Zomwe Zimayambitsa Nipples Kutuluka Ndi Kodi Ndingatani?
Zamkati
- 1. Kuyamwitsa
- Zomwe mungachite
- 2. Kupanda apo khungu losweka kapena losweka
- Zomwe mungachite
- 3. kuboola kapena zoopsa zina
- Zomwe mungachite
- 4. Matenda
- Zomwe mungachite
- 5. Papilloma yophunzirira
- Zomwe mungachite
- 6. Kodi ndi khansa ya m'mawere?
- Intraductal carcinoma
- Lobular carcinoma
- Matenda a Paget
- Khansa ya m'mawere imachiritsidwa
- Nthawi yoti muwone dokotala wanu
Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.
Kodi ichi ndi chifukwa chodera nkhawa?
Kawirikawiri, mawere a magazi sakhala chifukwa chodandaula. Nthawi zambiri zimakhala chifukwa cha zoopsa zina kapena kukangana, monga kupukutira nsonga ya bondo ndi mkanda wokanda kapena malaya.
Magazi kapena ayi, kutuluka kwamphongo kosazolowereka kumakhala kofala, mosasamala kanthu kuti mukuyamwitsa. Pafupifupi azimayi omwe amafunafuna chithandizo chokhudzana ndi chifuwa amapita kwa dokotala chifukwa chakutuluka kwamabele.
Pitirizani kuwerenga kuti mudziwe zambiri zomwe zingayambitse mawere anu, zomwe mungachite kuti mupeze mpumulo, komanso nthawi yokawona dokotala wanu.
1. Kuyamwitsa
Kwa amayi a nthawi yoyamba, kuyamwitsa kungatenge nthawi kuti mudziwe. M'masiku ochepa oyamba, mawere anu amatha kukhala owawa komanso osweka. Pakhoza kukhala mabala otuluka magazi pa nsafu kapena malo akuda ozungulira mawere (areola).
Koma kuyamwitsa sikuyenera kukhala kopweteka kapena kuyambitsa magazi. Ngati mawere anu akupitiliza kutuluka magazi m'masiku kapena milungu yoyambilira yoyamwitsa, mwina ndi chifukwa chakuti mwana wanu sakutsika bwino.
Zizindikiro zina za latch yosauka zimaphatikizapo:
- nsonga zazing'ono, zopindika, kapena zoyera kumapeto kwa chakudya
- kupweteka kwambiri pakudya
- mwana wanu amaoneka wosakhazikika kapena akadali ndi njala pambuyo pa chakudya
- gawo la pansi pa areola lanu silili mkamwa mwa mwana
Ngati mwakhala mukuyamwitsa kwa miyezi ingapo ndipo mwadzidzidzi mumayamba kupweteka, chitha kukhala chizindikiro cha matenda. Pafupifupi 10 peresenti ya azimayi omwe amayamwitsa amatenga matenda nthawi ina.
Zomwe mungachite
Ngati mukumva kuwawa mukamayamwitsa, yesani kuyika chala mkamwa mwa mwana wanu kuti athyole chisindikizo, kenako ndikukhazikitsanso mwana wanu. Chovala chakuya chimatsimikizira kuti nipple ili mkamwa monse momwe mkamwa mwa mwana mumakhala wofewa.
Mwana womangiriridwa ku nsonga zokhazokha amangowononga mwachangu, chifukwa chake mukufuna kuti mwanayo atalikiratu pachifuwa, nipple ili pakati komanso mkamwa mwa mwana.
Kungakhalenso kothandiza kulankhula ndi katswiri wokhudza mkaka wa m'mawere za njira zabwino zothira. Chipatala chomwe mudaberekera chiyenera kukhala nacho chimodzi.
Muthanso kulumikizana ndi gulu lothandizira pa intaneti la La Leche League kuti mukambirane ndi amayi ena oyamwitsa zomwe akumana nazo. Iwe mwana, ndipo mabere ako, adzakuthokoza.
2. Kupanda apo khungu losweka kapena losweka
Magazi amathanso chifukwa cha khungu lomwe limayambitsa kuuma ndi kulimbana, monga kukhudzana ndi dermatitis kapena khungu louma.
Kuyanjana ndi dermatitis kumachitika khungu lanu likakhudzana ndi chinthu chosakopa. Izi zikhoza kukhala sopo watsopano, wochapa zovala, kapena woyeretsa mafakitale pa bulasi yatsopano.
Khungu louma nthawi zambiri limabwera chifukwa cha kuzizira komanso kutentha. Mwachitsanzo, mawere anu amatha kukhala owuma komanso osweka chifukwa chokhala ndi madzi otentha akusamba. Kukwiya kumeneku kumatha kukulitsidwa chifukwa cha zovala zolimba.
Zizindikiro zina zitha kuphatikiza:
- kuyabwa
- totupa
- khungu lakhungu
- matuza
Zomwe mungachite
Yesetsani kuzindikira chomwe chikuyambitsa mkwiyo wanu ndikupewa. Mwambiri, zopangira zonunkhira sizikhala zofatsa pakhungu losazindikira. Mvula yofunda ndiyabwino kuposa kutentha.
Khungu likamang'ambika, ndikofunika kupewa matenda. Sungani malowo kukhala aukhondo ndi sopo komanso madzi ndipo perekani mankhwala opha tizilombo, monga Neosporin, mpaka atachira. Ngati vutoli lipitilira, pitani kwa omwe amakuthandizani azaumoyo kuti mupeze mafuta onenepa.
3. kuboola kapena zoopsa zina
Kuboola nsonga yatsopano kumatenga miyezi iwiri kapena inayi kuti kuchiritse, panthawi yomwe imatha kutuluka magazi. Matenda, omwe amatha kukhalapo nthawi zonse komanso atachiritsidwa, amathanso kuyambitsa mafinya (abscess) kuti apange mkati mwa nipple kapena areola.
Chilichonse chomwe chimaphwanya khungu chimatha kutulutsa magazi ndikupangitsa matenda. Kuboola mawere ambiri kumachitika m'malo osabala, koma zoopsa zina zamabele zimatha kuyambitsa mabakiteriya. Izi zimatha kuchitika pakakondweretsedwe ka mawere, makamaka khungu likathyoledwa ndi kulumidwa, ziphuphu zamabele, kapena zoseweretsa zina zogonana.
Zizindikiro za matendawa ndi monga:
- kufiira ndi kutupa
- kupweteka kapena kukoma kwa kukhudza
- mafinya kapena kutuluka kwachilendo
Zomwe mungachite
Sungani malo ozungulira kuboola kapena chilonda chanu moyera momwe mungathere. Sambani ndi sopo ndi madzi ofunda kapena mankhwala ochapira tizilombo, monga Bactine. Kulowetsa kuboola mumadzi ofunda ndi mchere kangapo patsiku kungathandizenso kuchiza ndikupewa matenda.
Mukakhala ndi chotupa kapena mukumva kuwawa kwambiri, muyenera kupita kwa dokotala mwachangu. Dokotala wanu amatha kukhetsa chilondacho ndikupatsirani mankhwala amtundu wambiri.
4. Matenda
Mastitis ndi matenda am'mimba omwe amayambitsa kupweteka komanso kufiira. Ndizofala kwambiri mwa amayi omwe akuyamwitsa, koma zimatha kuchitika kwa aliyense. Nthawi zambiri zimachitika pakadutsa miyezi itatu kuchokera pomwe mwana wabadwa.
Mastitis nthawi zambiri samayambitsa magazi a nsonga yamabele. Nthawi zambiri zimakhala zosiyana; nsonga zaming'alu zosweka, zowonongeka, zotuluka magazi zimapereka malo olowera mabakiteriya, omwe angayambitse matenda a mastitis.
Zizindikiro za mastitis ndi monga:
- kupweteka kwa m'mawere kapena kufatsa
- ofunda mpaka kukhudza
- kumva ngati chimfine
- kutupa kwa m'mawere kapena chotupa
- kupweteka kapena kutentha pamene mukuyamwitsa
- kufiira kwa m'mawere
- malungo ndi kuzizira
Zomwe mungachite
Ngati mukuganiza kuti muli ndi mastitis, pitani kuchipatala. Matenda ambiri amathandizidwa ndi masiku 10 mpaka 14 a maantibayotiki akumwa. Muyenera kumva bwino patangotha masiku ochepa, koma musavutike sabata yamawa kapena awiri.
Dokotala adzakupatsani mankhwala oteteza kuyamwitsa, ndipo kuyamwitsa kuyenera kupitilirabe. Engorgement imatha kukulitsa vuto mukamayamwitsa.
Ngati chotupa chimayamba kufupi ndi nipple, chimafunika kuthiridwa. Ndi chilolezo cha dokotala wanu, mutha kuchiza ululu ndi malungo ndi mankhwala owonjezera owonjezera (OTC) omwe amathandiza kuchepetsa kutupa. Zosankha zodziwika bwino ndi ibuprofen (Advil) ndi naproxen (Aleve).
5. Papilloma yophunzirira
Ma papillomas a intraductal ndi amodzi mwazomwe zimayambitsa nthenda yotulutsa magazi, makamaka ngati magazi akutuluka m'kamwa mwake, kofanana ndi mkaka. Ndi zotupa (zopanda khansa) zomwe zimamera mkati mwa ngalande zamkaka.
Zotupa izi ndizochepa komanso zowoneka ngati zipolopolo. Mutha kumva kumbuyo kapena pafupi ndi nsagwada. Nthawi zambiri amakhala pafupi ndi nsonga yamabele, nchifukwa chake amayambitsa magazi ndikutulutsa.
Zizindikiro zina zotheka ndi izi:
- kutuluka kwa msana wamabele oyera, oyera, kapena wamagazi
- kupweteka kapena kukoma
Zomwe mungachite
Ngati magazi akutuluka mwachindunji kuchokera kubere lanu, onani dokotala wanu. Dokotala wanu amatha kudziwa zomwe ali nazo ndikukulangizani pazotsatira. Ngati mukulimbana ndi papilloma yothandizirana nayo, atha kulangiza kuti achotse ma ducts omwe akhudzidwa.
6. Kodi ndi khansa ya m'mawere?
Kutuluka kwa mawere kumakhala ngati chizindikiro cha khansa ya m'mawere, koma chizindikiro ichi sichofala.
Pafupifupi azimayi omwe amathandizidwa kuzipatala za khansa ya m'mawere omwe amakhala ndi zotupa zamabele. Sizikudziwika ngati izi zikuphatikizapo kutulutsa magazi. Komabe, mtanda kapena misa nthawi zambiri imakhalapo pazochitikazi.
ikufufuza ubale womwe ungakhalepo pakati pa utoto wa mawere ndi kuuma kwa khansa. Ngakhale wina akuwonetsa kuti kutulutsa kofiira m'magazi kumatha kuphatikizidwa ndi khansa yoyipa (yowopsa), kafukufuku wambiri amafunika kutsimikizira izi.
Intraductal carcinoma
Mtundu wa khansa ya m'mawere yomwe wina ali nayo amadziwika ndi komwe akuyambira:
- Carcinomas ndi zotupa zomwe zimatha kukula m'ziwalo ndi minofu mthupi lonse.
- Ductal carcinomas ndi zotupa zomwe zimayambira mkatikati mwa ngalande zamkaka.
- Intraductal carcinoma, yotchedwanso ductal carcinoma in situ (DCIS), ndiye mtundu wodziwika kwambiri wa khansa ya m'mawere yosafalikira. Pafupifupi khansa imodzi yamatenda yatsopano ndi DCIS.
DCIS ndi yosavomerezeka chifukwa sinafalikire kupitirira ngalande yamkaka mpaka m'mawere ena onse. Koma DCIS imadziwika kuti ndi khansa isanachitike chifukwa pamapeto pake imatha kukhala yowopsa, ngakhale ili choncho. DCIS kawirikawiri sichimayambitsa zizindikiro. Amadziwika kawirikawiri panthawi ya mammogram.
Lobular carcinoma
Maluwawo ndi tiziwalo timene timatulutsa bere lomwe limatulutsa mkaka.
- Lobular carcinoma in situ ndi mtundu wina wa khansa isanafalikire mpaka m'mawere ena onse.
- Wowopsa lobular carcinoma ndi khansa yomwe yafalikira kupitilira kwa lobule, yomwe imatha kufikira ma lymph node ndi ziwalo zina za thupi.
Zowonongeka lobular carcinoma ndizochepa. Khansa ya m'mawere pafupifupi 8 pa 10 imayamba m'mayendedwe amkaka (invasive ductal carcinoma), osati gland.
Lobular carcinoma ili ndi zisonyezo zochepa. Pambuyo pake, zingayambitse:
- malo okuzimiririka pachifuwa
- malo achilendo akudzaza kapena kutupa pachifuwa
- kusintha kwa mawonekedwe kapena mawonekedwe a khungu la m'mawere (dimpling kapena thickening)
- nsonga yamabele yatsopano
Matenda a Paget
Matenda a Paget a m'mawere ndi khansa ya m'mawere yosawerengeka yomwe imayambira pa nipple mpaka ku areola. Nthawi zambiri zimakhudza azimayi azaka 50 kapena kupitilira apo.
Matenda a Paget nthawi zambiri amapezeka molumikizana ndi mtundu wina wa khansa ya m'mawere, nthawi zambiri khansa ya ductal in situ (DCIS) kapena invasive ductal carcinoma.
Zizindikiro za matenda a Paget ndi awa:
- chotupa, chotupa, ndi nsonga yofiira ndi areola
- Nipple yotuluka magazi
- chikasu cha mawere achikaso
- lathyathyathya kapena potembenuka nsonga zamabele
- yoyaka kapena kuyabwa mawere
Khansa ya m'mawere imachiritsidwa
Madokotala amaganizira zinthu zosiyanasiyana asanapereke chithandizo cha khansa ya m'mawere. Izi zikuphatikiza:
- mtundu wa khansa ya m'mawere
- siteji yake ndi kalasi
- kukula kwake
- ngati maselo a khansa amakhudzidwa ndi mahomoni
Amayi ambiri amasankha kuchitidwa opaleshoni ya khansa ya m'mawere. Kutengera kukula ndi chotupa cha chotupa chanu, opaleshoni imatha kuphatikizira kuchotsa chotupa (lumpectomy) kapena kuchotsa bere lonse (mastectomy).
Nthawi zambiri opaleshoni imaphatikizidwa ndi mankhwala ena, monga chemotherapy, hormone therapy, kapena radiation. Khansa zam'mawere zisanakwane, zimatha kuchiritsidwa ndi radiation yokha.
Nthawi yoti muwone dokotala wanu
Ngati kutuluka kwamkono wamagazi kumatenga nthawi yoposa tsiku limodzi, pangani nthawi yokaonana ndi dokotala wanu. Dokotala wanu amayesa mayeso azithunzi kuti awone chilichonse chosazolowereka mkati mwa bere. Izi zitha kuphatikizira ultrasound, MRI, kapena mammogram.
Onani dokotala wanu nthawi yomweyo ngati muwona izi:
- chotupa chatsopano
- dimpling kapena mawonekedwe ena amasintha
- Nipple yatsopano yosandulika kapena yopanda pake
- kupukuta, kukulitsa, kutumphuka, kapena kuphulika kwa asola
- kufiira kapena kupindika pakhungu pabere
- kusintha kwa kukula, mawonekedwe, kapena mawonekedwe a bere
Mabala, ming'alu, kapena zovulaza zina pakhungu pa bere lako sizimafunikira chithandizo mwachangu. Ngati zizindikiro sizikusintha kapena ngati muwona zizindikiro za matenda, itanani dokotala wanu. Zizindikiro za matendawa ndi monga:
- malungo ndi kuzizira
- kufiira
- chifuwa chotentha mpaka kukhudza
- kupweteka kapena kukoma mtima