I-mastitis ngexesha lokuncelisa: iimpawu, ukuxilongwa, unyango kunye nokuthintela

La ukuncelisa Ngamava amangalisayo. Ukubamba umntwana wakho ezingalweni zakho, ukondla kuwe, kuvelisa imvakalelo enzima ukuyichaza. Nangona ingeyiyo yonke into emangalisayo. Ngapha koko, buqu, ukuba kukho nantoni na endiyikhumbulayo ngentlungu yokwenyani (kunye noloyiko), kukuba, kwelinye icala, ukunyuka kwexabiso lobisi (ngokukodwa okokuqala) kwaye, kwelinye icala, elokuqala isifo sokukrala kwebele Kwenzeka ntoni kweyokuqala, malunga nomhla wokuzalwa kwakhe wokuqala. Emva koko bendinenye, kodwa ndiyibambe ngexesha, bendinokuphantse nditsho ukuba khange ibekho.

Imastitis kukuvuvukala kwezicubu zebele. enokukhatshwa usulelo kwaye kubangela intlungu, umkhuhlane, kunye nokudumba, nto leyo enokukhokelela kwiingxaki ukuba ayiphathwa ngokukhawuleza. Abasetyhini abaninzi banokufumana i-mastitis ekuqaleni kokuncancisa ngenxa ukuqokelelwa kobisiKwezinye iimeko, xa ukuncancisa ixesha elide, amandla okuncanca osana (kuquka ukululuma) nawo anendima ebalulekileyo ekukhuleni kwawo. Isifo sokukrala kwebele sisenokuba sisiphumo... ukosuleleka kwiintsholongwaneOkulandelayo, ndiza kukuxelela ukuba wenzeni ukuba unesifo semastitis, indlela yokuchonga iimpawu zokuqala, kunye nendlela ... thintela Kwaye nini ukubonisana nogqirha. Nceda ungalibazisi ukubona ugqirha. Imastitis inokuba nzima ukuba ayilawulwa kakuhle.

Yintoni isifo sokukrala kwebele?

La isifo sokukrala kwebele Yingxaki eqhelekileyo ebangelwa ukuvuvukala kwezicubu zebeleenokuthi inxulunyaniswe okanye ingadibani nosulelo. Ibonakalisa njenge intlungu kunye nokuvuvukala kwibele elinye okanye omabini kwaye idla ngokuba ngenxa yoku:

• Un ivali yobisi evaliweyo: isifuba asizange sikhutshwe ngokwaneleyo, kukho ixesha elide ngaphandle kokuncelisa okanye ukukhupha, okanye kukho uxinzelelo kwibele (impahla eqinile, ukulala ubuso phantsi, uxinzelelo oluvela kumntwana xa uncelisa, njl.).
• Iintsholongwane ezigqobhoza ngeentanda kwingono ngenxa yokungami kakuhle komntwana okanye ukwenzakala.

Ngaphambi kokuba uqhubeke ufunda, ingcaciso ebalulekileyo: Imastitis ayinabungozi kumntwana kwaye, kwiimeko ezininzi, Akufanele uyeke ukuncancisa.Enyanisweni, ukuqhubeka nokuncelisa kunceda ukukhupha isifuba kwaye kukhuthaze ukuphilisa. Uninzi lwe I-antibiotics ebonakalisiweyo iyahambelana nokuncancisa.Ukuba umiselwe naliphi na iyeza, khangela ukuhambelana kwalo kwaye ulandele iingcebiso zengcali.

Iimpawu zesisu

Chonga imiqondiso yokuqala Ivumela isenzo esikhawulezileyo kwaye ithintele iingxaki. I-mastitis ingabonakala nanini na ngexesha lokuncelisa kwaye ichaphazele ibele elinye okanye zombini; inokwenzeka ngexesha okanye emva kokulunyulwa.

Los Iimpawu zesifo sokukrala kwebele Ezona zixhaphakileyo zezi:

• Uvakalelo lwendawo kwindawo yebele, ngamanye amaxesha kunye iqhuma ngenxa yobisi oluqokelelweyo.
• Ubushushu kunye nobubomvu kwicandelo (elihlala limile okwe-wedge).
• Ukudumba nentlungu, ngamanye amaxesha ngokutshisa, ngakumbi ngexesha lokungena.
• Umkhuhlane, ingqele, ukungakhululeki ngokubanzi kufana nomkhuhlane, ukukhathala kunye nesicaphucaphu.

Ukuba uyanikezela intlungu yebele enzulu ukuba akuphucukanga kunye nohlengahlengiso kwi-latch kunye nobuchule bokuncancisa, okanye iqhube ngaphandle kweempawu zangaphandle, inokuba usulelo lwe-ductal okanye i-subacute mastitis, efuna uvavanyo lobuchwephesha.

Uxilongo kunye neemvavanyo

El Uxilongo ludla ngokuba yiklinikhi. ngoviwo kunye nokuhlolwa kwemvelaphi. Kwiimeko ezikhethiweyo, ingcali yakho inokucela a isifuba ultrasound ukulahla ithumba okanye uqinisekise indawo ekuqokelelwa kuyo.

El inkcubeko yobisi Ayisiyonto yesiqhelo, kodwa kuyacetyiswa ukuba ikhona indaleko eyonqenayoimastitis ephindaphindiweyo, kukrokrelwa SARM (i-methicillin-resistant Staphylococcus aureus) okanye ukuba akukho phuculo emva kweeyure ze-24-48 zonyango olufanelekileyo lwe-empirical. Kukhethwa ukuba isampuli ifunyenwe ngaphambi kokuba uqale ukusebenzisa i-antibioticsngococeko lwendawo, ngo utsalo ngesandla nakwizikhongozeli ezingenazintsholongwane.

Ukuba iimpawu aziphuculi emva kokugqiba i-antibiotic okanye ukuba kukho iimpawu ze-atypical, ugqirha wakho unokuncoma yovavanyophinda i-ultrasound okanye nokuba biopsy ukulawula ezinye pathologies ezifana umhlaza webele ovuthayoenokulinganisa isifo sokukrala kwebele.

Unyango lweMastitis

I-mastitis ifuna unyango.Ulawulo ludibanisa imilinganiselo jikelele kwaye, apho kufanelekileyo, amayeza okubulala iintsholongwane ahambelana nokuncancisaUkuqhubeka nokuncancisa ngokuqhelekileyo kukhuselekile kwaye kuyacetyiswa.

Amanyathelo ngokubanzi:

• Lactation kwimfuno ngaphandle kokuvumela isifuba sigcwale kakhulu; nikela icala elichaphazelekayo kuqala ukuba unokunyamezela.
• Ukulungelelanisa ukubamba kunye nesikhundla ukuphucula ukuhanjiswa kwamanzi. Beka i isilevu somntwana Gxininisa kwindawo echaphazelekayo. Funa inkxaso kumbelekisi okanye kumcebisi wokuncancisa.
• ubushushu obuthambileyo (ilaphu elifudumeleyo) ngaphambi nje kokutyisa ukukhuthaza i-ejection reflex kunye kubanda phakathi kweedosi zokukhulula intlungu kunye nokudumba.
• I-anti-inflammatory analgesia ikhuselekile (ibuprofen okanye iparacetamol) ngokwezikhokelo zobungcali.
• Ukuphumla kunye ne-hydrationUcela uncedo kumsebenzi wasekhaya kunye nokunyamekela umntwana.

Ibaluleke kakhulu: ziphephe i uxinzelelo olunzulu okanye i-massage enamandla yesifuba, nto leyo enokwenza kube nzima ngakumbi ukudumba. Ukuba uyadlala ukuphulula, ukuba egudileyo nangaphezuluukusuka kwindawo echaphazelekayo ukuya kwingono kwaye kuphela ukunceda ubisi ukuba luhambe.

ukukhupha ubisi kuxhomekeke kwimeko yakho:

• Ukuba uncancisa ngokuthe ngqo, nikela ngamabele omabini ngexesha lokuncancisa kwaye uphephe "ukukhupha kakhulu" emva kokuba umntwana egqibile. Ukukhupha isandi esingaphezulu kunoko kufuneka inokuqhubela phambili ukudumba ngo ukuvelisa ngokugqithisileyo.
• Ukuba ukhupha ubisi lwebele kuphela, hlengahlengisa ukufunxa kwempompo yebele ku a umgangatho otofotofo kunye nezicatshulwa malunga ne umthamo othathwa ngumntwana wakhoMusa ukunyanzelisa iiseshoni ezinde.
• Ukuba udibanisa ukuncancisa kunye nokutyisa ubisi olungumgubo, luncancise ngalo lonke ixesha usana lwakho lulambile, kwaye ukuba uncancisa olunye lunebhotile, lukhuphe ubisi. isixa esifanayo enikelwa kumntwana.

Ukuba ukukrala kwebele akuphucuki ngala manyathelo, okanye ukuba unomkhuhlane ophezulu kunye neentlungu ezibuhlungu, ugqirha wakho unokukuyalela [amayeza/unyango]. iintsholongwaneIirejimeni eziqhelekileyo (ukhetho luxhomekeke kwimbali, i-allergies kunye nokuxhaphaka kwendawo yokuchasana):

• Umgca ngaphambili akukho kurhanelwa kwe-MRSA: ikloxacillin 500 mg rhoqo kwiiyure ezi-6 kwiintsuku eziyi-10-14 (okanye i-dicloxacillin/flucloxacillin ngokuxhomekeke kubukho) okanye cephalexin I-500 mg nganye iiyure ze-6 kwii-10-14 iintsuku; iyasetyenziswa kwakhona cefadroxil 1 g rhoqo 12-24 h iintsuku 10-14.
• Ukwalana neBeta-lactam: clindamycin I-300-450 mg yonke i-8-12 h kwii-10-14 iintsuku.
• I-MRSA erhanelwayo/eqinisekisiweyo: trimethoprim-sulfamethoxazole 160/800 mg zonke iiyure 12 7-10 iintsuku okanye clindamycin (kuxhomekeke kubuntununtunu). Yiphephe i-TMP-SMX ukuba usana lwakho lunjalo ngaphambi kwexeshaine jaundice, Ukunqongophala kwe-G6PD okanye ngaphantsi kwe-1-2 iinyanga.

Ezinye izikhokelo zisonjululwe kwi Iintsuku ezingama-5-7 ukuba ukuphuculwa ngokukhawuleza; nangona kunjalo, izikhokelo ezininzi zincoma Iintsuku ezingama-10-14 ukunciphisa ukuphinda ubuyele. Thatha umjikelo opheleleyo ngaphandle kokuba kuchazwe ngenye indlela.

Amachiza aluncedo kangako anje amoxicillin-clavulanate Abaqhelekanga ukhetho lokuqala kwi-mastitis enzima; iiquinolones Ziyaphetshwa ngenxa yempembelelo yazo yendalo. Kwiimeko ezinzima (i-sepsis, ukuqhubela phambili ngokukhawuleza) kunokufuneka ukungeniswa esibhedlele kunye ne-antibiotiki emithanjeni.

Indlela yokuphila kunye noncedo lwamayeza asekhaya

Ukongeza ekunyangeni unobangela, Kulumkele ukuchacha kwakho:

• Ungavumeli oomama bakho bafumane gcwalisa ngokugqithisileyo phakathi kokuthatha.
• Faka isicelo amalaphu abandayo okanye iingxowa zomkhenkce emva kokuncancisa ukunciphisa iintlungu.
• Sebenzisa a inkxaso bra ngaphandle kweehupu, ngoko ayicinezeli.
• Phumla kakuhle Yenza konke onako kwaye uhlale ulungile amanzi kunye nokutya.

Kwi-subacute mastitis, ezinye iingcali ziqwalasela iiprobiotics ezithile (Lactobacillus salivarius okanye L. fermentum). Ubungqina buphakathi kwaye ixabiso liphezulu; ukuba iimpawu aziphuculi emva kweentsuku ezingama-7-10, ukupheliswa kuqwalaselwa.

Ungasinqanda njani isifo sokukrala kwebele

Oku kulandelayo iingcebiso baya kukunceda kuthintele isifo sokukrala kwebele kunye nokuphindaphinda kwayo:

• Qinisekisa ukuba umntwana wakho ngena kakuhleKufuneka avule umlomo wakhe banzi ajikeleze ingono kunye nenxalenye elungileyo ye-areola, imilebe yakhe ibheke ngaphandle.
• Guqula indawo kwizikhundla ezahlukeneyo kwaye ubeke isilevu somntwana kwindawo yoxinzelelo ukuya ukuququzelela amanzi.
• Khusela ulindele kakhulu phakathi kokutya kwaye musa ukukhawulela ixesha labo; ukuncancisa kufuneka kube ifuneka ngamandla.
• Ukuba uphose ukuthatha, yenza a utsalo olulinganayo kwi volume ebezoythatha umntana.
• Sebenzisa a bra loo nto ayisebenzisi uxinzelelo kwaye iyayinqanda iihempe.
• Kuphephe ukuvelisa ngokugqithisileyoMusa ukukhaca ubisi obuninzi kunolo lufunwa lusana lwakho.
• Guqula i iiphedi ncancisa rhoqo kwaye uyeke iingono zakho zome emoyeni Xa unako, ngakumbi ukuba kukho iintanda.
• Ukuphulula ngendlela ethile sweet Amaqhuma abangelwa kukuqokelelana kobisi ngexesha lokutyisa okanye phantsi kweshawa efudumeleyo, ngaphandle kweentlungu okanye uxinzelelo olugqithisileyo.
• I-Trata iintanda kwaye kunokwenzeka Usulelo lweCandida Ukuba kukho naziphi na, ukuthintela ukungena kwebhaktheriya.
• Isicwangciso a ukulumla okuqhubelekayo ukuphepha ukuxinana.

Ixesha lokufuna iingcebiso zonyango kunye neempawu ezilumkisayo

Dibana nengcali yezempilo Ukuba uyabonisa:

• umkhuhlane oqhubekayo okanye ukungonwabi okungehliyo kwiiyure ezingama-24-48.
• Intlungu enkulu oko kuphazamisana nobomi bemihla ngemihla.
• Ukukhutshwa kwe-Purulent okanye igazi ngengono.
• Igaqa eliqinileyo, elibuhlungu oko akupheli emva kokuncancisa.
• Axillary lymph nodes ukudumba kwicala elichaphazelekayo.
• Isicaphucaphu/ukugabha ezenza ukuba amanzi okanye amayeza abe nzima.

Funa unyango olungxamisekileyo ukuba lukhona ukwanda ngokukhawuleza, ukubanda okukhulutachycardia, ulusu oluqinileyo kakhulu, okanye iimpawu ze sepsisKubantu abane-immunocompromised, abo banempendulo engafanelekanga kunyango, okanye abo bangazinzanga, ukulaliswa esibhedlele kunokufuneka.

Ukulungiselela ukubonisana

Ukwenza uninzi lotyelelo lwakho, thwala:

• Uluhlu lwe iimpawu kunye nomhla wokuqalisa.
• Amayeza kunye nezongezelelo ukuba uthathe (kunye nedosi).
• Ulwazi lwezonyango olufanelekileyo (i-allergies, imvelaphiinqanaba lenkxaso yokuncancisa).
• iTB imibuzo engundoqo (unyango, ukhuseleko lweziyobisi ngexesha lokuncancisa, ixesha eliqikelelweyo lokubuyisela, ukuthintela ukuphindaphinda).

Ithumba lamabele: yintoni na kwaye linyangwa njani

Ukuba i-mastitis iqhubela phambili, i-tumor inokwakheka. ithumba (ukuqokeleleka kobofu). Ibonakalisa njenge ubunzima obuguquguqukayoIintlungu, ukudumba, kunye nomkhuhlane. I-Ultrasound inceda ukuqinisekisa ubungakanani kunye nendawo.

El unyango lokuzikhethela yiyo inaliti aspiration drainage (ngokukhethekileyo i-ultrasound-guided), ngamanye amaxesha emva kweepunctures ezininzi. Kumathumba amakhulu okanye kwiindawo ezininzi, kusenokufuneka ezinye iinkqubo. Ukusika kunye nokukhupha amanziIsampuli ithathwa kwinkcubeko kwaye yongezwa iintsholongwane (ngomlomo okanye IV kuxhomekeke kubunzima). Ngokufanelekileyo qhubeka nokuncancisaukuthintela umntwana ukuba adibane nezinto ezikhutshiweyo.

Umngcipheko we-MRSA kunye nokhetho lwe-antibiotic

Ezinye izinto zandisa umngcipheko wokuba Usulelo lwe-MRSAUkulaliswa esibhedlele kutshanje, iinkqubo ezihlaselayo, unyango olude lwe-antibiotics, ukuhlala kwiimeko ezixineneyo okanye ezingacocekanga, okanye izifo ezifunyenwe luluntu kwiindawo eziphakamileyo eziphezulu zizinto ezinobungozi. Ukuba i-MRSA ikrokrelwa okanye akukho phuculo emva kweeyure ze-48 zonyango, ugqirha unako tshintsha i-antibiotic kunye nesicelo ukulima.

Ukuncancisa, amayeza, kunye nokhuseleko lomntwana

Ubisi lukamama onemastitis lusamile ikhuselekile kumntwanaIncasa inokutshintsha kancinane, yaye umntwana usenokulandula okwethutyana elo bele; ukuba oku kuyenzeka, khupha ubisi ukugcina ukuveliswa kobisi kunye nokunikezela ngebhotile. Iintlungu zokuthomalalisa ezifana ibuprofen o paracetamol kunye ne-antibiotics eqhelekileyo (umzekelo, cephalexin, cefadroxil, ikloxacillin, clindamycin) ziqhelekile iyahambelana nokuncancisaUkuba unemibuzo, qhagamshelana neengcali kunye nezibonelelo ezikhethekileyo malunga nokuhambelana nokuncancisa.

Ukuba intlungu ikuthintela ukuba uqalise ukuthatha umthamo kwicala elichaphazelekayo, qala nge Isifuba singenantlungu ukwenza i-reflex ephantsi kwaye, xa ubisi luhamba, nikela icala elichaphazelekayoUkulungelelanisa ukubamba kwakho kunye nokuma ngundoqo ziphephe imiqobo emitsha kwaye uphucule ukukhupha.

Ngokungenelela kwangaphambili, inkxaso, kunye nonyango olufanelekileyo, i-mastitis idla ngokuxazulula ngokupheleleyo, ukugcina ukuncelisa okukhululekile kunye nokunempilo. Ziqaphele iimpawu kwangethubaUkukhupha ibele ngokufanelekileyo, ukuphepha ukunyanzeliswa okukhulu, kunye nokusetyenziswa kwe-antibiotics ehambelanayo xa kuyimfuneko ziintsika ezibalulekileyo zokuphilisa kunye nokukhusela ukuphinda ubuyele.