So wowɔ akisikuru bi a ɛyɛ yaw nso wɔ wo nufu ase? Nkyerɛkyerɛmu a ɛfa (Subareolar Abscess) ho ni!

So woate biribi a ɛyɛ nwonwa, ɛyɛ yaw, anaasɛ akisikuru ketewaa bi wɔ wo nufu mu, titiriw wɔ nufu no ho pɛn? Ebia ɛnanom binom behyia eyi, titiriw bere a wɔrema nufu no. Ɛwom sɛ eyi yɛ hu kakra de, nanso sɛ wɔbɔ yɛn amanneɛ yiye a, biribiara nni hɔ a ɛsɛ sɛ yɛhaw yɛn ho wɔ ho. Ɛnnɛ yɛrebɛka tebea a ɛte saa ho asɛm, a wɔfrɛ no `(Subareolar Abscess)`.

Dɛn ne nea wɔfrɛ no ``(Subareolar Abscess)`` yi ho sɛnkyerɛnne?

Sɛ yɛbɛka no tiawa a, ``Subareolar Abscess`` yɛ akisikuru a wɔaboaboa ano a ɛba wɔ honam ani tuntum a atwa wo nufu ho ahyia (a wɔsan frɛ no ``Areola``) no ase. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ ``Nufu mu Akisikuru`` bi. Ɛtɔ da bi a, ɛsan nso tumi ba sɛ ɔhaw a ɛfiri nufu mu yareɛ, ``Mastitis``. Ebia wobɛte nka sɛ akisikuru ketewaa bi wɔ wo honam ani. Ebia ɛbɛyɛ yaw sɛ wode wo nsa bɛka, na ebetumi ayɛ akisikuru.

Afei ma yɛnhwɛ nea ɛkyerɛ titiriw no:

• Ɛyaw: Eyi ne sɛnkyerɛnne a edi kan a ɛda adi. Ebetumi ayɛ nea emu yɛ den.
• Akuru bi a ɛwɔ wo honam ani: Ebia wobɛte akisikuru bi a ɛte sɛ nea wokurakura wo nsam no nka.
• Akuru no ho a ɛho ahonhon: Ebia ɛbɛyɛ te sɛ nea beae a atwa akuru no ho ahyia no ahonhon.
• Honam ani nsakrae: Wora a ɛwɔ akuturuku no so no betumi ayɛ kɔkɔɔ anaasɛ ne kɔla asesa, na sɛ woka a, ebetumi ayɛ hyew.
• Nufu a wɔadan no: Ɛtɔ mmere bi a, ebetumi ayɛ te sɛ nea nufu no dannan.
• Nsuo a ɛfiri akisikuru mu: Ebia akisikuru a ɛyɛ kɔkɔɔ bɛfiri akuru no mu.

Nea ɛka saa sɛnkyerɛnne ahorow yi ho no, ebia wubenya yare bi a ɛte sɛ atiridiinini nso , a ɛkyerɛ sɛ wobɛte nka sɛ wo ho ayɛ wo yaw, wo ho ayɛ wo hyew, anaasɛ wo ho bɛtɔ wo.

Nea ɛho hia sen biara: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, nsusuw ho mpo sɛ wobɛsa wɔ fie. Kɔ oduruyɛfo nkyɛn ntɛm ara. Ɛno ne ade a eye sen biara a ɛsɛ sɛ woyɛ.

Adɛn nti na saa `(Subareolar Abscess)` yi yɛ? Dɛn na ɛde ba?

``Subareolar Abscess'' taa ba sɛ tebea bi a wɔfrɛ no ``Mastitis'' ho haw.Momma yɛnhwɛ nea ɛyɛ ankasa.

Mastitis yɛ wo nufu mu ntini a ɛyɛ hyew. Ɛtɔ mmere bi a, saa ɔfe yi betumi ama obi anya ɔyare mmoawa a wɔfrɛ no Bacterial Mastitis. Wo de susuw ho hwɛ, ɛna bi wɔ hɔ a wɔfrɛ no Nilmini, na ɔrema ne ba no nufu. Ɔtee ɛyaw, kɔkɔɔ ne atiridii wɔ ne nufu mu mpofirim. Wamfa n’adwene ansi so kɛse. Nnan abien anaa abiɛsa akyi no, ɛyaw no mu yɛɛ den na ofii ase tee akisikuru bi nka wɔ ne basa mu. Ɛno ne bere a Abscess, anaasɛ akisikuru betumi ayɛ kɛse.

Sɛ wɔsa a, wobetumi agyae saa `(Mastitis)` tebea yi wɔ hɔ ara. Nanso sɛ wɔansa a, ɔyare mmoawa no kɔ soro nkakrankakra, na nsu (akisikuru ne nufusu) fi ase boaboa ano wɔ baabi biako. Saa nsuo a wɔaboaboa ano no ne deɛ yɛfrɛ no `(Abscess)` anaasɛ akisikuru a akisikuru ahyɛ mu ma.

Ɛwom sɛ yɛreka ``Subareolar Abscess`` a ɛba nufu no ase ho asɛm de, nanso ɛho hia sɛ yɛkae sɛ saa akisikuru yi betumi ayɛ nufu no mu baabiara. Aduruyɛ din a wɔde frɛ akisikuru biara a ɛba nufu no mu ne ``Nufu mu akisikuru``.

Nneɛma bɛn na ɛma asiane a ɛwɔ hɔ sɛ obi benya `(Subareolar Abscess)` no yɛ kɛse?

Saa tebea yi taa ba ɛnanom a wɔma wɔn nufu so . Sɛ ɛno da nkyɛn a, nneɛma afoforo pii wɔ hɔ a ɛma asiane yi yɛ kɛse:

• Sigaretnom: Eyi ne ade titiriw a ɛde nufu mu yare ba.
• Sɛ nnansa yi ara na wɔabɔ wo nufu mu a: Ɛnyɛ den sɛ ɔyare mmoawa betumi afa mu akɔ mu.
• Inverted Nipple: Nnipa a wɔwɔ saa tebea yi nso wɔ asiane kɛse mu sɛ wobenya ɔyare no.

Dɛn ne nsɛnnennen a ebetumi afi tebea yi mu aba?

Sɛ wɔansa no yiye, anaasɛ sɛ saa `(Subareolar Abscess)` yi kɔ so san ba bio wɔ ayaresa akyi mpo a, ebetumi de tebea bi a wɔfrɛ no `(Milk Fistula)` aba. `(Milk Fistula)` yɛ ade a ɛte sɛ nsukorade a ɛnyɛ ne kwan so a ɛtrɛw fi nufusu kwan bi so kɔ honam ani. Ne saa nti, sɛ́ anka nufusu befi nufusu no mu aba no, nufusu fi ase tu fi nufu no fã foforo. Wo de susuw sɛnea ɛno nyɛ ahotɔ no ho hwɛ.

Ɛntaa mma sɛ nufu mu akisikuru betumi de ɔhaw a emu yɛ den a ɛde nkwa to asiane mu a wɔfrɛ no ``sepsis.`` Sɛ wowɔ ``sepsis`` sɛnkyerɛnne a edidi so yi mu biara a, ɛsɛ sɛ wokɔ ayaresabea dan a wɔhwɛ ntɛmpɛ so ntɛm ara :

• Awɔw nti me ho popo.
• Kesereneeyɛ
• Koma a ɛbɔ denneennen
• Huraeɛ
• Ɔhome a ɛyɛ den

Ɔkwan bɛn so na nnuruyɛfo hu eyi pɛpɛɛpɛ?

Sɛ wokɔ oduruyɛfo nkyɛn a, wɔbɛyɛ nea edidi so yi de ahu sɛ ɛyɛ ``Subareolar Abscess'' anaa:

• Wobebisa wo wo yare no ho sɛnkyerɛnne ne da a efii ase no ho asɛm. Ka asɛm pɔtee bi.
• Wɔyɛ nipadua mu nhwehwɛmu. Ɛno kyerɛ sɛ wɔbɛhwehwɛ nufu no mu.
• Wɔyɛ mfoninitwa sɔhwɛ ahorow. Mpɛn pii no wɔyɛ ultrasound. Ɛtɔ mmere bi a wobetumi ayɛ mammogram nso.
• Wɔfa nsu a efi akuru no mu de kɔ aduruyɛdan mu sɛnea ɛbɛyɛ a wobehu ɔyare mmoawa pɔtee a ɛde ɔyare no reba.

Nea ɛka eyi ho no, sɛ ɛho hia a, oduruyɛfo no nso betumi ayɛ nhwehwɛmu foforo.

Ɔkwan bɛn so na wɔsa `(Subareolar Abscess)`?

Sɛ wɔresa ``Subareolar Abscess`` a, wɔyɛ nneɛma atitiriw abien:

1. Nnuru a ekum ɔyare mmoawa: Wo duruyɛfo begyina wo yare no ho sɛnkyerɛnne ne mmoawa ko a wɔde ɔyare no ba so apaw nnuru a ɛfata a ekum ɔyare mmoawa. Mpɛn pii no, aduru a edi kan a wɔde sa nufu mu akisikuru ne aduru bi a wɔfrɛ no Trimethoprim-sulfamethoxazole. Ɛho behia sɛ wonom saa nnuru yi bɛyɛ nnafua 10 kosi 14.

2. Sɛ woyi akisikuru fi akuru no mu (Abscess Drainage): .Oduruyɛfo no bedi kan de aduru bi a ɛma obi dwensɔ wɔ mpɔtam hɔ bɛhyɛ mu na ama baabi a ɛhɔ yɛ mmerɛw no ayɛ mmerɛw. Afei, fa ade hyɛ mu anaasɛ twa ketewaa bi na ama nsu a ɛwɔ akisikuru no mu no akɔ. Saa adeyɛ yi boa wɔ yare no a wohu ne ayaresa nyinaa mu.

Ɔkwan bɛn so na ɛsɛ sɛ wohwɛ kuru no wɔ fie?

Wo duruyɛfo bɛkyerɛ wo sɛnea wobɛhwɛ kuru no wɔ fie. Ebia ɔbɛka akyerɛ wo nso sɛ "fa kuru no hyehyɛ mu." Eyi kyerɛ sɛ wɔde biribi te sɛ gauze bɛhyɛ baabi a woyii akisikuru no fii hɔ no ma. Eyi bɛboa ma kuru no ayɛ yiye afi mu akɔ akyi. Ɛbɛtew asiane a ɛwɔ hɔ sɛ akisikuru a ɛbɛsan ayɛ bio no so nso.

Sɛ ``Subareolar Abscess'' bi ba a, dɛn na ɛba? Bere tenten ahe na egye ansa na asa?

Sɛ wosa wo yare wie a, wo nufu no befi ase ayɛ yiye wɔ adapɛn kakraa bi mu. Ɛho hia sɛ wohwɛ kuru no sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ. Wo duruyɛfo nso bɛka akyerɛ wo sɛ ɛho hia sɛ wosan ba bɛhwɛ wo anaa.

So metumi ama me ba no nufu kosi sɛ ne ho bɛtɔ no?

Ɛyɛ papa sɛ wubebisa wo duruyɛfo no eyi ho asɛm na woanya afotu a ɛfata wo. Mpɛn pii no, ɔhaw biara nni ho sɛ wobɛma wo ba no nufu kosi sɛ kuru no bɛsa. Ma wo ba no nufu sɛnea wotaa yɛ no (kyerɛ sɛ, ɛnyɛ pii, ɛnyɛ kakraa bi).

Sɛ nhwɛso no, sɛ na worenom nufu nnɔnhwerew abiɛsa biara anaasɛ worebɔ pɔmpɛ ansa na eyi asi a, kɔ so yɛ saa. Eyi bɛboa wo ma woakɔ so anya nufusu a ɛfata ama wo ba no. Sɛ wɔtaa pɔmpɔ a, ebetumi ama nufu no ayɛ hyew na ayɛ kɛse.

Sɛ woreyɛ nhyehyɛe sɛ wobɛkɔ so ama wo ba no nufu a, mma wo werɛ mmfi sɛ wobɛka akyerɛ wo duruyɛfo. Obetumi ayɛ nsakrae wɔ nnuru a ekum ɔyare mmoawa a wɔde ma wo no mu ma ɛne no ahyia.

Wobɛyɛ dɛn atumi atew `(Subareolar Abscess)` a ɛba no so?

Kae sɛ yɛadi kan aka sɛ sigaretnom yɛ ade titiriw a ɛde nufu mu kokoram ba. Enti, sɛ woyɛ obi a ɔnom sigaret a, wo ne wo duruyɛfo nkasa nkyerɛ akwan a wobɛfa so agyae. Ɛyɛ papa ma w’akwahosan nyinaa.

Nea ɛka ho no, wubetumi nso ayɛ nea edidi so yi na ama asiane a ɛwɔ hɔ sɛ wubenya nufu mu akisikuru no so atew:

• Nya mmoa pa ma nufu a wɔde ma: Nya mmoa wɔ wo ba no a wobɛkyekyere no yiye no mu.
• Kwati sɛ wobɛma wo ba boro so: Fa pɔmpɛ/ma aduan sɛnea wo ba no ahiade te saa bere no nkutoo.
• Kwati sɛ wobɛsesa mpɛn dodow a wɔde pɔmpɛ no mpofirim.
• Sɛ ɛbɛyɛ yiye a, ma wo ba no nufu tẽẽ.

Ebia wususuwii sɛ wo ba a wobɛma no nufu no bɛyɛ asɛnnennen, nanso wunsusuw da sɛ akisikuru a ɛyɛ yaw te sɛ eyi bɛyɛ saa akwantu no fã.Adeɛ a ɛho hia paa ne sɛ wobɛhwehwɛ aduruyɛfoɔ afotuo ntɛm ara sɛ wowɔ ``Subareolar Abscess'' ho sɛnkyerɛnne – kyerɛ sɛ, ɛyaw, honam ani kɔla a ɛsakra, akuru, ne nea ɛkeka ho Ayaresa betumi aboa wo nufu no yareɛ. Afei wubetumi anya apɔwmuden na wo ne wo ba no anya bere a ɛsom bo yi mu anigye.

Awiei koraa no, ade a ɛho hia sen biara (Take-Home Message) .

Enti, yɛaka nea `(Subareolar Abscess)` yɛ, sɛnea ɛkɔ so, nea ɛkyerɛ, nea ɛyɛ ayaresa, ne sɛnea wobesiw ano. Ade titiriw a ɛsɛ sɛ wokae ne sɛ, sɛ wuhu biribi a ɛyɛ soronko wɔ wo nufu mu, te sɛ ɛyaw, akisikuru, anaa kɔkɔɔ a, mmu w’ani ngu so. Kɔ oduruyɛfo nkyɛn ntɛm ara na nya afotu. Sɛ wuhu ntɛm a, ɛnyɛ den sɛ wobɛsa na wo ho atɔ wo ntɛmntɛm. Ɛnyɛ wo nko ara, nnipa pii hyia nneɛma a ɛte sɛɛ. Nsuro, kɔ so yɛ den, na nya aduruyɛ mu mmoa a ɛho hia.

` Subareolar Abscess, Nufu mu Nyarewa, Akisikuru, Nufu mu yare, Mmea Akwahosan, Ɛnanom a Wɔma Nufu, Nufu mu Ɛyaw