He aha nā kumu e hele ai nā nipipū a me nā mea hiki iaʻu ke hana?
Anter
- 1. Hānai hānai
- He aha kāu e hiki ai ke hana
- 2. I ʻole ʻeha a wāwahi ʻia paha ka ʻili
- He aha kāu e hiki ai ke hana
- 3. Piercing a i ʻole nā trauma ʻē aʻe
- He aha kāu e hiki ai ke hana
- 4. maʻi maʻi maʻi
- He aha kāu e hiki ai ke hana
- 5. Papilloma Intraductal
- He aha kāu e hiki ai ke hana
- 6. Ka maʻi ʻaʻai umauma paha?
- Ka maʻi kanesa intraductal
- Carcinoma Lobular
- Maʻi ʻo Paget
- Pehea e mālama ʻia ai nā maʻi ʻōpū o ka umauma
- I ka manawa e ʻike ai i kāu kauka
Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.
ʻO kēia ke kumu o ka hopohopo?
ʻO ka manawa pinepine, ʻaʻole nā nipples kahe e hopohopo. ʻO ka hopena maʻamau ia o kekahi ʻano o ka ʻeha a i ʻole ka hakakā, e like me ka ʻānai ʻana o kou nipple i kahi lei wili a i ʻole mea pālule.
ʻO ke koko a i ʻole nā mea ʻē aʻe, maʻamau ka hoʻokuʻu ʻana o ka nipple maʻamau, ʻoiai me ka hānai ʻana o kou umauma. No nā wahine e ʻimi nei i ka lāʻau no nā ʻōuli e pili ana i ka umauma e hele i ke kauka no ka hemo o ka nipple maʻamau.
E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe e pili ana i ke kumu e kahe ai ke kahe o kou nipples, ka mea hiki iā ʻoe ke hana e loaʻa ai ke kōkua, a i ka manawa e ʻike ai i kāu kauka.
1. Hānai hānai
No nā makuahine manawa mua, hiki i ka hānai ʻana i ka waiū ke hoʻolōʻihi i kahi manawa e haku ai. I nā lā mua, e ʻeha a ʻeha hoʻi kāu nipples. Aia paha he ʻoki koko i ka nipple a i ʻole ka wahi kala e pili ana i ka nipple (areola).
Akā ʻaʻole pono ka waiū hānai a hōʻeha hoʻi i ke kahe. Inā hoʻomau ke kahe o kou nipples i nā lā mua a i ʻole mau pule o ka hānai ʻana, no ka mea ʻaʻole hiki i kāu pēpē ke hoʻopaʻa pono.
ʻO nā hōʻailona ʻē aʻe o kahi latch ʻilihune e komo pū me:
- pālahalaha, a kua ʻia, a i ʻole nā nipples keʻokeʻo ma ka hopena o kahi hānai
- ʻeha ʻeha ma loko o kahi hānai
- Kuhi ʻole kāu pēpē a pololi paha ma hope o ka hānai ʻana
- ʻaʻole ka waha o kāu areola i ka waha o ka pēpē
Inā he hānai waiū ʻoe no kekahi mau mahina a ulu koke ka ʻeha, hiki ke hōʻailona o ka maʻi. Ma kahi o 10 pākēneka o nā wahine hānai hānai i ka maʻi i kekahi manawa.
He aha kāu e hiki ai ke hana
Inā loaʻa iā ʻoe ka ʻeha i ka wā o ka hānai ʻana, e hoʻāʻo e kau i ka manamana lima i ka waha o kāu pēpē e haki i ka sila, a laila hoʻonohonoho hou i kāu keiki. Mālama kahi latch hohonu i ka hohonu o ka nipple i ka waha kahi e palupalu ai ka pā o ka pēpē.
ʻO kahi pēpē i hoʻopaʻa ʻia i ka piko wale nō e hōʻino koke, no laila makemake ʻoe i ka pēpē i hoʻopaʻa paʻa ʻia i ka umauma, me ke kiko o ka nipple a hohonu i ka waha o ka pēpē.
He mea kōkua paha ke kamaʻilio pū me kahi loea lactation e pili ana i nā hana latching pono. ʻO ka haukapila āu i hānau ai he pono i loaʻa.
Hiki iā ʻoe ke hui pū me ka hui kākoʻo hoa like pūnaewele ʻo La Leche League e kamaʻilio pū me nā makuahine hānai ʻē aʻe e pili ana i kā lākou ʻike. E hoʻomaikaʻi aku ʻoe pēpē, a me kou umauma iā ʻoe.
2. I ʻole ʻeha a wāwahi ʻia paha ka ʻili
Hiki ke hopena i ke kahe mai nā kūlana ʻili e kumu ai ka maloʻo a me ka haki, e like me ka dermatitis pili a i ʻole ka ʻili maloʻo.
Kū ka dermatitis pili ke pili ka ʻili o kou ʻili me kahi mea hoʻonāukiuki. He kopa hou paha kēia, mea holoi lole, a i ʻole kahi hoʻomaʻemaʻe ʻoihana ma kahi pāpale hou.
ʻO ka ʻili maloʻo pinepine nā hopena mai ke kū ʻana i ke anuanu a me ka wela. ʻO kahi laʻana, e maloʻo a haki paha kāu mau nipples ma muli o ke kū ʻana i ka wai wela i ka ʻauʻau. Hiki ke hoʻonui ʻia kēia inaina e nā lole paʻa paʻa.
Hiki i nā ʻōuli ʻē aʻe ke:
- ʻumeʻume
- pehu
- ʻili ʻili
- ʻōhū
He aha kāu e hiki ai ke hana
E hoʻāʻo e ʻike i ke kumu o ka huhū o kou nipple a ʻalo iā ia. Ma ka laulā, ʻoi aku ka momona o nā huahana ʻaʻala ʻole i ka ʻili koʻikoʻi. ʻOi aku ka maikaʻi o nā ua wela ma mua o ka wela.
Ke wāwahi kaʻili, he mea nui e pale i ka maʻi. E mālama i ka maʻemaʻe o ka wahi me ke kopa a me ka wai a hoʻopili i kahi hamo antibiotic, e like me Neosporin, a hiki i kona wā e hoʻōla ai. Inā hoʻomau ke ʻano, e ʻike i kāu kahu mālama ola no nā kalima kuhikuhi.
3. Piercing a i ʻole nā trauma ʻē aʻe
Lawe ʻia ka hou ʻana i ka nipple hou i ʻelua a ʻehā mau mahina e hoʻōla ai, i loko o ia manawa, kahe ke koko. ʻO nā maʻi ʻino, hiki ke hoʻomohala i nā wā ʻelua a ma hope o ka hoʻōla, hiki ke hana i kahi hōʻiliʻili o ka pus (kahi abscess) e hana i loko o ka nipple a i ʻole areola.
ʻO kēlā me kēia mea e haki i ka ʻili hiki ke kumu i ke kahe ʻana a alakaʻi i ka maʻi. Hana ʻia ka hapa nui o ka ʻōpū ma lalo o nā kūlana sterile, akā hiki i kahi trauma nipple ʻē aʻe ke hoʻolauna i ka bacteria. Hiki i kēia ke hana i ka manawa o ka nipple stimulate, keu hoʻi i ka wā e haki ai ka ʻili e nā nahu, nā nipple clamp, a i ʻole nā mea pāʻani ʻē aʻe.
Nā ʻōuli o ka maʻi pū kekahi:
- ʻulaʻula a me ka pehu
- ʻeha a palupalu paha i ka hoʻopā
- hoʻokuʻu a hoʻokuʻu paha
He aha kāu e hiki ai ke hana
E mālama i ka wahi a puni i kou ʻō aku a i ʻole ʻeha a maʻemaʻe paha. E holoi me ke kopa a me ka wai mehana a i ʻole kahi holoi antiseptic, e like me Bactine. ʻO ka pulu ʻana i kou hā ʻana i kahi hopena o ka wai mehana a me ka paʻakai i nā manawa he nui i kēlā me kēia lā hiki ke kōkua i ka mālama ʻana a me ka pale ʻana i ka maʻi.
Inā hoʻomohala ʻoe i kahi abscess a i ʻole ʻehaʻeha loa, pono ʻoe e hele koke i kāu kauka. Hiki i kāu kauka ke hoʻopau i ka ʻeha a kuhikuhi i kahi papa o nā antibiotic waha.
4. maʻi maʻi maʻi
ʻO ka mastast kahi maʻi maʻi hānai e hōʻeha i ka ʻeha a me ka ʻulaʻula. ʻO ka mea maʻamau i nā wahine e hānai ana i ka waiū, akā hiki ke hiki i kekahi. Kū pinepine ia i loko o ʻekolu mau mahina o ka hānau ʻana.
ʻAʻole kumu ka Mastitis i ke kahe ʻana o ka nipple. ʻO ka manawa pinepine ke ʻano ʻē aʻe; naha, ʻino, nipples kahe e hāʻawi i kahi komo no ka bacteria, a hiki ke alakaʻi i kahi maʻi mastitis.
Nā hōʻailona o ka mastitis:
- ʻeha o ka umauma a palupalu paha
- mehana i ka hoʻopā
- manaʻo like flu nui
- pehu umauma a puʻupuʻu paha
- ʻeha a puhi paha i ka wā hānai
- ʻula ʻula
- ke kuni a me ka haʻalulu
He aha kāu e hiki ai ke hana
Inā manaʻo ʻoe he mastitis kāu, e ʻike i kāu kauka. ʻO ka hapa nui o nā hihia e mālama ʻia me 10 a 14 mau lā o nā antibiotic oral. Pono ʻoe e ʻoi aku ka maikaʻi i loko o kekahi mau lā, akā maʻalahi ia no ka pule aʻe a ʻelua paha.
E kauoha ke kauka i kahi palekana antibiotic no ka hānai ʻana, a hoʻomau ka hānai ʻana. Hiki i ka Engorgement ke hōʻeha i ka pilikia ke hānai ʻoe i ka waiū.
Inā ulu kahi abscess kokoke i ka piko, pono paha e ninini ʻia. Me ka ʻae a kāu kauka, hiki iā ʻoe ke mālama i ka ʻeha a me ke kuni me nā mea hōʻemi ʻoi loa o ka counter (OTC) e kōkua ai e hōʻemi i ka pehu. ʻO nā koho i makemake nui ʻia ʻo ibuprofen (Advil) a me naproxen (Aleve).
5. Papilloma Intraductal
ʻO nā papilloma intraductal kekahi o nā kumu maʻamau o ka nipple kahe, keu hoʻi inā e kahe ana ke koko mai ka nipple, e like me ka waiū. He mau benign benign (noncancerous) ulu lākou i loko o nā kahe waiū.
ʻO kēia mau tumors he liʻiliʻi a ʻano like me ka wart. Hiki paha iā ʻoe ke haha ma hope a ma hope paha o ka piko. Pili kokoke lākou i ka nipple, ʻo ia ke kumu e kumu ai lākou i ke kahe a me ka hoʻokuʻu.
ʻO nā hōʻailona kūpono ʻē aʻe e pili pū me:
- holoi keokeo, keʻokeʻo, a i ʻole ke koko
- ʻeha a palupalu paha
He aha kāu e hiki ai ke hana
Inā kahe pololei ke koko mai kāu nipple, ʻike i kāu kauka. Hiki i kāu kauka ke hōʻoia i kāu mau hōʻailona a kuhikuhi iā ʻoe i nā kaʻi e hiki mai ana. Inā ʻoe e pili ana i ka papilloma intraductal, hiki iā lākou ke ʻōlelo ʻoki ʻia me ka wehe ʻana i nā aʻa i hoʻopili ʻia.
6. Ka maʻi ʻaʻai umauma paha?
ʻO ka hoʻokuʻu ʻana i ka nipple kahi hōʻailona o ka maʻi ʻaʻai umauma, akā ʻaʻole maʻamau kēia ʻōuli.
E pili ana i nā wahine i mālama ʻia i nā hale maʻi maʻi umauma me ka hoʻokuʻu nipple. ʻAʻole maopopo inā pili kēia i ka hoʻokuʻu koko. Eia nō naʻe, aia kahi puʻupuʻu a nui paha i kēia mau hihia.
keʻimi nei i ka pilina pili ma waena o ke kala o ka nipple a me ke koʻikoʻi o ka maʻi ʻaʻai. ʻOiai ke manaʻo nei kekahi e pili ana ka hoʻokuʻu kala ʻana me nā maʻi maʻi umauma ʻino (invasive), pono e noiʻi hou e hōʻoia i kēia mau hopena.
Ka maʻi kanesa intraductal
ʻO ke ʻano o ka maʻi ʻaʻai umauma i loaʻa i kekahi e hoʻoholo ʻia e kahi kikoʻī kahi e hoʻomaka ai:
- ʻO nā kinikini nā tumors i hiki ke ulu i nā ʻōpū a me nā ʻaʻa i loko o ke kino.
- ʻO nā maʻi maʻi ductal nā tumors e hoʻomaka i loko o nā kahe waiū.
- ʻO ka carcinoma Intraductal, i kapa ʻia hoʻi he carcinoma ductal in situ (DCIS), ʻo ia ka ʻano maʻamau o ka maʻi ʻaʻai umauma noninvasive. Ma kahi o hoʻokahi o ʻelima mau maʻi ʻōpio ʻo DCIS.
ʻAʻole nonisvasive ʻo DCIS no ka mea ʻaʻole ia i hohola ma ʻō aku o ke kahena waiū i ke koena o ka umauma. Akā manaʻo ʻia ʻo DCIS ma mua o ka maʻi ʻaʻai no ka mea hiki ke lilo i invasive, ʻoiai ʻo kēia. ʻAʻole kumu ʻo DCIS i nā ʻōuli. ʻIke pinepine ia i ka wā o ka mammogram.
Carcinoma Lobular
ʻO nā lobule nā glands i ka umauma kuleana no ka hana ʻana i ka waiū.
- ʻO Lobular carcinoma ma situ kahi ʻano hou o ka maʻi ʻaʻai ʻole i pālahalaha aku i ke koena o ka umauma.
- ʻO ka maʻi maʻi lobular invasive ka maʻi ʻaʻai i hohola ma ʻō aku o ka lobule, hiki i nā lymph node a me nā ʻāpana ʻē aʻe o ke kino.
He laha ʻole ka maʻi maʻi lobular invasive. Ma kahi o 8 o 10 mau maʻi ʻūpē invasive e hoʻomaka ai i nā kahe waiū (invasive ductal carcinoma), ʻaʻole nā glands.
ʻO nā carcinoma lobular wana he mau ʻōuli. Ma hope, kumu paha ia:
- ʻāpana o ka mānoanoa ma ka umauma
- kahi ʻokoʻa o ka piha a i ʻole ka ʻōhū ʻana i ka umauma
- kahi loli i ke ʻano a i ʻole ke ʻano o ka ʻili umauma (dimpling a manoanoa)
- he nipple huli hou
Maʻi ʻo Paget
ʻO ka maʻi maʻi Paget o ka umauma kahi ʻano laha ʻole o ka maʻi ʻaʻai umauma e hoʻomaka ma ka nipple a hoʻonui i ka areola. Hoʻololi pinepine ia i nā wahine o ka makahiki 50 a ʻoi paha.
Kū pinepine ka maʻi o Paget i ka hui pū ʻia me kahi ʻano ʻē aʻe o ka maʻi ʻaʻai umauma, ka maʻi maʻamau o ka maʻi ʻaʻai maʻi maʻi i ka wahi (DCIS) a i ʻole ke kanesa maʻi kūpuna invasive.
ʻO nā ʻōuli o ka maʻi ʻo Paget:
- pala, scaly, a me ka nipple ʻulaʻula a me ka areola
- koko nipple
- hoʻokuʻu nipple melemele
- nipple pālahalaha a i ʻole huli ʻia
- lapalapa ʻana a i ʻole nū makaʻu
Pehea e mālama ʻia ai nā maʻi ʻōpū o ka umauma
Manaʻo nā kauka i nā kumu like ʻole he nui ma mua o ka noi ʻana i kahi lāʻau maʻi maʻi umauma. Pākuʻi ʻia kēia:
- ke ʻano o ka maʻi ʻaʻai umauma
- kona pae a me ka papa
- kona nui
- inā makaʻala nā hunaola maʻi ʻaʻai i nā hormoni
Koho nā wahine he nui i ka hana ʻoki kino no ka maʻi ʻaʻai umauma. Kaukaʻi ʻia i ka nui a me ka papa o kāu tumo, pili paha ke kahakaha ʻana i ka hemo ʻana o ka puʻupuʻu (lumpectomy) a i ʻole ka hemo ʻana i ka umauma holoʻokoʻa (mastectomy).
Hoʻohui pinepine ʻia ke kīʻaha me nā lāʻau hou aʻe, e like me chemotherapy, hormone therapy, a radiation paha. I kona wā mua, hiki ke mālama ʻia i kekahi mau maʻi ʻōpū me ka radiation wale nō.
I ka manawa e ʻike ai i kāu kauka
Inā ʻoi aku ka lōʻihi o ka hoʻokuʻu ʻana i ka nipple koko ma mua o hoʻokahi lā, e hoʻopaʻa i kahi manawa e ʻike ai i kāu kauka. E holo kāu kauka i nā hoʻokolohua kiʻi e nānā no nā mea āpau ʻole i loko o ka umauma. Hoʻopili paha kēia i kahi ultrasound, MRI, a i ʻole mammogram.
E ʻike koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau mea:
- he puʻu hou a puʻupuʻu paha
- ke kuapo a i ʻole nā ʻano hoʻololi ʻē aʻe
- nipple huli hou a papaha paha
- ʻili, ʻōniʻoniʻo, ʻāpala, a i ʻole ka hū ʻana o ka areola
- ʻulaʻula a i ʻole ʻili ʻana o ka ʻili ma ka umauma
- nā hoʻololi i ka nui, ke ʻano, a i ʻole ke ʻano o ka umauma
ʻO nā ʻoki, nā māwae, a i ʻole nā mea ʻino ʻē aʻe i ka ʻili ma kou umauma ʻaʻole pono e mālama koke ʻia. Inā hoʻomaikaʻi ʻole nā ʻōuli a ʻike paha ʻoe i nā hōʻailona o kahi maʻi, e kāhea i kāu kauka. ʻO nā hōʻailona o ka maʻi pū kekahi:
- ke kuni a me ka haʻalulu
- ʻulaʻula
- wela ka umauma i ka hoʻopā
- ʻeha a palupalu nui paha