Ukuphathwa kwama-Abscess Breast ku-Nipple noma e-Areola
Uma ufunde ukuthi unesibhamu sezinyosi noma se-subareolar mhlawumbe uzizwa ukhathazekile. Kungani lezi zenzeka futhi zingaba uphawu lomdlavuza webele?
Incazelo ye-Nipple noma i-Subareolar Abscess
Insipho noma i-abscess ye-subareolar is a pocket of pus (njenge-cyst) elitholakala ku-ingono yakho noma ngakwesokudla ngaphansi kwe- areola yakho. I-abscess ingacindezela izicubu eziseduze futhi ivame ukuhambisana nokuvuvukala nokuvuvukala.
I-ingono noma i-abscess ye-subareolar ingabangela ubuhlungu, inhlama encane yethenda, kanye ne-pus.
Amaphuleko we-ingono kanye nesifo somzimba ajwayelekile kakhulu kubantu besifazane kodwa atholakale emadodeni. Kunezinhlobo zamabhaktheriya ahlukene angaba nomthwalo wemfanelo, kuhlanganise ne-bacterium ebangela isifo sofuba. I-abscess ye-subareolar ingabuye ibizwe ngokuthi i-absove ye-areolar, isifo sikaZuska, noma i-fistula e-lactiferous.
Ingono noma i-Subareolar Abscesses ne-Cancer Breast
Noma yisiphi isikhumba esibuhlungu ngaphansi kwe-ingono yakho noma i-aola kufanele ihlolwe udokotela wakho. Uma uncelisa, ama-abscesses angase avame futhi avame ukungabi nomdlavuza. Kodwa-ke, uma ungabelisi isisu, kungenzeka ukuba ube uhlobo olungajwayelekile lomdlavuza webele. Ngenkathi kungenzeka ukuthi ube nesimo esibucayi, kungase kudingeke ukwelashwa, futhi kubalulekile ukubona udokotela wakho futhi ube nokuhlunga okuhlolwe.
Izimpawu
Izimpawu ezivame kakhulu ezihlobene nekhanda le-nipple noma le-subareolar zifaka:
- Indawo evuvukile neyethandekayo yamathisipuni ku-ingono yakho noma i-areola
- Ukuqhuma noma ukukhipha okuvela emathunjini avuvukile
- Umkhuhlane
- Ukuzizwa okuvamile kokugula, okufana nezibonakaliso ezinjenge-flu
I-mastitis ngokumelene ne-Subareolar Abscesses
I-mastitis yisifo sofuba esiswini sakho kepha ngezinye izikhathi singabangela ukubunjwa kwe-abscess.
Kwenzeka kaningi uma abesifazane besalisa uma ubisi lwebisi buxhunyiwe.
Iphunga lomkhuhlane liyisisekelo "sokuvinjelwa" endaweni yokutheleleka lapho umzimba uqukethe amabhaktheriya endaweni eyodwa ngokwenza izindonga ezungeze indawo enegciwane lesifo. Izinga elibhekene nabesifazane abangabelisi isisu (namadoda) zibandakanya isifo sikashukela, ukubhoboza ingono, nokubhema.
Izimbangela
Izithobezi ze-Areolar zingavinjelwa, ukuvumela amabhaktheriya athole indlela yawo yokuphindaphinda. Amasosha omzimba wakho enza isenzo sokulwa nesifo, ukuthumela amaseli amhlophe egazi ezindaweni ezivinjiwe. Lapho lawo maseli egazi, izicubu ezifile, nama-bacteria ahlangana ndawonye ephaketheni elingenalutho, amafomu okugubha.
Uma une- ingono yakho ehlatshiwe futhi isifo sifinyelela kuyo, amabhaktheriya angakwazi ukuwela esikhumbeni futhi abangele i-abscessor abscess.
Ukuxilongwa
Uma ucabanga ukuthi izimpawu zakho zifanelana nekhanda noma isibhamu samasosha, bheka udokotela wakho. Uzothola ukuhlolwa okubukwayo, okungafaka phakathi ukuhlolwa kwesifuba somtholampilo kanye ne- ultrasound yendawo evuliwe. Udokotela wakho angase futhi ancoma ukuhlolwa okuqhubekayo kuye ngalokho akubona ekuhlolweni kwakho.
Ukwelapha
Noma iyiphi i-abscess yebele, ama-antibiotic ngokuvamile anconywa kanye nezinye izifo.
Ngama-abscesses amancane, ukwelashwa okukhethwa yi-aspiration (ukukhipha uketshezi kanye nokushaya nge-syringe) engasetshenziswa noma ngaphandle kwesiqondiso se-ultrasound. Ama-abscesses amancane (ngaphezulu kuka-3 cm noma cishe ububanzi obuyi-inch nenxenye ububanzi) angadinga ukubekwa kwe-catheter ngayinye. Leli bhubhu encane (i-catheter) elifakwe esikhumbeni nasesikhaleni sokuvumela ukugeleza okuqhubekayo kwanoma yiliphi i-pus eqhubekayo.
Amanye ama-abscesses kunzima kakhulu ukukwelapha futhi ukugcoba nokugcoba okuhlinzekwayo (I no-D) kungadingeka kwenziwe. Lokhu kungase kwenzeke uma i-abscess yakho ikhulu kunama-5 cm, uma i-multiloculated (uma i-abscess inamakhemikhali amaningi ahlukaniswa omunye komunye enza kube nzima ukukhipha isikhumba), noma uma i-abscess ikhona isikhathi eside.
Ngamakhokho amakhulu aphikisayo, ngezinye izikhathi kudingekile ukuba ususwe ngokucophelela kokubili i-abscess kanye nezigulane ezenzeka kuzo.
Ngemuva kokuba i-abscess yakho idonswe, kubalulekile ukuqeda ukuthatha imithi yakho ye-antibiotics ngisho noma izimpawu zakho zixazululwe. Uma amabhaktheriya awawona wonke abulawa ku-abscess, izimpawu zakho kungenzeka ukuthi zibuyele emuva.
Ngaphansi kwe-Nipple ne-Subareolar Abscesses
Ama-abscesses ebelethweni e-ingono nangaphansi kwe-aola angabangela inhlama encane, ithenda kanye nezimpawu zokutheleleka. Zenzeka ikakhulukazi kwabesifazane abancancisayo kepha kungenzeka ukuthi kubesilisa nabesilisa abangabalisi, ikakhulukazi uma benomlando wesifo sikashukela noma baqhutshelwa ukubhoboza. Zivame ukutholwa ukuhlolwa ngokomzimba futhi ngezinye izikhathi i-ultrasound.
Izinketho zokwelashwa zixhomeke ebukhulu be-abscess kanye nezinye izici, nge-first line ukwelashwa ngokuvamile kufaka phakathi isifiso se-abscess. Ama-antibiotic adingekayo ukuxazulula ukutheleleka. Kwabesifazane abathile, i-abscess ingase iqhubeke noma ibuye iphinde idinga ukwelashwa okuqhubekayo. Ngenhlanhla, kubonakala sengathi akukho ulwazi oluningi olukhomba lezi zigqila njengesici esiyingozi ekuthuthukiseni komdlavuza webele kamuva. Ukwehliswa kwesibili kwesikhumba, noma kunjalo, ngezinye izikhathi kungenza kube nzima kunzima ukufundwa kwamammogram.
> Imithombo:
> Irusen, H., uRohwer, A., Steyn, D., noT. Young. Ukwelashwa Kwama-Abscess Breast ku-Breastfeeding Women. I-Cochrane Database yezibuyekezo ezihleliwe . 2015. (8): CD010490.
> Lam, E., Chan, T., noS S. Wiseman. Abscess Breast: Izincomo Ezisekelwe Ukuphathwa Izincomo. Ukubuyekezwa kobuchwepheshe ku-Anti Infective Therapy . 2014. 12 (7): 753-62.
> I-Library Kazwelonke Kazwelonke Yezokwelapha. I-Medline Plus. I-Subareolar Abscess. Kubuyekezwe 11/06/17. https://medlineplus.gov/ency/article/001501.htm