🤱 Nau hnute pek laia Nipple Harsatna

"Doctor, ka naute ka hnute ka pek hian a na lutuk. Ka hnute chu a chhe a, a na a, thisen a chhuak bawk. A na avangin hnute pek ka hlau," tiin kum 25 mi Sanduni chuan a fa hmasa ber, kar khat kalta a a hrin tawh nen clinic-a lo kal chu a tap a.

Dr. Priya chuan a ti thlamuang a, ngilnei takin, "Sandhu, nu thar tam zawk hian a tir lamah he harsatna hi an nei a. Hei hi a chhan ber chu naute chu a hnuteah a inzawm tha lo (Poor Attachment/Latch) a ni. Naute hian a hnute tip chauh a seh a, chu chuan a hnute a ti na a, a hnute a ti na a, i hnute i pek dik chuan heng hliam te hi ni hnih chhungin a reh ang," a ti.

He thuziak-ah hian nute’n nau hnute an pek laiin harsatna lian ber pathum: Sore Nipples, Cracked Nipples, leh Inverted Nipples te, leh in lama tih theih damdawi awlsam tak takte chu chipchiar takin kan sawi dawn a ni.

😣 Hnute na

Nu hnute pe lai zingah hian hnute na hi a awm fo thin. Hei hi naute latching on tha lo vang a ni fo thin. Naute hian hnute a engorged laiin a hnute a inzawm harsat (latch on) vang pawh a ni thei bawk.

I naute hian hnute a pek laiin a na chhunzawm zel a nih chuan a latching on tha lo tihna a ni. Tin, lei tie vang te, Candida/Thrush infection vang te, hnute vasospasm vang te pawh a ni thei bawk.

#### Nipple natna tihziaawmna turin eng nge tih theih ang:

• A theih ang anga rilru hahdam leh hahdam taka awm reng a pawimawh (i hnungzang chu uluk taka thlawp tlat rawh).
• "Chest to Chest, Chin on Breast" position-ah hnute pek tum ang che.
• Hmun hrang hrangah hnute pe rawh. Naute chu position tinah a latching on dik em tih enfiah thin ang che.
• Nipple pakhat chu a sir khatah a na nasat chuan a na lo zawk lam atanga hnute pek tan tur a ni.
• Nau hnute i pek hmain nu hnute tui tlemte chu hnute vel chu hrual hmasa phawt ang che. Hei hian hnute chu a ti nem ang a, a ti hnim bawk ang.
• Hnute vawt emaw, hnah hring emaw (sahbawn, menthol spirits ang chi) leh chemical cream te hman loh tur.
• Naute hnute pek khap a ngai a nih chuan i naute kâ aṭangin hnute chu la chhuak ngai suh. Zawi zawiin i kut zungtang chu i naute hmui kil khatah dah la, a suction chu la chhuak rawh.
• Nu hnute pek zawhah hnute chungah ice pack dah la, natna tihziaawmna atan.
• I hnute chu a vawt reng theih nan fimkhur rawh. Nu hnute i pek hnuah hnute chhehvel chu vawt turin dah la.
• Nipple shield i hmang thei a, chu chuan nipple a veng thei a, bra chhungah pawh dah theih a ni. Zanah underwear tight hak loh tur.

😢 Nipples a chhe

Cracked nipples hi naute hian a hnute zawng zawng leh areola chu a hmuiah a luhtir ai chuan a hnute tip chauh a seh hian a awm thin. A chhan dang chu naupai hnua hnute a vawt tha lo emaw, vun hnim chungah underwear tight tak bun emaw, hun rei tak chhung hnute hnim hring hman emaw a ni.

#### Hnute hrual (cracked nipples) chhinchhiahna: 1.1.

A tirah chuan a crack chu a fiah lo hle mai thei. Hei hi nipple emaw, nipple leh areola inzawmna kil khatah emaw hmuh theih a ni. Nau hnute pek laiin natna nasa tak a awm thei a, a chang chuan thisen a chhuak thei bawk.

#### Hnute hrui hring (cracked nipples) damdawi:

• Naute chu latched on dik a nih a, hnute a pek chuan ni 1-2 chhungin a hnute chhe tawh chu a mah chauhin a dam leh ang.
• Hliam na berna lam ni khat emaw ni hnih emaw chhung chu nau hnute pek kha bansan la, chu lam chu chawlh hahdam tir rawh.
• Chu hnute atanga hnute chu express la, spoon emaw cup fai tak hmangin naute hnenah pe rawh.
• Nau hnute pek dan dik tak entir leh zir turin midwife emaw lactation consultant tawnhriat ngah tak nen inhmukhawm rawh.
• Nipple na a nasat chuan naupai hmain Paracetamol tablet ei hmasa phawt ang che, i doctor thurawn angin.

🙃 Hnute hnunglam (Inverted Nipples) a awm

Inverted nipple chu nautein hnute pek a tum emaw, a hmun thim (areola) a press emaw a, a chhuah ai chuan a chhung lam a pil a ni.

#### Hei hi enkawl theih dan tur:

• Hei hi naupai laiin (a bik takin thla 7-na atang khan) kut hmanga hnute rolling leh stretch-a tih loh theih a ni.
• Hoffman-a hmanraw hman dan:

1. Rilru lamah chuan kraws chu a sir lehlamah ziak la, hnute lai takah kal rawh.
2. I kutpui chu line sir lehlamah, black section sir lamah a sir lehlamah dah rawh.
3. I kutpui chu a sir lehlamah chhuah tir la, hnute lam hawiin press rawh.
4. Tichuan a chung leh a hnuai lam chu a inthlak a, a chung leh a hnuai lam chu hrual rawh. Ni khatah vawi eng emaw zat hetiang hian ti thin ang che.

• Naute a pian hnuah nausen chu sucking reflex a la tha ber laiin hnute pek hi luhtir tur a ni.
• Chaw pek hmain hnute pump emaw syringe technique emaw hmangin hun eng emaw chen chu hnute chu express tur a ni. Naute hian a hnute a hnute chu a pianphungah a kir leh zauh zauh ang.

🚨 Red Flags of Breast Infection zawn nghal tur

Nipple hliam hian natna khirh tak tak, mastitis emaw breast abscess emaw a thlen thei a ni. A hnuaia symptoms te hi i neih chuan doctor pan nghal rawh:

• Hnute hmun khat chu a sen a, a khauh a, a na a, khawih pawhin a lum hle bawk.
• Khawsik leh khawsik leh chills.
• Nipple atanga pus ang maia chhuak.

🛠️ Nau hnute pek awlsam zawk nan Action Steps

• Step 1: I naute hian a hnute a hnek dawnin a hnute chauh ni lovin a chhehvel hmun thim tam zawk (areola) chu naute ka chhungah a lut ngei ngei tur a ni.
• Step 2: I hnute a vawt reng theih nan i hnute i pek apiangin i hnute tui tlem tal hnawih la, a vawt turin dah la.
• Step Pathumna: Nipples a chhe a, thisen a chhuak a nih chuan rei lo te chhung chu hnute pek kha titawp la, spoon hmangin hnute chu express rawh.
• Step Lina: I hnute kha a khauh a, bawnghnute a hring a nih chuan i hnute i pek hmain towel lum leh hnim hmangin hnawih hmasa phawt ang che.
• Step 5: Tui thianghlim (litre 3 vel) in tur leh nitin eitur tha tak ei thin ang che.

📊 Hnute harsatna chi hrang hrang (Nipple Conditions Summary) .

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