Mastitis, or inflammation of the breast tissue in most cases occur after childbirth. But there are mastitis occurring in women is feeding baby Feeding your baby - optimal breastfeeding   feeding. Mastitis also occur in men and children, including the newborn.

As mastitis begins

Inflammation of the breast tissue promotes its lobed structure. For example, when stagnant milk lobules tissue swells, squeezes blood vessels and ducts, which contributes to further stagnation and swelling of the breast tissue. Slices are connected to the large share, from the milk ducts of the breast comes in a special space - sinuses and then released through the nipple. Inflammatory process (usually one-sided, but it occurs on both sides) can begin with sinus, and then go to the breast lobules.

The infection gets into the mammary gland more frequently when it is modified, such as swelling in the background breastfeeding (lactation). With the penetration of the mammary gland of infectious agents after 2 - 4 days begins serous mastitis. The disease begins acutely with chills, fever, sweating, weakness, weakness, sharp pain in the breast. The mammary gland is increased in volume, at a palpation is painful, sealing (infiltration) is felt clearly. Expressing milk causes pain, after expression of relief comes. In general, the analysis of blood shows signs of inflammation (erythrocyte sedimentation rate accelerated, a large number of white blood cells).

If no or wrong treatment conducted after 2 - 3 days initial form may go into infiltrative.

Signs of infiltrative and purulent mastitis

Infiltrative mastitis appears more pronounced inflammation and worsening of general condition. When probing the breast more clearly defined by inflammatory infiltrate with reddening of the skin over it.

Go serous mastitis in infiltrative, and then in the festering happening fast for 4 - 5 days, with enhanced both general and local signs of inflammation, there are significant signs of intoxication. The temperature is kept constant at high figures or sharply rises, falls and rises again (hectic fever). Redness of the skin over the affected area of ​​the breast is enhanced infiltration in the gland increases, there is a fluctuation (fluctuation that occurs when effleurage skin over the affected areas of cancer, which indicates the presence in the oral fluid, in this case of pus) in the beginning of superficial ulcers, and then over deeper.

When mastitis flegmanoznom Mastitis - what to do with the inflammation of the breast?   (abscess - the abscess is not delimited from the healthy tissue capsule) increase in body temperature up to 40˚ often accompanied by chills. The mammary gland is sharply increased, the skin over it becomes edematous, shiny, reddened, with a bluish tint. Inflamed nearby lymph nodes.

When gangrenous form of mastitis (gangrene - necrosis of the body is due to circulatory disorders) the condition of patients becomes extremely severe: body temperature rises to 40 - 41˚S, pulse rate up to 120 - 130 per minute, the mammary gland is sharply increased in volume, the skin over it becomes edematous, with blisters filled with hemorrhagic (bloody) content with areas of necrosis of tissue (necrosis). Swelling spreads to surrounding tissues in the general analysis of blood can be seen significant signs of inflammation.

Chronic suppurative mastitis

During the chronic suppurative mastitis Purulent mastitis   signs of the disease are expressed slightly. The mammary gland is increased in volume, painful, sometimes this process joins the inflammation in the nearby (regional) lymph nodes with a small (low grade), and sometimes with fever.

On the surface, the location of inflammatory foci appear redness of the skin over them. Sometimes there is a diffuse redness, swelling and tenderness of the skin close to the nipple and areola, combined with high temperatures and an increase in the axillary lymph nodes. Redness, swelling and tenderness of the skin disappear in a few days, and in this area there is only a painful seal inside the breast without marked boundaries, sometimes - inverted nipple with clear secretions from him. You can also test the enlarged axillary lymph nodes.

Complications of mastitis

Current mastitis can be complicated by inflammation of the lymph vessels (lymphangitis) and lymph nodes (lymphadenitis). Sometimes, especially when phlegmonous and gangrenous forms of the disease is complicated by sepsis (blood poisoning).

After opening (sometimes spontaneous) abscess may in some cases form lactic fistulas (channels connecting ulcers body surface), which are closed on their own, but for a long time.

Galina Romanenko

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