La ukuncelisa Kuyinto enhle kakhulu. Ukubamba ingane yakho ezingalweni zakho, ukondla okuvela kuwe, kuveza umuzwa okunzima ukuwuchaza. Nakuba kungeyona yonke into enhle kangaka. Eqinisweni, ngokwami, uma kukhona engikukhumbulayo ngobuhlungu bangempela (nokwethuka), ngakolunye uhlangothi, ukukhuphuka kwentengo yobisi (ikakhulukazi okokuqala) futhi, ngakolunye uhlangothi, eyokuqala imastitis Kwenzekani kowokuqala, ezungeze usuku lwakhe lokuzalwa lokuqala. Ngibe senginenye, kepha ngiyibambe ngesikhathi, bengingasho ukuthi ayizange ibe yinye.
I-Mastitis ukuvuvukala kwezicubu zebele. okungase kuhambisane ukutheleleka futhi kubangela ubuhlungu, imfiva, nokuvuvukala, okungaholela ezinkingeni uma kungelashwa ngokushesha. Abesifazane abaningi bangase babe ne-mastitis ekuqaleni kokuncelisa ngenxa ukuqoqwa kobisiKwezinye izimo, lapho ukuncelisa isikhathi eside, amandla okuncela wengane (kuhlanganise nokuluma) nawo anendima ebalulekile ekukhuleni kwayo. I-Mastitis ingase ibe umphumela ... ukutheleleka ngegciwaneOkulandelayo, ngizokutshela ukuthi yini okufanele uyenze uma uhlushwa i-mastitis, ukuthi ungazihlonza kanjani izimpawu zokuqala, nokuthi ... vimbela Futhi nini ukubonisana nodokotela. Ngicela ungalibali ukubona udokotela. I-mastitis ingaba yinkimbinkimbi uma ingaphathwa kahle.
Siyini isisu?
La imastitis Kuyinkinga evamile ebangelwa ukuvuvukala kwezicubu zesifubaokungenzeka noma kungahlotshaniswa nokutheleleka. Ibonakala njenge ubuhlungu nokuvuvukala ebeleni elilodwa noma womabili futhi ngokuvamile kubangelwe:
- Un imbobo yobisi evinjiwe: ibele alizange likhishwe ngokwanele, kube khona isikhathi eside ngaphandle kokuncelisa noma ukukhipha, noma kukhona ukucindezela esifubeni (izingubo eziqinile, ukulala ubuso bubheke phansi, ukucindezela komntwana ngenkathi encela, njll.).
- Amagciwane angena ngemifantu engonweni ngenxa yokungami kahle kwengane noma ukulimala.
Ngaphambi kokuthi uqhubeke nokufunda, incazelo ebalulekile: I-mastitis ayiyona ingozi enganeni futhi, ezimweni eziningi, Akufanele uyeke ukuncelisa.Eqinisweni, ukuqhubeka nokuncelisa kusiza ukukhipha ibele futhi kukhuthaze ukuphulukiswa. Iningi le Ama-antibiotic abonisiwe ahambisana nokuncelisa ibele.Uma unikezwe noma yimuphi umuthi, hlola ukuhambisana kwawo futhi ulandele iseluleko sochwepheshe.
Izimpawu zemastitis
Thola izimpawu zokuqala Ivumela isenzo esisheshayo futhi ivimbele izinkinga. I-mastitis ingavela noma nini ngesikhathi sokuncelisa futhi ithinte ibele elilodwa noma womabili; kungase futhi kwenzeke ngesikhathi noma ngemva kokulunyulwa.
I-Los izimpawu zemastitis Ezivame kakhulu yilezi:
- Ukuzwela kwendawo endaweni yebele, ngezinye izikhathi nge isigaxa ngenxa yobisi olunqwabelene.
- Ukushisa nokubomvu emkhakheni (ngokuvamile okumise okwe-wedge).
- Ukuvuvukala nobuhlungu, ngezinye izikhathi ngokuzwa ukushisa, ikakhulukazi ngesikhathi sokudla.
- Umkhuhlane, amakhaza, malaise kufana nomkhuhlane, ukukhathala kanye nesicanucanu.
Uma wethula ubuhlungu bebele obujulile okungathuthuki ngokulungiswa kwe-latch kanye nendlela yokuncelisa, noma iphikelele ngaphandle kwezimpawu zangaphandle, kungenzeka ukutheleleka nge-ductal noma i-subacute mastitis, okudinga ukuhlolwa kochwepheshe.
Ukuxilongwa nokuhlolwa
El Ukuxilongwa ngokuvamile kungokomtholampilo. ngokuhlolwa nokuhlola isizinda. Ezimweni ezikhethiwe, uchwepheshe wakho angase acele a i-breast ultrasound ukulahla ithumba noma uqinisekise indawo yeqoqo.
El isiko lobisi Akuwona umkhuba, kodwa kuyatuswa uma kukhona ukuziphendukela kwemvelo okuvilaphayoi-mastitis ephindaphindiwe, kusolwa I-SARM (i-Staphylococcus aureus emelana ne-methicillin) noma uma kungekho ngcono ngemva kwamahora angu-24–48 okwelashwa okungokomfanekiso okufanelekile. Isampula itholakala okungcono kakhulu ngaphambi kokuqala ama-antibioticsngokuhlanzeka kwendawo, ngo ukukhishwa ngesandla nasezitsheni eziyinyumba.
Uma izimpawu zingathuthuki ngemva kokuqeda i-antibiotic noma uma kunezimpawu ze-atypical, udokotela wakho angase ancoma mammogramphinda i-ultrasound noma ngisho i-biopsy ukuqeda amanye ama-pathologies anjalo umdlavuza webele ovuvukalayoezingalingisa i-mastitis.
Ukwelashwa kwesisu
I-Mastitis idinga ukunakekelwa kwezokwelapha.Ukuphatha kuhlanganisa izinyathelo ezijwayelekile futhi, lapho kufanele, ama-antibiotic ahambisana nokuncelisaUkuqhubeka nokuncelisa ngokuvamile kuphephile futhi kuyatuswa.
Izinyathelo ezijwayelekile:
- Ukwehliswa ngesikhathi sokufunwa ngaphandle kokuvumela isifuba sigcwale ngokweqile; nikeza uhlangothi oluthintekile kuqala uma ukwazi ukubekezelela.
- Ukulungisa ukubamba kanye nesimo ukuthuthukisa amanzi. Beka i- isilevu somntwana Gxila endaweni ethintekile. Funa ukusekelwa kumbelethisi noma umeluleki wokuncelisa.
- Ukushisa okuthambile (indwangu efudumele) ngaphambi nje kokuphakela ukukhuthaza i-reflex ejection kanye frío phakathi kwemithamo yokukhulula ubuhlungu nokuvuvukala.
- I-analgesia elwa nokuvuvukala ephephile (ibuprofen noma i-paracetamol) ngokweziqondiso zochwepheshe.
- Ukuphumula kanye ne-hydrationUcela usizo ngomsebenzi wasendlini nokunakekela ingane.
Baluleke kakhulu:gwema i ukucindezela okukhulu noma i massage enamandla esifubeni, okungase kubangele ukuvuvukala. Uma wenza ukusikhipha, uku bushelelezi futhi bukha phezuluukusuka endaweni ethintekile ukuya engonweni futhi ukusiza kuphela ubisi ukuthi lugeleze.
Ukukhishwa kobisi kuye ngesimo sakho:
- Uma uncelisa ibele ngokuqondile, nikela ngawo womabili amabele ngesikhathi sokuncelisa ngakunye futhi ugweme "ukuthulula ngokweqile" ngemva kokuba umntwana eseqedile. Ikhipha ivolumu eningi kunalokho okudingekayo kungaqhubeza ukuvuvukala nge ukukhiqiza ngokweqile.
- Uma uveza ubisi lwebele kuphela, lungisa ukumunca kwepompo yebele kube a izinga elithokomele futhi ikhipha cishe i umthamo othathwa ingane yakhoUngaphoqi izikhathi ezinde.
- Uma uhlanganisa ukuncelisa kanye nokuncelisa ubisi lwebhodlela, ncela ibele noma nini lapho ingane yakho ilambile, futhi uma ukuncelisa eyodwa kunebhodlela, khipha ubisi. inani elifanayo enikelwa enganeni.
Uma i-mastitis ingathuthuki ngalezi zinyathelo, noma uma uba nomkhuhlane ophezulu kanye nobuhlungu obukhulu, udokotela wakho angase akunikeze [imithi/ukwelashwa]. ama-antibioticsImithi ejwayelekile (ukukhetha kuncike emlandweni, i-allergies kanye nokusabalala kwendawo yokumelana):
- Umugqa ongaphambili akukho ukusola kwe-MRSA: i-cloxacillin 500 mg njalo emahoreni ayi-6 izinsuku eziyi-10-14 (noma i-dicloxacillin/flucloxacillin kuye ngokutholakala) noma i-cephalexin 500 mg njalo emahoreni angu-6 izinsuku ezingu-10-14; liyasetshenziswa futhi i-cefadroxil 1 g njalo emahoreni ayi-12-24 izinsuku eziyi-10-14.
- I-Beta-lactam yokungezwani komzimba: clindamycin 300-450 mg njalo emahoreni angu-8-12 izinsuku ezingu-10-14.
- I-MRSA esolwayo/eqinisekisiwe: trimethoprim-sulfamethoxazole 160/800 mg njalo emahoreni ayi-12 izinsuku eziyi-7-10 noma clindamycin (kuya ngokuzwela). Gwema i-TMP-SMX uma ingane yakho ikhona ngaphambi kwesikhathiine jaundice, Ukushoda kwe-G6PD noma ngaphansi kwezinyanga ezingu-1-2.
Eminye imihlahlandlela ixazululwa ngo Izinsuku ezingama-5-7 uma ukuthuthukiswa kushesha; nokho, iziqondiso eziningi ziyatusa Izinsuku ezingama-10-14 ukunciphisa ukubuyela emuva. Thatha umjikelezo ophelele ngaphandle uma kuboniswe ngenye indlela.
Izidakamizwa ezingasebenziseki kangako njenge i-amoxicillin-clavulanate Ngokuvamile abayona into yokuqala yokukhetha i-mastitis enganzima; ama-quinolones Ziyagwenywa ngenxa yomthelela wazo wemvelo. Ezimweni ezimbi kakhulu (i-sepsis, ukuqhubekela phambili okusheshayo) zingadingeka ukungena esibhedlela kanye ne-intravenous antibiotic.
Indlela yokuphila kanye namakhambi asekhaya awusizo
Ngaphezu kokwelapha imbangela, Nakekela ukululama kwakho:
- Ungavumeli omama bakho bathole ukugcwala ngokweqile phakathi kokuthatha.
- Faka isicelo izindwangu ezibandayo noma izikhwama zeqhwa ngemva kokuncelisa ukudambisa izinhlungu.
- Sebenzisa a ukusekela bra ngaphandle kwama-hoops, ngakho-ke ayicindezeli.
- Phumula kahle Yenza konke ongakwenza futhi uhlale umuhle hydration nokudla.
Ku-subacute mastitis, abanye ochwepheshe bacabanga ama-probiotics athile (Lactobacillus salivarius noma L. fermentum). Ubufakazi buphakathi futhi izindleko ziphezulu; uma izimpawu zingathuthuki ngemva kwezinsuku ezingu-7-10, ukunqanyulwa kubhekwa.
Ungasigwema kanjani isifo sokuvuvuka kwebele
Okulandelayo amathiphu bazokusiza ukuvimbela imastitis kanye nokuvela kwayo:
- Qiniseka ukuthi ingane yakho ngena kahleKufanele avule umlomo wakhe kakhulu ukuze ahlanganise ingono nengxenye enhle ye-areola, izindebe zakhe zibheke ngaphandle.
- Shintsha indawo ezindaweni ezahlukene bese ubeka isilevu somntwana endaweni lapho kushuba khona lula amanzi.
- Evita ukulindela okukhulu kakhulu phakathi kokuphakelayo futhi ungavimbeli isikhathi sabo; ukuncelisa kufanele kube efunwa kakhulu.
- Uma uphuthelwa ukuthatha, yenza a ukukhishwa okulinganayo ngevolumu ingane ebezoyithatha.
- Sebenzisa a isibindi lokho akufaki ingcindezi futhi kugwema i izingwegwe.
- Gwema ukukhiqiza ngokweqileUngalukhaphi ngendlela ehlelekile ubisi olwengeziwe kunalolo oludingwa ingane yakho.
- Shintsha i- pads ncelisa njalo futhi uyeke izingono zakho zome emoyeni Lapho ukwazi, ikakhulukazi uma kukhona imifantu.
- Massage ngendlela amnandi Izigaxa zibangelwa ukunqwabelana kobisi ngesikhathi sokuncelisa noma ngaphansi kweshawa elifudumele, ngaphandle kobuhlungu noma ukucindezela okukhulu.
- I-Trata imifantu futhi kungenzeka Izifo ze-Candida Uma ekhona, ukuvimbela izindawo zokungena zamagciwane.
- Hlela a ukulumula okuqhubekayo ukugwema ukuminyana.
Nini ukuthola iseluleko sezokwelapha kanye nezimpawu eziyisixwayiso
Xhumana nochwepheshe bakho bezempilo Uma wethula:
- imfiva ephikelelayo noma ukungakhululeki okunganciphi phakathi namahora angama-24-48.
- Ubuhlungu obukhulu lokho kuphazamisa ukuphila kwansuku zonke.
- Ukukhishwa kwe-purulent noma okunegazi ngengono.
- Isigaxa esiqinile, esibuhlungu lokho akupheli ngemva kokuncelisa.
- Ama-lymph nodes e-axillary ukuvuvukala ohlangothini oluthintekile.
- Isicanucanu/ukuhlanza ezenza amanzi noma imithi ibe nzima.
Funa usizo oluphuthumayo lwezokwelapha uma lukhona ukuwohloka ngokushesha, amakhaza amakhului-tachycardia, isikhumba esiqinile kakhulu, noma izimpawu zokuthi i-sepsisKubantu abangenawo amandla okuzivikela emzimbeni, labo abasabela kahle ekwelashweni, noma labo abangazinzile, kungase kudingeke balaliswe esibhedlela.
Ukulungiselela ukubonisana
Ukuze wenze okuhle ngokuvakasha kwakho, thwala:
- Uhlu lwe izimpawu kanye nedethi yokuqala.
- Imithi kanye nezithako owuthathayo (nomthamo).
- Ulwazi lwezokwelapha olufanele (i-allergies, isizindaizinga lokusekela ukuncelisa).
- Kwakho imibuzo ebalulekile (ukwelashwa, ukuphepha kwezidakamizwa ngesikhathi sokuncelisa ibele, isikhathi esilinganiselwe sokululama, ukuvimbela ukuphindeka emuva).
Ithumba lebele: liyini futhi lilashwa kanjani
Uma i-mastitis iqhubeka, kungase kwakheke isimila. ithumba (ukunqwabelana kobovu). Ibonakala njenge inqwaba eguquguqukayoUbuhlungu, ukuvuvukala, nomkhuhlane. I-Ultrasound isiza ukuqinisekisa usayizi nendawo.
El ukwelashwa ozikhethele yiyona inaliti aspiration drainage (okungcono i-ultrasound-guided), ngezinye izikhathi ngemva kokubhoboza kaningi. Emathumba amakhulu noma akhiwe ezindaweni eziningi, kungase kudingeke ezinye izinqubo. ukusika nokukhipha amanziIsampula ithathwa isiko bese yengezwa ama-antibiotics (ngomlomo noma IV kuye ngobunzima). Ngokufanelekile aqhubeke nokuncelisaukuvimbela ingane ukuthi ingahlangani nezinto ezikhishwe amanzi.
Ingozi ye-MRSA kanye nokukhetha kwama-antibiotic
Ezinye izici zandisa ingozi Ukutheleleka kwe-MRSAUkulaliswa esibhedlela kwakamuva, izinqubo ezihlaselayo, ukwelashwa isikhathi eside ngama-antibiotic, ukuhlala ezimeni eziminyene noma ezingahlanzekile, noma izifo ezitholwa umphakathi ezindaweni ezivame kakhulu yizici zengozi. Uma i-MRSA isolwa noma kungekho ngcono ngemva kwamahora angu-48 wokwelashwa, udokotela angase shintsha ama-antibiotic kanye nesicelo ukulima.
Ukuncelisa ibele, imithi, nokuphepha kwengane
Ubisi lukamama one-mastitis lusamile iphephile kumntwanaUkunambitheka kungase kushintshe kancane, futhi umntwana angase alenqabe okwesikhashana lelo bele; uma lokhu kwenzeka, khipha ubisi ukugcina ukukhiqizwa kobisi nokunikela ngalo ebhodleleni. Izinqamuli zobuhlungu ezifana ibuprofen o paracetamol kanye nama-antibiotics ajwayelekile (isibonelo, i-cephalexin, i-cefadroxil, i-cloxacillin, clindamycin) ngokuvamile ehambisana nokuncelisaUma unemibuzo, thintana nochwepheshe kanye nezinsiza ezikhethekile mayelana nokuhambisana nokuncelisa ibele.
Uma ubuhlungu bukuvimbela ukuthi uqale ukuthatha umthamo ohlangothini oluthintekile, qala nge isifuba esingenabuhlungu ukwenza kusebenze i-reflex yokwehlisa futhi, lapho ubisi lugeleza, nikela nge uhlangothi oluthintekileUkulungisa ukubamba kwakho nokuma kwakho kubalulekile gwema ukuvinjwa okusha futhi uthuthukise ukuthulula.
Ngokungenelela kusenesikhathi, ukwesekwa, nokwelashwa okufanele, i-mastitis ngokuvamile ixazulula ngokuphelele, igcina ukuncelisa okunethezekile nokunempilo. Zibone izimpawu kusenesikhathiUkukhipha ibele ngokuphumelelayo, ukugwema ukucindezela okukhulu, nokusebenzisa ama-antibiotic ahambisanayo lapho kudingeka kuyizinsika ezibalulekile zokuphulukisa nokuvimbela ukuphindeka.
