Ngenhlanhla, inkinga engajwayelekile yokuncelisa ibele, ithumba lesifuba lingabangelwa ukungalashwa noma ukuphathwa kabi kwe-mastitis. Kudinga ukuphathwa okusheshayo okuhlanganisa ukwelashwa kwama-antibiotic kanye nokugeleza kwethumba.

Ithumba lesifuba ukwakhiwa kweqoqo le-purulent (ukuqongelela ubomvu) ku-mammary gland noma izicubu ze-periglandular. Ithumba livame ukubangelwa ukutheleleka ngeStaphylococcus aureus. Lokhu kutheleleka kungalandela izinkinga ezihlukahlukene zokuncelisa:

• kaningi, i-mastitis ethathelwanayo engalashwa noma engelashwa kahle (ukugeleza kwebele okungaphelele, i-antibiotic engafanele noma ukwelashwa okufushane);
• umgodi onamagciwane amakhulu, oveza indawo yokungena yamagciwane e-pathogenic. 

Ngenxa yokuphathwa kahle kwe-mastitis, ithumba lebele ngenhlanhla lihlala liyivelakancane, lithinta kuphela u-0,1% womama abancelisa ibele.

Ithumba lebele lizibonakalisa ngezimpawu eziqondile kakhulu:

• ubukhona esifubeni sobunzima obunzima, obuchazwe kahle, obufudumele;
• ubuhlungu obukhulu bohlobo lwe-throbbing, olwandile ngokushaya ngamandla;
• ibele elivuvukele eliqinile futhi elinombala obomvu endaweni ethintekile, ngezinye izikhathi nendawo emaphakathi ephaphathekile. Sicwebezela ekuqaleni, isikhumba singase sixebuke noma siqhekeke, sidedele ubomvu;
• imfiva.

Ebhekene nalezi zimpawu, kubalulekile ukubonisana ngokushesha okukhulu.

Ngaphezu kokuhlolwa komtholampilo, i-ultrasound ivame ukwenziwa ukuqinisekisa ukuxilongwa kwethumba lebele, ukukala ithumba futhi ucacise ukuthi likuphi. Lezi zinto zibalulekile ekukhetheni ukwelashwa.

Ithumba lebele alikwazi ukuxazululwa lilodwa, noma ngokwelashwa "kwemvelo". Kuyisimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha ukuze kugwenywe i-sepsis, inkinga enkulu. Lokhu kwelashwa kuningi:

Ukwelashwa kwe-analgesic anti-inflammatory

Ukwelashwa okulwa nokuvuvukala okuhambisana nokuncelisa ibele, ukudambisa izinhlungu.

Ukwelashwa ngama-antibiotic

Ukwelashwa ngama-antibiotic (inhlanganisela ye-amoxicillin / clavulanic acid, erythromycin noma i-clindamycin) ngomzila ojwayelekile okungenani izinsuku eziyi-14 ukuze kuqedwe igciwane okukhulunywa ngalo. Lokhu kwelashwa kungashintshwa ngokuya ngemiphumela yokuhlaziywa kwamagciwane oketshezi lokubhoboza.

Ukuphinda kuphume ubomvu

Ukuphinda kuphume ubomvu usebenzisa inaliti ukukhipha ithumba. Inqubo yenzeka ngaphansi kwe-anesthesia yendawo nangaphansi kolawulo lwe-ultrasound. Uma i-pus isiphelile ngokuphelele, ukuchelela kwesisombululo se-isotonic (isixazululo saline oyinyumba) kwenziwa ukuze kuhlanzwe ithumba, bese kufakwa ibhandishi ukuze amunce ubomvu.

Ngokuvamile kuyadingeka ukuphinda lokhu kubhoboza izikhathi eziningana (izikhathi ezi-2 kuya kwezi-3 ngokwesilinganiso) ukuze kufinyelelwe ukumuncwa okuphelele kwethumba. Ukungahlaseli (futhi ngenxa yalokho mancane amathuba okuthi kulimaze indlala yebele), akubangeli isibazi esingathandeki futhi akudingi ukulaliswa esibhedlela (ngakho-ke akukho ukwehlukaniswa kukamama nengane), ukubhoboza ukubhoboza kwe-ultrasound yindlela yokuqala yokwelapha. inhloso yethumba lebele. 

Ukufakwa komsele

Lapho kukhona ithumba elingaphezu kwamasentimitha amathathu ububanzi, ipayipi elinqanyuliwe lingabekwa ngaphansi kwe-ultrasound, ukuze kuhlanzwe nsuku zonke.

Ukukhipha amanzi ngokuhlinzwa

Uma kwenzeka ukwehluleka kwe-ultrasound-guided puncture-aspiration (ubomvu obubonakala kakhulu, ithumba elihlukanisiwe, inani elikhulu lokubhoboza, ubuhlungu obukhulu kakhulu, njll.), ithumba elikhulu noma elijulile noma ithumba eliphindaphindiwe noma elingapheli, ukuhlinzwa kwamanzi kuyadingeka. .

Ngemuva kokusikwa kwesikhumba ngaphansi kwe-anesthesia yendawo noma ejwayelekile, udokotela ohlinzayo ususa igobolondo lethumba ngomunwe wakhe ukuze asuse iningi lama-cubicles (ama-micro-abscesses atholakala nxazonke). Ube esenisela indawo ngesisombululo sesinqandakuvunda ngaphambi kokufaka into yokuhambisa amanzi (i-gauze wick noma i-plastic blade blade) ukuze kukhishwe iziphuzo ezahlukahlukene (ubomvu, igazi) ngesikhathi sokuphulukiswa, kepha futhi nokugcina ithumba livulekile.

Lokhu kubalulekile ukuze uthole ukuphulukiswa okuqhubekayo, kusuka ngaphakathi kuye ngaphandle, nokugwema ukuphindeka. Ukunakekelwa kwendawo kuzohlinzekwa nsuku zonke, futhi kunqunywe ama-analgesics.

Njengoba ama-antibiotic anqunyiwe ehambisana nokuncelisa, umama angaqhubeka nokuncelisa ibele elingathinteki. Ebeleni elithintekile, ukuqhubeka nokuncelisa kungenzeka uma ithumba lingekho periareolar, ngamanye amazwi uma umlomo wengane ungekho eduze kakhulu nendawo yokubhoboza. Ubisi lwebele ngokuvamile alunamagciwane.

Umama uzovele aqiniseke ukuthi ugeza izandla zakhe kahle ngaphambi nangemva kokuncelisa, nokubeka i-compress oyinyumba endaweni yokubhoboza ngesikhathi sokuncelisa ukuze ingane ingahlangani nobomvu. Uma ukuphakelwa kubuhlungu kakhulu, umama angasebenzisa ipompo yebele ngenkathi amabele ephola ukuvimbela ukubola okungadala ukuthi ithumba liqhubeke.