I-Neonatal mastitis yi-cellulitis yendawo yezicubu zebele. Isenokukhatshwa lithumba. Uninzi lweziganeko zibonwa kwiintsana ezincancisayo ezingaphantsi kweenyanga ezi-2.. I-mastitis kwiintsana inqabile kubantwana abangaphambi kwexesha, mhlawumbi ngenxa yokuba izicubu zebele zinexesha elincinci lokuvezwa kwiibhaktheriya ze-anaerobic, okanye ngaphandle kweoksijini. Akukhathaliseki nokuba umntwana yinkwenkwe okanye yintombazana, isifo sokukrala kwebele singachaphazela nasiphi na isini ngokulinganayo phambi kweeveki ezimbini ubudala. Kodwa emva kweeveki ezimbini iba yinto eqhelekileyo kumantombazana.
I-mastitis iphantse ihlale isecaleni. Iimpawu eziphambili zeklinikhi yi-erythema, ukuvuvukala kunye nokuthamba. I-ipsilateral axillary lymph nodes inokudumba, kodwa oku akuqhelekanga. Ngokwezifundo, malunga ne-25% yabantwana abane-mastitis esandul 'ukuzalwa banokubakho nomkhuhlane, i-43% ngokucaphuka, kunye ne-14% banokulahlekelwa ngumnqweno wokutya. Ngoko ke, kwiimeko ezininzi, umntwana uya kubonakala ngokuqhelekileyo, nangona ukuvuvukala kwebele.
Yintoni enokuyenza nge-mastitis kubantwana?
Kwiofisi kagqirha, ukuxilongwa kunokukrokrelwa ngokuhlolwa komntwana, kodwa iilabhoratri zinokuba luncedo ukuvavanya umngcipheko kunye nokukhokela xa ukhetha unyango olungcono. Ukuba uphawu lomntwana kuphela kukudumba kwebele, uvavanyo lwegazi kufuneka lwenziwe kunye nenkcubeko yegazi ukuba kuyimfuneko. I-Breast ultrasound inokunceda ukuchonga amathumba.
Ukuba umntwana ubonakala egula, i-lumbar puncture inokwenziwa. Kodwa ukuba awunayo i-fever yemvelaphi engaziwayo, i-lumbar puncture, kunye ne-urinalysis okanye inkcubeko, ayiyi kuba yimfuneko. Igazi, iimvavanyo zomchamo, kunye neqoqo le-cerebrospinal fluid kuphela xa umntwana unomkhuhlane neenjongo zayo ayaziwa. Ukuba unomkhuhlane kwaye uvavanyo lwegazi lubonisa inani eliphezulu leeseli ezimhlophe zegazi, i-urinalysis kunye ne-lumbar puncture kufuneka ithathelwe ingqalelo nzulu. Kucacile ukuba Iintsana ezineentsuku ezingama-21 ukuya kwezingama-28 ubudala akufanele zibe nomkhuhlane, kwaye ukuba i-mastitis iyenzeka, zonke iimvavanyo zokuxilonga ezinokubakho kufuneka zigqitywe.
Yintoni unyango lwemastitis kwiintsana?
Las isifo sokukrala kwebele Kwiintsana, ngokuqhelekileyo iphathwa ngamayeza okubulala iintsholongwane alwa kakuhle neziphumo zovavanyo lokuhlalutya kunye/okanye ukuhlatywa kwelumbar. Ngokuxhomekeke kwiibhaktheriya ezibangela i-mastitis, iya kunyangwa nge-antibiotic enye okanye enye, ekubeni Akukho unyango oluthile lwe-mastitis kwiintsana.. Ukunyamekelwa kwenkxaso naluphi na unyango, olufana ne-compress efudumele kunye ne-paracetamol ukukhulula intlungu kunye nomkhuhlane, kuya kunceda ukuphucula imeko yomntwana ophathwayo.
Imijelo yamabele ithambile, ngakumbi ukuba usana lusetyhini. Ukwenza esi sigqibo, utyando lwabantwana okanye i-gynecology kuya kuboniswana nayo ngenxa yokuba ukukhutshwa kwebele kwandisa umngcipheko we-hypoplasia yebele kunye ne-scarring nokuba i-drainage iphumelele. I-Breast hypoplasia ithetha ukuba kwixesha elizayo lentombazana, amabele akhe awakwazi ukukhula kakuhle, awashiye amancinci kunokuba umgaqo-siseko womzimba wakhe uvumela.
Izigqibo
Ukuba ngunyana okanye intombi yakho enesifo sokukrala kwebele, kufuneka uyikhumbule loo nto akukho mfuneko yokuba uzame ukukhupha ubovu. Abazali akufanele bacinezele ibele ukuzama ukukhulula unyana okanye intombi yabo, oku kunokwenza imeko yomntwana ibe mandundu. Iqela lezonyango elijongene nomntwana liya kuthatha uxanduva kwimeko kwaye likhuphe ithumba xa libona kuyimfuneko. Nangona kunjalo, baya kukhetha kuphela ukukhupha amanzi ukuba ukukhutshwa kwamanzi okuzenzekelayo akwenzeki, oko kukuthi, ukuba ubovu aluphumi ngokwalo.
Ukuba unayo usana olusandul’ ukuzalwa kwaye ubona ukuba amabele akho adumba kwaye abomvu okanye azaliswe bubofu, ngaphambi kokuba uzame naluphi na unyango ekhaya kungcono. Mse ngqo kugqirha wabantwana kwaye ulandele iingcebiso zakhe. Ngokukodwa ukuba usulelo olubangela i-mastitis lubangela umkhuhlane. Ngale ndlela uya kuphepha iingxaki kuphuhliso lwakho lwexesha elizayo, ngakumbi ukuba ungumfazi.