Start of acute mastitis is easy to confuse with lactostasis Lactostasis - a problem that must be solved immediately   (acute stagnation of milk), which is often preceded by inflammatory processes. But some doctors recommend to consider any breast engorgement, which is accompanied by a rise in temperature, the serous (no suppuration) form of acute mastitis.

Why start lactostasis

Lactostasis called milk stasis in the breast. It occurs mainly in the first month of lactation, when there comes a sharp inflow of milk. In this case, if passed, even one feeding, comes lactostasis, mammary glands are tight and painful, and her nipples - drawn. The sharp tide milk squeezes blood vessels and milk ducts, which leads to lower production of milk. Reducing the amount of milk and flat nipples (hard to capture their child) leads to the fact that the child will go hungry.

In acute stagnation of milk occurs gradually increasing feeling of heaviness and tension in the mammary gland. In one or more lobules respectively stagnation can be felt moving painless seal with clear boundaries. Milk stands out freely, racking and painless relief. General state suffers a little, the body temperature is increased marginally, in general blood test no sign of inflammation in the study of mammary secretion deviations are determined.

Lactostasis complication is obstruction of the ducts of the breast, mammary gland inflammation (mastitis) and breast abscess.

Signs of lactation mastitis

The reason for the transition to lactostasis Mastitis is an infection (staphylococcus, streptococcus, E. coli, etc.), Which can get into the breast through cracks and abrasions on her nipples. In the transition lactostasis mastitis in lactating women have sharply raised very high temperature. And if before pumping milk was painless and bring relief to the beginning of the inflammatory process is changing: express milk becomes very painful and it does not bring any relief. First formed in the breast infiltration, then gradually he begins to disintegrate with the formation of pus. This point is also marked by a rise in temperature.

Today lactation mastitis has a number of features. So, it has a late start, usually after discharge from the hospital a woman (late or delayed mastitis) - one in ten women mastitis begins a month after giving birth. Most mastitis occur in the form of infiltrative-suppurative processes with the development of diffuse (spread) and nodal forms. Mostly develops diffuse form with the formation of a significant infiltration and penetration of pus in the surrounding tissues without the formation of abscesses (abscesses, bounded capsule). When a node is formed form isolated from the surrounding tissue infiltration of round or oval. Current purulent mastitis is usually a long, lingering Along with the usual forms of the disease may erased for mastitis Mastitis - what to do with the inflammation of the breast?   with very little or no inflammation. Sometimes the true severity of the process does not correspond to its external manifestations, and this creates additional difficulties in detection and timely treatment of the disease.

Diagnosis and treatment

Diagnosis of acute lactation mastitis often is not difficult, since the disease has a typical appearance. But you can make a mistake in the severity of the process and its distribution. To confirm the diagnosis carried out microbiological testing of milk (inoculation of culture media) from the affected and healthy breast, complete blood count (it is possible to see signs of inflammation).

Treatment depends on the phase in which the disease is located. If signs of breast lactostasis create peace, exalted position by immobilizing bandage or a bra, which should create the immobility, but not squeeze the breast. To improve the emptying of the breast used physiotherapy, aspirated breast pump milk prescribe antispasmodics, extending the breast ducts (for example, no-silos).

If you start the phase of infiltration, even when there is no pus, appointed intensive conservative treatment - antibiotics, if necessary, for the removal of intoxication, woman intravenously administered various medicinal solutions. To improve the emptying of the breast are also prescribed physiotherapy (eg, UHF, ultrasound).

If purulent process begins, any physical therapy procedures are contraindicated. In this case the operation is conducted, during which made a wide and deep section of the breast, remove the pus and necrotic tissue and treat then as a festering wound.

In order to prevent the formation and subsequent lactostasis mastitis, a child first months of life is recommended not to feed on the clock, and on-demand, that is, when he screams.

Galina Romanenko

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