- Mastitis - what to do with the inflammation of the breast?
- Manifestations
Manifestations of mastitis
Inflammation in the breast often starts in the first weeks and months after the birth in case of stagnation of milk in the breast. It promotes the development of mastitis weakening of the body after childbirth, mental stress and decreased immunity. At this time, the woman should pay special attention to your health, because it is inextricably linked to the health of the baby.
Mastitis and its species
It called mastitis inflammation of breast tissue. It promotes the lobed structure of the breast. In the event of stagnation of milk lobules tissue swells, squeezes blood vessels and ducts - all this further exacerbates congestion and represents fertile ground for the introduction of infection. Slices are combined into a larger share of the milk ducts through which flows into a small space - sinuses and then released through the nipple. Inflammation can begin in the sinus and then transmitted to the lobules of the breast.
Mastitis often develops on the one hand (but sometimes with two) and can occur acutely and chronically.
Causes of acute mastitis and features of its current
Acute mastitis - this is usually a consequence of stagnation of milk in the mammary gland, which develops immediately after birth. Therefore, first woman concerned bloating in the breast, and then, after a stagnation space gets an infection, fever, inflammation enhanced in swelling and redness appears.
The infection often enters the breast through the nipple cracks and abrasions that occur when the wrong child gripping the nipple (the nipple should be captured together with the surrounding areola). The infection can get into and through the blood vessels of the different foci of infection in the body of the woman.
The rapid spread of the inflammatory process contributes to reduced immunity, which is typical for the post-partum period.
The inflammatory process occurs in two phases. In first phase (phase infiltration) in the inflammatory site edema appears, which can pass with proper treatment. However, if treatment is not carried out or was ineffective, the process proceeds to the second phase - suppuration occurs when purulent fusion of breast tissue and the formed abscess.
How does acute mastitis
The first sign of acute mastitis - redness in breast and fever. This suggests that the infection is now, and lactostasis moved in the inflammatory process. Increased regional lymph nodes, they are palpated in the underarm area as a disease of peas. The body temperature rises, there is a fever, impaired general condition of the patient.
A few days later an abscess formed from infiltration (the second phase of inflammation), this time in the field of breast cancer appears clearly delimited process. In this region, it can be felt infiltrate inside which there is a fluctuation (a fluctuation - it appears the presence in the tissue fluid, in this case, pus). The general condition of the patient deteriorates, the temperature rises to high numbers, growing intoxication, the patient requires urgent surgical care. Sometimes purulent process becomes gangrenous (with the collapse of the breast tissue). Purulent mastitis can be complicated by the transition to the lungs and inflammation of blood poisoning.
Diagnosis and treatment of acute mastitis
The diagnosis of acute mastitis is placed on the basis of the characteristic signs of the disease and confirmed by laboratory tests. In general, a blood test can be seen typical signs of inflammation: an increase in the number of leukocytes and ESR acceleration. Held as microbiological testing of milk in order to identify the infectious agent and its sensitivity to antibiotics.
If an abscess has not yet formed, then it is conservative treatment: pumping milk obkalyvanie place inflammation solution of novocaine with antibiotics - it prevents the spread of inflammation to healthy tissue. The sooner this is done obkalyvanie, so it will be more effective. Prescribe antibiotics. The child is not allowed to suck the patient chest, as in human milk may contain infectious agents.
After an abscess formed, conservative treatment is ineffective, surgery is performed opening the abscess and further treatment of open wounds.
Chronic mastitis
Acute mastitis may acquire chronic course. In some cases, chronic mastitis from the beginning proceeds chronically. Thus the general condition of the patient may not suffer too much. Interested breast slightly increased at the site of inflammation have redness and swelling, or, conversely, retraction of the skin. The skin may appear fistulas - the channels through which the surface of the skin by drops oozing pus. Enlarged axillary lymph nodes.
Treatment of chronic mastitis surgery: the abscess is opened, so that the content of the wound does not accumulate in a special tube inserted into the wound (drainage). Enter antibiotics.
In order to prevent the occurrence of mastitis, a woman must withdraw lactostasis
Lactostasis - a problem that must be solved immediately
by emptying the breast and carefully observe good personal hygiene. When they cracked nipples should be lubricated with special disinfectants and ointments (such as solkoserilom).
Galina Romanenko
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