Yini Ebangela Izingono Zokuvuza futhi Yini Engingayenza?

-Delile

• 1. Ukuncelisa ibele
• Ongakwenza
• 2. Ngaphandle kwalokho isikhumba esiqhekekile noma esonakele
• Ongakwenza
• 3. Ukubhoboza noma okunye ukuhlukumezeka
• Ongakwenza
• 4. Ukutheleleka
• Ongakwenza
• 5. I-papilloma yokufundela
• Ongakwenza
• 6. Ingabe umdlavuza webele?
• I-Intraductal carcinoma
• I-Lobular carcinoma
• Isifo sikaPaget
• Uphathwa kanjani umdlavuza webele
• Lapho uzobona udokotela wakho

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ingabe lokhu kuyisizathu sokukhathazeka?

Imvamisa, izingono ezophayo akuzona izimbangela zokukhathazeka. Imvamisa kungumphumela wohlobo oluthile lokuhlukumezeka noma ukungqubuzana, okufana nengono yakho yokuzihlikihla kubhodisi okhontshayo noma okwehembe.

Okunegazi noma ngenye indlela, ukukhishwa kwezingono okungajwayelekile kujwayelekile, kungakhathalekile ukuthi ngabe uyancelisa. Mayelana nabesifazane abafuna ukwelashwa ngezimpawu ezihlobene namabele baya kudokotela ngenxa yokukhishwa kwengono okungavamile.

Qhubeka ufunde ukuze ufunde kabanzi mayelana nokuthi yini engabangela izingono zakho ukuphuma igazi, ukuthi yini ongayenza ukuze uthole ukukhululeka, nokuthi uzobona nini udokotela wakho.

1. Ukuncelisa ibele

Kumama wesikhathi sokuqala, ukuncelisa ibele kungathatha isikhathi esithile ukuqonda. Ezinsukwini ezimbalwa zokuqala, izingono zakho zingaba buhlungu futhi ziqhekeze. Kungenzeka kube nokusikeka kokopha engonweni noma kwendawo enemibala ezungeze ingono (areola).

Kodwa ukuncelisa akufanele kube buhlungu noma kubangele ukopha. Uma izingono zakho ziqhubeka wopha ezinsukwini ezimbalwa zokuqala noma amasonto okuncelisa, kungenzeka ukuthi ingane yakho ayilugwebi kahle.

Ezinye izimpawu zelokhi elibi zifaka:

• izingono eziyisicaba, ezigoqiwe noma ezimhlophe ekugcineni kokuphakelayo
• ubuhlungu obukhulu kukho konke okuphakelayo
• ingane yakho ibonakala ingazinzile noma isalambile ngemuva kokuphakelwa
• ingxenye engezansi ye-areola yakho ayikho emlonyeni wengane

Uma ngabe ubelethise izinyanga ezimbalwa futhi ngokuzumayo uba nobuhlungu, kungaba uphawu lokutheleleka. Cishe amaphesenti ayishumi wabesifazane abancelisayo baba nesifo esikhathini esithile.

Ongakwenza

Uma unezinhlungu ngesikhathi sokuncelisa, zama ukufaka umunwe emlonyeni wengane yakho ukuze wephule uphawu, bese uyibeka kabusha ingane yakho. I-latch ejulile iqinisekisa ukuthi ingono ijule emlonyeni lapho ulwanga lwengane luthambile khona.

Ingane enamathiselwe engonweni kuphela izolimaza ngokushesha, ngakho-ke ufuna ingane ibambeke ngokuphelele ebeleni, ingono igxile futhi ijule emlonyeni wengane.

Kungasiza futhi ukukhuluma nochwepheshe we-lactation ngamasu asebenzayo we-latching. Isibhedlela lapho ubelethe khona kufanele sitholakale.

Ungaphinda futhi ujoyine iqembu lokuxhaswa kontanga le-La Leche League online ukuze ukhulume nabanye omama abancelisayo mayelana nokuhlangenwe nakho kwabo. Wena baby, namabele akho, azokubonga.

2. Ngaphandle kwalokho isikhumba esiqhekekile noma esonakele

Ukopha kungabangelwa nezimo zesikhumba ezibangela ukoma nokuqhekeka, njengokuxhumana kwesikhumba noma isikhumba esomile.

Ukuxhumana nedermatitis kwenzeka lapho isikhumba sakho sihlangana nento ecasulayo. Lokhu kungaba insipho entsha, okokuhlanza izingubo, noma okokuhlanza izimboni kubhodisi omusha.

Isikhumba esomile sivame ukuvela ekuchayekeni emakhazeni nasekushiseni. Isibonelo, izingono zakho zingomile futhi ziqhekeze ngenxa yokuchayeka emanzini ashisayo eshaweni. Lokhu kucasuka kungenziwa kubi kakhulu ngezingubo ezikubambayo.

Ezinye izimpawu zingafaka:

• ukulunywa
• ukuqubuka
• isikhumba esinamabala
• amabhamuza

Ongakwenza

Zama ukukhomba ukuthi yini ebanga ukucasuka kwengono yakho futhi uyigweme. Ngokuvamile, imikhiqizo engenamaphunga ivame ukuba mnene esikhunjeni esibucayi. Izihlambi ezifudumele nazo zingcono kunokushisa.

Lapho ukuqhekeka kwesikhumba, kubalulekile ukuvimbela ukutheleleka. Gcina indawo ihlanzekile ngensipho namanzi bese ugcoba umuthi wama-antibiotic, njenge-Neosporin, uze uphole. Uma isimo siqhubeka, bheka umhlinzeki wakho wezokunakekelwa kwempilo ngamafutha okhokhwayo.

3. Ukubhoboza noma okunye ukuhlukumezeka

Ukubhoboza ingono okusha kuthatha izinyanga ezimbili kuya kwezine ukuphola, phakathi nesikhathi, kungopha. Ukutheleleka, okungakhula ngesikhathi nangemva kokuphulukiswa, kungadala nokuqoqwa kobofu (ithumba) ngaphakathi kwengono noma i-areola.

Noma yini eqhekeza isikhumba ingadala ukopha futhi iholele ekutheleleni. Ukubhoboza ingono okuningi kwenziwa ngaphansi kwezimo eziyinyumba, kepha okunye ukuhlukumezeka kwengono kungaletha amagciwane. Lokhu kungenzeka ngesikhathi sokuvuselelwa kwezingono ezinzima, ikakhulukazi lapho isikhumba siphukile ngokulunywa, izibopho zezingono, noma amanye amathoyizi ocansi.

Izimpawu zokutheleleka zifaka:

• ububomvu nokuvuvukala
• ubuhlungu noma isisa ekuthinteni
• ubomvu noma ukukhishwa okungavamile

Ongakwenza

Gcina indawo ezungeze ukubhoboza noma isilonda sakho ihlanzekile ngangokunokwenzeka. Geza ngensipho namanzi afudumele noma i-antiseptic wash, njengeBactine. Ukucwilisa ukubhoboza kwakho kusisombululo samanzi afudumele nosawoti kaningana ngosuku kungasiza ekwelapheni nasekuvimbeleni ukutheleleka.

Uma uba nethumba noma uzwa ubuhlungu obukhulu, kufanele uye kudokotela wakho ngokushesha. Udokotela wakho angakhipha isilonda bese anikeze inkambo yama-antibiotics omlomo.

4. Ukutheleleka

I-Mastitis yisifo sesifuba esidala ubuhlungu nokubomvu. Kuvame kakhulu kwabesifazane abancelisayo, kodwa kungenzeka kunoma ngubani. Imvamisa kwenzeka kungakapheli izinyanga ezintathu ibelethile.

I-Mastitis imvamisa ayibangeli ukuphuma kwengono. Ngokuvamile kungenye indlela; izingono eziqhekekile, ezilimele nezopha igazi zinikeza indawo yokungena yamagciwane, okungaholela ekuthelelweni yisifo sokuvuvuka kwebele.

Izimpawu ze-mastitis zifaka:

• ubuhlungu besifuba noma isisa
• kufudumele kuze kuthintwe
• ukuzwa okuvamile okufana nomkhuhlane
• ukuvuvukala kwamabele noma isigaxa
• ubuhlungu noma ukushisa ngenkathi uncelisa
• ubomvu besifuba
• umkhuhlane namakhaza

Ongakwenza

Uma usola ukuthi une-mastitis, bonana nodokotela wakho. Amacala amaningi aphathwa ngezinsuku eziyi-10 kuya kwezingu-14 zemithi elwa namagciwane ngomlomo.Kufanele uzizwe ungcono ezinsukwini ezimbalwa, kepha yehlisa isonto noma amabili ezayo.

Udokotela uzonikeza i-antibiotic ephephile ekunceliseni ibele, futhi ukuncelisa ibele kufanele kuqhubeke. I-engorgement ingenza inkinga ibe yimbi nakakhulu lapho uncelisa.

Uma kuvela ithumba eduze kwengono, kungadingeka ukuthi likhishwe. Ngemvume kadokotela wakho, ungaphatha izinhlungu nomkhuhlane ngokuqeda izinhlungu zasesitolo (OTC) ezisiza ukunciphisa ukuvuvukala. Izinketho ezidumile zifaka ibuprofen (Advil) ne-naproxen (Aleve).

5. I-papilloma yokufundela

Ama-papillomas e-Intraductal angenye yezimbangela ezivame kakhulu zengono eyophayo, ikakhulukazi uma igazi liphuma engonweni, elifana nobisi. Ziyizicubu ezinobungozi (ezinganomdlavuza) ezikhula ngaphakathi kwemisele yobisi.

Lezi zicubu zincane futhi zifana nezinsumpa. Ungakwazi ukuzizwa ungemuva noma eduze kwengono. Imvamisa zisondele kakhulu kwingono, yingakho zibangela ukopha nokukhipha.

Ezinye izimpawu ezingaba khona zifaka:

• ukukhipha ingono okucacile, okumhlophe, noma okunegazi
• ubuhlungu noma isisa

Ongakwenza

Uma igazi liphuma ngqo ngaphandle kwengono yakho, bheka udokotela wakho. Udokotela wakho angaxilonga izimpawu zakho futhi akweluleke ngezinyathelo ezilandelayo. Uma ubhekene ne-papilloma ye-intraductal, bangancoma ukuthi kususwe ngokuhlinzwa amapayipi athintekile.

6. Ingabe umdlavuza webele?

Ukukhishwa kwengono kuyisibonakaliso somdlavuza webele, kodwa lolu phawu aluvamile.

Mayelana nabesifazane abaphathwa emitholampilo yomdlavuza webele abakhona ngokukhishwa kwengono. Akucaci noma ngabe lokhu kuhlanganisa ukuphuma kwegazi. Kodwa-ke, isigaxa noma isisindo kuvame ukuba khona kulezi zimo.

uhlola ubudlelwano obungahle bube khona phakathi kombala wokukhipha ingono nobunzima bomdlavuza. Yize umuntu ephakamisa ukuthi ukuphuma kwegazi okunemibala yegazi kungahle kuhlotshaniswe nomdlavuza webele onobungozi (ongenayo), ucwaningo olwengeziwe luyadingeka ukuqinisekisa lokhu okutholakele.

I-Intraductal carcinoma

Uhlobo lomdlavuza webele umuntu onalo unqunywa indawo ethile lapho uqala khona:

• AmaCarcinomas yizicubu ezingakhula ezithweni nakwizicubu emzimbeni wonke.
• I-Ductal carcinomas yizicubu eziqala ngaphakathi kwamapayipi obisi.
• I-Intraductal carcinoma, ebizwa nangokuthi i-ductal carcinoma in situ (DCIS), uhlobo oluvame kakhulu lomdlavuza webele ongahlaseli. Cishe owodwa komdlavuza webele omusha wezihlanu yiDCIS.

I-DCIS ayifuni ngoba ayizange isabalale ngale komsele wobisi iye ebeleni lonke. Kepha i-DCIS ibhekwa njenge-pre-cancer ngoba ingagcina ingenile, yize lokhu kunjalo. I-DCIS imvamisa ayizibangeli izimpawu. Ngokuvamile kutholakala ngesikhathi se-mammogram.

I-Lobular carcinoma

Ama-lobules yizindlala ezisesifubeni ezibhekele ukukhiqiza ubisi.

• I-Lobular carcinoma in situ olunye uhlobo lomdlavuza wangaphambi kwesikhathi ongasabalali kulo lonke ibele.
• I-lobular carcinoma ehlaselayo umdlavuza osakazeke ngaphesheya kwe-lobule, okungenzeka kube kuma-lymph node nezinye izingxenye zomzimba.

I-caroboma ehlaselayo ye-lobular ayijwayelekile. Cishe i-8 kwezingu-10 zomdlavuza webele ezihlaselayo ziqala emapayipini obisi (i-invasive ductal carcinoma), hhayi izindlala.

I-lobular carcinoma yokuqala inezimpawu ezimbalwa. Kamuva, kungadala:

• indawo yokuqina ebeleni
• indawo engajwayelekile yokugcwala noma ukuvuvukala ebeleni
• ushintsho ekubunjweni noma ekubukeni kwesikhumba sebele (ukuncipha noma ukuqina)
• ingono esanda kuguqulwa

Isifo sikaPaget

Isifo sikaPaget sesifuba uhlobo olungajwayelekile lomdlavuza webele oqala engonweni futhi udlulele e-areola. Ngokuvamile kuthinta abesifazane abaneminyaka engama-50 noma ngaphezulu.

Isifo sikaPaget sivame ukwenzeka sihambisana nolunye uhlobo lomdlavuza webele, imvamisa umdlavuza we-ductal in situ (DCIS) noma i-invasive ductal carcinoma.

Izimpawu zesifo sikaPaget zibandakanya:

• ingono ebolile, enesikhafu, nebomvu ne-areola
• ingono eyophayo
• ukukhishwa kwengono ephuzi
• ingono eyisicaba noma egobile
• ingono evuthayo noma elumayo

Uphathwa kanjani umdlavuza webele

Odokotela babheka izinto eziningi ezahlukahlukene ngaphambi kokuncoma ukwelashwa okuthile komdlavuza webele. Lokhu kufaka:

• uhlobo lomdlavuza webele
• isigaba salo nebanga laso
• ubukhulu bayo
• ngabe amaseli womdlavuza ayazwela yini kuma-hormone

Abesifazane abaningi bakhetha ukuhlinzwa ngomdlavuza webele. Ngokuya ngosayizi nebanga lesimila sakho, ukuhlinzwa kungabandakanya ukukhipha isigaxa (lumpectomy) noma ukususa lonke ibele (mastectomy).

Ukuhlinzwa kuvame ukuhlanganiswa nokwelashwa okwengeziwe, njenge-chemotherapy, i-hormone therapy, noma imisebe. Esigabeni sayo sokuqala, eminye imdlavuza webele ingelashwa ngemisebe iyodwa.

Lapho uzobona udokotela wakho

Uma ukukhishwa kwengono yegazi kuhlala isikhathi esingaphezu kosuku, yenza isikhathi sokubonana nodokotela wakho. Udokotela wakho uzoqhuba izivivinyo ze-imaging ukuze afune noma yini engajwayelekile ngaphakathi kwebele. Lokhu kungafaka i-ultrasound, i-MRI, noma i-mammogram.

Bheka udokotela wakho ngokushesha uma ubona noma yikuphi okulandelayo:

• isigaxa esisha noma isigaxa
• dimpling noma ezinye izinguquko zokuthungwa
• ingono esanda kuguqulwa noma eyisicaba
• ukuxebuka, ukukala, ukuqweqeka, noma ukuqhuma kwe-areola
• ububomvu noma ukuqhuma kwesikhumba esifubeni
• izinguquko osayizi, ukuma, noma ukubukeka kwesifuba

Ukusikeka, ukuqhekeka, noma omunye umonakalo esikhumbeni sesifuba sakho akudingi ukwelashwa ngokushesha. Uma izimpawu zingathuthuki noma uma ubona izimpawu zokutheleleka, shayela udokotela wakho. Izimpawu zokutheleleka zifaka:

• umkhuhlane namakhaza
• ububomvu
• isifuba esishisayo ekuthinteni
• ubuhlungu noma isisa esinzima