at least a large part of women of childbearing age. The etiology remains unknown and the treatment is only empirical. The objective of the study was to determine the fibrocystic condition of the mother and its psychological and biological repercussion in the women treated at the Matilde Hidalgo De Procel and Mariana De Jesús Hospitals. The present study was of observational, descriptive, retrospective and cross-sectional type. Through direct observation through surveys and analysis of the entire medical history of patients treated from January to August 2017. Among the main results was found the age group of mayor frequency was 41-60 years. The benign mammary dysplasia (42%) was one of the most predominant fibrocystic pathology and according to its laterality, the right side had a higher incidence. 50% of patients with benign breast disease have primary pain as a symptom. Fifty-one percent of the patients were in phase II. 60% of women presented a biological impact, one of the main ones being sedentary lifestyle and the alteration of menarche. The main psychological impact in the group analyzed was stress. It is concluded that right benign mammary dysplasia is the most common fibrocystic pathology. Continuous medical education programs should be strengthened on methods of diagnosis and treatment of the dysplasia of the mother, especially of benign mammary dysplasia.
Fibrocystic disease in benign lesions that affect at least a large part of women of childbearing age. The etiology remains unknown and the treatment is only empirical. The objective of the study was to determine the fibrocystic condition of the mother and its psychological and biological repercussion in the women treated at the Matilde Hidalgo De Procel and Mariana De Jesús Hospitals. The present study was of observational, descriptive, retrospective and cross-sectional type. Through direct observation through surveys and analysis of the entire medical history of patients treated from January to August 2017. Among the main results was found the age group of mayor frequency was 41-60 years. The benign mammary dysplasia (42%) was one of the most predominant fibrocystic pathology and according to its laterality, the right side had a higher incidence. 50% of patients with benign breast disease have primary pain as a symptom. Fifty-one percent of the patients were in phase II. 60% of women presented a biological impact, one of the main ones being sedentary lifestyle and the alteration of menarche. The main psychological impact in the group analyzed was stress. It is concluded that right benign mammary dysplasia is the most common fibrocystic pathology. Continuous medical education programs should be strengthened on methods of diagnosis and treatment of the dysplasia of the mother, especially of benign mammary dysplasia.
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Enfermedad fibroquística de la mama, Epidemiología descriptiva, Estudios retrospectivos, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Hospital Especializado Mariana de Jesús, Cantón Guayaquil, Ecuador