Mama omtsha, ngaba amabele akho avuvukile kwaye abuhlungu? Makhe sithethe nge-(Ukuqunjelwa kwebele)!

Umele ukuba wonwabile kakhulu ukuba nomntwana wakho omncinci kweli hlabathi, akunjalo? Kodwa njengomama omtsha, usenokuba ujongene namava amatsha kwaye ngamanye amaxesha ungabi nazingxaki zingako. Ngaba amabele akho aqala ukuba makhulu, aqine, kwaye mhlawumbi ade abuhlungu kwiintsuku ezimbalwa emva kokufumana umntwana wakho? Oku kuqhelekile koomama abaninzi, kwaye sikubiza oku njengokuzala kwamabele.

Yintoni le 'Breast Engorgement'?

Ngamafutshane, "Ukuxutywa Kwebele" kuxa amabele akho evuvukala kwiintsuku zokuqala emva kokufumana umntwana. Ubusazi na, oku kwenzeka xa umzimba wakho utshintsha ukusuka kwinqanaba lokuqala lokuncancisa, eliqala ngexesha lokukhulelwa, ukuya kwinqanaba lesibini. Xa ubisi lwakho lufika kwiintsuku ezimbalwa emva kokufumana umntwana, umzimba wakho ulungiselela ukuvelisa ubisi olungakumbi. Ukunceda koku, igazi elininzi kunye nolwelo lwe-lymph luhamba emabeleni akho. Oku kubangela ukuba ulwelo luqokeleleke phakathi kwezicubu zebele, nto leyo ebangela le ntlungu kunye nezinye iimpawu.

Kodwa kukho iindaba ezimnandi. Oku kudumba kwamabele kwangoko kungokwexeshana . Iimpawu zihlala zifikelela esiphelweni emva kweentsuku ezintlanu emva kokubeleka. Oku kudumba kufuneka kuphele malunga neeveki ezimbini. Kukho iindlela ezininzi ezisebenzayo zokunceda ukunciphisa ukungonwabi ngeli xesha.

Uziva njani xa amabele akho evuvukile?

Ukuba amabele akho avuvukile, ungaziva izinto ezinje:

• Ukudumba kwamabele omabini, ingakumbi iindawo ezingaphantsi kwesifuba.
• Intlungu yebele ngamanye amaxesha inokuba qatha kancinci.
• Xa uchukumisa amabele akho, avakala eqinile kwaye enamandla, njengelitye.
• Amaxesha amaninzi, umkhuhlane, ukubanda, kunye nokubila kunokwenzeka.

Olu tshintsho ludla ngokuqala phakathi kweentsuku ezintathu ukuya kwezintlanu emva kokuba umntwana ezelwe. Ngamanye amaxesha, oku kudumba kusenokungaqali de kube ziintsuku ezisithoba okanye ezilishumi emva kokuba ezelwe. Enye into kukuba oku kudumba kunokwenzeka nangaliphi na ixesha xa kukho ukungalingani phakathi kobungakanani bobisi oluveliswayo kunye nobungakanani bobisi umntwana wakho aluselayo aze alususe. Yiyo loo nto le meko ixhaphake kakhulu kwabo bapompa ubisi endaweni yokwetyisa ngokweemfuno zomntwana, kuba ixesha lokukhupha ubisi asiloxesha umntwana wakho akuxelela lona.

Xa amabele akho edumbile, kunokuba nzima kancinci kumntwana wakho ukuba abambelele esifubeni sakho.

Ukuba unomkhuhlane okanye umkhuhlane, ungacinga ukuba unosulelo. Kodwa oko akusoloko kunjalo. Ezi mpawu zinokuvela nokuba ukudumba kwebele kuphela, kuba kunokuchaphazela umzimba wonke. Nangona kunjalo, ezi mpawu zinokuvela nakwiimeko zosulelo lwebhaktheriya, oluhamba nokudumba kwengono (Inflammatory Mastitis) okanye (Bacterial Mastitis). Nangona kunjalo, imeko idla ngokuba mandundu emva kweentsuku ezimbalwa kwaye ihambisane nobushushu kunye nokubomvu kwebele.

Kungoko ke, kubaluleke kakhulu ukubona ugqirha ukuba ubona naluphi na utshintsho emabeleni akho. Banokufumana unobangela baze bakuncede ukuba ulawule kakuhle.

Yintoni umahluko phakathi kokudumba kwamabele (ukuxutywa) kunye nokukhupha ubisi oluninzi (i-Hyperlactation)?

Ukukhupha ubisi olungaphezulu okanye olugqithisileyo, kuxa umzimba wakho uvelisa ubisi olungaphezulu kunolo lufunwa ngumntwana wakho (okanye ziintsana). Ukukhupha ubisi olungaphezulu kunokuba luphawu lokukhupha ubisi olungaphezulu, kodwa ukukhupha ubisi olungaphezulu akuthethi ukuba unobisi oluninzi.

Ungawubona njani umahluko phakathi komhlaza webele obangelwa kukuvuvukala kunye nomhlaza webele obangelwa kukuvuvukala?

Ukuminyana kwamabele kudla ngokuchaphazela amabele omabini ngokulinganayo. Oku kuthetha ukuba amacala omabini avuvukala ngokulinganayo. Nangona kunjalo, uhlobo lomhlaza wamabele olubizwa ngokuba yi-inflammatory breast cancer ludla ngokuchaphazela ibele elinye kuphela. Kwimeko enjalo, uya kubona ukudumba okungalinganiyo kwicala elinye lebele. Ngolu hlobo lomhlaza olusasazeka ngokukhawuleza, unokubona nezinye iimpawu ezifana nokutshintsha kombala wolusu, ukufiphala, kunye nokubomvu. Kwezinye iintlobo zomhlaza wamabele, elinye ibele linokudumba ngenxa yokuvaleka kwemibhobho yobisi.

Ukuba uneqhuma kwelinye lamabele akho, bonana nogqirha ngoko nangoko. Isenokungabi ngumhlaza, kodwa kubalulekile ukuba uye kuhlolwa ngoko nangoko ukuze kuthintelwe ukuba kunokwenzeka. Umhlaza Webele Ovuvukeleyo (IBC) usasazeka ngokukhawuleza, ngoko ke udinga unyango olukhawulezileyo.

Yintoni ebangela ukudumba kwamabele?

Eyona nto ibangela ukudumba kwamabele kukwanda kwegazi kunye ne-lymph - ulwelo olungenambala, olunamanzi - olungena emabeleni akho. Oogqirha bakwabiza oku ngokuthi "yiHyperemia", oko kuthetha ukuba kukho igazi elininzi kakhulu elihamba kwindawo ethile yomzimba. Ngeli xesha, igazi elininzi kuneliqhelekileyo lihamba emabeleni akho ukunceda kwinkqubo yokuncancisa. I-lymph inika izondlo kwiiseli kunye nezicubu kwaye isusa inkunkuma. Olu lwelo lugqithisileyo lubangela ukuba amabele akho adumbe aze angakhululeki.

Indlela yokubona ukuxinana kwamabele?

Ukuminyana kwamabele yimeko yexeshana. Ababoneleli ngeenkonzo zempilo, abanjengoogqirha bokubelekisa, oogqirha bezifo zabesifazane kunye nabasebenzi bezempilo beentsapho, banokukufumanisa ngovavanyo lomzimba. Ugqirha wakho uza kuhlola amabele akho aze athethe nawe ngendlela oziva ngayo. Baza kukubuza nokuba kuqhubeka njani ukuncancisa kunye nokuba uneengxaki na.

Lonke olu lwazi luya kunceda ugqirha wakho ukuba afumanise ukuba iimpawu zakho zibangelwa kukuxinana, okanye esinye isizathu, njengokuxinana kwemibhobho yobisi/ukuvaleka kwemibhobho yobisi okanye i-mastitis.

Ziziphi iindlela zonyango zokudumba kwamabele?

Ugqirha wakho uza kukuxelela iindlela ezilungileyo zokulawula ukudumba kwamabele. Nazi ezinye zazo:

• Musa ukupompa ubisi olungaphezulu kunokuba kufuneka. Qhubeka nokuncancisa okanye ukupompa xa kufuneka.
• Sela amayeza okuthomalalisa iintlungu afana ne-`(Ibuprofen)` kunye ne-`(Acetaminophen)` xa usenza iintlungu. Kodwa landela imiyalelo kagqirha wakho ngqo xa usebenzisa amayeza.
• Faka iipakethe ezibandayo emabeleni akho emva kokuncancisa. Oku kuya kunceda ekunciphiseni ukudumba.
• Fumana i-lymphatic drainage massage ngesandla. Ugqirha wakho angakwenza oku ukuphucula ukuhamba kwe-lymph emabeleni akho. Xa ukuhamba kwe-lymph emabeleni akho kuphucuka, ukudumba kunokuncipha. Le yi-massage ethambileyo kakhulu. Hlikihla kancinci amakhwapha akho kunye namathambo e-collar ngentshukumo encinci ejikelezayo, uze usebenze ukusuka kwiingono zakho ukuya emakhwapheni akho kunye namathambo e-collar (apho kukho amaqhuma). Ugqirha wakho uya kukubonisa nendlela yokwenza oku ekhaya.
• Zama indlela ebizwa ngokuba yi-"Reverse Pressure Softening." Oku kuquka ukufaka uxinzelelo oluthambileyo nolulinganayo kwi-areola. Oku kunceda ukususa ulwelo kude nengono kwaye kwenza kube lula ukuba umntwana wakho abambe. Ugqirha wakho uza kukubonisa indlela yokwenza oku, uze emva koko ukwenze ngokwakho. Kungcono ukwenza oku imizuzu enye ukuya kwemithathu ngaphambi kokutya ngakunye, njengoko kuyalelwe ngugqirha wakho.
• Zama ukutyisa umntwana wakho elele ecaleni. Ngale ndlela, xa amabele akho evuvukile, umntwana wakho unokumncanca lula.
• Musa ukuhlikihla amabele akho ngamandla de ugqirha wakho akuxelele ukuba wenze njalo. Baza kukucebisa ukuba usebenzise enye yeendlela zokucinezela ezithambileyo ezikhankanyiweyo apha ngasentla. Ukuhlikihla amabele akho ngamandla nangokukhawuleza kakhulu kunokwenza iimpawu zakho zibe zimbi ngakumbi.
• Nxiba ibra exhasayo. Oku akubangeli isifo sesisu (ingcamango ephosakeleyo). Kubalulekile ukuba nenkxaso efanelekileyo ngeli xesha. Uxinzelelo oluvela kwibra elingana kakuhle lunceda ukuhambisa ulwelo emabeleni. Ugqirha wakho unokukunika iingcebiso ngeebra ezikhethekileyo ezinokukunceda.

Ngaba kulungile ukupompa ubisi lwebele ukuze kuncitshiswe ukudumba?

Hayi, ukupompa ukuze kuncitshiswe ukuminyana kwamabele kuya kwenza iimpawu zakho zibe zimbi ngakumbi. Yingcamango ephosakeleyo ukuba kufuneka uqhubeke nokuncancisa okanye ukhuphe yonke into emabeleni akho njengonyango lokuminyana. Xa ususa lonke ubisi emabeleni akho, umzimba wakho uya kwenza ubisi oluninzi. Oku kuya kwandisa ukuminyana endaweni yokukunciphisa.

Ugqirha wakho angakuxelela ukuba usebenzise ipompo yesandla - hayi eyombane - ukuze ukhuphe ubisi oluncinci. Okanye, angakuxelela ukuba ukhuphe ngesandla. Ungaziva ukhululekile ngakumbi xa ukhupha ubisi oluncinci. Kodwa landela imiyalelo kagqirha wakho ngokuchanekileyo.Musa ukupompa ukuze ususe ubisi oluninzi okanye ukhuphe lonke ibele.

Kuhlala ixesha elingakanani ukudumba kwamabele?

Oku kuzala kwangethuba emva kokubeleka kudla ngokuphela kwiiveki ezimbini. Ugqirha wakho uza kukuxelela okungakumbi ngento omawuyilindele ngokwemeko yakho.

Ngaba ukudumba kwamabele kungathintelwa?

Eyona ndlela ilungileyo yokuthintela ukuminyana kwamabele kukukhupha ubisi rhoqo kangangoko umntwana wakho ekufuna.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu zokuminyana kwamabele, okanye uqaphela naluphi na olunye utshintsho emabeleni akho, thetha nogqirha wakho wezifo zabesifazane okanye umsebenzi wezempilo wosapho. Banokufumanisa okwenzekayo baze bakuncede uzive ungcono.

Usenokufuna ukusebenza nengcali yamayeza okuncancisa (ugqirha oqeqeshwe ngokukodwa ekulawuleni ukuncancisa) okanye umcebisi wokuncancisa. Aba ngcali bezempilo banokukunceda uqalise ukuncancisa. Banokukuxhasa nakwiinyanga neminyaka oyincancisayo.

Kwimeko enjalo , fowunela ugqirha ngokukhawuleza :

• Kulungile ukuba iimpawu ziyaqhubeka, okanye ukuba ziya zisiba mandundu.
• Ukuba unyango aluzinciphisi iimpawu.
• Ukuba ubona naluphi na utshintsho kwibele elinye nje.

Eyona nto ibalulekileyo ekufuneka uyikhumbule kweli nqaku (Umyalezo Wokuya Ekhaya)

Ukukhulelwa nokuzala kuzisa utshintsho oluninzi ebomini bakho, olunye lwalo lunokuba lungathandeki kancinci. Amabele avuvukileyo ngumzekelo omnye nje. Akupheleli nje ekubeni ungaphumeleli usuku lonke ngamabele avuvukileyo nabuhlungu, kodwa kunokwenza kube nzima nokuncancisa umntwana wakho. Yiyo loo nto kubaluleke kakhulu ukufuna uncedo ngokukhawuleza nje ukuba uqaphela iimpawu. Musa ukuzama ukumelana nawe wedwa okanye uthembele kuphela kumayeza asekhaya. Bona ugqirha ukuze ufumane ukuba yintoni kanye kanye ebangela ukungakhululeki kwakho kwaye ufumane ulwalathiso olufanelekileyo lokukunceda uzive ungcono.

Ukudumba kweengono , Ukuncancisa, Ukuncancisa, Iintlungu zebele, Emva kokubeleka, Ukuncancisa, Isifo seMastitis, Ukuminyana kwebele