Yintoni Ebangela Ukopha Iingono Kwaye Ndingenza Ntoni?

Umxholo

• 1. Ukuncancisa
• Into onokuyenza
• 2. Ngaphandle kokuqhekeka okanye ulusu olaphukileyo
• Into onokuyenza
• 3. Ukugqobhoza okanye omnye umothuko
• Into onokuyenza
• 4. Usulelo
• Into onokuyenza
• 5. Ipapilloma yokungenela izifundo
• Into onokuyenza
• 6. Ngaba ngumhlaza wamabele?
• I-carcinoma yangaphakathi
• Lobular carcinoma
• Isifo sikaPaget
• Uphathwa njani umhlaza wamabele
• Uza kubona nini ugqirha wakho

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ngaba esi sisizathu sokuxhalaba?

Amaxesha amaninzi, iingono ezophayo azingonobangela wenkxalabo. Zihlala zisisiphumo solunye uhlobo loxinzelelo okanye ukukhuhlana, njenge-ingono yakho yokuthambisa nxamnye ne-bra ekrwada okanye yehempe.

Igazi okanye ngenye indlela, ukukhutshwa kwengono okungaqhelekanga kuqhelekile, nokuba uyancancisa. Malunga nabasetyhini abafuna unyango lweempawu ezinxulumene nesifuba baya kugqirha ngenxa yokukhutshwa kwengono okungaqhelekanga.

Qhubeka ufunda ukuze ufunde okungakumbi malunga nento enokubangela ukuba iingono zakho zenze igazi, into onokuyenza ukuze ufumane isiqabu, kunye nexesha lokubonana nogqirha wakho.

1. Ukuncancisa

Kumaxesha okuqala oomama, ukuncancisa kungathatha ixesha ukuqonda. Kwiintsuku zokuqala ezimbalwa, iingono zakho zinokuba buhlungu kwaye ziqhekeke. Kunokubakho ukusikeka kokopha kwingono okanye indawo enemibala ejikeleze ingono (areola).

Kodwa ukuncancisa akufuneki kube buhlungu okanye kubangele ukopha. Ukuba iingono zakho ziyaqhubeka nokopha ngeentsuku zokuqala okanye iiveki zokuqala zokuncancisa, kusenokwenzeka ukuba usana lwakho alunamathe kakuhle.

Eminye imiqondiso ye-latch engeyiyo ibandakanya:

• tyaba, wedged, okanye iingono ezimhlophe ekupheleni feed
• iintlungu eziqatha ekutyeni
• Umntwana wakho ubonakala engazinzanga okanye elambile emva kwesondlo
• icandelo elingezantsi le-areola yakho alikho emlonyeni wosana

Ukuba ubencancisa iinyanga ezimbalwa kwaye ngequbuliso uvelisa iintlungu, kunokuba luphawu losulelo. Phantse iipesenti ezili-10 zabasetyhini abancancisayo bahlakulela intsholongwane ngexesha elithile.

Into onokuyenza

Ukuba unentlungu ngexesha lokuncancisa, zama ukubeka umnwe emlonyeni wosana lwakho ukuze wophule itywina, emva koko ubeke umntwana wakho kwakhona. I-latch enzulu iqinisekisa ukuba ingono inzulu emlonyeni apho inkalakahla yomntwana ithambile.

Umntwana onamathele kwingono kuphela uya kwenza umonakalo ngokukhawuleza, ke ufuna ukuba umntwana abambeke ngokupheleleyo ebeleni, ingono igxile kwaye inzulu emlonyeni wosana.

Kwakhona kunokuba luncedo ukuthetha neengcali ze-lactation malunga neendlela ezifanelekileyo zokubamba. Isibhedlele apho ubeleke khona kufuneka sibe nesinye.

Unakho nokujoyina iqela lenkxaso kwi-intanethi yeLa Leche League ukuze uthethe nabanye oomama abancancisayo malunga namava abo. Wena sana, namabele akho, aya kubulela.

2. Ngaphandle kokuqhekeka okanye ulusu olaphukileyo

Ukopha kunokubangelwa ziimeko zolusu ezibangela ukoma kunye nokuqhekeka, njengokunxibelelana nedermatitis okanye ulusu olomileyo.

Uqhakamshelwano lwe-dermatitis lwenzeka xa ulusu lwakho ludibana nento ekucaphukisayo. Le isenokuba sisepha entsha, isepha yokuhlamba impahla, okanye isicoci semizi-mveliso kwibra entsha.

Ulusu olomileyo ludla ngokubangelwa kukubandezeleka nakubushushu. Umzekelo, iingono zakho zinokuthi zome kwaye ziqhekeke ngenxa yokuba sesichengeni samanzi ashushu kwishawari. Esi sicaphukiso sinokwenziwa sibi ngokunxiba okulingeneyo.

Ezinye iimpawu zingabandakanya:

• ukucheba
• irhashalala
• ulusu olunamaxolo
• amadyungudyungu

Into onokuyenza

Zama ukuchonga ukuba yintoni ebangela ukucaphuka kwengono yakho kwaye uyiphephe. Ngokubanzi, iimveliso ezingenamakha zithande ukuba mnandi kulusu olubuthathaka. Imvula eshushu nayo ibhetele kunokutshisa.

Xa ulusu lutanda, kubalulekile ukuthintela usulelo. Gcina indawo ihlambulukile ngesepha namanzi kwaye uthambise iyeza lokubulala iintsholongwane, njengeNeosporin, de ibe iyaphola. Ukuba imeko iyaqhubeka, bona umboneleli wakho wokhathalelo lwempilo kwizithambiso zokumisela.

3. Ukugqobhoza okanye omnye umothuko

Ukugqobhoza ingono entsha kuthabatha iinyanga ezimbini ukuya kwezine ukuphola, ngela xesha kusenokuphalala igazi. Usulelo, olunokuphuhla zombini nasemva kokuphilisa, kunokubangela ukuba kuqokelelwe ubofu (ithumba) ukuba lenze ngaphakathi kwingono okanye kwi-areola.

Nantoni na eyophula ulusu inokubangela ukopha kwaye ikhokelele kusulelo. Uninzi lokugqojozwa kwengono lwenziwa phantsi kweemeko ezingenazintsholongwane, kodwa okunye ukwenzakala kwengono kunokubangela iintsholongwane. Oku kunokwenzeka ngexesha lokuvuselelwa kwengono erhabaxa, ngakumbi xa ulusu lophukile ngenxa yokulunywa, izingono zengono, okanye ezinye iithoyi zesini.

Iimpawu zosulelo zibandakanya:

• ububomvu kunye nokudumba
• iintlungu okanye ukuthamba kokuchukumisa
• ubofu okanye ukukhupha ngokungaqhelekanga

Into onokuyenza

Gcina indawo ejikeleze ukugqobhoza okanye inxeba lakho licocekile kangangoko. Hlamba ngesepha kunye namanzi afudumeleyo okanye into yokuhlamba i-antiseptic, efana neBactine. Ukuntywila ukugqobhoza kwakho kwisisombululo samanzi ashushu kunye netyuwa amaxesha amaninzi ngemini kunokunceda ekunyangeni nasekuthinteleni usulelo.

Ukuba ukhula ithumba okanye uva iintlungu, kufuneka uye kugqirha ngokukhawuleza. Ugqirha wakho unokukhupha inxeba kwaye anike ikhosi yeyeza lokubulala iintsholongwane.

4. Usulelo

Isifo sokukrala kwebele sisifo sesifuba esibangela iintlungu nokubomvu. Kuqheleke kakhulu kubafazi abancancisayo, kodwa kunokwenzeka nakubani na. Oku kwenzeka rhoqo kwisithuba seenyanga ezintathu emva kokubeleka.

Isifo sokukrala kwebele kaninzi asibangeli ukuphuma kwengono. Kuhlala kunjalo ngenye indlela; uqhekekile, wonakele, ukopha iingono kunika indawo yokungena yebhaktiriya, enokukhokelela kusulelo lwe-mastitis.

Iimpawu zesifo sokukrala kwebele zibandakanya:

• iintlungu zesifuba okanye ukuthamba
• ifudumele ngaphandle kwebala
• imvakalelo efana nomkhuhlane
• ukudumba kwamabele okanye iqhuma
• intlungu okanye ukutshisa ngelixa uncancisa
• ubomvu besifuba
• umkhuhlane kunye nokugodola

Into onokuyenza

Ukuba ukrokrela ukuba unesifo sokukrala kwebele, yiya kugqirha. Uninzi lweziganeko ziphathwa ngeentsuku ezili-10 ukuya kwezi-14 zee-antibiotics zomlomo. Kuya kufuneka uzive ungcono kwiintsuku ezimbalwa, kodwa thatha iveki okanye ezimbini ezizayo.

Ugqirha uya kumisela i-antibiotic ekhuselekileyo yokuncancisa, kwaye ukuncancisa kufuneka kuqhubeke. I-Engorgement ingenza ingxaki ngakumbi xa uncelisa.

Ukuba ithumba likhula kufutshane nengono, kungafuneka likhutshwe. Ngemvume kagqirha wakho, unganyanga iintlungu kunye nomkhuhlane nge-counter-the-counter (OTC) yokuthomalalisa iintlungu ezinceda ukunciphisa ukudumba. Izinketho ezidumileyo zibandakanya ibuprofen (Advil) kunye neaproxen (Aleve).

5. Ipapilloma yokungenela izifundo

Ii-papillomas ze-Intraductal sesinye sezona zinto zixhaphakileyo kwingono eyophayo, ngakumbi ukuba igazi liphuma kwingono, efana nobisi. Zizidumba ezinobungozi (ezingenabungozi) ezikhula ngaphakathi kwimijelo yobisi.

Ezi tumors zincinci kwaye zinjenge-wart. Unokwazi ukuziva ungasemva okanye ecaleni kwengono. Zihlala zisondele kwingono, yiyo loo nto zibangela ukopha kunye nokukhupha.

Ezinye iimpawu ezinokubakho zibandakanya:

• Ukukhutshwa kwengono ecacileyo, emhlophe, okanye enegazi
• intlungu okanye ukuthamba

Into onokuyenza

Ukuba igazi liphuma ngqo kwingono yakho, jonga ugqirha wakho. Ugqirha wakho unokuchonga iimpawu zakho kwaye akucebise ngamanyathelo alandelayo. Ukuba ujongene ne-papilloma ye-intraductal, banokucebisa ngotyando lokususa imibhobho echaphazelekayo.

6. Ngaba ngumhlaza wamabele?

Ukukhutshwa kwengono kunophawu lomhlaza wamabele, kodwa olu phawu aluqhelekanga.

Malunga nabafazi abaphathwa kwiiklinikhi zomhlaza wamabele ezikhoyo ngokukhutshwa kwengono. Akucaci nokuba oku kubandakanya ukukhutshwa kwegazi. Nangona kunjalo, iqhuma okanye ubunzima zihlala zibakho kwezi meko.

iphonononga ubudlelwane obunokubakho phakathi kombala wokukhutshwa kwengono kunye nobungqongqo bomhlaza. Nangona umntu ecebisa ukuba ukuphuma kwegazi elinombala kunokunxulunyaniswa nomhlaza wamabele onobungozi (ongenayo), uphando oluninzi luyafuneka ukuqinisekisa ezi zinto zifunyanisiweyo.

I-carcinoma yangaphakathi

Uhlobo lomhlaza webele onokuthi umntu anqunywe yindawo ethile apho iqala khona:

• IiCarcinomas ngamathumba anokukhula kumalungu nakwizicubu kuwo wonke umzimba.
• I-Ductal carcinomas zizidumba eziqala ngaphakathi kwimijelo yobisi.
• I-Intraductal carcinoma, ekwabizwa ngokuba yi-ductal carcinoma in situ (DCIS), lolona hlobo luqhelekileyo lomhlaza webele ongafunekiyo. Phantse enye kwiintlanu zomhlaza webele yiDCIS.

I-DCIS ayifuni kuba ayisasazekanga ngaphaya komjelo wobisi kuye lonke ibele. Kodwa iDCIS ithathwa njengaphambi komhlaza kuba inokuthi ekugqibeleni ibe yinto engenamsebenzi, nangona kunjalo. I-DCIS ihlala ingabangeli zimpawu. Ngokuqhelekileyo kufunyenwe ngexesha le-mammogram.

Lobular carcinoma

Ii-lobules ziincindi ezisesibeleni ezinoxanduva lokuvelisa ubisi.

• I-Lobular carcinoma in situ olunye uhlobo lomhlaza wangaphambi komhlaza ongasasazeliyo lonke ibele.
• I-lobular carcinoma ehlaselayo ngumhlaza osasazeke ngaphaya kwe-lobule, ngokunokwenzeka kwii-lymph node kunye namanye amalungu omzimba.

Invasive lobular carcinoma inqabile. Phantse i-8 kwi-10 yomhlaza webele ehlaselayo iqala kwimibhobho yobisi (i-ductal carcinoma), hayi amadlala.

I-lobular carcinoma yokuqala ineempawu ezimbalwa. Emva kwexesha, kunokubangela:

• indawo yokuqina ebeleni
• indawo engaqhelekanga yokugcwala okanye ukudumba ebeleni
• utshintsho kulusu okanye ukubonakala kolusu lwebele (ukuncipha okanye ukuqina)
• ingono esandula ukujika

Isifo sikaPaget

Isifo sikaPaget sesifuba luhlobo olunqabileyo lomhlaza wamabele oqala kwingono aze anabele kwi-areola. Ihlala ichaphazela abasetyhini abaneminyaka engama-50 okanye ngaphezulu.

Isifo sikaPaget sihlala senzeka ngokudibana nolunye uhlobo lomhlaza wamabele, ngesiqhelo umhlaza weductal in situ (DCIS) okanye i-ductal carcinoma ehlaselayo.

Iimpawu zesifo sePaget zibandakanya:

• ingqweqwe ekrwada, enamaxolo abomvu, nebomvu kunye ne-areola
• Ingono eyophayo
• Ukukhutshwa kwengono emthubi
• tyaba okanye ingono eguqulweyo
• ukutshisa okanye ingono

Uphathwa njani umhlaza wamabele

Oogqirha bajonga izinto ezininzi ezahlukeneyo ngaphambi kokucebisa unyango oluthile lomhlaza wamabele. Oku kubandakanya:

• uhlobo lomhlaza wamabele
• Inqanaba layo kunye nenqanaba
• ubukhulu bayo
• nokuba iiseli zomhlaza zibuthathaka kwiihomoni

Abasetyhini abaninzi bakhetha ukwenza utyando lomhlaza wamabele. Kuxhomekeka kubungakanani kunye nakudidi lwethumba lakho, utyando lunokubandakanya ukususa isigaxa (lumpectomy) okanye ukususa lonke ibele (mastectomy).

Utyando luhlala ludityaniswa nonyango olongezelelekileyo, njenge-chemotherapy, unyango lwehomoni, okanye imitha. Kumanqanaba ayo okuqala, ezinye iintsholongwane zomhlaza webele zinokunyangwa ngemitha yodwa.

Uza kubona nini ugqirha wakho

Ukuba ukukhutshwa kwengono enegazi kuhlala ngaphezulu komhla, yenza idinga lokubonana nogqirha wakho. Ugqirha wakho uya kuqhuba iimvavanyo zokucinga ukuba ujonga nantoni na engaqhelekanga ngaphakathi kwebele. Oku kunokubandakanya i-ultrasound, i-MRI, okanye i-mammogram.

Yiya kugqirha ngoko nangoko xa ubona oku kulandelayo:

• iqhuma elitsha okanye iqhuma
• dimpling okanye olunye utshintsho kubume
• Ingono esandula ukungeniswa okanye ethe tyaba
• ukuxobuka, ukukala, ukukrala, okanye ukubetha irola
• ukuba bomvu okanye ukukroba kolusu ebeleni
• utshintsho kubungakanani, imilo, okanye ukubonakala kwebele

Ukusika, ukuqhekeka, okanye omnye umonakalo kwesikhumba esifubeni sakho akuyomfuneko ukuba unyangwe ngokukhawuleza. Ukuba iimpawu aziphucuki okanye ukuba ubona iimpawu zosulelo, tsalela ugqirha wakho. Iimpawu zosulelo zibandakanya:

• umkhuhlane kunye nokugodola
• bomvu
• isifuba sishushu ngaphandle kwebala
• intlungu okanye ukuthamba kakhulu