Ukunwaya ingono

Ukuluma kwezingono wukuzwa ukulunywa okuncane noma okunamandla ezingonweni, okungaba okubangelwa amagciwane, ukhunta, noma ezinye izici. Kuyisimo esicasulayo esingenzeka kunoma ubani obhekene nokuluma kwezinye izindawo zesikhumba. Kuyakhathaza nakakhulu lapho ukulunywa kwenzeka endaweni yomzimba evamise ukufihlwa futhi okunzima ukuyifinyelela kuzilungiselelo zomphakathi. Ukulunywa kwezingono kubhekwa njengenye yezinhlobo zokulunywa ezibuhlungu nezicasulayo umuntu angaba nazo.

Ukulunywa kwengono kungacasula kakhulu, ngoba akukho sixazululo esisheshayo sakho. Lapho umuntu engaphandle, kungase kuphakame umfutho wedemoni wokuwanwaya, okungase kubangele ngisho namahloni. Ngakho-ke, ake singene sijule kuzo zonke izici zokulunywa ingono, okuhlanganisa ukwelashwa kanye namakhambi asekhaya.

Kuyini I-Nipple Itching?

Ukulunywa ingono yisimo sesikhumba esivamile esibangelwa ukungezwani komzimba nezinto ezithile, ukuvuvukala, noma ukucasuka ngokomzimba. Ibonakala ngokuluma, ukucasuka, nokungakhululeki esikhumbeni, futhi ingenzeka kanye nezifo ezisakazeke kakhulu njenge-hives, eczema, noma izimo ezithinta ngqo indawo yengono.

Izinto ezicasulayo ngamakhemikhali njengensipho nokowasha izingubo, isikhumba esomile, nemiphumela engemihle evela emithini ngezinye zezimbangela ezivamile zokuluma kwezingono. Izingono ezilumayo nazo zingaba wuphawu lwe-contact dermatitis. Ngokuya ngesizathu, ingono eyodwa noma zombili zingase zizwe ukulunywa, okuhambisana nokuba bomvu, ubuhlungu, ukuvuvukala, noma ukuphuma kwamanzi.

Izimbangela Zokunwaya Izingono

Izingono ziyazwela, futhi izici eziningana zingaba nomthelela ekulunyweni kwezingono. Bangase bacasuke ngenxa yalokhu okulandelayo:

• Ukukhulelwa: Izinguquko ze-Hormonal, ukunwetshwa kwebele, nokugeleza kwegazi okwandisiwe kungabangela izingono ezilumayo phakathi ukukhulelwa. Abanye besifazane bangase futhi bezwe ubuhlungu bengono, ukuzwela, ukushotshozela, kanye nobunzima bebele.
• I-Dermatitis: I-allergic dermatitis noma i-eczema ingabangela ukulunywa kwengono. I-Eczema yisimo esingathinta noma iyiphi ingxenye yomzimba, kuhlanganise nezingono. Kuvamile kwabesifazane abancelisa ibele kanye nalabo abake baba neziqephu zangaphambili ze-atopic dermatitis. Ezinye izinhlobo ze-eczema ezingabangela ukulunywa kwengono zihlanganisa i-lanolin engahlanjululwanga kanye namafutha e-chamomile.
• Imvubelo: Abesifazane bavame ukuzwa izifo zokukhunta ezingonweni, okungabangela ukulunywa okukhulu. Lesi simo saziwa nangokuthi imvubelo yebele noma i-thrush. Ngokuvamile kwenzeka ngesikhathi sokuncelisa futhi kungabangela ukulimala ezingonweni. Amanye amadoda angase abe nemvubelo yebele.
• I-Nipple ka-Jogger: Ingono kaJogger ibangelwa ukuklwebhana kwezingubo. Kuvamile phakathi kwabantu abazivocavoca bengagqokile ubhodisi, abagqoke izikibha zikakotini ngenkathi begijima noma bephakamisa izinsimbi ezisindayo, noma abamatasatasa ngezinyanga ezibandayo lapho izingono zizwela kakhulu.
• Ukuncelisa Ibele: Izinsalela zobisi, imigudu yobisi exhunyiwe, kanye nokuxhunywa kwengane okungafanele ezingonweni nakho kungabangela ukulunywa nokuba buhlungu.
• I-Candida Infection (Yeast Infection): Ukutheleleka kwefungal, ikakhulukazi okubangelwa uhlobo lwe-Candida, kungaholela ekulumeni kwezingono. Lokhu kuvame kakhulu kwabesifazane abancelisa ibele futhi kwaziwa nge- nipple thrush.
• Izinguquko zeHormonal: Ukushintshashintsha kwama-hormone, njengalokho okwenzeka phakathi nomjikelezo wokuya esikhathini noma ukukhulelwa, ngezinye izikhathi kungase kubangele ukulunywa kwezingono.
• I-Friction noma i-Chafing: Ukuklwebhana noma ukuhushulwa yizingubo, ikakhulukazi ngesikhathi sokusebenza ngokomzimba, kungacasula izingono futhi kubangele ukulunywa.
• Ukunganeli Kwenhlanzeko: Ukungahlanzeki kahle, okuhlanganisa nokungawashwa njalo noma ukusebenzisa insipho eqinile, kungaba nomthelela ekulunyweni kwezingono.
• Umdlavuza Webele Ovuvukalayo: Ezimweni ezingavamile, ukulunywa kwezingono kungase kuhlotshaniswe nokuvuvukala umdlavuza webele, uhlobo lomdlavuza webele olungandile nolunamandla. Ezinye izimpawu zingase zihlanganisa ububomvu, ukuvuvukala, noshintsho ekubukekeni kwebele.
• Isifo Sesifuba sikaPaget: Isifo sikaPaget wuhlobo olungavamile lomdlavuza webele olungabangela izinguquko esikhumbeni sengono kanye ne-areola, okuhlanganisa ukulunywa, ukuba bomvu, nokuqhwaba.

Izimpawu Zokuluma Izingono 

Ezinye izimpawu nezimpawu ezimbalwa zibonisa izingono ezilumayo, njengokuthi -

• Ububomvu Engonweni: Lolu phawu lubandakanya ushintsho olubonakalayo embala wengono, uphenduke obomvana noma obomvu. Ngokuvamile kubonisa ukucasuka noma ukuvuvukala, okungabangelwa izici ezihlukahlukene, okuhlanganisa ukungezwani komzimba, ukungqubuzana kwempahla, noma izifo.
• Ubumnene Bebele: Ubumnene ebeleni busho umuzwa wokungakhululeki noma ukuzwela lapho kuthintwa ibele. Lokhu kungaba umphumela woshintsho lwamahomoni, izifo, noma izimo ezifana ne-mastitis. Ububele bungase bubekwe endaweni ezungeze ingono noma busakazekele kulo lonke ibele.
• Ukuvuvukala Ibele Elilodwa: Ukuvuvukala ebeleni elilodwa kungenzeka ngenxa yokuvuvukala, ukutheleleka, noma izinguquko zamahomoni. Kungase kuhambisane nokufudumala nokubabomvu, futhi kwezinye izimo, kungase kubonise isimo esibucayi kakhulu, njengethumba noma isimila.
• Ukukhipha Okungajwayelekile Ezingonweni: Ukuphuma ezingonweni, okungahlukahluka ngombala (ocacile, omhlophe, ophuzi, oluhlaza okotshani, noma onegazi), kungase kubonise inkinga. Lesi sibonakaliso singabangelwa izifo, ukungalingani kwe-hormonal, noma izimo ze-ductal, futhi kudinga ukuhlolwa kwezokwelapha ukuze kutholakale imbangela.
• Ukuqweqwedisa noma Ukukaleka Kwesikhumba Engonweni: Lokhu kuhilela ukwakheka koqweqwe noma amazenga ebusweni bengono, ngokuvamile ngenxa yezimo zesikhumba ezifana ne-eczema, psoriasis, noma izifo. Indawo ethintekile ingase ibonakale yomile, ilukhuni, futhi ingase ixebuke.
• I-Dry and Flaky Areola: I-areola, okuyindawo enemibala ezungeze ingono, ingaba yomile futhi ibe buthakathaka ngenxa yezimo ezifana ne-dermatitis, eczema, noma ukuchayeka kumakhemikhali anonya. Lokhu kungaholela ekucasukeni nasekuphatheni kabi.
• Ukuqubuka Okuphakeme, Okucwebezelayo Endaweni Yeingono Nakuzungezile: Lokhu kuqubuka kungase kubonakale njengokucwebezela, amabala aphakeme esikhumba ezungeze ingono, ngokuvamile okubonisa izimo ezifana ne-eczema, izifo zefungal, noma ukungezwani komzimba. Angase ahambisane nokulunywa nokungakhululeki.
• Ukuqhekeka Nokopha Ezingonweni: Izingono eziqhekekile zingaba buhlungu futhi zingopha. Lokhu kuvame ukubonakala kwabesifazane abancelisa ibele ngenxa yokuncela okungafanele, ukuncelisa njalo, noma isikhumba esomile. Kungenzeka futhi ngenxa yezifo noma izimo zesikhumba.
• Ukushiswa, Ukuluma, Nokuluma Emabeleni: Lezi zinzwa zingabangelwa izimbangela ezihlukahlukene, kuhlanganise noshintsho lwamahomoni, izifo, noma izimo zesikhumba. Ukuvutha, ukulunywa, kanye nokushotshozela kungase kuqhubeke noma kuphazamise futhi kungaba nomthelela omkhulu ekunethezekeni.
• Ubuhlungu obujulile noma obungajulile engonweni nasebeleni, Ikakhulukazi Ngemva Kokuncelisa noma Ukumpompa: Ubuhlungu bengono nebele bungahluka ngobukhulu nokujula. Kuvame ukwenzeka ibele abesifazane ngenxa yezinkinga ezinjengokulimala kwengono, izifo, noma imigudu yobisi evalekile. Ubuhlungu bungase bube bubi nakakhulu ngemva kokuncelisa noma ukupompa futhi bungasukela ebuhlungwini obubukhali kuye obufiphele.

Ukuxilongwa Kwe-Nipple Itching

Ukuxilonga lesi simo, udokotela uzobuza imibuzo mayelana nanoma yiziphi izimo zezokwelapha ezikhona, lapho isiguli siqala ukuzwa izimpawu, ubunzima bezimpawu, nokunye.

Ukuqinisekisa ukuthi ingono ukulunywa akuyona a uphawu lomdlavuza noma yisiphi esinye isimo esibucayi, udokotela angase ayale ukuhlolwa kwegazi nesithombe njengama-X-ray, ama-CT scan, nama-MRIs. Ukwengeza, udokotela angase acele ukuhlolwa okulandelayo:

• I-Mammography: Lokhu kuhlolwa kwenzelwa ukuhlola noma imaphi ama-cyst ngaphansi kwendawo yengono okungenzeka abangela lesi simo. 
• I-Breast ultrasound: Lokhu kuhlola kungathola noma yimaphi ama-cysts amancane noma amancane angase abangele ukulunywa.

Nokho, ezimeni zokulunywa okuncane, udokotela angase axoxe ngezimpawu kuphela futhi anikeze imithi ethile yokunciphisa ukuvuvukala nobuhlungu.

Ukwelapha Ingono Elumayo

Uma udokotela esehlonze izimbangela eziwumsuka, bazoncoma izindlela zokwelashwa ezifanele. Ngezansi ukwelashwa okusekelwe kwizimbangela zokulunywa ingono:

• I-Mastitis: Odokotela bavame ukunikeza ama-antibiotics ukwelapha i-mastitis. Kubalulekile ukuqeda inkambo ephelele yemithi ukuze uzuze imiphumela emihle futhi unciphise ingozi yokuphindaphinda ukutheleleka.
• Isifo sikaPaget nomdlavuza: Lezi zimo zilashwa kusetshenziswa izindlela ezithuthukile, njengemisebe, imiphumela emibi yokwelashwa ngamakhemikhali, kanye nokuhlinzwa.
• Ukukhulelwa: Uma ingono ukulunywa kubangelwa ukukhulelwa, kuyatuseka ukusebenzisa izinto zokuthambisa ezibulala amagciwane nezigcobo zomzimba ezingenazo izithako ezifana ne-Vitamin E, i-lanolin, nebhotela likakhokho. I-petroleum jelly ibhekwa njengendlela engcono kakhulu yokwelapha ukulunywa, isikhumba esithambile nesiphukile. Ukwengeza, ukusebenzisa izinsipho nezihlanzi ezingenaphunga elithambile, ezingenaphunga kanye nokugqoka obhodisi bokubeletha kungasiza ekuvimbeleni ukungqubuzana.
• I-Dermatitis: Landela incwadi kadokotela yokhilimu obulala amagciwane, ama-topical steroids, namanye amafutha okwelapha. Ukusebenzisa ama-antihistamine nakho kungasiza ekwehliseni ukulunywa nokubabomvu ezimeni zokungezwani komzimba nezinto ezithile.
• Imvubelo: Odokotela bangase banikeze ukhilimu we-antifungal noma imithi yomlomo yokwelapha izifo zemvubelo yebele.
• I-Nipple ka-Jogger: Ukhilimu we-Antiseptic ukwelapha okunconyiwe kwengono ka-jogger.

Ezimweni ezimbi kakhulu, njengokwakheka kwe-cyst, udokotela angase atuse ukuhlinzwa ukuze kukhishwe ama-cysts abangela ukulunywa kwengono.

Izinyathelo zokuvimbela

• Njalo hlola isikhumba sakho nezingono ukuze uthole noma yiziphi izinguquko. Ukutholwa kusenesikhathi kwezinkinga kungaholela ekwelashweni okusebenza ngempumelelo.
• Gcina ukudla okunempilo futhi uhlale uhlanzekile ukuze ugcine isikhumba sakho sinempilo. I-Omega-3 fatty acids, etholakala ezinhlanzi kanye ne-flaxseed, ingasiza ekuthuthukiseni impilo yesikhumba.
• Lawula ukucindezeleka, okungase kubhebhethekise izimo zesikhumba. Imikhuba efana ne-yoga, ukuzindla, nokuzivocavoca njalo kungasiza ekunciphiseni amazinga okucindezeleka.

Uzovakashela nini uDokotela?

Kubalulekile ukubonana nodokotela uma othile ehlangabezana nanoma yisiphi kulezi zimo ezilandelayo:

• Amabele abuhlungu
• Izicubu zesifuba eziqinisiwe
• Ukukhipha igazi, okunsundu, noma okuphuzi
• Ingono ehlanekezelwe

Ukwengeza, esimweni sokuncelisa futhi uhlangabezana nezimpawu ezinjalo noma ezinye izinkinga ezihlobene ne-ingono, kuhle ukuthi uthintane nodokotela ngokushesha.

Izinyathelo zokuzinakekela zokulunywa kwengono

Ukulunywa kwezingono kungase kungakhululeki, kodwa kunezindlela ezilula zokukukhulula. Nawa amanye amathiphu alula, afaka phakathi amakhambi athengwayo kanye nezinguquko endleleni yokuphila:

Amakhambi Angaphezu Kwekhawunta

• Ama-moisturizers:
  • Sebenzisa ama-moisturizers angenawo amakha ukuze ugcine isikhumba sakho simanzi.
  • Gcoba i-petroleum jelly noma i-lanolin ukuthambisa isikhumba.
• Ama-Anti-Itch Cream:
  • Sebenzisa ukhilimu we-hydrocortisone ukunciphisa ukulunywa nokuvuvukala.
  • I-Calamine lotion nayo ingasiza ekudambiseni ukulunywa.
• Ama-Antihistamine:
  • Thatha ama-antihistamine afana ne-Benadryl uma ukulunywa kungenxa yokungezwani komzimba nezinto ezithile.
• Ama-Antifungal Creams:
  • Sebenzisa okhilimu be-antifungal uma usola ukuthi une-yeast infection.

Izinguquko zokuphila

• Ukuhlanzeka Okufanelekile:
  • Gcina indawo ihlanzekile futhi yomile. Geza ngobumnene ngensipho ethambile, engenaphunga.
  • Gwema ukukhuhla kanzima.
• Gqoka Izimpahla Ezinethezekile:
  • Khetha izingubo ezikhululekile, eziphefumulayo ezenziwe ngekotini.
  • Gwema obhodisi abampintshayo nezingubo ezibanga ukungqubuzana.
• Gwema Izinto Ezicasulayo:
  • Gwema izinto zokugcoba, iziqholo, nezihlanzi ezinokhahlo.
  • Hlola imikhiqizo emisha yesikhumba endaweni encane kuqala.
• Hlala Upholile:
  • Gcina isikhumba sakho sipholile ukuze uvimbele ukujuluka.
  • Gwema izihlambi ezishisayo nokugeza okomisa isikhumba.
• I-Stay Hydrated:
  • Phuza amanzi amaningi.
  • Yidla a Ukudla okunazo zonke namavithamini namaminerali amaningi.
• Phatha Ingcindezi:
  • Prakthiza imisebenzi yokukhulula ukucindezeleka njenge-yoga noma ukuzindla.

Amakhambi Asekhaya 

Endabeni yokuluma kwezingono ezincane ngenxa ukuqubuka noma ukuphuka kwesikhumba, kukhona amakhambi athile asekhaya angasetshenziswa:

• Aloe Vera: Inezici zokulwa nokuvuvukala ezisiza ukudambisa isikhumba nokunciphisa ukuvuvukala. Ukufaka ijeli entsha ye-aloe vera ngokuqondile esitshalweni kungathulisa indawo yokulunywa futhi kunikeze umphumela wokupholisa.
• Uju: Uju lwaziwa ngezinto zalo zokulwa namagciwane, okwenza lube yisithako esikahle sokudambisa ukucasuka kwesikhumba. Gcoba uju engonweni, uyishiye imizuzu embalwa, bese uyihlanza ngamanzi abandayo. Umehluko obonakalayo ungabonakala ezinsukwini ezimbalwa.
• I-Petroleum Jelly: Itholakala kalula kunoma isiphi isitolo futhi iyathengeka, i-petroleum jelly iphumelela kakhulu ekwelapheni izingono ezilumayo. Ligcobe kabili noma kathathu ngosuku ukuze indawo ihlale imanzi.
• Amafutha kaJojoba: Uwoyela weJojoba uqukethe izinto ezilwa nokulunywa kanye ne-antiseptic esiza ukunciphisa ukuvuvukala. Gcoba uwoyela ngokuqondile noma sebenzisa i-jojoba oil-based lotion kabili ngosuku.
• Iqhwa: Iqhwa lingasiza ekupholiseni izingono ezivuvukele. Gcoba i-ice cube phezu kwengono usuku lonke ukuze uthole impumuzo yesikhashana. Ukwengeza, ukusebenzisa i-jojoba oil-based lotion noma i-petroleum jelly kunganikeza impumuzo eyengeziwe.
• Amaqabunga e-Basil: Amaqabunga e-basil awasizi nje kuphela izingono ezilumayo kodwa nasezingonweni ezophayo. Yenza unamathisele amaqabunga e-basil bese uyifaka endaweni ethintekile. Shiya unamathisele imizuzu embalwa bese uyihlanza ngamanzi abandayo.

Kutuswa ukugwema ukugqoka izingubo ezixega ngokweqile noma ezimpintshayo ukuze uvimbele ukungqubuzana. Futhi, gwema ukunwaya izingono noma ukusebenzisa imithi ngaphandle kwencwadi kadokotela. 

Isiphetho

Izingono ezilumayo ngezinye izikhathi zingase zingakhululeki kakhulu. Ngokuvamile, ukulunywa okuncane akubangeli ubungozi bezempilo futhi kungelashwa ngamakhambi asekhaya kanye nemithi etholakala ngaphandle kwekhawunta (OTC). Kodwa-ke, uma kukhona ukulunywa okukhulu nxazonke noma ezingonweni, kuhle ukuthi uthintane nodokotela udokotela wesikhumba onguchwepheshe ezibhedlela ze-CARE. Bangakwazi ukuxilonga ngokunembile isimo futhi benze uhlelo lokwelapha olusebenzayo.

Imibuzo Evame Ukubuzwa

1. Kusho ukuthini uma ingono yakho iluma?

Izingono ezilumayo zingabonisa izinto ezihlukahlukene, njenge-dermatitis, i-eczema, noma ezinye izimo zezokwelapha njengama-cysts ngaphansi kwesikhumba.

2. Ingabe ingono elumayo noma yini okufanele ukhathazeke ngayo?

Ukulunywa okuncane engonweni ngokuvamile akusona isizathu sokukhathazeka futhi kungelapheka kalula ekhaya. Kodwa-ke, uma i-itch inzima futhi ihambisana nobuhlungu nokukhishwa, kuhle ukufuna usizo lwezokwelapha ngokushesha.

3. Ingabe ukulunywa kwengono kusho ukukhula kwebele?

Endabeni yokukhulelwa, ukulunywa okuncane engonweni kungase kube umphumela wokukhula kwebele. Lokhu kungenxa yokuthi isikhumba sebele siyakhula ngesikhathi sokukhulelwa.

4. Kusho ukuthini uma ingono yakho iluma?

Izingono ezilumayo zingabangelwa isikhumba esomile, ukungezwani komzimba nezinto ezithile, ukungqubuzana kwezingubo, izinguquko zamahomoni, noma isimo sesikhumba esingaphansi njenge-eczema.

5. Kufanele ngikhathazeke nini ngokulunywa kwengono?

Yiba nokukhathazeka uma ukulunywa kunamandla, kuqhubeka, kuhambisana neqhubu, ukukhishwa, ububomvu, noma uma isikhumba esizungeze ingono sibukeka singajwayelekile. Bonana nodokotela uma lezi zimpawu zenzeka.

6. Ingabe ingono elumayo isho ukuya esikhathini?

Izingono ezilumayo zingaba wuphawu lwezinguquko zehomoni ezihambisana ne umjikelezo wokuya esikhathini, ngakho-ke kungenzeka ukuthi bangase balume ngesikhathi sakho sokuya esikhathini.

7. Kungani izingono zami ziluma uma ngingakhulelwe?

Izingono ezilumayo zingabangelwa izinguquko zamahomoni, isikhumba esomile, ukungezwani komzimba nezinto ezithile, ukungqubuzana kwezingubo, noma ezinye izimo zesikhumba, hhayi nje ukukhulelwa.

8. Ingabe kuvamile ukuba ingono ukulunywa?

Yebo, amadoda angaphinde abe nezingono ezilumayo ngenxa yezizathu ezifanayo nezabesifazane, njengesikhumba esomile, ukucasuka, ukungezwani komzimba nezinto ezithile, noma izifo.

9. Ingabe ukucindezeleka kungabangela izingono ezilumayo?

Ukucindezeleka ngezinye izikhathi kungaholela ezimweni zesikhumba ezifana ne-eczema noma i-dermatitis, engabangela izingono ezilumayo.

10. Yelashwa kanjani ingono elumayo ekhaya?

Gcina indawo inomswakama, gwema izindwangu ezicasulayo, sebenzisa insipho ethambile kanye nezinto zokuhlanza, futhi ufake i-compress ebandayo uma kudingeka. I-over-the-counter hydrocortisone cream ingasiza ekuvuvukeni.

11. Kunini lapho kufanele uthintane nomhlinzeki wezempilo ukuze uthole ingono elumayo?

Bona umhlinzeki wezempilo uma ukulunywa kubi kakhulu, kungapheli, kuhambisana neqhubu, ukukhishwa, noma ezinye izimpawu ezingavamile.

12. Ingabe ingono elumayo ingawubonisa umdlavuza webele?

Izingono ezilumayo azivamile ukuba nophawu lomdlavuza webele, kodwa uma ukulunywa kuqhubeka futhi kuhambisana nezinye izimpawu ezifana nesigaxa, ukuphuma koketshezi, noma izinguquko engonweni noma esikhunjeni sebele, thintana nodokotela.

CARE Medical Team

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