Maʻi maʻi umauma

ʻO ka maʻi umauma kahi maʻi i loko o kaʻiʻo o ka umauma.

Hoʻokumu pinepine ʻia nā maʻi umauma e nā bacteria maʻamau (Staphylococcus aureus) loaʻa ma ka ʻili maʻamau. Komo ka bacteria i loko o ka haki a haki paha i ka ʻili, maʻamau ma ka piko.

Hana ʻia ka maʻi i loko o ka momona o ka umauma a kumu i ka pehu. Hoʻopiʻi kēia ʻōhū ma nā kahe waiū. ʻO ka hopena ka ʻeha a me nā puʻupuʻu i ka umauma maʻi.

Kū pinepine nā maʻi umauma i nā wahine e hānai ana i ka waiū. ʻO nā maʻi umauma e pili ʻole ana i ka hānai ʻana i ka waiū he ʻano maʻamau ia o ka maʻi ʻaʻai umauma.

Hiki i nā ʻōuli o kahi maʻi umauma ke hoʻopili ʻia:

• Hoʻonui i ka umauma ma hoʻokahi ʻaoʻao wale nō
• Puʻupuʻu umauma
• ʻEha ʻeha
• ʻO ke kuni a me nā hōʻailona like flu, e like me ka nausea a me ka luaʻi
• Kāwili
• Hoʻokuʻu i ka nipple (loaʻa paha ka pus)
• ʻO ka pehu, ka palupalu, a me ka mehana o kaʻiʻo o ka umauma
• ʻUlaʻula ʻili, ʻo ka pinepine i ke kāʻei
• Mālama a hoʻonui ʻia paha nā lymph node i ka armpit ma ka ʻaoʻao like

E hana kāu mea mālama ola i ka hoʻokolohua kino e kāpae i nā pilikia e like me ka puʻupuʻu, piha i ka pus (abscess). I kekahi manawa hana ʻia kahi ultrasound e nānā no kahi abscess.

No nā maʻi e hoʻi mau ana, hoʻomeheu ʻia ka waiū mai ka nipple. I nā wahine hānai ʻole ʻana i ka waiū, hoʻopili ʻia paha nā hoʻokolohua i hana ʻia:

• Biopsy umauma
• MRI umauma
• Pākuʻi ultrasound
• Mamamogram

Malia paha e mālama iā ʻoe iho i ka hoʻopili ʻana i ka mehana o ka waiū i ka maʻi o ka umauma maʻi no 15 a 20 mau minuke ʻehā mau manawa i ka lā. Pono paha ʻoe e lawe i nā mea hōʻoluʻolu ʻeha.

He maikaʻi loa nā Antibiotics i ka mālama ʻana i kahi maʻi maʻi o ka umauma. Inā ʻoe e lawe i nā lāʻau ʻino, pono ʻoe e hoʻomau i ka hānai ʻana a i ʻole ka pauma e hōʻoluʻolu i ka puhū ʻana mai ka hana ʻana o ka waiū.

Inā ʻaʻole e hele ka abscess, hana ʻia ka moʻo o ka nila ma lalo o ke alakaʻi ʻana o ultrasound, me nā lāʻau ʻaloʻalo. Inā ʻaʻole pane kēia hana, a laila ʻo ka ʻoki a me ke kahawai ka mālama ʻana i nā koho.

Hoʻomaʻemaʻe koke ke kūlana me ka lāʻau antibiotic.

I nā maʻi kūlohelohe, hiki i kahi abscess ke ulu. Pono e hoʻokahe ʻia nā abscesses, ma ke ʻano he keʻena hana a i ʻole me ke ʻoki. Pono kahi lole ʻeha e kōkua me ka hoʻōla ma hope o ke kaʻina hana. Hiki i nā wahine me nā abscesses ke haʻi ʻia e hoʻopau iki i ka hānai ʻana.

Kāhea i kāu mea hāʻawi inā:

• E ʻulaʻula, palupalu, pehu, a wela paha kekahi ʻāpana o kou umauma
• Ke hānai nei ʻoe a hoʻomohala i kahi fiva kiʻekiʻe
• E palupalu a pehu paha nā lymph node i kou ʻāpana lima

Hiki i ka mea aʻe ke kōkua i ka hōʻemi ʻana i ka pilikia o nā maʻi umauma.

• Mālama pono i ka nipple e pale i ka huhū a me ka māha
• ʻO ka hānai pinepine ʻana a me ka pauma ʻana i ka waiū e pale aku ai i ka umauma mai ka pehu (engorged)
• ʻO ke ʻano hānai waiū kūpono me ka latching maikaʻi na ka pēpē
• Weaning mālie, i mau pule he nui, ma mua o ka hōʻoki koke ʻana i ka hānai ʻana

Mastitis; Maʻi maʻi - umauma kiko; Abscess umauma - hope partum mastitis; Hānai hānai - mastitis

• Anatomi umauma wahine maʻamau
• Maʻi maʻi umauma
• Uma wahine

Dabbs DJ, Weidner N. Nā maʻi o ka umauma. I: Dabbs DJ, hoʻoponopono. Pathology umauma. ʻElua ed. Piladelapia, PA: Elsevier; 2017: chap 3.

ʻO Dabbs DJ, Rakha EA. ʻO ka maʻi puʻuwai umauma Metaplastic. I: Dabbs DJ, hoʻoponopono. Pathology umauma. ʻElua ed. Piladelapia, PA: Elsevier; 2017: chap 25.

ʻO Dinulos JGH. Nā maʻi bacteria. I: Dinulos JGH, hoʻoponopono. ʻO Dermatology Lapaʻau ʻo Habif. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 9.

Klimberg VS, Hunt KK. Nā maʻi o ka umauma. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022: chap 35.