Nipple Inversion (निप्पल इनवर्शन) एक ऐसी स्थिति है जिसमें स्तन का निप्पल (nipple) inward या अंदर की ओर दब जाता है।
- यह स्तन का सामान्य anatomical variation भी हो सकता है या underlying disease का संकेत भी हो सकता है।
- किसी व्यक्ति में जन्म से (congenital) निप्पल inverted हो सकता है।
- Acquired nipple inversion अक्सर breast infections, trauma, benign tumors या cancer के कारण होती है।
Nipple Inversion क्या है (What is Nipple Inversion)
- Condition जिसमें nipple की tip inward हो जाती है, normal outward protrusion नहीं रहती।
- Severity के अनुसार classified होती है:
- Grade 1 (Mild) – Easily pulled out manually
- Grade 2 (Moderate) – Protrudes with stimulation, but retracts
- Grade 3 (Severe / Congenital) – Cannot protrude manually
- Mostly benign, but sudden onset in adults always investigate for breast malignancy।
Nipple Inversion कारण (Causes of Nipple Inversion)
1. Congenital / Developmental
- Present from birth
- Short or tight lactiferous ducts
2. Acquired Causes
- Breast infections – Mastitis, abscess
- Benign breast tumors – Fibroadenoma, cysts
- Malignant tumors – Breast cancer (especially invasive ductal carcinoma)
- Trauma or surgery
3. Systemic Conditions
- Hormonal imbalance affecting breast tissue
- Scar formation from inflammation
Nipple Inversion लक्षण (Symptoms of Nipple Inversion)
- Nipple retracted inward
- Sometimes pain or tenderness
- Discharge from nipple (clear, bloody, or purulent)
- Lump in breast (if underlying tumor)
- Skin changes – dimpling or redness (if malignancy)
Congenital nipple inversion usually painless and stable।
Nipple Inversion कैसे पहचाने (Diagnosis of Nipple Inversion)
- Physical Examination – assessment of grade and symmetry
- Breast Imaging
- Mammography (especially in adults with new onset)
- Ultrasound (detect underlying mass)
- MRI – if imaging unclear
- Biopsy – if suspicious lesion or discharge
- Patient History – congenital vs acquired, duration, associated symptoms
Sudden nipple inversion in adult requires rule out malignancy।
Nipple Inversion इलाज (Treatment of Nipple Inversion)
1. Conservative / Non-surgical
- Manual exercises or suction devices (for mild cases)
- Nipple shields for breastfeeding issues
2. Surgical Treatment
- Nipple eversion surgery for functional or cosmetic reasons
- Techniques: lactiferous duct-preserving surgery, local flap reconstruction
3. Treat Underlying Cause
- Infection → Antibiotics
- Tumor → Surgery, chemotherapy, or radiotherapy as indicated
- Scar tissue → Surgical correction
4. Breastfeeding Support
- Lactation consultant for nipple stimulation techniques
- Nipple shields or pumps for effective breastfeeding
रोकथाम (Prevention)
- Early treatment of breast infections or abscesses
- Prompt evaluation of any new nipple changes
- Regular breast self-examination
- Screening in high-risk individuals for breast cancer
सावधानियाँ (Precautions)
- Do not ignore sudden nipple inversion, discharge, or lump
- Regular breast exams and imaging if at risk
- Maintain hygiene to prevent infection
- Avoid trauma to breast tissue
FAQs (अक्सर पूछे जाने वाले प्रश्न)
Q1. Nipple inversion हमेशा cancer का संकेत है?
नहीं, congenital nipple inversion usually benign है। लेकिन adult onset / sudden inversion हमेशा investigate करना चाहिए।
Q2. क्या inverted nipple breastfeeding में problem create करती है?
कभी-कभी latch या milk extraction में समस्या हो सकती है, लेकिन supportive techniques और nipple shields मदद कर सकते हैं।
Q3. Surgery कितनी effective है?
Cosmetic और functional improvement के लिए surgery बहुत effective है। Recurrence rare है।
Q4. कौन high risk में है?
Adult women with sudden inversion, nipple discharge, lump, or skin changes।
निष्कर्ष (Conclusion)
Nipple Inversion (निप्पल इनवर्शन) आमतौर पर benign anatomical variation है, लेकिन sudden onset in adults या associated symptoms में careful evaluation जरूरी है।
Early diagnosis, appropriate imaging, treatment of underlying cause, और surgical correction (if needed) से cosmetic और functional outcome अच्छा रहता है।
अगर किसी को निप्पल में अचानक बदलाव, discharge या lump दिखे, तो तुरंत gynecologist या breast specialist से consultation करें।