Acute mastitis - a phenomenon quite frequent after childbirth. There he is, as a rule, against a background of stagnation in the mammary glands of milk - lactostasis Lactostasis - a problem that must be solved immediately . The main thing at this time to notice when lactostasis goes to mastitis and seek medical assistance as the initial stages of mastitis can not operate.

How and why it begins acute mastitis

Acute mastitis - an acute inflammation of the mammary gland, which usually begins after birth. In women breast milk immediately after birth a little, but after a few days it begins to actively come and if the child sucks the breast is not enough, then you can begin stagnation of milk - lactostasis. At the same time, one or both breasts made hard and tense. Milk ducts are squeezed, and it further strengthens the stagnation of milk. Lactostasis sometimes occurs in one breast due to the fact that it is less convenient teat (e.g., flat), it is difficult to capture the baby, and it has little sucks the breast. A quick burst of milk can cause lactostasis in both breasts.

Lactostasis dangerous occurrence of mastitis. To an inflammation in the mammary gland must get infected. It falls, as a rule, from the small cracks and abrasions nipples, nipples so requires special care. Most often acute mastitis caused by pathogenic microflora, which is always present on the surface of the body - staphylococci, streptococci.

It has been observed that acute mastitis occurs more often in nulliparous women.

How is acute mastitis

When lactostasis may experience pain and bloating in one or both breasts. Usually, pumping milk thus brings relief. It may be a small rise in temperature, but the general condition of the woman does not suffer. When probing a breast can note the appearance of painless seal with clear boundaries. If you spend this time laboratory testing milk, the deviation will not be revealed.

In that case, when the background lactostasis high fever, there is a fever, malaise, weakness, severe pain in the breast, the breast becomes hot to the touch and pumping milk does not bring relief, it indicates the beginning of acute mastitis. This occurs a few days (about three days) after entering into the mammary gland infection.

On examination, it is clear that one breast is enlarged, at a palpation is marked sharp pain, infiltration in the mammary gland clearly detectable, it blurred the boundaries. Express milk woman is very painful and it does not bring her relief. This initial stage of acute mastitis or serous mastitis. If that mastitis is not treated, then after a few days the condition will worsen, which means that the stage has begun infiltration. A sign of infiltration education is the emergence over the fire red skin inflammation.

Approximately 4 - 5 days after the onset of infiltrative stage can go to fester. In this high fever, redness over the fire of inflammation increases, the seal in the breast increases. Over ulcer can catch fluctuation (fluctuation) - with gentle shaking tissue there is a feeling that the inside of the liquid splashing.

There are very severe atypical forms of acute mastitis - flegmanoznaya and gangrenous. Flegmanoznaya form of mastitis is characterized by the rise of a very high temperature, increased sharply, edematous and shiny mammary gland, increasing all nearby lymph glands. Even more serious condition happens when gangrenous mastitis Mastitis - what to do with the inflammation of the breast? , The skin over the breast blisters, sometimes visible areas of dead tissue (necrosis). Status of women is extremely difficult.

Acute mastitis can be complicated by inflammation of the lymph vessels and lymph nodes. If there is a spontaneous dissection abscess, it can form long-term non-healing fistulas.

Treatment of acute mastitis

When the first signs of lactostasis need to express as much as possible from this breast milk. Child must continue to feed "on demand", if necessary use the sucker. Mammary gland need to create a quiet and elevated position with special bandages or bra. Sometimes, to improve a discharge of milk prescribed physiotherapy and drugs, relieves spasms of the milk ducts (Nospanum).

If there was a high fever, you should seek medical advice. Feed the baby only in the early stages until they formed an abscess. Antibiotics and warming procedure. But most women can not be treated as if festering warming treatments are contraindicated, and distinguish yourself from the festering infiltration stage it is unlikely. If an autopsy is performed festering abscess.

Prevention of acute mastitis is the timely removal of phenomena lactostasis and treatment of minor injuries nipples.

Galina Romanenko

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